It is likely a violation of the law to have an employee who hasn’t paid for the PPE to use such equipment off-site (Boundless, 2017). There are federal programs that ensure that such measures are in place. The organizational administrator has the mandate to then ensure that the laws governing safety measures are followed by everyone including the designees. The format of operation must also be quite consistent with the manual containing plans and procedures of operation. In any case a different operational format regarding the PPE is to be carried out, an explanation of the same is provided to the administrator (Putkonen & Kuivalainen, 2013). It is then the duty of the health administrator’s job to either accept the changes or deny the changes from getting conducted. If in any case the administration accepts the adoption of other safety-enhanced operational plans, the plan is implemented. The changes should be as effective as the initial processes of operation. However, in most occasions, such plans are denied the chance for implementation for the purpose of maintaining the effectiveness of quality service delivery as well as safety (Hodge & Marshall, 2007).
Clinical Principles and Processes of auditing
Frameworks and Processes: - Many health organizations have the Infection Prevention and Control Group also known as the IPCG. The IPCG happens to be under the Risk and Quality Improvement Group which will mostly report the Assurance Committee. IPCG provides safe services which must also be of top quality. The mandates of this group would, therefore, include prevention as well as control of infection (AAFP, 2017). As much as the entire healthcare facility is entitled to ensuring that it has zero tolerance to risk, IPCG is the fundamental group that would ensure that infections that are avoidable are prevented. The group is charged with the implementation of the Social Care and Health Act of 2008. This Act is the adult and health social care principle associated with controls and preventions (AAFP, 2017).
Some of the duties associated with the group include:
- Ensuring that quality is promoted with regards to the infection control and prevention activities throughout every service provided.
- Ensuring that ownership is promoted and that the duty of promoting ownership lies on the shoulder of everyone within the organization.
- The group also ensures that effective communication within the organization is maintained.
Policies: - Most of the policies regarding risk management are enacted by the Infections Prevention and Control Director (SOLENT, 2015). One of the aspects of ensuring risk management in health facilities is via decontamination programs. Such programs ensure that:
- Devices prescribed for single use only don’t get reused.
- The process of decontamination of devices that are not reused need to take place as per the instructions of the manufactures.
- Having reusable devices decontaminated should happen in appropriate facilities which should meet the National Decontamination Strategy standards.
- A monitoring system needs to be put in place for the purpose of ensuring that processes of decontamination meet the standards that are required.
Surveillance as part of auditing
Surveillance in health happens to be part of the control measures towards ensuring that hazardous situations within the workplace are mitigated. Some of the tools, in this case, to ensure that illnesses that are work-related are prevented are encapsulated in the form of health reforms or policies that curb risks. On the contrary, such illnesses occur even in managed situation thus calling for extra care. Surveillance in healthcare may also ensure that practitioners are not exposed to the same diseases they are mitigating (OSH Group, 2017). Such situations are managed through risk control in the workplaces. Each and every healthcare system need to have a surveillance program that is able to apply subjective and objective measures. From such a situation, a health baseline is established. Those who might also be at risk of any health concerns are also identified (OSH Group, 2017).
The Personal Protective Equipment are usually put on to ensure that one is less exposed to hazards likely to cause serious illnesses and injuries within the workplace. Such illnesses or injuries may result from physical contact with radiological substances, chemicals, or even electrical appliances. Some of the Personal Protective Equipment are gloves, shoes, safety glasses, muffs, earplugs, hats, coveralls, respirators, full body suits, and vests (USDL, 2017). Such equipment need to be safely designed as well as maintained in a place that is of reliable fashion and also clean. The equipment need to be improving work for users as well as increasing comfortability. In case the equipment don’t fit, a difference is likely to be made regarding safe cover and dangerous exposure (Goulet & Larue, 2016). During engineering activities, administrative controls and work practice happen not to be feasible or rather not able to provide ample protection (USDL, 2017). Employers need to ensure that they give PPEs (personal protective equipment) to the employees as well as ensure that such are properly used. Stakeholders are also needed to have each other informed on the manner in which such personal protective equipment is used also:
- When such equipment are necessary
- Which type is recommended
- How to wear the equipment properly as well as how to remove them
- Equipment limitation
- Proper maintenance, care, and equipment disposal
Most health organizations ensure that:
- They provide protective gears for the face, eyes, head and other areas to shield from radiological hazards, chemical hazards, or even mechanical irritants.
- PPE standards are met with regards to the provided clause.
For the purpose of accommodating situation of work under which workers are allowed to have their PPE, workers must ensure that such employees don’t compromise the protection of others as well as ensure that such foreign equipment are adequate. However, in other organizations, employees should have their own equipment so that they are allowed to undertake their jobs. On the contrary, such equipment is needed to comply with the standards of the organization in particular (Osha, 2017).
- PPE used off worksites
There is a number of equipment used that are used off worksites (Osha, 2017). Some of them are: gloves that are wire mesh, welding gloves, hard hats, respirators, gloves, and glasses. Other equipment are:
- Specialty foot protection
- Face shields
- Rubber gloves and blankets
- Hot sticks
- Live-line tools
- Personal off-site PPE
Some of these equipment are:
- Safety glasses that are non-specialty
- Safety shoes
- Outer wear shoes for cold-weather
- Risk Management
Risk management is whereby an institution assesses as well as solve issues to do with risk that it is likely to face. Most of the time, management of risk has been intertwined with buying of insurance, health and occupational safety, as well as legal management of liability (Young, 2017). As time passes by, both medical practitioners as well as managers have realized that organizational risks are getting pervasive and that they are also complex and diverse. However, such risks are not only associated with situations which are accident-oriented but also from regulatory body actions as well. Other sources of risk include third party participants, partners, hospitals, and employees. It is also worth noting that altering the preferences of patients or even their expectations makes the management of risk continuous or rather dynamic (Young, 2017).
Having defined the term risk management, it is also important to note that proper risk management methods are able to ensure that healthcare service delivery is improved. There is also a chance that the chances of reducing an adverse outcome is or malpractice can be reverted. The outline of a core curriculum regarding risk management studies, should therefore, outline knowledge, attitudes, as well as skills that would be recommended in case of risky situations. With all points mentioned earlier taken into note, the ultimate goal of managing risks is to have untoward events reduced (Wendy, 2016). Also, the programs geared towards ensuring that risks get managed reduce liability levied to providers of healthcare. The basics of management rely on the healthcare standards (Young, 2017).
One of the ways in which risk is managed is through ensuring that the safety of patients in cases of construction or renovation of a health facility is considered. Ensuring that the site is safe is the engineers’ highest priority. The management of the hospitals should also ensure that the site of operation during cases of renovation, demolition, or construction is risk free. Such is to ensure that safety of every stakeholder is maintained. To ensure that any form of hazard is managed, there are several policies that come in play. Some of these include: Facilities Management Policies, Environmental Health and Safety Policies, Facilities and Space Planning Policies, and Infection Control Policies. Apart from such policies, oversight and construction safety programs are also developed. The protocols used by such programs are available in policies like:
- Illness Control Measures For Construction in Health Care Areas
- Interim Life Safety Implementation Policy
The programs are supposed to be a source of comprehensive plan which assesses the site’s control of the quality of air, implications, hazards and infection control, and interventions. Most healthcare organizations work with the named policies to ensure that risk is managed. Such policies are executed on both off-site and on-campuses. The renovation and construction projects in healthcare systems are evaluated before the works are began (Vanderbilt, 2017). Reviewing processes are then done during processes of construction to ensure that cleanliness and patient safety get promoted. The management is also required to perform a consultative review. Such reviews will determine the level of risk management (Hoeffer & Murphy, 2010). The first step of the review process requires the management to fill a Construction Matrix, have the scope of the work outlined, and then control protection level during the project development phase. Activities involving construction in healthcare settings are performed via methods which would reduce the amount of dust generated. Periodic inspection of the jobsite is also performed by individuals allocated the task of ensuring that facilities are managed, infections get controlled, and planning for space done (Vanderbilt, 2017).
AAFP. (2017). Retrieved 16 September 2017, from https://www.aafp.org/dam/AAFP/documents/medical_education_residency/program_directors/Reprint281_Risk.pdf
Ashcraft, L. (2015). Eliminating Seclusion and Restraint in Recovery-Oriented Crisis Services | Psychiatric Services. Ps.psychiatryonline.org.psychiatryonline.org. Retrieved 7 April 2017, from https://ps.psychiatryonline.org.psychiatryonline.org/doi/ref/10.1176/ps.2008.59.10.1198
Boundless. (2017). The Impact of External and Internal Factors on Strategy. Boundless. Retrieved 17 June 2017, from https://www.boundless.com/management/textbooks/boundless-management-textbook/strategic-management-12/strategic-management-86/the-impact-of-external-and-internal-factors-on-strategy-419-1549/
Goulet, M., & Larue, C. (2016). Post-Seclusion and Restraint Review in Psychiatry: A Scoping Review. Retrieved 7 April 2017, from https://www.psychiatricnursing.org/article/S0883-9417(15)00193-4/abstract?cc=y=
Hodge, A. N., & Marshall, A. P. (2007). Violence and aggression in the emergency department: a critical care perspective. Australian Critical Care, 20(2), from https://www.australiancriticalcare.com/article/S1036-7314(07)00035-5/abstract
Hoeffer, B., & Murphy, S. (2010). Journal of Psychosocial Nursing and Mental Health Services. Healio.com. Retrieved 7 April 2017, from https://www.healio.com/psychiatry/journals/jpn/1982-12-20-12
Ledoux, M. (2017). Physical Restraints in Residential Facilities: Staff Members’ Perspectives. Aura.antioch.edu. Retrieved 7 April 2017, from https://aura.antioch.edu/cgi/viewcontent.cgi?article=1029&context=etds
MB, C. (2009). Physical and chemical restraints. - PubMed - NCBI. Ncbi.nlm.nih.gov. Retrieved 7 April 2017, from https://www.ncbi.nlm.nih.gov/pubmed/19932399
OSH Group. (2017). Health Surveillance. Oshgroup.com.au. Retrieved 17 September 2017, from https://oshgroup.com.au/our-services/health-surveillance/
Osha. (2017). STD 01-06-006 - STD 1-6.6 - Inspection Guidelines for 29 CFR 1910. Subpart I, the revised Personal Protective Equipment Standards for General Industry. | Occupational Safety and Health Administration. Osha.gov. Retrieved 16 September 2017, from https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=DIRECTIVES&p_id=1790
Putkonen, A., & Kuivalainen, S. (2013). Cluster-Randomized Controlled Trial of Reducing Seclusion and Restraint in Secured Care of Men With Schizophrenia | Psychiatric Services. Ps.psychiatryonline.org. Retrieved 7 April 2017, from https://ps.psychiatryonline.org/doi/ref/10.1176/appi.ps.201200393
SOLENT. (2015). Policy for Infection Prevention and Control Framework. Retrieved 16 September 2017, from https://www.solent.nhs.uk/_store/documents/ipc01-policyoninfectionpreventionandcontrolframework.pdf
USDL. (2017). Safety and Health Topics | Personal Protective Equipment - Payment for Personal Protective Equipment | Occupational Safety and Health Administration. Osha.gov. Retrieved 16 September 2017, from https://www.osha.gov/SLTC/personalprotectiveequipment/payment.html
Vanderbilt. (2017). Construction and Renovation Safety in VUMC Healthcare Facilities | Vanderbilt Environmental Health and Safety. Vumc.org. Retrieved 17 September 2017, from https://www.vumc.org/safety/clinical/vumc-construction-safety
Wendy, A. (2016). Physical and Chemical Restraints Dangerous to Nursing Home Patients | Sacramento Attorneys at York Law Firm. York Law Firm. Retrieved 7 April 2017, from https://www.yorklawcorp.com/physical-and-chemical-restraints-dangerous-to-nursing-home-patients/
Young, M. (2017). An introduction to risk management. - PubMed - NCBI. Ncbi.nlm.nih.gov. Retrieved 16 September 2017, from https://www.ncbi.nlm.nih.gov/pubmed/12122845