Workplace Health Safety (WHS) Guidelines

Workplace Health Safety (WHS) Guidelines Lachlan Donnet-Jones Introduction To provide effective patient care at a high standard it is necessary to use a clinical and systematic approach. The primary and secondary surveys are the centre of patient assessment. Primary assessment is a systematic approach to identifying critical and life threatening conditions and treating in order of severity. This includes complying with state clinical practice guidelines (CPGs) for workplace health and safety (WHS), infection control, airway management, manual handling and vital signs (AT Clinical Practice Guidelines, Protocol A0101, p. 1). Subsequent to management of life-threatening conditions the secondary survey is conducted. Secondary survey involves a thorough physical examination enacting a ‘head to toe’ approach including inspecting, palpation and auscultation using various tools at paramedic’s disposal (AT Clinical Practice Guidelines, Protocol A0101, p. 2). The clinical approach is applied to all patients as a basic level of care (AT Clinical Pr actice Guidelines, Protocol A0101, p. 3). Workplace Health Safety (WHS) The Work Health and Safety (WHS) Act, implemented by Safe Work Australia (2012), is a framework that aims to protect the health, safety and welfare of workers in their workplace. This includes both physical and psychological health. In Australia, the highest rate of serious injury claims is from muscular stress while lifting objects, a major component of the paramedic profession (Safe Work Australia, 2012). Paramedics are often in situations that can be demanding and potentially damaging of physical and mental health, this is why it is necessary to follow the WHS guidelines to avoid and minimise any negative outcome (Mistovich, 2010). Twedell and Pfrimmers’ (2009) article provides insight into the effectiveness of teamwork and communication specific to patient care. It states that ‘effective teamwork and communication can help prevent mistakes and decrease patient risk’ (p. 294 – 295). Other WHS considerations include; lifting and weight restrictions, biolo gical hazards, the use of personal protective equipment (PPE), bystanders and family members and environmental factors such as weather conditions (Mistovich, 2010). Infection Control Infection control is defined as ‘the process by which a disease is transmitted via micro-organisms from one person to another’ (Black, 2010). The Ambulance Service of New South Wales (ASNSW) infection control policy (2011) uses a two tier system. The first tier is called ‘standard precautions’. This is applied to all patients no matter the diagnosis, it is a blanket level of precautions used with every patient. The second tier is ‘additional precautions’, which is applied to specific patients who are suspected of having infectious disease communicable via droplet, airborne or skin contact. Multi resistant organisms (MROs) are bacteria and organisms that have developed a resistance to antimicrobial drugs. MROs, such as Multiple Drug Resistant Staphylococcus Aureus (MRSA) or Vancomycin Resistant Enterococci (VRE), can cause serious illness in infected persons and can potentially lead to death (ASNSW Skills Manual, p. 114). Infectious diseases can be avoided and infections such as MROs are preventable with proper infection control procedures and precautions (NSW Infection Control Policy, 2007). It is the responsibility of paramedics and health professionals alike to take the necessary precautions to prevent infectious disease from spreading in the best interest of the health and safety of patients, clinicians and the general public (National Health and Medical Research Council, 2010). In compliance with the AT clinical practice guidelines (2012), paramedics responding in the scenario are required to wear PPE in accordance with the standard precautions, which includes gloves and safety glasses with mask, vest and helmet when required (Skill A0101). With the presence of emesis and without appropriate infection control, potential illness maybe communicable by airborne transmission, such as gastroenteritis (Mandell et al, 2000). Manual Handling Manual handling is defined in the New South Wales (NSW) Health Policy Directive (2011) as ‘any activity requiring the force exerted by a person to lift, lower, push, pull, carry or otherwise move, hold or restrain any object, animal or person’. Manual handling injuries are considered a large and unnecessary burden on workplace health, as most incidents are preventable (NSW Health Policy Directive, 2011). The purpose of manual handling policies and regulations is to prevent or minimise the occurrence of manual handling incidents (NSW Health and Community Services Industry Reference Group, 2005). This is accomplished with the combined effort of employees and employers in identifying, assessing and controlling workplace risks and hazards, such as those of manual handling (NSW Health Policy Directive, 2011). The safe manual handling techniques and skills required in the scenario include planning, two person log roll and team lifting with safe lifting techniques (Ambulance Vi ctoria Clinical Work Instructions, 2001, Skill 5.1.1). The patient in the scenario presents as unconscious with emesis present, thus requiring to be placed in the lateral position using a two person log roll (Ambulance Tasmania Clinical Work Instructions, 2004, Skill 2.2.1). Subsequent to the initial treatment the patient is required to be lifted onto a stretcher to be placed into the ambulance for transport to the emergency department (ED). Ambulance Tasmania does not specify a safe lifting load other than the recommended load bearing provided by the equipment manufacturer e.g. Ferno (Ambulance Tasmania Clinical Work Instructions, 2007, p. 5.1.22). However, according to the National Code of Practice for Manual Handling (2005) anything heavier than 55 kilograms (kg) is considered too heavy for an individual to lift and would require mechanical assistance or a team lift. The patient in the scenario weighs approximately 120 kg, therefore requiring a four person lift (National Occupational Health and Safety Commission, 2005). Airway Management Upon arrival the patient is found in a supine position, appears to be hypoventilating (AT Clinical Practice Guidelines, Protocol A0103) and is unresponsive to all stimuli with a Glasgow Coma Scale (GCS) of three (AT Clinical Practice Guidelines, Protocol A0104). AT Clinical Practice Guidelines (CPG) state that the patients respiratory rate of seven is considered dyspnoeic, and therefore inadequate. This requires the patient to be moved into a lateral position via log roll as this is the best position to manage the airway in an unconscious patient (AT Clinical Work Instructions, Skill 2.2.1; Jevon, 2008). The patient presents with emesis on his face and shirt suggesting that his airway may be compromised. Jevon (2008) explains that the most effective way to further examine an airway obstruction is the ‘Look, Listen and Feel’ approach, where the paramedic examines visible chest movements, audible breath sounds, abnormal noises, and palpable air flow from the nose and mouth. During the ‘Look, Listen and Feel’ airway examination it will become clear whether the obstruction is potential or actual, and partial or complete (Jevon, 2008). Additionally, the cyanosed lips and cool skin temperature of the patient would be noted. AT Clinical Work Instructions (CWI) states that paramedics are required to clear a patient’s airway with the removal of foreign bodies. It instructs the health professional to perform a triple airway manoeuvre, which consists of a head tilt, chin lift and jaw thrust, accompanied by the insertion of an artificial airway (AT Clinical Work Instructions, Skill 2.2.1). The scenario requires an artificial airway to maintain the patients’ airway, specifically an oropharyngeal airway adjunct would be used to suppress the tongue and any other upper airway obstructions (AT Clinical Work Instructions, Skill 2.2.3). The oropharyngeal adjunct (OPA) is a good initial adjunct to use, as it is simple to insert and does not cause bacteraemia (bacteria in blood) (Patel, 2012). The inherent disadvantages of using an OPA include using the wrong size, which can contribute to airway obstruction, rather than airway patency (Khan, Sharma and Kaul, 2011). OPA’s have the potential to provoke emesis that may further obstruct the patent airway. It may also cause damage to soft tissue in the patients’ mouth and lips during insertion (Ostermayer and Gausche-Hill, 2014). The OPA may potentially be inadequate in maintaining a patent airway, requiring paramedics to consider the use of an alternative airway adjunct to establish sufficient airway patency. Other airway adjuncts paramedics may consider include; a nasopharyngeal airway (NPA) applied via the nasal canals, laryngeal mask airway (LMA) that is orally inserted to cover the laryngeal inlet, or a endotracheal tube (ETT), inserted into the trachea, which is an intensive care paramedic (ICP) skill only and considered the gold standard of airway management (AT Clinical Practice Guidelines, Protocols A0301, A0302). The patient has gurgling respirations and may require manual airway clearance to remove obstructing substances, such as emesis. Using a yankaeur sucker, paramedics are able to suction the unwanted substances from in and around the OPA, therefore clearing the patients’ airway and eliminating the gurgling respirations (AV Clinical Work Instructions, Skill 2.2.6; ASNSW Clinical Protocol Guidelines, p. 101.7). Once a patent airway has been achieved it is necessary to provide manual ventilation as the patient respiratory rate is currently seven per minute, an insufficient level of oxygenation to sustain the cells in the body (AT Clinical Practice Guidelines, Protocol A0103). AT clinical practice guidelines indicate the use of a bag-valve-mask (BVM) to provide additional oxygen to the hypoventilating patient (AT Clinical Practice Guidelines, Protocol A0103). The BVM resuscitation following intubation is one of the most important steps for effective airway management (Gabbott and Baskett, 1997). Despite its effectiveness, using a BVM has disadvantages including; gastric distension, regurgitation, aspiration, barotrauma and hypotension (Gabbott and Baskett, 1997; ASNSW Skills Manual, p. 102.1.1). Gabbott and Baskett (1997) emphasise the dangers of gastric distension resuscitation as they found 28% of failed resuscitations presented with pulmonary aspiration as a result of gastric distension. Other patient care considerations Additional precautions include accounting for accidental hypothermia. The patient has been outside on the ground for an unknown amount of time during May, which has an average temperature of 10 degrees celcius but can drop to below zero degrees celcius (Weatherzone.com.au, 2014). Ulrich and Rathlev (2004) state that hypothermia is when a person’s body temperature drops below 35 degrees celcius. Contributing factors to hypothermia include drugs and alcohol, environmental factors (e.g. wind or rain), length of exposure and time of day (Ulrich and Rathlev, 2004). Hypothermia management includes; sheltering patient from the environment, removal of damp and wet clothing, drying with towels and wrapping patient in space blanket. If hypothermia is severe, warming fluid at a temperature of 37 – 42 degrees celcius should be given to patient (AT Clinical Practice Guidelines, Protocol A0901). Conclusion To ensure comprehensive patient care is delivered at a high standard of clinical skill and safety paramedics must adhere to certain principles and guidelines. The WHS, infection control and manual handling guidelines and protocols are the initial point of notice for patient and paramedic safety. The systematic patient management framework ensures paramedics thoroughly assess patients’ conditions in order of severity, identifying life threatening conditions first and responding with appropriate treatment.

Solar Cells theory

The consumption of the products grew enormously and therefore it is not surprising that we characterise today society as a consumption society. Nevertheless, it has become evident at the end of the 20th century that the philosophy of human rogress that has manifested itself in a huge production and consumption of goods has a negative side too. It has been recognized that a massive consumption of fossil fuels in order to fulfil the present energy demands has a negative impact on the environment.The deterioration of environment is a clear warning that the present realization of human progress has its limitations. The emerging international environmental consciousness was formulated in a concept of a sustainable human progress. The sustainable human progress is defined as: † to ensure that it sustainable development) meets the needs of the present without compromising the ability of future generations to meet their own needs†l . A new challenge has emerged at the end of the 20th century that represents a search for and a utilization of new and sustainable energy sources.The urge of this challenge is underlined by limited resources of the fossil fuels on the Earth and increasing demand for energy production. This is the reason why the attention is turning to the renewable energy sources. Energy is an essence of any human activity. When we are interested in how he human civilization has been producing and using energy, we can describe it in terms of an energy system. The main characteristics of the energy system are: the population, the total consumption of energy, and the sources and forms of energy that people use.The energy system at the beginning of the 21st century is characterised by six billion people that live on the Earth and the total energy consumption of approximately 1. 3 x 1010 kW. World Commission on Environment and Development (WCED), Our Common Future, Oxford/New York: Oxford University Press (1987). 1. 2 Primary energy sources Figure 1. 1 presents an overview of the present primary energy sources 2. The primary energy sources can be divided in two groups. The first group includes those energy sources that will be exhausted by exploiting them.These energy sources are called the depleting energy sources and they are the fossil fuels and nuclear energy. The fossil fuels and nuclear power are the main source of energy in todays energy system and they supply 78% of the energy demand. Under the assumption that the population of mankind does not change drastically and it consumes energy at the urrent level, the fossil fuel reserves will be exhausted within 320 years and the nuclear energy within 260 years.

PressureToday

Today in our modern society cheating in school is growing at a rapid rate, but who is to blame, is it the school system is it students or is it the teachers. I strongly believe that it is not only the student's fault but the school systems as well. To begin, cheating among students has rapidly increased. The numbers are crazy; statically 2 out of every 3 kids have cheated on a test, homework, ect. â€Å"Cheating in school is rampant and getting worse 64% of students cheated on a test in the past ear and 38% did so too or more times up from 60% to 35% in a 2006 survey'(David Crary).Which raises the question why are so many students cheating. Its not like they don't know everybody knows that cheating is wrong, you learned that as a kid and you constantly here it till you are out of school. I believe that students cheat because they want a good grade and that they don't trust themselves enough to write down what they think when they can Just look over there shoulder and get an answers they think s better than theirs so they can get a good grade, because in this day and age the difference of one A or B can mean a good collage or a great one.As the demand for higher educated people grows so does the pressure and that's why students cheat, because they can easily take a C, D, or even an F if they wanted to and not cheat, but their logic is why get a easy F when you can gets a easy A. Next is the school system and how it works, and how I believe it greatly impacts and influences the students of are modern generation to cheat.To explain, are school ystem is revolving around grades and scores and if you get a A then you are considered smart and you fully understand the topic and are more likely to get accepted into a good school, but since we are seeing so many students cheat because of this system that we are initially hurting are generation and really only making more of are generation not as smart as the previous generations. Part of the reason high school students cheat is to get into a good University, but as the universities get more competitive and raise their standards even higher it really nfluences and pressures us high school students to cheat.So we can do good and initially get into the universities we want. I believe we should change the school systems to a system were there are no grades and we should Just focus on trying to make are students understand the material as opposed to Just getting a good score not knowing if the student understand the material of Just cheated to get a good grade to pass on to the next grade and initially get into a good University later on in his or her future. pressure By sammy2314

The Religious Place Of Worship I Attended - 1397 Words

Identification: The religious place of worship I attended was a Jewish institution. The denomination was a reform Jewish Synagogue, and the name of the place of worship was called Temple Israel and is located at 2310 Virginia Drive, Ottawa, Ontario Canada, K2C 1N2. I attended the Saturday Shabbat service on September 26, 2015 at 10:15am and ran till 11:45. As people entered in Temple Israel they hand them a prayer book called Mishkan T’filah, and sheet that says â€Å"Ten Commandments Of Synagogue Etiquette† the ten commandments follows â€Å"1. Respect the Sanctuary as a place of prayer, reflection and joyous worship, 2. Be respectful in your behaviour and dress, 3. Join us in prayer and not in side conversations, 4. Treat the Siddurim with respect, 5. No cell phones or PDA’s use in the sanctuary, 6. No texting during the service, 7. No photography, 8. No eating, drinking, or gum chewing in the sanctuary, 9. Wish your neighbor Shabbat Shalom, 10. Have a joyous Shabbat. The Mis hkan T’filah is written in Hebrew with English translations. Building: The outside building is a light dirt colour brown all around, the building is one story with a basement. The door is a large wooden rectangle under a brick arc. The entrance into the synagogue was filled with books shelves, with a front desk, there was a display of the tree of life on the south wall. This tree of life had glass leaves with messages from the elementary school they have. Once I entered into the main area of worship throughShow MoreRelatedMy Journey At Seattle Pacific University1582 Words   |  7 Pages For the first eighteen years of my life I was raised in a conservative Southern Baptist church. During my journey at Seattle Pacific University, I have been attending different church traditions in order to find my own individual faith. One church that I have attended is Holy Apostles Greek Orthodox Church. 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