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2018 Samaritan Mandatory Education

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2018 Samaritan Mandatory Education 2018 Samaritan Mandatory Education Table of Contents • Back Safety • Corporate Compliance • Corrections & Amendments to MR • Diversity • Emergency Procedures • Employee Health Services • EMTALA • Event Reporting in RL Solutions • Fall Prevention Program • Fire Safety • Harassment Training • Healthcare Proxy • HIPAA • HIV Confidentiality • Latex Allergies • National Patient Safety Goals for Infection Control • OSHA Bloodborne Pathogens Standard Table of Contents (continued) • OSHA Update • Overview on Assessment and Management of Pain • Patient Financial Assistance Program • Patient Rights • Patient Safety • Performance Improvement • Protection of People with Special Needs from Abuse, Neglect & Significant Harm • Restraint Order/Documentation • SMC Verification & Confidentiality / Non-Disclosure Agreement • Strategic Plan • The Joint Commission • Workplace Violence Prevention for Healthcare • Run Hide Fight – Active Shooter BACK SAFETY Welcome to The Back Safety CBL The purpose of this CBL is to help you learn the correct posture for different activities on the job, and how to avoid injury. Standing Postures •Stomach should be flat, lumbar curve maintained. •Observe the spine and check that the curves are not exaggerated. Prolonged Standing Posture •Avoid prolonged standing, especially in shoes with high heels. •Move about and stretch whenever possible. •Use a footstool to prop one foot on from time to time. Sitting Posture • Avoid prolonged sitting. • Get up every 45 minutes to stretch in the opposite direction. • Use a lumbar support in the chair to maintain a lumbar curve. • Use a footstool as an alternate to a lumbar support. Lying Posture • Lie on one side. • When lying on the back, put pillow under the knees. Principles for Lifting • Feet should have a wide base of support. • Squat and bend the knees, not the back. • Lift with the legs. • Tighten the abdominal muscles and gluteal muscles to “lock in” your lumbar lordosis. • Avoid twisting. • Keep the object close to you. Carrying •Carry the object close to you. •Use your arms and carry at waist level. •Avoid torquing or twisting movements. •Check to be sure lumbar curve is present. Reaching • Avoid reaching above the shoulders without taking precautions. • Use a footstool or ladder when possible. • Rearrange an area so you do not have to reach across a desk or cabinet for commonly used items. Pushing •Use mechanical devices to help push heavy or large items. •Push instead of pulling when possible. •Push with the legs or entire body to break the inertia. Pulling •Avoid pulling an object if possible. •Keep the knees partially bent. •Maintain a wide base of support. •Shift the body weight to give extra pull. •Do not pull with the back muscles. •Try to keep the lumbar curve present (see illustration on next slide). Normal Spine and Alignment This image cannot currently be displayed. This image cannot currently be displayed. Cervical Curve Thoracic Curve Lumbar Curve Ergonomics: CTD I. Cumulative trauma disorder (CTD) has been found to be caused by how a task is performed, not by the type of task that is performed. (see examples on next slide) Examples of C.T.D. PROBLEM POSSIBLE CAUSE •Eye Strain and migraines •Inappropriate positioning of monitor, poor lighting, glare on screen, or lack of visual breaks •Backaches/pain •Insufficient backrest support, or backrest too high or too low •Carpal tunnel syndrome •Use of wrist rather than palm rest, keying or tendonitis of wrist with wrist in a flexed or extended position •Neck Pain •Twisting, reaching, crooking neck during •Shoulder Pain phone use Ways to Relieve C.T.D. All cumulative trauma disorders benefit from work breaks and Range of Motion stretches. • Break from repetitive activity every 20 minutes for 60-120 seconds • After every hour, recommend 3 – 5 minute movement or stretch break Ergonomics: See Your Doctor II. When to seek your doctor’s attention: • Any pain that persists for more than 24 hours without stopping the activity • Pain that awakens you during the night • Persistent numbness and/or tingling in the arms, hands, fingers or legs. • Any perceivable weakness • Problems with balance • Difficulties in bladder or bowel functions Ergonomics: Prevention III. Prevention: 12 Tips for an Ergonomic Computer Workstation 1. Use a good chair with a dynamic chair back and sit back in this 2. Top of monitor casing 2-3” (5-8 cm) above eye level 3. No glare on screen, use an optical glass anti-glare filter where needed 4. Sit at arms length from monitor 5. Feet on floor or stable footrest 6. Use a document holder, preferably in-line with the computer screen Ergonomics: Prevention 7. Wrists flat and straight in relation to forearms to use keyboard/mouse/input device 8. Arms and elbows relaxed close to body 9. Center monitor and keyboard in front of you 10. Use a negative tilt keyboard tray with an upper mouse platform or downward tiltable platform adjacent to keyboard 11. Use a stable work surface and stable (no bounce) keyboard tray 12. Take frequent short breaks (microbreaks) Example of Ergonomic Work Station Avoiding Back Injury • Everyone is vulnerable to back injury, but certain occupations present added risk. Truck drivers sit for long periods while being jostled by vibration; they lead in back injuries. Nurses are also at high risk; bending over bedsides and lifting and moving patients are hazardous to their health. Avoiding Back Injury • Everyday activities can be dangerous, as well: even sitting puts an added load on the lumbar spine! Expectant mothers find their backs stressed in new ways. Parents lifting babies and toddlers are also at risk. Ways to Minimize Risk • We can’t avoid every stressful activity. The key to avoiding back injury lies in minimizing the risk inherent in any activity by applying these simple principles: • Work on your posture. Don’t slouch. Maintain the natural “arch” in your lower back whether standing or sitting. • Lift with your legs. Don’t bend over the object, bend your legs and keep your back straight (see diagram on next slide). And most importantly, don’t twist as you lift! Example of Proper Lifting & Lying Ways to Minimize Risk • Sit with care. Prolonged sitting in one position is a back hazard you might not suspect. Lumbar support and periodic breaks to move around are essential (see example on next slide). • Control your weight. Being overweight, especially if you have a “pot belly”, puts added stress on your lower back. The important benefits of conditioning are discussed in the next section. Example of Good Driving Posture Checklists for Good Posture Standing Position: •Stand with your back against a wall, heels about three inches from the wall and feet about six inches apart; weight should be evenly distributed. •Place arms at your sides, palms forward. •Keep ankles straight and kneecaps facing front. •Keep your low back close to the wall. •Straighten the upper back, lifting the chest and bringing shoulders back against the wall. •Bring head back to touch the wall while keeping the chin tucked in as if a string is attached to the middle of the back of your heading pulling it back. Checklists for Good Posture • Pull up and in with the muscles in the lower abdomen, trying to flatten the abdomen. • Hold position for about 10 seconds, breathing normally. • Relax and repeat three to four times. • Repeat entire exercise at least three times a day for optimum results. Checklists for Good Posture Sitting Position: • Sit in a straight back armless chair, with both feet flat on the floor and back resting against the chair. • Place arms at your sides, palms forward. • Straighten the upper back, lifting the chest. • Bring shoulders back against the chair. • Hold head erect. • Pull up and in with the muscles in the lower abdomen, trying to flatten the abdomen. Checklists for Good Posture • Hold position for about 10 seconds, breathing normally and keeping the rest of the body relaxed. • Relax your abdominal muscles and repeat three to four times. • Repeat entire exercise at least three times a day. Tips for Good Sitting Posture • Sit with back firmly against chair; chair should be low enough to allow placement of both feet on the floor with knees slightly higher than hips. • Keep your head up and avoid leaning forward. If you work long hours at a desk or typewriter, keep your chair close-in to the desk top to help maintain your upright position. • If you feel your low back arching forward while sitting, cross your legs or put your feet up on a stool. Back to Top Corporate Compliance Barbara Morrow Assistance Vice President of Compliance “Compliance” Means… Corporate compliance means we pledge to operate within the statutes, rules, regulations and policies set by: • State, Federal & Local Government • Professional Standards • Government & Private Insurance • Hospital Administration • Binding Contracts What’s Your Role? Your involvement can help maintain our culture of compliance. Here’s how: • Be willing to take those extra steps concerning your compliance duties • Be vigilant • When in doubt, check policies or ask your Supervisor or other resources if there are uncertainties • The best way to prevent compliance issues is to identify problems early What’s Your Role? Your involvement can help maintain our culture of compliance. Here’s how: • Know what is in the Code of Conduct and strive to achieve and sustain those standards • Feel free to contact the Compliance Officer and ask questions • It is better to ask questions and raise issues than to leave matters unresolved What’s Your Role? Your involvement can help maintain our culture of compliance. Here’s how: • If it feels wrong, it may very well be wrong – so check it out • Actively request and seek training/education when you need it • Know, in general, about laws and regulations that are relevant to your duties • Learn from mistakes What’s Your Role? Your involvement can help maintain our culture of compliance.
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