Case Study: Identify Hazards In Safety And Management

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Step 1 – Identify hazards
Identifying hazards involves finding all of the things and situations that could potentially cause harm to people. Hazards generally arise from the following aspects of work:
 the physical environment
 the equipment, materials and substances used at the workplace
 work tasks and how they are performed
 work design and management
Step 2 – Assess the risks
A risk assessment should be done when:
 there is uncertainty about how a hazard may result in injury or illness
 the work activity involves a number of different hazards and there is lack of understanding about how the hazards may interact with each other to produce new or greater risks
 changes at the workplace occur that may impact on the effectiveness of
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Gurminder has had several bouts of vomiting and will need fluid replacement therapy. This is a treatment to get the fluids in the body back to normal amounts. Intravenous fluids may be given and medications prescribed.
(FamilyDoctor 2014)

Gurminder is 165cm tall and weighs 45kg. She has a body mass index of 16 which is underweight. Suggested healthy range for her height is between 50kg and 68kg.
(Heart Foundation 2015)

Upon admission to the hospital, Gurminder is at risk of developing a nosocomial infection. This is an infection acquired in the hospital, which was not present before admission.
(MedicineNet 2013)
Risks upon discharge may include:
Commonly when the body stops moving, the risk of blood clots increases since muscle movement is required to pump blood toward the heart. Gurminder should be mobilising a reasonable amount to prevent this from occurring.
(MedicineNet 2015)

Surgical site infections are very easy to develop. It is important to keep the site as clean as possible. If Gurminder is febrile, has redness around the site or oozing more than usual, she should notify her doctor.
(WebMD
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A PCA device will be used to allow her to give herself small doses of medicine when needed. Nurses will monitor how often the PCA is used, also note the effectiveness.
During a patient education session I will inform Gurminder the following regarding the use of the PCA:
The PCA device is programmed to deliver the medication in the correct dose for you as prescribed by the doctor.
When you have pain, you can press the button on the dose request handset at your bedside to give yourself a small dose of analgesia.
The pain medication is delivered through your intravenous line and may be in addition with other medications you are receiving.
After each dose, you must wait a prescribed amount of time before you can give yourself another dose. If you press the button before the time has elapsed, the PCA device does not deliver medication. This ensures that you receive only the amount of medication prescribed to you.
Once therapy starts, one of the nurses will closely monitor your response to the medication, which may include your pain level and other vital signs.
(CareFusion

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