This report focuses on the details of Australian health care workplace, occupational hazards and associated risks, and an effective health program for eliminating needle stick injuries.
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Running head: occupational health management Occupational health management Report Student Name [Pick the date]
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Occupational health management1 Introduction Needlestick injuries are very often in health care clinic and have capability of serious damage. In most of the country, millions of healthcare workers are using needles on a daily basis and therefore the risk related to needle injuries are increasing continuously. It has been seen that precautions related to needle design are taken for granted in order to earn profit which are increasing injuries in the health care conditions (Muralidhar et al., 2010). Awareness related to needle stick injuries establishes at the time when HIV and Hepatitis B or C was at their peak and was spreading very fast. Much guidance was launched to aid the health centers to introduce proper care in their work process. But still, there has been reported related to a continuous increase in needle stick injuries even after exposure to HIV. Many health organizations have put a lot of efforts in developing models related to needle stick injuries in order to health professionals (Kable, Guest & McLeod, 2011). This report is focused on the detail of Australian health care workplace where this issue happens, reason, work profiles and so on. It is also focused on occupational hazards and connected risk related to needlestick injuries. In addition to this, it is also focused on the health program which offers safety against needlestick injuries. Detail of workplace The detail information is relatedto Australian health care in which needlestick injuries is rising. This health clinic is having a workspace of around1600 m^2 each for health service. Australian health care is actually a healthcare clinic which in the occupation of offering health care service within a reasonable price with the help of their innovative service technique. The operation of this health care is mainly supported by tax funds in Australia (Banks et al., 2010). At present Australian health care is having 50 numbers of nurses who are offering their service in this health care. These nurse forces are completely dedicated towards their service because they believe in their work of serving the community. Currently, this staff is to gain the trust of the patient through their quality services. In addition to this, they are also committed to designing the plan to do preparations related to operations, wounds treatment, checking blood pressure, temperature as well as checking pulse (Elshaug et al., 2012). They are also committed to record the present situation of the patients. In addition to this, they are also bound to offer injections services on the regular base along with drip setup. They are also responsible for offering emergency health services along with effectively communicating the present situation of the patient with relatives. Among the current workforce, it has been seen that around 30 are women and 20 are men’s. The age segmentation of nurse force is varying from 25 to 55 years. Around 30 nurses belong to senior staff and 20 are young ones. Every nurse staff is having a strong background in nursing education and believes in serving others (Runciman et al., 2012). Most of the staff is well experienced in this service while rests of others are just nursing students. They have almost work experience of more than 8-20 years. As per the study it has been seen that frequency ofneedlestick injuries is occurring on an almost regular basis which has become one of the big reason for the clinic despite having experience nursing staff.
Occupational health management2 Occupational hazard and associated risk As per the study it has been seen thatneedlestick injuries are decreasing from the past 30 years but still they are constantly occurring in Clinics such as Australian health care. One of the basic facts related to Australian health care is that purpose of the needle is their health service cannot be avoided. Australian health care consists of guidelines which are linked with the proper handling and discarding of needles (Green & Griffiths, 2013).In some cases, the design of needle is being changed in order to avoid such injuries especially for professions like surgeons and emergency room personnel. But at the same time, it has been seen that most of the incidents related to needlestick injuries occurred due to unsafe practices and some negligence related to health care procedures. Therefore, it has created one of the riskiest environments for professions such as surgeons, laboratory rooms, nurses and emergency room workers (Epp & Waldner, 2012). In past, these needle stick injuries were linked with spreading of HIV virus and this health clinic has also followed universal precaution in orderin order to offer a safe environment for the public from this needlestick injuries. But at present the major threat is not related to HIV, it is linked with Hepatitis B or C which has become a big threat for health care. It has been seen that the majority of needlestick injuries happened while reheating of needles after blood is being taken from the patient. Although, this procedure is not now recommended in Australian health care still many experts believe that infectious disease increase after the needle is reheated within the clinic environment (Afridi, Kumar & Sayani, 2013). In many cases, it has been found that rising of needlestick injuries is actually the outcome of neglecting all the protection procedures related to needle injuries. In this situation, Australian health care must introduce a new strategy in the form of Standard operating procedure. Under this strategy, all the nursing staff of Australian health care will have to follow a standard operating procedure for needle injections. The management of the Australian health care has to completely focus on this important concern because injection health service is a regular process and it cannot be avoided (Kebede, Molla & Sharma, 2012). Therefore, the rise related to needlestick injuries is more as compared to other health services in the workplace of Australian health care because many time due to regular flow of this injection service, nursing staff starts developing this attitude in them that they are expert in their service and therefore do not need to read out any manual script related to their regular work. This creates arrogance in their behaviour which results in negligence of protection procedure. In addition to this, Australian health care must involve some group of experts in this service in their service in order to monitor the procedure related to injection (Naghavi, Shabestari & Alcolado, 2013). The members can be Australian government health officers or they can take help of other external audit providers. At present, the Australian health care is not having effective control measure related to their injection service because they believe that it is a regular process and therefore the chances of mistake are very less. But studies are showing completely different results. Currently, management of Australian health care is using internal monitoring audit as a control measure which is engaged in exploring the service offered by this health clinic (Lee et al., 2014). They
Occupational health management3 control measure are good in another service because they are not regular one and offer require some time while in injection service which is a regular base may enter into neglect zone. Current Australian health care is following health protection procedure in their all health care services in order to eliminate the chances of possible hazards within the service procedure. Effective health program for eliminating needle stick injuries In this situation, one of the best options to eliminate chances of needle stick injuries for Australian health care is to introduce a new health program. Under this program, all the member of Australian health care will be offered a training section related to needlestick injuries. This training section will focus on increasing the awareness of risk related to needlestick injuries by offering them proper education related to this issue (Lakbala, Azar & Kamali, 2012). This education will cover both the importance of focusing on this issue along with the procedure to eliminate these needlestick injuries from their workplace. In addition to this, training will also include the risk exposure related to injuries which can promote diseases like HIV, hepatitis B and C. This health program will also include the standard procedures which will help the Australian health care in eliminating the possibility of needlestick injuries. This health program will also include control measure which is considered as one of the most important elements in protection against needlestick injuries. In this control measure, primary objective of the staff is to remove unnecessary injections from the workplace. In addition to this, they will also focus on removing needle recapping along with use of sharp container in order to offer protection for disposals. This control procedure will also focus on removing the sharp towel clip, sharp corner tablets. A traditional hierarchy of control for safety and protection will be followed in order to offer a positive healthy work environment in the workplace of Australian health care. (Source:Engeman et al., 2013)
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Occupational health management4 Elimination of hazard In this management of Australian health care will focus on exploring risk factors associated with the injection procedure on a regular base and try to eliminate the possible risk by removing those materials from the workplace such as used needles, unnecessary injections and so on (Schulte et al., 2013). Engineering control In this management of Australian health care will focus on needle retract, blunt after the use or replace. It will be better if the injection will be destroyed with the help of new medical technology from the workplace in order to offer protection health environment for the visiting patient. This kind of procedure is being followed by many developed countries like US and Britain. Administrative control In this, management of Australian health care must focus on offering proper training and health-related policies in order to eliminate the chances of needle stick injuries. In this, senior staff can follow universal precaution of health protection as SOP in order to develop commitment in the workplace (Leveson & Stephanopoulos, 2014). In addition to this, a protection community will be developed which will develop a control plan related to injection service and will monitor it on a regular base. Workplace control In this, management of Australian health care will focus on removing all unnecessary materials which can act as a risk factor in the process of injection such as no re-capping, no safety procedure related to handling and disposing of used injection and materials from the workplace (Engeman et al., 2013). Don’t entertain the injection for reuse in any situation it may be reheated. Personal protective equipment In this management of Australian health care will focus on creating a barrier in between worker and hazard in order to offer risk-free environment for the staff so that they can do their service effectively and follow all importance procedures without hesitating the workplace environment. In this staff will wear eye wears, gloves, face mask as well as gowns to feel protected.
Occupational health management5 Conclusion In the world of health and safety, a needle stick injury has become one of the major concerns for health clinics. This issue is not limited to one place or other or within one country. This issue is continuously increasing day by day. Both the staff as well as the patient is under the risk environment while offering health care service to the patients. In the same ways, Australian health care is also facing this needle stick injury despite having such experienced staff. In this situation, Australian health care is in great need of health program which will help them in improving their current position related to needle stick injury. In this health program, individually associated with the health service of Australian health care are being educated related to this important issue. In addition to this, they are also offered proper guidance to eliminate this needle stick injury in the workplace. In addition to this, proper control measure will be taken to ensure that a protected and safe workplace can be offered to both staffs as well as a patient which are using their services.
Occupational health management6 References Afridi, A. A. K., Kumar, A., & Sayani, R. (2013). Needle stick injuries–risk and preventive factors: a study among health care workers in tertiary care hospitals in Pakistan.Global journal of health science,5(4), 85. Banks, M., Bauer, J., Graves, N., & Ash, S. (2010). Malnutrition and pressure ulcer risk in adults in Australian health care facilities.Nutrition,26(9), 896-901. Cheung, K., Ching, S. S. Y., Chang, K. K. P., & Ho, S. C. (2012). Prevalence of and risk factors for needlestick and sharps injuries among nursing students in Hong Kong.American journal of infection control,40(10), 997-1001. Elshaug, A. G., Watt, A. M., Mundy, L., & Willis, C. D. (2012). Over 150 potentially low‐value health care practices: an Australian study.Medical Journal of Australia,197(10), 556- 560. Engeman, C. D., Baumgartner, L., Carr, B. M., Fish, A. M., Meyerhofer, J. D., Satterfield, T. A., & Harthorn, B. H. (2013). The hierarchy of environmental health and safety practices in the US nanotechnology workplace.Journal of occupational and environmental hygiene,10(9), 487-495. Epp, T., & Waldner, C. (2012). Occupational health hazards in veterinary medicine: physical, psychological, and chemical hazards.The Canadian Veterinary Journal,53(2), 151. Green, B., & Griffiths, E. C. (2013). Psychiatric consequences of needlestick injury.Occupational medicine,63(3), 183-188. Kable, A. K., Guest, M., & McLeod, M. (2011). Organizational risk management and nurses' perceptions of workplace risk associated with sharps including needlestick injuries in nurses in New South Wales, Australia.Nursing & health sciences,13(3), 246-254. Kebede, G., Molla, M., & Sharma, H. R. (2012). Needle stick and sharps injuries among health care workers in Gondar city, Ethiopia.Safety Science,50(4), 1093-1097. Lakbala, P., Azar, F. E., & Kamali, H. (2012). Needlestick and sharps injuries among housekeeping workers in hospitals of Shiraz, Iran.BMC research notes,5(1), 276. Lee, J. J., Kok, S. H., Cheng, S. J., Lin, L. D., & Lin, C. P. (2014). Needlestick and sharps injuries among dental healthcare workers at a university hospital.Journal of the Formosan Medical Association,113(4), 227-233. Leveson, N. G., & Stephanopoulos, G. (2014). A system‐theoretic, control‐inspired view and approach to process safety.AIChE Journal,60(1), 2-14.
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Occupational health management7 Muralidhar, S., Kumar Singh, P., Jain, R. K., Malhotra, M., & Bala, M. (2010). Needle stick injuries among health care workers in a tertiary care hospital of India.Indian Journal of Medical Research,131(3), 405. Naghavi, S. H. R., Shabestari, O., & Alcolado, J. (2013). Post-traumatic stress disorder in trainee doctors with previous needlestick injuries.Occupational medicine,63(4), 260-265. Runciman, W. B., Hunt, T. D., Hannaford, N. A., Hibbert, P. D., Westbrook, J. I., Coiera, E. W., & Braithwaite, J. (2012). CareTrack: assessing the appropriateness of health care delivery in Australia.Medical Journal of Australia,197(2), 100-105. Schulte, P. A., McKernan, L. T., Heidel, D. S., Okun, A. H., Dotson, G. S., Lentz, T. J., & Branche, C. M. (2013). Occupational safety and health, green chemistry, and sustainability: a review of areas of convergence.Environmental Health,12(1), 31.