Student Assessment

STUDENT ASSESSMENT
Name :

Student Assessment
HLTWHS002 Follow Safe Work Practices for Direct Patient Care
Question no 14 Identify the following signs or symbols that you are likely to see in a
clinic or a hospital and describe what they mean and where they are used. (9 marks)
Symbol Name, Meaning and Use
Warning sign- Floor is wet, there are chance to slip
No Smoking
Fire Extinguisher
Location of fire fighting equipments
Safety gloves must be worn
Hand protection must be worn in this area
emergency exit
Biological Risk
Health Services First Aid poster
.
Flammable material or high temperature
Electrical hazards
HLTWHS002
1

Student Assessment
15. Using the rating scale, rate the risks to your health of the following, and explain
your answers. (7 marks)
Risk Risk Taking (Tick) Explain
There is the risk of
severe back injury
from incorrect lifting
and transferring
procedures
 Risk level High It can result in serious
damage such as cuts or
fractures due to accidents.
The most common
musculoskeletal disease
caused by lower back pain
and injury handling of the
action related to the disease
.
There is a risk of
needle stick injury
when working directly
with patients
 Risk level high
Healthcare professionals
have the highest risk for
the needle stick injuries. It
can transmit dangerous
diseases such as HIV
positive disease to the
blood
There is a risk of a
person with impaired
vision slipping and
falling from water
spillage on the floor
 Risk level high Result in
• strains or sprains
• Chance of broken bones
• Chance of a back injury
• may cause burns if hot
items are near the place of
fall
• may result in cuts
because of any sharp
objects.
There is the risk of
burns when handling
patient’s food
 Risk level low Every body should take
necessary care while
handling patient’s hot food,
for those who are careless
have a chance of burn.
There is the risk of
dermatological
reaction from
excessive hand
washing
 Risk level medium Health care workers are
often instructed to maintain
good hygiene and to wash
their hands often to prevent
the spread of infections,
but new studies show that
those who wash their hands
10 times more washed each
day, their sterile exposure
2

Student Assessment
to dermatitis or "hands
dermatitis".
There is the risk of
being punched by a
patient
 Risk level low very rare occasion. Even
in mental health patients it
is very rare.
There is a risk of a
person with a physical
disability tripping over
a loose mat on the
floor
 Risk level medium Such a risk is rare because
a helper is helping
physically challenged. In
case of accidental collapse,
the possibility of damage
to the damaged area or a
new hit can occur.
.
HLTWHS002 TASK 2
Read the following scenarios and answer the questions that follow
Scenario 1
You are back from your 6 weeks of annual leave. You are allocated to look after Mrs
Smith a 65 yrs old lady with a medical history of Obesity and weighs 102kg, Type 2 DM
and HTN. She was admitted for a Total Hip replacement 2 days ago. Today is POD-3.
She has moved to orthopaedic ward last night from ICU.
Mrs Smith was reviewed by the physiotherapy department and the physio advised the
nurses to hoist transfer Mrs Smith from bed to chair and Hover mat to move her up in the
bed. At 1700hrs Mrs Smith said, she would like to SOOB to have her dinner. When you
go to get the lifting machine, you notice that it is left unattended at the end of the
corridor. Two of the three lifting machines are faulty. The unused batteries are not
attached with charger for charging.
You also notice that one of your colleagues has left a wheel chair in front of the fire exit
as the storage area is full. Since, the resignation of the OHS rep from your ward several
months ago, faulty equipment issues have not been addressed. Your NUM is busy with
KPI’s, staffing and budgeting. Most of the staff in the ward are new or agency. Hence,
issues like these are not taken to NUM and Management team.
In the storage area, you find the sling appropriate to Mrs Smith size, however, it is soiled
by faeces and urine. Finally you find, appropriate equipment to transfer Mrs Smith, and
3

Student Assessment
Sarah the EN student is happy to assist you in the process of transferring. Sarah is short
girl only 140cm where as you are 180cms tall. How are you going to complete the tasks
without causing personal injury to self, Sarah and Mrs. Smith.
Question 1 Identify the existing and potential hazards in this scenario and record them in
the attached hazard identification form.
A. Two of the three lifting machines are two faulty, the third is unattended. The wheel
chair is not kept in the right place. Most staff members are new or employed by some
organizations. Although the proper equipment is finally available and an N student was
there for help but still there is a risk to the patient's weight and there are concerns about
falling. The situation will be that three may get injured.
Q2. Identify the client related risk factors in this scenario.
A.The client is overweight, aged and admitted for hip replacement. She is type 2 in DM
and HTM. So any kind of injury to her will be a serious challenge to her health.
Q3 Who will you contact to discuss about the identified hazard?
A. In fact the nurse should try to manage the situation by using his own self
consciousness however when it is the question of safety and security of the patient, it is
better to consult with NUM and management team.
Q4. List down the workplace policies and procedures you will follow to promote safe
work practices and to minimize risks specific to this scenario
A For effective implementation, the skills and support processes required to achieve the
security and health policies, objectives, and goals of the organization should be
developed. All employees should be motivated and able to work safely and protect their
long-term health in order to avoid accidents.
Q5: Identify the manual handling hazards and its risks in this scenario.
A. Manual withdrawal of patients must be avoided , for example, situations may develop
threatening life if not properly mplemented.
Q6: List the control measures you will implement to minimise the identified manual
handling risks.
4

Student Assessment
A.The equipment to lift the pa tient should be in working condition so that the risk can
be minimize.
Q7: List the appropriate manual handling procedures and work instructions you will
follow in this situation to transfer Mrs Smith safely to chair without any injury to self and
others.
A Mechanical lifting aids and other equipment to assist nursing and midwifery workers
in moving, transferring, organizing and managing patients / clients for the minimum
strength or hard work of the nurses or assistants in patient care. Work on ensuring patient
safety.
Q8: Identify the WHS issues in this work place you wanted to bring to the attention of
your NUM according to the organizational policies and procedure
A.The equipment which is necessary for manual lifting of patients in case of urgency,
should be in a state of readiness and the nurses should be accompanied by assists and
physiotherapists to deal with any kind of eventuality.
Q9: Explain the importance of Workplace safety meetings, inspections and consultative
activities
A Nurses, assistants and midwives in nursing and their supports should be allowed to
participate in evaluating risk control strategies like selecting handling aids and other
related equipment and fittings, and other facility like floor design and furniture to
minimize risks of manual handling.
Q10: If your NUM asked you to provide recommendations, what are the
recommendations you will contribute to the development and implementation of safe
workplace policies and procedures in your work place? Students are requested to
complete the attached OHS consultation form
A .Devices like handling aids must and evaluated be tested before purchase so that their
capacity to meet requirements are tested Changes should be made to the workplace in
consultation with the security forces and nursing / midwifery and nursing staff. (Eglseer,
Hödl & Lohrmann, 2019)
Scenario 2
5

Student Assessment
Mrs. Smith was safely moved to the chair by yourself and Sarah. At 1900hrs, Mrs Smith
wished to go back to bed. This time Penny, RN in-charge of the shift helped to put her
back to bed. However, on the bed Mrs. Smith was lying supine. Hence, you decided to
lift her up in the Bed.
Mr. Smith is lying under a hover mat. Hover mat transfers require four people to operate.
However, Penny said the ward is short staffed, so she rushes you to finish the task just
between yourself and her. Penny also mentioned that, it is her 7th shift in a row. She is
mentally and physically tired. She doesn’t have spare time to wait for another staff
member to come and assist. As she is the in-charge you follow what she said. You both
forgot to apply the strap around Mrs. Smith before inflating the hover mat.
Once the hover mat is inflated, Mrs. Smith fell from the bed. Mrs. Smith hit her head and
broke her left wrist and radial bone. (Kenny et al., 2016)
Q11Identify the manual handling hazards and risks in this situation and explain how this
can be prevented
A Mrs. Smith is to be shifted back to bed. Four persons are required to shift her manually
but only one assist was available, who is also tired, They forgot to apply strap on the
body of Mrs. Smith and when the hover mat is inflated, she fell down from the bed and
hit her head and broke her left wrist and radial bone. (Masters, 2016)
Q12 Identify the incident. Who needs to be notified about the incident? What are the
documentations need to be completed to report this incident
A. After a patient has dealt with an injury, the matter should be reported and the
management r must initiate a risk control process to assess the risks of any other
accident at work to eliminate or reduce another injury.
Q 13 Why it is important to reflect on self-levels of stress and fatigue to promote safe
work practices? Who needs to be reported if you are stressed or fatigued at work?
A Self-levels of stress and fatigue are reflected in the overall performance of the nurse in
promoting safe work practices. In case of inconvenience, the matter should be reported to
the higher authority.
Q14You and Penny are called for a debriefing session by NUM. Explain the importance
of participating in workplace debriefing to address individual needs
6

Student Assessment
A ..a. The equipment should be in place and in working position.
b. enough staff and assistants should be present.
c. The workplace should be kept clean and there should be enough storage space.
References :
Eglseer, D., Hödl, M., & Lohrmann, C. (2019). Six Nursing Care Problems in
Hospitals. Journal Of nursing Care Quality, 34(1), E8-E14. doi:
10.1097/ncq.0000000000000307
Kenny, P., Reeve, R., & Hall, J. (2016). Satisfaction with nursing education, job
satisfaction, and work intentions of new graduate nurses. Nurse education
today, 36, 230-235.
Masters, K. (2016). Integrating quality and safety education into clinical nursing
education
through a dedicated education unit. Nurse education in practice, 17, 153-160.
7