HLTWHS002 Safe Work Practices for Direct Patient Care Assessment

This student assessment for HLTWHS002, focusing on safe work practices for direct patient care, addresses hazard identification, risk assessment, and manual handling. The assignment includes identifying safety symbols, rating health risks, and analyzing scenarios involving patient care, including a total hip replacement patient and incidents related to manual handling and workplace safety. The assessment covers topics such as workplace policies, manual handling procedures, WHS issues, and the importance of workplace safety meetings and debriefing sessions. The student answers questions related to hazard identification, client risk factors, and control measures to minimize risks, with references to relevant literature. The assessment includes a review of nursing history and physical assessment, as well as manual handling hazards and risks, incident reporting, and the importance of reflecting on stress and fatigue.

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
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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
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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
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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.
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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
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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
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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.
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Student Assessment
HLTENN015
TASK 3
Task 1- one paragraph: Nursing history (must also be observed by the facilitator 20-
30words)
A: Nursing History: The first known documents mentioning care as a profession were
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Student Assessment
written around 300 AD. During this time, the Roman Empire sought to build a hospital in
every city under its rule, which meant that nurses needed medical care in addition to the
doctors.
Task 2 – Physical assessment (must also be observed by the facilitator) (30-50 words)
A Physical Assessment: Registered Nurses perform assessment and details of
assessment and examination and document should be entered in the patient's medical
record.
Task 3 a) Develop a care plan identifying three nursing diagnosis (select a client with
confusion or Dementia) and three nursing interventions using respectful practices that
also support the person’s dignity and privacy (100-200 words)
A.Dementia is a disorder that affects brain and may cause a person to lose their ability to
self-reliance on a daily basis. Slowly a person affected with dementia may lose the
ability to learn new things and may affect decision making process. They find difficult to
communicate with other people becomes difficult.
The nurse should ensure that the patient's environment is trouble-free.. The nurse should
bring the patient closer to the nurses' station for constant monitoring. The nurse alerts
family members and asks if they can come and sit with the patient.
Task 3 (b) Explain/reflect (while implementing nursing interventions) how did you
Encouraged the person, family or carer to assist with the person’s self-care care as
appropriate (20-30 words)
A. The patient and family members should be encouraged by giving hope of recovery.
Family members should be educated about positive aspects of life, and the environment
should be designed to make the patient feel at home.
Task 3 c) reflect on how you planned and adjusted nursing interventions to assist the
person to meet their daily living activities. (20-30 words)
A.Based on patient histories, the patient's daily activities are listed. While most daily
requirements can not be met, some such as reading, watching TV, music, etc., patients
can be arranged to have the patient at home.
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Student Assessment
Task (d) reflect on how did you Identified and prioritised nursing interventions according
to the person’s needs (20-30 words)
A. Showing empathy is the main quality of a nurse. A description of empathy is "
creating an inner space with affection to accept the other person, thus helping them to
understand each other and not feel alone". (Cunico et al, 2012). Empathy is the necessary
component of relationships involving care. When empathy is missing, nurses become
mechanical and are not interested in understanding the patient's perspective, build trust,
and provide people-centered care (Griffiths et al ,2012).
Task 3e reflect on how did you monitored, evaluated and documented the person’s
response to nursing interventions and their progress toward primary health goals, and
reported findings to relevant interdisciplinary health care team (30-60 words)
A. We can improve patient outcomes by implementing strategies that respond to their
symptoms and needs. Strategies include the way we communicate with patients, make
small changes to the environment they are in, and act proactively with the support we
provide. The involvement of relatives and caregivers is crucial to the development and
implementation of effective, personalized care plans.
Task 4 Admission and discharge plan (30-40 words)
A.An emergency kit is prepared with legal documentation and up-to-date medical
information. This information should be available in an easily accessible place, such as
an envelope. A list of topical medications and allergies.
Copies of legal papers (eg will, instructions, proxy). Insurance information etc.
A medical note confirming the diagnosis should be made.
Task 5 Developmental stage through the lifespan of this client (Maximum 40 words)
A.Information on diagnosis, other illnesses or allergies with
The entire medical team is shared. Information about personal habits, eating habits or
other environmental needs, such as: For example, a private room that makes the
experience more enjoyable is documented.
Task 6 The impact and issues of hospitalization for the client (Maximum 30 words)
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Student Assessment
A. Patient status at the time of hospitalization and progress of the client, all
environmental issues, the patient's pattern of behavior, and any issues arising from
interactions with close relatives are documented.
Task 7 – Age/gender specific health care needs (Maximum 30 words)
A. The age and sex of the patient as well as specific health care that can be continued
after discharge from the hospital should be documented.
Task 8 – Cross cultural issues (maximum 40 words)
A.The role of familyism as a cultural value, which was supposed to increase the role of
caregivers and lead to better mental outcomes for caregivers, should be explored.
Task 9 : effective decision-making- explain any two effective decisions you made and
initiated action based on results of clinical assessment and in collaboration with various
members of the interdisciplinary health care team (Maximum 40 words)
A. Maintaining a family culture, being affectionate to the patient, maintaining a close
relative whom the patient likes.
Task 10 Give one example where you Contributed to health policy in the primary health
care environment and participated in health education programs for the person and
community groups (Maximum 40 words)
A.I have contributed to health policy by proposing some changes such as infrastructure,
planning, documentation and training of health professionals.
Exercise 11 Explain how and give one example where you analysed health information
and the clinical presentation of 1 person in the workplace to reach a substantiated
conclusion about possible nursing interventions related to their primary health care needs,
in consultation with a registered nurse. (40-50 words)
A.Although not every disease has an environmental problem, almost everyone has a
health problem associated with an environmental hazard that is appropriate for evaluation
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