Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results, 1st Edition (Hardback) book cover

Healthcare Safety for Nursing Personnel

An Organizational Guide to Achieving Results, 1st Edition

By James T. Tweedy

Productivity Press

366 pages

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pub: 2014-12-10
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Nursing personnel play an integral role in healthcare and medical delivery organizations. Nurses not only work to keep patients safe, but must also contend with a number of safety and health risks. Illustrating the occupational risks nurses face, Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results addresses healthcare safety as related to nursing personnel risks, hazards, and responsibilities in hospitals and healthcare facilities.

The book begins with an introduction to nursing safety that supplies a fundamental understanding of patient, nursing, and facility safety. Next, it delves into the range of safety issues that nurses must contend with. Topics covered include administrative area safety, bloodborne pathogens, workplace violence, infection control and prevention, emergency management, fire safety, and radiation hazards.

Examining the concepts and principles of patient safety as related to organizational dynamics, culture, system methods, and key patient safety initiatives, the book supplies essential knowledge of healthcare safety risks, challenges, and controls. It includes information on leadership, management, communication skills, and understanding accidents.

The book includes helpful resources in the appendices, such as a nurse safety perception survey, an accident causal factor chart, sample ergonomics symptoms report, sample TB exposure control plan, and a model respirator plan for small organizations. Complete with review exercises in each chapter, this book is ideal for certification training in nursing programs and as a reference for developing nursing in-service safety sessions.

Table of Contents

Nursing Safety

ANA Nurse Health & Safety Survey Results

Safe Patient Handling and Mobility: Interprofessional National Standards

New Patient Safety Survey: Few Nurses Call Their Hospitals Safe

International Board for Certification of Safety Managers (IBFCSM)

The Function of Safety

Safety Responsibilities

Nursing Supervisor Involvement

Addressing Behaviors

Employee Engagement

Understanding Hazards

Hazard Identification

Preparing for Inspections

Job Hazard Analysis (JHA)

Job Design

Hazard Control and Risk Management

Hazard Control and Correction

Active and Passive Controls

Engineering Controls

Administrative Controls

Work Practice Controls

Personal Protective Equipment (PPE)

Areas to Evaluate

System Safety

Understanding Accidents

Accident Reporting

Accident Investigations

Classifying Accident Causal Factors

Interviewing Witnesses

Accident Analysis

Root Cause Analysis (RCA)

Preparing Accident Reports

Human Factors


Motivating People

Review Exercises

Leadership and Management Overview



Practical Leadership

Leadership Ethics


Knowledge Management


Psychological Safety

Crisis Management

Traditional Organizational Structure

Organizational Culture

Covert and Overt Cultures

Interfacing Support Functions

Operational and Support Functions

Human Resources

Facility Management

Employee Health

Workers’ Compensation

Return to Work/Modified Duty Positions

Substance Abuse

Orientation, Education, and Training

Providing Adequate Sessions

Safety Training

Effective Speaking and Writing


Communication Barriers

Effective Writing

Review Exercises

Nursing Hazards


Administrative Area Safety

Shift Work and Job Stress

Shift Work


Slip, Trip, and Fall Prevention

Safety Signs, Colors, and Marking Requirements

Electrical Safety (29 CFR Subpart S)

Three Common Hazards

Bloodborne Pathogens

Hazardous Material Safety

Nursing Personnel and Workplace Violence

Helicopter Safety

Noncompensated or Voluntary Worker Safety

Home Health Safety

Surgical Department

Perinatal Nursing

Intensive Care Units

Emergency Department

Dialysis Unit Safety


Personal Protective Equipment

Medical Equipment Management

Medical Equipment Management

Joint Commission Requirements

Maintenance, Testing, and Inspecting

Medical Equipment Reporting

Safe Medical Device Act of 1990 (SMDA)

SMDA Reportable Events

Other Reporting Requirements


NFPA 99-2012, Security Management (Chapter 13)


Incident Reporting

Property Protection

Sensitive Area Access

Identification of Patients, Visitors, and Staff

Traffic Control and Vehicle Access

Weapons on Campus

Handling Civil Disturbances

Handling Situations Involving "VIPs" or the Media

Access and Crowd Control


Orientation and Education

Evaluation of Security

Using Proven Practices to Improve Security

Forensic Patients

Workplace Violence

Workplace Violence Protection for Nurses by Accrediting Bodies

Workplace Violence Prevention (NIOSH Publication No. 2002-101)

Management Commitment and Employee Involvement


Evaluation of Ergonomics Efforts

Workstation Evaluations

Workstation Interventions

Human Factors

Musculoskeletal Disorders (MSDs)

Administrative Issues

Equipment Maintenance

Facility Design Issues

Mechanical Lift and Assist Devices

Understanding the Body

Injuries and Disorders

Back-Related Problems

Back Injury Prevention

Lateral Transfers

Ambulating, Repositioning, and Manipulating

Performing Activities of Daily Living

Useful Tips

Lift Teams

Guiding and Slowing Falls

Transfer Task Safety

Personal Factors

Work Evaluation Tools

Training and Education

Patient Transport Functions

Transporting Patients

Patient Care

Transport Team Development

Wheelchair Safety

Review Exercises

Patient Safety


Worker Fatigue and Patient Safety

Leading Efforts

IOM Reports

Errors and Adverse Events

Active and Latent Errors

Factors Impairing Human Performance

Error Reporting

Reporting Using Technology

Analyzing Events and Errors

Common Error Causal Factors

Medical Education and Error Acknowledgment

Safety Cultures

Safety Culture Perceptions

Healthcare Bureaucratic Structure

Proactive Organizations

Understanding Change

Organizational Change


Understanding Systems

Systems Approach

Key System Safety Elements

System Reliability

Failure Mode and Effect Analysis (FMEA)

Technology and Safety

Patient-Centered Healthcare

Error Disclosure

Medical Error Disclosure Guidance

Evidence-Based Medicine (EBM)

General Patient Safety Practices

Using Patient Safety Checklists

Human Factors

Patient Safety Officers and Committees

Quality Improvement


Other Measurements


Plan-Do-Study-Act (PDSA)

Root Cause Analysis

Patient Roles in Patient Safety

Improving Patient Safety

Wrong Surgeries

Diagnostic Errors

Display Confusion

Air Embolism from Contrast Media Injectors

Serious Reportable Events (SREs)


Implementing Structured Handoff and Sign-Out Procedures

Foreign Bodies

Surgical Fires

Anesthesia Hazards Due to Inadequate Inspection

Medical Device Alarm Safety

Discharged Patient Events

Healthcare-Associated Infections (HAIs)

Central Venous Catheter–Related Bloodstream Infections (CRBSI)

Surgical Site Infection (SSI)

Ventilator-Associated Pneumonia (VAP)

Catheter-Associated Urinary Tract Infection (CAUTI)

Medication Safety

Medication Errors

Risk Factors for Adverse Drug Events

Prevention of Adverse Drug Events

Accomplishing Medication Reconciliation

Medication Administration

Reducing Medication Errors

Reporting Medication Errors

Investigating Medication Errors

Computerized Provider Order Entry (CPOE)

Emergency Department Patient Safety

Other Key Patient Safety Issues

Infusion Pumps

Ambulatory Care

Work Hours and Patient Safety

ACGME 2010 Standards

Rapid Response Systems

Call System Operation

Health Insurance Portability and Accountability Act (HIPAA)

Patient Restraints

Most Medical/Surgical Restraints Exempt

Patient Fall Prevention

Environmental Hazards

Bed Safety

Electronic Records

Key Components of Electronic Health Records

Electronic Charting

Infant Abduction Prevention

Preventive Measures

Quality and Safety Education For Nurses (QSEN)

Review Exercises

Emergency Management & Fire Safety


Joint Commission Requirements

Other Emergency Planning Issues

Hospital Evacuation Planning

Community Involvement

Partnership for Community Safety

Hospital Roles in Community Emergencies

Incident Command System (ICS)

Incident Commander Responsibilities

Strategic National Stockpile

Planning for Terrorism

Pandemic Planning

Fire Safety

Life Safety Code Comparisons

Design Considerations

Fire Prevention


Fire Warning and Safety

Manual Alarm Stations

Electrically Supervised Systems

Special Requirements for Cooking Areas

Fire System Inspections

Fire Confinement

Emergency Egress

OSHA Egress Standards

Fire Extinguishers

How Fire Extinguishers Work

Proper Maintenance

Surgical Fires

ATSM Surgical Fire Standard

Fire Blankets

Life Safety

Interim Life Safety

Review Exercises

Hazardous Materials


Hazardous Substance Safety

Hazardous Substance Exposures

Hazardous Chemical Determination

Reproductive Hazards

Threshold Limit Values (TLVs)

Chemical Properties

Flash Points

Airborne Exposure

Emergency Showers and Eyewashes

Compressed Gas Safety

OSHA Hazard Communication Standard (29 CFR 1910.1200)

Globally Harmonized System (GHS)

Major Hazard Communication Standard Changes

Safety Data Sheet (SDS) Changes

Managing and Communicating Changes to the Hazard Communication Standard

Employee Training

Healthcare Hazardous Materials


Acryl Amide


Cadmium (29 CFR 1910.1027)

Chlorine Compounds


Isopropyl Alcohol

Methyl Methacrylate

Peracetic Acid


Phenol Substances

Quaternary Ammonium Compounds


Ethyl Alcohol


Orthopthalaldehyde (OPA)

Ethylene Oxide (29 CFR 1910.1047)

Formaldehyde (29 CFR 1910.1048)

Hazardous Drugs

Hazardous Pharmaceutical Wastes

Medical Gas Systems

Anesthetic Gas Hazards


Nitric Oxide

Nitrous Oxide

Managing Waste

A. Medical Waste

Respiratory Protection (29 CFR 1910.134)

Types of Respirators

Review Exercises

Infection Control and Prevention


Healthcare Immunizations

Guidelines of the Advisory Committee for Immunization Practice

Other Vaccination Considerations

Centers for Disease Control and Prevention (CDC)

CDC Guidelines for Hand Hygiene in Healthcare Settings

Guidelines for Environmental Infection Control in Healthcare Facilities

CDC Standard Precautions

Disease and Infection Transmission Routes

Airborne Precautions

Droplet Precautions

Contact Precautions

New Infection Risk

Centers for Medicare & Medicaid Serivces (CMS) Hospital-Acquired Conditions (HAC) and Present on Admission (POA) Indicators

Disinfectants, Sterilants, and Antiseptics

Germicidal Effectiveness

Regulatory Approval of Disinfectants

EPA’s Registered Sterilizers and Tuberculocidal and Antimicrobial Products

CDC Recommendations

Selecting a Disinfectant

OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030)

Exposure Control Plan

OSHA Hand Hygiene Requirements

Employee Involvement


Engineering Controls

Needleless Systems

Exposure Determination

Control Measures

Personal Protective Equipment

Housekeeping, Laundry, and Waste Practices

Hepatitis B Virus (HBV)

Hepatitis B Vaccination

Hepatitis C (HCV)

Human Immunodeficiency Virus (HIV)

Other Key Topics

Latex Allergies

Information and Training

Training Methods and Interactive Question Opportunities

Trainer Qualifications

Medical Recordkeeping

Training Recordkeeping

Hazardous Waste Operations and Emergency Response (29 CFR 1910.120).

Post-Exposure Evaluation and Follow-Up

Tuberculosis (TB)

TB Screening Procedures for Settings Classified as Low Risk

TB Screening Procedures for Settings Classified as Medium Risk

TB Screening Procedures for Settings Classified as Potential Ongoing Transmission

OSHA Tuberculosis Exposure Enforcement Guidelines

OSHA Citations for TB Exposures

OSHA Abatement Methods

OSHA Tuberculosis Respirator Requirements

TB Exposure Control Plan

Administrative Controls

Environmental Controls

Respiratory-Protection Controls

Engineering Controls

Healthcare Opportunistic Infections


Methicillin-Resistant Staphylococcus Aureus




Severe Acute Respiratory Syndrome (SARS)



Infection Control Risk Assessment (ICRA)

Medical Waste

Sharps Containers

Separating Medical and Hazardous Wastes

Infectious Wastes

Medical Waste Best Practices

Waste Handling for Offsite Transfer


Medical Waste Disposal

DOT Infectious Shipping Requirements

Review Exercises

Radiation, Lab, and Drug Hazards

Radiation Safety

OSHA Ionizing Radiation Standard (29 CFR 1910.1096)

Restricted Areas

Surveys and Monitoring

Radiation Areas

Caution Signs

Airborne Radioactivity

Storage Areas

TB Exposures


Slips, Trips, and Falls

Bloodborne Pathogens

Storage and Handling Procedures

Medical Radioactive Materials



Nuclear Medicine

Brachytherapy (Implant) Patients

Medical, Reproductive, and Fertility Considerations

Nuclear Regulatory Commission (NRC)

NRC Performance-Based Standards

Radiation Control Planning

Radiation Safety Committee

Radiation Safety Officer (RSO)

Regulatory and Occupational Dose Considerations

National Council on Radiation Protection (NCRP)

Food And Drug Administration (FDA) and Radiation Safety

The Radiological Society of North America (RSNA)

The American College of Radiology (ACR)

Radioactive Waste Management

Nonionizing Radiation (29 CFR 1910.97)

Ultraviolet (UV) Radiation

Radiofrequency (RF) and Microwave (MW) Radiation

Wireless Medical Telemetry

FDA/CDRH Recommendations for EMC/EMI in Healthcare Facilities

Consensus Standards

Other Recognized Standards

Lasers and Electrosurgery

Laser Safety

Laser Safety Officer (LSO)

Laser Standards

Laser Classifications

Class 1 Laser

Class 1M Laser

Class 2 Laser

Class 2M Laser

Class 3R Laser

Class 3B Laser

Class 4 Laser

Laser Plumes

Laser Skin Protection

Fires Prevention Tips during Laser Surgery

Magnetic Resonance Imaging (MRI)

FDA MRI Safety Guidelines

Other MRI Safety Recommendations

MRI Burns

Other Clinical Risks

CT Radiation Doses

Fiber-Optic Light Burns


Laboratory Safety

Clinical Laboratory Improvement Amendments (CLIA)

Joint Commission Laboratory Accreditation

College of American Pathologists (CAP) Accreditation

College of American Pathologists (CAP) Accreditation Program

COLA Accreditation

OSHA Laboratory Standard (29 CFR 1910.1450)

Summary of Lab Safe Work Practices


Laboratories and the OSHA Bloodborne Pathogens Standard

Tuberculosis (TB)


Chemical and Fire Hazards

Chemical Exposure Response

Standard Operating Procedures

Laboratory Equipment

Microtome Safety

Pressure and Vacuum Systems

Fume Hoods and Laboratory Ventilation

Employee Training

Medical Examinations and Consultations

Supervisor Responsibilities

Safety Personnel Responsibilities

Laboratory Personnel Safety Responsibilities

Animal Research Facilities

Laboratory Hazardous Waste Disposal


Good Clinical Laboratory Practices (GCLP)

Laboratory Physical Environments

Drug Hazards

Clinical Pharmacy

General Safety Considerations

Pharmacy Safety

OSHA Hazard Communication Standard

Pharmacy Ergonomics

Workplace Violence

General Medication Labeling

Closed Pharmacy Procedures

Drug Recalls or Safety Alerts

High-Risk Medications

Investigational Medication Safety

Evaluation of Medication Management

Drug Quality and Storage

Current Standards

NIOSH Revision of ASHP Definition

Developing a Hazardous Drug List

Where to Find Information Related to Drug Toxicity

2010 NIOSH Update of Hazardous Drug Alert for Healthcare Settings

Hazardous Drug Safety Plan

Transfer Procedures

Caregiver Exposure Precautions

Administering Aerosolized Drugs

Hazardous Drug Waste

Spill Control

Medical Surveillance

Ventilated Cabinets


Proposed Universal Waste Rule for Pharmaceuticals

Current RCRA Requirements

USP 797: Pharmaceutical Compounding—Sterile Preparations

USP 797 2008 Revision

Review Exercises

Agencies, Associations, and Organizations

Administrative Law

Occupational Safety and Health Administration (OSHA)

Summary of General Duties



State-Approved Plans

Recordkeeping (29 CFR 1904)

Recording Work-Related Injuries And Illnesses

Medical Treatment

Restricted Work

Classifying Injuries

Classifying Illnesses

Posting the Summary

Form 301 Injury and Illness Incident Report

Access to Employee Exposure and Medical Records (29 CFR 1910.1020)

Environmental Protection Agency (EPA)

Resource Conservation and Recovery Act (RCRA)

Comprehensive Environmental Response, Compensation and Liability Act (CERCLA)

Superfund Amendments and Reauthorization Act of 1986 (SARA)

Clean Air Act (CAA)

Clean Water Act (CWA)

Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA)

Toxic Substances Control Act (TSCA)

Other Federal Agencies

Nuclear Regulatory Commission (NRC)

National Institute for Occupational Safety and Health (NIOSH)

Centers for Disease Control and Prevention (CDC)

Food and Drug Administration (FDA)

Agency for Healthcare Research and Quality (AHRQ)

National Institutes of Health (NIH).

Centers for Medicare & Medicaid Services (CMS)

Institute Of Medicine (IOM)

Accreditation Organizations

The Joint Commission

EOC Management

American Osteopathic Association (AOA)

Det Norske Veritas (DNV) National Integrated Accreditation for Healthcare Organizations (NIAHO)

Accreditation Canada

Commission on Accreditation of Rehabilitation Facilities (CARF)

College of American Pathologists (CAP) Laboratory Accreditation

Standards Organizations

American Conference of Governmental Industrial Hygienists (ACGIH).

American National Standards Institute (ANSI)

National Council on Radiation Protection and Measurements (NCRP)

National Fire Protection Association (NFPA)

Voluntary Associations

American Health Care Association (AHCA)

American Hospital Association (AHA)

American Society of Healthcare Risk Management (ASHRM)

American Association of Occupational Health Nurses (AAOHN)

Association for the Healthcare Environment (AHE)

Association of Occupational Health Professionals (AOHP)


American Association of Colleges of Nursing (AACN)

Academy of Medical-Surgical Nurses (AMSN)

American Association of Critical-Care Nurses (ACCN)

American Nurses Association (ANA)

The American Academy of Ambulatory Care Nursing (AAACN)

American Association of Managed Care Nurses (AAMCN)

American Nephrology Nurses’ Association (ANNA)

American Organization of Nurse Executives (AONE)

American Psychiatric Nurses Association (APNA)

Association of periOperative Registered Nurses (AORN)

National Student Nursing Association (NSNA)

American Association of Nurse Anesthetists (AANA)

American Holistic Nurses Association (AHNA)

Emergency Nurses Association (ENA)

American Nursing Informatics Association (ANIA)

Association of Rehabilitation Nurses (ARN)

Review Exercises



Nurses Safety Perception Survey

Safety Improvement Principles

Accident Causal Factor Chart

Ergonomic Symptoms Report

Sample Personal Protective Equipment Hazard Assessment Form

Workplace Violence Prevention Policy

Bloodborne Training Requirements

Patient Handling Guidance

Patient Safety Plan Development Considerations

Sample TB Exposure Control Plan

Model Respirator Plan for Small Organizations

Glossary of Terms

AHRQ Patient Safety Tools and Resources


Subject Categories

BISAC Subject Codes/Headings:
BUSINESS & ECONOMICS / Industries / Service Industries
MEDICAL / Administration
MEDICAL / Nursing / General
TECHNOLOGY & ENGINEERING / Industrial Health & Safety