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At least 55 records · Page 3Linked to original sources
PubMed1993

Managing the evacuation of a child care center.

The author gives the case history of an evacuation of a child care center and its temporary location at his medical center. Advance planning, he says, is the key to any emergency.

Child Day Care Centers↗
PubMed1992

Variations in tidal volume with portable transport ventilators.

BACKGROUND: As intra- and interhospital transportation of ventilator-dependent patients has become more commonplace, the number of portable transport ventilators has increased. Transport ventilators should be capable of delivering consistent tidal volume (VT) from breath to breath following changes in lung-thorax compliance and airways resistance. We sought to determine the effect of changes in compliance (C) and resistance (R) on the VT delivered by eight commercially available, time-cycled transport ventilators. METHODS & MATERIALS: Each ventilator (PneuPAC Model 2, Autovent 3000, MAX, Bird Transport Mini-TXP, IC-2A, P7, E100i, and Logic 07a) was connected to a calibrated pneumotachograph and a test lung set for normal adult C (C = 100 mL/cm H2O [1.02 L/kPa]) and R (R = 2 cm H2O.s.L-1 [0.2 kPa.s.L-1]), with VT at 1,000 mL. RESULTS: As C and R were manipulated, VT varied widely. Tidal volume decreased least with the P7 and most with the Bird transport ventilator. CONCLUSION: Decreases in VT with a transport ventilator predispose patients to hypoventilation, hypercapnia, and acidemia. Tidal volume often is not monitored continuously during transport, yet large decreases in VT must not be allowed when pulmonary mechanics are unstable. Internal pressure-limiting valves, venturi flow-generating devices, and compression volume in the breathing circuit are at least three factors that affect VT with transport ventilators.

Equipment Design↗
PubMed2005

Texas passes first law for safe patient handling in America: landmark legislation protects health-care workers and patients from injury related to manual patient lifting.

On June 17,2005, Texas Governor Rick Perry (R) signed into law Senate Bill 1525, making Texas the first state in the nation to require hospitals and nursing homes to implement safe patient handling and movement programs. Governor Perry is to be commended for this heroic first stand for safe patient handling in America. The landmark legislation will take effect January 1, 2006, requiring the establishment of policy to identify, assess, and develop methods of controlling the risk of injury to patients and nurses associated with lifting, transferring, repositioning, and movement of patients; evaluation of alternative methods from manual lifting to reduce the risk of injury from patient lifting, including equipment and patient care environment; restricting, to the extent feasible with existing equipment, manual handling of all or most of a patient's weight to emergency, life-threatening, or exceptional circumstances; and provision for refusal to perform patient handling tasks believed to involve unacceptable risks of injury to a patient or nurse. Manually lifting patients has been called deplorable, inefficient, dangerous to nurses, and painful and brutal to patients; manual lifting can cause needless suffering and injury to patients, with dangers including pain, bruising, skin tears, abrasions, tube dislodgement, dislocations, fractures, and being dropped by nursing staff during attempts to manually lift. Use of safe, secure, mechanical lift equipment and gentle friction-reducing devices for patient maneuvering tasks could eliminate such needless brutality. Research has proven that manual patient lifting is extremely hazardous to health-care workers, creating substantial risk of low-back injury, whether with one or two patient handlers. Studies on the use of mechanical patient lift equipment, by either nursing staff or lift teams, have proven repeatedly that most nursing staff back injury is preventable, leading to substantial savings to employers on medical and compensation costs. Because the health-care industry has relied on people to do the work of machines, nursing work remains the most dangerous occupation for disabling back injury. Back injury from patient lifting may be the single largest contributor to the nursing shortage, with perhaps 12% of nurses leaving or being terminated because of back injury. The US health-care industry has not kept pace with other industries, which provide mechanical lift equipment for lifting loads equivalent to the weight of patients, or with other countries, such as Australia and England, which are more advanced in their use of modern technology for patient lifting and with no-lifting practices in compliance with government regulations and nursing policies banning manual lifting. With Texas being the first state to succeed in passing legislation for safe patient handling, other states are working toward legislative protection against injury with manual patient lifting. California re-introduced safe patient handling legislation on February 17, 2005, with CA SB 363, Hospitals: Lift Teams, following the September 22, 2004, veto of CA AB 2532 by Governor Arnold Schwarzenegger, who said he believes existing statutory protection and workplace safety standards are sufficient to protect health care workers from injury. Massachusetts HB 2662, Relating to Safe Patient Handling in Certain Health Facilities, was introduced December 1, 2004. Ohio HB 67, signed March 21, 2005 by Governor Bob Taft (R), creates a program for interest-free loans to nursing homes for implementation of a no-manual-lift program. New York companion bills AB 7641 and SB 4029 were introduced in April, 2005, calling for creation of a 2-year study to establish safe patient handling programs and collect data on nursing staff and patient injury with manual patient handling versus lift equipment, to determine best practices for improving health and safety of health-care workers and patients during patient handling. Washington State is planning re-introduction of safe patient handling legislation, after WA HB 1672, Relating to reducing injuries among patients and health care workers, was stalled in committee in February, 2005. Language from these state initiatives may be used as models to assist other states with drafting safe patient handling legislation. Rapid enactment of a federal mandate for Safe Patient Handling No Manual Lift is essential and anticipated.

Back Injuries↗
PubMed2003

Meeting heavy and growing demands.

The rapid changes that have taken place in the UK health sector fuelled by the wave of PFI schemes nationwide mean that a closer partnership between FM service providers and their IT suppliers is now crucial. This article takes a look at Facilities Software International's relationship with ISS Mediclean, one of the largest providers of non-clinical FM services in the health sector.

Contract Services↗
PubMed2005

The effect of ergonomic interventions in healthcare facilities on musculoskeletal disorders.

BACKGROUND: The high incidence of musculoskeletal disorders (MSDs) among healthcare workers suggests that the introduction of ergonomic interventions could be beneficial. While laboratory studies have clearly documented the efficacy of ergonomic devices, few studies have examined their effectiveness in the healthcare workplace. METHODS: This study evaluated a statewide program that provided ergonomic consultation and financial support for purchasing ergonomic devices, which aid in patient handling and lifting. Changes in MSD rates between baseline (1 year pre-intervention) and post-intervention (up to 2 years) periods were examined in 100 work units in 86 healthcare facilities. RESULTS: The median MSD rate decreased from 12.32 to 6.64 per 200,000 employee-hours, a decrease greater than the secular trend for the study period (1999-2003). CONCLUSIONS: This study suggests that ergonomic consultation and financial support for purchasing ergonomic equipment can be an effective intervention to reduce MSDs among healthcare workers.

Ergonomics↗