Traditional Culture Encyclopedia - Traditional culture - What are the hidden safety hazards
What are the hidden safety hazards
Security hazards in a narrow sense, due to imperfect laws and strict management, such as fire safety (e.g., fire escapes and fire facilities in public **** places), personal safety (theft, robbery, human trafficking), etc.;
There is another kind of security hazards in a broader sense, with economic hazards (e.g., irrational economic structure and economic growth pattern), military hazards (the United States and other Western countries' military strategic encirclement), political hidden dangers (political strikes from abroad), and cultural security hidden dangers (Western cultural invasion, traditional Chinese culture and festivals are not valued by the nation).
What are the aspects of family safety hazardsfire, burglary, electrocution, gas leakage, prevention of furniture tipping over and crushing young children, prevention of falling from height, prevention of minors from contact with knives, drugs
Rectification of safety hazards after discovery of which measures are included1 Department of Internal Medicine, hospitalized patients are relatively more, the night shift nurses (especially night nurses in the B area of the implementation of the medical advice, it is not easy to hear the call sound) thus lead to a lack of understanding of patients or their families, laying a hidden danger for medical safety. Rectification measures;
1, the opening of the B area pager, is conducive to the duty nurse listening.
2, to strengthen the spirit of assistance of duty medical and nursing staff. Look out for each other.
3, strengthen the duty nursing staff work responsibility consciousness. Strengthen the night shift patrol.
4, increase the night shift duty nurse, or ask for a report.
2, the emergency department of critical patients and difficult patients did not carry out timely rescue and diagnosis and treatment, the lack of relevant auxiliary examination, thus leading to critical patients lose the time to rescue, difficult patients misdiagnosis rate is high, further resulting in doctor-patient tensions, patients and family members of the misunderstanding. Rectification measures;
1, to strengthen the patient's first system of responsibility and the emergency department physician duties of learning and implementation.
2, to strengthen the emergency department physicians professional and technical people to learn and strengthen the sense of responsibility.
3, the establishment of effective emergency and related clinical departments of the consultation system.
4, the establishment and improvement of auxiliary departments of the rapid examination and emergency reporting system.
5, the establishment and improvement of emergency department critical patient rescue process and plan.
Discover what safety hazards at home include
1, the home wires have no aging, broken phenomenon.
2, electrical lines have no overloaded use.
3, electrical lines on the plug, socket is secure.
4, whether the fuse used at home has a hole, wire instead of phenomenon.
5, whether the correct use of household appliances according to the instructions.
6. Whether the household appliances are still working with disease after the failure.
7, whether the lighting is too close to the combustible.
8, stairs, aisles, balconies, whether the storage of flammable, combustible.
9, whether the home stored more than 0.5 kg of gasoline, alcohol, banana water and other flammable and explosive substances. In the use of gasoline, banana water is away from open flames, well ventilated.
10, whether the home engaged in flammable and explosive substances production, processing, business activities.
11, flammable items away from the fireplace, gas stoves.
12, whether the ashes are completely extinguished before dumping.
13, whether the use of gasoline and other flammable liquids to help build a fire.
14, whether the stove fire and gas stove are used in the same room.
15, whether the gas pipeline installation is firm, whether the hose is aging. Whether the gas pipe, valve leakage. Whether the gas stove is well ventilated.
16, home improvement materials, most of the use of flame retardant, non-combustible materials.
17, your home waste paper, books and newspapers are often cleaned.
18, matches, lighters and other items are placed in a place that is not easily accessible to children.
19, in the daily before going to bed or before leaving the residence, whether to unplug the power switch, whether to extinguish incense and candles and other open flames, whether to turn off the gas stove gas switch and so on.
20, whether the home is equipped with simple fire extinguishers. Whether to develop a fire escape plan.
What are the main nursing safety hazardsNursing safety hazards mainly include:
First, the nursing staff self-protection awareness is not strong, weak legal awareness;
Second, the nursing staff work responsibility is not strong, the concept of service lagging behind;
Third, the nurses of the comprehensive knowledge of the level of low, professional and technical level is not high;
Fourth, the configuration of nursing staff is unreasonable, the quality management system is not sound;
Fifth, the relationship between nurses and patients is not harmonious enough, and there is a lack of effective communication with each other.
Management of safety is the core of nursing quality management, nursing quality directly affects the quality of medical care, the safety of patients, the reputation of the hospital. The quality of care directly affects the quality of medical care, the safety of patients, and the reputation of the hospital. The quality control of key nursing links is an important part of ensuring the quality of care. The quality control of key nursing links is an important part of ensuring the quality of nursing care. The first thing you should do is to analyze the imperfections in the nursing management and the hidden security factors of the nursing work and put forward the corresponding security precautions to strengthen the security management. The main reason for this is that it is not a good idea to have the same kind of quality of care.
There are four main aspects:
1, the care of communication is not proper or lack of communication. The nursing time because of some kind of knowable and unknowable factors of obstacles led to the nursing staff and the nursing staff communication failure.
2, nursing technology is not skilled, basic skills are not solid. According to some hospital surveys, nursing students due to operation failure or repeated operation caused by nursing complaints accounted for 25%
3, weak legal awareness, risk awareness is insufficient: nursing students unauthorized independent operation, did not seriously implement the "three checks and seven right".
4, nursing operation process is not proper. Especially in the process of caring for children is easy because of this or that accident led to the failure of the process, the lack of links.
Combined with the clinical nursing safety hazards include what content
The continuous development of health care science and technology and the improvement of the standard of living of the people, so that patients and their families have a more profound understanding of the legitimate rights and interests of medical treatment and familiarity with the quality of health care, quality of care, medical and nursing care and safety has put forward higher requirements. The author nearly 30 years of clinical nursing and education practice, know that the current nursing safety is an important indicator of nursing services, but also the patient's choice of medical treatment is one of the most direct and important indicators. As a gynecological care worker, should be standardized at any time feasible safety precautions, strengthen governance, to provide patients with high-quality services, reduce the occurrence of unsafe nursing phenomenon, the author on the nursing common safety hazards of the cause analysis and the corresponding preventive countermeasures to make a discussion.
1 clinical care in the analysis of the causes of hidden safety problems
1 business quality and responsibility to be improved
The quality of nursing staff is the primary factor related to nursing safety. Lack of business knowledge and lack of work experience are common safety hazards in nursing in some primary hospitals. Some nursing staff have low or unskilled technical level, poor cooperation with others, do not pay attention to learning and business and technical training, violation of technical operating procedures, often leading to operational errors or operational errors and nursing defects and accidents, which led to nursing complaints. Such as patients falling out of bed, falls, burns, suicide, etc. Many cases are nursing staff work off duty, sleep on duty or delayed, omitted treatment, do not patrol the ward on time, the implementation of the doctor's orders wrong, the patient's condition changes can not be found in time, etc. This is the lack of responsibility of the nurses performance.
2 poor service attitude, lack of legal awareness
Poor service attitude is also the main safety hazards, such as the work of the use of service taboos, do not pay attention to the way the conversation and tone of voice, answering questions simply lead to patient misunderstanding. If the nurse lacks understanding of patients and their families, does not take into account the service attitude, ignoring the psychological needs of patients, will not meet the expectations and requirements of patients. The patient is not a general consumer, the patient to the hospital to pay for medical treatment signifies that the hospital and the patient to establish a contractual relationship, the formation of a medical service contract. The hospital is through the health care personnel to perform medical care services for patients, the nurse's behavior is not only individual behavior, but on behalf of the hospital to perform the contract, the obligation to provide quality services for patients, to maintain the rights of patients. When nurses fail to realize this, and there is a gap between the actual work and the patient's requirements, complaints will be triggered.
3 Nursing facilities are not standardized and insufficient investment
In the construction and renovation of hospital facilities, a this grassroots hospital governors did not give full consideration to the requirements of nursing care, patients' comfort needs and resulting in irrational facilities, poor conditions. For example: stairs, toilets without handrails, the floor is too slippery and too bright. Some hospitals in the device input decision-making only focus on large or can produce direct economic benefits of the device and the input of facilities, but neglect the nursing device of the basic input, resulting in nursing device shortages, not in place, thus forming the factors affecting the safety of nursing. Such as trolleys, stretchers are old, beds without bed rails, resuscitation instruments are poorly maintained and so on. Extraordinary some usually infrequent use of rescue instruments, the number is too small to cause the rescue can not be used.
4 quality governance system is not standardized
Governance is to determine the functions and activities necessary to meet the quality requirements of the governance of the quality governance system is the core of the governance of nursing safety, the governance system is not perfect, the quality of the monitoring is not in place, are important factors that cause nursing insecurity. Nursing governance is the core of nursing safety. Only with governance in place can we ensure that patient care safety is guaranteed. In general, the lack of scientific governance of nursing staff is mainly manifested in the system is not sound, no rules to follow, the organization of governance is not strict, the lack of level by level governance, supervision, inspection, guidance and so on. Such as the existence of rescue car drugs, items placed in chaos, location is not fixed, rescue drugs without counting, labeling is not clear, rescue instruments are not in a state of readiness and so on.
2 Ideas and countermeasures for safety prevention
1 Enhance the legal awareness of nursing staff
Strengthening the legal knowledge education of clinical nursing staff is an effective means of preventing nurse-patient disputes and reducing nursing insecurity. Should be through occasional legal lectures and combined with practical case studies, so that nursing staff to understand the legal knowledge related to medical work, and further analysis of the clinical nursing work, which is a violation of the law, clear nursing and law closely related to the rights and interests of patients and caregivers rely on the law to maintain. Such as "Infectious Disease Prevention and Control Law" and "General Principles of Civil Law" and other laws, the nursing behavior of clear norms and corresponding constraints. Nursing staff must be clear about the legal provisions and obligations related to nursing, improve self-protection awareness, engage in nursing services in accordance with the law, and properly fulfill their duties to prevent the occurrence of nurse-patient disputes. Let nurses familiarize themselves with the adverse legal consequences of their own violations, strengthen the sense of responsibility, so that nurses know what they should do, how to do, so as to maintain the rights and interests of patients and their own.
2 strengthen business training, improve service skills
Strengthen the professional and technical training of nurses and continuing education is very important for nursing staff. Only with a good level of theory and skillful nursing operation skills can we implement nursing with high quality. Nursing governors should have a plan, have the goal of combining the need to organize nurses business learning, repeated practice of professional and technical operations, increase the implementation and assessment efforts to improve the business level of nurses, actively encourage the majority of nursing staff to learn, selecting and sending the backbone of the nursing out of the further training and learning, so that the nursing staff post-graduation training institutionalized, and constantly update their knowledge to adapt to the development of the discipline to prevent the occurrence of technical nursing deficiencies fundamentally The following is a list of the most popular ways to prevent the occurrence of technical nursing deficiencies. Both to improve the professional knowledge and skills of nursing staff, while constantly cultivating keen observation and judgment, to play a good professional ethics, accurately solve the problems raised for the patient, to achieve the care in place, the patient to meet.
3 standardize the governance system and resource allocation
The success or failure of nursing governance directly affects the quality of care. The goal of nursing governance is to improve the quality of care, eliminating all kinds of factors that form errors, reducing errors is the premise of improving the quality of care. Therefore, first of all, should be combined with the hospital's rules and regulations and related laws and regulations file, standardize the operation process of each link of nursing work, set up a quality management group to implement, increase the inspection and monitoring efforts, and timely discovery of the problem, solve the problem, increase the rewards and punishments, strict control, the establishment of a feedback system of information, and to strengthen the nursing care safety awareness of the management of the front. Secondly, the reasonable deployment of nursing manpower and facilities resources, timely increase in nursing devices, improve the nursing environment to eliminate overload work status, so that the number of nursing staff and the actual clinical workload match, and according to the nurse's own conditions, business ability, work seniority, etc. reasonable construction of personnel echelon, so as to maximize their expertise.
4 Enhance the humanistic quality of nursing staff
From the perspective of improving the level of service to strengthen the professional ethics education, the establishment of good medical ethics, improve the service attitude, and cultivate a good nurse-patient relationship is to prevent nurse-patient disputes and reduce the nursing insecurity of the fundamental measures. With the transformation of the modern medical model, the formation of human-centered and patient-centered concepts has put forward higher requirements for nursing, so nursing staff should be strengthened to serve the patients' consciousness, and should be educated to do according to the code of conduct and requirements of nursing staff. At the same time, nurses should also focus on learning psychological, humanities, social science knowledge, improve communication skills with patients to reflect the humanization of services in the provision of nursing governance and technology and other services to increase the spirit of the process, cultural, emotional individual ***, to achieve people-oriented effect, to understand the various needs of patients, and continue to create a new service area of nursing.
With the health consciousness of our citizens, self-protection awareness and legal awareness continue to improve, people put forward higher requirements for nursing staff. In the nursing work, only the use of scientific methods of governance, strengthen the governance, improve the governance mechanism, establish and improve various rules and regulations, strictly every link of the nursing work, comprehensively improve the overall quality of nursing staff, improve the quality of nursing services, strengthen the legal awareness, change the concept of the patient-centered, in order to reduce the incidence of accidents, to eliminate all kinds of hidden dangers, to reduce and avoid the care of unsafe hidden dangers occur. The first step is to make sure that you have the best possible chance of getting the best out of your home.
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What should be included in the property public **** area safety hazard investigation?Property public **** regional security hidden danger investigation should include the following:
1, the service center to do a good job in the spring fire prevention work, the fire facilities for a comprehensive inspection, including alarms: review of the regions and centralized alarms work properly.2, will be a small area of the water system a thorough inventory, including (1) inventory of the water system within the pumps, piping, lighting facilities, lines are intact and available; (2) health to meet the water supply standards.
3, power supply and distribution system maintenance, including: comprehensive dust, rust; check the grounding is good, cable terminals, screws fastening conditions, such as loose and timely treatment; in the distribution of maintenance, once the gate can be sent to the workplace, switches and knife gate handles, must hang a warning signage, removal of fused wire.
4, lightning protection system for maintenance, including checking lightning rods, lightning lines, lightning straps and lead wires are rusted, such as to promptly remove rust and brush silver powder paint. For the serious degree of corrosion, section corrosion of more than 30% must be replaced; with a small hammer to tap the conductive contact parts of the lead wire, check whether the contact is good, whether the welding joints are de-welded, there are problems to be resolved in a timely manner. More exciting plus property community microblogging; check whether the grounding lead and grounding device is normal, grounding nut is firm and reliable, such as the discovery of the problem should be promptly corrected and tightened; with the grounding resistance meter to test the grounding resistance of the lightning protection system, less than 10 ohms.
5, messy cleanup, including the management of the area littered with debris, to avoid piling up caused by fire; stacked items set up plans for systematic cleanup.
I. (Purpose): In order to strengthen the company's all special projects of safe production, civilized construction, environmental management, CI management, according to the state and provinces and cities, the head office, the bureau of the relevant laws and regulations of the relevant provisions and requirements, especially the development of this inspection system.
Second, (General): The company implements a level-by-level safety inspection system. The fine processing of inspections at all levels, the implementation of the "fine process".
Third, the inspection standards:
1, the Ministry of Construction, "Building Construction Safety Inspection Standards" JGJ59-99
2, the Ministry of Construction, "Construction Enterprise Safety Production Evaluation Standards" JGJT77-2003
3, "construction site safety system to meet the standards of the checklist"
4, "construction site environmental system to meet the standards of the Assessment Form"
5, "CI Score Sheet"
Fourth, the contents of the inspection:
1, check the idea: based on the party and the country's production safety guidelines, policies, laws, regulations and relevant provisions, systems, against the leaders and workers at all levels whether to attach importance to safety, everyone cares about and takes the initiative to do a good job in safety, so that the party and the country's production safety guidelines, policies, laws, regulations and relevant provisions, systems, Laws, regulations and relevant provisions, systems in the department and the Department of Specialized Programs to be implemented.
2, check the system: check whether the rules and regulations of production safety are established, sound and strictly enforced. Illegal command, illegal operation behavior is timely corrected, dealt with, in particular, focus on checking whether the leadership at all levels and functional departments to seriously implement the production safety responsibility system, whether to achieve the requirements of the unified grasp **** management.
3, check the measures: check whether the preparation of safety and technical measures, safety and technical measures are targeted, whether the safety and technical delivery, whether the implementation of safety and technical measures according to the construction organization design.
4, check the hidden dangers: check whether the labor conditions, safety facilities, safety devices, safety appliances, mechanical devices, electrical devices, etc. are in line with the requirements of safety regulations and standards.
5, check the handling of accidents: check whether there is concealment of accidents, whether accidents are reported in a timely manner, serious investigation, serious treatment, whether to formulate precautionary measures, whether to implement preventive measures. Where the inspection found not according to the "four do not spare" principle of handling accidents, to be re-seriously dealt with to prevent the recurrence of similar accidents.
6, check the organization: check whether the establishment of a security leadership group, whether the establishment of a production safety assurance system, whether to establish a security agency, security cadres are strictly required to be equipped.
7, check the education and training: whether the new workers after three levels of safety education, whether the special types of work after training, assessment and licensing, all levels of leadership and safety personnel after special training.
Fifth, where the safety inspection found in the safety hazards by the inspection organizer to issue a "notice of rectification of safety hazards", supervise the implementation of the rectification program and review. Significant hidden dangers must be fully rectified within the specified period. When the inspection found major safety hazards may lead to immediate casualties or property damage, the safety inspector has the right to order the immediate suspension of work, pending rectification and acceptance before resuming construction.
Sixth, the company or the Department of regular inspections, are required to use the standard "score sheet" to check, scoring, feedback, and inspection records will be backed up to the unit being inspected for retention.
Meet the superior inspection
Seven, the Department of special projects at all levels of *** management, head office, bureau and other inspection notification, timely information will be sent to the company's relevant leaders and the company's HSE Management Department, the company timely assistance to the Department of special projects to meet the inspection.
Eight, the inspected project department should strictly follow the notice requirements to implement the scene, must prepare written report information, the conditions of the project department also use projection technology report.
IX, the higher inspection unit issued by the rectification orders, to timely rectification, feedback on time. At the same time feedback to the company's HSE Management Department.
Company-level inspections
X. Adhere to regular inspections: the implementation of the monthly production inspection system, led by the company's deputy manager or general manager, the security department, the relevant technical staff to participate in the production inspection.
XI, in addition to regular, the security department also organizes professional, seasonal, acceptance, pre-holiday, frequent inspections. Holidays focus on checking posts, checking duty, checking pre-holiday education, checking the site. The hidden dangers identified, must be immediately issued a construction site safety violations, the implementation of the "three" measures, the security department is responsible for review.
XII, HSE management department usually adhere to the daily inspection system, the implementation of flight inspection.
XIII, the company-level regular inspection schedule:
1, Shanghai: once a month, starting in the middle of the month.
2, Shanghai outside the surrounding areas (including Suzhou, Zhejiang, Anhui): once a quarter, the end of the quarter on the 15th of the month began.
3, away from Shanghai other areas (including Beijing): once every six months, starting in June, early December.
4, special inspection: the development of a "special governance plan", regular monthly checks.
5, seasonal inspections: the inspection of typhoon, flood and heat prevention, winter construction, etc., 3 days in advance.
6, temporary inspection: in case of national and local major holiday activities, combined with major events and other inspections, the inspection time will be announced.
Fourteen, regular inspection results feedback:
3 days after the end of this inspection work, the company announced in the form of "Inspection Circular". Affiliated companies should be based on the results of the inspection, the existence of problems to analyze and study, put forward measures and requirements for rectification, and with the target management, accountability assessment and rewards and penalties.
Area Manager Department Inspection
The Area Manager Department organizes the relevant personnel under its subordinates to carry out a monthly safety inspection of the subordinate special case department, and the inspection results are fed back to the company.
The project department self-check
fifteen, once a week, by the project manager to organize the project technology, safety, subcontracting units responsible for the person in charge (or team leader) and other management personnel, on the construction site for safety production special inspection, and important production facilities and key operating parts to increase the density of inspection cycle.
Sixteen, the project manager should be based on seasonal climate change during construction, timely increase flood control, wind, frost, gas poisoning and other seasonal safety checks, should also pay special attention to do a good job before and after major holidays safety checks.
XVII, full-time safety management staff of the project manager must implement a full-time inspection system, for high-risk operations should be implemented bystander supervision.
xviii, the project should establish a safety inspection ledger, the situation of each inspection, rectification of the situation recorded in detail, to facilitate the occurrence of accidents when tracing the causes and responsibilities. Inspection records using a special checklist.
XIX, scoring and feedback:
1, the Department of the weekly routine inspection, to be scored against the "Score Sheet", there should be signing, recording, rewards and penalties.
2, the Department of Specialized Programs weekly meeting to feedback the results of the inspection, to have the meeting sign-in, records, photos.
Team leader and personal safety inspection
Twenty, the person in charge of the subcontracting unit (or team leader) every day before going to and from work should check the safety of their respective operating areas, to stop the three violations, all the sources of danger involving their own workers should be timely feedback to the person in charge of the construction. The Department of special projects to do a good job of record, organization and coordination, and remove hidden dangers.
XXI, each construction worker should strengthen the awareness of self-protection, before going to and from work to check their own work place, on the unsafe factors, in addition to reporting to the team leader, should take timely and effective measures.
Twenty-two, bylaws:
1, in the event of special circumstances, the inspection time to be announced.
What are the main environmental safety hazards in the electroplating industryThe electroplating industry uses a large number of toxic and hazardous chemicals, and produces a large number of toxic and hazardous substances (including heavy metal ions, etc.) wastewater, waste gas, solid waste. It may pollute or poison water, atmosphere, soil, working environment, etc. GB21900 has clear regulations on the discharge of pollutants in the electroplating industry.
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