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Perioperative Risk Assessment


bernard pennington

on 13 November 2013

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Transcript of Perioperative Risk Assessment

Perioperative Risk Assessment
Bernard V. Pennington
To revisit the principles of risk assessment
To take the understanding gained of the process of risk assessment and apply it to aspects of perioperative practice
Utilising the 5 step process of risk assessment
Risk Assessment...
“Risk assessment is a process which involves identifying hazards in the workplace and assessing the risk of causing harm.”

(Croner’s Health Service Risks, 1997)
Hazard Checklist
5 Steps
1 Plan the assessment
2 Look for the hazards
3 Evaluate the risk
4 Prepare an action plan for controlling the risk
5 Review and revise the assessment
Risk assessment should be seen as a continuous process. Review of the assessment is important to ensure that it is kept up to date and takes account of:
new equipment
changes in processes
new clinical techniques
new employees
The outcome for risk assessment should be a plan of action which sets out, in priority order, what additional controls are necessary
It should also specify who is responsible for taking those actions
Establish a timescale for completion
Initially identify and prioritise those hazards that are likely to cause most harm
Consider the severity of the harm and the likelihood that the harm could actually occur
Ask yourself ‘what if’?
Rating risks
Ignore the trivial and concentrate on the significant hazards or those hazards which are most foreseeable
Hazard Checklist
Before moving on check that all the hazards have been identified by involving staff members including line managers and safety representatives
Break the task of risk assessment into manageable categories
Identify definable activities or processes, or even a defined area or premises
Impact (Severity)
Risk Rating = (Severity) x (Likelihood)
Elimination of the hazard/risk
Substitution with something less hazardous or risky
Guarding and/or segregation
Safe systems of working
Written procedures that are known and understood by all
Adequate supervision
Identification of training needs
Information and/or instructions
Personal protective equipment
Options to control risk
Champion, J. (2000) ‘Health and safety - Risk Assessment: a five step process.’ British Journal of Perioperative Nursing. 10 (7) 350-353
Health & Safety Executive (2004) ‘A guide to risk assessment requirements.’ London: HSE
You are required to locate your department risk register and identify a relevant risk assessment to explain in brief (confidentiality) via this discussion thread. I would like you also to try and identify any ‘trivial’ risk assessments for discussion by the group. Please do this by replying to the posting under HEA1004.

In addition, let’s consider perioperative risk assessment other than for health & safety, for example pressure sore risk assessment. Is there anything new in your hospital/trust ?
Full transcript