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Management of the Environment of Care

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Melody Collings

on 7 November 2015

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Transcript of Management of the Environment of Care

Management of the Environment of Care
Melody Collings
The environment of care is defined by TJC, as providing a safe, functional, supportive, and effective environment for all individuals within the hospital (TJC, 2007).
Environment of Care

The Joint Commission Standards
Improve Safety to the Public
Provide Quality Care
Improve Health Care Organizations
Compliance with
Standards of Care
Hospital Functions
Hospital's Level of Performance
Opportunity for Improvement
(Health Insurance Portability
& Accountability)
Focuses on a detailed plan to insure safety during an emergency for all institutions
Hospital's are Required to Provide Plan of Care
Safety & Security
Hazardous Wastes
Fire & Emergency Safety
Emergency Management Plan
To provide a safe environment of all people: injured, workers, volunteers and pedestrians.
To provide adequate equipment, supplies, electricity, water & disposal of wastes.
To provide clear, organized communication.
There is a chain of command in place to make emergencies run effectively
Implemented at orientation for new employee’s
Routine practice drills
Emergency Management Plan cont.
1. Electrical failure / medical equip.
2. Communication breakdown
3. Security issues: infant abductions.
Internal factors:
External factors:
Emergency Preparedness Drills
1. Collaboration with community workers,
federal agencies
2. Chemical spills, bombings, cyber viruses,
contamination, weapons and nuclear exposures.
Rescue anyone in immediate danger from the fire.
Close door to fire origin.
Pull fire alarm box lever.
Announce "Code Red" and exact location twice.
Contain fire.
Close all doors and windows.
Attempt to extinguish small fire.
Race Fire Plan
Federal Agencies for Environment of Care Issues
OccupationalSafety and Health Administration (OSHA)

Nuclear Regulatory Commission (NRC)

Center for Disease Control and Prevention (CDC)

National Institute for Occupational Safety and Health (NIOSH)

Environmental Protection Agency (EPA)

The Joint Commission (TJC)
Bloodborne pathogens: blood and blood-soaked items, workplace safety
Radioactive waste
Infectious waste
Workplace safety
Workplace safety
National patient safety goal
Code Name
Emergency Situation
Code Red
Code Blue
Code Orange
Code Gray
Code Amber
External Triage
Internal Triage
Code Zebra
Code Name Clear
Code Silver
Heart or Respiratory Stopping
Hazardous Material Spill or Release
Combative Person
Infant and Child Abduction
External Emergency
Internal Emergency
Heightened State of Alert
To Clear a Code
Person with Weapon/Hostage Situation/Lockdown
Plans and Processes
Internal/External communication
Adequate supplies
Security of staff & property
Staff: roles, responsibilities and chain of command
Services up to 96 hours
Maintaining clinical care with alternative standards of care
Conclusion: Emergency Focus
Matthew O'Brien
Melody O'Brien
1. According to TJC, environment of care is?
A. The outline of the standard of care that is to be provided to communities, individuals, and families.
B. Providing and directing nursing care that enhances the care delivery setting to protect clients and healthcare personnel.
C. Providing a safe, functional, supportive, and effective environment for all individuals within the hospital
D. A detailed proposal of the specific roles and responsibilities of healthcare personnel within the healthcare environment
Matthew + Melody = The O'Brien's
"As Florence Nightingale once said, 'Nursing is an art requiring exclusive devotion.'"

2.The purpose of an emergency management plan is?
A. To determine the frequency of emergency preparedness drills.
B. To prevent the consequences of natural disasters or other emergencies that disrupt the organization’s ability to provide care and treatment.
C. To determine specific roles and responsibilities during a disaster
D. To provide a safe environment; adequate equipment, supplies, electricity, water & disposal of wastes; and clear, organized communication.
3.The purpose of an emergency preparedness drill is to?
A. To evaluate and improve the response of all agencies and to determine what changes need to be made to the emergency response plan.
B. To ensure safety for all individuals within the hospital.
C. To ensure all backup services are working properly.
D. To evaluate personnel's adherence to the emergency management plan protocol.
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