Chapter Goals. Learning Objectives 9/11/2012. Chapter 2. Your Well-Being. Understand & value importance of personal wellness in EMS

Transcription

1 Chapter 2 Your Well-Being Chapter Goals Understand & value importance of personal wellness in EMS Serve as healthy role model for peers Learning Objectives Discuss importance of universal precautions Discuss importance of body substance isolation practices Describe steps for personal protection from airborne & bloodborne pathogens Explain what is meant by exposure Describe management principles for exposure 1

2 Introduction Job is demanding Additional responsibilities Stress Well-Being as a Whole Things that help the body do its job Things that cause harm: Infectious disease Toxic agents Drugs Heat, fire Water, wind Violence Explosions Thinking About Well-Being Things that cause us harm (cont d): Gases Stress Dehydration Malnutrition Needlestick injuries Lifting injuries 2

3 Thinking About Well-Being Design of well-being systems ensures: Use of protective apparel, tools Awareness of possible exposure Self-care Ability to manage stress 3 key elements Awareness Personal protective equipment (PPE) Safety policies, procedures Infectious Disease Caused by bacteria & viruses Incubation period Pathogens Infectious Disease Body substance isolation (BSI) Hand washing single most important act Gloves Eye protection Gowns 3

4 Infectious Disease Body substance isolation (BSI) Dispose contaminated items Clean, disinfect, sterilize Infectious Disease Exposure Blood Body fluid Needle stick Immediately report Immunization/tuberculosis screening Maintain immunizations Annual check for TB Exposure Physical Well-Being Good nutrition Physical fitness, weight control Benefits Sleep Disease prevention Cardiovascular disease Cancer 4

5 Physical Well-Being Injury prevention Appropriately use body mechanics Physical Well-Being Normal run can turn dangerous Approach with caution Police Personal safety begins before responding Start of shift Inspect entire vehicle Stress & anxiety Stress physical or mental tension Anxiety uneasiness, dread about future Causes: Environment Strain Fatigue Patient demands Paperwork Red tape Decision making Physical danger Communicable diseases Heavy workload Rules, regulations Training requirements Lack of advancement opportunities Interpersonal relationships Personal aspects of life Taking care of patients 5

6 Stress & anxiety Managing stress Develop understanding Recognize early warning signs of anxiety Stress Reduction Techniques Critical incident stress management Mental health support network & process Enables you to vent feelings Facilitates understanding Prevents delayed reactions to stress 6

7 Critical incident stress management Components Training On-scene support Individual consults Defusing services Mobilization services 24 to 72 hours after event Follow-up Critical incident stress management Specialty debriefings Nonemergency groups in community Support during routine discussions of incident Advice to command staff during large-scale incident Process two key parts Defusing Debriefing Peer support Summary Demanding job physical fitness essential Infectious diseases caused by pathogens, including bacteria & viruses Decrease chance of exposure Thorough hand washing 7

8 Summary PPE Eye protection Basic surgical masks Disposable medical devices Dispose of needles, other sharp objects in puncture-proof container Summary Clean, disinfect, sterilize nondisposable equipment Immediately report exposure to blood or other body fluids Maintain immunizations Stress is physical or mental tension Be aware of signs of stress Summary Ability to manage stress directly related to physical well-being Critical incident stress management (CISM) 8

9 Questions? 9