Introduction Industrial accident is defined by Collins (2014) as “an accident that happens to an employee of an industrial company during the course of their work”. Industrial accidents vary from falls from heights, to being injured by machinery; in the patient presented below, the accident was a fall from 6m above the ground. According to Centre for Disease Control and Prevention (2012), data for the year 2009, from the Bureau of Labour Statistics in the U.S., revealed that an estimated 605 fatalities and 212 760 injuries occurred from falls at the work place. A study done by Yoon & Lockhart (2006) revealed that more than 70% of falls resulted in sprains, strains and fractures and the most affected body parts included the shoulders, the trunk and the back. The second most affected body parts were the lower extremities (e.g. the legs and the knees). These falls are financially draining because of the compensation (to the …show more content…
It is for this reason that the practitioner should have returned to reassess the patient’s consciousness, airway, breathing and circulation (for any changes that need intervention). The author found it quite difficult to find statistics regarding accidental falls in the industry, most specific to Namibia so most statistics cited in this document are relating to the U.S, the U.K. and the world in general. Furthermore, there is progress in the attempt to reduce the rate of industrial accidents; therefore, with more time, greater improvement will be noted. In this patient’s case, assessment was very vital; if one did not assess appropriately it would be difficult to find the problems, much less treat the patient
...health of a patient and a follow up check at the GP’s may be required.
Additionally, the clinical staff has shown very low level of confidence in the RR documentation on observation chart. Lack of time, laziness, lack of training and knowledge and unawareness of the importance of the respiratory assessment are main reasons to neglect this important aspect of nursing as stated in this study (Philip, Richardson, & Cohen,
DOI: 08/17/2010. The patient is a 55-year-old female assembly worker who incurred a work-related injury when she fell with her face forward after tripping on a curb.
There are events, subtle or otherwise, leading up to a critical change in health status. As nurses at the bedside, we must have strategies and protocols implemented in order to monitor changes in vital signs and trends leading towards a cardiac, respiratory, or neurologic event. In a hospital setting, patients are monitored for changes in condition, whether it be improvement or deterioration, allowing clinicians to decide the course of action to follow in their care.
An electrocardiogram (ECG) is one of the primary assessments concluded on patients who are believed to be suffering from cardiac complications. It involves a series of leads attached to the patient which measure the electrical activity of the heart and can be used to detect abnormalities in the heart function. The ECG is virtually always permanently abnormal after an acute myocardial infarction (Julian, Cowan & Mclenachan, 2005). Julies ECG showed an ST segment elevation which is the earliest indication that a myocardial infarction had in fact taken place. The Resuscitation Council (2006) recommends that clinical staff use a systematic approach when assessing and treating an acutely ill patient. Therefore the ABCDE framework would be used to assess Julie. This stands for airways, breathing, circulation, disability and elimination. On admission to A&E staff introduced themselves to Julie and asked her a series of questions about what had happened to which she responded. As she was able to communicate effectively this indicates that her airways are patent. Julie looked extremely pale and short of breath and frequently complained about a feeling of heaviness which radiated from her chest to her left arm. The nurses sat Julie in an upright in order to assess her breathing. The rate of respiration will vary with age and gender. For a healthy adult, respiratory rate of 12-18 breaths per minute is considered to be normal (Blows, 2001). High rates, and especially increasing rates, are markers of illness and a warning that the patient may suddenly deteriorate. Julie’s respiratory rates were recorded to be 21 breaths per minute and regular which can be described as tachypnoea. Julies chest wall appeared to expand equally and symmetrical on each side with each breath taken. Julies SP02 levels which are an estimation of oxygen
If patient safety is the most important issue in Health Care facilities then how come hospital inpatient falls continue to be the most reported of all accidental falls (Tzeng & Yin, 2009)? Throughout the years, hospitals continue to make changes to decrease the risk of accidents and increase the quality of patient safety. With research studies and improvements made, patient falls still hold the largest portion of reported incidents in hospitals (Tzeng, & Yin, 2008). According to Tzeng & Yin (2008), “fall prevention programs apparently do not effectively reduce inpatient fall rates because of human factors and ergonomics in a hospital environment (p.179, para. 2). The two studies reviewed in this paper were performed with the hopes of decreasing the high fall rate among inpatients.
“Little empirical data are available examining the injury experience of hired crop workers in the United States (US).”(Wang, Myers et al. 2011) Work-related injury data from a national survey collected through the National Agricultural Workers Survey (NAWS) in the years 1999, 2002, 2003, and 2004 on 13,604 crop farm workers revealed that the bulk of injuries occurred to male (84%) and Mexican born (72%) workers. “The use of hand tools, falls, and lifting overex...
The national fall rate is between 2.3-7.0 falls per 1000 patient days in hospitals, costing hospitals approximately an additional $4,200 per fall (Kalman, 2008). The numbers of falls that happen in hospitals are inevitable. They have caused injury and death for many patients while being hospitalized. It has also put on a toll for the hospital with the amount of money they have to spend that could be spent on other things, especially when this is something that can be prevented in a hospital setting as healthcare members are there to help, and are continuously in and out of patients rooms. In fact, this has become significant recently, as insurance companies are no longer willing to pay for falls that happen in hospitals, along with many other things. “In 2006, there were 2,591 cases reported of Medicare patients who fell out of bed” (Woodward, 2009, p.201). However, the bigger thing to recognize her...
Yates K. M., & Creech Tart. (2012). Acute care patient falls: evaluation of a revised fall
Below I will be analyzing the Responsibility for Accident case to find out the answer about the inquiry of who is responsible for a work accident – the employee or the company? First of all, I am going to look at every fact and different points of view of the case. I will also going to analyze the employee’s complains about the unsafe workplace. On the other hand, I will analyze what is the foreman’s defense to demonstrate that the employee is responsible for the accident and not the company.
checking the ABC's: A: Is the airway opened and the victim's neck stabilized? B: Is the
Traumatic brain injuries, broken hips, loss of independence and death are some of falls' most serious outcomes (Williams, Szekendi, & Thomas, 2014). Therefore, we need fall prevention strategies and tools to define and measure falls. Ultimately that wills assist health care teams to identify risks and target prevention strategies. The purpose of this stud...
Fifteen years have passed since American Airlines flight 1420 experienced a botched landing tragically killing 10 passengers, the captain, and injuring 110 others. Thankfully, 24 passengers were uninjured, and the first officer survived. This horrific accident could have turned out much worse, but it could have also been easily avoided.
In the early 1900s industrial accidents were commonplace in this country; for example, in 1907 over 3,200 people were killed in mining accidents. At this time legislation and public opinion all favored management. There were few protections for the worker's safety. Today's industrial employees are better off than their colleagues in the past. Their chances of being killed in an industrial accident are less than half of that of their predecessors of 60 years ago. According to National safety Council (NSC), the current death rate from work-related injuries is approximately 4 per 100,000, or less than a third of the rate of 50 years ago. Improvements in safety up to now have been the result of pressure for legislation to promote health and safety, the steadily increasing cost associated with accidents and injuries, and the professionalization of safety as an occupation. When the industrial sector began to grow in the United States, hazardous working conditions were commonplace. Following the Civil War, the seeds of the safety movement were sown in this country. Factory inspection was introduced in Massachusetts in 1867. In 1868 the first barrier safeguard was patented. In 1869 the Pennsylvania legislature passed a mine safety law requiring two exits from all mines. The Bureau of Labor Statistics (BLS) was established in 1869 to study industrial accidents and report pertinent information about hose accidents. The following decade saw little progress in the safety movement until 1877, when the Massachusetts legislature passed a law requiring safeguards for hazardous machinery. In 1877 the Employers' Liability Law was passed. In 1892, the first safety program was established in a steel plant in Illinois, in response to the explosion of a flywheel in that company.
Accidents occur in the workplace but in secret. These most of the time lead to physical and mental injuries that might affect the worker way of living for the rest of their lives. It is estimated that more than 337 million workers get injured in their place of work or in the course of work every year leading to work-related diseases causing about 2.3 million deaths per year (United States Department of Labor, n.d.).