Handbook of Modern Hospital Safety Book

Ch. 1	Overview of Health and Safety in the Health Care Environment	1
Ch. 2	Violence in the Health Care Industry	13
	Violence in the Health Care Industry: Greater Recognition Prompting Occupational Health and Safety Interventions	15
	Guidelines for Security and Safety of Health Care and Community Service Workers	22
	Assault on the Job: We Can Do Something About It!	53
	A Joint Labor/Management Experience in Implementing OSHA's Violence Prevention Guidelines in the NYS Office of Mental Health	73
Ch. 3	Tuberculosis Engineering Controls	121
	An Industrial Hygiene Approach to Tuberculosis Control	122
	Portable HEPA Filtration for TB Isolation in Hospitals and Clinics	150
	Preventing TB in the Workplace: What Did We Learn From HIV? Policies Regarding the HIV-Infected Health Care Worker	162
	Reducing the Spread of Tuberculosis in Your Workplace	168
	Engineering Control Options for Tuberculosis in Health Care Settings	216
	The Inefficiency of Surgical Masks for Protection Against Droplet Nuclei TB	222
	The Economics of Implementing An Engineering TB Control Plan in a County Hospital	238
	Implementing a Quality Assurance Program for Tuberculosis Control	246
Ch. 4	Needlesticks	253
	Introduction	253
	Surveillance of Percutaneous Injuries in a 77-Hospital Network	257
	Occupational Needlestick Injuries	267
	Needlestick Prevention Devices: A Pointed Discussion	321
	Work Environment and Needle Handling Injuries	326
	The Needlestick Injury Epidemic: Organizing for Prevention	338
	EPINet: A Tool for Surveillance and Prevention of Blood Exposures in Health Care Settings	352
	Strategies for Integrating Health Care Workers Into the Process of Design, Selection and Use of Control Technology	368
Ch. 5	Electrocautery Smoke: Reasons for Scavenging	379
	The Importance of Understanding Surgical Smoke	379
	Electrocautery Health and Safety	383
	Health Hazard Evaluation Report	389
	Laser Hazards in the Health Care Industry	405
	Proposed Recommended Practices: Electrosurgery	424
	Laser Plume Quantification	435
	Laser Plume: Case Study	438
Ch. 6	Safe Use of Ethylene Oxide in the Hospital Environment	447
Ch. 7	Monitoring Aldehydes	473
	Monitoring Aldehydes in the Hospital	473
	Control of Formaldehyde Exposure in Hospitals	487
	Hidden Toxicities of Glutaraldehyde	498
Ch. 8	Pentamidine	507
	Occupational Risks of Pentamidine: A Review of Current Data	507
	Inhalation Hazard Control for Health Care Workers During the Administration of Aerosolized Pentamidine	514
	Aerosolized Pentamidine Exposure in Health Care Workers	519
	Verification of the Capture Efficiency of HEPA Filtration for Aerosolized Pentamidine	526
	Engineering Controls	530
Ch. 9	Ribavirin	535
	Ribavirin Aerosol: Does a New Method of Drug Delivery Place Workers at Risk?	535
	Engineering and Administration Controls to Contain Aerosolized Ribavirin: Results of Simulation and Application to One Patient	547
	Validation of Control System for Ribavirin Aerosol	555
Ch. 10	Trace Anesthetic Gas	593
	Control of Trace Anesthetic Gas Contamination	593
	Inhalation Anesthesia Agents	608
	An Anesthesia Mask Gas-Scavenging System	624
	Personal Exposure to Blood Aerosols Among Operating Personnel	630
Ch. 11	Antineoplastic Drugs	637
	Taking Care of Ourselves: Ensuring Safety in the Handling of Antineoplastic Drugs	637
	Safe Handling of Antineoplastic Agents in the Hospital Setting	649
Ch. 12	A Clinical Approach to Glove Dermatitis and Latex Allergy	661
Ch. 13	Latex Glove Use: Essentials in Modern Hospital Safety	677
Ch. 14	Back Injury Prevention in Health Care	701
	Prevention of Back Injuries Among Nursing Staff	701
	An Ergonomic Approach to Reducing Back Stress in Nursing Personnel	717
	The Ceiling Lift: An Efficient Way of Preventing Injuries Among Nursing Staff	736
	The Lift Team Method of Reducing Back Injuries	742
Ch. 15	Ergonomics	757
	Reducing Occupational Back Pain Disability Among Health Care Workers Through Ergonomics	757
	Ergonomic Design in the Workplace in Health Care Facilities	770
Ch. 16	Health and Safety Hazards of Shiftwork: Implications for Health Care Workers and Strategies for Prevention	799
Ch. 17	Radiation Protection in Hospitals	819
Ch. 18	Reproductive Hazards in Hospitals	841
Ch. 19	Medical Waste	853
	Medical Waste Management: The Problems and Solutions	853
	Emerging Trends in Infectious Waste Management	865
Ch. 20	The Occupational Hazards of Home Health Care	877
Ch. 21	Caring Until It Hurts: How Nursing Work Is Becoming the Most Dangerous Job in America	889
Ch. 22	Laboratory Safety	903
Ch. 23	Managed Care	919
Ch. 24	Respiratory Protection in Hospitals	925
Ch. 25	Biological Exposure Index Testing: Two Case Studies	937
	Toluene	937
	Xylene	941
Ch. 26	Functions and Staffing of a Hospital Safety Office	945
Ch. 27	Decentralized Health and Safety Committees	957
	Decentralized Model for Health and Safety Committees in Health Care Institutions	957
	Education for Action: An Innovative Approach to Training Hospital Employees	961
Ch. 28	Stress Factors	977
	Stress Factors in the Hospital: A Nursing Perspective	977
	Union Perspective on Employee Education	985
	Occupational and Environmental Health Training for Hospital House Staff	991
	Nursing Student Health and Safety Training in the Hospital Workplace: Risks and Responsibilities	1002
Ch. 29	Case Studies of Health Care Workers in the Compensation System	1013
App. A	Sample Protocol: Hospital Safety Office Program	1023
App. B	The Top Offenses	1025
	Index	1027