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Rasmussen College, Florida *
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HSA3422
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Health Science
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Dec 6, 2023
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Module 4: Writing Compliance Procedures
Ariel Davis
Rasmussen University
H340/HSA3422: Regulation and Compliance in Healthcare
Rebecca Mangali
11/28/2023
Clinical Staff Members Must Wash Their Hands Between Patients
Hand hygiene is extremely important within the work environment. For the hand washing
compliance program to be effective, I have established written guidelines on the hand washing
procedures. Every member of this hospital is expected to follow the new procedures regarding
washing hands between patients.
Hand Washing Procedure
Handwashing offers great rewards in terms of preventing illness. Adopting this habit can play a
major role in protecting your health (Mayo Clinic, 2020).
Follow these six steps every time:
1.
Wet your hands with clean, running water. Either warm or cold water is fine
2.
Apply a generous amount of soap
3.
Lather your hands by rubbing them together with the soap. Lather the backs of your
hands, between your fingers, and under your nails
4.
Scrub your hands for at least 20 seconds
5.
Rinse your hands well under clean, running water
6.
Dry your hands using a clean towel
When to Wash Hands
Knowing when to wash your hands will prevent the spread of germs. The main goal of this
compliance plan is to make sure that employees wash their hands between patients. Employees
should be washing their hands more frequently, rather than just in between patients. All
employees should be washing their hands after they use the restroom, after throwing away
garbage, after blowing their nose/sneezing/coughing, after preparing food, and before and after
time with a patient.
Who Will Make Sure It’s Done?
The supervisors are expected to continually model appropriate hand washing practices for
employees. Supervisors shall monitor employee hand washing and make sure that everyone is
washing their hands correctly. Supervisors will also be monitoring the hand sinks at least once
every few hours to assure that each sink has the necessary supplies.
Who Must Wash Their Hands
Every single employee must abide by these hand washing procedures.
If for Some Reason you Cannot Wash Your Hands
If an employee does not have access to a sink, or if soap and paper towels are limited, they must
use antibacterial hand sanitizer. It is important to remember that hand sanitizer works best when
there’s enough to lightly coat the entirety of both hands and it must dry completely to be
effective. To make sure both hands are completely covered, rub the hands together while wet and
interlacing the fingers to coat the inside of each individual finger (Whitlock, 2020). Hand
sanitizers do not get rid of all types of germs so it’s important to make sure the resources to wash
your hands are readily available.
Employees Must be Knowledgeable in the use of Fire Extinguishers
Making sure that employees are knowledgeable in the use of fire extinguishers is a necessary
requirement at this hospital. For the fire extinguisher compliance plan to be effective, I have
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established written guidelines on the procedures that must take place in the event of a fire. Every
member of this hospital must comply with the following procedures.
Fire Extinguisher Procedure
According to OSHA, the most common emergency small businesses must plan for is a fire. Fire
extinguishers can be invaluable tools to help fight smaller fires in the workplace or to protect
evacuation routes in the event of a larger one (National Safety Council, 2010).
Below is the proper fire extinguisher protocol:
1.
Identify a Clear Exit/Escape Route: Make sure that you have a clear evacuation route. If
you cannot put out the fire, you’ll need to figure out how to make a safe exit
2.
Stand Back: Face the fire and keep your back to the clear exit you earlier identified. You
should stay between six to eight feet away from the flames as you prepare to operate the
fire extinguisher
3.
Discharge Extinguisher: Pull the pin on the extinguisher. Squeeze the handle to discharge
the extinguisher. Keep the fire extinguisher aimed at the base of the fire. Move the
extinguisher from side to side until the fire is put out
4.
Keep an Eye on Things: After the fire is out, continue to watch the area to make sure the
fire does not reignite
5.
Call the Fire Department: If you are unable to call the fire department before using the
fire extinguisher, please do so afterwards
6.
Get to a Safe Place: When the fire is put out or if you are unable to put it out, leave the
scene and find a place out of reach of the fire
All employees must know where every fire extinguisher is located.
Choosing the Right Fire Extinguisher
Most fire extinguishers for homes and public spaces are classified as Class ABC extinguishers,
meaning they’re suitable for putting out wood and paper fires, flammable liquid fires, and
electrical fires (McKay, 2013). Most fire extinguishers used in hospitals are class A-B-C. Part of
being knowledgeable in the use of fire extinguishers is learning which extinguisher to use. It is
important for every staff member to be knowledgeable in the use of fire extinguishers in order to
prevent harm to themselves and patients.
REFERENCES
Mayo Clinic. (2020).
Hand-Washing Do’s and Don’ts
https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/hand-washing/art-
20046253
McKay, Kate. (2013).
How to use a Fire Extinguisher
https://www.artofmanliness.com/articles/how-to-use-a-fire-extinguisher/
National Safety Council. (2010).
Properly Using a Fire Extinguisher in the Workplace
https://www.safetyandhealthmagazine.com/articles/5549-properly-using-a-fire-
extinguisher-in-the-workplace
Whitlock, Jennifer. (2020).
Proper Hand Washing Technique in Healthcare
https://www.verywellhealth.com/how-to-proper-hand-washing-technique-3156910
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