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Institutions exam 1
n/a
38
Environmental Studies
Undergraduate 4
10/04/2011

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Cards

Term
what are 3 classes of institutions?
Definition
Health care
child care/educational
correctional
Term
Define Microcosm
Definition
a tiny community within the large community, one that has similar environmental concerns
Term
List the 5 elements of institutional EH&S
Definition
General EH
Radiation protection
infection control
safety
IH
Term
What are the areas of concern in EH
Definition
Air and water quality, waste mgmt,food protection, sanitation and pest control, env mgmt
Term
Name the tenets of IH
Definition
Anticipate, Recognize, Evaluate, control
Term
Describe unique issues in health care facilities
Definition
Differences in worker/pt exposure
unique sources for air and water contamination
frequent renovations and technology changes
Term
Describe some medical legal issues.
Definition
you may not be aware of special risk factors due to confidentiality,
conflict between malpractice and responsibilities to inform
Term
Describe some medical legal issues.
Definition
you may not be aware of special risk factors due to confidentiality,
conflict between malpractice and responsibilities to inform
Term
What is cradle to grave concept
Definition
being responsible for the repurcussions of the effect of our material use, proper mgmt from the point of entry into a building until final disposal
Term
What are some examples of hazards affecting HCW's?
Definition
ergonomics, biological hazards, Toxic chemicals, Radiation, Stress
Term
Why is there a serious problem with hospital hazards
Definition
industry is slow to protect workers, primary concern is pt safety, nursing homes have the highest rate of lifting injuries
Term
Compare injury rates for all workers to HCW
Definition
total industry rates are lower than hospital and nuring home. this is LARGELY preventable
Term
Why are HCW's at risk
Definition
Assumption that HCW are responsible for their own health, ex hazcomm, bloodborne pathogens
Term
What are some factors that will determine whether a chemical will have acute or chronic toxicity?
Definition
Dose (conc.+duration), Route of exposure, physical and chemical properties, host factors, possibly synergistic
Term
Asbestos
Definition
Causes scar tissue, lung cancer, mesothelioma
used in pipe lagging, floor anf roof tiles, cieling tiles, insulation, siding
MONITOR, EXPOSURE CONTROL (removal, encapsulation)PPE, work practices
Term
Cryogenic agents (Nitrous)
Definition
Term
Formaldehyde
Definition
severe irritant, sensitizer suspect carcinogen,
embalmers, ventilation
Term
glutaraldehyde
Definition
irritant sensitizer susstitution enclosure isolation
Term
phenolics
Definition
mild to severe irritant bleach substitution
Term
ethylene oxide
Definition
irritant carcinogen reproductive toxin, explosive found in antifreeze, dermal resp., monitoring, engineering, work practices
Term
antineoplastics/hazardous drugs
Definition
wide range, suspect carcinogen, cancer treatments, engineering, administrative, ppe dilution ventilation
Term
mercury
Definition
dermal senstizer
Term
mercury
Definition
dermal sensitizer monitoring exposure engineering
Term
anesthetic gases
Definition
liver and kidney effects, judgement and oordination lags monitor engi
Term
sme concerns regarding biological hazards in HC
Definition
biological (viable and non viable) agents pose a risk
many HC personnel at risk
Term
Some concerns associated with antibiotic resistant strains
Definition
multi drug resistant organisms, potential nosocomial spread
Term
whats a problem with legionella
Definition
23% of yearly infections are nosocomial.
Term
why so many nosocomial infections
Definition
ppl in hospitals are sick, compromised immune system, generates aerosols so its easier to breathe
Term
what are the risk factors for legionella
Definition
middle age smokers compromised immune systems
Term
surveillance
Definition
the systematic collection of pertinent data,the orderly consolidation and current evaluation of the data, and the prompt dissemination of the data to those who need it
Term
colonizaiton
Definition
presence of microorganisms in or on a host with growth and multiplication but without tissue invasion or damage
Term
carrier
Definition
a person that harbors a specific infectious agent in the absence of discernible clinical disease and serves as a potential source of infection
Term
most costly infeciton
Definition
surgival site infections
Term
causing the highest fatality rate
Definition
pneumonias
Term
what was the percentage of preventable infections?
Definition
32%
Term
sentinel event
Definition
focus on process, not outcome
Term
root cause analysis
Definition
competant people proper technique proper procedures
Term
three necessary elements for disease transmission
Definition
source, host , means of transmission
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