presented by Michael Fragala & Guy Fragala
As the acuity within levels of care changes, those providing care must be prepared to implement synergistic solutions to patient safety issues. Throughout this course, learners will explore the three interrelated concepts of Safe Patient Handling, Fall Management, and Wound Care, including a discussion of factors that put patients and health care workers at increased risk; the interrelationship of skin integrity, safe patient handling, and fall prevention programs; and a panel discussion to help caregivers assess strategies to decrease risk at their facilities.
Michael Fragala has worked in the healthcare business operations arena for the majority of his career and has served as a Regional Clinical Director, primarily responsible for clinical operations and strategic planning, within national post-acute accounts. Presently Mr. Fragala is employed by Joerns Healthcare overseeing clinical initiatives within national accounts. He has also spent time as a registered nurse, working within both acute and post-acute settings. Mr. Fragala has been serving as an adjunct faculty member at NEC since 2011 and has facilitated many NEC courses, both in the classroom and online. He has taught Strategic Planning and policy, IT Intelligence and business strategy, Organizational Leadership in Technology, and Professional and Organizational ethics, as well as Comparative Health Systems.
Dr. Fragala has more than 45 years of experience as an Occupational Safety and Health professional and is currently the Senior Advisor for Ergonomics at the Patient Safety Center of Inquiry in Tampa, Florida. He recently served as Champion for the Creating the Safer Environment Program for Joerns Healthcare and Director of Compliance Programs with Environmental Health and Engineering in Newton, Massachusetts. He is retired from the Faculty and his previous position as the Director of Environmental Health and Safety for the University of Massachusetts Medical Center. Dr. Fragala is a national expert in the application of ergonomics to the health care setting. He has served as an advisor to OSHA regarding the development of the Proposed Ergonomics Standard and was asked to present with the Secretary of Labor at a national press conference when the proposed Standard was released. Dr. Fragala also has experience as a member of the DuPont Corporation’s Corporate Environmental Health and Safety staff and as a Safety Engineer with an international insurance carrier. He has been an advisor to the Joint Commission on Accreditation of Healthcare Organizations and has helped develop and deliver some of their educational offerings. He has been a consultant to a wide range of American industries including many health care organizations, including the Department of Veteran Affairs on the topics of injury prevention and ergonomics. He has served on the faculty of a number of academic institutions, including Harvard University, the University of Wisconsin, the University of Southern California, and Worcester Polytechnic Institute.
Understanding the interrelated concepts of safe patient handling, fall management, and wound care is an important part of reducing risk to caregivers and patients alike. This chapter introduces the impact of these disciplines in terms of both direct and indirect costs of patient care as well as their relationship to preventable events.
Occupational risk factors of manual patient handling, such as exertion, repetition, posture, and duration of exposure, can result in harm to both caregivers and patients alike. This chapter explores activities that put you and your patients at risk, as well as the role that you play in providing high-quality patient care and maintaining your own safety and well-being.
This chapter explores the serious risk of falls to members of the geriatric population by exploring both proven and theorized concepts of fall management. In addition, this chapter includes a discussion of safe patient handling program best practices to positively affect your patient populations.
This chapter explores considerations for mobility and equipment in relation to skin integrity programs. In addition to a review of the basic anatomy and physiology of skin, prevention principles reviewing how to avoid occurrences of skin breakdown with the use of mobility will be discussed.
Through a panel discussion of nurses and therapists, this chapter will explore the perspectives of direct care staff on the interrelationships of safe patient handling, wound care, and fall management.