Contact Investigation San Antonio, Texas March 26-27, 2013

Transcription

1 Contact Investigation San Antonio, Texas March 26-27, 2013 Field Safety Samuel Caballero, MA March 26, 2013 Samuel Caballero, MA has the following disclosures to make: No conflict of interests No relevant financial relationships with any commercial companies pertaining to this educational activity 1

2 Field Safety Sam Caballero, MA Director of Education and Training Heartland National TB Center March 26, 2013 Samuel Caballero, MA has the following disclosures to make: No conflict of interests No relevant financial relationships with any commercial companies pertaining to this educational activity 2

3 Objectives List the elements of worker safety. Planning Your Visit Environmental Factors Mental Health Issues Substance Abuse Conflict Mgmt. Your Personal Safety Each Field Staffer Should Have a Visit Plan View Patients Chart for Information Itinerary Development Stop for Visit Itemize & Document Visit Take Additional Appropriate Action 3

4 What to Look For In The Chart? Patient s Mental Health Drug Addiction Past History Cooperative Family An Itinerary Should Include Scheduled Time of Visit Name of Client Reason for Visit Duration of Visit Agreed Upon Check In & Out 4

5 Map Your Destination or GPS It Map Destination Google, Bing, Mapquest Co-workers Patient PULL OVER to review your map if your lost! Community Awareness High Crime Areas Gang Activity Colors / Signs / Symbols Build Relationships Local Law Enforcement SAFFE (Fear Free Environment) 5

6 Inspect Your Transportation Tires Wipers Lights Fuel Level Adjust Seat / Mirrors Don t assume an inspection was done for you. Take Your Phone Phone Charged? Pre-program Emergency Number Office Number Client Number Pull Over when Dialing 6

7 Is It Me Or Is It Hot Out There? Drink Plenty of Fluids Mineral Replacements Water Wear Appropriate Clothing & Sunscreen Schedule Appropriately and Pace Yourself Do You Know Your Limits Personal Safety Dress the Part Wear your I.D. Comfortable & Professionally Attire Do Not Wear Expensive Jewelry Excessive Personal Items That Could Prevent You Buddy Up Communicate In & Out Times Back Up Link 7

8 Personal Safety: Infection Control Use N95 with Infectious Patients Personal Protective Equipment Gloves, OSHA Sharps & Sharps containers, etc. Secure Equipment From Children / Pets Safe Practice Proper Hand Washing & Sanitizing Hard-Sided Coolers Transporting PPD, Specimens Field Safety Approaching Property Geographic Sense Observe Surrounding Area for Obstructions / Rough Terrain Unsafe Building / Properties Crowds of People Dogs / Other Animals Hallways / Stairs in Internal Settings 8

9 Environmental Awareness Slips, Trips, or Falls Be Observant for Uneven / Broken / Wet Surfaces Ramps Walkways Ceiling Poor Lighting Clutter / Accumulation Egress / Ingress Prior to Entering Prepared Obtained All Equipment Be Observant Identify an Out 9

10 Your Exit Always Park for Easy Fast Exit Keys in Hand or Easy Grab Position 360 the Car Getting In Underneath Back Seat Drive to a Safe Place Any Next Steps Beware of Dog 10

11 Beware of Dog Read the Signs Rattle Gate & Call Out Approach with Caution Ask Owner to Restrain Pet Allow Dog to Sniff You If Confronted By A Dog Do Not Run Avoid Eye Contact Hold Your Ground Feed If Necessary When dog retreats so should you. If knocked down crawl into a ball, protect your head and neck. 11

12 While Some Dogs Are Prone to Aggressive Behavior All Dogs Bite! 12

13 Bitten By A Dog Seek Immediate Medical Attention Report All Bites Police Animal-Control Obtain Vaccination Information Assist Identifying Additional Medical Attention Report All Aggressive Loose Animals 311 Positive Intent Mental Illness Do Not Diagnose Assume Ability Do Communicate Clearly Be Supportive Access Emergency Mental Health Services The Patient 13

14 The Patient (cont.) Substance Use Positive Intent Poor / Erratic Behavior Not Able to Complete Task Predicts Aggressive / Non-compliant Behavior Reschedule Visit Document Incident Common Substances and Their Effects Heroin Cocaine Meth Alcohol Marijuana Euphoria Drowsiness Increased energy Decreased appetite Nervous physical activity Noise sensitivity Giddiness Slurred Speech Euphoria Time passes slow Impaired Mental Function Mental Alertness Confusion Uninhibited behavior Impaired memory Constricted Pupils Dilated pupils Chemical smell Smell Smell, red eyes 14

15 Dealing with Conflict Situations Positive Intent Recognize Possible Conflict Dealing with Conflict Maintain Calm & Control Confrontational Stay Positive My Example Best Practices on Avoiding Conflict Keep Your Distance Physically Psychologically Use a Calming Voice Maintain Your Bearing Avoid Placing Blame Use Positive / Supportive Gestures & Body Language Avoid Using Calm Down Listen Don t You Understand 15

16 Additional Best Practices Empathize Connect to a Common Concern Referral to Good Health Do Not Over React Engage in Any Power Struggles Over Promise Review VISIT Prior to Visit Personal Safety Approaching Property Risk Factors Personal Safety Conflict Mgmt. 16

17 In Your Own Words 17

18 Sam Caballero