Incorporating Environmental Health into Nursing Practice
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Transcript of Incorporating Environmental Health into Nursing Practice
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Incorporating Environmental Health
into Nursing PracticeDenise Choiniere, RN, BSN
University of MarylandSchool of NursingJanuary 13, 2009
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Florence Nightingale,Notes on Nursing,1860
“Unnecessary noise is the most cruel absence of care which can be inflicted either on sick or well”.
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Common Noise Volumes
• Train horn: 120 dB(A)• Pneumatic drill: 100 dB(A)• Motorcycle: 90 dB(A)• Noise on busy urban street: 80- 90 dB(A)• Vacuum cleaner: 70 dB(A)• Washing machine: 65 dB(A)
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Noise VolumesCommon Noises
• Train horn: 120 dB(A)• Pneumatic drill: 100 dB(A)• Motorcycle: 90 dB(A)• Noise on busy urban street:
80- 90 dB(A)• Vacuum cleaner: 70 dB(A)• Washing machine: 65 dB(A)
Common ICU Noises• Items falling onto the floor: 92
dB(A)• Equipment movement: 90 dB(A)• Pager: 84 dB(A)• Talking: 75- 85 dB(A)• Ventilator alarm: 70- 85 dB(A)• Telephone: 70- 80 dB(A)• Television: 79 dB(A)• Monitor Alarm: 79 dB(A)• IV infusion alarm: 65- 77 dB(A)
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UMMC Green Team
• Patient Care Services Green Team
• Recruited through current committee structure.
• Over 50 members, representing over 30 patient care areas.
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Reusable Sharps Containers• 32,500 total pounds
collected in the 12 months of the program.
• Of that 32,500 pounds, only 23,600 pounds were actual sharps that were burned.
• 8,900 pounds was the weight of the needle boxes that we spared from burning.
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Recycling Initiatives
• 380,000 pounds of cardboard was recycled in 2008.
• 43,000 pounds of mixed paper was recycled in 2008.
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The MD H2E Team includes Technical Assistance,Nursing, and Sustainable Foods programs
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Nursing Outreach Coordinator
• Educate nurses throughout the state
• Engage nurses on all MD H2E initiatives
• Guide nurses on where to begin
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The Power of Nurses
• Highest percentage of employees in facility
• Nurses understand the connection between environmental issues and health
• Precautionary Principle
• Nurses are patient advocates
• Nurses bridge the gap between administrative executives and floor staff
• End user of most products
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