Taking Time for Staff Member Safety

AORN Journal ◽  
2021 ◽  
Vol 115 (1) ◽  
pp. 80-82
Relay Journal ◽  
2020 ◽  
pp. 66-79
Mizuki Shibata ◽  
Chihiro Hayashi ◽  
Yuri Imamura

This paper reports on a case study of learner-led study-abroad events in the language learning space at a Japanese University. We present multiple reflections on the events from different perspectives: the event organizer (student), an administrative staff member, and a learning advisor working at the center. We also introduce the support system that a group of administrative staff members and learning advisors are in charge of helping learners to hold their events. Moreover, throughout our reflections, several factors that made the learner-led study-abroad events sustainable and successful are demonstrated.

1997 ◽  
Vol 23 (2-3) ◽  
pp. 339-362
Sarah C. Kellogg

In December 1995, the Eighth Circuit decided Kennedy v. Schafer, holding that a teenage patient who committed suicide while under treatment at a state psychiatric facility had a constitutionally protected liberty interest in a safe and humane environment under the Due Process Clause of the Fourteenth Amendment if her status changed from voluntary to involuntary during the course of her admission. The fifteen year old patient, Kathleen Kennedy, had been identified as a suicide risk, and had been placed on “Protective Suicide Precautions,” which required a designated staff member to keep her in constant eyesight and to interact with her at fifteen to twenty minute intervals. Despite these stringent requirements for supervision and contact, Kathleen was found dead in her room more than two hours after her last contact with a staff member. Her parents brought suit under 42 U.S.C. § 1983 against state and hospital officials, alleging that chronic understaffing and falsification of the records used to determine staffing levels amounted to a pattern of deliberate indifference to patient safety which violated their daughter’s protected liberty interest in a safe and humane environment.

2020 ◽  
Vol 41 (S1) ◽  
pp. s305-s306
Alana Cilwick ◽  
April Burdorf ◽  
Wendy Bamberg ◽  
Christopher Czaja ◽  
Alexis Burakoff ◽  

Background: In February 2019, the Colorado Department of Public Health and Environment (CDPHE) identified a cluster of 3 invasive group A Streptococcus (GAS) infections in residents receiving wound care in a long-term care facility (LTCF). An investigation revealed a larger outbreak that extended to nonresidents receiving outpatient wound care at the LTCF. Methods: A case was defined as a positive culture for GAS emm type 82 from an individual with exposure to the LTCF between January and June 2019. Cases were categorized as clinical (symptoms of GAS disease or GAS isolated from a wound or sterile site) or carriage (no symptoms). Carriers were identified via samples collected from throat and skin lesions. Screening occurred in 2 rounds and included residents of affected units followed by screening of all wound-care staff and residents facility-wide. Available isolates were sent for emm type testing and whole-genome sequencing (WGS) at the CDC. CDPHE staff performed infection control observations. Results: We identified 14 cases: 8 clinical and 6 carriage (from 5 residents and 1 staff member). Two patients with invasive GAS died. Of 8 patients with clinical GAS, 6 resided in the facility on or 1 day prior to symptom onset; 2 were not residents but received outpatient therapy at the LTCF. All 8 patients with clinical GAS (100%) and 3 carriers had received wound care. The staff member with emm 82 carriage had provided wound care and occupational therapy to the affected residents and the 2 outpatients. Two additional cases were detected with onset dates following staff member decolonization. Moreover, 13 of the 14 emm 82 isolates were found to be identical by WGS. Infection control observations identified lapses in staff wound care and hand hygiene practices in the residential and outpatient settings of the facility. Conclusions: This investigation details a large GAS outbreak in an LTCF associated with asymptomatic carriage in residents and staff that included patients who had only received care in the outpatient portion of the facility. The outbreak was halted following decolonization of a staff member and improvements in infection control, including in the outpatient setting. Outpatient services, particularly wound care, provided by LTCFs should be considered when investigating LTCF-related GAS cases and outbreaks.Funding: NoneDisclosures: None

Collections ◽  
2021 ◽  
pp. 155019062098073
Colleen Bradley-Sanders

This article looks at how one college archive responded to the shutdown of its campus in response to the COVID-19 pandemic. The Archivist and Associate Archivist worked together to develop work assignments that could be done from home. While collection processing was halted, the tasks assigned to staff all aimed to improve informational access to the collections, through an expanded effort to convert PDF finding aids to EAD for placement in an ArchivesSpace site, a project to create a searchable listing of collections that includes a brief description of content and links to finding aids, and planning for digitization of frequently accessed content. The archive anticipates having plenty of work to keep staff working even if the campus shutdown continues in the spring, and to date has not had to cut any staff member.

1994 ◽  
Vol 19 (2) ◽  
pp. 37-39
Chris Goddard

The recent articles (Goddard 1993a; 1993b; 1994), describing in some detail the battle of the woman who refused to ignore the abuse of her child by a school teacher, have provoked a number of telephone calls and letters. A number of people have praised the tenacity and courage of the mother in continuing to battle against the bureaucracy.One mother has given permission to publish her story of similar experiences in attempting to get the bureaucracy to pay attention to the rights of children to protection. It is of great concern to me that, six years after first writing about this (Goddard 1988), the responses of organisations do not appear to have greatly changed.Where a staff member is accused of abusing a child, the organisations still appear to be more concerned with protecting themselves rather than protecting the vulnerable children (Hechler 1988).I would like to take this opportunity to repeat the questions I asked last year: Why are parents, who do know or suspect that their children are being abused, treated so badly when they attempt to report?Why do services appear to be concerned with protecting the perpetrator rather than protecting the child?Why do such cases so often deteriorate into direct personal attacks on the parents (or professionals) who are trying to stop the abuse?(Goddard 1993a:41)

1978 ◽  
Vol 45 (4) ◽  
pp. 179-182
Jean M. Ollson

This article describes a five day vacation in Florida for forty-seven long term psychiatric residents. We believe this is the first trip of this kind in Canada. How the residents coped with social stresses of day to day life away from stereotyped hospital care, what was expected of each resident and each staff member during these five days, paved the way for what many staff members said “couldn't be done,” to prove “it could be done,” successfully. We hope our challenges and preparations can be of help to anyone wishing to try an adventure of this type.

2021 ◽  
Vol 24 (4) ◽  
pp. 16-29
Jeremy D. Visone

A suburban elementary school experiences an emergency evacuation. This evacuation event reveals trust and safety concerns. Some parents, staff members, and children express safety concerns, and a key school staff member questions the judgment of another staff member during the emergency event, exacerbating existing tensions between the two. The principal must move the school community forward, while re-establishing trust and addressing safety concerns. Frameworks for repairing trust and trust in schools are considered.

1966 ◽  
Vol 46 (4) ◽  
pp. 387-390
Marilyn J. Lister

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