Biological Agents
Risk of:
- Infection.
- Allergic effects.
Possible causes:
- Exposure to contaminated water aerosols e.g. Legionnaire's disease due to failure to maintain water systems and associated equipment such as thermostatic valves.
- Exposure to pathogenic microorganisms during patient care activities.
- Failure to use standard precautions.
- Mould growth on continually wet surfaces.
Chemical Agents
Risk of:
- Adverse health effects such as dermatitis or allergy
- Resident/visitor being able to access chemicals.
Possible causes:
- Exposure to cleaning chemicals through inhalation or skin absorption.
- Use of soaps, detergents and disinfectants.
- Lack of personal protective equipment.
- Mixing of incompatible chemicals.
- Chemicals left unattended or not securely stored.
Ergonomic Hazards
Risk of:
- Musculoskeletal disorders.
Possible causes:
- Adopting awkward or static postures whilst assisting with bathing of resident.
- High contact stress e.g. on knees from kneeling or upper chest when leaning against the bath.
Manual/Patient Handling
Risk of:
- Musculoskeletal disorders.
Possible causes:
- Lifting too heavy items.
- Over reaching or stretching whilst assisting residents who are unable to move by themselves.
- Lack of or unsuitable manual handling devices for transferring resident.
- Failure to maintain manual handling devices.
- Inadequate space to shower / bathe the resident or use manual handling devices.
- Unexpected movement of the resident.
Slips, Trips and Falls
Risk of:
- Minor injuries such as cuts to major injuries such as broken bones, concussion and even death.
Possible causes:
- Worn or torn flooring.
- Wet and slippery floors.
- Unsuitable footwear.
- Assisting incapacitated residents.
Water
Risk of:
- Burns or scalds.
- Infection e.g. exposure to aerosols contaminated with Legionella bacteria.
Possible causes:
- Failure to treat water appropriately.
- Failure to maintain thermostatic mixing valves.
- Inappropriate method of checking water temperature e.g. using the hand rather than a thermometer.
Note: This is not an exhaustive list of hazards and risks.