2. Nursing is an
act of utilizing
the environment
of the patient to
assist him in his
recovery
(Nightingale
1860/1969
nursing notes ),
3. THE ENVIRONMENT
The surrounding or condition,
we live or use
Main concern in nursing care
The nurses responsibility is
To provide safe environment
To identify harmful environment
4. The environment in the
hospital plays an important
role in the occurrence of
hospital associated infections.
Nurses become more informed
about the environment as a
determinant of human health,
6. CLEANLINESS
In a way that produces no dirt,
noxious gases, or other pollutants
When cleanliness
Clean equipment, linen, floors
and walls are relatively free
from pathogenic organisms
Enhance confidence of public
7. PERPOSE OF CLEANING
To remove all dust, dirt, and
breeding places of
microorganism
To prolong the life of article
To maintain the aesthetic factors
To avoid accumulation of dirt or
dust
8. LIGHTING
An important factor in comfort
Excessive light disturb clients rest
and sleep
Natural (sunlight) or artificial (lamp)
Building, ward, or patients room
should be design to receive adequate
day light
9. CONTI
Therefore care of equipment and
physical environment are
essential ex: floors, furnishings,
painted surfaces and sink
10. CONTINU..
When providing artificial light
patients and health care providers
need should be considered
Control artificial light whenever
possible
Avoid direct light on the face and eyes
Consider about light sensitive patient
11. VENTILATION
The provision of fresh air into
room or building to improve
indoor air quality
(in architecture)
Air may be kept in motion by
Opening doors and windows
Use of fans or air conditioners
12. TEMPERATURE AND
HUMIDITY
Ideal temperature :- not feel
chilly but sufficiently warm
enough to cause perspiration
(20-22 C)
Humidity:- amount of moisture
(water vapor ) in air (30%-60%)
13. WATER SUPPLY
Water in adequate quantity
and safe quality is essential
Water contamination
The water supply system
should ensure the provision of
safe water.
14. CONTI.
Where safe water is not
available, water should be boiled
for five minutes to render it safe
The storage of water should be
as hygienic as possible
15. DISPOSAL WASTE AND
EXCRETA
Hospital waste is a potential
reservoir of pathogenic micro-
organisms and requires appropriate
handling
Proper and safe disposal way
Waste
Human excreta and urine
air cleanliness-
18. AESTHETIC FACTORS AND
PSYCHOLOGICAL FACTORS
Attractive environment is
influenced for patients health
Therefore
Suitable colours
Use of flower vases, pictures,
curtains ect..
Free from unpleasant sights.
22. PROVIDING SAFE ENVIRONMENT
protect from mechanical injury
protect from thermal injury
protect from chemical injury
protect from radiation injury
protect from bacteriological
injury
protect from insect, pest, vermin
23. PROTECT FROM MECHANICAL
INJURY
Use of rails or guards on beds and
windows
Keep floor dry
Proper handling wheel chair and
stretcher while transferring client
periodic check up of the equipment
26. PROTECT FROM THERMAL
INJURY
May occur from application of
heat
Some possible causes
Defective wiring
Gas explosion
Use of heater and hot plate
28. PROTECT FROM CHEMICAL INJURY
Chemicals may be too strong or
poisonous
Prevention
Store chemicals in a separate
cupboard under lock and key
Use them with caution
29. PROTECT FROM RADIATION
INJURY
Over exposure to rays :-x ray,
infrared, ultraviolet
Prevention
Handle with trained operator
Having enough protection
30. PROTECT FROM INSECTS,
ANIMAL PESTS
Rat, flies, ticks, flea, mosquitoes,
bed bugs, moths, cockroaches
Prevention
Control breeding places
Use mosquitoes repellents
Use insecticides
Improve cleanliness
Keep Naphthalene balls in cupboards