- Infection e.g. Legionnaires' disease.
- Exposure to infectious patients.
- Failure to use standard precautions.
- Stagnation of water system.
- Failure to maintain water system.
- Health effects such as allergies, eye irritation, dermatitis, birth defects, cancer.
- Fire, explosion, hit by flying projectiles.
- Eating and drinking in inappropriate areas.
- Needlestick injuries.
- Failure, rupture or leakage of compressed gas cylinders or fittings.
- Insecure or unrestrained gas cylinders.
- Latex consumables.
- Medications or excreted, unmetabolised drugs in patient's urine or faeces.
- Hazardous drugs due to inhalation from over pressurised vials or connecting and disconnecting intravenous tubing.
- Hazardous risk waste.
- Detergents and disinfectants.
- Electric shock.
- Lack of equipment maintenance.
- Handling sockets or equipment with wet hands.
- Overloading of sockets.
- Lack of space.
- Collision with objects. for example, poor siting of linen or meal trolleys.
- Inadequate lighting causing falls or collisions.
(such as wheelchairs, pump beds, electrical equipment).
- Cuts and bruises.
- Electric shock.
- Crushing injuries.
- Caught in moving parts.
- Lack of training.
- Lack of maintenance and thorough examination.
- Smoke inhalation.
- Patients smoking.
- Obstructed fire escape routes.
- Patient / visitor introducing electrical item / sparking toys into oxygen enriched environment.
- Contamination of oxygen or nitrous oxide supply system with oil or grease.
- Malfunctioning medical equipment.
- Genetic damage.
- Reproductive damage.
- Unsafe work practices when caring for patients who have received therapeutic amounts of radionuclides.
Manual / Patient Handling
- Musculoskeletal disorders.
- Uncooperative patient.
- Awkward load liable to shift or drop.
- Preventing patient falling e.g. from a bed or commode chair.
- Lack of or inappropriate mechanical handling aids.
- Overexertion from lifting, transferring or repositioning patients.
- Improper lifting technique.
- Incorrect sling being used for the hoist.
- Unmaintained hoists.
- Puncture wound.
- Needle stick or sharp instrument injury whilst carrying out nursing activities e.g. taking blood.
- Handling of broken glass or porcelain.
- Digestion problems.
- Heart disease.
- Sleep problems.
- Changing shifts.
- Working nights.
Slips,Trips & Falls
- Minor injuries such as cuts to major injuries such as broken bones, concussion and even death.
- Trailing cables, loose medical tubing or nurse call bells, phone cords or computer cables.
- Wet slippery surfaces e.g. due to leaking soap dispensers, water, urine or food.
- Dry slippery surfaces e.g. due to dust or plastic wrapping.
- Lack of sockets.
- Assisting unsteady patients.
- Poor housekeeping.
- Psychological disorders.
- Health effects.
- Poor work organisation.
- Dealing with intense emotional situations or bereaved family.
- Making life or death decisions.
- Shift work.
- Time pressure.
- Excessive work load.
- Combative patients.
- Role ambiguity.
- Poor management ability.
- Inadequate resources e.g. staffing levels.
- High or unrealistic patient expectations.
Violence and Aggression
- Physical injury and / or psychological effects.
- Nursing patients especially confused or vulnerable patients.
- Patient reaction to nursing procedures e.g. taking blood.
- Aggressive colleagues.
- Dealing with angry, stressed patients or family members.
For further information on related controls click here.
Note: This is not an exhaustive list of hazards and risks.