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PART I: CURRENT STATE OF SAFETY IN THE COSMETIC SURGERY INDUSTRY

I. General Situation

The Ministry of Labour, Invalids and Social Affairs informs sectors and localities of the occupational accident situation in the first 6 months of 2024 and outlines key solutions to proactively prevent incidents and accidents in the last 6 months of 2024. According to reports from 61 out of 63 centrally governed provinces and cities, in the first 6 months of 2024, there were a total of 3,201 occupational accidents nationwide (a decrease of 227 cases, equivalent to 7.09% compared to the same period in 2023), resulting in 3,065 victims (a decrease of 197 people, equivalent to 6.04% compared to the first 6 months of 2023), including both employees under labor contracts and those working without labor contracts. Specifically:

Number of fatal occupational accidents: 320 cases, a decrease of 25 cases (7.25%) compared to the first 6 months of 2023 (including 245 cases in areas with labor relations, a decrease of 28 cases or 10.3%; and 75 cases in areas without labor contracts, an increase of 3 cases or 4.2% compared to the first 6 months of 2023);
Number of deaths due to occupational accidents: 346 people, a decrease of 7 people or 1.98% compared to the same period in 2023 (including 268 in areas with labor relations, a decrease of 13 people or 4.63%; and 78 in areas without labor contracts, an increase of 6 people or 8.33%).
Number of people seriously injured: 810 people, an increase of 26 people or 3.32% compared to the first 6 months of 2023 (including 710 in areas with labor relations, a decrease of 5 people or 0.7%; and 100 in areas without labor contracts, an increase of 31 people or 44.92%).

Download the PDF file Occupational Accident Report – First 6 Months of 2024 issued by the Ministry of Labour, Invalids and Social Affairs.

The occupational accident situation in the first 6 months of 2024 in both sectors with and without labor relations saw a decrease in the number of deaths and fatal accidents compared to the same period in 2023.

II. Some occupational accidents for medical staff in the cosmetic surgery industry

In the cosmetic surgery industry, despite high safety standards and care procedures, there are still risks of occupational accidents for medical staff. Although safety regulations are strictly enforced, some accidents still occur, sometimes causing serious injuries and affecting the physical and mental health of the staff. Here are some notable cases of occupational accidents in the cosmetic surgery industry:

Accidents Due to Machinery and Equipment: The use of complex machinery and equipment during surgery can cause accidents if not used correctly or if the equipment is faulty. For example, some cases have been recorded where machinery malfunctioned or broke down, endangering staff in the operating room.
Issues Related to Fillers: In some cosmetic surgeries, the use of fillers to add volume or change shape can create unwanted problems, including severe allergic reactions, infections, and even death. Medical staff in direct contact with these substances may face health risks.
Lack of Safety and Training: Some accidents occur due to a lack of safety procedures and inadequate training for medical staff. This can include not wearing the correct protective equipment, not following hygiene procedures, or a lack of understanding of the chemicals they are working with.
Stress and Work Pressure: The work in the cosmetic surgery industry often brings high pressure for medical staff, especially surgeons. This pressure can lead to fatigue and lack of concentration, increasing the risk of accidents during work.
Overwork Situations: In some cases, medical staff may be forced to work overtime or overwork, leading to fatigue and reduced concentration. This increases the risk of accidents and has serious consequences for their health.

Recognizing and addressing occupational safety issues is very important in the cosmetic surgery industry, helping to protect the health and safety of medical staff and patients.

PART II: OCCUPATIONAL SAFETY AND HEALTH WHEN WORKING IN THE COSMETIC SURGERY INDUSTRY

I. Occupational Safety and Health for Diagnosis and Patient Consultation Staff

1. Job Characteristics of Diagnosis and Patient Consultation

In the role of diagnosing and consulting patients in the cosmetic surgery industry, medical staff play an important role in receiving and assessing the patient’s condition. They need to have good interaction skills with patients, listen and clearly understand their wishes and goals for the surgical process.

Assessing the patient’s health status requires in-depth medical knowledge and thorough analytical skills. Medical staff must identify the risk factors and limitations of each patient case to ensure safety during the treatment process. They also need to assess the patient’s endurance and psychological state to provide appropriate advice and solutions.

During the consultation process, medical staff must provide detailed and complete information about the available treatment methods, as well as the benefits and risks of each method. They need to explain clearly and sincerely, helping the patient to understand the important factors and make an informed decision about choosing the most suitable treatment method for their individual needs and desires.

2. Types of Occupational Accidents in the Diagnosis and Patient Consultation Process

Risk of Slips and Falls: Due to the nature of the work environment, medical staff may face the risk of slipping and falling while receiving patients or moving between areas in the medical facility.
Hazards from Medical Equipment: During the process of assessing a patient’s health and using medical equipment, staff may face risks from improper use or malfunction of the equipment, causing accidents such as cuts, punctures, or skin injuries.
Hazards from Fillers and Chemicals: Some cosmetic treatment methods may require the use of fillers and chemicals, which can cause health problems if not used correctly or if they come into direct contact with the staff’s skin.
Stress and Work Pressure: The job of receiving and consulting patients requires a high level of concentration and professional knowledge, which can create pressure and stress for medical staff, leading to a loss of concentration and the risk of accidents.
Psychological Trauma: Direct contact with patients can sometimes cause psychological stress for medical staff, especially when they have to deal with serious or difficult cases regarding the patient’s health.

3. Causes of Occupational Accidents in Diagnosis and Patient Consultation

Lack of Training and Skills: Medical staff may face the risk of accidents if they lack the necessary knowledge and skills to perform diagnosis and consultation tasks safely. Inadequate training can lead to not knowing how to use medical equipment or not correctly assessing the patient’s health status.
Work Pressure and Stress: Work pressure and stress can reduce concentration and increase the risk of accidents for medical staff. When faced with time pressure and high job demands, they may become careless and have unwanted accidents.
Lack of Protective Equipment: The use of protective equipment is very important to protect the health of medical staff, but if they do not have suitable equipment or do not use it correctly, the risk of accidents will increase.
Non-compliance with Safety Procedures: Failure to follow safety procedures and accident prevention measures during the diagnosis and patient consultation process can lead to unwanted accidents.
Overwork: Overwork and working overtime can reduce concentration and observation skills, increasing the risk of accidents during patient reception and consultation.

4. Preventive Measures for Occupational Accidents in Diagnosis and Patient Consultation

Occupational Safety Training: Medical staff need to be trained on the risks and preventive measures for occupational accidents, including how to use medical equipment safely and ensure compliance with safety procedures.
Ensure Protective Equipment: Provide adequate and ensure the proper use of protective equipment such as masks, gloves, gowns, and safety glasses to protect medical staff from the risk of injury.
Regular Inspection and Maintenance of Medical Equipment: Conduct regular inspections and maintenance of medical equipment to ensure they are working properly and are safe for users.
Create a Safe Working Environment: Create a safe working environment by eliminating potential hazards and providing a spacious and comfortable workspace for medical staff.
Propose and Approve Safety Procedures: Develop and enforce regular safe work procedures, and ensure that all staff adhere to these regulations and procedures.
Create Suitable Working Conditions: Ensure that medical staff are provided with suitable working conditions, including adequate rest time and a comfortable workspace to minimize the risk of fatigue and stress.

5. Occupational Safety Regulations for Diagnosis and Patient Consultation

Occupational Safety Training: All medical staff involved in the diagnosis and patient consultation process must be trained on the risks and preventive measures for occupational accidents.
Use of Protective Equipment: All medical staff must use full protective equipment such as masks, gloves, gowns, and safety glasses throughout the work process.
Inspection of Medical Equipment: Medical equipment must be regularly inspected to ensure it is working properly and is safe for users.
Compliance with Safety Procedures: All medical staff must adhere to the safety procedures and preventive measures established by the medical facility.
Risk Reporting and Assessment: Any occupational accident or safety incident must be reported and assessed to improve occupational safety measures.
Ensure a Safe Working Environment: The medical facility must ensure that the working environment of medical staff meets safety standards and is comfortable.

6. Handling Emergency Occupational Accidents in Diagnosis and Patient Consultation

Protect the Injured Person and the Surrounding Environment: First, ensure the safety of yourself and the patient by eliminating the risk of further accidents and protecting the surrounding environment.
Call for Emergency Services: Immediately after an accident occurs, call the emergency number or contact the emergency medical team within the medical facility to ensure the patient receives timely medical care.
Provide Immediate First Aid: In case of an accident requiring immediate first aid, medical staff should perform basic first aid measures such as checking breathing, stopping bleeding, and bandaging wounds.
Report and Record the Event: After handling the emergency situation, a detailed report of the event should be made to management and the occupational safety department of the medical facility. Recording this event will help to analyze the cause and apply preventive measures in the future.
Psychological Support: Occupational accidents can cause stress and anxiety for medical staff and patients. Therefore, psychological support and counseling should be provided to all involved to help them overcome this situation.

II. Occupational Safety and Health for Staff Participating in the Surgical Process

1. Job Characteristics of Participating in the Surgical Process

Providing Instruments and Equipment: Medical staff must be able to prepare and provide the necessary instruments and equipment for the surgical process. This includes ensuring that the instruments and equipment are cleaned and fully prepared before use.
Assisting with Anesthesia Injections: In some cases, medical staff may have to assist the surgeon in administering anesthesia to the patient before surgery. This requires precise and meticulous skills to ensure that the injection is administered safely and effectively.
Maintaining Patient Safety: Throughout the surgical process, medical staff must maintain the safety and comfort of the patient by ensuring that the equipment and wires are placed correctly and do not cause any discomfort to the patient.
Precise and Meticulous Interaction: The job of participating in the surgical process requires a high degree of precision and meticulousness in tasks such as passing instruments, assisting the doctor, and monitoring the patient’s condition.
Teamwork: Medical staff must work cooperatively and together in a team to ensure that the surgical process is as smooth and safe as possible for the patient.

2. Types of Occupational Accidents in the Process of Participating in the Surgical Process

Risk of Slips and Falls: While moving between areas in the operating room or when carrying instruments from one place to another, medical staff may face the risk of slipping and falling due to a slippery floor or liquids on the floor.
Hazards from Medical Instruments: The use of medical instruments such as scissors, scalpels, or hammers can cause accidents if not used correctly or if they fall from the staff’s hands.
Accidents Related to Anesthesia: During the process of assisting with anesthesia injections, there is a risk of injecting into the wrong location or encountering problems related to the dosage or type of medication.
Neck, Back, and Shoulder Injuries: Lifting and moving patients during surgery can cause neck, back, and shoulder injuries due to the heavy load and uncomfortable postures.
Stress and Work Pressure: Working in a surgical environment can create stress and pressure for medical staff, leading to a loss of concentration and the risk of accidents.

3. Causes of Occupational Accidents when Participating in the Surgical Process

Lack of Training and Skills: Medical staff need to be fully trained on how to use medical instruments and perform surgical procedures safely. A lack of experience and skills can lead to making unwanted mistakes.
Time Pressure and Stress: In the surgical environment, time pressure and stress are very high. This stress can reduce concentration and cause a lack of care, leading to the risk of accidents.
Non-compliance with Safety Procedures: Failure to follow occupational safety procedures and the regulations of the medical facility can create a risk of accidents. This can include not using protective equipment correctly or not following safety measures when administering anesthesia.
Fatigue and Overwork: Working in a surgical environment requires concentration and alertness. Overwork or lack of sleep can reduce concentration and increase the risk of accidents.
Physical Injuries and Medical Conditions: Some accidents may be due to physical injuries or medical conditions of the medical staff themselves, such as problems with the spine, muscles, or mental health.

4. Preventive Measures for Occupational Accidents when Participating in the Surgical Process

Safety Training and Education: Medical staff need to be fully trained on occupational safety, including how to use medical instruments, assist with anesthesia injections, and maintain patient safety. Regular training on procedures and preventive measures is important to update knowledge and skills.
Work Environment Monitoring: The medical facility should conduct work environment monitoring to assess and monitor risk factors, such as work pressure, temperature, and humidity, to implement measures to improve the work environment.
Proper Use of Protective Equipment: Medical staff should be encouraged to use full and proper protective equipment such as gloves, safety glasses, and gowns to protect against the risk of injury.
Implement Safety Procedures: Adherence to occupational safety procedures and the regulations of the medical facility is extremely important. This includes using medical instruments correctly, following the anesthesia injection procedure, and maintaining patient safety throughout the surgical process.
Job Division and Teamwork: Dividing the work reasonably and collaborating in a team is important to minimize the risk of accidents and enhance work efficiency.

5. Occupational Safety Regulations when Participating in the Surgical Process

Use of Protective Equipment: Before participating in the surgical process, medical staff must ensure they are using full and proper protective equipment such as gloves, safety glasses, and masks to protect against the risk of injury and infection.
Compliance with Safety Procedures: The occupational safety procedures and regulations of the medical facility must be strictly followed. This includes using medical instruments correctly, following the anesthesia injection procedure, and maintaining patient safety throughout the surgical process.
Training and Education: Medical staff need to be fully trained and educated on the occupational safety measures and skills necessary to perform their tasks in the surgical process safely and effectively.
Teamwork and Communication: Collaboration in a team and effective communication are key to ensuring the safety of everyone in the operating room. Exchanging information and working together helps to minimize the risk of accidents.
Monitoring and Evaluation: The medical facility needs to conduct regular monitoring and evaluation of compliance with occupational safety regulations and make improvements if necessary to ensure the safest possible working environment.

6. Handling Emergency Occupational Accidents when Participating in the Surgical Process

Protect Health: First, ensure the safety of yourself and other medical staff by wearing full protective equipment and leaving the danger zone if necessary.
Control the Situation: Proceed to control the situation by issuing a stop-work order, requesting help and assistance from the nearest colleagues.
Immediate Emergency Care: Immediately contact the emergency team and request emergency medical assistance. If necessary, activate the emergency alarm system in the medical facility.
Maintain Calm: While waiting for help from the emergency team, maintain calm and continue to provide comfort and support to the patient and other medical staff.
Report and Record: After the situation is under control and the patient has been transferred to the emergency team, report the event to management and record detailed information about the occupational accident for investigation and evaluation.

III. Occupational Safety and Health for Surgical Quality Management Staff

1. Job Characteristics of Surgical Quality Management

Quality Control of Equipment and Instruments: Ensure that all equipment and instruments used in the surgical process are inspected, cleaned, and quality assessed according to the correct procedures. This includes tracking the supply source, and maintaining and storing the equipment correctly.
Monitoring the Surgical Process: The quality manager monitors the surgical process from beginning to end to ensure that every step performed complies with the established regulations and procedures. They also ensure that any arising issues are handled in a timely and effective manner.
Ensuring Compliance with Procedures: Particularly important, quality managers ensure that all procedures and protocols are followed correctly, including compliance with hygiene, safety, and quality requirements in surgery.
Adjustment and Improvement: Based on monitoring and evaluating the surgical process, quality managers need to adjust and improve procedures if necessary to enhance efficiency and ensure safety and quality.

2. Types of Occupational Accidents in the Surgical Quality Management Process

Injuries from Instruments and Equipment: Accidents can occur when using or handling instruments and equipment during the inspection, cleaning, or maintenance process. This can include being cut, punctured, or injured from contact with sharp edges or motors of machinery.
Risks from Chemicals and Hazardous Factors: The cleaning and quality assessment process may involve the use of chemicals and hazardous factors. Accidents can occur from contact with these substances, causing health problems ranging from mild to severe.
Injuries Due to Work Environment Conditions: The work environment in the surgical quality management process can create injury risks, including the risk of slips and falls due to a slippery or uneven floor, or risks related to temperature and humidity.
Injuries Due to Errors and System Failures: Errors in the quality management process and system can lead to occupational accidents. This can include using equipment incorrectly due to unclear instructions or a lack of understanding.

3. Causes of Occupational Accidents in Surgical Quality Management

Lack of Training and Education: Employees who lack the necessary knowledge and skills on how to use and operate equipment, instruments, and chemicals can lead to accidents in the work process.
Lack of Attention and Caution: A lack of attention and caution in performing hygiene and quality assessment procedures can lead to using equipment incorrectly or encountering other safety issues.
Time and Work Pressure: High time and work pressure can lead to carelessness and a lack of thorough preparation, creating conditions for accidents to occur.
Lack of Process Control: Gaps in the surgical quality management process, such as a lack of regular adjustment and inspection, can create conditions for accidents to occur due to a lack of care and monitoring.
Lack of Safety Equipment and Gear: A lack of safety equipment and personal protective equipment can increase the risk of accidents for employees in the work process.

4. Preventive Measures for Occupational Accidents in Surgical Quality Management

Provide Full Training and Education: Provide skills training and education for employees on the use and operation of equipment, instruments, as well as hygiene and quality assessment procedures.
Perform Regular Inspections and Maintenance: Perform regular inspections and maintenance for all equipment and instruments used in surgery to ensure they operate effectively and safely.
Ensure Thorough Preparation: Ensure thorough preparation for each surgical process by inspecting and preparing fully before starting the procedure.
Enhance Supervision and Monitoring: Enhance supervision and monitoring of the surgical process to detect and resolve any issues that may arise in a timely manner.
Improve Work Processes: Continuously improve work processes and implement preventive measures to minimize the risk of occupational accidents.
Ensure the Use of Safety Equipment: Ensure that all employees are fully equipped with personal protective equipment and use them correctly in the work process.

5. Occupational Safety Regulations for Surgical Quality Management

Take tests at occupational safety centers to obtain a labor safety certificate. From there, workers will have a clear understanding of safety knowledge as well as a valid certification for their work.
Compliance with Occupational Safety Regulations: All employees must comply with the occupational safety regulations and procedures issued by the medical facility and government regulatory agencies.
Use of Personal Protective Equipment: Ensure that all employees are fully equipped with personal protective equipment such as safety glasses, medical gloves, and masks to protect against the risk of injury and infection.
Regular Inspection and Maintenance of Equipment: Perform regular inspections and maintenance for all equipment and instruments used in surgery to ensure they are working properly and safely.
Monitoring and Evaluation of the Work Environment: Conduct monitoring and evaluation of the work environment to detect and resolve any issues that may affect occupational safety early on.
Training and Education: Provide full occupational safety training and education for all employees so they can recognize and respond to hazards and emergency situations.

6. Handling Emergency Occupational Accidents in Surgical Quality Management

Protect the Injured Person and Other Staff: Prioritize protecting the injured person and preventing the situation from worsening by immediately calling for emergency services and using personal protective equipment.
Notify the Manager and Surgeon: Immediately notify the manager and surgeon so they can provide assistance and manage the situation.
Identify the Cause and Scope of the Accident: Determine the cause and scope of the accident so that immediate corrective measures can be taken and the accident can be prevented from recurring.
Record and Report the Event: Record details of the accident, including the cause, injuries, and handling measures, and report to the relevant departments for future preventive measures.
Re-evaluate Procedures and Safety Measures: Review the current work procedures and safety measures to identify the cause and propose improvements.
Mental and Recovery Support: Provide mental and medical support to the affected employees so they can recover quickly and return to work safely.

IV. Occupational Safety and Health for Post-Operative Care Staff

1. Job Characteristics of Post-Operative Care

Monitoring Health Status: Medical staff must regularly monitor the patient’s health status after surgery, including signs of inflammation, bleeding, and other complications.
Wound Inspection: Perform regular inspections and care for the post-operative wound to ensure that it is cleaned and protected from the risk of infection.
Providing Guidance on Care and Recovery: Instruct the patient on how to care for the wound, breathing exercises, and other recovery measures to help them recover quickly and achieve the best results.
Providing Mental Support: Provide mental support and listen to the patient during the recovery process, helping them to overcome any anxiety and concerns that may arise.
Recording and Reporting: Record detailed information about the patient’s health status and recovery process and report to the manager and treating doctor for appropriate treatment measures.

2. Types of Occupational Accidents in the Post-Operative Care Process

Risk of Infection: Careless wound handling can lead to the risk of infection, especially when the patient has a weakened immune system after surgery.
Safety Issues with Medical Instruments: The improper or unsafe use of instruments can cause cuts or injuries to medical staff.
Risk of Slips and Falls: The work environment can be slippery and cramped, making medical staff prone to slip and fall accidents.
Psychological Impact: Post-operative care requires concentration and diligence, but pressure and stress can cause accidents due to carelessness.
Accidents with Chemicals and Pharmaceuticals: The improper use or accidental contact with chemicals and pharmaceuticals can cause health problems for medical staff.

3. Causes of Occupational Accidents in Post-Operative Care

Lack of Vigilance and Attention: Post-operative care requires special concentration and attention. Fatigue, stress, or carelessness can lead to accidents.
Improper Drug Management: The improper use and storage of drugs can lead to confusion and carelessness in providing care to patients.
Lack of Knowledge and Professional Skills: Medical staff need to have sufficient knowledge and professional skills to handle complex situations and ensure patient safety.
Unsafe Work Environment: Environmental factors such as a slippery floor, poor lighting, or inadequate safety equipment can increase the risk of accidents.
Work and Time Pressure: Work and time pressure can lead to careless or hasty actions, causing unwanted accidents.

4. Preventive Measures for Occupational Accidents in Post-Operative Care

Completing occupational safety training to be issued a group 3 labor safety card by the occupational safety training center helps to properly complete work records.
Training and Education: Provide regular occupational safety and post-operative care skills training so that medical staff have the necessary knowledge and skills.
Use of Safety Equipment: Ensure the full and proper use of personal protective equipment such as medical gloves, masks, and gowns to protect against potential hazards.
Hygiene and Arrangement of the Work Environment: Maintain a clean and tidy work environment, and remove unnecessary items to avoid the risk of slips or unwanted impacts.
Monitoring and Reporting of Risks: Medical staff should continuously monitor and report on occupational risks they may encounter in the post-operative care process for timely preventive measures.
Enhance Communication and Cooperation: Coordinate and communicate closely among members of the care team to ensure everyone understands and complies with safety measures.

5. Occupational Safety Regulations for Post-Operative Care

Use of Protective Equipment: Medical staff should ensure the full use of personal protective equipment such as medical gloves, masks, and gowns to protect against potential hazards from contact with body fluids and irritants.
Hygiene and Disinfection: Maintain a clean work environment and disinfect surfaces and medical instruments after each surgery to prevent the spread of bacteria and infection.
Safe Drug Management: Ensure the safe and proper storage and use of drugs, follow instructions on drug placement and storage, and avoid confusion in the process of providing care to patients.
Communication and Cooperation: Create an open work environment and encourage communication and cooperation among members of the care team to ensure everyone understands and complies with safety regulations.

6. Handling Emergency Occupational Accidents in Post-Operative Care

Assess the Situation: As soon as an accident is detected, assess the patient’s critical situation and determine the severity of the problem.
Call for Emergency Services Immediately: Contact the emergency team and provide accurate information about the patient’s condition to receive timely assistance and handling.
Protect the Patient and Yourself: Ensure the patient’s safety by providing immediate first aid and ensure your own safety by using personal protective equipment.
Note and Report: Record all information related to the accident and the rescue measures taken, then report to management and the relevant authorities to ensure that preventive measures are applied later.
Assess and Improve Procedures: After the incident, re-evaluate the work procedures and consider improvement measures to prevent the recurrence of similar situations in the future.