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Safety Training Safe Home Environment; Personal Safety; Workplace Violence; Emergency Management Infection Control Universal Precautions Blood borne Pathogens

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Title: Safety Training Safe Home Environment; Personal Safety; Workplace Violence; Emergency Management Infection Control Universal Precautions Blood borne Pathogens


1
Safety TrainingSafe Home Environment Personal
Safety Workplace Violence Emergency
ManagementInfection ControlUniversal
PrecautionsBlood borne Pathogens
Jason Leonard, Safety Officer
2
PURPOSE
  • TO PROVIDE SAFE WORKING CONDITIONS THAT PROTECT
    EMPLOYEES FROM BEING UNNECESSARILY EXPOSED TO
    HEALTH HAZARDS

3
INTRODUCTION
  • OSHA ESTIMATES 5.6 MILLION WORKERS IN HEALTH CARE
    AND OTHER FACILITIES ARE AT RISK OF EXPOSURE TO
    BLOODBORNE PATHOGENS SUCH AS HUMAN
    IMUNODEFICIENCY (HIV) AND HEPATITIS B (HBV).

4
WHO HAS HBV?
  • ALL TYPES OF PEOPLE HAVE THE VIRUSES
  • 280,000 PEOPLE ARE INFECTED WITH HBV ANNUALLY
  • 8,700 ARE healthcare workers
  • 200 will die as result

5
General Terms
  • HIV HUMAN IMMUNODEFICIENCY VIRSUS ATTACKS THE
    BODYS IMMUNE SYSTEM, CAUSING THE DISEASE KNOWN
    AS AIDS OR ACQUIRED IMMUNE DEFICIENCY SYNDROME
  • HBV HEPATITIS MEANS INFLAMMATION OF THE LIVER.
    HEPATITIS B VIRUS IS THE MAJOR INFECTIOUS
    BLOODBORNE HAZARD YOU FACE ON THE JOB

6
EXPOSURE TO BLOODBORNE PATHOGENS INCLUDE
  • NURSES
  • HEALTH AIDES
  • THERAPISTS
  • PHYSICIANS
  • DENTISTS
  • OPERATING ROOM PERSONNEL
  • EMERGENCY ROOM PERSONNEL
  • LAUNDRY HANDLERS
  • LAW ENFORCEMENT
  • FIREFIGHTERS
  • PARAMEDICS
  • EMTS
  • FIRST RESPONDERS
  • CPR PROVIDERS

7
Even though you dont see it
  • HIV AND HBV AND OTHER PATHOGENS MAY BE
  • PRESENT IN
  • BODY FLUIDS SUCH AS SALIVA, SEMEN, VAGINAL
  • SECRETIONS, CEREBROSPINAL FLUID, SYNOVIAL
  • PLEURAL FLUID, PERITONEAL FLUID,
  • PERICARDIAL FLUID, AMNIOTIC FLUID, VOMIT,
  • URINE, FECES
  • SALIVA AND BLOOD CONTACT IN DENTAL
  • PROCEDURES
  • UNFIXED TISSUE OR ORGANS OTHER THAN
  • INTACT SKIN FROM LIVING OR DEAD HUMANS

8
MODES OF TRANSMISSION
  • ACCIDENTAL INJURY BY CONTAMINATED SHARPS
  • CUTTING YOURSELF WITH INFECTED OBJECTS
  • CONTACT WITH OPEN CUTS, NICKS AND
  • ABRASIONS
  • CONTACT WITH MUCOUS MEMBRANES
  • MOUTH, NOSE AND EARS

9
TRANSMISSION OF VIRUSES
HIV IS TRANSMITTED PRIMARILY THROUGH SEXUAL
CONTACT BUT MAY ALSO BE TRANSMITTED THROUGH
CONTACT WITH BLOOD AND SOME BODY FLUIDS. HIV IS
NOT TRANSMITTED BY TOUCHING, FEEDING OR WORKING
AROUND PATIENTS WHO CARRY THE DISEASE
10
IF YOU BECOME INFECTED WITH HBV
  • YOU MAY FEEL LIKE YOU HAVE THE FLU
  • YOU MAY BE SICK ENOUGH TO BE HOSPITALIZED
  • YOUR SALIVA AND OTHER BODY FLUIDS MAY BE
    INFECTIOUS

11
CONTROL OF BLOODBORNE PATHOGENS
  • EMPLOYEE WORK PRACTICES
  • KNOW YOUR PATIENTS DIAGNOSIS
  • PERSONNEL PROTECTIVE EQUIPMENT
  • HOUSEKEEPING (SHARPS)
  • HEPATITIS B VACCINE

12
TRAINING SHALL CONTAIN
  • ENGINEERING CONTROLS (looking at incidents)
  • ADMINISTRATIVE CONTROLS (guidelines)
  • PPE
  • POST EXPOSURE EVALUATIONS
  • RECORD KEEPING

13
UNIVERSAL PRECAUTIONS
  • TREAT ALL BLOOD AND BODY FLUIDS AS POTENTIALLY
    INFECTIOUS

14
CONTAMINATED SURFACES
  • SURFACES CAN BE CONTAMINATEDWITHOUT
  • VISIBLE SIGNS
  • HBV CAN SURVIVE ON SURFACES AT ROOM
  • TEMPERATURE FOR AT LEAST A WEEK
  • . KNOW HOW TO DISINFECT YOUR EQUIPMENT

15
EXPOSURE PREVENTION AND CONTROL
  • PLACE CONTAMINATED




    SHARPES IN APPROVED




    CONTAINERS
  • WASH HANDS AFTER




    CONTAMINATION
  • DO NOT KEEP FOOD OR DRINK ON COUNTERS WHERE
    INFECTIOUS MATERIALS MAY BE PRESENT

16
PERSONAL PROTECTIVE EQUIPMENT
  • PPE INCLUDES
  • GLOVES
  • MASKS
  • APRONS
  • FACESHIELDS
  • MOUTHPIECES
  • GOWNS
  • EYEWARE
  • CPR POCKET MASKS
  • OTHER EQUIPMENT WHICH MAY REDUCE CONTACT
  • WITH SKIN OR OTHER POTENTIALLY INFECTIOUS
  • MATERIAL

17
Hand Washing/Hygiene
  • When do we wash hands
  • After coming in contact with patients skin
  • After contact with body fluids/dressings
  • After contact with medical equipment
  • After removing gloves
  • After using Toilet
  • After Smoking
  • Hands are Visibly Dirt or soiled
  • Been in contact with contaminants
  • Before direct Patient contact
  • Before applying Sterile gloves to perform a
    procedure

18
How do we wash our hands
  • Protect clothes from splashing
  • Nails short no polish in Patient care
  • Turn on water to desired temperature Avoid to
    HOT
  • Wet hands and apply soap
  • Lather vigorously at least 15 seconds dont
    forget finger nails and tops of hands
  • Rinse hands under running water and keep pointed
    down
  • Dry hands on CLEAN PAPER TOWEL
  • Turn off water with used paper towel
  • Hand Sanitizer (alcohol based)
  • Put in palm enough for both hands. Rub hands
    together covering all areas until DRY

19
COMMON SENSE RULES
  • BE SURE TO WASH HANDS AND REMOVE PROTECTIVE
    CLOTHING BEFORE
  • - EATING
  • - DRINKING
  • - SMOKING
  • - APPLYING COSMETICS
  • - HANDLING CONTACTS

20
Biohazard Label SHARPS
21
Sharps Requirements
  • Based on level of care
  • Closable
  • Constructed to prevent leakage of fluid.
  • Labeled and color coded
  • Closed prior to transport
  • Double bagged if needed
  • OFFICE staff is responsible for insuring sharps
    are placed in container for destruction
  • According to OSHA
  • Sharps containers must be easily accessible to
    employees and located as close as feasible to the
    area where sharps are being used. (Patient Care
    Area)
  • Sharps accessibility is based on level of care

22
SAFE HOUSE KEEPING
  • WEAR RUBBER GLOVES
  • RESTRICT AREA
  • USE DISPOSAL TOWELS FOR CLEANUP
  • PUT CONTAMINATED BLOOD IN APPROVED CONTAINERS

23
BE PREPARED
  • ALWAYS WEAR GLOVES WHEN AT RISK
  • BE ALERT FOR SHARP OBJECTS
  • DO NOT PICK UP GLASS WITH BARE HANDS
  • PLACE SHARPS IN APPROVED CONTAINERS

24
STANDARD THAT APPLIES
  • Occupational safety and health administration
  • OSHA General Industry Standard
  • 29 CFR 1910.1030
  • 29 CFR 1910.1200
  • 29CFR 1904

25
Know Your Rights under OSHA
  • OSHA gives workers many important rights
  • Right to a safe and healthy workplace
  • Right to file an OSHA complaint
  • Right to information
  • Right to OSHA inspection
  • Right to know about hazards
  • Right to health and safety training
  • Right to not be discriminated against for health
    and safety activity
  • WWW.OSHA.gov 1-800-321-OSHA

26
Workplace Safety
  • Primary responsibility is to perform your duties
    in a safe manner in order to prevent injury to
    yourself or others

27
Patient lifting
  • Assist devices and equipment reduce excessive
    lifting hazards when assisting patients while
  • Bathing and toileting
  • -Moving from room to room
  • -Moving from the bed to a wheelchair and vice
    versa
  • -Repositioning in bed

28
Body Mechanics/ Lifting
  • Plan the move before lifting
  • Test the weight
  • If heavy, use an aid like a Hoyer, dolly, cart,
    etc.
  • Position your feet 6-12 inches apart
  • Face the load
  • Bend at knees
  • Keep your back straight
  • Hold close to your body
  • Stand while keeping the weight of the load in
    your legs
  • Perform lifting movements smoothly and gradually
  • If you must change direction, pivot your feet and
    turn
  • Set down objects in the same manner as you picked
    them up, except reverse
  • Do not lift an object from floor to above your
    waist in one motion
  • Never lift anything with greasy or wet hands
  • Wear protective gloves when lifting objects with
    sharp corners

29
Fire Prevention and Safety Severe Weather
  • Remove from immediate hazard
  • Sound alarm / call 911
  • Notify office
  • Seek Cover
  • As always NO Smoking

30
Hazard Communications
  • MSDS Material safety data sheet
  • Chemical content
  • Hazards
  • Safe Handling
  • O2 Signage

31
Work Place Violence
  • If you have a reason to believe an event in your
    personal life can follow you to work.
  • 2 million workers are victims of work place
    violence annually.
  • Highest risk working alone, late night, early
    hours, high crime area, community areas and
    homes.

32
RUN gt HIDE gt FIGHT
33
Personal Safety Techniques
  • Well lit locations
  • Aware of your surroundings
  • Time of day
  • Area of Danger
  • Alert Supervisor of concerns
  • Cell phone use

34
FALL RISK ICE
  • Foot wear is essential. Good rubber tread or
    rubber over shoe.
  • Take short steps
  • slower pace
  • so you can react to change in traction.

35
Motor Vehicle Safety
  • Every 12 minutes someone dies, 10 second injured,
    5 seconds crash.
  • Aggressive driving (speeding, tailgate)
  • Distracted driving (Cell Phone use)
  • Fatigued driving (Drowsy Driving)
  • Impaired driving (alcohol drug use)
  • Seatbelt use

36
General Rules
  • Conduct (Behavior)
  • Drug and alcohol use
  • House Keeping (spills, exits)
  • Injury reporting and return to work program

37
Incident reporting
  • OSHA reports that 5 million workers have an
    Occupational injury or illness on the job
    ANNUALY.
  • Guidelines for reporting -24 hours
  • Random drug screen
  • Plan to return to work

38
Return to work program
  • Complete and sign a report of Injury form.
  • Obtain a return to work evaluation form from
    physician for each practitioner visit.
    Nightingale will not accept a general form.
  • Temporary light work is available for up to sixty
    days with a review of your progress every 30
    days.
  • If you are unable to return to your regular job,
    but are capable of performing transitional duty,
    you must return to transitional duty. Failure to
    do so will result in a reduction in benefits
    available and disciplinary action.
  • If you are unable to return to your regular job,
    or transitional duty, your absence must be
    approved under the FMLA program. For this
    purpose, you need to complete a Family Medical
    Leave Request form
  • Employees who are not eligible for leave under
    FMLA must return to light duty or regular work if
    at all possible. You must keep us regularly
    informed of your status if you are unable to do
    this.
  • Employees must provide a return to work form
    indicating they are capable of returning to full
    duty.
  • Cooperate with our third-party administrator and
    provide accurate information to the HR department

39
This years Stats WE CAN DO BETTER
  • 2011 2012
  • 22 3
  • 12 7
  • 4 1
  • 8 3
  • 3 0
  • 3 4
  • 3 1
  • Falls Ice related
  • Strains due to lifting
  • Exposures
  • Auto accidents
  • Assaulted
  • Pet Bite
  • Miscellaneous

40
Thank you!
  • Complete the written test
  • Drive home safely!
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