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

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Safety TrainingSafe Home Environment Personal
Safety Workplace Violence Emergency
ManagementInfection ControlUniversal
PrecautionsBlood borne Pathogens
Jason Leonard, Safety Officer
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PURPOSE

• TO PROVIDE SAFE WORKING CONDITIONS THAT PROTECT
  EMPLOYEES FROM BEING UNNECESSARILY EXPOSED TO
  HEALTH HAZARDS

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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).

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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

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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

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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

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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

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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

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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
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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

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CONTROL OF BLOODBORNE PATHOGENS

• EMPLOYEE WORK PRACTICES
• KNOW YOUR PATIENTS DIAGNOSIS
• PERSONNEL PROTECTIVE EQUIPMENT
• HOUSEKEEPING (SHARPS)
• HEPATITIS B VACCINE

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TRAINING SHALL CONTAIN

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

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UNIVERSAL PRECAUTIONS

• TREAT ALL BLOOD AND BODY FLUIDS AS POTENTIALLY
  INFECTIOUS

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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

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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

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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

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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

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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

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COMMON SENSE RULES

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

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Biohazard Label SHARPS
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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

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SAFE HOUSE KEEPING

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

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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

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STANDARD THAT APPLIES

• Occupational safety and health administration
• OSHA General Industry Standard
• 29 CFR 1910.1030
• 29 CFR 1910.1200
• 29CFR 1904

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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

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Workplace Safety

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

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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

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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

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Fire Prevention and Safety Severe Weather

• Remove from immediate hazard
• Sound alarm / call 911
• Notify office
• Seek Cover
• As always NO Smoking

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Hazard Communications

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

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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.

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RUN gt HIDE gt FIGHT
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Personal Safety Techniques

• Well lit locations
• Aware of your surroundings
• Time of day
• Area of Danger
• Alert Supervisor of concerns
• Cell phone use

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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.

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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

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General Rules

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

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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

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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

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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

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Thank you!

• Complete the written test
• Drive home safely!