2. Working Efficiently and Safely Health & Safety Training

3. © 2014 Kolmac Clinic, Inc. All rights reserved. No part of this presentation may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the Kolmac Clinic, Inc. This publication is designed to provide accurate and authoritative information about the, subject matter. The Kolmac Clinic Inc. is not engaged in providing services such as legal or accounting expertise. If such expertise is required, the services of a competent professional in these areas should be sought. 2

4. Agenda Welcome and Introduction Pre-Assessment Review Learning Objectives Discuss Health & Safety Practices Questions & Answers Post-Assessment 3

5. Here’s the big picture… FIRST AID EMERGENCY CONTACT EMERGENCY PREPAREDNESS PLAN INFECTION CONTROL HEALTH & SAFETY COMMITTEE TRAINING 4

6. Learning Objectives At the end of this session you will be able to: 1.Discuss Kolmac’s Health and Safety Policies and Procedures. 2.Identify Kolmac’s Health and Safety Teams and their roles and responsibilities. 3.Identify Critical Incidents and understand the process for submitting a Critical Incident Form. 4.Review Kolmac’s Emergency Safety Preparedness Plan. 5

7. Now Let’s Take A Pre-Assessment… Pre-Assessment 6

8. Did You Know? More workers are injured in the healthcare and social assistance industry sector than any other. This industry has one of the highest rates of work related injuries and illnesses. Source: Centers for Disease Control http://www.cdc.gov/niosh/topics/healthcare 7

9. Health care workers face a wide range of hazards on the job, including needlestick injuries, back injuries, latex allergy, violence, and stress. 8

10. Here Are Some Potential Physical Risk in Healthcare Biological Hazards, such as TB, Hepatitis, HIV/AIDS, Pneumonia; Physical Hazards, such as slips, trips and falls; Psychosocial Hazards, such as shiftwork, violence and stress; Fire and Explosion Hazards, such as using oxygen, alcohol sanitizing gels; Electrical Hazards, such as frayed electrical cords. 9

11. What Health & Safety Practices are in place at Kolmac to minimize these types of issues and concerns? 10

12. Here’s What’s in Place… Health & Safety Training at New Employee Orientation Annual Health & Safety Training Emergency Preparedness Plan which includes the Emergency Evacuation Plan and Procedures Unannounced Test of Emergency Procedures 11

13. Here’s What’s In Place ….Continued Monthly Drug Storage Inspections Annual Patient and Staff Evacuation Drills Quarterly Environmental Scans Immediate Critical Incident Report Reviews Annual Fire Safety Inspections Health & Safety Committee Emergency Safety Teams 12

14. Health & Safety Committee The Health & Safety Committee and the Emergency Safety Teams assist with the Health & Safety Practices/Activities. Members of the Health & Safety Committee consist of: ▫ Michael Clark, Director of Corporate Operations ▫ Crystal Buffington, Facilities Manager ▫ Brenda Gibson, HR Representative 13

15. The Emergency Safety Team Members at each office consist of: ▫ Clinical Director ▫ Group Leaders ▫ Front Desk Staff ▫ Office Manager 14

16. Health & Safety Committee Roles and Responsibilities 15

17. Health & Safety Committee… Establish and implement safety procedures. Plan, coordinate and facilitate all safety training and maintain records of training and testing. Resolve questions, approve and/or recommend expense items to Executive Team to correct unsafe conditions. Conduct annual safety meetings with Emergency Safety Team representatives. 16

18. Emergency Safety Team Roles and Responsibilities 17

19. Emergency Safety Team… Review results of internal and external inspections and ensure actions are implemented. Review results of emergency drills and recommend any improvements to the process. Review critical incident reports and recommend interventions necessary. Conduct debriefings if a sentinel event occurs. 18

20. Sentinel Defined… A Sentinel Event is defined as any unanticipated event in a healthcare setting resulting in death or serious physical or psychological injury to a patient or patients, not related to the natural course of the patient's illness. 19

21. So What Can You Do to Prevent Potential Physical Risks? 20

22. Here’s What You Can Do! Inspect your workplace regularly. Wash your hands often. Take extra precaution when dealing with sharps – don’t rush! Report any known or possible safety hazards to the Emergency Safety Team. 21

23. Report ALL Critical Incidents properly and immediately within 24 hours. Be well informed and attend all required training. Work together with the Health & Safety Committee and the Emergency Safety Teams to ensure workplace health and safety. 22

24. Examples of Critical Incidents Medical/Medication Errors Incidents involving injury Communicable diseases Infection Control Aggression or violence Use and possession of weapons Biohazard accidents Unauthorized use and possession of legal or illegal substances by staff Abuse Neglect Suicide or attempted suicide Sexual assault Other sentinel events 23

25. Infection Control Infection control is an essential component of any health care delivery. Infection control measures can be as simple as hand washing and as sophisticated as high-level disinfection. Implementing these measures can prevent transmission of disease in health care settings and the community. 24

26. Reporting Critical Incidents 25

27. Here’s the Process To Report Critical Incidents? 1.Complete the Critical Incident Form in Filemaker within 24 hours. 2.Click on the Incident Report Form Tab on the home screen. 3.Then click the New Incident Report Tab. 4.Complete all of the fields and upload any supporting documents. 5.Then click the tab – Submit to Supervisor. 26

28. Critical Incident Reporting After you submit the critical incident report in Filemaker, it is immediately sent and reviewed by your supervisor. Your supervisor will complete the Supervisor Recommendations section in Filemaker and then the report is electronically sent to the Executive Team for immediate review. 27

29. Critical Incident Reporting The Executive Team will review the report in Filemaker and enter a response within 5 business days. 28

30. Critical Incident Reporting If the Executive Team determines the incident to be an Adverse Incident it will immediately be reported to the Office of Health Care Quality for incidents occurring in Maryland or the Addiction Prevention and Recovery Administration for incidents occurring in the District of Columbia. 29

31. Critical Incident Reporting In the event of an Adverse Incident a debriefing will occur with any Staff involved. Any policy or procedural changes resulting from an incident will be reviewed and approved by the Leadership Team before being distributed to the entire staff. 30

32. What is an Adverse Incident? Adverse Incidents are Critical Incidents which are deemed to be reportable to the State or other governing body. Some examples include; Child Abuse, Child Neglect, if an ambulance is called. Not all critical incidents are adverse incidents. 31

33. Let’s take a look at some UNSAFE situations… 32

34. Not So Safe… 33

35. Not So Safe… 34

36. Electrical Safety Be aware of electrical hazards Injury: electrical shock & burns Fire Reporting electrical problems & faults Report all electrical problems & concerns immediately 35

37. Housekeeping What is Housekeeping? Cleanliness, tidiness, maintenance Taking care of your work area Good housekeeping calls for constant care Benefits of Good Housekeeping Safer, easier, better Advantages of Good Housekeeping Less tiring, more space, less aggravating, professional Part of YOUR Job 36

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39. Not So Safe… 38

40. Office Chemicals Cleaning Agents Toners & Developers Inks, Cleansers Solvents Paints 39

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42. Let’s LOOK at some Safety Items Up Close… 41

43. P. A. S. S. 42

44. The Emergency Survival Kit… 43

45. Plan To Be Safe, Before Emergencies Happen… 44

46. Our Emergency Preparedness Plan Covers Medical Emergencies Utility Failure Fire and Explosions Gas Leaks Natural Disasters such as: ▫ Earthquakes ▫ Tornadoes ▫ Flooding ▫ Hurricanes ▫ Winter Storms Bomb Threats Bio-Chemical Threats Violence and Threats Acts of Terrorism Evacuation Assisting persons with disabilities Shelter in Place Infection Control Waste Disposal 45

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49. Where To Get More Health and Safety Information… Health and Safety Policy Emergency Safety Plan Emergency Preparedness Plan Health and Safety Binder 48

50. THERE’S GOING TO BE AN EARTHQUAKE! SHOULD WE WARN THEM? NO, LET’S WATCH THEM FREAK OUT INSTEAD. 49

51. EARTHQUAKE! Everybody RUN, RUN! 50

52. Keep your head! Don’t panic! 51

53. HEALTH & SAFETY IS THE RESPONSIBILITY OF EVERYONE 52

54. Go forth and work safely & successfully! 53

55. Questions and Answers 54

56. Post-Assessment 55

57. Evaluation and Thank you! 56