2. 1 EPNEC Community-Wide Orientation

3. 2 JCAHO Standards 2006 Environment of Care (EOC) EC 1.10 – Safety Management EC 2.10 - Security Management EC 3.10 - Hazardous Materials and Waste Management

4. 3 EC 4.10 – Emergency Management EC 5.10 - Fire Safety Management EC.6.10 - Medical Equipment Management EC.6 EC 7.10 - Utilities Management EOC PLANS ….JCAHO (2)

5. 4 CODE BLUE- CARDIAC ARREST

6. 5 CODE RED - Fire EXCEPT FOR Thomason: DR. RED

7. 6 VIOLENT SITUATION CODE STRONG :

8. 7 DISASTER…. INTERNAL/EXTERNAL TENET: CODE INTERNAL/EXTERNAL TRIAGE THOMASON: PLAN D HCA : CODE D WBAMC: CODE TRIAGE

9. 8 BOMB THREAT HCA: CODE ORANGE TENET: CODE ORANGE THOMASON: CODE ORANGE WBAMC: CODE TRIAGE

10. 9 INFANT ABDUCTION HCA: CODE ALERT TENET: CODE ALERT THOMASON: CODE PINK WBAMC: CODE PINK

11. 10 Knowledge of the proper procedures in the special handling, use, storage, and disposal of hazardous wastes and materials.

12. 11 - Handling, use, and storage guided/defined by local, state, or federal regulation - Occupational Safety and Health Administration (OSHA) - Regulations for Bloodborne Pathogens: disposal of blood and blood-soaked items -Nuclear Regulatory Commission - Regulations for handling and disposal of radioactive waste -Other: Hazardous vapors (e.g., gluteraldehyde, ethylene oxide, nitrous oxide) Hazardous Materials and Waste

13. 12 Regulations cont. Hazardous energy sources (e.g. ionizing or non-ionizing radiation, lasers, microwave, ultrasound). Joint Commission considers infectious waste as falling into this category of materials (hazardous waste) Federal regulations do not define infectious or medical waste as hazardous waste

14. 13 TYPES OF HAZARDOUS MATERIALS - Health-care workers may use or be exposed to each day INFECTIOUS SUBSTANCES Some infectious substances (such as some viruses) can be transmitted by blood and other body fluids,equipment, containers, paper goods, glassware, linens and by people. RADIOACTIVE MATERIALS These require special handling techniques to prevent exposure to personnel and visitors.

15. 14 TYPES OF HAZARDOUS MATERIALS FLAMMABLE LIQUIDS AND GASES For example, chemicals, such as ether or alcohol, can burn or explode. TOXIC CHEMICALS A person may be exposed over a long period of time before effects are noticed.

16. 15 Routes of Entry Inhalation- you breath it (most common) Ingestion- you eat it Absorption- soaks through skin Injection- puncture wound

17. 16 Remember Many hazmats are odorless, colorless and tasteless You may be exposed before you know it Approach safely

18. 17 Product’s chemical and trade name Manufacturer’s name, address, and emergency number List of hazardous ingredients Details about the product’s physical and chemical characteristics Data on fire and explosion characteristics

19. 18 MSDS CONT. Health hazard info: routes of entry, effects of exposure, and signs and symptoms of exposure Emergency and first aid instructions Protective equipment and ventilation requirements (PPE) Other precautions for safe handling and use: disposal of wastes, storage, & spillage recommendations

20. 19 YOUR ATTITUDE -- AND ACTIONS – …….COUNT! You must want to do your job safely and you must understand and use safe practices and methods. That’s what being part of an effective safety team is all about!

21. 20 In each area of the facility where you work: Observe signs, and take precautions when entering an area identified as hazardous. Know what’s inside a container before you handle it!

22. 21 Gloves & Goggles Masks Respirator Gowns & Aprons Footwear Good hygiene

23. 22 You know what it is, staff trained to handle without assistance Small quantity No immediate danger to staff exposed Contain the spill Act Quickly Wear PPE FOR OTHER SPILLS: Notify proper personnel, clear immediate area (e.g. unknown substance, large amt. or dangerous substance)

24. 23 Before entering or leaving work area Before and after contact with patient After handling items such as bedpans, dressings, etc. After removing gloves After using the toilet, blowing your nose or covering a sneeze Before eating, drinking or handling food or smoking

25. 24 Let falling objects fall Practice safe handling techniques Don’t reach into containers Dispose of sharps carefully

26. 25 Take training seriously Avoid taking shortcuts Report unsafe conditions Know emergency procedures