1. Ontario Ministry of Labour Health Care Sector Proactive Inspection Program Acute and Long Term Care Facilities Leon Genesove MD FRCPC March 23 2004

2. 2 Occupational Health Infection Control: Legislation, Standards and Guidelines Legislation: Occupational Health and Safety Act Regulations for Healthcare and Residential Facilities Standards: MOH-LTC Directives and Standards Health Canada: Routine Practices and Additional Precautions 1999 Health Canada: Prevention and Control of Occupational Infections 2002 Guidelines: HCHSA – infection control, respirators, etc.

3. 3 Scope of Health Care Sector Audit Joint Health and Safety Committee Employer Duties (Health & Safety) Infection Control measures/procedures Physical Plant (ventilation, maintenance) WHMIS

4. 4 Joint Health & Safety Committee Structure Frequency of Meetings & Inspections Meeting Minutes for the past year

5. 5 Employer Administrative Duties Health & Safety manual, policies, reporting requirements Personal Protective equipment used Training records Infection and Control measures/protocols Occupational Health and Safety records Physical Plant: records for ventilation and equipment maintenance Occupational illness and critical injury notifications

6. 6 Infection Control Measures & Procedures Worker Education/Training Personal Protective equipment Physical Plant: isolation and negative pressure rooms, ventilation requirements

7. 7 Occupational Diseases/ Illnesses Occurrence in workers Steps taken for prevention

8. 8 WHMIS Written measures and procedures for Biological, Chemical and Physical Agents Labelling of biological waste containers Annual Review Worker Instruction and Training

9. 9 Infection Control Measures Infection control policies and procedures for worker safety in outbreak & non outbreak conditions Education of workers in use of personal protective equipment & application of infection control measures Monitoring and follow-up for worker implementation of measures Physical Plant: ventilation and facility maintenance schedules

10. 10 Needlestick Injury Prevention Safety Engineered Medical Devices for: Phlebotomy needles Hypodermic needles Intravenous catheter needles Winged needles

11. 11 Interim Results