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Table of Content• Intro • Emergency management• Vehicle Safety • Workplace Violence• Office safety • Bloodborne pathogen• Fire Safety • Electric Safety• Hazardous • Questionnaire /Exam Communications
Introductions Why do we haveEnvironmental Health & Safety Training? Employers and Employees legal responsibilities Joint Commission Accreditation requirement Provide and maintain safety in the workplace – contact an EOC member with concerns or questions
WHO IS RESPONSIBLE FOR SAFETY? ALL OF US!! Employer Employee Take safety seriously!Furnish a workenvironment that is free Use safety equipmentfor recognized hazards and be aware of safetythat are likely to cause hazardsserious harm or death Report all near misses,Shall comply with OSHA accidents and safetyrequirements concerns Fix or report hazards immediately!
MCMHA Environment of Care Committee membersJim Brown - Safety Officer/Human Resources/ Chair 384-0283Tim A. - Co-Chair and Consumer Representative 243-6401Renee Petkovich - Vice Chair/ Training and Contracts 384-8728Ellen Graves - Nurse/Infection Control Contact 384-8558Rich Allison - Facilities Tech 734-915-0435Robyn Jondro - Administration 384-0150Eliot Garcia - MI Adult 384-8866Liz Wilkerson - Provider Representative 734-915-0871Michelle Kinsey - Vivian Home Manager/ Group Home Rep. 734-777-0623Marge Slick -Consumer Advocate 734-241-5881Dr Hanke - Medical Director/ Emergency management 384-8854Geralyn Harris - Chief Clinical Officer 384-8761
How We Improve the Safety ProcessEnvironment of Care / Safety Committee Meetings COMMITTEE CHARGE Monroe CMHA is cognizant of its responsibilities to provide an environment conducive to the health and safety of all employees, consumers, providers, visitors, and neighbors. To accomplish this, the committee is responsible for the following: Assessment of the environment of care •Assess post incident assessment/review on near miss or accidents. •Assess environment for safety and control hazards •Assess effectiveness of the safety program. •Assess incidents of workplace accidents and injuries to create systemic changes for prevention.
How We Improve the Safety Process Environment of Care / Safety Committee MeetingsRESPONSIBILITIES CON’TPolicies and procedures to ensure risk free environment•Safety Management•Security Management•Hazardous materials and waste management•Emergency management•Fire safety•Utilities management•Medical EquipmentEducation•Provides education to staff, consumers, and providers of service to instill a positiveand cooperative safety culture.•Communication on EOC activities to consumers and staff on routine basis.•Job specific training will be maintained and current.•Educate staff on their role of inspecting the environment and engaging in appropriateactions.
Did you know that…Every year lives are lost because safety precautions weren’ttaken. 180 157 160 140 120 123 120 100 93 80 # of workers 60 40 20 0 2006 2007 2008 2009
Driving is something we do daily. It’s the most dangerous thing we do! 40,000 people die each year 115 people who leave home today will never return
MOST frequent causes of accidents Inattention to detail Driving too fast for conditions Speeding Failed to yield DWI/DUI Other factors: Physical Road conditions Tires tread wear/pressure Weather conditions Brakes Vehicle Maintenance:
Driving Dangers safety equipment properly – seatbelts only work when they are on and Airbags work best in conjunction with seatbelt use! Using Cell Phones and Texting while driving KILLS!Foul Weather can be – rain, snow, fog, hail, ice, blowing and flooding. Be safe – make sure the car lights, wipers and tires are working and in good condition. Be Careful – don’t drive in or thru water, hail, smoke or thick fog . Pull over , drive around or wait it out! Slow down! Tap brakes to stop. Avoid passing!
Driving Safety Tips Quick Check Process before DrivingDefensive Driving Techniques on the Road Rules of the Road/General Safety Rules
Pre-Trip InspectionTake a walk around Inside your vehicle your vehicle. Adjust your seat and Windows clean/no fasten seat belt damage? Washer fluid? Check and adjust all Lights/signals clean & Mirrors working. Adjust your Headrest Tires properly inflated / Assure doors fully closed tread wear. and secured Fluid leaks on the ground. Scan the gauges Adjust the vents, windows, heater & air conditionerMake sure you’re emotionally ready to focus on driving!
What is YOUR Mental Presence? Stress / Emotions / Attitudes Drowsiness / Fatigue Vision / Hearing
Get the Big Picture when DrivingScan the road ahead Keep your eyes moving. City (Approx. 1 block) Check your mirrors every 5 seconds. Rural (Approx. 1/4 mile) Railroad crossings - use caution!Look out for On/Off Ramps The cross buck is found at Obey speed limits posted. most public crossings. Speed limits designed for These signs should be treated autos; larger vehicles like in the same manner as a yield SUVs and Trucks need to go sign. slower. Emergency Vehicles Exits merging downhill are particularly dangerous. Immediately move to the right of your lane, to another lane, Adjust speed and position or to the shoulder if possible. Be familiar with If moving right is not possible, surrounding stay where you are. Do not move left.
Shaded Areas - Just after the rain begins. The oil mixes the water and makes the road very slipperyBridges - Hydroplaning.Melting Ice - Release the accelerator. Do not brake.Black Ice - Occurs at speeds as low as 30 mph. Worn tread and low tireVehicle Ice - pressure. (The road is icingup!
Getting Unstuck Turn wheels side to side a few times to push snow out of the way. Lightly touch gas; ease forward. Rock the vehicle if necessary Shift from forward to reverse and lightly touch gas.
Winter Driving -Take Along Equipment & Supplies Scraper with brush on one end Snow shovel/Flashlight Warm clothes/gloves , hat + boots Abrasive materials (cat litter, sand, salt) Jumper cables Warning devices (flares) Sleeping bag or blankets light/matches, candle & high energy food
Accident ReportingReport any accident immediately, no matter how minor. Get a police report whenever possible
Vehicle AccidentIf the vehicle is in an accident staff should follow these four steps inorder • First – secure the scene provide first aid and safety to all involved! • Second – Call 911 or dispatch (if no apparent injuries). • Third – Call for towing if vehicle is not safe to drive back to CMH • Fourth – Call CMH and speak to a supervisor – no messages you need to tell a management staff directly. If there is smoke , steam or a smell of something burning – DO NOT KEEP DRIVING! Pull over and get out! There could be a fire!
Vehicle Safety Types of Loss Staff Loss Physical Damage Damage to Vehicle Property Damage Destroyed Property - Medical Costs - Yours & Passengers Liability Costs Other Vehicle(s) physical damage Financial Loss
Office SafetyWatch your stepPrevent back injuriesWhat is ergonomics?Does your desk fit you?Stretch and feel better
Avoiding Slips, Trips and FallsWalk carefully – tile, wet floors and objects on floorsare safety hazards!Don’t carry objects too tall to see over.Use a ladder – not a chair, box or countertop.Keep cords out of walkwaysKeep your hands at your side not in your pockets!Walk – do NOT run.Use handrails and pay attention where your going.Report burnt out lights or loose flooring immediately!
Save Your BackBend at knees and hips when liftingKeep your body in a straight line – do not Twist!Do not lift items over your shoulders.Ask for assistance from Facilities!Let your legs do the lifting not your back.
ErgonomicsThe science of fitting your job to your body.Desk set up is important to your body
Stretching – it does your body GOOD!1. Just stand up – you should stretch at least once every half hour - stand up without using your hands.2. Reach over your head as far as your can • While stretching bend to the left then the right to do side stretches3. Shrug your shoulders to release the neck and shoulders4. Make a fist with both hands then spread your fingers as far as you can!5. Move the air – by making circles with your hands then bigger ones by rolling your shoulders.6. Turn your head slowly from side to side7. Pull your legs to your chest and hold for 5-10 secs8. Stretch your fingers - interlace your fingers - palms facing your body then slowly turn your palms outward away from your body.
Fire SafetyR.A.C.E. – what you do during a fireP.A.S.S. – how to use the fire extinguisherWhere are the safety locations?What kind of extinguishers do we have?Preventing fires!
Fire DrillsProvide practice and critique of our Fire Training & ResponseOccur on an unannounced basisAre required by Joint Commission and require full participation Performed Quarterly Relocation Site Raisinville building - Parking lot across the street. Vivian House – fire Pole Clubhouse – New Directions -
Exit the Building QuicklyR – Rescue those in the immediate area of the fireA – Activate the alarm system (Call 911 if there is no alarm system)C – Close all doors on the way outE – Evacuate or Extinguish – only extinguish very small fires! A fire doubles in size every 60 seconds. Fire extinguishers discharge in 10- 40 seconds.
How to use the extinguisher P – Pull the pin A – Aim the nozzle at the base of the fire (Aim a foot above the base of a grease fire as grease will spread if you aim directly at the base) S – Stand about 6 to 8 feet away S – Squeeze the trigger and Sweep back and forth Make sure your first shot counts! Extinguishers only last a few seconds
Where do we meet? When evacuating the building always use the closest exit. The closest exit may be behind you or not a commonly used exit.MCMHA staff and visitors will meet at across the drive at the Extension office parking lot – please do not block the traffic’s ability to enter or exit.Do not leave the scene as your supervisor is responsible to do a head count of all employees.MCMHA has FOUR fire drills annually but you should evacuate ANY TIME you heard the alarm as you never know if there is an actual fire or needed evacuation
Check the Label!Fire Extinguishers are labeled for the type of Fire they aredesigned to fight. A – for combustibles like paper, cardboard, cloth or wood. B- for grease, gases, or flammable liquids like oil, paint and gas C – for electrical wiring and equipment ABC – for all of the above types of fire D for combustible metals such as sodium of magnesium MCMHA has 13 ABC extinguishers and 2 C only extinguishers (for the server rooms)
Fire PreventionObey “No Smoking” signs. Look for MSDS on productsDo not plug in anything no Do not store flammable pre -approved by the IT products in the office department buildingReport any frayed or cracked Know where the closest fire electrical cords. extinguisher is.Be careful around the stove – Keep work areas clean and it is still hot after you neat. turn it off. If you smell the faint scent ofDo not put any metal in the smoke – report it microwaves If you smell a strong scent of smoke pull the fire alarm
Hazardous Communications Information You have the Right to know what industrial chemicals are used at the worksite! What is an MSDS? Hazard alert symbols NFPA Diamond
HazCom is about Material SafetyHazard Communication is aboutthe fact that employees have both aneed and a “right to know” the hazardsand identities of the chemicals they areexposed to when working. They alsoneed to know what protectivemeasures are available to preventadverse effects from occurring.MCMHA has a HazCom program thateach affected employee should befamiliarized with.It is your responsibility to know howto handle chemicals safely,understand chemical labels, andunderstand the MSDS.
LabelsThe label on a bleach container tellsyou the contents, the hazard associatedwith the chemical, and what part of yourbody it affects.An unlabeled container could be wateror it could be a strong acid. You do notknow what it is so you do not know whatprecautions to take. Remember, youshould never remove a label from acontainer!If you have any doubt about alabel, contact your supervisor or thefacility manager.
Labels Provide Basic InformationThe label must have the following information: – The chemicals name – Hazards of the chemicals – The manufacture’s name and address If a label gets removed, destroyed or covered, you must put a new label with the above information on it H2O2 Hazards: Siigma Manf.
Material Safety Data Sheets:MSDS is a tool to give you details on the chemical and physical dangers, safety procedures, and emergency response procedures. It includes:1. Identity of the Chemical2. Hazardous Ingredients3. Physical and chemical characteristics4. Physical Hazards such as fire or explosive nature5. Reactivity or stability of the chemical6. Health hazards7. Necessary precautions to use with the chemical8. Control measures to reduce exposure to the chemical
MSDSs are Always AvailableA Material Safety Data Sheetcomes with every bulkchemical purchased. Eachsite has a designated areawhere the MSDSs are to belocated.If you cannot locate theMSDS, contact yoursupervisor. Your supervisorwill call to locate one to makeit readily available andaccessible to all employees.
Hazard Signs PoisonBiohazard ExplosiveRadioactive FlammableCorrosive High VoltageWarning
National Fire Protection AssociationThe higher the number the more dangerous the chemical
Probable DangersTornadoes – stay indoors or find shelterSevere winter weather – stay indoors , do not travel , dress in layersSevere Thunder storms – stay indoors, pull over if drivingFlood – Evacuate when instructed to, do not drive or walk through waterWild Fire – Do not drive through – hot air and smoke can kill !
Be Prepared to Evacuate!Know when and where to go if told to evacuate.Know what to take and what you cannot take.Have a family plan that includes pet care.Do not risk your life – get out - Your safety comes FIRST!Keep Calm and Do Not Panic!!Reasons to evacuate = alarm , medical emergency, buildingsafety, hazardous spill, natural disaster, violent person, nuclearaccident.Help Every CONSUMER have a planned response before it isneeded!
Emergency Information SheetMy name and address is:_____________________________________The cross streets are:_________________________________________Call 911 for fire or medical emergencyPoison Control: 800-222-1222My phone number is:_________________________________________My advocate is :____________________ phone #:___________________
Workplace ViolenceWhat is it?Potential Warning SignsEmployee danger and duty to reportMaster Stress – prevent violenceBuilding security
WORKPLACE VIOLENCE Definition : Workplace violence is any physical assault, threatening behavior, or verbal abuse occurring in the work setting A workplace my be any location either permanent or temporary where an employee performs any work-related duty Did you Know??? Is the second leading cause of death in the workplace overall Is the leading cause of death in the workplace for females 1 out of 20 women will be the victim of a stalker
Is Workplace Violence an Acts of Workplace Epidemic? Violence CDC SAYS….. Aggravated assault Violence has Sexual assault reached “epidemic Product tampering proportions” Sabotage 111,000 violent incidents per year Homicide 750 - 1,000 Includes acts workplace committed during homicides per year robberies
WHAT CAUSES VIOLENT ACTS? Disgruntled Employees, Domestic Disturbance and Delusional Persons. WHO COMMITSWORKPLACE VIOLENCE?•Employee •Vendor•Former Employee •Family Members of•Contractor employee or customer•Customer
“PROFILE” OF A PERPETRATORTHERE IS NO EXACT PROFILE! But there are common precipitating factorsDisgruntled employee: Delusional Person:•Long Tenure • Acts against• Stressor causes Domestic violence perceived to be violence is when external wrong•End of the line violence spills over • No connection to into the workplace organization Look for patterns rather than individual warning signs Profiles can help identify potential problems However, they are not all inclusive or exclusive
WHY DO SOME PEOPLE ACT OUT? THEY HAVE NO SUPPORT SYSTEM More aggressive Taught not to seek “Be Tough” help
White male Obsessed with guns, gun 30 - 50 years old magazines Problem Employee Interested in past acts of violence in the workplace History of Violent Behavior Makes open or veiled threats Intimidates Others Obsessed with job Paranoid Loner Can’t take criticism Possible Substance Holds a grudge Abuse
WHAT DO I NEED TO DO?All staff are responsible for notifying their supervisor of any threats, which they have witnessed orreceived. Threats against supervisors and co-workers can foreshadow violence. Even without anyactual threat, employees should report any behavior they have witnessed which they regard asthreatening or violent, when the behavior is related or might be carried out at work or is connected toAgency employment.Staff are responsible for making this report, regardless of the relationship between the individual whoinitiated the threat or threatening behavior. Any potentially dangerous situations must be reportedimmediately to a supervisor or the Human Resource department.The supervisor is responsible for reporting the situation to his/her Department Head. TheDepartment Head is responsible for ensuring that the Human Resource Director and the ExecutiveDirector have been notified of the incident.Reports can be made anonymously and all reported incidents will be investigated if there is sufficientinformation in order to initiate an investigation. Reports or incidents warranting confidentiality will behandled appropriately and information will be disclosed to others only on a need-to-know basis.Acts of aggression and violent behavior should also automatically require action. When they occur,management should tell aggressive employees to leave the workplace or have them removed. Adecision should be made regarding disciplinary action. If the employee(s) remains employed, theyshould be assisted in obtaining counseling. The employee(s) that was the target of the aggressionshould have their needs and concerns addressed. The Authority will actively intervene at anyindication of a possibly hostile or violent situation.
Be Aware! Potential Warning Signs:A history of violence Vows to get evenOver reacting to uncertainty Believes others are out to get themParanoid or Accusing Carries or nurses a grudgeExcessively Angry Seems overwhelmed by moneyBlames others for their or personal problemsproblems Defensive toward othersUses abusive language Obsessive toward someoneThrows things Acting out of the normalThreatening or intimidating Very stressedUnder the influence of drugs Difficulty coping with the dailyShows or claims to have a events of lifeweapon
Violence from within is most often associated with a disaffected worker or a former employee whose personal or professionalproblems escalate to the point of uncontrollable rage, frustration or despair. Signs can include: Loss of job or threat of Relationship problems job loss such as divorce, break up or separation Discipline especially if it seems unfair to the Domestic abuse employee) Substance use Failure to receive expected raise or Financial difficulties promotion Emotional problems Ongoing conflicts with a including low self esteem supervisor or co-worker Not everyone who suffers from stress becomes violent! But it is your duty to report a worker who seems in serious trouble to a supervisor or Human Resources!!!!!
Master Stress versus Stress being your MasterDO : DON’T:• Be a problem solver not a victim • React to everything as if it is a “Crisis”• Remember not everything is a crisis • Take work issues personally• Accept that no is perfect • Be a “control freak”• Forgive! (yourself and others) • Assign blame, blow up or worry about the unknown• Exercise, get rest and eat healthy • Use alcohol or drugs to reduce stress• Laugh! • Withdraw or suffer in silence• Be cooperative and self confident!
Building Security – take it seriously! Do not lend out your ID badge Keep doors closed – do not prop them open Escort visitors in and out of the building Set up a “danger signal” with coworkers Lock up purses and valuables Report behaviors that concern you. You may be able to head off violence and get troubled people the help they need!
Blood borne Pathogens HIV, HBV and Hep C Standard Precautions Good Hygiene Practices
DiseaseBLOODBORNE PATHOGENS are microorganisms such as viruses orbacteria that are carried in blood and can cause disease in people. There aremany different bloodborne pathogens including malaria, syphilis, andbrucellosis, but Hepatitis B (HBV) and the Human Immunodeficiency Virus(HIV) are the two diseases specifically addressed by the OSHA BloodbornePathogen Standard. PATHOGENS TRANSMISSION
HIV, HBV and Hep CHIV - Human Immunodeficiency Virus Causes AIDS, attacks the immune system and reduces a person’s ability to fight disease.HBV – Hepatitis B Virus Infects the liver, acute illness causes liver inflammation, vomiting, jaundice and rarely, death.Hep C – Hepatitis C Chronic infection can progress to scarring of the liver (fibrosis), and advanced scarring (cirrhosis) which is generally apparent after many years. In some cases, those with cirrhosis will go on to develop liver failure or other complications of cirrhosis, including liver cancer.
Standard Precautions:are a set of infection control practices used to prevent transmission ofdiseases that can be acquired by contact with blood, body fluids, non-intact skin (including rashes), and mucous membranes. These measuresare to be used when providing care to all individuals. Hand Hygiene – wash hands for 15-20 seconds with soap and warm water regularly Cough Etiquette – cover your mouth and nose when coughing using bend of elbow or hands (wash hands after cough) Personal Protective Equipment (PPE) – gloves, mask, goggles, gown, eye protection should be warn as needed to reduce exposure to blood born pathogens. Cleaning and Disinfecting - Care areas, common waiting areas, and other areas where people may have potentially contaminated surfaces or objects that are frequently touched (doorknobs, sinks, toilets, other surfaces and items in close proximity to clients) should be cleaned routinely with the proper disinfectant. Waste disposal - puncture proof, leak proof containers and bags for biohazard waste
Good Hygiene Practices prevent the spread of infection!Stay at home if you’re sick, DO NOT spread germs!Wash your hands under running water with soap for 15-20seconds. Rinse thoroughly. Use paper towel to turn off water andopen door. Dispose of towel in trash can.Use antiseptic hand cleaner when not near a water source. Washhands properly as soon as possible.Cover your Cough.Clean frequently used areas and equipment daily.
Electrical SafetyCheck with IT first! Do not plug it inwithout permission.Do not use an extension cord unless ITprovides it to you for that specificpurpose.Plugs, cords and appliances should be ingood condition – not frayed, taped orcracked!
Questions?For Infection Control questions contactEllen Graves at 384- 8713For Health and Safety Contact ReneePetkovich at 384-8728For Facilities contact Jeff Koras at 384-8397For IT questions contact Kevin Pierce at384-0428