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Safety and Hazard Communication

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Safety and Hazard Communication

  1. 1. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Safety and Hazard Communication JCAHO Mandatory Annual Competency Chesapeake Medical Staffing
  2. 2. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Contents Universal Codes Disaster Plan Bomb Threat Plan Latex Allergies Chemical Safety “Right to Know” Fire/Electrical Safety
  3. 3. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Introduction CMS Associates are expected to practice the basic principles of hospital safety at all times in a clinical setting. While hospitals may vary in specific policies and procedures regarding safety, universal basic safety principles should always be a foundation of clinical practice.
  4. 4. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Universal Emergency Codes The state of Maryland has passed a law that requires all healthcare facilities to adopt universal emergency codes to be used consistently across the entire state. The next slides identify universal emergency codes.
  5. 5. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Emergency Codes Code Red: Fire Code Pink: Infant or Child Abduction Code Blue: Cardiac Arrest – specify adult, child or infant Code Green: Combative Person
  6. 6. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Emergency Codes Code Orange: Hazardous Material Spill Code Gold: Bomb Threat Code Grey: Elopement Code Purple: Security only response Code Yellow:Code Yellow: Disaster or EmergencyDisaster or Emergency
  7. 7. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Key Elements to Review • Safety and security • Medical equipment • Emergency preparedness • Utility systems • Life safety (fire) • Hazardous materials (haz-mat)
  8. 8. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Safety and Security Security officers are on duty 24/7. Their specific duties include: • access control • escort service for employees at shift change • investigation of threats and aggressive actions taken against the particular facility or its employees • maintenance of peaceful visitation periods • oversight of prisoner patients
  9. 9. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Access Control and ID Most hospitals require visitors to wear a visitor’s pass. After visiting hours, the only doors with public access are usually in the ER. A security officer should be present 24/7 at the emergency entrance. • Maryland state law requires that all health care providers wear a photo ID in a clinical setting. • All CMS employees must wear their photo ID badge while working (please notify the office if you need a new ID badge).
  10. 10. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Individual Responsibilities It is the responsibility of every employee to participate in creating a secure environment. • Wear your photo ID badge in plain view. • Lock your car and personal equipment. • Report all suspicious activities or persons. • Report threats, stalkings and violent behavior of employees, visitors or patients to Security.
  11. 11. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Clinical Engineering Clinical engineering is responsible for: • ensuring proper preventive maintenance for all medical equipment. • inspecting all new medical equipment. • evaluating/fixing broken equipment. • inspecting medical equipment for electrical safety.
  12. 12. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Medical Equipment Safety For Your Safety: • Never use electrical equipment with wet hands. • Never place liquids above or on top of electrical equipment. • Never cover vents/fans on electrical equipment. • Never pull an electrical cord out from the outlets by the cord. • Never use adapters to form a 3 prong socket (only equipment with original 3 prong plugs may be used in patient rooms).
  13. 13. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Emergency Disaster Plan JCAHO requires hospitals to have an emergency disaster plan which describes how the facility will respond in the event of a disaster. Each department must have a plan outlined in the Disaster Manual listing specific duties in case of a disaster.
  14. 14. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Emergency Management Emergency management policies & procedure are designed to assure: • Mitigation: actions to reduce the chance of or lessen the impact from a disaster event • Preparedness: equipment, policies & training to enable quick and effective response • Response: implementing plan in reaction to an unplanned event or drill in a coordinated successful manner • Recovery: getting back to normal business after a major disaster event.
  15. 15. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Universal Disaster Plan Disaster plans (internal or external) have three stages. The stage is determined by the resources needed in terms of: • bed capacity • staff availability • equipment/supplies needed
  16. 16. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Internal Disaster Any internal event or situation which severely reduces the organization’s ability to function normally (examples include severe weather, earthquakes, gas leaks, fire or bomb threats, civil disturbances, loss of electricity or water).
  17. 17. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. External Disaster Any incident or event occurring outside the hospital which might result in a sudden increase of patients being brought to the hospital (examples include motor vehicle crashes, stadium/prison accidents, catastrophic fires, airline/train accidents).
  18. 18. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Implementation Once a disaster stage has been identified, the usual procedure is an overhead announcement by the hospital operator. Using a code name specific for the hospital, all staff are alerted of the impending Disaster. Staff should follow department disaster plans until the “all clear” announcement is made.
  19. 19. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Stage I • Alerts employees that there is a potential disaster situation. • Normal routines should be not interrupted. • Department supervisors will evaluate available resources.
  20. 20. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Stage II • Acknowledges that additional resources are needed and call-ins may occur. • Hospital supervisors are expected to calculate the amount of time needed for additional staff to arrive at the facility.
  21. 21. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Stage III • Alerts widespread or complete disruption of normal operations with potential harm to staff, visitors, or patients. • Full mobilization of all hospital staff and agency personnel for a prolonged time should be expected. • Potential mass evacuation of the building may be planned.
  22. 22. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Bomb Threat Plan In the event of a telephone bomb threat, the plan advises team members how to respond over the telephone. • Try to keep the caller on the phone as long as possible. • Ask questions to gather information, such as, “Where exactly is the bomb located?” • Write down as much information as you can remember about the caller as well as specific information regarding the bomb. • Dial, or have a co-worker dial, the operator to immediately report the situation.
  23. 23. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Utility Systems Red outlets in the patient care areas are connected to the emergency generator power systems to support any emergency situation. • Always use these outlets for such equipment as ventilators, IV drips for life-maintaining medications and other life maintaining equipment. • Never unplug vital life-saving equipment from the red outlet without clinical engineering approval. • All patient care employees should know where the power panels and medical gas shut-off valves are located. • Any hospital employee is allowed to shut off medical gases under the direction of a Respiratory Therapist.
  24. 24. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Closing Oxygen Valves • Respiratory care team members will report to clinical setting to assist with O2 valve shut off. • Charge nurse or clinical coordinator will take charge of O2 issues until Respiratory Therapist arrives. • Oxygen shut off priorities: • Identify any patients with a life critical need for O2 • Assess the proximity of fire and risk to piped O2 • Balance the risks.
  25. 25. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Water Loss In the event of a water loss, antiseptic wipes or hand gels should be available
  26. 26. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Latex Allergies • Healthcare workers are at risk for developing a latex allergy because they frequently use or are exposed to products containing latex. • Detecting symptoms early, reducing exposure and obtaining medical advice are necessary to limit an allergic reaction. • It is recommended to use non-latex gloves for activities which do not involve contact with infectious materials (i.e. food preparation, routine housekeeping, and general maintenance work).
  27. 27. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Latex Reaction Prevention To limit the chance of a latex reaction, it is recommended to use the following work practices: • Do not use petroleum-based hand creams or lotions (such as Vaseline Intensive Care) when wearing latex gloves -- instead, use a water based lotion (such as Eucerin). • Wash your hands and dry them completely after taking off latex gloves.
  28. 28. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Latex Reactions Types of latex reactions to latex: • irritant contact dermatitis: the development of dry, itchy skin • allergic contact dermatitis: dry, cracking, peeling skin • latex allergy: symptoms may appear from a few minutes to several hours including: skin rash; flushing; nasal, eye, sinus problems; difficulty breathing, coughing spells, and wheezing
  29. 29. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Latex Screening • All patients admitted to the hospital should be evaluated for latex allergies. • A stock of latex-free equipment and supplies should be available for staff. • All CMS employees should disclose a history of latex allergy during the new-hire application process to assure availability of latex-free gloves at assigned clinical sites.
  30. 30. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Hazard Communication and Right to Know OSHA Hazard Communication/Right-to-Know standards ensure health care workers are informed about chemical labeling, material safety data sheets (MSDS) gathering and chemical hazards in clinical settings.
  31. 31. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Material Safety Data Sheets All hospitals are required to keep a current chemical inventory and keep Material Safety Data Sheets (MSDS) in the Safety Office.
  32. 32. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Chemical Containers Chemical containers must have the following information on the label: • chemical identity (name) • ingredients • hazard statement (tells the physical and health hazards of the chemical) • precautions to be taken when working with the chemical and the PPE required
  33. 33. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Hazard Identification The Hazardous Material Identification System (HMIS) label is typically square in shape and may not be substituted for a product label.
  34. 34. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Health Hazard The color blue represents the health hazard class for a specific chemical product. The degree of the health hazard is designated through the use of a number rating system. The range is from 1 - 4. The zero represents a minimal health hazard and the number 4 represents an extreme health hazard.
  35. 35. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Fire Hazards The color red represents the flammability hazard class for a specific chemical product. The degree of the flammability hazard is designated through the use of a number rating system.The range is from 0 - 4. The zero represents a minimal fire hazard and the number 4 represents an extreme flammability hazard.
  36. 36. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Reactivity The color yellow represents the reactivity hazard class for a specific chemical product. The degree of the reactivity hazard is designated through the use of a number rating system. The range is from 0 - 4. The Zero represents a minimal reactivity hazard and the number 4 represents an extreme reactivity hazard.
  37. 37. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Special Hazards The white diamond in the placard is used for information purposes and can include a number of symbols. • W Do not use water with the material. • OX The material has oxidizing properties. • Radioactive The material is radioactive. • P The material requires the use of protective equipment. • HazMat There are hazardous materials in the area. • Laser During use of the equipment, eye protection must be worn in the immediate area.
  38. 38. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Fire/Electrical Safety One of the most serious safety issues in hospitals is the threat of fire. The risk is increased because work conducted in clinical areas, laboratories and operating/special procedure rooms may involve flammable liquids and other hazardous substances. In addition, the use of specialized equipment such as lasers and other ignition sources utilized in oxygen- enriched atmospheres increases the threat of fire. This threat is far more critical in patient care areas since patients are often incapable of self-preservation.
  39. 39. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Know the Fire Code A team effort is required when a fire emergency arises. Everyone is needed to protect the lives of the patients. • Know the fire plan for each hospital and department where you accept an assignment to work • Know the fire emergency code for each facility • Know the location of the following: fire alarms extinguishers fire doors patient transport equipment
  40. 40. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Code Red • Every team member must know and understand what to do when a Code Red is called. • Every team member must know and understand what to do if they discover a fire or smoke. • Every team member must know and understand what to do if they smell or see smoke or feel excessive heat in an area that should not be hot. • Treat every Code Red as an emergency, even if you think it is a drill (drills save lives as they help hospital personnel rehearse emergency procedures). • All departments must clear hallways and close all doors during fire drills (even if the drill is not in your department or work area).
  41. 41. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Electrical Safety • Inspect electrical equipment and power cords for signs of wear or damage damage before use. • Report any damaged or malfunctioning equipment. • Do not use the equipment that is not working properly. • Remove it from use and put a “defective equipment” tag on the equipment so that it is not used, write down what is wrong with name and date. • Notify facilities services or bio-medical engineering (informing them what is wrong with the equipment/cord).
  42. 42. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Fire Pull Stations Fire pull stations are usually located at the stairwell entrances and exits of most hospital units. Pulling the alarm box will activate the ball, voice page, and/or flashing lights to warn the fire team, staff, patients and visitors of a fire event as well as automatically close magnetic fire doors. It is your responsibility to note the locations of fire pull stations in every clinical setting.
  43. 43. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. R A C E The acronym RACE is used to remind HCWs to: R Rescue/remove anyone in immediate danger A Sound the ALARM and get fellow team members to help. Pull the fire alarm and dial the emergency code. Tell the operator the exact location of the fire. Get fellow team members involved to help respond (pull stations are at doors to stairs or outside, and nursing stations). C Contain the fire by closing doors and windows. E Evacuate if necessary/extinguish the fire if possible (if the fire is is no larger than a waste basket and you have been trained or you can do so without endangering yourself).
  44. 44. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Components of R A C E Remove the patients from danger. Patient safety is always the first consideration. Alarm: Activate the fire alarm. This is done by pulling the alarm box located at the stairwells, exits to the building, and other key places. Close all doors and windows. By closing the doors you can gain 20 to 40 minutes of safe time. The fire doors located throughout the hospital close automatically when the fire alarm sounds. Extinguish the fire if possible. If the fire is in the wastepaper basket or on a patient’s bed, an extinguisher can be used to put out the fire. If extinguishing the fire is not possible, evacuate as directed.
  45. 45. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Keep Doors Closed If a door is hot, there is most likely a fire on the other side. Do not open a hot door. Opening a door may feed the fire by giving it more oxygen! DO NOT DELAY in notifying the Fire Department. The faster the Fire Department arrives, the faster the fire can be contained and extinguished.
  46. 46. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Patient Evacuation In the event of patient evacuation: • Do not use the elevators unless directed to do so by the fire department. • When possible, have patients move under their own power. • Only attempt to save records or equipment after the patients are safely evacuated.
  47. 47. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Extinguishing a Fire NEVER fight a fire if it is larger than the size of a waste basket or if there is excessive heat or smoke. Activate the emergency alarm immediately. Know the universal classification of types of fire : Class A: common combustibles: paper, wood, cloth, rubber, plastic Class B: combustible liquids or gasses, oil, grease Class C: electrical equipment, surgical equipment, computer equipment Class D: combustible metals including magnesium, potassium, sodium
  48. 48. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Types of Extinguishers Class A: These extinguishers are good for fires comprised of dry materials. These silver extinguishers contain water. Class B: These extinguishers are for fires involving liquids and oils. They contain dry chemicals or CO2 (carbon dioxide). If a water extinguisher was used on this type of fire, it could cause the fire to spread. Class C: These extinguishers are good for live or energized electrical fires. They also contain CO2 (carbon dioxide).
  49. 49. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Using an Extinguisher Remember the pneumonic PASS: Pull: Pull the pin before you approach the fire Aim: Aim the nozzle (at the base of the fire) Squeeze: Squeeze the handle (start 6-10 inches from the fire) Sweep: Sweep side to side
  50. 50. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Fire Safety Guidelines • Exit doors and stairwells should never be blocked by clinical or construction equipment. • Do not use door stops (chocks) in the building. • Do not stack anything within 18” of the ceiling, especially near sprinklers. • Keep stairs and corridors clear at all times- never store objects in halls even if objects are on wheels. • Reassure patients and visitors that Code Red is in effect and appropriate action is being taken. • Team members assigned to non-patient care areas should remain in their department (if not the fire zone). • Team members assigned to patient care areas should return to their unit. Be prepared to evacuate to another “smoke compartment” on the same floor or to another floor if an evacuation is necessary.
  51. 51. This material is the private property of Chesapeake Medical Staffing. Any duplication or use by anyone other than an employee of Chesapeake Medical Staffing is prohibited. Conclusion Fire and life safety responsibilities are shared among a multi-disciplinary group. Each has specific responsibilities for design, implementation, testing, maintenance or monitoring of part of a fire prevention management plan in all health care facilities. The goal is to provide a safe, functional, supportive, and effective environment for patients, staff members, and other individuals in the healthcare facility.

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