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Fire Safety and Hazard Communication Training

Fire Safety and Hazard Communication Training. Fire Safety. Fires can spread very quickly and can consume an average size room in less than 5 minutes.

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Fire Safety and Hazard Communication Training

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  1. FireSafety and Hazard Communication Training 11/08/2005

  2. Fire Safety • Fires can spread very quickly and can consume an average size room in less than 5 minutes. • If working in the hospital, many areas have patients who cannot evacuate on their own. Because of this, the hospital is designed to protect these patients with fire rated walls and doors called compartments. • Also key to protecting the lives of patients, staff, and visitors is fire response. 11/08/2005

  3. Response toFIRE/SMOKE • Remove anyone in immediate danger • Close the door • PULL THE ALARM (found along your exit route) • Call the emergency number for your campus to give location of fire: • Call 5-4444 for the East Baltimore Campus. • Call 0-0222 for the Bayview Campus • All other buildings call 9-1-1. 11/08/2005

  4. Howare you to respond to a fire alarm in your area? • Healthcare Occupancy : • Defend in place. Close doors, clear hallways, and place all patients and visitors in their rooms. Only evacuate patients on orders from the Baltimore City Fire Department, Safety Department, and the Security Shift Supervisor. • Business Occupancy: • Evacuate patients, visitors, and employees to a connecting building if possible. If you work in a stand-alone building, evacuate to the outside at least 50 feet from the building. 11/08/2005

  5. Is your area healthcare or business occupancy? If you are unclear if the floor you are working on is a healthcare or business occupancy, check out HSE policy #408 at http://www.hopkinsmedicine.org/hse/Policies/HSE_Policies/indiv_sections/hse408.pdf 11/08/2005

  6. Where is your closest fire alarm pullstation? Fire alarm pull stations will ALWAYS be found along your exit route. 11/08/2005

  7. Fire Extinguishers • DO NOT attempt to use fire extinguishers, even for small fires, unless you have been formally trained on an annual basis by your employer. This annual training includes hands on training. 11/08/2005

  8. Elevators • Do not use elevators in buildings that are in alarm. • Use the stairs or exit to a connecting building. 11/08/2005

  9. Smoking Policy Smoking by staff members, visitors and patients is permitted only in designated areas. 11/08/2005

  10. What should you do in the meantime? • Keep all egresses clear including stairwells. • Do not block fire equipment such as pull stations, fire extinguishers, and fire hose connections. • Do not block open self-closing smoke/fire doors. • Keep all required flammable liquids in a flammables cabinet. • Smoke only in designated areas. • Make Sure All Your Exit Lights Are Lit • Check Stairwell Doors To Make Sure They Latch • Know Your Egress Routes 11/08/2005

  11. JHH Emergency Management CodeRed—fire CodeOrange—bombthreat CodeYellowBio—bioterrorism Code YellowChemical—chemical Code YellowRadiation—radiation Code YellowED—patient influx of up to 10 patients from a single event Code YellowHospital—patient influx of more than 10 patients from a single event 11/08/2005

  12. Hazard Communication Program • Also called OSHA’s “Employee Right-to Know” law. • States every employee has a right and the responsibility to know every hazard associated with each chemical they work with. • The primary objective is for you to know how and where to find specific hazard information. • This is communicated in two ways—Material Safety Data Sheets (MSDSs) and labels. • The written program is HSE policy #701 and can be found at http://www.hopkinsmedicine.org/hse/Policies/HSE_Policies/indiv_sections/hse701.pdf 11/08/2005

  13. Hazard Communication Program • Material Safety Data Sheets (MSDS)—documents that contain all pertinent information about a chemical. All MSDSs for JHI are kept at the Health, Safety, and Environment Office. • Contact your supervisor to make your request for an MSDS. • You have a right to access the information within 1 day and to obtain a copy of the document within 5 days. 11/08/2005

  14. Hazard Communication Program • Labels—every container needs to have a label that is written correctly and clearly. • The labeling is the responsibility of the user. • Personal Protective Equipment (PPE)—MSDSs and labels explain which type of PPE should be worn when handling that particular chemical. • PPE shall not be worn outside of the lab or work area. • You have the right to refuse to work with specific materials until hazards are communicated and safety training obtained by your department. 11/08/2005

  15. Chemical Spills Chemicals Spills should be cleaned up by the users according to the label/MSDS instructions. If the spill is of such a magnitude that the users are unable to contain it, call the Centrex emergency number, 5-4444, for assistance. 11/08/2005

  16. Bloodborne PathogensAnnual Training Johns Hopkins Medical Institutions

  17. Introduction • Annual refresher training for Bloodborne Pathogens is mandated according to the OSHA regulation 1910.1030 and JHMI Exposure Control Program- policy #HSE 501. This policy can be found on HSE website at www.hopkinsmedicine.org/hse/ • You need this training because at some point in your job you may be exposed to blood and/or body fluids. Specific job codes of employees enrolled in the BBP are outlined in the Exposure Control Program. • Training will consist of: different types of blood diseases, routes of exposure, what to do if you are exposed, how to clean up spills, and prevention. 11/08/2005

  18. Bloodborne Pathogens Bloodborne pathogens are microorganisms such as viruses and bacteria that are carried in blood, other potentially infectious materials (OPIM) and unfixed tissue that can cause disease in humans. The three most common bloodborne diseases are HIV, HBV, and HCV although the list of diseases are not limited to these three. 11/08/2005

  19. Examples of Other Potentially Infectious Materials • Semen • Vaginal secretions • Cerebrospinal fluid (colorless liquid that surrounds the brain and spinal cord). • Synovial fluid (fluid that lubricates and cushions the joint). • Pleural fluid (fluid between the pleural membranes of the lung and the inner chest wall). • Peritoneal fluid (fluid in the gastrointestinal organs). • Amniotic fluid (fluid which surrounds the fetus). • Saliva (in dental procedures). • Any body fluid that is visibly contaminated with blood. 11/08/2005

  20. Human Immunodeficiency Virus (HIV) • Small but real hazard. Attacks the T4 cells which defend the body against infection. There is no vaccine or cure, however, an exposed person can be placed on Post-Exposure Prophylaxis (PEP), preferably within 1-2 hours of the exposure. This drug can decrease the chances of developing HIV up to 79%. • Symptoms include depression, diarrhea, thrush (bad taste and white coating in mouth), weightloss, fatigue, nausea and vomiting. 11/08/2005

  21. Hepatitis B Virus (HBV) • Main target organ is the liver which is needed to remove poisons that build up in the blood. • Currently 1.25 million in the U.S. are affected. • Can be either acute (short-term) or chronic (long-term). • There is a vaccine. • Some people will experience no symptoms. • Others will experience flu-like illness including jaundice, dark urine, extreme fatigue, anorexia, nausea, abdominal pain, and sometimes joint pain, rash, and fever. 11/08/2005

  22. Hepatitis C Virus (HCV) • Main target organ is the liver which is needed to remove poisons that build up in the blood. • There is no vaccine. • Currently 4 million in the U.S. are affected. • Can be either acute (short-term) or chronic (long-term). • Not everybody with hepatitis C has symptoms. • People who do have symptoms feel like they have the flu. This can include: feeling tired, feeling sick to your stomach, fever, poor appetite, stomach pain, diarrhea, muscle and joint pains, dark yellow urine,yellowish eyes and skin . 11/08/2005

  23. Routes of Exposure • Parenteral—through the skin via punctures and open wounds. • Mucous membranes-splash to the eyes, nose, and/or mouth. • Sexually • Prenatal • But not through casual contact!!! 11/08/2005

  24. Prevention • Standard Precautions: consider all patients and body fluids/blood to be infectious. • Dispose of all materials with blood/body fluids into red bags and sharps into sharps containers prior to disposal in red bags. • Wear Personal Protective Equipment!! Gloves and eye/face protection (safety glasses, goggles, face shields). • Use safety devices that have been trialed by employees and approved through JHMI’s Protective Devices Committee. A list of protective devices can be found at http://www.hopkinsmedicine.org/hse/notices/Protective_Devices_Table.pdf • Hand washing is still themost effective means to prevent transmission. 11/08/2005

  25. Prevention • The Hepatitis B vaccine is offered free of charge to all Hopkins employees at Occupational Health. • The vaccine is not required, but it is strongly recommended. • The Hepatitis B vaccine only protects employees from Hepatitis B. There is no vaccine for Hepatitis C. • If you decline the vaccine when you are first hired, you can still receive the series of shots anytime during your employment thereafter. • Contact Occupational Health, 98 North Broadway, at 410-955-6211 or Occupational Health at Wyman Park at 410-516-0450 if you have any questions or to make an appointment. 11/08/2005

  26. Limitations of Engineering Controls • Gloves—are not puncture resistant. • Safety sharps—only work if the user activates the safety mechanism. • Sharps Containers—can malfunction if employees dispose of items other than sharps in the container such as paper wrappers, gauze, and tape. User must lift the lid to assure disposal of sharp. 11/08/2005

  27. Post-Exposure Management • Wash the exposed site • CALL 5-STIX on the East Baltimore campus. Homewood campus call Occupational Health (6-0450) during office hours and Security (6-7777) during off-hours. Employees on the Bayview campus can either call 5-STIX or Bayview Employee Health at 0-0477 (for BBP exposures only). • If recommended, initiate Post-Exposure Prophylaxis (PEP) within 1 - 2 hours after exposure for optimum efficacy • Inform supervisor, complete an incident report, and report to the injury clinic for your campus. 11/08/2005

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  29. How to clean up spills • Wear gloves and eye/face protection. • Wipe up the spill with disposable towels and discard in red bag. • Pour bleach/water solution or other approved disinfectant over the spill area and let sit for 10 minutes • Wipe up the bleach with disposable towels and discard in red bag. 11/08/2005

  30. Do you have questions or comments? Contact During Office Hours: Health, Safety, and Environment 2024 East Monument Street Suite B-200 410-955-5918 OR Call the 5-STIX line after hours 11/08/2005

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