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Preventing Slips, Trips and Falls in the Health Care Industry

Preventing Slips, Trips and Falls in the Health Care Industry

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Preventing Slips, Trips and Falls in the Health Care Industry

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  1. Preventing Slips, Trips and Falls in the Health Care Industry

  2. Defining the Problem Breakdown of Hospital Employee Injuries by Type Source: BLS 2009

  3. Top Causes of Healthcare Worker Slips, Trips, and Falls

  4. Housekeeping Causes • Contaminants: • Water, grease, oil, fluid, food • Tripping Hazards: • Hoses, cords, medical tubing, materials, debris Solutions • Housekeeping / Organization procedures: • Keep floors clean and dry • Keep walkways clear • Develop mopping procedures • 5S • Use mats where appropriate • Wear slip resistant shoes • Use cord organizers, covers, cable ties • Position cones and barricades around hazardous areas

  5. Maintenance/ Environment Causes • Drainage issues: • Misaligned pipes • Clogged drains • Downspouts pointing into walkways • Surface irregularities (indoor and outdoor): • Warped/ buckled carpets • Curled mats • Damaged flooring • Holes/ cracks • Stairs/ handrails: • Damage • Improper or inadequate installation • Poor marking • Inadequate lighting • Weather: • Rain • Ice • Snow

  6. Maintenance/ Environment Solutions • Drainage issues: • Inspect and maintain pipes and drains • Reroute downspouts to non-pedestrian areas • Surface irregularities (indoor and outdoor): • Replace/ re-stretch warped or buckled carpet • Replace curled/ torn mats and secure edges to the floor • Fill/ patch/ cover any indoor and outdoor holes, cracks, gaps, etc. • Stairs/ handrails: • Repair any damaged stairs and handrails • Verify slip resistance of stair treads • Keep the surfaces clean and dry • Add additional handrails • Create visual cues for elevation changes • Inadequate lighting: • Install additional light fixtures and/ or brighter bulbs • Replace dead bulbs • Use fixtures that emit light from all sides • Weather: • Promptly remove ice and snow from walking areas • Distribute winter weather warnings • Place labeled bins with ice-melt chemicals • Utilize additional matts • Slip-resistant footwear for outdoor workers

  7. Equipment Causes • Improper use of stepstools and ladders • Flooring surfaces: • Selection • Condition • Mats: • Incorrect type • Inadequate size/ length • Poor placement Solutions • Stepstools and ladders: • Train employees on proper selection and use • Provide adequate equipment • Place damaged equipment out of service • Flooring surfaces: • Measure surface friction for high traffic areas • Apply friction coatings or install new flooring • Maintain floors per manufacturers instruction • Mats: • Select appropriate mat for application • Ensure adequate length and size • Place additional mats during severe weather • Secure mats from moving

  8. Put it all together Develop a program Plan Act Do Check

  9. It does work Worker’s compensation slip, trip and fall injury rates over time Source: Bell et al. 2008

  10. Resources/ References • NIOSH Slip, Trip, and Fall Prevention for Healthcare Workers • http://www.cdc.gov/niosh/docs/2011-123/pdfs/2011-123.pdf • OSHA Healthcare Slips, Trips, and Falls eTool • https://www.osha.gov/SLTC/etools/hospital/hazards/slips/slips.html • Bell et. Al - Evaluation of a comprehensive slip, trip and fall prevention programmefor hospital employees. • http://www.ncbi.nlm.nih.gov/pubmed/18932056

  11. Questions?