Safety & Security • Safety and Security Department • Phone (352) 265-0028 • Fax (352) 265-0305 • Presented by: • Ted Miller Safety Manager
Environment of Care • Purpose: • A safe, functional and effective environment for patients, staff members and other individuals is crucial to providing patient care and achieving good outcomes.
Required Plans • Safety Management • Security Management • Hazardous Materials Management • Emergency Management • Life Safety Management • Equipment Management • Utility Management
Safety Management • Scope: • To provide a safe, consistent and comfortable environment for patients, visitors and staff.
Safety Management • Objectives: • Employee Training • Employee Involvement • Management Accountability • Hazard Assessment • Hazard Abatement
Safety Management • Responsibilities: Management • Develop/maintain safe work practices • Periodic inspections - corrective actions • Accident investigation/reporting • Staff orientation and training • Safety meetings • Enforcement: PPE, safe practices etc.
Safety Management • Responsibilities: Staff • Report unsafe practices/conditions • Report accidents and near misses • Follow safety rules • Participate in training - demonstrate competency • Knowledge of emergency procedures
Occupational Illness/Injury/Exposure • What and How to Report • Notification of Supervisor • Complete Employee Accident report • Notification of Occupational Health Services (50250) • Accessing authorized treatment - Managed Care Arrangement, Emergency Treatment
Ergonomics • Definitions: • The study of work • Attempting to fit the job to the worker, rather than forcing the worker to fit the job • Job Site Analysis • John Lane, Ergonomist - #50250 • Portia Gardner, O.T.
Risk Management • Reporting Requirements - When • Death of a patient • Brain or spinal cord injury • Performance of a procedure on the wrong patient • Surgical procedure unrelated to the patient’s diagnosis • Visitor accidents or injuries
Risk Management • Reporting Requirements - How • Hospital Incident report form • Completed within 24 hours • Routed to Self-Insurance Program through Q.A. • Telephone call to Self-Insurance Program at 265-8028, DOC or Chief of Staff
Risk Management - Incident Report Form • Caution: • Subject to legal discovery, should contain only objective information • Incident reports are legal documents • Not to be placed in, or referred to, in medical record • Discuss incident only with appropriate parties • Never photocopy • Do not coerce injured visitor to ED
Security Management • Scope: • The organization provides a safe, comfortable environment for patients, visitors and staff by designing, providing, evaluating and improving an appropriate security infrastructure.
Security Management • Objectives: • Provide protection and assistance to patients, visitors and staff. • Educate patients, visitors and staff in security issues. • Maintain a working relationship with law enforcement agencies.
Security Management • Responsibilities: Management • Control keys to department • Protect confidential information • Develop departmental policies for security sensitive areas
Security Management • Responsibilities: Staff • Challenge unidentified individuals in work areas • Report suspicious individuals or activities to Security • Wear ID badges • Protect corporate and personal property • Protect and keep for personal use keys and other access devices
Violence in the Workplace • Responsibilities (ZERO TOLERANCE) • Violence or threat (real or perceived) • Staff initiated • Visitor initiated • Patient initiated • Weapons on premises • Report all to Security at 5-0109
Hazardous Materials and Wastes Management • Scope: • Provide a safe environment through knowledge and awareness of processes to safely control hazardous materials and waste.
Hazardous Materials and Wastes Management • Objectives: • MSDS management • ID of haz-mats in workplace • Proper handling, use, storage and disposal • Emergency & Spill procedures • Risk reduction by waste reduction
Hazardous Materials and Waste Management • Responsibilities: Management • Frequent inspections of work area • PPE: provision, training, maintenance • Current, accurate inventory • Availability of MSDS information • Staff orientation and training
Hazardous Materials and Waste Management • Responsibilities: Staff • Demonstrate safe work practices • PPE; handling; use; storage; disposal • Report unsafe practices • Satisfy competency requirements • Demonstrate understanding of MSDS
P A T I E N T R O O M D O O R
Emergency Preparedness Management • Scope: • To provide a safe environment for patients, visitors and staff in the event of an external or internal emergency.
Emergency Preparedness Management • Objectives: • Implement emergency procedures • Notify personnel when emergency response measures are initiated • Manage space, supplies, security • Facilitate evacuation of the facility • Orient and educate staff • Evaluate staff knowledge and performance
Emergency Preparedness Management • Responsibilities: Management • Develop departmental plan to respond to emergencies • Orient and train staff • Maintain departmental call list • Implement departmental plan • Evaluate departmental response
Emergency Preparedness Management • Responsibilities: Staff • Know their role in disasters, external & internal • Participate in training activities • Participate in drill activities • Be prepared to fill roles outside of their normal duties
Life Safety Management • Scope: • A life safety management plan describes how the organization will establish and maintain a program to provide a fire-safe environment of care.
Life Safety Management • Objectives: • Protect patients, visitors, personnel and property from fire and smoke. • Maintain compliance with “Life Safety Code NFPA 101” • Inspecting testing and maintaining all fire systems and equipment. • Provide life safety orientation and training for all staff
Life Safety Management • Responsibilities: Management • Provide staff orientation and training • Ensure staff knowledge of area specific needs, fire response and fire evacuation routes • Ensure understanding of alarm system • Enforce fire protection rules and policies
Life Safety Management • Responsibilities: Staff • Identify life safety risks • Know and demonstrate duties in fire emergency situation • Know where alarms are and how to activate • Understand compartmentation of building • Attend orientation and training • Adhere to life safety rules and policies
Types of Fires/Extinguishers • A - ordinary combustibles - Water • B - burning liquid - CO2 • C - electrical -CO2 • ABC type works on all fires
Extinguisher use • P - pull the pin • A - aim at the base of fire • S - squeeze handle • S - sweep side to side
Equipment Management • Scope - • A plan describes the establishment and maintenance of a medical equipment management program to promote the safe and effective use of medical equipment.
Equipment Management • Objectives: • Procedure for selecting and acquiring medical equipment • Criteria for inclusion in program • Minimizing clinical and physical risks through inspection, testing and maintenance • Monitoring hazard notices and recalls
Equipment management • Objectives: (cont.) • Compliance with reporting requirements of SMDA • Reporting and investigating problems, failures and user errors • Medical equipment orientation and education for users and maintainers • Emergency procedures
Equipment Management • Responsibilities: Management • Supply equipment data to program providers • Provide staff orientation and training • Ensure staff understands applications and limitations of equipment • Develop department specific safety policies related to equipment use
Equipment Management • Responsibilities: Staff • Use equipment in safe and competent manner • Understand applications and limitations of equipment • Report problems, failures and user errors • Obtaining back-up units and repair service • Report incidents and injuries to supervisor immediately