11

EPNEC Community-Wide Orientation

22

JCAHO Standards 2006 JCAHO Standards 2006 Environment of CareEnvironment of Care

(EOC)(EOC)

• EC 1.10 – Safety Management• EC 2.10 - Security Management• EC 3.10 - Hazardous Materials and

Waste Management

33

• EC 4.10 – Emergency Management• EC 5.10 - Fire Safety Management• EC.6.10 - Medical Equipment

Management• EC 7.10 - Utilities Management

EOC PLANS

….JCAHO (2)

44

CODE BLUE- CARDIAC ARRESTCODE BLUE- CARDIAC ARREST

55

CODE RED - Fire

EXCEPT FOR Thomason:

DR. RED

66

VIOLENT SITUATION

CODE STRONG:

77

DISASTER….

INTERNAL/EXTERNAL

•TENET: CODE INTERNAL/EXTERNAL TRIAGE

•THOMASON: PLAN D

•HCA : CODE D

•WBAMC: CODE TRIAGE

88

BOMB THREAT

•HCA: CODE ORANGE

•TENET: CODE ORANGE

•THOMASON: CODE ORANGE

•WBAMC: CODE TRIAGE

99

INFANT ABDUCTION

•HCA: CODE ALERT

•TENET: CODE ALERT

•THOMASON: CODE PINK

•WBAMC: CODE PINK

1010

Knowledge of the proper procedures in the special handling, use, storage, and disposal of hazardous wastes and materials.

1111

- Handling, use, and storage guided/defined by local, state, or federal regulation - Occupational Safety and Health Administration (OSHA) - Regulations for Bloodborne Pathogens: disposal of blood and blood-soaked items-Nuclear Regulatory Commission - Regulations for handling and disposal of radioactive waste-Other: Hazardous vapors (e.g., gluteraldehyde, ethylene oxide, nitrous oxide)

Hazardous Materials and Waste

1212

Regulations cont.Regulations cont.

• Hazardous energy sources (e.g. ionizing or non-ionizing radiation, lasers, microwave, ultrasound).

• Joint Commission considers infectious waste as falling into this category of materials (hazardous waste)

• Federal regulations do not define infectious or medical waste as hazardous waste

1313

TYPES OF HAZARDOUS MATERIALS - Health-care workers may use or beexposed to each day

INFECTIOUS SUBSTANCESSome infectious substances (such as some viruses) can be transmitted by blood and other body fluids,equipment, containers, paper goods, glassware, linens and by people.RADIOACTIVE MATERIALSThese require special handling techniques to prevent exposure to personnel and visitors.

1414

TYPES OF HAZARDOUS MATERIALSTYPES OF HAZARDOUS MATERIALS

FLAMMABLE LIQUIDS AND GASESFor example, chemicals, such as ether or

alcohol, can burn or explode.

TOXIC CHEMICALSA person may be exposed over a long

period of time before effects are noticed.

1515

Routes of EntryRoutes of Entry

Inhalation- you breath it (most common)

Ingestion- you eat it

Absorption- soaks through skin

Injection- puncture wound

1616

RememberRemember

•Many hazmats are odorless, colorless and tasteless

•You may be exposed before you know it

•Approach safely

1717

• Product’s chemical and trade name

• Manufacturer’s name, address, and emergency number

• List of hazardous ingredients

• Details about the product’s physical and chemical characteristics

• Data on fire and explosion characteristics

1818

MSDS CONT.MSDS CONT.• Health hazard info: routes of entry,

effects of exposure, and signs and symptoms of exposure

• Emergency and first aid instructions• Protective equipment and ventilation

requirements (PPE)• Other precautions for safe handling

and use: disposal of wastes, storage, & spillage recommendations

1919

YOUR ATTITUDE -- AND ACTIONS – …….COUNT!

You must want to do your job safely and you must understand and use safe practices and methods. That’s what being part of an effective safety team is all about!

2020

In each area of the facility where you work:Observe signs, and take precautions when entering an area identified as hazardous. Know what’s inside a container before you handle it!

2121

• Gloves & Goggles

• Masks

• Respirator

• Gowns & Aprons

• Footwear

• Good hygiene

2222

• You know what it is, staff trained to handle without assistance

• Small quantity• No immediate danger to staff

exposed• Contain the spill• Act Quickly• Wear PPE• FOR OTHER SPILLS: Notify

proper personnel, clear immediate area

(e.g. unknown substance , large amt. or dangerous substance)

2323

• Before entering or leaving work area• Before and after contact with patient• After handling items such as bedpans,

dressings, etc.• After removing gloves• After using the toilet, blowing your nose

or covering a sneeze• Before eating, drinking or handling food

or smoking

2424

• Let falling objects fall• Practice safe handling

techniques• Don’t reach into

containers• Dispose of sharps

carefully

2525

• Take training seriously

• Avoid taking shortcuts

• Report unsafe conditions

• Know emergency procedures