Jake SlivenskySafety Manager

• 2 Main Hospitals•Nashville- Tertiary Care•Murfreesboro- Long Term Care/Psych

• 14 Outpatient Clinics (and growing)• 2 Cemeteries• 2 Veterans Community Centers•3800 FTEE

VA Safety

Construction

Environmental

LifeSafety

FireSafety

EmergencyManageme

nt

AccidentInvestigati

on

IndustrialHygiene

• NFPA 101 Life Safety Code•Minimal Building Construction•Maintaining Egress•Corridor Widths•Fire Suppression & Maintenance•Door Functionality

• Fire Drills•Scored/Critiqued•Rolls and Responsibilities

•Evacuation- leave or stay?•Fire Extinguishers•Unique Challenges•Based on location/area/section

Heard of Walter Reed VA Medical Center?

• $56 Million Projects•Protect the Patients•Dust•Noise•Critical Patients•Preserve Fire Suppression

• Hazardous Materials•Storage & Disposal

•OSHA- Right to Know•Monitoring•Chemical Badge/Dosimeter•Indoor Air Quality (IAQ)•Noise•Confined Spaces

• Comprehensive Response Plans• Full Scale Drills• Critique and After Action Reports

• Green Environmental Mgmt System (GEMS) •Air Emissions•Boilers•ETO Sterilizers

•Routine water sampling•Underground Storage Tanks (UST)

• Resident Care Home Programs RCH•~120 Homes

• Nursing Home Care Programs•~20 Facilities

• Homeless Shelters•~5 Shelters

• Finances <====>Federal Budget•Hiring•Training•Salaries•Equipment

•Politics/Oversight•Overkill on Inspections•Growth: Facility + Geographic•“Me Too” Syndrome

• OSHA (federal)•TDEC•The Joint Commission****•Office of Inspecting General•Congressmen•News Reporters•Quality Management•VA Patients

****Governing Body of Accreditation

Jake Slivensky(615) 456-6396Jake.Slivensky@va.gov