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ENVIRONMENT OF CARE
2013
Mary Ellen Lesperance RN, MSN, CIC, CHSP
Director, Environment of Care, Epidemiology, Safety Officer
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What is the Environment
of Care?
• It is the roadmap in our organization of
how the environment is managed safely
for everyone.
• It is a set of programs that assess the
environment for hazards and develops
action plans that will minimize or
eliminate risk
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#1 Safety Management
The first of seven plans: Safety Management
1. The Safety Officer and a team assess risks based
on information collected from the web based
incident reporting system.
2. The team examines work related injuries such as
slips, trips and falls, muscle sprains, blood and
body fluid exposure, exposures to chemicals
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Safety Management
• The most frequent types of employee
injury at Karmanos Cancer Center
include:
sprains
slips and falls
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Injury Prevention
Employees can prevent injury by:
• Reporting hazardous conditions such as
uneven flooring
• Report wet floors to Environmental
Services department
• Always wearing the appropriate
personal protective equipment
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Soiled Linen Management
Follow 3 simple Steps to avoid incorrect
disposal of medical supplies and
equipment
1. Segregate linen properly
2. Look for non-linen items from the bed
that may have been rolled up in the
linen by mistake
3. Roll only soiled linen before placing in
the blue soiled linen bags
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Soiled Linen Management
Examples of items that should never go into the soiled
linen bag include:
•IV tubing
•IV bags
•Medication
•Needles syringes
•Monitoring equipment
•Ambu bags
•Diapers
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#2 Hazardous Materials &
Waste Management
The 2nd plan is Hazardous Materials and Waste Management.
Staff can prevent harm by:
• Disposing of medical waste in designated containers
• Placing the trace chemo waste in the yellow
containers
•Pharmacy disposes of chemo waste, also called bulk
waste chemo waste in the black containers
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#2 Hazardous Materials &
Waste Management
The Material Safety Data Sheet poster has the phone number for
locating chemical information
It is your guide to chemical safety. The MSDS contain basic
information on the chemicals like:
•
•
•
•
•
Chemical Identification
Hazardous Ingredients
Fire and Explosive Data
Health Hazards
Spill Response
MSDS
MDS
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Patient Sharps Disposal
• Karmanos Cancer Center is not able to
accept used sharps, except those containing
chemotherapy.
• Do not accept patients used needles and
syringes from home even if they are in a used
detergent container or coffee can. Michigan
Department of Environmental Quality does
not allow sharps from a persons home to be
disposed at hospitals.
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Patient Sharps Disposal
• Each patient is given an instruction pamphlet
on how to dispose of used medications
including sharps.
• Please refer your patient to their local health
department to get information on how to
dispose of sharps.
• Contact Patient Education for brochures to
give to your patient.
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#4 Medical Equipment
Management
-
Be sure to review procedures for the proper use
of equipment.
-
Notify your supervisor if a patient brings in
patient owned clinical equipment. There are
special procedures that must be followed if
this occurs.
- Immediately take any faulty equipment out of
service and call FIXIT or 34948 for repairs.
- Notify your supervisor if the faulty equipment
has caused harm to patients or employees.
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#5 Utilities Management
• Utility failures refers to loss of water,
electricity or heating and cooling.
• Report any utility failures to your
supervisor.
• Call FIXIT or 34948 for all utility
failures or emergencies.
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#5 Utilities Management
• Clinical staff must know where the
medical gas shut off is in there
department.
• You could be instructed to turn the
medical gases off if there is a fire in the
department.
• Plug essential equipment into the red
outlets if there is a power failure.
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#6 Fire Safety Management
If a fire does start, you need to know what to do and do
it quickly. Remember—stay calm and do the following:
(RACE):
- Rescue anyone from immediate danger to a safe area past the
fire doors.
- Pull the Alarm box nearest you. Contact your operator or
security department and give exact location of fire. Sites not
located on main campus will call 911.
- Confine the fire. Close all doors.
- Extinguish (put out the fire) with the appropriate fire extinguisher,
if you are trained to do so.
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Fire Safety Management
Other Expectations:
• DO NOT USE ELEVATORS
• LIMIT TELEPHONE USE
You must be able to locate the following:
• Nearest extinguishers
• Pull alarm boxes
• Evacuation plan
• Two exit routes in your assigned area
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Fire Safety Tips
• Keep your area clean and clutter free
• Keep overhead storage at least 18 inches below
the ceiling
• Minimize storage
• Do not block hallways. Computers on wheels
should not be stored in the hallway. When
recharging, place them off to the side of the
corridor.
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Fire Safety Tips
• Do not prop doors open
• Keep hallways clear
• Do not use personal
cooking devices such as
toasters & small ovens
• Do not overload electrical circuits
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Fire Safety Management
When using an extinguisher:
Remember P A S S Pull the pin
Aim low, at the base of the fire
Squeeze the handle
Sweep from side to side at the base of the fire
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Smoke Compartments
During a Code Red, DO NOT pass
through doors with this sticker above
them unless you are evacuating from
the fire area.
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Smoke Compartment
• If there was a fire in a patient care area and
you were asked to evacuate patients, you
would move patients through the door with
this sticker above it.
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#7 Emergency Management
• When there is an Emergency Code call
on main campus, refer to the flip chart
posted in your department for quick
reference
• Karmanos Cancer Center has an
Emergency Operations Plan, Policy EM
039 that gives instruction on how to
manage events that may affect our daily
operations.
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Emergency Management
• The plan describes the Incident Command
System and the function of the Emergency
Operations Center sometimes called the
EOC.
• Staff are notified of an event through a Fan
out process that alerts all managers.
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Emergency Management
• There are plans in place for 96 hour
sustainability or hospital stand alone
capabilities.
• These include back up plans for utilities,
communications, staff management, patient
care, resources and security.
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Emergency Management
• Karmanos Cancer Center partners with
vendors and community agencies to share
resources if needed.
• We participate in community exercises to
prepare for real events such as severe
weather, power outages and possible patient
evacuation.
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Emergency Management
• The Emergency Management Committee
discussing all events and exercise regularly.
• The committee evaluates our readiness,
response and recovery for any type of hazard or
emergency event.
• A Hazard Vulnerability Assessment prioritizes
which types of emergency events staff will
prepare for.
• At Karmanos our focus is communication and
utility system preparedness.
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ENVIRONMENT OF CARE
SUMMARY
As a healthcare worker, you must be alert to the dangers of infection and
injury. Making your safety and health a priority is one of the best ways to
create a safe and healthy environment for patients and for you!
And above all, apply a healthy dose of common sense to everything
you do on the job.
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