Safety Training
Safe Home Environment; Personal Safety;
Workplace Violence; Emergency Management
Infection Control
Universal Precautions
Blood borne Pathogens
Jason Leonard, Safety Officer
PURPOSE:
TO PROVIDE SAFE WORKING CONDITIONS
THAT PROTECT EMPLOYEES FROM BEING
UNNECESSARILY EXPOSED TO HEALTH
HAZARDS
INTRODUCTION
OSHA ESTIMATES 5.6 MILLION WORKERS IN
HEALTH CARE AND OTHER FACILITIES ARE AT
RISK OF EXPOSURE TO BLOODBORNE
PATHOGENS SUCH AS HUMAN
IMUNODEFICIENCY (HIV) AND HEPATITIS B
(HBV).
WHO HAS HBV?
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ALL TYPES OF PEOPLE
HAVE THE VIRUSES
280,000 PEOPLE ARE
INFECTED WITH HBV
ANNUALLY
8,700 ARE healthcare workers
200 will die as result
General Terms
HIV: HUMAN
IMMUNODEFICIENCY
VIRSUS ATTACKS THE
BODY’S IMMUNE SYSTEM,
CAUSING THE DISEASE
KNOWN AS AIDS OR
ACQUIRED IMMUNE
DEFICIENCY SYNDROME
HBV: HEPATITIS
MEANS
INFLAMMATION OF
THE LIVER. HEPATITIS
B VIRUS IS THE MAJOR
INFECTIOUS
BLOODBORNE
HAZARD YOU FACE
ON THE JOB
BLOODBORNE
PATHOGENS INCLUDE:
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NURSES
HEALTH AIDES
THERAPISTS
PHYSICIANS
DENTISTS
OPERATING ROOM
PERSONNEL
EMERGENCY ROOM
PERSONNEL
LAUNDRY HANDLERS
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LAW ENFORCEMENT
FIREFIGHTERS
PARAMEDICS
EMT’S
FIRST RESPONDERS
CPR PROVIDERS
Even though you don’t see it
HIV AND HBV AND OTHER PATHOGENS MAY BE
PRESENT IN:
•BODY FLUIDS SUCH AS SALIVA, SEMEN, VAGINAL
SECRETIONS, CEREBROSPINAL FLUID, SYNOVIAL
PLEURAL FLUID, PERITONEAL FLUID,
PERICARDIAL FLUID, AMNIOTIC FLUID, VOMIT,
URINE, FECES
• SALIVA AND BLOOD CONTACT IN DENTAL
PROCEDURES
• UNFIXED TISSUE OR ORGANS OTHER THAN
INTACT SKIN FROM LIVING OR DEAD HUMANS
MODES OF TRANSMISSION
•ACCIDENTAL INJURY BY CONTAMINATED SHARPS
•CUTTING YOURSELF WITH INFECTED OBJECTS
• CONTACT WITH OPEN CUTS, NICKS AND
ABRASIONS
• CONTACT WITH MUCOUS MEMBRANES
MOUTH, NOSE AND EARS
TRANSMISSION OF VIRUSES:
HIV IS TRANSMITTED PRIMARILY
THROUGH SEXUAL CONTACT BUT MAY ALSO BE
TRANSMITTED THROUGH CONTACT WITH BLOOD
AND SOME BODY FLUIDS. HIV IS NOT
TRANSMITTED BY TOUCHING, FEEDING OR
WORKING AROUND PATIENTS WHO CARRY THE
DISEASE
IF YOU BECOME INFECTED
WITH HBV:
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YOU MAY FEEL LIKE YOU HAVE THE FLU
YOU MAY BE SICK ENOUGH TO BE
HOSPITALIZED
YOUR SALIVA AND OTHER BODY FLUIDS
MAY BE INFECTIOUS
CONTROL OF BLOODBORNE
PATHOGENS
•EMPLOYEE WORK PRACTICES
•KNOW YOUR PATIENTS DIAGNOSIS
•PERSONNEL PROTECTIVE EQUIPMENT
•HOUSEKEEPING (SHARPS)
•HEPATITIS B VACCINE
TRAINING SHALL CONTAIN:
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ENGINEERING CONTROLS
(looking at incidents)
ADMINISTRATIVE CONTROLS
(guidelines)
PPE
POST EXPOSURE EVALUATIONS
RECORD KEEPING
UNIVERSAL PRECAUTIONS:
TREAT ALL BLOOD
AND BODY FLUIDS
AS POTENTIALLY
INFECTIOUS
CONTAMINATED SURFACES
• SURFACES CAN BE CONTAMINATEDWITHOUT
VISIBLE SIGNS
• HBV CAN SURVIVE ON SURFACES AT ROOM
TEMPERATURE FOR AT LEAST A WEEK
. KNOW HOW TO DISINFECT YOUR EQUIPMENT
EXPOSURE PREVENTION AND
CONTROL
• PLACE CONTAMINATED
SHARPES IN APPROVED
CONTAINERS
• WASH HANDS AFTER
CONTAMINATION
• DO NOT KEEP FOOD OR DRINK
ON COUNTERS WHERE
INFECTIOUS MATERIALS MAY BE
PRESENT
PERSONAL PROTECTIVE EQUIPMENT
PPE INCLUDES:
• GLOVES
• MASKS
•APRONS
• FACESHIELDS
• MOUTHPIECES
• GOWNS
• EYEWARE
• CPR POCKET MASKS
• OTHER EQUIPMENT WHICH MAY REDUCE CONTACT
WITH SKIN OR OTHER POTENTIALLY INFECTIOUS
MATERIAL
Hand Washing/Hygiene
When do we wash hands
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Hands are Visibly Dirt or
soiled
Been in contact with
contaminants
Before direct Patient
contact
Before applying Sterile
gloves to perform a
procedure
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After coming in contact
with patients skin
After contact with body
fluids/dressings
After contact with medical
equipment
After removing gloves
After using Toilet
After Smoking
How do we wash our hands
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Protect clothes from splashing
 Rinse hands under running water
and keep pointed down
Nails short & no polish in Patient
care
 Dry hands on CLEAN PAPER
TOWEL
Turn on water to desired
temperature Avoid to HOT
 Turn off water with used paper
towel
Wet hands and apply soap
Hand Sanitizer (alcohol based)
Lather vigorously at least 15
seconds don’t forget finger nails
Put in palm enough for both hands.
and tops of hands
Rub hands together covering all
areas until DRY
COMMON SENSE RULES
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BE SURE TO WASH
HANDS AND REMOVE
PROTECTIVE CLOTHING
BEFORE:
- EATING
- DRINKING
- SMOKING
- APPLYING COSMETICS
- HANDLING CONTACTS
Biohazard Label & SHARPS
Sharps Requirements
Based on level of care
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According to OSHA
Sharps containers must be
easily accessible to employees
and located as close as
feasible to the area where
sharps are being used.
(Patient Care Area)
Sharps accessibility is based
on level of care
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Closable
Constructed to prevent leakage of
fluid.
Labeled and color coded
Closed prior to transport
Double bagged if needed
OFFICE staff is responsible for
insuring sharps are placed in
container for destruction
SAFE HOUSE KEEPING
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WEAR RUBBER GLOVES
RESTRICT AREA
USE DISPOSAL TOWELS
FOR CLEANUP
PUT CONTAMINATED
BLOOD IN APPROVED
CONTAINERS
BE PREPARED
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ALWAYS WEAR GLOVES
WHEN AT RISK
BE ALERT FOR SHARP
OBJECTS
DO NOT PICK UP GLASS WITH
BARE HANDS
PLACE SHARPS IN APPROVED
CONTAINERS
STANDARD THAT APPLIES:
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Occupational safety and
health administration
OSHA General Industry
Standard
29 CFR 1910.1030
29 CFR 1910.1200
29CFR 1904
Know Your Rights under OSHA
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OSHA gives workers many important rights
• Right to a safe and healthy workplace
• Right to file an OSHA complaint
• Right to information
• Right to OSHA inspection
• Right to know about hazards
• Right to health and safety training
• Right to not be discriminated against for health and safety
activity
WWW.OSHA.gov 1-800-321-OSHA
Workplace Safety
Primary responsibility is to perform your duties in a
safe manner in order to prevent injury to yourself or
others
Patient lifting
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Assist devices and equipment reduce excessive lifting
hazards when assisting patients while:
– Bathing and toileting
– -Moving from room to room
– -Moving from the bed to a wheelchair and vice versa
– -Repositioning in bed
Body Mechanics/ Lifting
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Plan the move before lifting
Test the weight
If heavy, use an aid like a
Hoyer, dolly, cart, etc.
Position your feet 6-12 inches
apart
Face the load
Bend at knees
Keep your back straight
Hold close to your body
Stand while keeping the weight
of the load in your legs
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Perform lifting movements
smoothly and gradually
If you must change direction, pivot
your feet and turn
Set down objects in the same
manner as you picked them up,
except reverse
Do not lift an object from floor to
above your waist in one motion
Never lift anything with greasy or
wet hands
Wear protective gloves when
lifting objects with sharp corners
Fire Prevention and Safety
Severe Weather
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Remove from immediate hazard
Sound alarm / call 911
Notify office
Seek Cover
As always NO Smoking
Hazard Communications
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MSDS Material safety data sheet
Chemical content
Hazards
Safe Handling
O2 Signage
Work Place Violence
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If you have a reason to believe an event in your personal
life can follow you to work.
2 million workers are victims of work place violence
annually.
Highest risk: working alone, late night, early hours, high
crime area, community areas and homes.
RUN > HIDE > FIGHT
Personal Safety Techniques
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Well lit locations
Aware of your surroundings
Time of day
Area of Danger
Alert Supervisor of concerns
Cell phone use
FALL RISK & ICE
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Foot wear is essential. Good rubber tread or rubber over shoe.
Take short steps
slower pace
so you can react to change in traction.
Motor Vehicle Safety
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Every 12 minutes someone dies, 10 second injured, 5 seconds
crash.
Aggressive driving (speeding, tailgate)
Distracted driving (Cell Phone use)
Fatigued driving (Drowsy Driving)
Impaired driving (alcohol & drug use)
Seatbelt use
General Rules
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Conduct (Behavior)
Drug and alcohol use
House Keeping (spills, exits)
Injury reporting and return to work program
Incident reporting
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OSHA reports that 5 million workers have an Occupational
injury or illness on the job ANNUALY.
Guidelines for reporting -24 hours
Random drug screen
Plan to return to work
Return to work program
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Complete and sign a report of Injury
form.
Obtain a return to work evaluation
form from physician for each
practitioner visit. Nightingale will
not accept a general form.
Temporary light work is available
for up to sixty days with a review of
your progress every 30 days.
If you are unable to return to your
regular job, but are capable of
performing transitional duty, you
must return to transitional duty.
Failure to do so will result in a
reduction in benefits available and
disciplinary action.
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If you are unable to return to your regular
job, or transitional duty, your absence must
be approved under the FMLA program. For
this purpose, you need to complete a Family
Medical Leave Request form
Employees who are not eligible for leave
under FMLA must return to light duty or
regular work if at all possible. You must
keep us regularly informed of your status if
you are unable to do this.
Employees must provide a return to work
form indicating they are capable of returning
to full duty.
Cooperate with our third-party administrator
and provide accurate information to the HR
department
This years Stats
WE CAN DO BETTER
Falls & Ice related
Strains due to lifting
Exposures
Auto accidents
Assaulted
Pet Bite
Miscellaneous
2011
22
12
4
8
3
3
3
2012
3
7
1
3
0
4
1
Thank you!
Complete the written test
 Drive home safely!
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