Occupational Health and Safety Dashboard Below are questions to
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Occupational Health and Safety Dashboard Below are questions to help you understand Occupational Health and Safety (OHS) in your organization. The four elements of the tool, the Organization, Infection Control, Training and Record Keeping sections comprise a "Dashboard", or overview of your OHS program. Please have a responsible person working in each described area answer the questions. Please answer by placing an X in the "Yes/No/Don't Know" box OR write the number/percentage answer in the appropriate box. If the question is unclear or not applicable, please note this and any additional information in the Comments box. Boxes that are grayed out indicate answer options not applicable for that question. Organization Organization questions examine the structure and processes used to evaluate and address Occupational Health & Safety (OSH) in your organization. These should be answered by senior management or designee. Is there a dedicated budget for health and safety? Does the Health & Safety Committee (HSC) meet quarterly or more often? record meeting minutes with action items? What % of action items were implemented in the past year? Are there procedures for conducting workplace hazard assessments? How many hazard assessments were completed in past year? What % resulted in written recommendations? Is there a staff clinic for work-related injury/illness? Is there a Return-to-Work Safely program? Is there a Patient safety program? # or % Is there a trained person in charge of OHS? Don't Know Is this OHS Policy in written form? No Is there an OHS policy for the organization? Yes Item/description Comments Infection Control The Infection Control program uses practices which, when used appropriately, restrict the spread of infection. This section should be filled out by the Infection Control staff. MMR vaccine ? Varicella vaccine ? Tdap vaccine ? Is staff vaccination status recorded and evaluated annually? Prevention (hand-washing) Is there a policy requiring workers to wash hands before caring for patients? Do patient care areas have sinks readily available? Are antiseptic soap, water and towels available? Is hand sanitizer available? Are signs posted to remind staff and visitors to wash their hands with soap? Are cleaning solutions replaced according to policies and procedures? # or % Influenza vaccine ? Don't Know Are the following vaccinations offered to employees: HBV vaccination series? No Vaccination information Is there a policy in place requiring vaccination of employees-free of charge- to protect against potentially occupationally-acquired diseases? Yes Item/description Comments Treatment Is INH available for post-TB exposure free of charge? Is HBV,HCV,HIV post-exposure assessment and, where indicated, prophylaxis available free of charge (note any exceptions in Comments section)? Does this policy require the use of respirators, protective eye wear and gowns? Are respirators available & accessible ? Do staff know when/ how to use a respirator? Are staff fit-tested for respirators on a regular basis? Is TB symptom surveillance testing conducted on regular basis? Personal Protective Equipment (PPE) # or % Airborne Pathogens Is there a policy in place to protect workers from exposure to airborne/droplet pathogens (e.g. TB)? Don't Know Is biohazardous medical waste segregated & clearly labelled? No Bloodborne Pathogens Is there a bloodborne pathogen policy in place requiring workers to use standard/universal precautions when caring for patients? Yes Item/description Infection Control- cont Comments Are the following items of personal protective equipment (PPE) available to workers: Medical gloves? Face shields, masks and/or eye protection? Impermeable gowns? Do staff know when/how to use these PPE? Infection Control- cont. Are symbols and pictures used on isolation signs? Are isolation signs geared towards both staff and visitors? In the isolation areas are there enough: Face masks? Gowns? Booties? Hats? Are the gowns, booties and hats properly cleaned/disposed of? # or % Are there designated isolation rooms for TB patients? Is signage clearly posted outside isolation rooms and does it indicate the type of isolation? Don't Know Is there sputum collection available when TB is suspected? No Isolation Measures Is there a policy of early identification and isolation of patients potentially infected with airborne pathogens (e.g. TB)? Yes Item/description Comments Safety Devices: In order to protect health care workers from bloodborne pathogens, the use of safety-engineered devices (including needless and safety needles) are recomended. These devices have safety features to protect the health care worker from being accidently injured by a stick with a needle or other sharp device for the following practices. Safety Devices Is there a policy in place requiring use of sharp devices that have safety features ? Do the following sharp devices have safety features: Phlebotomy devices? IV devices? Syringes? Surgical devices? Are there sufficient supplies of these devices? Are these safety devices used consistently? Are syringes recapped? Are sharps disposal containers available in all patient care areas? Training Training includes all formal and informal methods of educating staff on health and safety measures and infection control. This section should be filled out by the Human Resources or Training/Education department. When a need arises? # or % Once a year? Don't Know At time of hire? No Is safety training required for employees: Yes Item/description Comments Are training materials readily available to employees who want to review them? Where are they located? (describe under comments) Does training for employees include the following topics: Policies/procedures related to health & safety? Recognition of hazards? Control of hazards? Reporting hazards or exposures? Blood-borne pathogens? Use of PPE? Safety devices? Respiratory hazards? Violence prevention? Handwashing? Is training conducted: In-person? On-line? In another fashion? Are safety and health educational messages (such as flyers or posters) posted: Throughout the facility? In specific locations? If so, where? Are training records kept for employees? Is compliance with training reviewed and enforced? Is the training conducted by: Employee Health Nurse or Physician? Staff Nurse or Physician? Safety supervisor? Human resources or hiring personnel? Other (please describe) Record Keeping and Statistics The Record Keeping and Statistics section addresses the recording and evaluation of safety statistics over time. Health and Safety or Human Resources should consult their logs and other records to fill out this section. Workers who had to be quarantined? New cases of TB among health workers? Deaths in organization? Within the past year, what percentage of staff: Accepted HIV Counselling & Testing when offered? Were screened for TB? Were immunized for Hep B? Were immunized for MMR? # or % Within the past year, what are the total number of: Injuries? Needlestick injuries? Violent incidents against staff? Occupational disease cases including HepB, HIV, TB, other? Don't Know What was the total number of staff within the organization at beginning of the year? No Are there policies/procedures for reporting injuries/illnesses? Yes Item/description Comments Do you track employee turnover? Citations Infection control section adapted from the WHO "Rapid Assessment Tool: Bloodborne Pathogen Exposure Prevention" ; "Workplace Assessment Field Guide for Healthcare";HealthWISE - Work Improvement in Health Services - Action Manual, ILO; and personal communications with Susan Wilburn Organization and Record Keeping sections adapted from Spiegel et al. 2012. Tool,weapon or white elephant. BMC Medical Informatics and Decision Making.12:84 http://innovation.ghrp.ubc.ca/johsc/WPAFieldGuide.pdf http://www.ilo.org/wcmsp5/groups/public/---ed_dialogue/--sector/documents/instructionalmaterial/wcms_237276.pdf http://www.biomedcentral.com/1472-6947/12/84 EMPLOYEE WORKPLACE SAFETY CLIMATE SURVEY Below are questions designed to help you understand Occupational Health and Safety (OHS) in your organization. The four areas focus on facility chracteristics, personal perception about safety, perception of the approach to safety by management, and general safety practices at your facility. Please answer each question with an X in the appropriate box. If the question is unclear, not applicable, or you wish to elaborate please include this additional information in the comments box. Facility characteristics COMMENTS: Don't Know 10. ...work-related injuries? 11. ...reporting exposure to blood or other body fluids? 12. ...early identification and isolation of patients with tuberculosis? Or other infectious communicable disease:______________________ (please describe) 13. Does your facility...offer Hepatitis B vaccine to workers free of charge? 14. ...document injuries and needlesticks? 15. ...document the immunization status of employees? 16. ...use N-95 respirators/ properly fit tested for their use? 17. ...enforce proper hand washing universal precautions for all patient encounters? No Yes 1. Does your facility have an occupational health and safety committee? 2. Does your facility provide education and training for healthcare workers on... bloodborne pathogens? 3. ...infection control practices? 4. ...use of personal protective equipment(gloves, safety glasses, scrubs, etc.)? 5. ...handling of hazardous drugs? 6. ...use of safety devices (example: needles)? 7. ...latex allergies? 8. ...violence prevention? 9. Does your facility have procedures/protocols for assessing...workplace hazards? In the following section please describe how YOU PERCEIVE workplace safety : 18. I care about my personal safety at work 19. I care about the safety of my coworkers 20. I consider minor accidents to be a normal part of our daily work 21. I accept minor accidents to be a normal part of our daily work 22. I have great trust in my coworkers’ abilities to ensure safety 23. I feel that safety rounds/evaluations have no effect on safety 24. I consider safety training to be meaningless or nonexistent 25. I rarely talk about safety at work 26. I generally feel safe when working with others at work 27. I have witnessed others break safety rules in order to complete work on time COMMENTS: In the following section please describe how you perceive that the MANAGERS/SUPERVISORS at this workplace approach safety: 28. Management seems to care about my safety 29. Worker’s safety practices are very important to management. 30. Workers are regularly made aware of dangerous work practices or conditions 31. Workers are regularly praised for safe conduct. 32. Workers receive instructions on safety when hired. 33. Management looks for causes, not guilty persons, when an accident occurs 34. Fear of sanctions (negative consequences) from management discourages employees here from reporting near-miss accidents 35. Management strives for everybody at the worksite to have high competence concerning safety and risks 36. Management never considers employees' suggestions regarding safety 37. Management encourages employees here to work in accordance with safety rules - even when the work schedule is tight 5. Strongly Agree 4. Agree 3. Neutral 2. Disagree 1. Strongly Disagree Safety culture - safety, managers & practices Please answer with an X whether you 1=Strongly Disagree, 2= Disagree, 3=Neutral, 4=Agree or 5=Strongly Agree with the following statements COMMENTS: In the following section please describe the occupational health and SAFETY PRACTICES for healthcare workers within YOUR FACILITY: 5. Strongly Agree 4. Agree 3. Neutral 2. Disagree 1. Strongly Disagree Please answer with an X whether you 1=Strongly Disagree, 2= Disagree, 3=Neutral, 4=Agree or 5=Strongly Agree with the following statements 38. I have been instructed to use personal protective equipment 39. I have been trained on the proper use of personal protective equipment 40. I have a clear understanding of what to do if I am exposed to blood or bodily fluids 41. I have a clear understanding of the infection control practices of my facility 42. My facility tracks injuries at work to include needle sticks 43. Personal protective equipment is easily accessible and well stocked 44. I am aware of a safety reporting system for accidents at work 45. My facility promotes universal precautions as an expected practice at all times 46. I have been trained on disaster preparedness or emergency response 47. I was required to have certain vaccines when I was hired COMMENTS: Open Response Questions 48. Which of the following are challenges or barriers for implementing occupational health and safety or employee health activities in your facility? (Mark an X to all that apply) a. Lack of Funding b. Limited access to supplies c. Lack of training materials d. Lack of awareness among healthcare employees e. Limited staff f. Other, please describe:______________________________________ 49. What are your 3 biggest safety concerns at work? 1) 2) 3) Survey adapted from the following references: Eisenberger, R. & Huntington, R. Perceived organizational Support. Journal of Applied Psychology, 1986,Vol.71,No.3,500-507 Gillen, M., Baltz, D., Gassel, M., Kirsch, L., & Vaccaro, D. (2002). Perceived safety climate, job demands, and coworker support among union and nonunion injured construction workers. Journal of Safety Research, 33, 33-51. Kines, P., et al., Nordic Safety Climate Questionnaire (NOSACQ-50): A new tool for diagnosing occupational safety climate, International Journal of Industrial Ergonomics (2011), doi:10.1016/j.ergon.2011.08.004 Occupational Health Services Asset Dashboard Directions: To assess availability and location of existing resources which may assist in providing some aspect of occupational health services, please complete the grid below. Mark any asset location that may provide a specific task or occupational health service program element. Asset Location Clinic/ Hospital Resource Offsite Resource TASKS Employee Health Unit Infection Control Unit HIV Service Hospital Leadership Patient Safety Team Hospital/ Clinic Network 1. Organization of Safety Program Policy Trained person Committee % Staff Trained in Safe Practice Safe Sharps Airborne BBP Workplace Assessment Conducted Immunization Hx Worker Assessment Avail of PPE? 2. Infection Control Vaccine Program Training Hand Washing INH PEP available BBP and Airborne Availability of Safe Sharps & PPE Regional Partners (Public/ Private) City Clinics Nat’l Ministries of Health Min of Labor Private Agencies (UN AIDS, PEPFAR, Gates) Other: Asset Location Clinic/ Hospital Resource TASKS Employee Health Unit Infection Control Unit HIV Service Hospital Leadership Patient Safety Team Offsite Resource Hospital/ Clinic Network 3. Training New Hire safety training BBP Airborne –Policies Infectious control/ Work Practices Who teaches/ competent persons 4. Recordkeeping/ Statistics Reports of Illness & Injury Needle stx Quarantine workers New TB % screened for TB % staff counseling & testing Deaths of HCW Disability Retention Regional Partners (Public/ Private) City Clinics Nat’l Ministries of Health Min of Labor Private Agencies (UN AIDS, PEPFAR, Gates) Other:
