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28 Cards in this Set
- Front
- Back
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Phases of a Needs Assessment
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1. Initial data collection
2. Facility tour/key people 3. Written report |
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What is a Worksite Analysis?
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Process to help focus admin on areas to improve including:
1. Emerging and existing hazards 2. Changes in conditions/operations which exacerbates hazards |
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Nosocomial Infections
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hosital acquired infections
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What OSHA standard has the highest compliance rate?
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29 CFR 1910.1030
Bloodbourne Pathogen Standard |
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Name 2 Worksite Analysis tools.
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Industrial Hygiene- the science of recognizing, evaluating and controlling wkpl conditions that may cause illness/injury.
Epidemiology- the study of epidemics- useful to id trends of illness/injury to ees |
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Health Hazards
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Sunstance that may cause measurable changes in the body
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"Measurable Changes" as defined by OSHA
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Changes that occur which result in diminished health, functional capability or life expectancy. Can be acute or chronic.
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NIOSH
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National Institute for Occupational Safety and Health
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ACGIH
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American Conference of Industrial Hygienist
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BLS
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Bureau of Labor Statistics
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2003 BLS statistics on HC workers.
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15% of nonfatal occupational injuries.
17.9% of nonfatal ocupational illnesses |
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2003 BLS statistics of injury/illness resulting in lost work days, job transfers or restricted duties of HC workers
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121,800
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2003 National Safety Council reports
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4,365,200 injury/illness for yr
292,700 attributed to HC average cost per case $35,500 10.39 billion- 2.1 million per hospital |
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OSHA examples of a "recordable" injury/illness
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death, lost wk days, restricted wk days, treatment beyond 1st aid, loss of consciousness, dianosed by Dr., needle sticks and sharps injuries where body fluids or infectious material is present
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4 elements of an effective health and safety program
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1. Based on info gathered in Needs Assessment and Wksite Analysis.
2. Performance is scrutized for success/failure 3. Acknowledge the need for continuous improvement (kaizen) 4. Methodical/disciplined approach in design and improvement process |
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To have an effective health and safety program you must have leadership from the top and participation from the bottom up, and each department must know...
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1. OSHA/Federal/State/Local and TJC standards applicable to them.
2. Departmental compliance to applicable standards 3. Department injury/illness history 4. Department medical surveillance status |
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Why should Health and Safety programs conduct an audit every 6 months
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To ensure compliance. The reulst should be reported to the Safety Committee for review
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In order to prevent the spread of infectious diseases in health care environments, public and occupational safety and health experts recommend utilizing a hierarchy of controls in order of importance:
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Administrative controls (screening, employee health histories, evaluation and testing for employees)
Engineering controls (isolation rooms) Respirator use (personal protective equipment) |
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Airbourne risks include:
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Aspergillosis
TB Anthrax Small Pox Terrorist Activity |
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The primary defense against infectious disease is the body’s immune system. Methods to enhance or enable the immune system include:
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Antibiotics
Vaccinations Personal hygiene Hand hygiene |
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New construction and renovations must include collaboration on the design by:
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Infection Control Professional (ICPs)
Risk Manager Epidemiologists Architects Engineers Health and Safety Professionals |
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Hazard Communication Standard
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29 CFR 1910.1200
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29 CFR 1910.1200 Hazard communication standard's purpose
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Ensure evaluation of chemicals imported or produced at facility
Ensure information is distributed to the employees regarding the dangers of working with the chemicals Establish a comprehensive hazard communication program at the facility to include: Labeling containers, warning signs posted, etc. MSDS sheets Employee training |
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Physical Hazards are defined as chemicals which are:
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Combustible liquids
Compressed gas Explosive Flammable Organic Peroxide Oxidizer Pyrophoric Reactive |
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Employees are required by OSHA, NIOSH, ACGIH and other organizations to read and understand Material Safety Data Sheets (MSDS). Bottles and containers must be labeled.
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True
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Chemicals can be broken down into two basic categories:
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Organic
Large compounds based on carbon, nitrogen, oxygen, phosphorous and sulfur. Examples : glucose, anesthetics, sterilants, pharmaceuticals, cleaning supplies, solvents, pesticides and herbicides. Adverse health effects include: liver damage, neurological effects, lung damage, kidney damage, etc. Inorganic Simple compounds (mercury (Hg), iron (Fe), lead (Pb), etc.) Examples: saline (sodium chloride dissolved in water), cobalt (radiation source) Adverse health effects include: neurological damage (Hg, Pb), radiation damage, fumes, etc. |
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Written Hazards Communication Program
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29 CFR 1910.1200 (E)
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OSHA requires that these components must be in the written Hazards Communication program
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List(s) of hazardous chemicals on premises 1910.1200(e)(1)(i)
Labeling and other forms of warning 1910.1200(f) MSDS 1910.1200(g) Employee training on chemical hazards and proper usage of personal protective equipment (PPE) when dealing with hazards 1910.1200(h) |
