Transcript Safety - Newport Hospital

NEWPORT HOSPITAL
A Lifespan Partner
Medical Staff Safety Education
PURPOSE OF THE PROGRAM
Inform
you about your
responsibilities related to the
Safety Management Program
Your Safety Responsibilities:
 If
you find any unsafe conditions please
notify the appropriate assistant clinical
manager or director.
 If corrective action is still not taken, notify
Joyce Sullivan, Safety Officer (5-1177).
FIRE PROTECTION/
DETECTION
The basis for our Life Safety Program is the Life
Safety Code of the National Fire Protection
Agency.
We have the responsibility to provide education
related to the safety features of the hospital to
ensure the safety of all.
NO SMOKING
SMOKING POLICY …
 Newport
hospital is a smokefree campus.
There is no smoking
anywhere on the grounds
of Newport Hospital
Smoking
 Physicians
are responsible for discouraging patient
smoking and providing the patient with alternatives
to smoking
– Our pharmacy carries:
Nicotine patch (7mg, 14mg, 21mg) per 24
hours
Nicotine gum (2mg per piece)
ELECTRICAL SAFETY
When using hospital equipment…
Check
integrity of wires, plugs and outlets.
Check equipment inspection stickers.
IF THERE ARE ANY PROBLEMS OR
THE ITEM IS PAST ITS NEXT TEST
DATE… DO NOT USE AND REPORT TO
STAFF/MANAGEMENT
EXAMPLE OF
SAFETY CHECK STICKER
Newport Hospital
CN: 00001
Date: 4/30/07
Due: 10/30/07
OP: RCV
LIFE SAFETY MANAGEMENT

Fire Alarm System
– Smoke & Heat Detectors
– Manual Pull Stations (Fire Pull Boxes)
– Strobe Lights
– Horns & Speakers
» Code Red = Actual Fire or Fire Drill --Stay put Limit Travel
» Code Clear = All Clear – Free to Move About
 Don’t Block Fire Pull Stations or Fire Extinguishers
 Don’t Prop Open Fire Doors or Block Fire Doors
SAFETY FEATURES OF THE
BUILDING
KEY CONCEPT …
COMPARTMENTALIZATION
 Compartmentalization
utilizes fire doors to
restrict the movement of fire and smoke.
 Confines
possible.
the fire to the smallest area
LIFE SAFETY MANAGEMENT
Your
role in a
fire emergency is
to report it to a
staff member
immediately.
EMERGENCY
PREPAREDNESS
Emergency Preparedness
Ongoing…….Continuous
Prepare!
Training!
Exercise (drills)!
Evaluation!
Improve!!!
Incident: any occurrence that requires a
response to save lives/property
Examples include:
 Natural disaster (hurricane,
earthquake)
 Fire, Building collapse
 Disease outbreaks
 Terrorist incidents
 Hazardous materials incident
What is NIMS??
National
Incident Management
System.
Developed by Homeland Security.
Provides nationwide plan for
organizations to work together during
an incident.
Outline is flexible to apply to any size
or cause of incident.
NIMS: 3 key systems
 ICS:
incident command system (defines
management and structure)
 Multiagency coordination: relationship to
outside supporting agencies
 Public Information: communicating
accurate information to public during the
emergency
What is HICS ??
“Hospital Incident Command System”
HICS
is a “chain of command” standardized
approach to directing the many activities
needed to work through the disaster or
incident.
Terminology
Has
same for multiple agencies.
been tested many times as best practice.
HICS: major functions
Incident Commander
Administrator
(leader of the event)
Public Information Officer
(Only person that speaks with press)
Liaison Officer
(Works with outside agencies)
Safety Officer
(Ensures safe environment)
Technical specialist
(for advice and support)
Logistics and Planning Chief
(long-range planning and supplies)
Operations Chief
(VP Nursing or designee)
Finance Section Chief
acquires supplies (medical, food)
cares for facility needs
staffing support, transportation
communications & IT support
Responsible for medical care
provided to all patients
(Inpatient, Emergency)
Security
Keeps track of costs related to incident
(staff time, supplies)
Newport Hospital Disaster
Announcements
 “Code
Triage Standby”: signals
information being studied about
potential need for disaster response.
 “Code
Triage”: the Incident
Commander has decided to begin full
disaster response. Disaster may be internal
or external
 (additional
information will be given)
Command Centers
 Incident
Command
Center
Physician
Command
Center in ED
Physician Command Center
 Physicians
are given an assignment
 Surgeons - Prepare Operating Room patients for
transfer as needed. Assist with discharge of
Ambulatory Surgery Patients, and report to the ED for
assignment.
 Determine
which patients need discharge.
 (If EMS on-scene of the disaster request MD on-scene,
one off-duty ED physician/or designee will respond to
the scene.)
Identification System for staff
during disaster response
 Emergency
Dept. MD in charge wears a Red
Cap
 RN
in charge of Emergency Dept. wears a Blue
Cap
 All
other staff wear adhesive name tags
with…name and title on personnel protective
clothing
Additional Announcements

“Code Green” (bomb threat)

“Code Orange”

“Full building evacuation”
More than one can be
announced, so listen
carefully.
Code Orange
 Release
of any contaminant (chemical, biological or radioactive
agent) that may put hospital/staff at risk.
 Examples:
– Accidental release of chlorine from water treatment plant or ammonia from
ice plant.
– Letter containing white powder (? Anthrax)
– “Dirty bomb” explosion
Response:
protect
First: Self
Second: Hospital
Third: Patient
Code Orange: Responses
Immediate
lock down of hospital (Shelter in
Place).
Goal
is to protect the greatest number.
Code
Orange is announced.
Hospital
Staff institute “Code Amber” approach
manning stations to assure people don’t enter or
leave the department/hospital.
Listen
for further instructions.
Code Orange

Shelter in Place Philosophy
– In the hospital or at home
– Whenever there is a biochemical threat or
release - close windows, doors, drafts.
– Shut off heat, air conditioning, fans.
– Listen for further instructions, i.e. intercom,
radio, TV.
– STAY INSIDE !!
Code Orange (Cont.)
2
Tiered
– Decontamination occurs outside the Emergency
Department inside an inflatable tent or in the
decontamination room located at the ambulance
door.
– Medical treatment in Emergency Department
after patient decontaminated
Staging Areas ( for holding patients)
 Yellow
(less critical) go to the Hill courtyard
and Gudoian Conference Room areas. Exit will
be out front lobby door.
 Red (critical patients) go to the Emergency
Department. Exit will be out ambulance entrance
to ED.
 Green (ambulatory patients) go to Health
Information corridor extending into Borden-Carey
building. Exit out to Borden-Carey lot.
Emergency Preparedness Plan
 Drill
2 x per year with
community/state involvement.
 Dynamic Process – we are always trying to
improve.
 Good communications provide
greatest chance for success, so
please don’t assume someone knows somethingask/tell somebody.
Communication

Command Center at x 5-2222, if you need anything

Overall details of the disaster will be available via a voice mail
at 845-4242.

Blast e-mail may also be considered. This will be prepared by
the Incident Commander in conjunction with the Public
Information Officer and updated as needed.

The Public Information Officer is the only person releasing
information about the incident.
HAZARDOUS
MATERIALS AND
WASTE PROGRAM
(HMW)
HMW
Hazardous material is defined as any
chemical or product that is classified as toxic,
flammable, corrosive, reactive or an irritant
CAPABLE OF CAUSING HARM OR
SERIOUS INJURY.
MATERIAL SAFETY DATA SHEET
(MSDS)
 Purpose
of MSDS:
– Concisely informs the user of known hazards
of a chemical or product and any special
handling, training and/or disposal methods.
– Refer to MSDS binder (orange) to aid in
interpretation or online at MSDSdirect.
The hospital has MSDS available for all
known chemical and products used.
Hazardous Material Spill
Your
role is to report a spill
and the staff will take care of
it.
Infection Control Program Purpose:
To reduce the risk of infection for any person entering
the hospital:





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Patients
Healthcare Workers
Physicians
Contract Workers
Students
Volunteers
Visitors
Responsibilities of the Infection
Control Program
 SURVEILLANCE
 PREVENTION
 CONTROL
OF
INFECTION
&
Hand Hygiene

Hand Hygiene is the most important
measure to prevent the spread of infection!
1. Wash Hands with soap and water if they are
visibly soiled.
2. Sanitize Hands with Purell if hands are not visibly
soiled or contaminated with blood or body fluids.
Technique for Hand Hygiene
Alcohol Hand Gels (Purell)
 Apply to palm of one hand, rub hands together
covering all surfaces until dry
Handwashing
 Wet hands with water, apply soap, rub hands
together for at least 15 seconds
 Rinse and dry with disposable towel
 Use towel to turn off faucet
When Should You Perform Hand
Hygiene
Before and after contact with a patient or their
environment.
 After removing gloves.
 Whenever hands become soiled.

Environmental Asepsis
Clean
patient care equipment before
use with another patient. Use environmental
wipes (Stethoscopes and
Ophthalmoscopes/Otoscopes)!
Clean Equipment should have a pink
“Clean” Label on it.
CLEAN CLEAN CLEAN CLEAN CLEAN CLEAN CLEAN CLEAN
Standard Precautions
Stop
and Think!!!!!!
Anticipate a possible exposure to blood or
body fluids
Use personal protective equipment (gloves,
gown, mask and goggles)
Dispose of waste and sharps carefully!
 Use sharps safety devices to protect you
and others!!

Transmission Based Precautions
Contact Precautions
 Droplet Precautions
 Airborne Precautions

These
precautions are used in addition to Standard
Precautions for some infectious diseases.
Always
wear the personal protective equipment
(PPE) as written on the sign outside the patient’s
room.
SECURITY MANAGEMENT
OBJECTIVES
 Maintain
a safe and secure environment of
care for patients, employees, physicians,
and visitors.
 Protect
the physical assets of the hospital.
SECURITY MANAGEMENT
PERSONAL SECURITY
 I.D.
badges are required when in the hospital
rounding on patients (Obtain from Security)
– Must be visible (photo facing forward -above
waist) This is a Newport Hospital/R.I. Dept. of
Health requirement.
 Close and latch doors upon entering and leaving
the building.
 Personal belongings such as purses should be
locked away.
SECURITY MANAGEMENT
REPORTING SECURITY INCIDENTS
Report
any unusual situation or occurrence
to the security officer.
Call operator to page security.
If you need help quickly in an
EMERGENCY, dial 5-3333.
SECURITY MANAGEMENT
CODE GRAY
 The call to summon a team of responders
(Engineering, Environmental Services, and
Security) to help diffuse a potentially violent
situation.
 Goal: a “show of force” or, if necessary, “take
down” a patient safely.
 Accessed by dialing x5-3333.
CODE SILVER
 Any
situation that escalates beyond a Code
Grey, or a weapon/hostage situation is
present.
 CODE SILVER: is announced three times,
with the location of the problem, alerting
staff and other people to stay away from the
potentially violent area.
 Reporting: Call x5-3333.
CODE AMBER
 Infant/child Abduction
 Assigned
staff to report to specific
observation areas.
 Medical staff be on the alert to unusual/
suspicious behavior, attempt to verbally
detain or continue to observe suspected
abductor (if found), and notify a staff
member.
NEWPORT HOSPITAL FALLS
PREVENTION PROGRAM
 Certain
patients are assessed to be at high
risk for falls.
 They are identified with a yellow patient ID
band and a yellow safety sign on their chart
and door.
 Please notify nursing immediately if you
find a patient is trying to get out of bed by
him/herself, reaching, or wandering about.
Any
Emergency Call
53333