Transcript Training - Regional Health

RCRH
Contractor In-service
2013
Rapid City Regional Hospital
353 Fairmont Boulevard
Rapid City, SD 57701
October 2013
AGENDA
 Handouts
 General Information/Work Issues
 Infection Control
 Hazard Communication
 Emergency Preparedness
 Fire Procedure
 Lockout / Tag out
 Construction Management
 Compliance/Privacy Training
 Contact list
 In-service Quiz
GENERAL INFORMATION/WORK
ISSUES
 Tobacco Free Campus
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This policy supports tobacco free campuses to
benefit the health, safety, and well being of all
who visit and work at our facilities. The tobacco
free initiative applies to all facilities in the
geographic area comprising the entire campuses,
off-site properties, including buildings, walkways,
parking lots/ ramps, and any public sidewalk or
street that falls within campus boundaries of any
facility in Regional Health.
This policy will include Employees, Volunteers,
Medical Staff members, Allied Health
Professionals, Contractors, Vendors, Visitors, and
Patients.
Those who choose not to adhere to this policy are
subject to progressive disciplinary management/
corrective action.
 Behavior and Attire
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No profanity.
No lewd lettering or symbols on clothing.
No harassing words or body motions.
Influenza Vaccination
Influenza vaccination contributes to patient and
employee safety
National trend – Required annual influenza
vaccination
South Dakota Association of Healthcare
Organizations (SDAHO) Policy
Regional Health, Sanford, and Avera have
implemented required influenza vaccinations in
2013
All Regional Health System employees,
providers, volunteers and students will be
required to have an annual influenza vaccination
Contractor Vaccination Plan
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All contractor employees or sub-contractor
employees working in a Regional Health Facility will
be required to have an influenza vaccination.
Influenza vaccination records must be submitted to
the General Contractor of current construction
projects or the Construction Management
Department by October 31, 2013.
Influenza vaccination records will be required before
starting any future work at any Regional Health
Facility.
INFECTION CONTROL
 Hand washing
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Before eating and off campus smoking.
After going to the bathroom.
After you wear protective latex gloves.
After any contact with blood or other body substances.
After work.
 Barrier Equipment

Wear for any potential exposure to blood or body
substances.
 Infection Control
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Plant Operations and/or the Project Coordinator/
Supervisor has access to the Infection Control Policies
for your use upon request.
 Masks
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Wear masks when working with ceiling and carpeting
materials.
 Sharp Objects
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If you find something that may cause an exposure to
you, contact Plant Operations personnel at extension
8888 to take care of it. Security can be notified at
extension 8215 if Plant Operations is not available.
 Exposure to Blood or Body Substances
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Wash the exposed area immediately.
Contact your supervisor for follow-up action.
Reference the Infection Control Manual for more
information.
EMPLOYEE RIGHTS
The Occupation Health and Safety Act established
certain guidelines for all employers to use for the
protection and safety of their staff. All employees
should be oriented to the hazard communication
program.
Review of the Hazard Communication
Program will inform the staff about this program.
HAZARD COMMUNICATION
Over the years, research has shown that sometimes workers are
exposed to chemical hazards. It is known that chemical exposure may
cause serious health effects. Chemicals may also be safety hazards.
Some even have the potential to cause fire or other serious problems.
Goals for Hazard Communication:
Hazard Communication
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Recognize the Hazard Communication.
Employee Rights
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State in your own words how you can protect yourself
when asked to work with hazardous chemicals.
Labels on Containers
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Identify the chemical name and the manufacturer on
a container label.
List the two most common hazards found on
container labels.
Material Safety Data Sheets
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Identify where to find material safety data sheets.
List two ways to detect the presence of hazardous
chemicals.
Identify the first person you should contact if a spill or
injury occurs when using a hazardous chemical.
Lockout / Tagout Procedures

Always follow OSHA Lockout / Tagout Procedures.
Material Safety Data Sheets
Should a spill or injury occur when using a hazardous chemical, contact your
manager or supervisor immediately. Review of the Material Safety Data Sheet
(MSDS) will provide facts on how to handle the chemical if spilled. It will
also inform you of what to do in case of an injury. Below is a list of the
information provided on the MSDS.
Section I
Identification
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Manufacturer’s name, address and telephone number.
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Chemical name, family and formula.
Section II Hazardous Ingredients
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Product ingredients and percentages.
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Conditions for safe exposure. (Threshold Limit Value - TLV)
Section III Physical Data (Basic Scientific Data)
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Boiling Point.
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Appearance and odor.
Section IV Fire and Explosion Hazard Data (Basic Safety Data)
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Flash point and flammable limits.
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Fire fighting procedures and materials.
Section V Health Hazard Data
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Safety information.
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Effects of overexposure.
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First-aid procedure.
Section VI Reactivity Data
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Stability of the product and what will react with it.
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Conditions to avoid.
Section VII Spill or Leak Procedures
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Steps to control spills.
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Proper disposal of wastes.
Section VIII Special Protection Information
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Personal protective equipment.
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Ventilation needed to control exposure.
Section IX Special Precautions
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How to handle and store the product.
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Other necessary precautions.
A list of all chemicals used in the building, along with their MSDS forms, are on file.
All containers that hold chemicals must display a label that lists the contents and
dilution rate.
Labels on Containers
Any container which holds hazardous substances must have a label on
it. The label should include the following items:
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Name of chemical.
Name, address and telephone number of
manufacturer.
Type of hazard(s).
Care to be taken when using the chemical.
Each employee must be able to read and understand these labels.
The information included on them will be of great value in case of a
spill or an injury when using the chemicals.
Certain information may be of value to the user regarding chemicals.
Listed below are the two most common hazards found on container
labels.
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Physical Hazards
- Reactive – chemicals that may undergo a violent change.
- Flammable – chemicals that may ignite.
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Health Hazards
- Irritant – a substance that affects the skin, eyes, nose or
respiratory tract upon contact.
- Sensitizer – a substance that may cause an allergic response.
- Corrosive – a substance that causes damage to the skin upon
contact.
- Toxic – a substance that can cause harmful effects depending
on the dosage.
- Carcinogenic – an agent that may cause cancer.
SUMMARY OF HAZARD
COMMUNICATION
Review of the Hazard Communication Program is crucial to any staff
member who works with hazardous chemicals. Being able to read the
labels on containers is vital to all staff members. The label provides
facts on the type of chemicals found in each container. The Material
Safety Data Sheets provide more information on what to do in case of
an accident or spill involving the chemical.
Be sure you know how to respond if an OSHA surveyor asks you
specific questions about hazardous materials. Sample questions you
may be asked by an OSHA surveyor include:
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What training have you received in dealing with hazardous
materials?
What hazardous material is commonly used in your work area?
What is an MSDS?
Where do you find an MSDS in your department?
What type of information is found in an MSDS?
Reference of Resource List
1.
2.
3.
4.
Hazard Communication
Hazardous Materials and Waste Management
Department Manager/Supervisor
Safety Officer -- 719-5544 or Pager 536
Security
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Hazard Communication
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Hazard Communication
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Employee Rights
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Labels on Containers
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Material Safety Data Sheets
Fire Procedures
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R.A.C.E.
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P.A.S.S.
Emergency Preparedness
EMERGENCY PREPAREDNESS
MANUAL
Rapid City Regional Hospital maintains an Emergency Preparedness
Program. Within the program are the policies and procedures to follow
in the event of an emergency. A quick response to a real emergency is
vital to the safety of everyone.
Policies and Procedures
Policies have been established to help direct staff in case of an
emergency. Everyone should learn what to do when a disaster notice
is given. It is also vital to know what each code means. Listed below
are a number of different disaster codes and a brief description of
each.
External Disasters:
1.
Emergency Room Disaster (Paged “ERD”)
Staff is informed that more patients are arriving than can be handled by onduty staff. Departments most likely affected include Emergency, Lab,
Radiology and Surgery.
2.
Standby Disaster (Paged “Standby D”)
People on duty are warned that a disaster may occur. This will allow time
for planning, resource gathering, etc. Should the disaster occur, a major
disaster would be declared.
3.
Major Disaster (Paged “Major D”)
Staff is informed that a disaster has occurred. Also, more resources will be
needed to handle the influx of patients expected. The entire system will
then function on an emergency basis.
Internal Disasters:
1.
Tornado Warning (Paged “Condition Tornado”)
Staff is warned that a tornado has been sighted or announced by weather radar.
2.
Winter Storm Warning (Paged “Condition Snow”)
Staff is warned that the weather may cause a problem in staffing and supplies.
3.
Utilities/Communication Failure (Paged “Condition U”)
Staff is warned that one of the systems has failed:
- Water
Medical Vacuum
Heating fuel (natural gas, oil, etc.)
- Electricity
Medical Air
Oxygen
4.
Hazardous Materials Incident (Paged “Condition Hazmat”)
Staff is warned of an accident involving hazardous materials.
5.
Cardiac/Respiratory Failure (Paged “Code Blue”)
Alerts the Code Blue Team to respond to a cardiac/respiratory failure.
6.
Evacuation (Paged “Condition Evac”)
Staff is alerted that evacuation measures will take place in certain parts of the
building.
7.
Threat of Violence Plan (Paged “Condition TOV”)
Alerts security personnel that a hostage or workplace violence situation may be
occurring.
8.
Bomb Threat (Paged “Condition X”)
Staff is informed that a bomb threat has been received or that a bomb has been
detected.
9.
Fire Emergency (Paged “Condition Red”)
Staff is informed that smoke or fire has been observed; the fire alarm system has
been set off or an explosion has occurred.
10. Infant Abduction (Paged Condition “PINK”)
Alerts staff that a possible abduction has occurred; watch all exits from the
hospital.
FIRE PROCEDURE
Follow the R.A.C.E. acronym when you smell smoke, hear an explosion or see fire!
R.A.C.E.
 R…Rescue
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Fire demands attention.
Rescue anyone in immediate
danger.
 A…Alarm
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Activate the alarm system.
Notify people in the area.
Call the switchboard at 3111.
Give the precise location of the
fire.
 C…Confine
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Close all doors and windows.
Turn on all lights.
 E…Evacuate
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Move all people to a safe
location.
Extinguish the fire only if your
safety can be assured.
(Note: All drills are treated the
same as an actual fire.)
FIRE PROCEDURE
Follow the P.A.S.S. acronym when you smell smoke, hear an explosion or see fire!
P.A.S.S.
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P…Pull Pin
A…Aim
S…Squeeze
S…Sweep
(Note: All drills are treated the
same as an actual fire.)
LOCKOUT / TAGOUT PROGRAM
RAPID CITY REGIONAL HOSPITAL
What is Lockout / Tagout?
Lockout / Tagout is for the control of hazardous energy sources and covers servicing
and maintenance of machines and equipment in which the unexpected energization or
startup of the machines or equipment or a release of stored energy could cause injury
to employees.
The OSHA ruling generally requires that the energy sources for equipment be turned
off or disconnected and that the switch either be locked or labeled with a warning tag.
Hazardous energy sources associated with machinery are:
1.
2.
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5.
Electrical
Pneumatic
Hydraulic
Fluids and Gases
Mechanical
Basic Rules Applying to Lockout / Tagout Procedure
1. Anytime more than one person is performing “Servicing or Maintenance” on a
piece of equipment at the same time, each shall place his/her own padlock on the
energy isolating device.
2. No one other than the person(s) placing padlock(s) on energy isolating devices
shall remove padlocks and restore power.
3. It shall be the responsibility of the contractor to enforce this policy in their trade.
4. The contractor must provide training to all authorized and affected employees to
ensure the policy is understood.
Basic Rules for Using Lockout or Tagout System Procedure
1. All equipment needs to be locked out or tagged out to protect against accidental or
inadvertent operation when such operation could cause injury to personnel.
2. Do not attempt to operate any switch, valve, or other energy-isolating device
where it is locked or tagged out.
Contractors Parking
Company vehicles only
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Construction Storage
Trailer Parking
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Contractors Personal
Vehicle Parking
Construction Management
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Facility Usage
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Designated areas
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Towing vehicles
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Elevators
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Cafeteria
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Entrances
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Mechanical/Electrical areas
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Materials storage
Work Permits
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Cutting/Welding open flame
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Cutting concrete floors
Airborne Contaminants
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Risk assessment
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Containment
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Body protection
Clean-up
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Parking
Daily inspection
Stop Work
Construction Management
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Rated Separations
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Corridor and ceiling work
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Fire caulking
After hours work
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2 to 3 day notice
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How work affects adjacent hospital program
Something Wrong? Please Report!
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Set off alarms
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Disrupt building operation
Before any floor drilling, contact a RCRH
representative
Regional Health (RH)
Compliance Program
RH Commitment
Code of Conduct
Open Lines of
Communication
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Anonymous Hotline – 1-877800-6907
Corporate Responsibility
Department – 716-4738
Non-retaliation
HIPAA Privacy and
Information Security
Health Insurance Portability
and Accountability Act
(HIPAA)
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Privacy Rule: What
information is protected?
Security Rule: How we protect
such information?
What information is
protected by HIPAA?
What responsibilities do I
have in protecting and
securing information?
What are the consequences
of non-compliance?
Additional Information
 For further information on
any aforementioned manual
or program in this
presentation contact the
Director of Safety or the
Project Coordinator (Contact
information is on the contact
list) or your supervisor.