OSHA Update

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OSHA Update

• Robert Leonard
• OSHA
• Calumet City, IL
• [phone]
• 09/16/2003
• 
  

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Objectives

• Understand
• 1. How OSHA selects home.
• 2. The latest changes to OSHAs standards.

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Site selection process

• 1. Homes provide injury data.
• Homes having the highest injury rate are
• selected.
• - Letters are sent.
• - Inspectors are sent.

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Site selection

• All homes reporting more than
• 14 injuries/100 will be inspected.

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Site selection

• Any home reporting more than
• 8 injuries/100 may be inspected.
• ( National average for all
  workplaces is 3.1 )

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• Possible to
• 1. Delay an inspection
• 2. Avoid citations

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• FREE INSPECTION SERVICE
• Illinois Onsite Consultation Service
• Chicago, IL
• 1 [phone]
• 
  

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Recordkeeping
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Injury and illness reportOSHA 300

• 1. Days away from work
• 2. Restricted work activity or transfer
• In calendar days

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Annual summary OSHA 300A

• Must post a summary.
• February 1st April 30th

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The inspection process
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Focused inspection

• 1. Resident handling ( 52)
• 2. Slips, trips falls ( 19)
• 3. Blood borne diseases
• 4. Tuberculosis

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Resident handling
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Resident handling

• Because
• - 52 of injuries are related to resident
• handling.
• ( Costing about 1 billion / year )
• - Nursing homes should have a program.

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Resident handling program

• Determine the type of lifting necessary.
• 2. Determine how the lifts will be done.
• 3. Provide equipment.
• 4. Evaluate the residents.
• - Stay up to date

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Resident handling program

• 5. Train the employee.
• 6. Evaluate the employees performance.
• 7. Discipline employees and supervisors.

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Program evaluation

• Good program
• 1. Few resident handling injuries
• 2. Few days off per injury

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Program evaluation

• Improvement needed
• 1. Many resident handling injuries
• 2. Many days off per injury

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• You must determine the
• root cause
• of your injuries.

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• Investigate
• 2. Change your program

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• Resident evaluation

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• Effective training

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Resident handling equipment

• Belts
• Lifts
• - off the floor lifts
• - lifts with scales
• Beds
• - electric

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Resident handling equipment

• Bed maintenance
• - up down
• - brakes
• Wheel chair maintenance
• - brakes

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To reduce injuries

• - Lifts and slings available.
• - Employees use the equipment.

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To reduce injuries

• Everyone
• - Needs to get along
• - Must work to reduce turnover
• Mentoring program?

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• Slips, trips falls
• 19 of injuries

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Slips, trips falls

• OSHA will evaluate
• - Procedures to deal with spills
• - Method used to mop floors
• - Skid resistant floors or floor coatings

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Bloodborne diseases
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OSHAs requirements

• Required
• 1. Safety syringes
• 2. Safety lancets
• 
  appropriate
  
• 
  effective
• 
  commercially
  available

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New required documentation

• 1. Periodic review of program
• 2. Ongoing evaluation of safer devices
• 3. Exposure incident report
• 4. Needle stick log

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Tuberculosis

• Active and suspect are treated the same.
• Options
• 1. Get the resident out of the home.
• or
• 2. Negative pressure isolation

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Tuberculosis

• Isolation
• - Daily records of negative pressure
• - Respiratory protection program
• - Respirators
• - Respirator fit test

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• Corrosive Chemicals

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Eyewash
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• Electricity
• Grounding pins

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• Food
• mixers
• require
• guards

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Dishwasher
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E N D
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QUESTIONS
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OSHA

• FREE SERVICE
• Illinois Onsite Consultation Service
• Chicago, IL
• 1 [phone]
•