Safety in ExtendedCare Facilities

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Safety in Extended-Care Facilities
Safety in Extended-Care Facilities

• Bloodborne Pathogens
• Hazard Communication
• Lockout/Tagout
• Personal Protective Equipment
• Emergency Preparedness
• Combative Residents

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Bloodborne PathogensProgram Elements

• Exposure Control Plan
• Engineering and Work Practice Controls
• Personal Protective Equipment (PPE)
• Vaccination, Testing, and Post-exposure Follow-up
  Process
• Labeling and Training
• Recordkeeping

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Hazard CommunicationProgram Elements

• Written Program
• Chemical Inventory
• Material Safety Data Sheets (MSDS)
• Labeling
• Employee Training

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Personal Protective EquipmentProgram Elements

• Workplace Hazard Assessment
• Hazard Abatement
• Use engineering controls whenever feasible
• Product Evaluation/Selection
• Employee Training

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Lockout / TagoutProgram Elements

• Document all applicable equipment and energy
  sources
• Identify authorized and affected employees
• Develop written procedures
• Train employees
• Review and update
• Outside contractors

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Emergency Action PlanProgram Elements

• Responsibilities
• Rescue / medical duties
• Employee training
• Escape procedures
• Employee accountability
• Reporting procedures
• Must be in writing if gt10 employees

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Violence in the WorkplaceThe Facts

• In the US, workplace violence is the leading
  cause of on-the-job fatalities for females in all
  occupations
• The highest number of nonfatal assaults occur in
  health care and social service sectors
• Nursing aides and orderlies are the victims in
  more than 50 of all workplace assaults
• Nonfatal assaults are primarily perpetrated by
  combative patients/residents

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Combative Residents Violence in the Workplace
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Combative ResidentsProgram Elements

• Management Commitment
• Supervisor Accountability
• Written Program
• Responsibilities
• Employee Involvement and Training
• Reporting Procedures
• Incident Review
• Control Measures
• Program Review

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Combative Residents Risk Factors

• Working alone with residents
• Staff member unfamiliar with residents
• Resident unfamiliar with staff member
• Medication, diet, rest/sleep
• Inadequate communication systems
• Lack of training on how to recognize and manage
  hostile behavior
• Inadequate or untimely follow-up on incidents

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Combative ResidentsQuestion

• How does your facility recognize issues related
  to combative residents?

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Combative ResidentsQuestion

• What types of control measures does your facility
  use to reduce the potential for injuries due to
  combative residents?

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Resources for Managing Combative Residents

• OSHA Publication Number 3148
• OCOSH course GEN316

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Who should be responsible for maintaining these
programs?

• Bloodborne Pathogens
• Hazard Communication
• Lockout/Tagout
• Personal Protective Equipment
• Emergency Preparedness
• Combative Residents

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Safety Health Programs Tools and Resources

• OCOSH courses
• Sample programs www.ohiobwc.com
• OSHA E-Tool www.osha.gov
• Resources Tab

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OCOSH courses
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OCOSH courses, continued
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