Ensuring a Safe Environment at Work - West Cancer Center

Ensuring a Safe Environment at Work - West Cancer Center

Ensuring a Safe Environment at Work West Cancer Center is committed to Your Safety and the Safety of our Patients By complying with several regulatory agency guideline We ensure that we promote the safest environment of care possible. Agencies Occupational Safety and Health Administration (OSHA) : responsible for ensuring that organizations provide a safe environment for their employees. Tennessee OSHA (TOSHA) is

the agency that governs the State of Tennessee. The Joint Commission: an accreditation agency that conducts surveys for all hospitals that receive Medicare funding. The purpose of the survey is to evaluate the organizations compliance with nationally established standards of care. You have a right to a workplace with no recognized hazards. When you recognize a potential dangerous work related issues, you should talk with your supervisor about unsafe conditions. You have a right to equipment which makes your job safer.

If reported hazards remains unresolved, you have the right to report the unsafe condition to Human Resource Department without fear of reprisal or punishment. Reporting Unsafe Conditions Any unsafe conditions or issues must be reported to your supervisor immediately. You do have the right to report unsafe conditions and/or concerns to The Joint Commission and OSHA. The Joint Commission One Renaissance Blvd Oakbrook Terrace, IL 60181 1-800-994-6610 Tennessee Occupational Safety and Health Administration

(TOSHA) 220 French Landing Drive Nashville TN 37243 1-800249-8510 or 615-741-2793 Reporting Associate Injuries Some injuries are un-avoidable. If you get injured on the job, contact your supervisor immediately and report the injury. Be Mindful of Hazards in Your Environment Correct hazards if you can, i.e. clean up small, non-hazardous spills

Report unsafe environments or conditions to your supervisor Reporting Occurrences An occurrence is an event that causes injury or death to a patient, visitor, contractor, or other person - NOT AN ASSOCIATE Examples of an Occurrence A visitor slips and falls on our property A medical device causes harm to a patient A contractor gets hurt while working on our campus A patient falls out of a wheelchair or bed A medication error or a near miss in medication administration

Specific Types of Hazards HANDLING AND STORING 02 CYLINDERS Oxygen Cylinders must be properly stored and racked Never place E cylinders directly on the floor or not racked properly Never place E cylinders on top of a bed to transport Do not carry E cylinders over your shoulder Never ask a patient to hold or transport the 02 cylinder for you

Smoking is not allowed on any West Cancer Center property Preventing and Reacting to Fire When You Hear the Fire Alarm Respond immediately even if it is not in your area: Clear all hallways and exits of clutter Close all doors Do not block exits, pull stations, fire extinguishers, or fire hose cabinets

Rescuing patients in immediate danger is your first priority Pull the fire alarm whenever you suspect fire or when you see or smell smoke Close all doors, windows, and vertical openings such as laundry chutes

If you cannot extinguish the fire, evacuate the area DO NOT enter a room that you suspect has a fire in it or that is filled with smoke If a fire is in your area RACE into action Know where the fire extinguishers are located in your area! On your 1st day of the job, ask your supervisor to show you the nearest fire extinguisher and fire pulls. 1. Pull the pin located

between the two handles 2. Aim the nozzle at the base of the fire 3. Squeeze the handles together 4. Sweep the extinguisher from side to side More tips about Fire Extinguishers Keep your back to the door when extinguishing a fire so you can leave safely

Extinguishers and pull stations can be found near all exits When extinguishing a fire, continue to apply extinguishing agent after the fire appears to be out Stay with an extinguished fire until the fire department arrives Only special types of fire extinguishers are allowed near the MRI. When evacuating Use Stairwells not elevators to evacuate

Do not block sprinkler heads Boxes and supplies must be at least 18 inches from the ceiling Sprinkler head covers should be intact Ceiling tiles act as a smoke and fire barrier Ensure ceiling tiles are intact (if so contact Facility Services) No missing tiles No holes or cracks

No stains Using Electrical Equipment Safely Because electricity is everywhere, it is often ignored as a very real threat to your personal safety. Electrical Safety Tips Make sure you receive training on any type of equipment before using it Do not attempt to unplug an item if standing water exists Make sure you know how to use electricity safely! Never use a cheater to convert a 3-pronged plug into a 2pronged plug.

DO NOT overload electrical sockets More tips on Electrical Safety Make a habit of checking for frayed or damaged cords before plugging in equipment Immediately tag and remove devices with damaged cords from service, then notify your supervisor Keep electrical cords clear of traffic Do not conceal cords under rugs The correct way to unplug electrical equipment is to grasp the plug and then pull; never yank the cord Extension cords are not allowed unless they are provided by Facilities Services

Even More about Electrical Safety Notify Facilities Services if ANY outlet cover is cracked, damaged or missing Turn off coffee makers or other appliances when not in use Only approved coffee makers and microwaves are allowed Toasters and toaster ovens are strictly prohibited Space heaters, electric fans, candles, electrical decorative

lights are strictly prohibited and are not allowed in any West Cancer Center locations. Paper Holiday decorations must be flame retardant If you detect a potential electrical hazard: Take steps to eliminate any immediate danger Promptly notify your supervisor

Contact Facilities Services Radiation Safety Under normal circumstances, radiation exposure levels associated with the healthcare environment are extremely low and safe. Some Tips Unless authorized, avoid areas or objects containing the international radiation warning symbol. Pregnant Associates should avoid any exposure to radiation throughout their full term. Non-essential Associates should not be present in the area

when x-ray is being used Mechanical devices should be used for holding patient film cassettes during x-ray exposure when possible A radiation monitor/film badge must be worn by Associates who work with or around radiation Magnetic Resonance Imaging (MRI) Safety All MRI scan areas are restricted areas. No one may enter without: The knowledge and supervision of the MRI staff, Undergoing screening for metal objects

No metal object can be taken in the room unless it is known to be safe Back Injuries Back injuries are the number one work related injury. Most back injuries are not caused by a single incident.

Back injuries are usually caused by improper lifting, sitting, pulling, etc. and gradually occur O v e r T i m e! Safe lifting is importantNot only to prevent back injuries, but also to prevent injuries to other body parts such as wrists, arms, elbows, shoulders, and neck. Twisting while lifting can be a serious error. It alters the natural curve of the back and puts greater strain on the back muscles. Safe Lifting Techniques Get assistance when the load is

too heavy or large When you are ready to lift, stand with your feet slightly apart Bend your knees instead of instead of your waist

Lift with your legs- back straight legs bent Keep the load close to your body and avoid twisting. Make sure you can see over the load. The further the load is from you, the greater the strain on your back

Pushing & Pulling Stay close to the load Use both arms Look before pushing cart or heavy object into corridor PUSH RATHER THAN PULL WHENEVER POSSIBLE Office Ergonomics

Adjust height, back and arms of the chair Make sure your feet are flat on the floor Adjust computer display Adjust lighting Consider your posture & readjust Get up from sitting often Safe Medical Devices Act (SMDA) The Safe Medical Devices Act (SMDA) is a federal act designed to assure that all medical devices are implemented

safely A medical device is anything used in patient care except drugs such as IV pumps, monitors, or blood filter, syringes, gloves, or catheters instruments such as scissors, hemostats, or clamps What is the Associates/Physicians Responsibility in the Event of an SMDA Occurrence? 1. Attend to any immediate medical and safety needs of the patient or other involved individuals 2. Remove the device from service and label it as defective 3. Complete report

Associates may voluntarily report an SMDA event. By calling 1-800-FDA-1088. You can also report by completing or mailing an FDA form which can be downloaded from www.fda.gov/medwatch The form can then be mailed in or faxed to 1-800-FDA-0178. DISPOSING OF MEDICAL EQUIPMENT Any medical equipment that will be disposed of or donated must be reported to Facility Services to be processed out of the West Cancer Center system.

This is to ensure we depreciate the equipment, take it out of our inventory, and secure any legal documents for donating equipment. What are Hazardous Materials? Any material or chemical that causes acute health problems, death or chronic illness. Is flammable Is reactive Contains blood or body fluids Is identified by the label as a hazardous material Hazard communication is a method of:

Warning you about the potential hazards of workplace chemicals Letting you know how you can protect yourself against the possible risks associated with these chemicals Including Physical and health hazards Personal protective equipment necessary during handling or cleanup Emergency procedures handling, cleanup, and disposal instructions

Material Safety Data Sheets (MSDS) A Material Safety Data Sheet (MSDS) is a document that contains information on the potential health effects of exposure to chemicals, or other potentially dangerous substances, and on safe working procedures when handling chemical products. Warning Labels, and Material Safety Data Sheets (MSDS) which is found on the WCC Intranet/MollI System/Utility Failure - Power/water/phone

Remain calm and provide assistance to others if necessary. Obtain emergency kit, or emergency lighting Ensure the safety of patients, visitors, and Associates Move to a lighted area Contact Facility Services (facility specific) Consider Evacuation of the area if outage will be long term. Use stairs only

Bomb Threat Keep the caller on the line If possible , signal for someone to call Security (Facility specific) or local police or 911. Obtain as much information as possible and write it down Time of bomb to detonate Listen for any accent of callers voice, speech impediments Listen for background noise such as trains, traffic, bells. Begin evacuation of the area Once security/police respond, follow their direction

Violent/Armed Individual-Active Shooters If the incident is occurring on your unit or general area: R: Recognize that the event is occurring (stay calm, Alert others). E: Evade the shooter (take shelter and hide Do Not Try to reason with the shooter). T: Take all necessary precautions. (Silence phones Pagers, computers, radios.)

R: Remain hidden. (Do Not comes out of hiding! Stay Away from windows.) E: Escape only if possible. A: Attend to the wounded after the incident is cleared. T: Talk to onsite counselors for a debriefing following If the incident in an open/public area (lobby, waiting area) or if escape is not possible:

C: Close all doors on the unit. H: Hide or barricade yourself in an area and do not Move until incident is cleared. I: If possible, take others with you to seek refuge. L: Listen for updates from the operator. D: Do Not come out of hiding until the incident is Cleared by the Police. Do Not opens the door if there is any doubt of safety. Call 911/ Facilitys Security Suspicious Person

Do not physically confront the person Do not let anyone into a locked building or office Call Security (facility specific numbers) or 911 Provide as much information as possible about the person their direction of travel Alert others to stay clear of the area Secure your area

Suspicious Package What to Do When You Have a Suspicious Letter or Package Do not touch or disturb the object. Do not shake or empty the contents of the Envelope or package. Call Security (facility number) or 911 Do NOT use a cell phone near the package! Be prepared to evacuate. LEAVE THE PACKAGE OR ENVELOPE WHERE IT IS. LEAVE the room, close the door, contact Security, and do not let anyone in the area. Wash your hands with soap and water. List all people in the area at the time the package or letter was recognized. Give this list to Security. What to Do if the Package or Envelope Is

Covered With Powder or Spill DO NOT try to clean up the powder. COVER the contents immediately with anything (e.g., clothing, paper, trash can, etc.) and DO NOT REMOVE THIS COVER! Leave the room, close the door, contact Security and do not let anyone in the area. Wash your hands with soap and water. Remove heavily contaminated clothing as soon as possible and places them in a plastic bag, or a container that can be sealed. You can double-bag the items. This bag needs to be given to emergency responders. Shower with soap and water as soon as possible. DO NOT USE BLEACH OR OTHER DISINFECTANT ON YOUR SKIN. List all people who were in the room or area, especially those who had actual contact with the package or envelope. Give this list to Security. Out of Control Person

C-Call security (facility) Call 911 O-Observe activity L- location must be provided to Security and 911 D-Describe activity and person Hostage situation Call 911/ Facility Security & give exact location Maintain a safe distance

Give identification of all persons involved in hostage situation Any pertinent information relative to the development of the situation Description of the aggressive person Any special situation or circumstances that would increase the danger to patients, visitors, or Associate safety Missing Child/Adult Contact local law enforcement 911, and Security. Give description of the missing child or adult, the location of the abduction (last seen area) If known, give description of the suspected abductor Go to the nearest entrances and exits Go to the stairwell

Watch for suspicious behavior Watch for person fitting the description or suspected abductor description Stop anyone carrying a box or bag big enough to hold a child. Remain at your post until an official All Clear has been announced overhead Earthquake If inside Remain inside Move away from windows Move away from tall shelves and other objects that may fall on you

Watch for falling objects such as light fixtures or ceiling tiles Get under strong table, counter, or desk if you are able Do not stand in a doorway Do not leave the area without reporting to you supervisor Earthquake If outside Move away from buildings Move away from electric power lines Get inside a building if possible Avoid overhanging structures Avoid power line After an earthquake

Watch for broken glass Check for people that may be trapped Call 911 for those who need immediate medical assistance Check for fires Do not touch electrical wires Obtain emergency kits Severe Weather -Tornado If you hear tornado sirens:

Close all drapes, blinds or outside windows Close all doors Stay away from large areas of outside glass Move to interior parts of the building Be alert that you may loose power or have structural damage Move to lower levels of the building (first floor or basement) Obtain emergency kit/emergency lighting Account for all patients, visitors and Associates If damage occurs contact Facility Services

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