OSHA Update

1. OSHA Update Robert Leonard OSHA Calumet City, IL (708) 891-3800 09/16/2003

2. Objectives Understand: 1. How OSHA selects home. 2.The latest changes to OSHA’s standards.

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

4. Site selection All homes reporting more than 14 injuries/100 will be inspected.

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

6. Possible to 1. Delay an inspection & 2. Avoid citations

7. FREE INSPECTION SERVICE Illinois Onsite Consultation Service Chicago, IL 1 (800) 972-4216

8. Recordkeeping

9. Injury and illness reportOSHA 300 1. Days * away from work 2. Restricted work activity* or transfer * In calendar days

10. Annual summary OSHA 300A Must post a summary. February 1st – April 30th

11. The inspection process

12. Focused inspection 1. Resident handling ( 52%) 2. Slips, trips & falls ( 19%) 3. Blood borne diseases 4. Tuberculosis

13. Resident handling

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

15. 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

16. Resident handling program 5. Train the employee. 6. Evaluate the employees’ performance. 7. Discipline employees and supervisors.

17. Program evaluation Good program 1. Few resident handling injuries 2. Few days off per injury

18. Program evaluation Improvement needed 1. Many resident handling injuries 2. Many days off per injury

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

20. Investigate 2. Change your program

21. Resident evaluation

24. Effective training

26. Resident handling equipment Belts Lifts - off the floor lifts - lifts with scales Beds - electric

27. Resident handling equipment Bed maintenance - up & down - brakes Wheel chair maintenance - brakes

35. To reduce injuries - Lifts and slings available. - Employees use the equipment.

36. To reduce injuries Everyone - Needs to get along - Must work to reduce turnover Mentoring program?

37. Slips, trips & falls 19 % of injuries

38. Slips, trips & falls OSHA will evaluate - Procedures to deal with spills - Method used to mop floors - Skid resistant floors or floor coatings

40. Bloodborne diseases

41. OSHA’s requirements Required 1. Safety syringes 2. Safety lancets appropriate effective commercially available

42. New required documentation 1. Periodic review of program 2. Ongoing evaluation of safer devices 3. Exposure incident report 4. Needle stick log

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

44. Tuberculosis Isolation - Daily records of negative pressure - Respiratory protection program - Respirators - Respirator fit test

45. Corrosive Chemicals

46. Eyewash

48. Electricity Grounding pins