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WRITING OCCUPATIONAL HEALTH PROCEDURES. What is a procedure ?. 1: A particular way of doing something 2: A series of steps followed in a regular order The Merriam Webster Dictionary. Why are procedures required?. Federal and Cal/OSHA recordkeeping Corporate Audits
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WRITING OCCUPATIONAL HEALTH PROCEDURES Caren McNally, RN COHN-S, CCM
What is a procedure? 1: A particular way of doing something 2: A series of steps followed in a regular order The Merriam Webster Dictionary Caren McNally, RN COHN-S, CCM
Why are procedures required? • Federal and Cal/OSHA recordkeeping • Corporate Audits • ISO 9000 & 14000 • Consistency of practice • Legal documentation • Defines roles and responsibilities Caren McNally, RN COHN-S, CCM
What is ISO? ISO stands for International Organization for Standardization Non-governmental organization established in 1947. Worldwide federation of national standards bodies from some 140 countries, one from each country. Caren McNally, RN COHN-S, CCM
What is ISO 9000 AND 14000? “ISO 9000 has become an international reference for quality requirements in business to business dealings, and ISO 14000 looks set to achieve at least as much, if not more, in helping organiza-tions to meet their environmental challenges.” http://www.iso.ch/iso/en/iso9000-14000/index.html Caren McNally, RN COHN-S, CCM
When do you need a procedure? There should be a written procedure for every process in the Occupational Health Department describing the way it is done at the current time. Caren McNally, RN COHN-S, CCM
Occupational Health Processes OSHA reporting of Fatality, Serious I & I OSHA Recordkeeping Reporting a Work Related Inj or Ill Sharps Injury Procedure Checking emergency response supplies Coordination of Mert Team Post exposure BBP procedure Medical Surv – processing and tracking Hearing Programs Respiratory Exams Laser Eye Exams Drug Testing Hepatitis B Fork Lift Caren McNally, RN COHN-S, CCM
Occupational Health Processes (Continued) TSCA - Toxic Substance Control Act Filing Worker’s Comp Claim Disability case management Immunizations Clinic Visits Purging & disposing of expired medications Ordering medications and supplies Tracking transfers of medical files Purging and archiving termed medical files Preparing Monthly Reports/statistics Caren McNally, RN COHN-S, CCM
Occupational Health Processes • Do not write a procedure for anything • that is defined in another document. • Only write about the portion of the • process that is administered in the • Occupational Health Department Caren McNally, RN COHN-S, CCM
Procedure Content • What you do • How you do it • Why you do it Caren McNally, RN COHN-S, CCM
BASIC GUIDELINES OF ANY PROCEDURE FORMAT • Name of the procedure • Version number • Date written • Each page numbered (1 of 6) • Owner of procedure • Signature of designated person from • each department that is a part of the • process Caren McNally, RN COHN-S, CCM
ISO REQUIRED • Copies must be controlled • Formatted in company template Caren McNally, RN COHN-S, CCM
PARTS OF PROCEDURE I. Purpose II. Scope III. Responsibility IV. Related Internal Guidelines V. Related External Guidelines VI. Definitions VII. Related documents VIII. Procedure IX. Record Maintenance X. Attachments Caren McNally, RN COHN-S, CCM
PARTS OF PROCEDURE • Purpose • Describes the reason the process exists. Be brief and concise. Caren McNally, RN COHN-S, CCM
PARTS OF PROCEDURE II. Scope Define who, what, and where this process affects. Be specific! (XYZ Company employees only, temps, at which location, who are involved in what task, etc.) Caren McNally, RN COHN-S, CCM
PARTS OF PROCEDURE III. Responsibility • Define who has the responsibility • for the process. • List each role responsible for administering the process Caren McNally, RN COHN-S, CCM
PARTS OF PROCEDURE IV. Related Internal Guidelines • List all the company documents that would be related to this process. • Company Corporate Policy • Company Mission Statement • EHS Corporate Guidelines • Etc Caren McNally, RN COHN-S, CCM
PARTS OF PROCEDURE V. Related External Guidelines • List all the documents that would be related to this process. • Federal and Cal/OSHA Regs • State, county and city laws Caren McNally, RN COHN-S, CCM
PARTS OF PROCEDURE • Related External Guidelines -continued Remember to include anything that addresses why this process exists, why you do it the way this way including medical records privacy, employee rights and your nursing practice act. Caren McNally, RN COHN-S, CCM
PARTS OF PROCEDURE VI. Definitions Define any acronym or word used that is specific to the company or the process Caren McNally, RN COHN-S, CCM
PARTS OF PROCEDURE VII. Related documents List any other forms, etc. that are related but not part of this process. Caren McNally, RN COHN-S, CCM
PARTS OF PROCEDURE VIII. Procedure Write down each step of the process. Imagine that a colleague could walk in the door, pick up the procedure and be able to do complete the process using this written instruction. Caren McNally, RN COHN-S, CCM
PARTS OF PROCEDURE IX. Record Maintenance Define how long the records mentioned in the procedure are retained. Caren McNally, RN COHN-S, CCM
PARTS OF PROCEDURE X. Attachments • Any forms that are needed to implement, document and complete this particular procedure Caren McNally, RN COHN-S, CCM
IMPORTANT POINTS TO REMEMBER • This is always a work in progress • Good way to measure improvement • Nothing is written in cement Caren McNally, RN COHN-S, CCM