Safety in Extended-Care Facilities

1. Safety in Extended-Care Facilities Safety in Extended-Care Facilities • Bloodborne Pathogens • Hazard Communication • Lockout/Tagout • Personal Protective Equipment • Emergency Preparedness • Combative Residents

2. 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

3. Hazard CommunicationProgram Elements • Written Program • Chemical Inventory • Material Safety Data Sheets (MSDS) • Labeling • Employee Training

4. Personal Protective EquipmentProgram Elements • Workplace Hazard Assessment • Hazard Abatement • Use engineering controls whenever feasible • Product Evaluation/Selection • Employee Training

5. 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

6. Emergency Action PlanProgram Elements • Responsibilities • Rescue / medical duties • Employee training • Escape procedures • Employee accountability • Reporting procedures • Must be in writing if >10 employees

7. 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

8. Combative Residents = Violence in the Workplace

9. Combative ResidentsProgram Elements • Management Commitment • Supervisor Accountability • Written Program • Responsibilities • Employee Involvement and Training • Reporting Procedures • Incident Review • Control Measures • Program Review

10. 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

11. Combative ResidentsQuestion • How does your facility recognize issues related to combative residents?

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

13. Resources for Managing Combative Residents • OSHA Publication Number 3148 • OCOSH course – GEN316

14. Bloodborne Pathogens Hazard Communication Lockout/Tagout Personal Protective Equipment Emergency Preparedness Combative Residents Who should be responsible for maintaining these programs?

15. Safety & Health Programs Tools and Resources • OCOSH courses • Sample programs – www.ohiobwc.com • OSHA E-Tool – www.osha.gov • Resources Tab

16. OCOSH courses

17. OCOSH courses, continued