Employee Safety Training 2012

1. Employee Safety Training 2012 General Safety Information High Risk Injuries Electrical and Equipment Safety Employee Incident Reporting

2. Introduction This training is an annual refresher on general safety information so that you can continue to create and maintain a safe environment for yourself, your colleagues, patients, and visitors. What you review in this module, you need to apply all the time at work.

3. Training Objectives At the end of this training module, you will be able to: • List your rights and responsibilities related to safety in the workplace. • Describe at least two strategies to prevent: • Blood and body fluid exposures • Back injuries • Slips/Trips/Falls • Struck By/Struck Against incidents • List two do’s and don’ts for electrical safety. • Explain how to report an accident that happened to you or your coworkers.

4. General Safety Information

5. General Safety Information Employee Safety Risks You have a right to know about the health and safety risks where you work. These risks include the possibility of: • Back injuries • Needle sticks • Blood and body fluid exposures • Slips, trips, and falls • Utility failures • Fires • Equipment failures • Hazardous material exposures • Workplace violence

6. General Safety Information Employee Safety Risks (cont.) We protect our employees from these risks by: • Removing risks once they are known. • Putting into place engineering controls , such as • Sharps containers in patient care areas • Fire alarms • Vaccination programs • Putting into place administrative controls,such as: • Conducting safety inspections • Providing department-specific safety training • Developing policies and procedures • Providing personal protective equipment (PPE)

7. General Safety Information Your Rights and Responsibilities As an employee, you have certain rights and responsibilities related to your safety. You have a right to: • Work in a safe environment. • Know what dangers are in your workplace. • See the results of any safety reports (example: air quality monitoring) • Call Occupational Safety Health Administration (OSHA) without fear of the hospital getting back at you. • Accompany an OSHA inspector during an inspection of your work area. • Your responsibilities are: • To follow all safety policies and procedures. • To report all unsafe conditions to your boss or the employee safety team.

8. General Safety Information Employee Safety Policies If you need to review safety policies or procedures so you can better understand your roles and responsibilities, do the following: Log in to NMI.

9. General Safety Information Employee Safety Policies Go to “Policies.” Click on Safety & Security SFTY to open a page listing all the safety and security policies.

10. High Risk Injuries

11. High Risk Injuries Hospital Employee Injury Rate Over the past five years, the top five employee injury categories at NMHC are: • Blood and body fluid exposures (caused by sharps and splashes) • Patient Handling • Material Handling • Slips, Trips, and Falls • Struck By/Struck Against You are now going to learn how you can prevent these types of injuries.

12. High Risk Injuries Blood and Body Fluid Exposures To prevent blood and body fluid exposures, you must: • Follow standard precautions by wearing the correct Personal Protective Equipment (PPE): • Gloves • Goggles • Gown • Use appropriate precautions to prevent injuries from needles, scalpels, and other sharp instruments. Let’s now learn about back injuries that are the result of patient and material handling. This is the second most common injury at NMHC.

13. High Risk Injuries Back Injuries Back injuries happen by……. • Moving the same way too many times or for too long a time. • Sitting or moving the wrong way. • Lifting heavy or odd shaped objects. • Standing in an awkward position.

14. High Risk Injuries Back Injuries (cont.) Back injuries……. • Can cost the organization a lot of money. • Are painful. • May never fully heal. • Can be prevented. Back injuries are usually NOT caused by a single incident. Most often, they are the result of damage that has built up over time.

15. High Risk Injuries Proper Body Mechanics: Standing To reduce the risk of back injury while standing, do the following: • Stand up straight with your ears in line with your shoulders and your shoulders over your hips. This is done by raising your chest up, which causes everything else to fall into place. • Keep your back straight by tightening your stomach (abdominal) muscles. This prevents swayback, which is a deep curve in the back between the waist and behind that puts pressure on your spine. • Wear low heels or flat shoes. High heels increase swayback and puts pressure on your toes. • Stand with your feet slightly apart and your knees slightly bent. Shift weight from one foot to the other often. If standing for a long time, put one foot on a low stool to reduce back strain.

16. High Risk Injuries Proper Body Mechanics: Sitting Sitting incorrectly is one of the worst positions for your back. Shift positions often and get up to stretch or walk to relieve muscle tension. Avoid cradling the telephone between your ear and shoulder when on the phone for a long time. To avoid neck/back strain, computer users should align the top of the monitor at eye level, 18-24 inches away from your eyes. Sit all the way back in your chair. Use a back support if available. When seated, your knees should be level with or lower than your hips. Keep your forearms supported during handwriting or computer tasks. Sit with your feet flat on the floor. If you’re short, you may need a stool to support your feet. Dangling your legs put strain on your lower back.

17. High Risk Injuries Proper Body Mechanics: Sitting (cont.) Here is the correct way to sit at your desk to avoid back problems.

18. High Risk Injuries Safe Patient Handling To reduce your risk of a back injury when lifting or transferring a patient, complete the mobility assessment in PowerChart so you select which equipment meets your patient’s mobility goals. Refer to the Safe Patient Handling page on NMI for more information on this topic. Total lifts* (ceiling lift, Golvo, Viking) Sabina sit-to-stand lift Roller board (Surgery) Hover mat (lateral transfer aide) Criteria: Patient handling equipment is indicated when patient requires more than minimal assistance of one caregiver. *Note: NLFH only has the Golovo full lift.

19. High Risk Injuries Safe Material/Patient Handling Before lifting/moving heavy objects or patients, you should think about the: • Weight and size of the object/patient. • Distance and direction you must lift/move it.

20. High Risk Injuries Safe Material/Patient Handling (cont.) To safely lift an object: Stand as close to the object as possible. Bend your knees, tighten your stomach (abdominal) muscles, and keep your back straight. Use your legs, not your back, to lift up the object. Use the same rules when setting the object down again.

21. High Risk Injuries Safe Material/Patient Handling (cont.) Remember these other tips when lifting: • If the box is heavy or odd shaped, get someone to help you lift it. • Stand on a stool or ladder with feet staggered when lifting a heavy item off a shelf higher than your chest (see picture on right). Move item as close to you as possible before lifting. • Use carts or chairs with rollers to help you move heavy items. Push carts with both hands instead of pulling them.

22. High Risk Injuries Slips, Trips, and Falls Some of the things that cause people to slip, trip, and fall are: Wearing inappropriate shoes to work. Not paying attention to surface changes or changes in floor levels. Spills left on floors.

23. High Risk Injuries Reducing Slips, Trips, and Falls To reduce the risk of slips, trips, and falls….. • Report immediately any spills to Environmental Services. • Use the umbrella bags, if available, on rainy and snowy days. • Wear shoes with traction.

24. High Risk Injuries Reducing Struck By/Struck Against Incidents Struck By/Struck Against incidents are a risk. These occur when an person comes into contact or collides with an object. Some causes of these incidents are: • Employee rushing or working too fast. • Not letting staff know what you are about to do or where you are about to go, especially when moving equipment. • Employee not paying attention to what is happening around him/her. • IV pumps that are not secured on poles. • Equipment breaking down.

25. High Risk Injuries Reducing Struck By/Struck Against Incidents (cont.) To prevent struck by/struck against incidents…. Push carts, IV poles, and other portable equipment in front of you, never at your side or behind you. Use the mirrors at intersections to look for others. Open doors with caution. Securely fasten items prior to moving them.

26. General Safety Information Workplace Violence NMHC does not tolerate any type of workplace violence. Staff cannot make threats or take part in violent, illegal, or unauthorized activities. Some examples of workplace violence are: • Injuring or threatening a person. • Being aggressive with someone so that is causes fear or worry in the person. • Getting back at someone who reported workplace violence. • Damaging NMHC or other people’s property. • Having any of the following: • Weapon, including a gun, knife, spray, shock device (Taser), etc. • Explosives of any kind that are not allowed or restricted under local, state, or federal law. • Contraband or illegal substances.

27. General Safety Information Workplace Violence (cont.) NMHC expects employees to use good judgment and common sense in noticing behavior that could be dangerous. Staff need to report any potential issues of workplace violence to Employee Relations (a department of Human Resources) or Security. Staff can make these reports anonymously. All reports will be investigated by employee relations.

28. Electrical and Equipment Safety

29. Electrical and Equipment Safety Electrical equipment is all around you. You should know how to keep safe when working around and with any electrical equipment.

30. Electrical and Equipment Safety Electrical Safety DO’S DONT’S • Use caution around sweaty or incontinent patients and patients with drainage, IV, or feeding tubes. The presence of additional fluids on the patient and in tubes provides a pathway for the flow of electricity. • Turn off equipment and unplug it if: • Its cord or plug is warm/hot to touch • You smell something burning • Report immediately electrical problems to your boss, facilities (electrical outlets, lights) or clinical engineering (medical equipment). • Always unplug equipment by pulling out the plug from the outlet. Do not yank on its cord. • Never touch an electrical cord or use equipment when your hands are wet or while standing in water or on a damp floor. • Don’t use water and chemicals around electrical outlets. • Don’t put metal objects into electrical equipment or an outlet. • Don’t overload electrical outlets or adaptors with too many plugs. • Don’t place electric cords under rugs or roll equipment over electrical cords.

31. Electrical and Equipment Safety Personal Electric Equipment Safety Personal electrical equipment can be brought in from home and used at work, however it has to meet the following criteria: • It is in good working condition. • It has a visible “UL” or “CSA” approved tag. • It has a 3-wire or double insulated AC cord. Items not meeting the above criteria will be removed from the department by Employee Safety Department.

32. Electrical and Equipment Safety Medical Equipment Safety • Clinical Engineering (NMH and NMPG) or Clinical Technology Services (NLFH) needs to check all purchased, rented, borrowed, or leased medical equipment before it can be used in the organization. Now let’s review how to report safety issues and employee injuries.

33. Electrical and Equipment Safety Non-Medical Equipment Safety When non-medical equipment is broken, you must: • Remove it from service. • Tag/label the equipment with “Do Not Use.” • Contact Facilities and/or place a Sentact request (NMH and NMPG) or place a work order (NLFH). The appropriate person will come and look at the equipment and determine what needs to be done to it.

34. Employee Incident Reporting

35. Employee Incident Reporting Reporting Employee Safety Concerns The ways to report safety concerns at NMHC are: • Tell your manager. • And/Or • Contact the Employee Safety Department at 6.7238 (6.SAFT).

36. Employee Incident Reporting Reporting an Employee Injury If you have been injured on the job, you need: • Get treatment. You should immediately report to: • Corporate Health during regular business hours (downtown campus) or Occupational Health (Lake Forest campus) OR • Emergency Department (nights/weekends) * • Complete a Employee Incident Report within 24 hours of the incident. Provide as many details as possible. The next few pages will explain how to complete an EIR. * If you receive medical treatment in the Emergency Department, a follow-up visit is required with Corporate Health (downtown campus) or Occupational Health (Lake Forest campus) during the next regular business day (before returning to work).

37. Employee Incident Reporting Completing an EIR If you are injured at work, you need to complete an Employee Incident Report (EIR) within 24 hours of the injury. You must do the following: Log in to NMI.

38. Employee Incident Reporting Completing an EIR (cont.) Go to “My NMI.” Note: If you like, you can add the “SafetyNet” application to your Toolbox so you can easily access the tools to report incidents.

39. Employee Incident Reporting Completing an EIR (cont.) 3. Do one of the following: • Click on Report a Work Injury to report any other type of injury (sprain, strain, slip, fall, etc.). • Click on Report an Exposureto report an exposure (needle stick, and blood or body fluid exposure). OR

40. Employee Incident Reporting Reporting an Exposure If you are exposed to blood/body fluids, you must complete the Blood and Body Fluid Exposure (BBFE) Requisition Form. It will provide procedures to follow for a blood or body fluid exposure. Note: For an exposure during normal business hours, you report to Corporate Health (downtown campus) or Occupational Health (Lake Forest campus). After business hours, a provider on call on the downtown campus will evaluate you while at the Lake Forest campus, you would report to the Emergency Department.

41. Employee Incident Reporting Employee Incident Reporting (EIR) EIR DON’Ts • Don’t report non-work-related incidents (i.e. , illness from eating your own food, etc.). • Don’t submit an EIR for an incident that happened to a coworker; only a manager can submit an incident report for his/her employee. • Don’t use NETS (NMH and NMPG) or MIDAS (NLFH) to submit an workplace incident. NETS and MIDAS is used only to report patient and visitor incidents.

42. Summary You should now be able to: • List your rights and responsibilities related to safety in the workplace. • Describe at least two strategies to prevent: • Blood and body fluid exposures • Back injuries • Slips/Trips/Falls • Struck By/Struck Against incidents • List two do’s and don’ts for electrical safety. • Explain how to report an accident that happened to you or your coworkers. Now you have an opportunity to review what you just learned with some quiz questions.

43. Hazardous Materials and Waste Safety Training2012 Labeling Procedures Hazardous Materials Types Material Safety Data Sheets Personal Protective Equipment (PPE) Disposal Procedures

44. Introduction As an employee of Northwestern Memorial Healthcare, you have both a need and a right to know the hazards and identities of the chemicals you are exposed to when working. Additionally, you need to know what protective measures are available to prevent adverse events from occurring. After completing this module you should be able to take steps to reduce exposures, establish proper work practices, and have a general understanding of how to work safely in the healthcare environment.

45. Objectives At the end of this training module, you will be able to: • List the four types of hazardous materials. • Explain proper labeling procedures. • Describe how to protect yourself during a hazardous materials exposure. • Explain how to access and read a Material Safety Data Sheet (MSDS). • Identify proper disposal procedures for hazardous materials.

46. Hazardous Material Types

47. Hazardous Material Types What is a Hazardous Material? A hazardous material is any substance that can cause physical health problems when not handled safely. The types of hazardous materials include: • Flammables • Corrosives • Poisons/toxins • Reactives Let’s learn some more about each type now.

48. Flammables • Flammables are liquids with a flash point less than 100 degrees Fahrenheit • Flammables can also be gases, liquids and solids • These chemicals may catch fire or explode when they come into contact with an ignition source and oxygen • Flammables should be stored separately from other materials

49. Corrosives • Corrosives are caustic substances that can destroy living tissue and have a destructive effect on other substances • Acids and bases are corrosives • Corrosives should be stored separately from other types of chemicals • Corrosives should be stored in a well-ventilated area

50. Poisons • Poisons and toxins can produce injury, illness or lethal effects upon entering your body • Use appropriate PPE while using poisons/toxins • Never store poisons/toxins where food or drink is stored • Be sure that poison or toxic containers are sealed tightly