OSHA Compliance in Assisted Living and Residential Care

1. OSHA Compliancein Assisted Living and Residential Care

2. 2,986,500 Total recordable cases of work related injury and illness in 2011

3. 4,609 Fatal work-related injuries

4. 458 Homicides

5. COURSE DESCRIPTION • OSHA is increasing the frequency of inspections in assisted living and residential care. • During this 4 hour course we will discuss the latest trends in OSHA violations, tips for compliance, and your responsibilities as an administrator/manager. • Topics addressed will include injury and illness prevention programs, bloodborne pathogens, personal protective equipment, and reporting requirements.

6. Agenda 1) Introduction Why OSHA matters? Violations and fines

7. Agenda 2) Back and lifting safety

8. Agenda 3) Bloodborne pathogens and standard precautions

9. Agenda 4) Personal protective equipment

10. Agenda 5) Emergency and disaster preparedness

11. Agenda 6) General workplace safety

12. Agenda 7) Hazard communication

13. Agenda 8) Recordkeeping

14. Agenda 9) Injury and Illness Prevention Programs

15. Agenda 10) Tools, Tips, and Resources

16. Introduction to OSHA

17. Introduction About OSHA • The Occupational Safety and Health Administration • Federal agency created in 1971 • Ensure safe and healthful working conditions for working men and women... • Most private sector employers are required to follow OSHA regulations

18. Introduction Why Worry About OSHA? Because you care about your employees • Your staff are your most valuable asset • Reduce work-related injury and illness • Quality matters!

19. Introduction Why Worry About OSHA? Because accidents cost money • Workers compensation • Modified duty • Overtime for temporary fill-in staff • Cost of recruiting, hiring, and training new staff

20. Introduction Why Worry About OSHA? Avoid OSHA fines! • Fine can be thousands of dollars! • National Emphasis Program

21. OSHA Fines • $87,430,000 in proposed penalties to BP for the Gulf of Mexico oil spill • Largest fine in OSHA's history • The prior largest total penalty, $21 million, was issued in 2005, also against BP

22. OSHA Fines Types of OSHA Violations • Regulatory Violation • General Violation • Serious Violation

23. OSHA Fines Types of OSHA Violations • Regulatory Violation • A violation, other than one defined as Serious or General that pertains to permit, posting, recordkeeping, and reporting requirements as established by regulation or statute. • Up to $7,000 per violation

24. OSHA Fines Types of OSHA Violations • General Violation • A violation which is specifically determined not to be of a serious nature, but has a relationship to occupational safety and health of employees. • Up to $7,000 per violation

25. OSHA Fines Types of OSHA Violations • Serious Violation • Deemed to exist in a place of employment if there is a substantial probability that death or serious physical harm could result from a violation • Up to $25,000 per violation

26. Introduction National Emphasis Program • Implemented by OSHA in 2012F • Focus attention and inspections on nursing homes and assisted living/residential care communities • Increased reports of OSHA inspections from providers • http://www.osha.gov/OshDoc/Directive_pdf/CPL_03-00-016.pdf

27. Introduction National Emphasis Program • Lifting • Bloodborne pathogens • Tuberculosis • Workplace violence • Slips, trips and falls

28. Introduction National Emphasis Program • “During inspections under this Instruction, the OSHA-300 logs for the previous three (3) years will be reviewed.” • DART will be calculated • If over 5.3 = inspect

29. dart DART • Days away from work, • Days of restricted work activity, or • Job transfer

30. dart Calculating your DART rate: Total recordable cases # hours worked by all employees DART Rate X 200,000 ÷ =

31. Dart Calculating your DART rate: Total recordable cases # hours worked by all employees DART Rate X 200,000 ÷ = 2 110,000 3.6

32. dart

33. DART

34. Back and Lifting Safety

35. 182,270 Cases involving injury to the back

36. Back and Lifting safety General lifting safety tips: • Avoid manual lifting of residents whenever possible • Get help for heavy objects • Split into smaller loads if possible

37. Back and Lifting safety Posture is critical! • Use a wide stance and bend at the knees

38. Back and Lifting safety Posture is critical! • Move slowly and avoid sudden movements • Keep the weight as close to your body as possible • Avoid lifting above the waist line • Turn the whole body, do not twist

39. Back and Lifting safety Get help when you need it: • Help from another person • Help from a device or mechanical aide

40. Back and Lifting safety Gait belts • Use for transferring residents who are partially dependent, have some weight-bearing capacity, are cooperative • Use when assisting to ambulate • More than one caregiver may be needed • Do not use to “lift” the resident • Use good body mechanics and a rocking and pulling motion rather than lifting when using a belt

41. Back and Lifting safety Gait belts • May not be suitable for ambulation of heavy residents or residents with recent abdominal or back surgery, abdominal aneurysm, etc • Ensure belt is securely fastened • Ensure a layer of clothing is between residents' skin and the belt • Keep resident as close as possible to caregiver during transfer

42. Back and Lifting safety Powered sit-to-stand or standing assist device • Use for transferring residents who are partially dependent, have some weight-bearing capacity, are cooperative, can sit up on the edge of the bed with or without assistance, and are able to bend hips, knees, and ankles.

43. Back and Lifting safety Lift chairs • Transferring residents who are weight-bearing and cooperative but need assistance when standing and ambulating. • Can be used for independent residents who need an extra boost to stand. • May not be appropriate for heavier residents

44. Back and Lifting safety Mechanical lifts • Lifting residents who are totally dependent, are partial- or non-weight bearing, are very heavy, or have other physical limitations • More than one caregiver may be needed • Follow manufacturer instructions

45. Back and Lifting safety Draw sheets, transfer boards • Use for repositioning • More than one caregiver may be needed • Work at waist level when possible • Avoid bending/reaching • Synchronize with other caregivers, which applicable

46. Back and Lifting safety Height adjustable bed • Follow regulations regarding bed rails • Electric powered preferred • Adjustments should be completed within about 20 seconds to ensure use

47. Back and Lifting safety Wheelchair scale Transfer bench Toilet seat riser Grab bars

48. Bloodborne Pathogens

49. Bloodborne Pathogens • Infectious microorganisms in human blood that can cause disease in humans • Include hepatitis B (HBV), hepatitis C (HCV) and human immunodeficiency virus (HIV) • Needlesticks and other sharps-related injuries may expose workers to bloodborne pathogens

50. Bloodborne Pathogens Occupational exposure:Reasonably anticipated skin, eye, mucous membrane, or parenteral (piercing mucous membranes or the skin barrier through such events as needlesticks, human bites, cuts, and abrasions) contact with blood or other potentially infectious materials that may result from the performance of an employee's duties.