OSHA Long Term Care Worker Protection Train the Trainer Program Part 1: Introduction

1. OSHA Long Term Care Worker ProtectionTrain the Trainer ProgramPart 1: Introduction

2. Plan for the Day • Introduction • Engaging workers in health and safety • Review of LTCWPP materials and content • Planning the training sessions • Strategies to customize the training • Best practices with presentation materials, teaching techniques • Evaluation tools/Post-Test • Data gathering for trainers

3. Purpose • Provide support and materials to Long Term Care supervisors, administrators, and educators to assist them in teaching long term care workers the key safety hazards in their work environment and how to avoid and control these hazards. • Outcome: Creative and engaging safety education for all long term care workers that will support their avoiding injury, enhancing the safety of the environment, and securing great patient outcomes.

4. Introduction to the LTCWPP

5. Objectives • Identify the content and materials for the LTC Worker Protection Program. • Discuss ways to make this education possible in any LTC setting. • Recognize strategies to customize educational sessions for specific groups of workers. • Discuss best practices for using presentation materials. • Identify the importance of evaluating all educational sessions.

6. Your experience with OSHA?

7. How much does your staff know about OSHA?

8. OSHA has an important role • On average, 15 workers die every day from job related injuries. • 4400 Americans died from workplace injuries in 2009; this is down from 5657 in 2008. • 3.3 million recordable non-fatal workplace injuries and illnesses occurred in 2009; 3.7 in 2008. • 1.24 million days away from work – 2009, a 9% reduction from prior year. OSHA is focused on enhancing the safety of workplaces and the health of all workers.

10. Injuries and Healthcare? • More than 250,000 healthcare workers are injured on the job each year. • Long term care accounts for a high % of these injuries. • Healthcare industry spends more than $20 billion annually in workers’ compensation and related costs due to employee injuries and illnesses.

11. OSHA Strategies • Strong, fair, and effective enforcement. • Outreach, education, and compliance assistance. • Partnerships, Alliances, and other cooperative and voluntary programs. Key Focus: Work to help employers provide a safe working environment for all employees.

12. OSHA Purpose and Scope • Requires, in part, that every employer covered under the Act furnish a place of employment that is free from recognized hazards that are causing or are likely to cause death or serious physical harm to employees. 1903.1 • Requires that employers comply with the OSHA standards, rules, regulations, and orders. • Requires that each employee shall comply with occupational safety and health standards and all applicable rules, regulations, and orders.

13. Impact • When Employees stay safe and healthy: * better quality of work outcomes (patient outcomes!). * higher productivity. * lower worker’s compensation costs. * fewer injuries/illnesses that require time off, replacement employees, and overtime. * reduced medical expenses. * overall, more satisfied employees.

14. Major Impact on Resident Care

15. Code of Federal Regulations • 29 CFR 1910 – Occupational Health and Safety Standards for General Industry • Standards that are either national consensus standards or federal standards already established by Federal statutes or regulations.

16. Title 29 Chapter XVII • Set aside for OSHA. • Regulations are broken down into Parts. • Part 1910, contains the General Industry Regulations. • Each Part is then broken into major Subparts.

17. Where will you find this? 1903.2 (a)(1) Each employer shall post and keep posted……

18. Worker Rights • A safe and healthful workplace. • Know about hazardous chemicals. • Information about injuries and illnesses in your workplace. • Complain or request hazard correction from employer. • Hazard exposure and medical records. • File a complaint with OSHA. • Participate in an OSHA inspection. • Be free from retaliation for exercising safety and health rights.

19. Processes • Inspections: OSHA is authorized to enter any factory, plant, establishment, construction site, or other workplace to inspect and investigate ….. • In 2009, OSHA conducted 39,004 inspections. • Inspection Priorities: * reports of imminent danger * fatalities or hospitalization of 3+ employees * employee complaints * referrals from other government agencies * targeted inspections

20. Employee Involvement • Have a system for reporting injuries and illnesses and inform employees. • Keep the system simple and easy for employees. • Encourage employees to share their ideas on what processes currently are helping to enhance safety and health. • Ask employees for their ideas on how to enhance workplace safety.

21. How does all this relate to long term care settings? • The standards apply to private sector healthcare settings. • The standards are very relevant, for example: * Hazardous substances * Personal protective equipment * Work surfaces * Lifting/ergonomics * Fire Protection * Exit Routes, Emergency Action Plans, Fire Prevention Plans

22. Application to Long Term Care Settings • Safety and health are core to all long term care organizations. • The safety and health of employees is critical to patient safety and the success of any organization. • Focus of OSHA is helping employers to create and sustain safe and healthy environments and protect employees from hazardous materials and situations. • All workers in long term care settings can benefit from understanding and complying with OSHA!

23. LTCWP Train the Trainer Program • Key focus today: helping you to find the best, the easiest, the most effective ways to share this information with all of your LTC workers. • Encourage networking and sharing of best practices.

24. Questions? Suggestions or Comments?