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Ontario Ministry of Labour Health Care Sector Proactive Inspection Program. Acute and Long Term Care Facilities Leon Genesove MD FRCPC March 23 2004. Occupational Health Infection Control: Legislation, Standards and Guidelines. Legislation: Occupational Health and Safety Act
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Ontario Ministry of LabourHealth Care Sector Proactive Inspection Program Acute and Long Term Care Facilities Leon Genesove MD FRCPC March 23 2004
Occupational Health Infection Control: Legislation, Standards and Guidelines • Legislation: • Occupational Health and Safety Act • Regulations for Healthcare and Residential Facilities • Standards: • MOH-LTC Directives and Standards • Health Canada: Routine Practices and Additional Precautions 1999 • Health Canada: Prevention and Control of Occupational Infections 2002 • Guidelines: HCHSA – infection control, respirators, etc.
Scope of Health Care Sector Audit • Joint Health and Safety Committee • Employer Duties (Health & Safety) • Infection Control measures/procedures • Physical Plant (ventilation, maintenance) • WHMIS
Joint Health & Safety Committee • Structure • Frequency of Meetings & Inspections • Meeting Minutes for the past year
Employer Administrative Duties • Health & Safety manual, policies, reporting requirements • Personal Protective equipment used • Training records • Infection and Control measures/protocols • Occupational Health and Safety records • Physical Plant: records for ventilation and equipment maintenance • Occupational illness and critical injury notifications
Infection Control Measures & Procedures • Worker Education/Training • Personal Protective equipment • Physical Plant: isolation and negative pressure rooms, ventilation requirements
Occupational Diseases/ Illnesses • Occurrence in workers • Steps taken for prevention
WHMIS • Written measures and procedures for Biological, Chemical and Physical Agents • Labelling of biological waste containers • Annual Review • Worker Instruction and Training
Infection Control Measures • Infection control policies and procedures for worker safety in outbreak & non outbreak conditions • Education of workers in use of personal protective equipment & application of infection control measures • Monitoring and follow-up for worker implementation of measures • Physical Plant: ventilation and facility maintenance schedules
Needlestick Injury Prevention • Safety Engineered Medical Devices for: • Phlebotomy needles • Hypodermic needles • Intravenous catheter needles • Winged needles