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2. Table of Content Intro Emergency management Vehicle Safety Workplace Violence Office safety Bloodborne pathogen Fire Safety Electric Safety Hazardous Questionnaire /ExamCommunications 3. Introductions Why do we haveEnvironmental Health & Safety Training? Employers and Employees legal responsibilities Joint Commission Accreditation requirement Provide and maintain safety in the workplace contact an EOC member with concerns or questions 4. WHO IS RESPONSIBLE FORSAFETY?ALL OF US!! EmployerEmployee Take safety seriously!Furnish a workenvironment that is free Use safety equipmentfor recognized hazards and be aware of safetythat are likely to cause hazardsserious harm or death Report all near misses,Shall comply with OSHA accidents and safetyrequirements concerns Fix or report hazards immediately! 5. MCMHA Environment of CareCommittee membersJim Brown - Safety Officer/Human Resources/ Chair 384-0283Tim A. - Co-Chair and Consumer Representative 243-6401Renee Petkovich - Vice Chair/ Training and Contracts384-8728Ellen Graves - Nurse/Infection Control Contact384-8558Rich Allison - Facilities Tech 734-915-0435Robyn Jondro - Administration 384-0150Eliot Garcia - MI Adult 384-8866Liz Wilkerson - Provider Representative734-915-0871Michelle Kinsey - Vivian Home Manager/ Group Home Rep. 734-777-0623Marge Slick -Consumer Advocate 734-241-5881Dr Hanke - Medical Director/ Emergency management 384-8854Geralyn Harris - Chief Clinical Officer 384-8761 6. How We Improve the Safety ProcessEnvironment of Care / Safety Committee Meetings COMMITTEE CHARGE Monroe CMHA is cognizant of its responsibilities to provide an environment conducive to the health and safety of all employees, consumers, providers, visitors, and neighbors. To accomplish this, the committee is responsible for the following: Assessment of the environment of care Assess post incident assessment/review on near miss or accidents. Assess environment for safety and control hazards Assess effectiveness of the safety program. Assess incidents of workplace accidents and injuries to create systemic changes for prevention. 7. How We Improve the Safety ProcessEnvironment of Care / Safety Committee MeetingsRESPONSIBILITIES CONTPolicies and procedures to ensure risk free environmentSafety ManagementSecurity ManagementHazardous materials and waste managementEmergency managementFire safetyUtilities managementMedical EquipmentEducationProvides education to staff, consumers, and providers of service to instill a positiveand cooperative safety culture.Communication on EOC activities to consumers and staff on routine basis.Job specific training will be maintained and current.Educate staff on their role of inspecting the environment and engaging in appropriateactions. 8. Did you know thatEvery year lives are lost because safety precautions werenttaken.180 157160140 120 12312010093 80# of workers 60 40 200 2006 200720082009 9. Driving is something we do daily. Its the most dangerous thing we do!40,000 people die each year115 people who leave home today will never return 10. MOST frequent causes of accidentsInattention to detailDriving too fast for conditionsSpeeding Failed to yieldDWI/DUIOther factors: Physical Road conditions Tires tread wear/pressure Weather conditions Brakes Vehicle Maintenance: 11. Driving Dangers safety equipment properly seatbelts only workwhen they are on and Airbags work best in conjunctionwith seatbelt use!Using Cell Phones and Texting while driving KILLS!Foul Weather can be rain, snow, fog, hail, ice, blowing andflooding. Be safe make sure the car lights, wipers and tires are working and ingood condition. Be Careful dont drive in or thru water, hail, smoke or thick fog . Pullover , drive around or wait it out! Slow down! Tap brakes to stop. Avoid passing! 12. Driving Safety Tips Quick Check Process before DrivingDefensive Driving Techniques on the Road Rules of the Road/General Safety Rules 13. Pre-Trip InspectionTake a walk around Inside your vehicleyour vehicle. Adjust your seat and Windows clean/nofasten seat beltdamage? Washer fluid? Check and adjust all Lights/signals clean &Mirrorsworking. Adjust your Headrest Tires properly inflated / Assure doors fully closedtread wear. and secured Fluid leaks on the ground. Scan the gauges Adjust the vents, windows, heater & air conditionerMake sure youre emotionally ready to focus ondriving! 14. What is YOUR Mental Presence? Stress / Emotions / Attitudes Drowsiness / Fatigue Vision / Hearing 15. Get the Big Picture when DrivingScan the road aheadKeep your eyes moving. City (Approx. 1 block) Check your mirrors every 5seconds. Rural (Approx. 1/4 mile)Railroad crossings - use caution!Look out for On/Off Ramps The cross buck is found at Obey speed limits posted. most public crossings. Speed limits designed for These signs should be treated autos; larger vehicles like in the same manner as a yield SUVs and Trucks need to gosign. slower. Emergency Vehicles Exits merging downhill are particularly dangerous.Immediately move to the rightof your lane, to another lane, Adjust speed and positionor to the shoulder if possible. Be familiar with If moving right is not possible, surroundingstay where you are. Do notmove left. 16. Shaded Areas - Just after the rain begins. The oil mixes the water and makes the road very slipperyBridges - Hydroplaning.Melting Ice -Release the accelerator. Do not brake.Black Ice - Occurs at speeds as low as 30 mph. Worn tread and low tireVehicle Ice -pressure.(The road is icingup! 17. Getting Unstuck Turn wheels side to side a few times to pushsnow out of the way. Lightly touch gas; ease forward. Rock the vehicle if necessary Shift from forward to reverse and lightly touch gas. 18. Winter Driving -Take AlongEquipment & SuppliesScraper with brush on one endSnow shovel/FlashlightWarm clothes/gloves , hat + bootsAbrasive materials (cat litter,sand, salt)Jumper cablesWarning devices (flares)Sleeping bag or blanketslight/matches, candle & highenergy food 19. Accident ReportingReport any accident immediately, no matter how minor.Get a police report whenever possible 20. Vehicle AccidentIf the vehicle is in an accident staff should follow these four steps inorder First secure the scene provide first aid and safety to all involved! Second Call 911 or dispatch (if no apparent injuries). Third Call for towing if vehicle is not safe to drive back to CMH Fourth Call CMH and speak to a supervisor no messages you need to tell a management staff directly. If there is smoke , steam or a smell of something burning DO NOT KEEP DRIVING!Pull over and get out! There could be a fire! 21. Vehicle SafetyTypes of Loss Staff Loss Physical DamageDamage to Vehicle Property Damage Destroyed Property - Medical Costs - Yours & Passengers Liability Costs Other Vehicle(s) physical damage Financial Loss 22. Office SafetyWatch your stepPrevent back injuriesWhat is ergonomics?Does your desk fit you?Stretch and feel better 23. AvoidingSlips, Trips and FallsWalk carefully tile, wet floors and objects on floorsare safety hazards!Dont carry objects too tall to see over.Use a ladder not a chair, box or countertop.Keep cords out of walkwaysKeep your hands at your side not in your pockets!Walk do NOT run.Use handrails and pay attention where your going.Report burnt out lights or loose flooring immediately! 24. Save Your BackBend at knees and hips when liftingKeep your body in a straight line do not Twist!Do not lift items over your shoulders.Ask for assistance from Facilities!Let your legs do the lifting not your back. 25. ErgonomicsThe science of fitting your job to your body.Desk set up is important to your body 26. Stretching it does your body GOOD!1. Just stand up you should stretch at least once every half hour - stand up without using your hands.2. Reach over your head as far as your can While stretching bend to the left then the right to do side stretches3. Shrug your shouldersto release the neck and shoulders4. Make a fist with both hands then spread your fingers as far as you can!5. Move the air by making circles with your hands then bigger ones by rolling your shoulders.6. Turn your head slowly from side to side7. Pull your legs to your chest and hold for 5-10 secs8. Stretch your fingers - interlace your fingers - palms facing your body then slowly turn your palms outward away from your body. 27. Fire SafetyR.A.C.E. what you do during a fireP.A.S.S. how to use the fire extinguisherWhere are the safety locations?What kind of extinguishers do we have?Preventing fires! 28. Fire DrillsProvide practice and critique of our Fire Training & ResponseOccur on an unannounced basisAre required by Joint Commission and require full participation Performed Quarterly Relocation SiteRaisinville building - Parking lot across the street.Vivian House fire PoleClubhouse New Directions - 29. Exit the Building QuicklyR Rescue those in the immediate area of the fireA Activate the alarm system (Call 911 if there is no alarm system)C Close all doors on the way outE Evacuate or Extinguish only extinguish very small fires!A fire doubles in size every 60 seconds.Fire extinguishers discharge in 10- 40 seconds. 30. How to use the extinguisherP Pull the pinA Aim the nozzle at the base of the fire (Aim a foot above the base of a grease fire as grease will spread if you aim directly at the base)S Stand about 6 to 8 feet awayS Squeeze the trigger and Sweep back and forthMake sure your first shot counts!Extinguishers only last a few seconds 31. Where do we meet?When evacuating the building always use the closest exit. The closest exit may be behind you or not a commonly used exit.MCMHA staff and visitors will meet at across the drive at the Extension office parking lot please do not block thetraffics ability to enter or exit.Do not leave the scene as your supervisor is responsible to do a head count of all employees.MCMHA has FOUR fire drills annually but you should evacuateANY TIME you heard the alarm as you never know if there is an actual fire or needed evacuation 32. Check the Label!Fire Extinguishers are labeled for the type of Fire they aredesigned to fight. A for combustibles like paper, cardboard, cloth or wood. B- for grease, gases, or flammable liquids like oil, paint and gas C for electrical wiring and equipment ABC for all of the above types of fire D for combustible metals such as sodium of magnesium MCMHA has 13 ABC extinguishers and 2 C only extinguishers (for the server rooms) 33. Fire PreventionObey No Smoking signs.Look for MSDS on productsDo not plug in anything noDo not store flammable pre -approved by the IT products in the office departmentbuildingReport any frayed or crackedKnow where the closest fire electrical cords. extinguisher is.Be careful around the stove Keep work areas clean andit is still hot after youneat.turn it off.If you smell the faint scent ofDo not put any metal in thesmoke report it microwavesIf you smell a strong scent of smoke pull the fire alarm 34. Hazardous Communications Information You have the Right to know what industrial chemicals are used at the worksite! What is an MSDS? Hazard alert symbols NFPA Diamond 35. HazCom is about Material SafetyHazard Communication is aboutthe fact that employees have both aneed and a right to know the hazardsand identities of the chemicals they areexposed to when working. They alsoneed to know what protectivemeasures are available to preventadverse effects from occurring.MCMHA has a HazCom program thateach affected employee should befamiliarized with.It is your responsibility to know howto handle chemicals safely,understand chemical labels, andunderstand the MSDS. 36. LabelsThe label on a bleach container tellsyou the contents, the hazard associatedwith the chemical, and what part of yourbody it affects.An unlabeled container could be wateror it could be a strong acid. You do notknow what it is so you do not know whatprecautions to take. Remember, youshould never remove a label from acontainer!If you have any doubt about alabel, contact your supervisor or thefacility manager. 37. Labels Provide Basic InformationThe label must have the following information: The chemicals name Hazards of the chemicals The manufactures name and addressIf a label gets removed, destroyed or covered, you must put a new label with the above information on it H2O2 Hazards: Siigma Manf. 38. Material Safety Data Sheets:MSDS is a tool to give you details on the chemical and physical dangers, safetyprocedures, and emergency response procedures. It includes:1. Identity of the Chemical2. Hazardous Ingredients3. Physical and chemical characteristics4. Physical Hazards such as fire or explosive nature5. Reactivity or stability of the chemical6. Health hazards7. Necessary precautions to use with the chemical8. Control measures to reduce exposure to the chemical 39. MSDSs are Always AvailableA Material Safety Data Sheetcomes with every bulkchemical purchased. Eachsite has a designated areawhere the MSDSs are to belocated.If you cannot locate theMSDS, contact yoursupervisor. Your supervisorwill call to locate one to makeit readily available andaccessible to all employees. 40. Hazard Signs PoisonBiohazard ExplosiveRadioactive FlammableCorrosive High VoltageWarning 41. National Fire ProtectionAssociationThe higher the number the more dangerous the chemical 42. Emergency ManagementNatural disasters: Tornados, Thunderstorms, Floods Wild Fires, Earthquakes, HurricanesEvacuation planEmergency call sheet 43. Probable DangersTornadoes stay indoors or find shelterSevere winter weather stay indoors , do not travel , dress in layersSevere Thunder storms stay indoors, pull over if drivingFlood Evacuate when instructed to, do not drive or walk through waterWild Fire Do not drive through hot air and smoke can kill ! 44. Raisinville Building 45. Be Prepared to Evacuate!Know when and where to go if told to evacuate.Know what to take and what you cannot take.Have a family plan that includes pet care.Do not risk your life get out - Your safety comes FIRST!Keep Calm and Do Not Panic!!Reasons to evacuate = alarm , medical emergency, buildingsafety, hazardous spill, natural disaster, violent person, nuclearaccident.Help Every CONSUMER have a planned response before it isneeded! 46. Emergency Information SheetMy name and address is:_____________________________________The cross streets are:_________________________________________Call 911 for fire or medical emergencyPoison Control: 800-222-1222My phone number is:_________________________________________My advocate is :____________________ phone #:___________________ 47. Workplace ViolenceWhat is it?Potential Warning SignsEmployee danger and duty to reportMaster Stress prevent violenceBuilding security 48. WORKPLACE VIOLENCE Definition : Workplace violence is any physical assault, threateningbehavior, or verbal abuse occurring in the work settingA workplace my be any location either permanent or temporary where an employee performs any work-related duty Did you Know??? Is the second leading cause of death in the workplace overall Is the leading cause of death in the workplace for females 1 out of 20 women will be the victim of a stalker 49. Is Workplace Violence an Acts of Workplace Epidemic? ViolenceCDC SAYS..Aggravated assaultViolence has Sexual assaultreached epidemic Product tamperingproportions Sabotage111,000 violentincidents per year Homicide750 - 1,000Includes actsworkplacecommitted duringhomicides per year robberies 50. WHAT CAUSES VIOLENT ACTS? Disgruntled Employees, Domestic Disturbance andDelusional Persons. WHO COMMITSWORKPLACE VIOLENCE?EmployeeVendorFormer Employee Family Members ofContractoremployee or customerCustomer 51. PROFILE OF A PERPETRATORTHERE IS NO EXACT PROFILE! But there are common precipitating factorsDisgruntled employee:Delusional Person:Long Tenure Acts against Stressor causes Domestic violenceperceived to beviolenceis when external wrongEnd of the lineviolence spills over No connection tointo the workplace organization Look for patterns rather than individual warning signs Profiles can help identify potential problemsHowever, they are not all inclusive or exclusive 52. WHY DO SOME PEOPLE ACT OUT? THEY HAVE NO SUPPORT SYSTEM More aggressive Taught not to seek Be Toughhelp 53. White male Obsessed with guns, gun 30 - 50 years oldmagazines Problem Employee Interested in past acts of violence in the workplace History of ViolentBehavior Makes open or veiled threats Intimidates Others Obsessed with job Paranoid Loner Cant take criticism Possible Substance Holds a grudge Abuse 54. WHAT DO I NEED TO DO?All staff are responsible for notifying their supervisor of any threats, which they have witnessed orreceived. Threats against supervisors and co-workers can foreshadow violence. Even without anyactual threat, employees should report any behavior they have witnessed which they regard asthreatening or violent, when the behavior is related or might be carried out at work or is connected toAgency employment.Staff are responsible for making this report, regardless of the relationship between the individual whoinitiated the threat or threatening behavior. Any potentially dangerous situations must be reportedimmediately to a supervisor or the Human Resource department.The supervisor is responsible for reporting the situation to his/her Department Head. TheDepartment Head is responsible for ensuring that the Human Resource Director and the ExecutiveDirector have been notified of the incident.Reports can be made anonymously and all reported incidents will be investigated if there is sufficientinformation in order to initiate an investigation. Reports or incidents warranting confidentiality will behandled appropriately and information will be disclosed to others only on a need-to-know basis.Acts of aggression and violent behavior should also automatically require action. When they occur,management should tell aggressive employees to leave the workplace or have them removed. Adecision should be made regarding disciplinary action. If the employee(s) remains employed, theyshould be assisted in obtaining counseling. The employee(s) that was the target of the aggressionshould have their needs and concerns addressed. The Authority will actively intervene at anyindication of a possibly hostile or violent situation. 55. Be Aware! Potential Warning Signs:A history of violenceVows to get evenOver reacting to uncertainty Believes others are out to get themParanoid or Accusing Carries or nurses a grudgeExcessively Angry Seems overwhelmed by moneyBlames others for theiror personal problemsproblems Defensive toward othersUses abusive language Obsessive toward someoneThrows things Acting out of the normalThreatening or intimidating Very stressedUnder the influence of drugs Difficulty coping with the dailyShows or claims to have aevents of lifeweapon 56. Violence from within is most often associated with a disaffectedworker or a former employee whose personal or professionalproblems escalate to the point of uncontrollable rage, frustrationor despair. Signs can include: Loss of job or threat ofRelationship problems job losssuch as divorce, break up or separation Discipline especially if it seems unfair to the Domestic abuse employee) Substance use Failure to receive expected raise or Financial difficulties promotion Emotional problems Ongoing conflicts with aincluding low self esteem supervisor or co-worker Not everyone who suffers from stress becomes violent!But it is your duty to report a worker who seems in serioustrouble to a supervisor or Human Resources!!!!! 57. Master Stress versus Stress being your MasterDO : DONT: Be a problem solver not a victim React to everything as if it is a Crisis Remember not everything is acrisis Take work issues personally Accept that no is perfect Be a control freak Forgive! (yourself and others) Assign blame, blow up or worry about the unknown Exercise, get rest and eathealthy Use alcohol or drugs to reduce stress Laugh! Withdraw or suffer in silence Be cooperative and selfconfident! 58. Building Security take it seriously!Do not lend out your ID badgeKeep doors closed do not prop them openEscort visitors in and out of the buildingSet up a danger signal with coworkersLock up purses and valuablesReport behaviors that concern you. You may be able to head off violence and get troubled people thehelp they need! 59. Blood borne PathogensHIV, HBV and Hep CStandard PrecautionsGood Hygiene Practices 60. DiseaseBLOODBORNE PATHOGENS are microorganisms such as viruses orbacteria that are carried in blood and can cause disease in people. There aremany different bloodborne pathogens including malaria, syphilis, andbrucellosis, but Hepatitis B (HBV) and the Human Immunodeficiency Virus(HIV) are the two diseases specifically addressed by the OSHA BloodbornePathogen Standard.PATHOGENS TRANSMISSION 61. HIV, HBV and Hep CHIV - Human Immunodeficiency Virus Causes AIDS, attacks the immune system and reduces a persons ability to fight disease.HBV Hepatitis B Virus Infects the liver, acute illness causes liver inflammation, vomiting, jaundice and rarely, death.Hep C Hepatitis C Chronic infection can progress to scarring of the liver (fibrosis), and advanced scarring (cirrhosis) which is generally apparent after many years. In some cases, those with cirrhosis will go on to develop liver failure or other complications of cirrhosis, including liver cancer. 62. Standard Precautions:are a set of infection control practices used to prevent transmission ofdiseases that can be acquired by contact with blood, body fluids, non-intact skin (including rashes), and mucous membranes. These measuresare to be used when providing care to all individuals. Hand Hygiene wash hands for 15-20 seconds with soap and warm water regularly Cough Etiquette cover your mouth and nose when coughing using bend of elbow or hands (wash hands after cough) Personal Protective Equipment (PPE) gloves, mask, goggles, gown, eye protection should be warn as needed to reduce exposure to blood born pathogens. Cleaning and Disinfecting - Care areas, common waiting areas, and other areas where people may have potentially contaminated surfaces or objects that are frequently touched (doorknobs, sinks, toilets, other surfaces and items in close proximity to clients) should be cleaned routinely with the proper disinfectant. Waste disposal - puncture proof, leak proof containers and bags for biohazard waste 63. Good Hygiene Practicesprevent the spread of infection!Stay at home if youre sick, DO NOT spread germs!Wash your hands under running water with soap for 15-20seconds. Rinse thoroughly. Use paper towel to turn off water andopen door. Dispose of towel in trash can.Use antiseptic hand cleaner when not near a water source. Washhands properly as soon as possible.Cover your Cough.Clean frequently used areas and equipment daily. 64. Electrical SafetyCheck with IT first! Do not plug it inwithout permission.Do not use an extension cord unless ITprovides it to you for that specificpurpose.Plugs, cords and appliances should be ingood condition not frayed, taped orcracked! 65. Questions?For Infection Control questions contactEllen Graves at 384- 8713For Health and Safety Contact ReneePetkovich at 384-8728For Facilities contact Jeff Koras at 384-8397For IT questions contact Kevin Pierce at384-0428