chapter 11 safety and health Flashcards
If employee is injured, they are entitled to
reasonable medical care and compensation for lost time if not able to work.
Off work means
off of all work, not just the workplace injury site.
How would you handle a situation where you get hurt at work
Provide first aid care first. Notify supervisor right away. Fill out an injury/incident report. Things to expect Medical evaluation Drug screen Update on immunizations, if needed – i.e.. Tetanus Work restrictions, if necessary If there is no light duty positions, you will not be able to work.
What is OSHA
Enacted in 1970 to establish national protocols and standards for employee safety.
OSHA regulations – follow them to the letter
OSHA can come into offices to inspect, without notice
Each injury has to be logged
Log includes time off work, resolution of safety issue, etc.
OSHA Required Plans
Hazard Communication Plan
Hazard Communication Plan
1987 – also known as the Right-to-Know Law
Big poster that should be in every office somewhere
Chemicals identified and tracked
Material Safety Data Sheets (MSDS) so employee can be informed of the chemicals they may be exposed to
List on page 314
MSDS available on internet
MSD companies
OSHA Required Plans
Exposure Control Plan
Exposure Control Plan – since 1991
Prevent or control exposure to blood, body fluids, infectious materials
Can be inspected by OSHA anytime
Will look at many things including HBV vaccination status of employees and post exposure evaluation.
Required in the plan:
Biohazard labeling
Engineering controls
Needle sticks and cuts and incidence of exposures
Protective equipment available and used
Some details or the Exposure Control Plan
Biohazard symbol, red bags or containers Engineering controls No recapping policy Safety needles Sharps bins Protective equipment Must wear gloves for blood draws Requires alternative types of gloves if patient is allergic Eye protection Masks
Medical Waste Management Plan
Medical Waste Management Plan
To protect the public and the environment
Assures proper storage, handling and disposal
Housekeeping Policy
Housekeeping Policy
Includes how employees clean a room after the patient leaves
Bleach 1 : 10 is OSHA approved but has to be made fresh daily
Fire Safety Plan
Fire Safety Plan Employee training and drills on how to use fire extinguisher Alarm pull stations Calling 911 How to evacuate patients Where employees meet after evacuating Inspection of the fire extinguishers
OSHA Office Manual
OSHA Office Manual
Safe work practice
Hand washing
No eating in the patient care area
No storing food in the medication refrigerator
Refrigerator temperature logging
Correct pipetting of body fluids
Packaging specimens for transport to outside labs
Touching face, applying lip balm, handling contact lenses in the office
5 Priorities of an OSHA Inspection
- Imminent danger – situation may cause death or serious physical harm
- Catastrophes or fatal accidents
Catastrophes = 5 or more employees injured or hospitalized or death of a single employee
Must be reported in 48 hours for investigation - Employee complaints
- Programmed inspection
- Follow-up to determine if violations were corrected
Common Violations of the BBP Standard
Improper sharps containers Inappropriate work surface decontamination No signed refusal of Hep B vaccine Hep B vaccine not available to employee Regulated waste containers not properly labeled No exposure control plan available Improper hand hygiene Improper use of face protection No BBP training records
When does OSHA rarely inspect office
They don’t inspect offices very often
They don’t inspect offices of fewer than 10 employees
Clinical Lab Improvement Act – 1993
Clinical Lab Improvement Act – 1993
Purpose is to ensure quality of lab services provided
Inspections focus on that and providing education regarding accepted lab procedures
Each lab has to be CLIA certified
Inspectors may ask lab personnel to perform certain tests to assure quality procedures
