EC SafetyEC Safety

ACCIDENT REPORTINGACCIDENT REPORTING

–An accident may or An accident may or may not involve an may not involve an injuryinjury

NEWS FLASH!!NEWS FLASH!!April 2007April 2007

Have you seen the Have you seen the new accident new accident packets?????packets?????

They have a peach colored cover…if you need more of They have a peach colored cover…if you need more of these please call or e-mail: these please call or e-mail: dawne.linde@amedd.army.mil 524-5586 524-5586

You can also pick them up in Logistics, Safety OfficeYou can also pick them up in Logistics, Safety Office

MILITARY ACCIDENTSMILITARY ACCIDENTS• Report all (on or off duty)

accidents/injuries to your NCOIC and the MEDDAC Safety Office within 24 hours 524-5586/520-8295

• ALL POV accidents as driver or passenger

• Complete an EACH Accident Report Form, forward to the MEDDAC Safety Office

Civilian Accident Reporting Procedures

• Individual should seek medical attention

•Employee treatment options

•Report incident to MEDDAC Safety Office @ 6-7371/4-5586

(within 24 hours)

The paperwork!The paperwork!• If medical attention is needed the Supervisor must

fill out the CA-16(6-3004 workers comp has these). If treatment is received in the MTF/MEDDAC, a CA-16 is not required.

• For ALL civilian injuries, complete CA-1 and EACH Accident Form

• Once completed, the employee, supervisor, and a witness (if applicable) will sign the form (all forms)

• The original CA-1 needs to be turned in to the MEDDAC Safety Office within 24 hours of the incident.

• Civilian accident reporting is mandatory when on duty (car to car)

Visitors, Volunteers, Students, Contractors and

Patients•Complete an e-4106 and the EACH Accident Report•Notify MEDDAC Patient Safety @ 526-7190•Notify MEDDAC Safety Office @ 4-5586/6-7371

(within 24 hours)• Students must also report all injuries to Students must also report all injuries to

school/training instituteschool/training institute• Contractors must also report allContractors must also report all injuries to their contract coordinatorinjuries to their contract coordinator

BBP EXPOSUREBBP EXPOSURE

• Wash or flush the area immediately• Notify your supervisor or senior staff member

immediately• Follow the procedures expressly noted in the MEDDAC Follow the procedures expressly noted in the MEDDAC

Regulation 385-10, MEDDAC Safety ProgramRegulation 385-10, MEDDAC Safety Program• Initial treatment at Occupational Health (during duty Initial treatment at Occupational Health (during duty

hours) and the EACH ED (after duty hours) is hours) and the EACH ED (after duty hours) is mandatory for all military, and mandatory for all military, and recommendedrecommended for for civilians.civilians.

• If after duty hours, contact Occupational Health the If after duty hours, contact Occupational Health the next work day.next work day.

• Contact the Safety Office (6.7371/4.5586) within 24 Contact the Safety Office (6.7371/4.5586) within 24 hours of incident.hours of incident.

BBP EXPOSUREBBP EXPOSURE

•Risk assessment must be performed immediately

•Prophylactic treatments must be started within 2 hours of a high risk

exposure

ACCIDENT PACKETSACCIDENT PACKETS

•Accident forms and instructions are usually located in the break room

•They must be in a location known to all employees and available 24/7/365

SMDA…SMDA…

• Safe Medical Devices ActSafe Medical Devices Act

• We report to the FDAWe report to the FDA

• The FDA will investigate, initiate recall if The FDA will investigate, initiate recall if necessarynecessary

• Evans Secure Web (AOD has a policy on this in Evans Secure Web (AOD has a policy on this in the AOD book)the AOD book)

• All medical devices/equipment/accessories/partsAll medical devices/equipment/accessories/parts

• Immediate reporting requiredImmediate reporting required

• 24/7/36524/7/365

SMDASMDA

• Identification and evaluation of adverse patient events Identification and evaluation of adverse patient events (if a (if a piece of medical equipment fails, causing harm to a patient, piece of medical equipment fails, causing harm to a patient, extending treatment, or nearly causes harm to a patient it extending treatment, or nearly causes harm to a patient it must be reported)must be reported)

• Timely submission of medical device reporting (immediately Timely submission of medical device reporting (immediately stop using the equipment, keep all lines connected to the stop using the equipment, keep all lines connected to the equipment, parts, filters, disposables, etc. This must be equipment, parts, filters, disposables, etc. This must be reported to the Safety Office for immediate action)reported to the Safety Office for immediate action)

• Compliance with record keeping requirements (the Compliance with record keeping requirements (the equipment will be evaluated by Medical Maintenance if equipment will be evaluated by Medical Maintenance if required and Safety will provide you with some documents required and Safety will provide you with some documents to complete describing what happened)to complete describing what happened)

• Documentation (the results of the evaluation will then be Documentation (the results of the evaluation will then be channeled swiftly through the command and forwarded to channeled swiftly through the command and forwarded to the FDA for proper action.the FDA for proper action.

• Keep a copy of the SMDA in your Safety book for reference, Keep a copy of the SMDA in your Safety book for reference, you can find it on the Evans Secure Web in the MEDDAC you can find it on the Evans Secure Web in the MEDDAC Reg 385-10.Reg 385-10.

Identification and EvaluationIdentification and Evaluation Adverse Events Adverse Events

• MEDDAC Reg 385-10; MEDDAC Safety MEDDAC Reg 385-10; MEDDAC Safety ProgramProgram– Assigns responsibilities and precedents to Assigns responsibilities and precedents to

all clinical, administrative and professional all clinical, administrative and professional staff assigned to MEDDAC/DENTAC/VETCOM staff assigned to MEDDAC/DENTAC/VETCOM at Fort Carson, Pueblo, Dugway and Tooeleat Fort Carson, Pueblo, Dugway and Tooele

Two ways used to Identify and Evaluate Two ways used to Identify and Evaluate Potential Events:Potential Events:

– Medical Device Recalls and Hazard Notices Medical Device Recalls and Hazard Notices – Safe Medical Devices ActSafe Medical Devices Act

Medical Device Recalls and Medical Device Recalls and Hazard NoticesHazard Notices

• User of item will be notifiedUser of item will be notified• Logistics Division and/or Equipment Logistics Division and/or Equipment

Management Branch will take corrective actionManagement Branch will take corrective action– Item withdrawn from useItem withdrawn from use– Returned to manufacturer, if requiredReturned to manufacturer, if required– Replaced/Refund from manufacturer, if returnedReplaced/Refund from manufacturer, if returned

• Product recall notices other than Medical Product recall notices other than Medical DevicesDevices– Investigated by MEDDAC Safety Office, Facilities Investigated by MEDDAC Safety Office, Facilities

Management Branch, or Materiel DivisionManagement Branch, or Materiel Division– Forwarded to Equipment Management Branch, and Forwarded to Equipment Management Branch, and

other sections/departments affected – for action if other sections/departments affected – for action if necessarynecessary

Safe Medical Devices ActSafe Medical Devices Act

• When/if a piece of medical equipment is When/if a piece of medical equipment is suspect in contributing to an adverse suspect in contributing to an adverse affect on a patient:affect on a patient:– Employee will:Employee will:

• Notify the Safety Office Notify the Safety Office immediatelyimmediately ( (within the first within the first hourhour))

– E-4106 incident reportE-4106 incident report Verbally at 6-7371/4-5586 or 6.7710Verbally at 6-7371/4-5586 or 6.7710

• Turn in equipment/device to Safety ManagerTurn in equipment/device to Safety Manager– DO NOT change/adjust anything on equipmentDO NOT change/adjust anything on equipment– Bring it as used during procedure in which incident Bring it as used during procedure in which incident

occurredoccurred

– After normal duty hours:After normal duty hours:• Contact the AOD to call the Safety ManagerContact the AOD to call the Safety Manager• Secure the equipment until picked upSecure the equipment until picked up

• OSHA requires all OSHA requires all employees to know the employees to know the risks and to understand risks and to understand the risks the risks beforebefore using using chemicals chemicals

We do this with the We do this with the following 5 points:following 5 points:

HAZCOMHAZCOM

1.1. Chemical InventoryChemical Inventory2.2. MSDS review MSDS review (Hazards? PPE? Disposal? Storage?)(Hazards? PPE? Disposal? Storage?)

3.3. TrainingTraining

4.4. Written program Written program (MEDDAC 385-10-1)(MEDDAC 385-10-1)

5.5. Labeling Labeling (what , manufacturer, hazards)(what , manufacturer, hazards)

Chemical InventoryChemical Inventory

• List of all chemicals used in the areaList of all chemicals used in the area• There is a MEDDAC format to use. This is There is a MEDDAC format to use. This is

found in the MEDDAC Reg 385-10-1.found in the MEDDAC Reg 385-10-1.• Reviewed annual, new product, etc.Reviewed annual, new product, etc.

When the review takes place, all employees When the review takes place, all employees need to look at the inventory and look need to look at the inventory and look around their work area to insure everything around their work area to insure everything they have/use is listed. If it is not listed, they have/use is listed. If it is not listed, add it.add it.

• Each time the inventory is Each time the inventory is reviewed/updated, an electronic copy must reviewed/updated, an electronic copy must be sent to the Safety Office.be sent to the Safety Office.

Material Safety Data Sheets Material Safety Data Sheets (MSDS)(MSDS)

• Each department must have an MSDS Each department must have an MSDS book in their area that is easily accessible book in their area that is easily accessible by all employees (all shifts)by all employees (all shifts)– Provides information on the substance Provides information on the substance

including the hazards, first aid, manufacturer’s including the hazards, first aid, manufacturer’s phone number, personal protective equipment phone number, personal protective equipment needed, and precautions for safe handling, needed, and precautions for safe handling, storage, transportation, and disposalstorage, transportation, and disposal

• MSDS books and chemical inventories MSDS books and chemical inventories must be must be updated annuallyupdated annually and a copy of and a copy of the inventory the inventory sent electronicallysent electronically to the to the Safety Office and Environmental HealthSafety Office and Environmental Health

• Staff review sheet Staff review sheet (signed annually by (signed annually by ALL staff, volunteers, students, ALL staff, volunteers, students, contractors)contractors)

• Current copy of the chemical inventory

• MSDS for all items on the inventoryMSDS for all items on the inventory

• Management of Regulated Medical Waste (40-5-5)

• HAZCOM Program (385-10-1)

• Hazardous Material/Hazardous Waste Management Program (40-5-6)

MSDS Book ContentsMSDS Book Contents (per MEDDAC Reg (per MEDDAC Reg

385-10-1)385-10-1)

MSDS MSDS (Material Safety Data Sheet)(Material Safety Data Sheet)

• Must have one for each item listed on the Must have one for each item listed on the chemical inventory.chemical inventory.

• There is a web site available to all There is a web site available to all employees to use. At this site, an MSDS can employees to use. At this site, an MSDS can be pulled up and printed. If the MSDS is not be pulled up and printed. If the MSDS is not available, a request can be submitted and available, a request can be submitted and the company will find it for you.the company will find it for you.

• If you have any problems in obtaining an If you have any problems in obtaining an MSDS, contact the Safety Office for MSDS, contact the Safety Office for assistance.assistance.

TrainingTraining

• New employees must be trained prior to New employees must be trained prior to using any chemicals.using any chemicals.

• Annual training is required for all employees.Annual training is required for all employees.• Training is also required when a new Training is also required when a new

chemical or process is introduced and when chemical or process is introduced and when a change to a process or chemical occurs.a change to a process or chemical occurs.

• If an employee will be conducting a non-If an employee will be conducting a non-routine task, training is required.routine task, training is required.

• Document training with a sign in sheet and Document training with a sign in sheet and outline of points covered.outline of points covered.

Training Points to CoverTraining Points to Cover

• Review the written program Review the written program (MEDDAC Reg 385-10-1)(MEDDAC Reg 385-10-1)

• Review the chemical inventory. Point out Review the chemical inventory. Point out the associated hazards of each the associated hazards of each (flammable, corrosive, carcinogenic, (flammable, corrosive, carcinogenic, irritant, etc)irritant, etc)

• Exposure Routes:Exposure Routes:Inhalation (nose)Inhalation (nose)

Ingestion (mouth)Ingestion (mouth)Absorption (skin, eyes, etc)Absorption (skin, eyes, etc)Injection (open wound)Injection (open wound)

Which chemical(s) do you have that you can be Which chemical(s) do you have that you can be exposed to via each of those routes?exposed to via each of those routes?

Training Points Training Points (continued)(continued)

• What PPE do you have in your area that is What PPE do you have in your area that is required to be used when handling required to be used when handling chemicals?chemicals?

• When is each item required? What When is each item required? What processes or chemical use?processes or chemical use?

• Where is the PPE stored?Where is the PPE stored?

• How do you get more PPE?How do you get more PPE?

• ALL personnel are required to wear the ALL personnel are required to wear the PPE supplied/provided for use.PPE supplied/provided for use.

Written ProgramWritten Program

• The written program is the MEDDAC The written program is the MEDDAC Regulation 385-10-1Regulation 385-10-1

• Review this document.Review this document.

LabelingLabeling

• All containers must be labeled (except as All containers must be labeled (except as noted in the written program)noted in the written program)

• For HAZCOM, the labels must have this For HAZCOM, the labels must have this minimum information:minimum information:Identity of material (same as on the Identity of material (same as on the original label, MSDS, and chemical original label, MSDS, and chemical inventory)inventory)Manufacturer (name and phone number)Manufacturer (name and phone number)Associated Hazard(s) (flammable, causes Associated Hazard(s) (flammable, causes eye irritation, etc.)eye irritation, etc.)

•Infection Control, Safety, and the Environmental Science Officer must be consulted for approval prior to ordering any new chemicals OR equipment that required new chemicals

Oh no I spilled it!!!!!!!!!!!Oh no I spilled it!!!!!!!!!!!

• What do you do? Report, clean and dispose What do you do? Report, clean and dispose properly, see the green sheetproperly, see the green sheet

• Who cleans it up? Who cleans it up? You do…do not call You do…do not call housekeepinghousekeeping

• Do we have a spill kit?...whats in a spill kit?Do we have a spill kit?...whats in a spill kit?

• Paperwork and phone calls? See green sheet Paperwork and phone calls? See green sheet

• FC Spill reportingFC Spill reporting

• 911!!!!!!!!!!!911!!!!!!!!!!!

• Exposure????Exposure????

Standard Army Occupational Standard Army Occupational Safety and Health InspectionsSafety and Health Inspections

• Annual or semi-annual Requires a written Annual or semi-annual Requires a written response of correctionsresponse of corrections

• Never announcedNever announced

• Can be more frequent if problem areaCan be more frequent if problem area

• Can be done as a courtesy on requestCan be done as a courtesy on request

• Inspection of physical area, safety Inspection of physical area, safety documentation, training (rosters, CAF’s, documentation, training (rosters, CAF’s, etc.), and personnel questioned for etc.), and personnel questioned for responsesresponses

Area Specific HazardsArea Specific Hazards

• What hazards are in your area and What hazards are in your area and how do you protect yourself?how do you protect yourself?

• Sharps…use the sharps disposal Sharps…use the sharps disposal containers, use safety needlescontainers, use safety needles

• BBP…wear gloves, goggles, etc when BBP…wear gloves, goggles, etc when there is a potential for exposurethere is a potential for exposure

• Chemicals…ppe when using, mixing, Chemicals…ppe when using, mixing, transferring chemicalstransferring chemicals

Area Specific Hazards Area Specific Hazards (continued)(continued)

• Trips…do not place cords and other Trips…do not place cords and other items in or across walk ways.items in or across walk ways.

• Slips/Falls…clean up spills or mark it so Slips/Falls…clean up spills or mark it so no one else slips and call housekeepingno one else slips and call housekeeping

• Sharps…knives, blades, etc…use only as Sharps…knives, blades, etc…use only as the item is meant to be used.the item is meant to be used.

• Tools…wear PPE when operating tools or Tools…wear PPE when operating tools or machinery, use them only as designedmachinery, use them only as designed

AWARENESS IS KEY TO AWARENESS IS KEY TO SAFETYSAFETY

• Be aware of the rules, regulations, Be aware of the rules, regulations, your surroundings, others in the your surroundings, others in the area, etc. whenever you do anything.area, etc. whenever you do anything.

• Conduct a risk assessment. What Conduct a risk assessment. What risks are associated with this risks are associated with this task/event/sport? How would you task/event/sport? How would you protect yourself from and lower the protect yourself from and lower the risks?risks?

Seasonal ItemsSeasonal Items

• Environmental:Environmental:snow/ice…wear proper footwear, slow down snow/ice…wear proper footwear, slow down when walking or driving, allow more time, when walking or driving, allow more time, be aware of your surroundingsbe aware of your surroundings

• Cold Weather:Cold Weather:Be prepared, wear layers, hypothermia is a Be prepared, wear layers, hypothermia is a real dangerreal danger

• Hot Weather:Hot Weather:Dehydration is a danger, drink lots of fluids, Dehydration is a danger, drink lots of fluids, take breaks when working in the heattake breaks when working in the heat

Seasonal Items Seasonal Items (continued)(continued)

• Water Hazards:Water Hazards:Know the rules when boating, jet-skiing, etc. Know the rules when boating, jet-skiing, etc. Wear life jackets. Use the buddy system. Wear life jackets. Use the buddy system.

• Vehicles:Vehicles:Service the vehicle regularly (check wipers, Service the vehicle regularly (check wipers, fluids, tires, etc.)fluids, tires, etc.)Wear your seat belt and insure all in the Wear your seat belt and insure all in the vehicle do the same.vehicle do the same.Have winter gear in the vehicle for all Have winter gear in the vehicle for all persons (coats, hats, gloves, etc.)persons (coats, hats, gloves, etc.)Do NOT drink and drive.Do NOT drink and drive.Do NOT talk on the cell phone or have other Do NOT talk on the cell phone or have other distractions when driving. distractions when driving. Be aware of all that is going on around you.Be aware of all that is going on around you.

Seasonal Items Seasonal Items (continued)(continued)

• Safety at Home is Just as Important…Safety at Home is Just as Important…Grilling: do not grill under an overhang (i.e. Grilling: do not grill under an overhang (i.e. patio) or in an enclosed area (i.e. garage), keep patio) or in an enclosed area (i.e. garage), keep kids/pets away from hot surfaceskids/pets away from hot surfacesElectrical: check your cords for frays and Electrical: check your cords for frays and cracks, do not overload a circuit, if using an cracks, do not overload a circuit, if using an extension cord insure the cord will carry the extension cord insure the cord will carry the load.load.Candles: keep away from combustibles Candles: keep away from combustibles (curtains, trees, etc), and from pets and (curtains, trees, etc), and from pets and children. Do not leave them burning in an children. Do not leave them burning in an unoccupied room.unoccupied room.Yard Work: wear ppe when there may be flying Yard Work: wear ppe when there may be flying debris (i.e. mowing), sharp items, etc.debris (i.e. mowing), sharp items, etc.When moving snow from walkways…don’t lift…When moving snow from walkways…don’t lift…pushpush

Seasonal Items Seasonal Items (continued)(continued)

• Again…away from work, we want you Again…away from work, we want you safe.safe.

• Consider the following while Consider the following while participating in sports:participating in sports:Know the rules of the game or event Know the rules of the game or event you are participating in.you are participating in.Stretch prior to.Stretch prior to.Wear PPE if required.Wear PPE if required.Insure you had plenty of rest.Insure you had plenty of rest.If it is hot…drink lots of fluidsIf it is hot…drink lots of fluids

Driving/RidingDriving/Riding• POV’s take more of our personnel POV’s take more of our personnel

than any other type of incident.than any other type of incident.

• Use your seatbelt.Use your seatbelt.

• If you ride…wear the helmet, If you ride…wear the helmet, reflective gear, gloves, long reflective gear, gloves, long pants/shirt, over-the-ankle boots, etc.pants/shirt, over-the-ankle boots, etc.

• Do not use a cell phone while driving.Do not use a cell phone while driving.

• Do not drink and drive/ride.Do not drink and drive/ride.