Young Worker Safety and Health Training for the Healthcare Industry

Young Worker Safety and Health Training for the

Healthcare IndustryTraining Module 4

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This material was produced under grant number SH-22227-11 from the Occupational Safety and Health Administration, U.S. Department of Labor. It does not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.

Center for Young Worker Safety and Health at Georgia Tech Research Institute

Acknowledgement of Sources

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Introduction to OSHAhttp://www.osha.gov/dte/outreach/construction_generalindustry/teachingaids.html

http://www.cdc.gov/niosh/talkingsafety/

Work Safe, Work Smart: Health and Safety Awareness for Working Teens curriculum. University of Washington: Dept. of Environmental and Occupational Health Sciences. Washington State Dept. of Labor and Industries.OSHA’s 11 – An OSHA 10 Hour General Industry Curriculum: University of Washington: Dept. of Environmental and Occupational Health Sciences. Washington State Dept. of Labor and Industries.

http://www.google.com/imgres?imgurl=http://www.commercialcleaningincharlotte.com/wp-content/uploads/2009/05/osha-logosvg.png&imgrefurl=http://www.commercialcleaningincharlotte.com/osha/&usg=__qu6X7BURr0QPeG7H2m7LnW9KElE=&h=208&w=720&sz=24&hl=en&start=14&zoom=1&um=1&itbs=1&tbnid=47vT5YNkvycNHM:&tbnh=40&tbnw=140&prev=/images?q=osha&um=1&hl=en&sa=N&rls=com.microsoft:en-US&tbs=isch:1


Course Agenda & Objectives In this session you will learn:

Bloodborne Pathogens (BBP) What is a bloodborne pathogen? How are healthcare workers exposed to BBP? How do you prevent exposure to BBP and what do you

do if you are exposed at work? Respiratory Protection

What is a respirator? When do you need to wear a respirator (hazards in

healthcare settings most likely to require the use of a respirator)?

What are the limitations of a respirator?

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Course Agenda & Objectives (continued) Ergonomics

What does “ergonomics” mean and how does it affect healthcare workers?

How do I prevent an ergonomic-related injury? Workplace Violence

Why are healthcare workers at risk of workplace violence? What are the risk factors and how do you minimize them?

Emergency Response What are examples of the types of emergencies

experienced in a healthcare setting? How does your employer prepare for these types of

emergencies?

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Tying it All Together

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The Puzzle piece represents an activity that participants can do individually or as a group

The Movie reel represents ways to integrate media into training

The Microphone represents ways to encourage participation


Healthcare Industry Includes: Public and Private Hospitals Nursing and residential care facilities Offices of physicians, dentists, etc. Home healthcare services Outpatient care centers Ambulatory health care services Medical and diagnostic laboratories

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How is healthcare different from other jobs?

In the healthcare setting there is a: diversity of job titles and duties unique "business" of caring for the ill societal behaviors related to caregiving role exotic and unique exposures suspension of usual self-protection behaviors emphasis on confidentiality

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Did You Know?

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Healthcare is the largest industry in the American economy (EEOC, 2011)

Slips, trips and falls are among the leading cause of injury in healthcare facilities

600,000 – 800,000 needlestick injuries annually Nurses sustain the most needlestick injuries

Source: CDC, 2004


Healthcare isn’t always healthy….

Risk of infection Exposure to

chemicals and drugs Injuries from lifting

and repetitive motion

Stress

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Bloodborne Pathogens and Infection Control

Information Provided under OSHA Susan Harwood Capacity Building Grant: #SH-20848SHO

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What’s a Pathogen? Infectious microorganisms present in blood

that can cause disease in humans. Viruses

Cold & Flu Hepatitis B & C HIV

Bacteria Staph infections Tuberculosis

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Did you know? The Hepatitis C virus can live in dried blood

for up to 30 days. Hepatitis C is the leading cause of liver failure

in the U.S. Up to 4 million Americans are infected with

Hep C There is no immunization for Hepatitis C

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Bloodborne Pathogens At work, most

biological pathogens are transmitted from: Accidental puncture

from a contaminated sharp object

Contact between broken skin and infected body fluids

Contact between mucous membranes and infected body fluids

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REMEMBER:Blood or body substances do not have to be visible for an infection

to be transmitted

Center for Young Worker Safety and Health at Georgia Tech Research Institute April 22, 2023

Injuries 600,000 – 800,000

needlestick injuries annually Nurses sustain the most

needlestick injuries 1/3 all sharps injuries occur

during disposal CDC estimates 60 – 80% can

be prevented Other exposure incidents

Splashes Contact with mucous

membranes or non-intact skin


Prevention Strategies

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Remove/Substitute/IsolateRemove/Substitute/Isolatethe hazard

ImproveImprove Work Policies & Procedures

UseUse Protective Clothing & Equipment

Example: single-use, disposable equipment (needles, scalpels, patient gowns)Examples: •Training on infectious disease and transmission•“Universal Precautions” rule•Handwashing rules•Hepatitis B vaccination

Example:•Disposable gloves for use during procedures and cleaning equipment


Cleaning & Disinfecting Strategies

Autoclave Heat & Steam Good for objects

Ultrasonic cleaner Vibration & disinfectant

Hospital grade disinfectants

“Quats” (Quaternary ammonium compounds)

Glutaraldehyde Ethyl Alcohol Bleach solutions

Must be made daily16

Your employer is required to train you on the hazards of working with

chemicals on the job.

The products and chemicals used to clean and disinfect can be dangerous if you are not trained on their use and use them properly


What to do if you are exposed to a bloodborne pathogen Flush area with water Irrigate eyes with

water or saline Report to teacher or

employer immediately

Seek counseling/care (time makes a difference)

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Proper Glove Removal Practice


Hand washing Lather well; rub hands

vigorously for at least 20 seconds.

Hand sanitizer is NOT a replacement for washing hands with soap and water!

Hand sanitizer does NOT remove chemicals from your hands

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Respiratory Protection in the Healthcare

IndustryInformation Provided under OSHA Susan Harwood Capacity

Building Grant: #SH-20848SHO

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Respiratory Protection Is a filtering face piece a respirator? How about a one-strap mask? How about a two-strap mask? What about a surgical mask? Why would you wear a respirator?


Respiratory Protection Mask vs. respirator

1 2 31 Dust mask (not NIOSH approved)2 Surgical mask (not a respirator and not PPE)3 NIOSH approved filtering face piece

respirator


What is a Respirator?Respirators are devices that protect workers from inhaling harmful airborne substances.

Some respirators also ensure that workers do not breathe air that contains dangerously low levels of oxygen (O2).

(OSHA’s Small Entity Compliance Guide, 9/30/98)


When do we need respirators? Engineering or administrative controls are not

always possible: Confinement of infectious agent may be difficult or

impossible Improved ventilation may not be practical or

feasible Employees may be exposed to a wide

variety of air contaminants infectious agents chemical agents

Environmental controls may not befeasible

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Limitations of Respirators All respirators have limitations:

improper fit improper donning damage contamination

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Respiratory Concerns SARS Smallpox Measles Varicella (Chicken Pox) Tuberculosis (TB) Chemical agents

The minimal acceptable level of respirator protection for TB is the N95 respirator

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REMEMBER:Surgical masks are not considered respirators and are not approved to protect from infectious disease or chemicals.

Ergonomics in the Healthcare Industry


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High prevalence of musculoskeletal complaints:

Awkward, prolonged working postures Elevated arms (stocking

supplies) Bent back (making a bed) Bent head (microscope work)

Repetitive movements Heavy, awkward lifting

Lifting patients Positioning patients Transferring patients

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An Exercise in Strength

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What is Ergonomics? Fitting the task to the person


Questions to ask yourself… Are you gripping or squeezing

any of the implements too tightly?

What types of repetitive motions are you doing throughout the day?

Are you holding your arms away from you body for extended periods of time?

Do you find yourself bending forward or twisting into awkward positions to reach the patient?

31Graphic used courtesy of VCU


Prevention Strategies

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Remove/Substitute/IsolateRemove/Substitute/Isolatethe hazard

ImproveImprove Work Policies & Procedures

UseUse Protective Clothing & Equipment

Example: •Use patient lifting devices

Examples: •Allow for stretching intervals•Keep neck and back straight•Lift with legs•Move patient as close as possible before lifting

Example:•Choose appropriate footwear that is non-slip and supportive

Workplace Example:

Transferring a Patient

Workplace Violence in the Healthcare Industry


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Workplace Violence

48% of all non-fatal injuries from occupational assaults occurred in health care and social services

Nurses, aides, orderlies and attendants suffered the most non-fatal assaults.

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Risk Factors

What are some reasons that healthcare settings have a higher risk for workplace violence than other workplaces?

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Hazard Prevention Provide better visibility and good lighting Implement safety measures to deter handguns

inside facility Use of security devices like surveillance cameras,

beepers, panic buttons, etc. Control access to work areas Use curved mirrors at hallway intersections or

concealed areas Provide adequate staffing even during night shift Increase staffing in areas where assaults by

patients are likely (e.g., ER)

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Emergency Response in Healthcare Industry


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Types of Emergencies

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Emergencies make a hard job harder

What are some essential services for a medical facility? (electricity, water, supply chain (medications, food))

Could these be lost during an emergency? How would this affect their ability to perform

their job?

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What you need to know Your employer should have a plan

Emergency Management Goals: Continuity of care Safety of patients, families, and staff Support to community Preservation of vital records and property

OSHA has established standards and regulations that pertain to healthcare during disaster situations.

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Center for Young Worker Safety and Health at Georgia Tech Research Institute41

The creation of OSHA provided workers the right to a safe and healthful workplace.

Your Right to a…

Section 5(a)(1) of the OSH Act states: “Each employer shall furnish to each of his employees employment and a place of employment which are free from recognized hazards that are causing or are likely to cause death or serious physical harm to his employees."

www.osha.gov or call: 1-800-321-OSHA

http://www.osha.gov/


Building Resources: Healthcare Specific

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http://www.health.state.mn.us/index.html

http://www.osha.gov/SLTC/etools/hospital/index.html

http://www.osha.gov/SLTC/etools/nursinghome/index.html

http://www.cdc.gov/nhsn/hps.html

http://www.mtpinnacle.com

http://www.health.state.mn.us/index.html





http://www.cdc.gov/nhsn/hps.html

http://www.mtpinnacle.com/


Building Resources

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Occupational Safety and Health Administration (OSHA) www.osha.gov and http://www.youth2work.gov/

National Institute of Occupational Safety and Health (NIOSH) http://www.cdc.gov/niosh/topics/youth/

Youngworkers.org http://www.youngworkers.org/home.htm *The California Resource Network for Young Workers’ Health and Safety and home of The National Young Worker Safety Resource Center

United States Department of Labor, Wage and Hour Division (WHD) Youth Rules! http://www.youthrules.dol.gov/teens/default.htm

Gulf Coast Safety Institute www.com.edu/gcsi

National Resources

http://www.osha.gov/

http://www.youth2work.gov/

http://www.youngworkers.org/home.htm


Building Resources

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Georgia Department of Education http://www.doe.k12.ga.us/ http://www.gadoe.org/

Georgia Department of Education: Career, Technology and Agricultural Education http://www.gadoe.org/ci_cta.aspx

SkillsUSA www.skillsusageorgia.org and www.skillsusa.org Georgia Technology Student Association www.gatsa.org Georgia Engineering and Technology Education Association

www.getea.org Georgia Health Occupations Students of America www.georgiahosa.org

Construction Education Foundation of Georgia www.cefga.org Trade and Industrial Educators of Georgia http://tiega.org/ Project Safe Georgia www.projectsafegeorgia.org American Society of Safety Engineers (ASSE)- Georgia Chapter

http://georgia.asse.org/ Georgia Local Section- American Industrial Hygiene Association (GLS-

AIHA) http://www.georgiaaiha.org/

Georgia Local Resources


For More Information

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Email: [email protected] Website: www.youngworker.gatech.edu Twitter: @youngworker Facebook:

http://www.facebook.com/#!/Young.Worker.at.GTRI

Phone: 404-407-8089 Address:

Center for Young Worker Safety and Health at GTRI260 14th Street Atlanta, GA 30332-0837

Young Worker Safety and Health Training for the Healthcare Industry

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Transcript of Young Worker Safety and Health Training for the Healthcare Industry