SAFETY TRAINING

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The Safety Office

Which training is required ? It depends on what you do at work:

Research or clinical Laboratory work:

Any work that involves Direct Patient Contact:

Any work that involves Radioisotopes, X-rays or Irradiators:

Laboratory Safety Training

Safety and Infection Control Training

Radiation Protection Training (8-7052)

Any work that involves BL3-level Organisms:

BL3 Training (by arrangement)

Or any combination of these!

We rely on you to We rely on you to help ensure the help ensure the

safety of each and safety of each and every employee, every employee, patient, student patient, student

and visitor!and visitor!

www.bu.edu/ehsmcwww.bu.edu/ehsmc

www.bu.edu/ehsmcwww.bu.edu/ehsmc

Emergency ContactInformation

CODE BLUE 4/8-7777 Cardiac/Respiratory ArrestSTAT 4/8-6000 Other medical emergenciesCODE RED 4/8-6666 Fire and/or smokeSPILL 4/8-6666 Chemical, chemo spillsSECURITY 4/8-4444 Incidents requiring Security

assistance; suspicious person, altercation, etc.

Where are these #s located? All telephones (yellow sticker) ID red cards Emergency Procedure Charts

Blue call boxes are located throughout the campus for immediate contact with Security

EMERGENCY PREPAREDNESS

Types of Disasters…•Internal•External•Natural

Internal Disasters

Infant/Child Abduction - CODE PINKCODE PINK

Response time is critical Conduct search of your area When complete, call Security 4-4444 Report any suspicious object or person Security maintains log of searched areas & secures perimeter doors General Services personnel searches common areas/mechanical spaces

Bomb Threats - Call Security at 4-4444

Telephone Calls - Keep caller on phone, observeUnusual phrases, accent, sex, age, background noises

External Disasters

Natural Disasters

AA Potential or actual disaster. Managed by on-site staff

BB Assistance from other departments may be necessary

CC Assistance from other departments necessary, including those not on-site

D Catastrophic Natural or Man made Event

Announced to personnel via group page, key departments only Supervisors/managers responsible for notifying their own staff A Command Center will be set up for PHASE C events Reference Disaster Plans on BMC Intranet

PHASES of DisastersPHASES of Disasters

Incident Command

Incident Commander

Command Center StaffingMedical Campus Administrative Services

Other Departments as determined by type of incident

Command CenterPower Plant, 1st Floor, Command and Control Center

Alternate -Harrison Pavilion, 2nd Floor, Conference Room C

Alternate - Health Services Building, Basement, Security Operations Center

Command Center Phones (always active)Extension 8-6860 (617-638-6860)

Extension 4-6860 (617-414-6860)

Emergency Phone / Utility Issues

Dialing instructions on phone Emergency powered phones listed in BUMC Telephone

Directory Report utility issues to the Control Center, 4-6666.

(power outages, medical gases, elevator failures, etc..)

Do Fires Happen Here?

Fires Happen Here

“RACE” Fire Plan

rescue/ remove

alert/alarm

confine/close

extinguish/evacuate

Fire Alarms “High Rise System”

Pre-recorded Voice Message:

“Attention Please, The signal tone you have just heard indicates a report of an emergency in this building. If your floor evacuation signal sounds after this message walk to the nearest stairway exit and leave the floor. All handicap occupants shall follow the building evacuation plan. While this report is being verified, occupants on other floors should await further instructions.”

Buildings with this type of system:HP, DOB, H, ACC, Dowling, Evans (E), Fuller (M), EBRC (X), CABR (W), GSDM (G), Talbot (T), BCD, Houseman (R).

Traditional Alarm SystemAlarm sounds throughout building… everyone evacuates!(All other BUMC building)

Egress and Fire Safety Equipment

Keep egress and fire safety equipment free of obstructions.

Know the location of the

nearest fire extinguishers

and pull stations.

Know your area’s...

Floor specific evacuation plan

Evacuation route

Back-up plan in case your primary route of evacuation is not accessible

Some doors are alarmed and will have a delay

Avoid stacking items near fire sprinklers

Fire Drills• Fire drills are conducted in all BMC buildings

• Drills are unannounced in order to properly test the plan….(staff know procedures, alarms are functioning properly, signal received by BFD, Public Safety responds in a timely manner)

• Staff is expected to participate and follow Code Red procedures.

• Practice drills could take 15 - 20 minutes.

• Emergency Preparedness drills will also be conducted.

How to Use a Fire Extinguisher

pull pin

aim at the base of the fire

squeeze handle

sweep from side to side

Types of Fires

CLASS A Ordinary combustible; wood, paper, rags, cloth or trash

CLASS B Involves gases or flammable liquids; oil, gasoline, paints, solvents and grease

CLASS C Involve or surround electrical equipment

Types of Extinguishers

CLASS AWater only

CLASS BCCarbon Dioxide CO2

CLASS ABCDry Chemical

OSHA’s Hazard Communication

Standard aka The “Right-To-Know” Law Know the hazards of the chemicals with which you work Know how to protect yourself All chemicals must be labeled Material Safety Data Sheets Written Plan & Training

Material Safety Data Sheets

MSDS InformationDeveloped and Supplied by the Manufacturer

MUST be available for all employeesProvides Synonyms Properties or Hazards

Formula/Ingredients Personal Protective Equipment

Emergency & First Aid Routes of Exposure

PEL’s Safe Handling Procedures

Fire & Explosion Storage & Disposal

Where can you find these?

BMC IntranetBMC Intranet MSDS Binders located throughout hospital or from EHS at 638-8830

MSDS’sEmergency Instructions

Flip Chart

Common Sense Chemical Safety

Store materials safely, store compatible materials, do not store under sinks

Ensure all chemicals are labeled Wash hands frequently, and after removing gloves Do not eat, drink, apply cosmetics or lip balm, or handle contact lenses

around chemicals When performing procedures minimize splashing, spraying, or spattering Wear the appropriate PPE when there is a potential for contact with an

infectious or chemical material (see MSDS)

Those working in

labs should attend

BUMC’s lab safety

training yearly

www.bu.edu/ehsmc

Chemical Spills

What do I do???1. Identify the chemical2. Contain the spill3. Locate an MSDS for clean-up procedures4. For spills beyond your control, close off the area and call

the Control Center at 4/8-6666 or Safety Office 8-8830

Mercury Spill Do not clean up a mercury spill regardless of size Call Control Center or Safety Office

Radiation ProtectionRadiation Protection Office

Responsible for inspections, maintaining records, and provides training for those users of radioactivity

Personnel Classification Do not work with radiation: Clerical, Administrative,

Dietary… May work in areas that use it: Lab techs, maint.,

housekeeping... Those who work with radiation: Must attend

radiation protection training, (638-7052). Monitoring devices worn.

Radiation Protection

(How to protect yourself) Observe postings Do not go into posted areas if you do not need to Do not touch anything labeled “Radioactive” Those working with radiation must attend trainingALSO… Contact Radiation Protection Office immediately

in the event of a spill or suspected spill Radioactive waste must not go into regular trash Radiation detectors are installed at shipping area

Electrical Safety Equipment in patient areas shall have a valid inspection sticker Clinical Engineering inspects all incoming patient equipment Facilities Management inspects all non-patient equipment in patient areas

Inspect power cord prior to use Avoid using extension cords Only oil-filled space heaters are to be used and must be inspected before use

Medical EquipmentDisconnect any medical device that: Throws sparks Blows a fuse Gives even the slightest shock

Remove the device from service immediately Attach a broken equipment tag Contact Clinical Engineering Notify others in the immediate area

Complete an Incident Report 8-6060 ENC

4-4692 HAC

Maintains over 8,500 medical devices, coordinates education & clinical trials, performs installations, assists in capital

planning, and investigates medical device incidents

For additional information go to: www.Internal.BMC.Org/Clineng

An On-line source for medical equipment

Equipment profiles Links to manufacturers

Operating guides Troubleshooting

Clinical Engineering

Cell Phone UseTo minimize the potential for interference

with medical devices

Restrict use in hospital except for lobbies and cafeteria’s

Observe sensitive areas posted with signage

Inform guests observed using cell phones

Policy on Clinical Engineering Web Site

ErgonomicsWhat is it and why is it important?

Ergonomics is the science of fitting jobs to people. It focuses on designing workstations, tools and work tasks for safety, efficiency and comfort.

Effective ergonomic design reduces discomfort and injuries and increases job satisfaction and productivity.

What are the common ergonomic risk factors?•Awkward body postures – prolonged periods of bending, twisting, etc.•Excessive repetition – same motion over and over•Excessive force – physical exertion or pressure while pushing, gripping, etc.•Contact stress - pressure by tools, edges or hard surfaces on soft tissues of the body

Be aware of pain or discomfort that ONLY occurs while you are at work. Take the necessary steps to correct a poorly designed workstation and prevent a serious injury.

Computer Workstation Computer Workstation ErgonomicsErgonomics

Use the lumbar support your chair provides

Top line of text at eye-level

Keep everything in front of you

Keep your wrists straight

Support your feet

Thighs parallel to chair for weight distribution

Safe Lifting“Back injuries are the most common type of

injuries among health care workers” Avoid reaching above your shoulders Use a step stool or ladder, do not use chairs Use mechanical means

LIFTING - ASK FOR HELP IF POSSIBLE ! Stand close to the object Spread feet wide to straddle Squat, bending knees and hips Keep head up and back aligned Lift with legs Keep load close to body Do not twist when lifting, pivot

Patient Transfer

Ask for assistance if possible Ask the patient if he/she can help Adjust bed to waist level, lock brakes on bed & wheelchair Move patient to edge of bed - use transfer equipment if possible Get in close to the patient Do not twist Keep knees slightly bent, head up, back aligned Lower patient by bending knees

Call Occupational & Environmental Medicine for more “safe lifting” information 638-8400

or call the Safety Office for more info. about

Office Ergonomics at 8-8830

Employee Accidents Report to supervisor Seek medical attention at OEM (F-5) 7:30 - 4:00

weekdays or one of the ED’s all other times Complete with supervisor the Accident Reporting and

Treatment (ART) For Cardiac and Respiratory arrest follow CODE Blue

procedures. For Serious Injuries and Medical Emergencies contact

Public Safety at 4-4444. Supervisors are responsible for conducting accident

investigations. EHS is available for assistance Corrective measures will be

implemented as necessaryto prevent reoccurrence

Crime Prevention Keep valuables with you or locked.

Close and lock doors when not in your office. Always log off the network or use a password protected screensaver when you leave your workstation.

Check the identity of strangers. Notify security or your supervisor for assistance.

Always let someone know where you’ll be.

Always report any broken or flickering lights, doors that do not lock properly, or broken windows.

Do not advertise personal plans to visitors or strangers.

Keep emergency phone numbers posted near by.

Violence Prevention

For you personal safety, being proactive can prevent many potentially violent situations from escalating.

Indicators of a potentially violent individual: A history of angry or abusive behavior Reactions to medications Individuals that may be addicted to drugs or alcohol Serious medical or personal problems Finger pointing Verbal threats Pacing, extreme restlessness Verbal expressions change (stop talking/start talking endlessly) Red face or neck Body gestures change (arms waving, hands clutched, fists formed, etc..) Talking about weapons

Workplace Violence Prevention

• Any employee or staff member who witnesses and act of violence or immediate threat of an act of violence will immediately call Public Safety at 4-4444 and state “Code Green”. If the person calling feels they are unsafe in the area they should immediately leave the area and then make the call. The person making the call will be asked to provide descriptions of the person or persons involved and the location of the incident.

General Services offers workplace violence seminars including deescalating techniques. Ask

your supervisor or Security for details.

TB ProtectionIs for those who may have contact with a

patient with TB.

• You must have had Infection Control Training

• You must be medically cleared through OEM– Forms and medical evaluation by OEM

• Fit testing is performed by EHS personnel– Monthly fit test times are scheduled– Departments may request a fit test

session– Contact EHS, 638-8830 or

www.bu.edu/ehsmc

Recap

Does the hospital expect you to put out fires? What is the Hospital fire plan? Where are your fire extinguishers located? Who do you notify in the event of a fire? What do you do in the event of a bomb threat? What is a MSDS? Where can a MSDS be found? What do you do in the event of a chemical spill?

THANK YOUFOR YOUR TIME!

PLEASE work safely