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Hey! There’s a Department of Labor & Industries Inspector to see you!. Concurrent Session B Washington Hospitals Workers Compensation Program Tuesday, June 29 11:00 a.m. to : 12:15 p.m . 6/21/2010. 1. 1. Two Trusts for membership began in 1984

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hey there s a department of labor industries inspector to see you

Hey! There’s a Department of Labor & Industries Inspector to see you!

Concurrent Session B

Washington Hospitals Workers Compensation Program

Tuesday, June 29

11:00a.m. to:12:15p.m.

6/21/2010

g:/Suzanne/2010/LakeChelanfinalsm

1

1

about the washington hospitals workers compensation w c program
Two Trusts for membership began in 1984

Provides workers’ compensation claims management to members

Provides safety services to members

Board oversight by your peers

About the Washington Hospitals Workers’ Compensation (W.C.) Program
about washington hospitals w c program
About Washington Hospitals W.C. Program
  • Vision of the Program as adopted by the two Boards of Trustees:

“To lead our membership to create and maintain the safest work environment.”

about washington hospitals w c program1
Promotes a safe environment for employees and this creates a safer environment for patients.

Works closely with employee safety committees and employee safety officers.

Develops Innovative programs such our Zero Lift - that began in 2000 -now known as “Safe Patient Handling.”

Promotes executive managements’ direct involvement in employee safety.

About Washington Hospitals W.C. Program
about washington hospitals w c program2
About Washington Hospitals W.C. Program

Executive management involvement is key!

  • CEO Walkaround Contest
  • 2010 Top Performer Contest

6/21/2010

about washington hospitals w c program3
About Washington Hospitals W.C. Program

Samaritan Hospital CEO Walkaround 2010

Ben Meyers (Safety Officer) & Andrew Bair

(CEO of Samaritan -Hospital)

about washington hospitals w c program4
About Washington Hospitals W.C. Program

Lake Chelan CEO Walkaround 2010

Karl Jonasson (Safety Director), Kevin Abel (Lake Chelan CEO), Ray Eickyeyer (Safety Committee Chair), and Carolyn Hood (H.R.)

about washington hospitals w c program5
About Washington Hospitals W.C. Program

Ferry County Memorial Hospital CEO Walkaround

Ron O’Halloran ( Administrator), Mike Jager (Safety Officer /Maintenance), & Debra Michael (Safety Committee Chair).

slide9

About Washington Hospitals W.C. Program

  • Willapa Harbor Hospital CEO Walkaround

Natalie Dawson, RN & Carole Halsan (Willapa Harbor Hospital CEO).

about washington hospitals wc program
About Washington Hospitals WC Program

Executive Support and preparatory action is the key to readiness for an inspection.

Let’s now take a closer look at the inspection process.

the inspection challenge
The inspection challenge:

Labor & Industries (L& I) Division of Occupational Safety & Health (DOSH) industrial hygienists are inspecting hospitals for employee safety violations under RCW 49.17.050(6).

-We are here to tell you about a DOSH hospital inspection and how to prepare for this.

*FYI: DOSH is our state’s equivalent to OSHA.

types of inspections
Typesof Inspections

Complaint:Typically anonymous employee

Planned:Part of L&I safety enforcement

Referral:From other agencies, like DOH

Imminent danger: Risk of serious injury/death

Follow-up:Verify corrections were made

Serious injury: One or more hospitalized

Death:Death of an employee

dosh inspections areas of focus
DOSH Inspections: Areas of Focus
  • Safer sharps devices and handling
  • Formaldehyde & hazardous chemical exposures
  • Anesthetic gas exposure
  • Respiratory Protection and disease isolation
  • Workplace violence prevention
  • Antineoplastic agent & carcinogen exposure
  • Safe Patient Handling Program Implementation
focus 2 contaminated sharps handling procedures not followed in all areas
Focus #2: Contaminated sharps handling procedures - not followed in all areas.

From Central Processing …

…to clinic exam rooms.

slide17

Focus #4: Health hazards in labs…

Where the unsafe use of formalin, a carcinogen, and sharps handling could cost the employer tens of thousands of dollars in citations.

slide18

Focus #5: Respiratory Protection Plan - with emphasis on the new H1N1 Influenzaregulation: DOSH Directive 11.70

focus 6 workplace violence log
Focus #6: Workplace Violence Log…

Is the program fully implemented with all elements in place?

6/21/2010

focus 7 improperly set machine guards
Focus #7: Improperly set machine guards.

In violation of Machine Safety - Chapter 296-806, WAC

focus 8 fire hazards from improper storage
Focus #8: Fire hazards from improper storage.

Like all these containers of gasoline, stored outside the flammable safety storage cabinet.

focus 9 access to shut off switches control panels
Focus #9: Access to shut-off switches & control panels.

Employees need safe, quick access to panels for shut-off in the event of an emergency.

focus 10 emergency wash stations located where there is potential for eye and skin injuries
Focus #10: Emergency wash stations located where there is potential for eye and skin injuries.

It must deliver tepid water at 1.5 liters (or 0.4 gal)/minute for a minimum of 15 minutes!

it was a fine morning
It was a fine morning….

Carole Halsan, CEO of Willapa Harbor Hospital, had her cup of coffee and was sitting at her desk getting ready for a long day, when she heard several members of her staff call out to her, with great urgency in their voices ….

“Carole…Carole…

CAROLE!!!”

hey there s a department of labor and industries safety inspector here to see you

“Hey – There’s a Department of Labor and Industries Safety Inspector here to see you!”

26

oh no
OH, NO!

This is bad timing!

according to the plan we moved forward together

According to the plan…we moved forward, together…

Carole called Suzanne Metz, the WC safety coordinator assigned to Willapa Harbor Hospital.

carole did what every good ceo does in a moment of crisis

Carole did what every good CEO does in a moment of crisis…

She thought fast, knew her plan and swiftly took action.

29

flash back
FLASH BACK!

How did Carole and her team work with Suzanne?

slide32
Using the checklists provided by the Program, Carole’s staff began to gather their plans, policies and procedures into binders.

They knew they had to produce all the required 19 Documents that are likely to be requested by L&I inspectors!

slide33

Spill kits must have sufficient neutralizer and absorbent material and have appropriate Personal Protection Equipment (PPE) for the hazard.

employees were involved
Employees were involved!

Supervisors checked their areas for good housekeeping practices and checked the levels of chemicals.

supervisors staff assessed discussed hazards
Supervisors & staff assessed & discussed hazards.

Supervisors Hazard Assessment and PPE Certification.

supervisors conducted respirator training
Supervisors conducted respirator training.

OR Manager, nurse anesthesiologist and surgical technician.

they evaluated handling sharps
They evaluated handling sharps.

Tammy, OR Tech, processing surgery sets.

hearing protection
“Hearing Protection”

Gary Spoor, Willapa Harbor Safety Officer, dons hearing protection prior to performing a generator test.

managers had reviewed and assembled their material safety data sheets
Managers had reviewed and assembled their material safety data sheets.

MSDS information for hazardous chemicals were up-to-date and available to all employees and on all shifts where the hazards exist.

appropriate spill kits for hazardous chemicals
Appropriate spill kits for hazardous chemicals-

…were readily available in the event of a spill.

during the inspection issues were immediately resolved
During the inspection, issues were immediately resolved!

During the inspection, an alternative had to be found

for a caustic oven cleaner

– steam cleaning!

safe patient handling committee
Safe Patient Handling Committee:

-Completed their Annual Program Review!

lessons learned
Lessons learned
  • DOSH Inspectors are not DOH inspectors
  • Never let an inspector out of sight!
  • Document every action, each day.
  • Note areas inspected & ask questions.
  • Have more than one observer available.
  • De-brief and inform supervisors & employees constantly of the inspection process.
  • Don’t assume independent contractors have everything covered – check!
we are you you are us
“We are you – you are us!”
  • New challenges = New solutions
  • New solutions = New knowledge to share
  • Meeting the DOSH inspection challenge helped us grow as an organization.
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