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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

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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 safer environment for patients.

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 safer environment for patients.

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 safer environment for patients.

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 safer environment for patients.

Ferry County Memorial Hospital CEO Walkaround

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


About Washington Hospitals W.C. Program safer environment for patients.

  • Willapa Harbor Hospital CEO Walkaround

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


About washington hospitals wc program
About Washington Hospitals WC Program safer environment for patients.

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 safer environment for patients.:

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
Types safer environment for patients.of 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 environment for patients.

  • 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 1 safety system failures like this overfull sharps container
Focus #1 safer environment for patients.: Safety system failures – like this overfull sharps container.


Focus 2 contaminated sharps handling procedures not followed in all areas
Focus #2 safer environment for patients.: Contaminated sharps handling procedures - not followed in all areas.

From Central Processing …

…to clinic exam rooms.


Focus 3 incorrect chemical storage and labeling
Focus #3 safer environment for patients.: Incorrect chemical storage and labeling.


Focus #4 safer environment for patients.: 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.


Focus #5 safer environment for patients.: Respiratory Protection Plan - with emphasis on the new H1N1 Influenzaregulation: DOSH Directive 11.70


Focus 6 workplace violence log
Focus #6 safer environment for patients.: Workplace Violence Log…

Is the program fully implemented with all elements in place?

6/21/2010


Focus 7 improperly set machine guards
Focus #7 safer environment for patients.: Improperly set machine guards.

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


Focus 8 fire hazards from improper storage
Focus #8 safer environment for patients.: 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 safer environment for patients.: 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 safer environment for patients.: 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!


Our first priority tell our members
Our first priority – tell our members! safer environment for patients.


It was a fine morning
It was a fine morning…. safer environment for patients.

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!”

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Oh no
OH, NO! Safety Inspector here to see you!”

This is bad timing!


According to the plan we moved forward together

According to the plan… Safety Inspector here to see you!”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… Safety Inspector here to see you!”

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

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We are not ready for this inspection
We are not ready for this inspection! Safety Inspector here to see you!”


Flash back
FLASH BACK! Safety Inspector here to see you!”

How did Carole and her team work with Suzanne?


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!


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! material

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


Supervisors staff assessed discussed hazards
Supervisors & staff assessed & discussed hazards. material

Supervisors Hazard Assessment and PPE Certification.


Supervisors conducted respirator training
Supervisors conducted material respirator training.

OR Manager, nurse anesthesiologist and surgical technician.


They evaluated handling sharps
They evaluated handling sharps. material

Tammy, OR Tech, processing surgery sets.




Hearing protection
“Hearing Protection” material

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- data sheets.

…were readily available in the event of a spill.


The dietary data sheets. manager trained staff on new chemicals!


During the inspection issues were immediately resolved
During the inspection, issues were immediately resolved! data sheets.

During the inspection, an alternative had to be found

for a caustic oven cleaner

– steam cleaning!


Safe patient handling committee
Safe Patient Handling Committee: data sheets.

-Completed their Annual Program Review!


Willapa harbor hospital safety committee celebrates their achievement
Willapa data sheets. Harbor Hospital Safety Committee Celebrates Their Achievement


Flashback closing conference
Flashback data sheets. – Closing conference:


Lessons learned
Lessons learned data sheets.

  • 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!” data sheets.

  • New challenges = New solutions

  • New solutions = New knowledge to share

  • Meeting the DOSH inspection challenge helped us grow as an organization.


Moving forward together questions

Moving Forward data sheets. Together… QUESTIONS?

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