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Safety & Security. Safety and Security Department Phone (352) 265-0028 Fax (352) 265-0305 Presented by: Ted Miller Safety Manager. Environment of Care. Purpose:

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Safety & Security

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Safety security

Safety & Security

  • Safety and Security Department

    • Phone (352) 265-0028

    • Fax (352) 265-0305

  • Presented by:

    • Ted Miller Safety Manager

Environment of care

Environment of Care

  • Purpose:

    • A safe, functional and effective environment for patients, staff members and other individuals is crucial to providing patient care and achieving good outcomes.

Required plans

Required Plans

  • Safety Management

  • Security Management

  • Hazardous Materials Management

  • Emergency Management

  • Life Safety Management

  • Equipment Management

  • Utility Management

Safety management

Safety Management

  • Scope:

    • To provide a safe, consistent and comfortable environment for patients, visitors and staff.

Safety management1

Safety Management

  • Objectives:

    • Employee Training

    • Employee Involvement

    • Management Accountability

    • Hazard Assessment

    • Hazard Abatement

Safety management2

Safety Management

  • Responsibilities: Management

    • Develop/maintain safe work practices

    • Periodic inspections - corrective actions

    • Accident investigation/reporting

    • Staff orientation and training

    • Safety meetings

    • Enforcement: PPE, safe practices etc.

Safety management3

Safety Management

  • Responsibilities: Staff

    • Report unsafe practices/conditions

    • Report accidents and near misses

    • Follow safety rules

    • Participate in training - demonstrate competency

    • Knowledge of emergency procedures

Occupational illness injury exposure

Occupational Illness/Injury/Exposure

  • What and How to Report

  • Notification of Supervisor

  • Complete Employee Accident report

  • Notification of Occupational Health Services (50250)

  • Accessing authorized treatment - Managed Care Arrangement, Emergency Treatment



  • Definitions:

    • The study of work

    • Attempting to fit the job to the worker, rather than forcing the worker to fit the job

    • Job Site Analysis

    • John Lane, Ergonomist - #50250

    • Portia Gardner, O.T.

Risk management

Risk Management

  • Reporting Requirements - When

    • Death of a patient

    • Brain or spinal cord injury

    • Performance of a procedure on the wrong patient

    • Surgical procedure unrelated to the patient’s diagnosis

    • Visitor accidents or injuries

Risk management1

Risk Management

  • Reporting Requirements - How

    • Hospital Incident report form

    • Completed within 24 hours

    • Routed to Self-Insurance Program through Q.A.

    • Telephone call to Self-Insurance Program at 265-8028, DOC or Chief of Staff

Risk management incident report form

Risk Management - Incident Report Form

  • Caution:

    • Subject to legal discovery, should contain only objective information

    • Incident reports are legal documents

    • Not to be placed in, or referred to, in medical record

    • Discuss incident only with appropriate parties

    • Never photocopy

    • Do not coerce injured visitor to ED

Security management

Security Management

  • Scope:

    • The organization provides a safe, comfortable environment for patients, visitors and staff by designing, providing, evaluating and improving an appropriate security infrastructure.

Security management1

Security Management

  • Objectives:

    • Provide protection and assistance to patients, visitors and staff.

    • Educate patients, visitors and staff in security issues.

    • Maintain a working relationship with law enforcement agencies.

Security management2

Security Management

  • Responsibilities: Management

    • Control keys to department

    • Protect confidential information

    • Develop departmental policies for security sensitive areas

Security management3

Security Management

  • Responsibilities: Staff

    • Challenge unidentified individuals in work areas

    • Report suspicious individuals or activities to Security

    • Wear ID badges

    • Protect corporate and personal property

    • Protect and keep for personal use keys and other access devices

Violence in the workplace

Violence in the Workplace

  • Responsibilities (ZERO TOLERANCE)

    • Violence or threat (real or perceived)

    • Staff initiated

    • Visitor initiated

    • Patient initiated

    • Weapons on premises

    • Report all to Security at 5-0109

Hazardous materials and wastes management

Hazardous Materials and Wastes Management

  • Scope:

    • Provide a safe environment through knowledge and awareness of processes to safely control hazardous materials and waste.

Hazardous materials and wastes management1

Hazardous Materials and Wastes Management

  • Objectives:

    • MSDS management

    • ID of haz-mats in workplace

    • Proper handling, use, storage and disposal

    • Emergency & Spill procedures

    • Risk reduction by waste reduction

Hazardous materials and waste management

Hazardous Materials and Waste Management

  • Responsibilities: Management

    • Frequent inspections of work area

    • PPE: provision, training, maintenance

    • Current, accurate inventory

    • Availability of MSDS information

    • Staff orientation and training

Hazardous materials and waste management1

Hazardous Materials and Waste Management

  • Responsibilities: Staff

    • Demonstrate safe work practices

      • PPE; handling; use; storage; disposal

    • Report unsafe practices

    • Satisfy competency requirements

    • Demonstrate understanding of MSDS

Safety security


Safety security
















Emergency preparedness management

Emergency Preparedness Management

  • Scope:

    • To provide a safe environment for patients, visitors and staff in the event of an external or internal emergency.

Emergency preparedness management1

Emergency Preparedness Management

  • Objectives:

    • Implement emergency procedures

    • Notify personnel when emergency response measures are initiated

    • Manage space, supplies, security

    • Facilitate evacuation of the facility

    • Orient and educate staff

    • Evaluate staff knowledge and performance

Emergency preparedness management2

Emergency Preparedness Management

  • Responsibilities: Management

    • Develop departmental plan to respond to emergencies

    • Orient and train staff

    • Maintain departmental call list

    • Implement departmental plan

    • Evaluate departmental response

Emergency preparedness management3

Emergency Preparedness Management

  • Responsibilities: Staff

    • Know their role in disasters, external & internal

    • Participate in training activities

    • Participate in drill activities

    • Be prepared to fill roles outside of their normal duties

Life safety management

Life Safety Management

  • Scope:

    • A life safety management plan describes how the organization will establish and maintain a program to provide a fire-safe environment of care.

Life safety management1

Life Safety Management

  • Objectives:

    • Protect patients, visitors, personnel and property from fire and smoke.

    • Maintain compliance with “Life Safety Code NFPA 101”

    • Inspecting testing and maintaining all fire systems and equipment.

    • Provide life safety orientation and training for all staff

Life safety management2

Life Safety Management

  • Responsibilities: Management

    • Provide staff orientation and training

    • Ensure staff knowledge of area specific needs, fire response and fire evacuation routes

    • Ensure understanding of alarm system

    • Enforce fire protection rules and policies

Life safety management3

Life Safety Management

  • Responsibilities: Staff

    • Identify life safety risks

    • Know and demonstrate duties in fire emergency situation

    • Know where alarms are and how to activate

    • Understand compartmentation of building

    • Attend orientation and training

    • Adhere to life safety rules and policies

Types of fires extinguishers

Types of Fires/Extinguishers

  • A - ordinary combustibles - Water

  • B - burning liquid - CO2

  • C - electrical -CO2

    • ABC type works on all fires

Extinguisher use

Extinguisher use

  • P - pull the pin

  • A - aim at the base of fire

  • S - squeeze handle

  • S - sweep side to side

Equipment management

Equipment Management

  • Scope -

    • A plan describes the establishment and maintenance of a medical equipment management program to promote the safe and effective use of medical equipment.

Equipment management1

Equipment Management

  • Objectives:

    • Procedure for selecting and acquiring medical equipment

    • Criteria for inclusion in program

    • Minimizing clinical and physical risks through inspection, testing and maintenance

    • Monitoring hazard notices and recalls

Equipment management2

Equipment management

  • Objectives: (cont.)

    • Compliance with reporting requirements of SMDA

    • Reporting and investigating problems, failures and user errors

    • Medical equipment orientation and education for users and maintainers

    • Emergency procedures

Equipment management3

Equipment Management

  • Responsibilities: Management

    • Supply equipment data to program providers

    • Provide staff orientation and training

    • Ensure staff understands applications and limitations of equipment

    • Develop department specific safety policies related to equipment use

Equipment management4

Equipment Management

  • Responsibilities: Staff

    • Use equipment in safe and competent manner

    • Understand applications and limitations of equipment

    • Report problems, failures and user errors

    • Obtaining back-up units and repair service

    • Report incidents and injuries to supervisor immediately

Utilities management

Utilities Management

  • Scope:

    • A plan describes how the organization will establish and maintain a utility systems management program.

Utilities management1

Utilities Management

  • Objectives:

    • Assess and minimize risks of utility failures

    • Ensure operational reliability of utility systems

    • Establish criteria for identifying, evaluating and taking inventory of critical components of systems to be included in the utility management program.

Utilities management2

Utilities Management

  • Responsibilities: Management

    • Ensure proper utilization of utility systems

    • Ensure staff can describe utility system capabilities, limitations, and special applications

    • Train staff what to do in emergency situations

Utilities management3

Utilities Management

  • Responsibilities: Management (cont.)

    • Train staff on processes for reporting problems, failures and user errors

    • Ensure staff know the location and operation of emergency shutoff controls where appropriate

    • Ensure staff know who to contact for repairs

Utilities management4

Utilities Management

  • Responsibilities: Staff

    • Demonstrate proper utilization of utility systems

    • Know system capabilities, limitations and special applications

    • Report problems, failures and user errors appropriately

    • Know emergency procedures for loss of utilities to ensure safe patient care (Loss of utilities is covered in the Emergency Preparedness Plan)

Social environment

Social Environment

  • Scope:

    • There is a social environment that supports the basic mission and services of the hospital.

Social environment1

Social Environment

  • Objectives:

    • Appropriate space for services provided

    • Closet and drawer space for storing personal property and those items furnished by the hospital

    • Foster a positive self image for the patient and preserves their dignity

    • Adequate Privacy/Confidentiality

Social environment2

Social Environment

  • Objectives: (cont.)

    • Telephones for patients

    • Number of patients in a room appropriate for age, developmental levels and clinical needs

    • Activities to support development and maintenance of patients interest, skills and personal growth

Safety security




Signs of abuse neglect

Signs of Abuse & Neglect

  • Most Vulnerable Populations

    • Children ( up to age18)

    • Elderly (over 75) and any disabled adult

    • Spouse / Partner

Signs of abuse neglect1

Signs of Abuse & Neglect

  • Indicators of Possible Abuse

    • Unexplained bruises, welts or burns

    • Friction marks

    • Bleeding scalp

    • Detached Retina

    • Unset broken bones

    • Repeated injuries

    • Frequent emergency room visits

    • Frequent change of doctors

Signs of abuse neglect2

Signs of Abuse & Neglect

  • Indicators of Possible Abuse (cont.)

    • Sexually transmitted disease

    • Withdrawal

    • Chronic depression

    • Inappropriate sex play

    • Explanation inconsistent with injury

Signs of abuse neglect3

Signs of Abuse & Neglect

  • Indicators of Possible Neglect

    • Dehydration or mal-nourishment

    • Poor hygiene

    • Lack of supervision

    • Hunger

    • Withdrawal

    • Chronic depression

    • Lack of medical care and/or immunizations

Signs of abuse neglect4

Signs of Abuse & Neglect

  • Report all suspicions of abuse or neglect to Patient & Family Resources, 265-0224.

  • After hours, call the Shands operator to reach the on-call social Worker



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