HazMat & Emergency Codes Community Wide Orientation Reviewed December 2012
7 Environment of Care (EOC) PLANS……Joint Commission The hospital provides a safe, accessible, effective, and efficient environment consistent with its mission, services, law, and regulation. EC 1.10 Safety Management EC 2.10 Security Management EC 3.10 Hazardous Materials and Waste Management EC 4.10 Emergency Management EC 5.10 Fire Safety Management EC 6.10 Medical Equipment Management EC 7.10 Utilities Management
CODE BLUE Cardiac Arrest Emergency Codes
CODE RED Fire or Visible Smoke
CODE STRONG Violence or Potential Violence
DISASTER….INTERNAL or EXTERNAL • HCA: CODE D • TENET: CODE INTERNAL/EXTERNAL TRIAGE • UMC: HICS • WBAMC: CODE TRIAGE
BOMB THREAT • HCA: CODE 99 • TENET: CODE ORANGE • UMC: CODE ORANGE • WBAMC: CODE TRIAGE
INFANT ABDUCTION • HCA: BABY DOCTOR • TENET: CODE ALERT • UMC: CODE PINK • WBAMC: CODE PINK
HAZARDOUS WASTES Knowledge of the proper procedures in the special handling, use, storage, and disposal of hazardous materials and wastes.
JOINT COMMISSION REGULATIONS • Hazardous Energy Sources • Ionizing or non-ionizing radiation, lasers, microwave, ultrasound • Joint Commission considers infectious wastes falling into this category of materials (Hazardous Waste) • Federal regulations do not define infectious or medical waste as hazardous waste
TYPES OF HAZARDOUS MATERIALS • INFECTIOUS SUBSTANCES • Some infectious substances (such as some viruses) can be transmitted by blood and other body fluids, equipment, containers, paper goods, glassware, linens and by people. • RADIOACTIVE MATERIALS • These require special handling techniques to prevent exposure to personnel and visitors. • FLAMMABLE LIQUIDS AND GASES • For example, chemicals, such as ether or alcohol, can burn or explode. • TOXIC CHEMICALS • A person may be exposed over a long period of time before effects are noticed.
JOINT COMMISSION REGULATIONS • Hazardous materials and waste: • Handling, use, and storage are guided or defined by local, state, or federal regulation • Occupational Safety and Health Administration's Regulations for Bloodborne Pathogens regarding the disposal of blood and blood-soaked items; • Nuclear Regulatory Commission's regulations for the handling and disposal of radioactive waste • Other, hazardous vapors (e.g., gluteraldehyde, ethylene oxide, nitrous oxide), and hazardous energy sources (for example, ionizing or non-ionizing radiation, lasers, microwave, ultrasound).
ROUTES OF ENTRY • Inhalation- you breath it; most common • Ingestion- you eat it • Absorption- soaks through skin • Injection- puncture wound
REMEMBER…… • Many hazmats are odorless, colorless and tasteless • You may be exposed before you know it • Approach safely
MATERIAL SAFETY DATA SHEETS (MSDS) • Product’s chemical and trade name • Manufacturer’s name, address, and emergency number • List of hazardous ingredients • Specifications of the product’s physical and chemical characteristics • Data on fire and explosion characteristics
MSDS Sheets • Health hazard information, such as routes of entry, effects of exposure, and signs and symptoms of exposure • Emergency and first aid instructions • Protective equipment and ventilation requirements • Other precautions for safe handling and use, such as disposal of wastes, storage, and spillage recommendations
YOUR ATTITUDE --- AND ACTIONS --- COUNT! You must want to do your job safely and you must understand and use safe practices and methods. That’s what being part of an effective safety team is all about!
In each area of the facility where you work: Observe signs take precautions when entering an area identified as hazardous Know what’s inside a container before you handle it! KNOW THE POTENTIAL HAZARDS
PERSONAL PROTECTIVE EQUIPMENT (PPE) • Gloves • Goggles • Masks • Respirator • Gowns • Aprons • Footwear • Good hygiene
IN CASE OF SMALL SPILLS • Act Quickly • Contain the spill • Wear PPE • Notify proper personnel
BE SURE TO WASH YOUR HANDS • Before entering or leaving the work area • Before and after contact with a patient • After handling items such as bedpans,dressings, etc. • After removing gloves • After using the toilet, blowing your nose or covering a sneeze • Before eating, drinking or handling food orsmoking
PREVENT INJURIES FROM SHARPS • Let falling objects fall • Practice safe handling techniques • Don’t reach into containers • Dispose of sharps carefully
IMPORTANT TIPS • Take training seriously • Avoid taking shortcuts • Report unsafe conditions • Know emergency procedures