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  1. Welcome to Understand and Responding to Hazardous Waste

  2. Contents • Infection Control

  3. Safety Vision To make the City of Roseville a safer place to work

  4. Hazardous waste Laws have been passed to make sure employees are told about the dangers associated in working with hazardous substances and harmful physical orinfectious agents. The laws outline both employer and employee responsibilities for safety from work related injury or illness. What does “exposed to” mean? You are considered routinely exposed to a substance or agent if there is a reasonable possibility you’ll be in contact with one of the items during the normal course of your assigned work.

  5. Employer Requirements Education of staff and new employees on: • The types of hazardous materials, agents and equipment in your work area. • How to properly handle and work safely with the products. • Where information about hazardous materials is located. Education specific to the materials/agents in your work areas will need to be covered during unit specific orientation.. Employee Requirements • The law gives you the right to refuse to work under imminent danger conditions or if information or training about how to safely proceed with your job is not provided. • Use personal protective equipment (PPE) available on each unit you will be assigned to. It is your responsibility to use this equipment when situations require protection. Ask the safety cordinator if you have questions about the PPEs for your division.

  6. What if I’m asked to work in an unsafe situation? • Tell your supervisor or the safety coordinator if you feel a work situation may be dangerous • Tell your supervisor or the safety coordinator if you don’t know how to use or handle hazardous materials and/or equipment. • Report faulty equipment so it can be repaired or replaced. • Don’t put yourself in any situation where you could be injured or harmed. You have the right to refuse to work under dangerous conditions. What Happens Next? • The supervisor or the safety coordinator will: • Evaluate the situation for safety and the presence of hazards. • Teach you how to safely use the products, direct you to the appropriate resource, provide you with learning materials, give you the appropriate Personal Protective Equipment. • Reassign you to an alternate job until a hazardous condition can be corrected or eliminated.

  7. Chemical Spills/Release • The City and each department should maintain procedures for the safe handling and spill clean-up of the hazardous products used in their areas. • You need to receive department specific orientation on the hazards found in your area. • With any chemical spill, you should notify the supervisor, Fire and maintenance.

  8. Emergency Codes

  9. Fire Safety Essentials in • Your Division • You will need to locate this information in the division you work. • Location of the fire alarm • Location and type(s) of extinguishers • Emergency phone number 911 • Evacuation plans and routes

  10. The Hazardous Waste R.A.C.E. Rescue • Rescue: Move anyone in danger to a safe area. Alert • Alert: Pull fire alarm box and call 911 to report the fires location. Confine • Confine: Close doors & windows in area, clear corridors and fire exit areas. Extinguish • Extinguish: Fight the fire only if it will not place you in danger. Blankets can be used to smother the flames of small fires or waste basket fires as well as using extinguishers.

  11. How to Use Extinguishers Know the types of extinguisher in your work area. Choose the appropriate extinguisher for the type of fire. Then: • P Pull-the pin • A Aim-the extinguisher • S Squeeze-the handle • S Sweep-the extinguisher hose at the base of the fire.

  12. Safety & Ethical Situations • If you encounter a potential hazard or unsafe situation in our division or if you have an ethical concern regarding our practices or a customer care situation, you should discuss this with the supervisor. • We encourage reporting of safety concerns, incidents, hazards and ethical concerns. • We have committees and processes in place to address these issues and make changes when appropriate. • Concerns reported to the supervisor may be escalated to the appropriate management. • You may be asked to complete a “Customer/Safety Visitor Report” or “Area of Concern Form” to document the events. • When in doubt – fill it out!

  13. Safety Phone Numbers

  14. Infection Control Everyone’s Job

  15. Environment surfaces floors gardens People skin intestines Equipment Water Flowers/plants Where do germs come from? Chain of Infection All links must be complete for an organism to spread from one place to another. Our goal is to break the chain in one or more links.

  16. Risk of Transmission • Intact skin is a good barrier to organisms but remember that organisms can enter through non-intact skin (cuts, scrapes, eczema) • Mucous membranes allow transmission, such as through: • eyes • nose • mouth • Most transmission occurs through contact: • Direct contact- touching Customer • Indirect contact - touching a contaminated surface • Spray/splashes: Fluids, sputum, etc • Most contact is with our hands

  17. Hand Washing Hand washing is the single most effective way you can break the chain of infection. Hand Washing Basics • Soap - Use only hospital approved soaps, lotions & foam products. • Warm running water • 15 seconds – sing the ABCs song or “Happy Birthday” twice • Use friction • Turn off faucet with paper towel. Waterless Hand Washing (Quik-Care Alcohol foam) • Preferred method of hand cleaning if hands are not visibly soiled or contaminated with blood or body fluids. • Dispense a walnut size amount and rub hands and under nails until dry. • Use before and after every Customer contact or contact with contaminated equipment. • Contains emollients, therefore is better for your hands and is less drying to hands than soap and water. • The emollients can build up on the hands after repeated use, so, wash with soap and water occasionally. Lotion • Accent Plus is the hospital approved lotion which is compatible with hospital microbial soap and gloves. • Use at least 3-4 times each shift.

  18. Blood Spills Blood Spills • Potential exposure to blood or body fluids could occur at any work site • Guiding principles if this occurs: • Avoid direct contact with body fluid. • Wear gloves. • “Cleanup Twice” – once for the spill and once to disinfect the area. • Remove gloves • Wash hands. • Allow area to air dry e.g.; 10 minutes

  19. Standard Precautions Standard Precautions considers all fluids as potentially infectious. Prevent exposure to infectious organisms by wearing Personal Protective Equipment (PPE) when contact with the following is anticipated: • blood • body fluids, secretions and excretions • non-intact or broken skin • mucous membranes Personal Protective Equipment (PPE) PPE is located in all divisions and thru stores. Exact location should be sought out. • Gloves - to keep hands clean • Facial protection - to protect mucous membranes from getting splashed or sprayed

  20. In Closing... Final Considerations