ENVIRONMENT OF CARE 2012 Mary Ellen Lesperance RN, MSN, CIC, CHSP Director, Environment of Care, Epidemiology, Safety Officer
What is the Environment of Care? • It is the roadmap in our organization of how the environment is managed safely for everyone. • It is a program that assures that staff and volunteers can do their job, without obstacles or hazards that may cause injury.
#1 SAFETY MANAGEMENT • The first of seven plans: Safety Management • The Safety Officer and a team assess risks based on information collected from the web based incident reporting system. • 2. The team examines work related injuries such as slips, trips and falls, muscle sprains, blood and body fluid exposure, exposures to chemicals
Safety Management • The most frequent types of employee injury at Karmanos Cancer Center include: • sprains • slips and falls • exposures to chemicals (chemo)
Injury Prevention Employees can prevent injury by: • Reporting hazardous conditions such as uneven flooring • Report wet floors to Environmental Services department • Always wearing the appropriate personal protective equipment
#2 Hazardous Materials & Waste Management • The 2nd plan is Hazardous Materials and Waste Management. • Staff can prevent harm by: • Disposing of medical waste in designated containers • Placing the trace chemo waste in the yellowcontainers • Pharmacy disposes of chemo waste, also called bulk waste chemo waste in the black containers
#2 Hazardous Materials & Waste Management • The MSDS poster has the phone number for locating chemical information • It is your guide to chemical safety. The MSDS contain basic information on the chemicals like: • Chemical Identification • Hazardous Ingredients • Fire and Explosive Data • Health Hazards • Spill Response MSDS MDS
Patient Sharps Disposal • Karmanos Cancer Center is not able to accept used sharps, except those containing chemotherapy. • Do not accept patients used needles and syringes from home even if they are in a used detergent container or coffee can. Michigan Department of Environmental Quality does not allow sharps from a persons home to be disposed at hospitals.
Patient Sharps Disposal • Each patient is given an instruction pamphlet on how to dispose of used medications including sharps. • Please refer your patient to their local health department to get information on how to dispose of sharps. • Contact Patient Education for brochures to give to your patient.
#4 Medical Equipment Management -Be sure to review procedures for the proper use of equipment. - Immediately take any faulty equipment out of service and call FIXIT or 34948 for repairs. - Notify your supervisor if the faulty equipment has caused harm to patients or employees.
#5 Utilities Management • All staff shall report any utility failures to their supervisor • Call FIXIT or 34948 for all utility failures or emergencies
#5 Utilities Management • Clinical staff must know where the medical gas shut off is in there department. You could be instructed to turn the medical gases off if there is a fire in the department. • Plug essential equipment into the red outlets if there is a power failure.
#6 Fire Safety Management • If a fire does start, you need to know what to do and do it quickly. Remember—stay calm and do the following: (RACE): • - Rescue anyone from immediate danger to a safe area past the • fire doors. • - Pull the Alarmbox nearest you. Contact your operator or • security department and give exact location of fire. Sites not located on main campus will call 911. • - Confinethe fire. Close all doors. • - Extinguish (put out the fire) with the appropriate fire extinguisher, • if you are trained to do so.
Fire Safety Management • Other Expectations: • DO NOT USE ELEVATORS • LIMIT TELEPHONE USE • You must be able to locate the following: • Nearest extinguishers • Pull alarm boxes • Evacuation plan • Two exit routes in your assigned area
Fire Safety Tips • Keep your area clean and clutter free • Keep overhead storage at least 18 inches below the ceiling • Minimize storage • Do not block hallways. Computers on wheels should not be stored in the hallway. When recharging, place them off to the side of the corridor.
Fire Safety Tips • Do not prop doors open • Keep hallways clear • Do not use personal cooking devices such as toasters & small ovens • Do not overload electrical circuits
Fire Safety Management When using an extinguisher: Remember P A S S - Pull the pin Aim low, at the base of the fire Squeeze the handle Sweep from side to side at the base of the fire
Smoke Compartments During a Code Red, DO NOT pass through doors with this sticker above them unless you are evacuating from the fire area.
Smoke Compartment • If there was a fire in a patient care area and you were asked to evacuate patients, you would move patients through the dorr with this sticker above it.
#7 Emergency Management • When there is an Emergency Code call on main campus, refer to the flip chart posted in your department for quick reference • Karmanos Cancer Center has an Emergency Operations Plan, Policy EM 039 that gives instruction on how to manage events that may affect our daily operations.
Emergency Management • The plan describes the Incident Command System and the function of the Emergency Operations Center sometimes called the EOC. • Staff are notified of an event through a Fan out process that alerts all managers.
Emergency Management • There are plans in place for 96 hour sustainability or hospital stand alone capabilities. • These include back up plans for utilities, communications, staff management, patient care, resources and security.
Emergency Management • Karmanos Cancer Center partners with vendors and community agencies to share resources if needed. • We participate in community exercises to prepare for real events such as severe weather, power outages and possible patient evacuation.
Emergency Management • The Emergency Management Committee discussing all events and exercise regularly. • The committee evaluates our readiness, response and recovery for any type of hazard. • A Hazard Vulnerability Assessment prioritizes which events we should focus on. • At Karmanos our focus is communication and utility system preparedness.
ENVIRONMENT OF CARE SUMMARY As a healthcare worker, you must be alert to the dangers of infection and injury. Making your safety and health a priority is one of the best ways to create a safe and healthy environment for patientsand for you! And above all, apply a healthy dose of common sense to everything you do on the job.