Archive for: Emergency Action Plans

Workers’ Memorial Day: A somber reminder of progress made, work left to do

By: April 28th, 2017 Email This Post Print This Post

Carrie Rouzer was caring for a patient last July at Parrish Medical Center in Titusville, Fla., when a stranger barged in and gunned down both Rouzer, 36, and her 88-year-old patient before being subdued by security guards.

The shocking case, which drew attention to workplace violence as a real threat to healthcare workers, was certainly on the minds of groups who gathered Friday in Jacksonville and Miami in observance of Workers’ Memorial Day. The two sites were among hundreds nationwide holding local ceremonies commemorating the lives of those killed on the job, whether by violence or accidents.

The annual event is held on April 28, the day OSHA was established in 1971, as a reminder of the progress made in workplace safety in recent decades and the work yet to be done. Rouzer’s story, sadly, is among many others collected over the years.

Among the thousands of occupational fatalities recorded across all industries, between 100 and 150 occur in the healthcare and social assistance sectors each year, according to the Bureau of Labor Statistics. In 2015, there were 109. (Finalized numbers for 2016 will be released this December.)

When you consider how many hours workers put in, those 109 fatalities translate to a fatal injury rate of 0.6 per 100,000 full-time equivalent workers. That’s much less than the overall rate across all industries, which was 3.4 in 2015, according to BLS data. Workers in transportation and warehousing, by contrast, suffered a fatal injury rate of 13.8—which is 23 times higher than the rate in healthcare.

Within the healthcare sector, the numbers are broken down into three categories. Ambulatory healthcare services, which saw 47 fatalities in 2015, had a rate of 0.7. Nursing and residential care facilities, which saw 24 fatalities, had a rate of 1.1. And hospitals, which saw 21 fatalities, had a rate of 0.4. All of these numbers are down slightly from rates reported for 2006.

Although the fatal injury rate in healthcare remains low compared to other industries and has declined slightly in recent years, OSHA continues to look for ways to improve safety. Those improvements should be balanced against other considerations. But let’s take Workers’ Memorial Day as an opportunity to reflect on Rouzer’s story and others like it. Are we doing all we can reasonably do to protect workers? Is there more?

BLS-worker-fatality_Page_14

A summary report on the number and rate of workplace fatalities by industry and sector published by the U.S. Bureau of Labor Statistics groups healthcare with educational services. Full report: https://www.bls.gov/iif/oshwc/cfoi/cfch0014.pdf

 

Healthcare needs to get real about active shooters

By: October 27th, 2015 Email This Post Print This Post

I had the pleasure yesterday of spending a day at the 2015 annual conference of the American College of Emergency Physicians (ACEP), which is being held here in my beautiful hometown of Boston.

Being in the safety business, I sat in on a session about active shooter response preparation in healthcare facilities, led by an emergency physician and security director with Carolinas Medical Center in Charlotte. I didn’t leave with that feeling like we have our collective act together.

Are we really ready for someone to come into our hospitals with a gun, bent on causing mass carnage?

First, let’s start with the numbers. From 2000-2007, there were “only” about 6 shootings a year. From 2007 to today, the numbers jumped to 17 per year.

Many facilities are following the government’s recommendations to “run, hide, and fight” when confronted with a gunman. That’s fine training, if you’re in an office building. Run first, hide when you can, and fight back as a last resort.

But that won’t fly in hospitals and clinics where people are counting on you to help them survive. Poll numbers I heard quoted estimate that at least 40% of healthcare staff wouldn’t leave their patients’ sides, even when confronted with a shooter.

Hospitals need to train their staff to stay alive. Most active shooter incidents end within 7 minutes, and doctors and nurses are then required to turn around and treat the wounded and prevent as much death as possible.

So my question is this: What are you doing to prepare for an active shooter in your facility? Do you have specific plans? Are you training your staff, and what resources are you using?

Please drop me a line at jpalmer@hcpro.com and share your thoughts on this very real threat.

Thanks!

John Palmer

 

October is time to review fire safety

By: October 6th, 2015 Email This Post Print This Post

Dan Scungio, MT(ASCP), SLS, is a laboratory safety officer for Sentara Healthcare, a multihospital system in the Tidewater region of Virginia and otherwise known as “Dan, the Lab Safety Man.”

Every year I love to use autumn as the time to discuss fire safety. After all, many other organizations promote fire safety ever since October was designated as National Fire Prevention Month in 1922. This year, as always, I do want lab safety professionals to be “fired up” about safety, but there have been some questions about regulations in this area that need special discussion.

The College of American Pathologists (CAP) is the accrediting agency for many labs in the United States, and they have specific regulations about fire safety on their General Checklist.

One regulation states: “If the fire safety plan includes laboratory staff use of fire extinguishers, personnel are instructed in the use of portable fire extinguishers.”

If fire extinguishers are present in your laboratory, their purpose is to be used by the staff in the department, whether or not the safety plan includes staff using them or not. OSHA has something to say about this as well:

“If fire extinguishers are available for employee use, it is the employer’s responsibility to educate employees on the principles and practices of using a fire extinguisher and the hazards associated with fighting small or developing fires.”

The CAP checklist strongly recommends that staff have hands-on fire extinguisher operation that includes the actual use of the device (or a simulator). They do not indicate how often this training should occur. Many labs I have inspected only provide the training once, but OSHA states that it must be provided upon hire and annually thereafter. That makes sense, and lab staff should be ever-ready and able to extinguish a small fire should that become necessary.

Some facilities offer fire extinguisher training as they need to empty out their refillable extinguishers (typically CO2 extinguishers). However, if that does not happen where you are, you have other options. One is to contact your local fire authority. They may happily provide fire extinguisher training for your staff. Another option is to provide the training yourself. You may be able to obtain a test extinguisher or you may simply have to use a full extinguisher without actually discharging it. The important thing is to go through all of the steps of PASS (Pull, Aim, Squeeze, and Sweep) and to let the staff actually handle the fire extinguisher.

If you are providing the training, make sure you give some information about fires that people may not know. Describe the different classes of fires (A, B, and C) and the types of fire extinguishers used to fight them. Remind them not to use more than one extinguisher at a time so they do not blow a small fire onto another person. Tell them to always keep themselves between the fire and the exit. If the fire gets too big or out of control, make sure they leave the firefighting to the professionals.

Inspect your lab for fire risks. Are electrical cords frayed? This is a major cause of fires in the laboratory. Are items stored too close to the ceiling? This may block the action of your sprinkler system. Are ceiling tiles missing or out of place? This disrupts an important fire and smoke barrier. Who performs these inspections? You can, or your local fire authority can as well.

Autumn is a great time to raise fire safety awareness in your laboratory, but this is something that must be done all year. Drill your staff, make sure they know how to react to a real fire. Train them in the use of fire-fighting equipment. Walk your evacuation routes annually. Your staff truly cannot be too prepared.

Have you performed fire drills this year? Have your staff had hands-on fire extinguisher training? If not, it’s a great time to perform these tasks. Many people in history have lost their lives to fires, and laboratory fires are more common than you may think. Be aware, be ready, and ensure your staff remains safe if a fire situation does occur in your workplace.

 

 

 

Vital stats: Weather-related emergency action plans and evacuations

By: July 4th, 2011 Email This Post Print This Post

The compelling reports about the evacuation of St. John’s Regional Medical Center in Joplin, MO, after a tornado tore through the city May 22 is a sober reminder about severe weather hazards and the need for emergency action and evacuation plans.

Drills not included, has your healthcare facility ever had to actually initiate an emergency action plan or evacuate due to weather-related hazards? Our OSHA Healthcare Advisor weekly poll asked this very question. Below are the results:

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OSHA offers tornado workplace safety resource

By: June 21st, 2011 Email This Post Print This Post

A new OSHA web page, emphasizes both preparedness and response in protecting workers from tornado danger.

Since tornadoes can occur without much warning, it is important for employers to make advanced precautions to ensure the safety of workers, according to OSHA.

Preparation guidance for businesses in tornado-prone areas includes:

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Notes from the field: You don’t have an emergency action plan?

By: May 25th, 2011 Email This Post Print This Post

Sometimes medical offices are so focused on workplace hazards like bloodborne pathogens that they forget about other areas of OSHA compliance.

Recently as I was doing one of my mock OSHA inspections, I asked the manager if I could see the office’s emergency action plan (EAP). She had no clue what I was talking about.

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CDC report finds one-third of hospitals not ready for major disasters

By: April 21st, 2011 Email This Post Print This Post

A CDC report found that nearly one-third of hospitals are not prepared for mass casualty disasters and epidemics such as influenza.

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Napa State Hospital security back in the spotlight

By: December 3rd, 2010 Email This Post Print This Post

A new question regarding security is arising in the October 23 alleged murder of a Napa State Hospital nurse.

Donna Gross was checking into the guard station after taking her break when she was murdered by Jess Massey, an inmate patient. Hospital security was questioned after it was found to let patients walk around at their own leisure.

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External defibrillators in the healthcare setting

By: November 18th, 2010 Email This Post Print This Post

On Monday, the Food and Drug Administration (FDA) announced that the design for external defibrillators will improve through a program to promote safe defibrillators.

External defibrillators are life saving devices used when people suffer from cardiac arrest, though according to The Los Angeles Times, they don’t always work properly.

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Emergency evacuation practices

By: August 10th, 2010 Email This Post Print This Post

Q: We had a discussion at one of our clinic safety meetings about the practice of placing an “X” with chalk on the patient exam rooms in the event of a fire to identify which rooms were checked for patients before exiting the building. Is this still a recommended practice for evacuation? Do fire fighting personnel look for these “X” marks? Some of our clinics still do this while others do not. We would like to standardize our clinics on this issue.

A: This one of those concerns for which there is really no correct or incorrect response and ultimately should hinge on a cooperative review of the practice with your local fire departments.

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Digital flames train healthcare workers

By: August 6th, 2010 Email This Post Print This Post

Spartanburg (SC) Regional Medical Center has begun using technology to instruct healthcare workers on RACE and PASS.

The acronyms represent basic concepts in fire safety and response:

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AHRQ releases report on selecting alternate care facilities

By: March 2nd, 2010 Email This Post Print This Post

The U.S. Agency for Healthcare Research and Quality (AHRQ) recently released a report on selecting and operating alternate care facilities during a disaster.

Alternate care facilities need to be carefully chosen and outfitted with appropriate equipment and materials for use when your hospital is inoperable due to a disaster.

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