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Primary Care IIPP Training
General Office & Clinic Safety




Shawn Holle
Safety Analyst
DPH: Occupational Safety & Health Section
What We Do On the Job

 Filing & Report Writing
 Computer Work
 Answering Multiple Telephone Lines
 Bending & Lifting
 Hanging Pictures & Calendars
 Sweeping, Mopping, Cleaning
 Routine Maintenance
 Facility Repairs
 IM Injection & Phlebotomy
 Minor Surgical & Dental Procedures
 First Aid
 CPR
Staying Safe On the Job
Everyday. Everyone.

   Self Evaluate
   Plan Ahead
   Think Things Through
   Get Help When Needed
   Good Communication
   Don’t Climb on Chairs!!!!
   Don’t Do Things You Are Not Trained To Do
   Arrange Work Areas to Increase Efficiency
   Reduce Repetitive Motions
   Use Universal Precautions


  3/22/2012                 DPH/OSH            3
Awkward Postures
Watch How You Move!



 Reaching Over The Head
 Bending To Get Something Down Low
 Straining To Reach Something High Up
Awkward Postures
Prevention Strategies




   Stop It
   Keep Things Close
   Use a Headset
   Lift Less at One Time
Repetitive Tasks
Watch How You Move!

   Heavy Typing
   Note Taking
   Report Writing
   Filing
   Constantly Answering The Phone
   Mopping, Dusting, Sweeping
   Routine Maintenance
Repetitive Tasks
Prevention Strategies


  Keep Work Areas Organized
  Use Keyboard Short Cuts
  Use Proper Body Mechanics
  Minimize Unnecessary Movements
Bending & Lifting
 Watch How You Move!




Prevention Strategies
     Use Proper Body Mechanics
     When Handling Files Lift Less At One Time!
Slips Trips Falls
Watch Where You Step!


  Watch For Crazy Cords
  Heavy Clutter
  Blocked Pathways
  Damaged Flooring
  Puddles & Spills
  Broken Furniture
Slips Trips Falls Prevention Strategies
Identify Workplace Hazards & Tell Someone!




Check Out the Checklist at the End of This
Presentation
Stress
Who Needs It?




  Increases Susceptibility to Illness & Injury




 Find Healthy Ways To Manage It
Stress
Prevention Strategies




 Eat Right
 Consider Exercise
 Consider Meditation
 Explore Relaxation Techniques
Protecting Ourselves in the Clinic?
Universal Precautions




Assume All Human Blood & Body Fluids Are Infectious
Exposure Risks on the Job?

  Lab Work, Phlebotomy
  Minor Surgery
  Dental Procedures
  Sample Processing
  Patient Care
  Site Visits
  Outreach Work
  First Aid
  CPR
Exposure Sources




 Needlesticks or Cuts
 Contact With Non-intact Skin
 Splashes to Mucous Membranes
Prevention Strategies
Hand Washing!




                 Handwashing is Most Effective
                 Way to Prevent Disease
                 Transmission
Prevention Strategies
Using Engineering Controls

Isolate or Remove Hazard From Workplace
Prevention Strategies
Personal Protective Equipment (PPE)


Clothing or Equipment Worn That Keeps Blood From
Clothing, Skin, Eyes, Mouth, or Mucous Membranes
Prevention Strategies
Administrative Controls & Warning Labels

 Cover Your Cough Signs in Waiting & Exam Rooms
 Post Needlestick Hotline (415) 469-4411
 Simple Procedural How To Checklists
 Label Biohazard & Sharps Containers
 Refrigerators & Freezers Containing Samples
 Containers to Store, Transport, Ship Biohazard Waste
Basic Safety Consideration Checklist
                     Common Problems

    Stairs Without Handrails
□
□   Supplies Stacked on the Floor
□
    Boxes & Carts Left In Walkways (Cluttered or Narrow Walkways)

□   Damaged Floor Tiles
□   Employees Carrying Heavy Loads to Avoid Extra Trips
□   Poor Lighting Along Walkways and Work Areas
□   Damaged or Wet Carpet
□   Extension Cords Across Walkways
□   Slippery Sidewalks / Parking Areas
□   Spills
□   Uneven Walking Surfaces
□   Wet Stairs (From Leaks and Weather)
□   Wobbly Step Stools / Ladders
Basic Safety Consideration Checklist
               Common Solutions

    Work areas: Provide enough work space to avoid collisions. Redesign the layout
□   to eliminate blind corners and areas of clutter.

□   Materials storage: Provide proper storage so walkways and work areas are kept
    free of clutter.

□   Tripping hazards: Keep electrical cords out of walkways. Maintain carpets in good
    condition. Replace Broken Floor Tiles.

□   Slipping hazards: Install non-slip surfaces and handrails on stairs, and place non-
    slip floor mats at entrances and in wet areas.

□   Work practices: Train workers not to move too quickly, not to carry items too tall
    to see over, and to warn other workers when they pass behind them.

□   Understand Flood Control Procedures for Your Facility!

□   Spills: Clean up spills immediately. Use signs to warn Employees of slippery
    floors.

□   Reaching and climbing: Store frequently used items in accessible locations.
    Provide ladders and footstools, and keep them in good condition.

□   Lighting: Keep work areas well lit

□   Submit Timely Work Orders for Major Repairs

□   Communicate All Housekeeping Issues to Custodial Services
Basic Safety Consideration Checklist
               Common Problems

□   Full Sharps Containers

□   Shortage of Appropriate Personal Protective Equipment
□
    Needle Stick Hotline # Not Posted

□   No Cover Your Cough Signs in Waiting & Exam Rooms
□   Inadequate Handwashing Facilities
□   Improperly Labeled Biohazard Containers
□   Unsecured Sharps Containers
□   Fill In the Blanks With Any Problems At Your Facility
□
□
□
□
□
Basic Safety Consideration Checklist
               Common Solutions

□   Full Sharps Containers: Swap Out ¾ Full Sharps Containers

□   PPE Shortage: Order Appropriate PPE in Appropriate Quantities
□   Needle Stick Hotline # Not Posted:
    Needlestick Hotline (415) 469-4411
□   No Cover Your Cough Signs in Waiting & Exam Rooms: Put Some Up
□   Inadequate Handwashing Facilities: Consider Antimicrobial Hand Sanitizer
□   Improperly Labeled Biohazard Containers: Label Them
□   Unsecured Sharps Containers: Have Facilities Secure Them.
□   Fill In the Blanks With Any Solutions At Your Facility
□
□
□
□
□

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Primary Care Safety Training

  • 1. Primary Care IIPP Training General Office & Clinic Safety Shawn Holle Safety Analyst DPH: Occupational Safety & Health Section
  • 2. What We Do On the Job Filing & Report Writing Computer Work Answering Multiple Telephone Lines Bending & Lifting Hanging Pictures & Calendars Sweeping, Mopping, Cleaning Routine Maintenance Facility Repairs IM Injection & Phlebotomy Minor Surgical & Dental Procedures First Aid CPR
  • 3. Staying Safe On the Job Everyday. Everyone. Self Evaluate Plan Ahead Think Things Through Get Help When Needed Good Communication Don’t Climb on Chairs!!!! Don’t Do Things You Are Not Trained To Do Arrange Work Areas to Increase Efficiency Reduce Repetitive Motions Use Universal Precautions 3/22/2012 DPH/OSH 3
  • 4. Awkward Postures Watch How You Move! Reaching Over The Head Bending To Get Something Down Low Straining To Reach Something High Up
  • 5. Awkward Postures Prevention Strategies Stop It Keep Things Close Use a Headset Lift Less at One Time
  • 6. Repetitive Tasks Watch How You Move! Heavy Typing Note Taking Report Writing Filing Constantly Answering The Phone Mopping, Dusting, Sweeping Routine Maintenance
  • 7. Repetitive Tasks Prevention Strategies Keep Work Areas Organized Use Keyboard Short Cuts Use Proper Body Mechanics Minimize Unnecessary Movements
  • 8. Bending & Lifting Watch How You Move! Prevention Strategies Use Proper Body Mechanics When Handling Files Lift Less At One Time!
  • 9. Slips Trips Falls Watch Where You Step! Watch For Crazy Cords Heavy Clutter Blocked Pathways Damaged Flooring Puddles & Spills Broken Furniture
  • 10. Slips Trips Falls Prevention Strategies Identify Workplace Hazards & Tell Someone! Check Out the Checklist at the End of This Presentation
  • 11. Stress Who Needs It? Increases Susceptibility to Illness & Injury Find Healthy Ways To Manage It
  • 12. Stress Prevention Strategies Eat Right Consider Exercise Consider Meditation Explore Relaxation Techniques
  • 13. Protecting Ourselves in the Clinic? Universal Precautions Assume All Human Blood & Body Fluids Are Infectious
  • 14. Exposure Risks on the Job? Lab Work, Phlebotomy Minor Surgery Dental Procedures Sample Processing Patient Care Site Visits Outreach Work First Aid CPR
  • 15. Exposure Sources Needlesticks or Cuts Contact With Non-intact Skin Splashes to Mucous Membranes
  • 16. Prevention Strategies Hand Washing! Handwashing is Most Effective Way to Prevent Disease Transmission
  • 17. Prevention Strategies Using Engineering Controls Isolate or Remove Hazard From Workplace
  • 18. Prevention Strategies Personal Protective Equipment (PPE) Clothing or Equipment Worn That Keeps Blood From Clothing, Skin, Eyes, Mouth, or Mucous Membranes
  • 19. Prevention Strategies Administrative Controls & Warning Labels Cover Your Cough Signs in Waiting & Exam Rooms Post Needlestick Hotline (415) 469-4411 Simple Procedural How To Checklists Label Biohazard & Sharps Containers Refrigerators & Freezers Containing Samples Containers to Store, Transport, Ship Biohazard Waste
  • 20. Basic Safety Consideration Checklist Common Problems Stairs Without Handrails □ □ Supplies Stacked on the Floor □ Boxes & Carts Left In Walkways (Cluttered or Narrow Walkways) □ Damaged Floor Tiles □ Employees Carrying Heavy Loads to Avoid Extra Trips □ Poor Lighting Along Walkways and Work Areas □ Damaged or Wet Carpet □ Extension Cords Across Walkways □ Slippery Sidewalks / Parking Areas □ Spills □ Uneven Walking Surfaces □ Wet Stairs (From Leaks and Weather) □ Wobbly Step Stools / Ladders
  • 21. Basic Safety Consideration Checklist Common Solutions Work areas: Provide enough work space to avoid collisions. Redesign the layout □ to eliminate blind corners and areas of clutter. □ Materials storage: Provide proper storage so walkways and work areas are kept free of clutter. □ Tripping hazards: Keep electrical cords out of walkways. Maintain carpets in good condition. Replace Broken Floor Tiles. □ Slipping hazards: Install non-slip surfaces and handrails on stairs, and place non- slip floor mats at entrances and in wet areas. □ Work practices: Train workers not to move too quickly, not to carry items too tall to see over, and to warn other workers when they pass behind them. □ Understand Flood Control Procedures for Your Facility! □ Spills: Clean up spills immediately. Use signs to warn Employees of slippery floors. □ Reaching and climbing: Store frequently used items in accessible locations. Provide ladders and footstools, and keep them in good condition. □ Lighting: Keep work areas well lit □ Submit Timely Work Orders for Major Repairs □ Communicate All Housekeeping Issues to Custodial Services
  • 22. Basic Safety Consideration Checklist Common Problems □ Full Sharps Containers □ Shortage of Appropriate Personal Protective Equipment □ Needle Stick Hotline # Not Posted □ No Cover Your Cough Signs in Waiting & Exam Rooms □ Inadequate Handwashing Facilities □ Improperly Labeled Biohazard Containers □ Unsecured Sharps Containers □ Fill In the Blanks With Any Problems At Your Facility □ □ □ □ □
  • 23. Basic Safety Consideration Checklist Common Solutions □ Full Sharps Containers: Swap Out ¾ Full Sharps Containers □ PPE Shortage: Order Appropriate PPE in Appropriate Quantities □ Needle Stick Hotline # Not Posted: Needlestick Hotline (415) 469-4411 □ No Cover Your Cough Signs in Waiting & Exam Rooms: Put Some Up □ Inadequate Handwashing Facilities: Consider Antimicrobial Hand Sanitizer □ Improperly Labeled Biohazard Containers: Label Them □ Unsecured Sharps Containers: Have Facilities Secure Them. □ Fill In the Blanks With Any Solutions At Your Facility □ □ □ □ □