United States Fire Administration Chief Officer Training Curriculum Operations Module 5: Health and...

United States Fire Administration

Chief Officer Training Chief Officer Training CurriculumCurriculum

OperationsOperations

Module 5:Module 5:

Health and Safety Officer, Health and Safety Officer, Laws and StandardsLaws and Standards

Ops 5-2


ObjectiveObjective

To compare health and safety laws, To compare health and safety laws, standards, and regulations to standards, and regulations to written Standard Operating written Standard Operating Procedures (SOPs) for proper SOP Procedures (SOPs) for proper SOP contentcontent

Ops 5-3


The Health and Safety OfficerThe Health and Safety Officer

Reports to head of organizationReports to head of organization

Trained to Fire Officer ITrained to Fire Officer I

Has major effect on department Has major effect on department emergency operationsemergency operations

Performs duties outlined in NFPA Performs duties outlined in NFPA 15211521

May be full or part-timeMay be full or part-time

Ops 5-4


Volunteer departments—HSO may Volunteer departments—HSO may be promotion and not chief officerbe promotion and not chief officer

Better not to split responsibilitiesBetter not to split responsibilities

Only one HSOOnly one HSO

The Health and Safety Officer The Health and Safety Officer (continued)(continued)

Ops 5-5


Ops 5-6


1988 to 1992—average of more 1988 to 1992—average of more than 100,000 firefighter injuries than 100,000 firefighter injuries each yeareach year

– 50% occurred on fireground50% occurred on fireground

1977 to present—average of one 1977 to present—average of one death every 3 daysdeath every 3 days

– Over 50% occur on firegroundOver 50% occur on fireground

Firefighter Injury and DeathsFirefighter Injury and Deaths

Ops 5-7


Firefighter Injury and Deaths Firefighter Injury and Deaths (continued)(continued)

The leading cause of firefighter The leading cause of firefighter deaths is heart disease/stress.deaths is heart disease/stress.

25% of stress-related deaths are 25% of stress-related deaths are less than 40-years oldless than 40-years old

Ops 5-8


Ending up dead or injured at Ending up dead or injured at work is against the law!work is against the law!

Ops 5-9


Health Risk FactorsHealth Risk Factors

Name several health risk factors Name several health risk factors that affect firefighters:that affect firefighters:

On the firegroundOn the fireground

Long-termLong-term

Ops 5-10


Fireground Risk FactorsFireground Risk Factors

Physical fitnessPhysical fitness

History of illnessesHistory of illnesses

MedicationsMedications

Ops 5-11


Long-Term Risk FactorsLong-Term Risk Factors

SmokingSmoking

Hearing lossHearing loss

Back injuriesBack injuries

CancerCancer

Ops 5-12


Long-Term Risk Factors Long-Term Risk Factors (continued)(continued)

Hearing loss:Hearing loss:

Hearing protection program—OSHA Hearing protection program—OSHA standardstandard

Mandated protection for personnel Mandated protection for personnel on apparatuson apparatus

Baseline audiometric testBaseline audiometric test

Annual testingAnnual testing

Standards in NFPA 1582Standards in NFPA 1582

Ops 5-13


Long-Term Risk Factors Long-Term Risk Factors (continued)(continued)

Back injuries—largest category of Back injuries—largest category of workers’ compensation injuriesworkers’ compensation injuries

Cancer—skin cancer among most Cancer—skin cancer among most commoncommon

Ops 5-14


Firefighter Wellness ProgramsFirefighter Wellness Programs

List the components of a List the components of a comprehensive wellness program:comprehensive wellness program:

Ops 5-15


Firefighter Wellness Programs Firefighter Wellness Programs (continued)(continued)

Annual physical examsAnnual physical exams

Employee Assistance Program Employee Assistance Program (EAP)(EAP)

Physical fitness programPhysical fitness program

Infection control programInfection control program

Ops 5-16


What vaccinations does your What vaccinations does your department provide for its department provide for its

members?members?


Ops 5-17


Vaccinations:Vaccinations:

Hepatitis BHepatitis B

Hepatitis AHepatitis A

TetanusTetanus

Flu shotFlu shot

MeaslesMeasles


Ops 5-18


Post-exposure exams:Post-exposure exams:

Hazardous materialsHazardous materials

Blood or body fluidsBlood or body fluids


Ops 5-19


Define an EAP and list some of the Define an EAP and list some of the components:components:


Ops 5-20


Substance abuseSubstance abuse– AlcoholismAlcoholism– Drug addictionDrug addiction– TobaccoTobacco

Stress management—Stress management—CISMCISM Family relationsFamily relations Legal and financial concernsLegal and financial concerns Health promotionsHealth promotions


Ops 5-21


Physical fitness program:Physical fitness program:

Medical screeningsMedical screenings Fitness assessmentsFitness assessments Fitness standardsFitness standards Exercise programExercise program NutritionNutrition


Ops 5-22


Exposure-control plan for members Exposure-control plan for members at riskat risk

Training and educationTraining and education Engineering and work control Engineering and work control

practicespractices Hepatitis B vaccinationHepatitis B vaccination Medical treatment, post-exposure Medical treatment, post-exposure

evaluation, and follow-upevaluation, and follow-up Record keepingRecord keeping


Ops 5-23


What program or operation What program or operation affects the health and safety of affects the health and safety of firefighters on an emergency firefighters on an emergency

scene?scene?


Ops 5-24


RestRest

Medical Medical EvaluationEvaluation TreatmentTreatment

RefreshmentRefreshment


Ops 5-25


Ops 5-26


Provide on-scene screening process Provide on-scene screening process to determine if personnel operating to determine if personnel operating in danger of collapsingin danger of collapsing

Provide monitoring device to gauge Provide monitoring device to gauge how firefighters react how firefighters react physiologically to stress of physiologically to stress of operationoperation


Ops 5-27


NFPA 1500, Chapter 10, paragraph NFPA 1500, Chapter 10, paragraph 44

Occupational Safety and Health Act Occupational Safety and Health Act of 1970of 1970

Record Keeping and Record Keeping and DocumentationDocumentation

Ops 5-28


Employee medical records—Employee medical records—confidential:confidential:

Annual physical reportAnnual physical report Return-to-duty reportsReturn-to-duty reports Workers’ compensation reportsWorkers’ compensation reports Records of vaccinationsRecords of vaccinations Exposure reportsExposure reports

Record Keeping and Record Keeping and Documentation Documentation (continued)(continued)

Ops 5-29


Compile statisticsCompile statistics

Evaluate department records:Evaluate department records:

– Annual injury/illness reportAnnual injury/illness report

– Lost-time reportLost-time report

– Workers’ compensation expensesWorkers’ compensation expenses

– Medical exams/therapy expensesMedical exams/therapy expenses

Record Keeping and Record Keeping and Documentation Documentation (continued)(continued)

Ops 5-30


Activity 5.1Activity 5.1

Action Plan for Health Action Plan for Health MaintenanceMaintenance

Ops 5-31


Consensus StandardsConsensus Standards

Procedure or document that can be Procedure or document that can be followedfollowed

Developed reactivelyDeveloped reactively

Not mandatory unless adopted by Not mandatory unless adopted by public authoritypublic authority

Ops 5-32


NFPA:NFPA:

Over 270 codes and standardsOver 270 codes and standards Fire service safety and health Fire service safety and health Protective clothing and equipmentProtective clothing and equipment Fire apparatus and equipmentFire apparatus and equipment Professional qualificationsProfessional qualifications Fire service trainingFire service training

Consensus Standards Consensus Standards (continued)(continued)

Ops 5-33


NFPA StandardsNFPA Standards

NFPA 1500, NFPA 1500, Standard for a Fire Department Standard for a Fire Department Occupational Safety and Health ProgramOccupational Safety and Health Program

NFPA 1521, NFPA 1521, Standard for a Fire Department Standard for a Fire Department Safety OfficerSafety Officer

NFPA 1561, NFPA 1561, Incident Management SystemIncident Management System

NFPA 1581, NFPA 1581, Fire Department Infection Fire Department Infection Control ProgramControl Program

NFPA 1582, NFPA 1582, Standard for Medical Standard for Medical Requirements for Fire FightersRequirements for Fire Fighters

Ops 5-34


Protective clothing and equipment Protective clothing and equipment standardsstandards

Design criteria for fire apparatus Design criteria for fire apparatus and equipmentand equipment

Professional qualificationsProfessional qualifications

Training standardsTraining standards

NFPA Standards NFPA Standards (continued)(continued)

Ops 5-35


Federal Regulations Federal Regulations

OSHA:OSHA:

Branch of Department of Labor & Branch of Department of Labor & IndustryIndustry

Created in 1970Created in 1970 23 states and two territories have state-23 states and two territories have state-

operated programsoperated programs Remaining states governed by Federal Remaining states governed by Federal

program, excluding municipal and program, excluding municipal and volunteervolunteer FFFF

Ops 5-36


Regulations affecting worker safety Regulations affecting worker safety and health:and health:

1910.20—Medical Record Keeping1910.20—Medical Record Keeping 1910.1030—Occupational Exposure 1910.1030—Occupational Exposure

to Bloodborne Pathogensto Bloodborne Pathogens NFPA 1581, NFPA 1581, Standard for Fire Standard for Fire

Department Infection Control Department Infection Control ProgramProgram

Federal Regulations Federal Regulations (continued)(continued)

Ops 5-37


Activity 5.2Activity 5.2

Laws, Standards, and Laws, Standards, and RegulationsRegulations

Ops 5-38


Standard Operating GuidelinesStandard Operating Guidelines

Developed by department in Developed by department in standard formatstandard format

Affect only the department that Affect only the department that writes and adopts themwrites and adopts them

Must meet or exceed applicable Must meet or exceed applicable laws and regulationslaws and regulations

Ops 5-39


Effect of Laws, Standards, and Effect of Laws, Standards, and Regulations on OperationsRegulations on Operations

Provide a safe and healthy work Provide a safe and healthy work environmentenvironment

Reduction of risk and decrease in Reduction of risk and decrease in liabilityliability

Fire chief assigns HSO as program Fire chief assigns HSO as program managermanager

Ops 5-40


Promotes positive image Promotes positive image inside/outside departmentinside/outside department

Provide basis for department SOPsProvide basis for department SOPs

HSO develops network that HSO develops network that provides information on new provides information on new issues/changesissues/changes

HSO provides this information to HSO provides this information to the departmentthe department

Effect of Laws, Standards, and Effect of Laws, Standards, and Regulations on Operations Regulations on Operations (continued)(continued)

Ops 5-41


Module SummaryModule Summary

Health risk factors—fireground and Health risk factors—fireground and long-termlong-term

Wellness programsWellness programs

Record keeping and documentationRecord keeping and documentation

Laws, standards, and regulationsLaws, standards, and regulations

United States Fire Administration Chief Officer Training Curriculum Operations Module 5: Health and...

Documents

Transcript of United States Fire Administration Chief Officer Training Curriculum Operations Module 5: Health and...