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The Safety Office
Which training is required ? It depends on what you do at work:
Research or clinical Laboratory work:
Any work that involves Direct Patient Contact:
Any work that involves Radioisotopes, X-rays or Irradiators:
Laboratory Safety Training
Safety and Infection Control Training
Radiation Protection Training (8-7052)
Any work that involves BL3-level Organisms:
BL3 Training (by arrangement)
Or any combination of these!
We rely on you to We rely on you to help ensure the help ensure the
safety of each and safety of each and every employee, every employee, patient, student patient, student
and visitor!and visitor!
www.bu.edu/ehsmcwww.bu.edu/ehsmc
www.bu.edu/ehsmcwww.bu.edu/ehsmc
Emergency ContactInformation
CODE BLUE 4/8-7777 Cardiac/Respiratory ArrestSTAT 4/8-6000 Other medical emergenciesCODE RED 4/8-6666 Fire and/or smokeSPILL 4/8-6666 Chemical, chemo spillsSECURITY 4/8-4444 Incidents requiring Security
assistance; suspicious person, altercation, etc.
Where are these #s located? All telephones (yellow sticker) ID red cards Emergency Procedure Charts
Blue call boxes are located throughout the campus for immediate contact with Security
EMERGENCY PREPAREDNESS
Types of Disasters…•Internal•External•Natural
Internal Disasters
Infant/Child Abduction - CODE PINKCODE PINK
Response time is critical Conduct search of your area When complete, call Security 4-4444 Report any suspicious object or person Security maintains log of searched areas & secures perimeter doors General Services personnel searches common areas/mechanical spaces
Bomb Threats - Call Security at 4-4444
Telephone Calls - Keep caller on phone, observeUnusual phrases, accent, sex, age, background noises
External Disasters
Natural Disasters
AA Potential or actual disaster. Managed by on-site staff
BB Assistance from other departments may be necessary
CC Assistance from other departments necessary, including those not on-site
D Catastrophic Natural or Man made Event
Announced to personnel via group page, key departments only Supervisors/managers responsible for notifying their own staff A Command Center will be set up for PHASE C events Reference Disaster Plans on BMC Intranet
PHASES of DisastersPHASES of Disasters
Incident Command
Incident Commander
Command Center StaffingMedical Campus Administrative Services
Other Departments as determined by type of incident
Command CenterPower Plant, 1st Floor, Command and Control Center
Alternate -Harrison Pavilion, 2nd Floor, Conference Room C
Alternate - Health Services Building, Basement, Security Operations Center
Command Center Phones (always active)Extension 8-6860 (617-638-6860)
Extension 4-6860 (617-414-6860)
Emergency Phone / Utility Issues
Dialing instructions on phone Emergency powered phones listed in BUMC Telephone
Directory Report utility issues to the Control Center, 4-6666.
(power outages, medical gases, elevator failures, etc..)
Do Fires Happen Here?
Fires Happen Here
“RACE” Fire Plan
rescue/ remove
alert/alarm
confine/close
extinguish/evacuate
Fire Alarms “High Rise System”
Pre-recorded Voice Message:
“Attention Please, The signal tone you have just heard indicates a report of an emergency in this building. If your floor evacuation signal sounds after this message walk to the nearest stairway exit and leave the floor. All handicap occupants shall follow the building evacuation plan. While this report is being verified, occupants on other floors should await further instructions.”
Buildings with this type of system:HP, DOB, H, ACC, Dowling, Evans (E), Fuller (M), EBRC (X), CABR (W), GSDM (G), Talbot (T), BCD, Houseman (R).
Traditional Alarm SystemAlarm sounds throughout building… everyone evacuates!(All other BUMC building)
Egress and Fire Safety Equipment
Keep egress and fire safety equipment free of obstructions.
Know the location of the
nearest fire extinguishers
and pull stations.
Know your area’s...
Floor specific evacuation plan
Evacuation route
Back-up plan in case your primary route of evacuation is not accessible
Some doors are alarmed and will have a delay
Avoid stacking items near fire sprinklers
Fire Drills• Fire drills are conducted in all BMC buildings
• Drills are unannounced in order to properly test the plan….(staff know procedures, alarms are functioning properly, signal received by BFD, Public Safety responds in a timely manner)
• Staff is expected to participate and follow Code Red procedures.
• Practice drills could take 15 - 20 minutes.
• Emergency Preparedness drills will also be conducted.
How to Use a Fire Extinguisher
pull pin
aim at the base of the fire
squeeze handle
sweep from side to side
Types of Fires
CLASS A Ordinary combustible; wood, paper, rags, cloth or trash
CLASS B Involves gases or flammable liquids; oil, gasoline, paints, solvents and grease
CLASS C Involve or surround electrical equipment
Types of Extinguishers
CLASS AWater only
CLASS BCCarbon Dioxide CO2
CLASS ABCDry Chemical
OSHA’s Hazard Communication
Standard aka The “Right-To-Know” Law Know the hazards of the chemicals with which you work Know how to protect yourself All chemicals must be labeled Material Safety Data Sheets Written Plan & Training
Material Safety Data Sheets
MSDS InformationDeveloped and Supplied by the Manufacturer
MUST be available for all employeesProvides Synonyms Properties or Hazards
Formula/Ingredients Personal Protective Equipment
Emergency & First Aid Routes of Exposure
PEL’s Safe Handling Procedures
Fire & Explosion Storage & Disposal
Where can you find these?
BMC IntranetBMC Intranet MSDS Binders located throughout hospital or from EHS at 638-8830
MSDS’sEmergency Instructions
Flip Chart
Common Sense Chemical Safety
Store materials safely, store compatible materials, do not store under sinks
Ensure all chemicals are labeled Wash hands frequently, and after removing gloves Do not eat, drink, apply cosmetics or lip balm, or handle contact lenses
around chemicals When performing procedures minimize splashing, spraying, or spattering Wear the appropriate PPE when there is a potential for contact with an
infectious or chemical material (see MSDS)
Those working in
labs should attend
BUMC’s lab safety
training yearly
www.bu.edu/ehsmc
Chemical Spills
What do I do???1. Identify the chemical2. Contain the spill3. Locate an MSDS for clean-up procedures4. For spills beyond your control, close off the area and call
the Control Center at 4/8-6666 or Safety Office 8-8830
Mercury Spill Do not clean up a mercury spill regardless of size Call Control Center or Safety Office
Radiation ProtectionRadiation Protection Office
Responsible for inspections, maintaining records, and provides training for those users of radioactivity
Personnel Classification Do not work with radiation: Clerical, Administrative,
Dietary… May work in areas that use it: Lab techs, maint.,
housekeeping... Those who work with radiation: Must attend
radiation protection training, (638-7052). Monitoring devices worn.
Radiation Protection
(How to protect yourself) Observe postings Do not go into posted areas if you do not need to Do not touch anything labeled “Radioactive” Those working with radiation must attend trainingALSO… Contact Radiation Protection Office immediately
in the event of a spill or suspected spill Radioactive waste must not go into regular trash Radiation detectors are installed at shipping area
Electrical Safety Equipment in patient areas shall have a valid inspection sticker Clinical Engineering inspects all incoming patient equipment Facilities Management inspects all non-patient equipment in patient areas
Inspect power cord prior to use Avoid using extension cords Only oil-filled space heaters are to be used and must be inspected before use
Medical EquipmentDisconnect any medical device that: Throws sparks Blows a fuse Gives even the slightest shock
Remove the device from service immediately Attach a broken equipment tag Contact Clinical Engineering Notify others in the immediate area
Complete an Incident Report 8-6060 ENC
4-4692 HAC
Maintains over 8,500 medical devices, coordinates education & clinical trials, performs installations, assists in capital
planning, and investigates medical device incidents
For additional information go to: www.Internal.BMC.Org/Clineng
An On-line source for medical equipment
Equipment profiles Links to manufacturers
Operating guides Troubleshooting
Clinical Engineering
Cell Phone UseTo minimize the potential for interference
with medical devices
Restrict use in hospital except for lobbies and cafeteria’s
Observe sensitive areas posted with signage
Inform guests observed using cell phones
Policy on Clinical Engineering Web Site
ErgonomicsWhat is it and why is it important?
Ergonomics is the science of fitting jobs to people. It focuses on designing workstations, tools and work tasks for safety, efficiency and comfort.
Effective ergonomic design reduces discomfort and injuries and increases job satisfaction and productivity.
What are the common ergonomic risk factors?•Awkward body postures – prolonged periods of bending, twisting, etc.•Excessive repetition – same motion over and over•Excessive force – physical exertion or pressure while pushing, gripping, etc.•Contact stress - pressure by tools, edges or hard surfaces on soft tissues of the body
Be aware of pain or discomfort that ONLY occurs while you are at work. Take the necessary steps to correct a poorly designed workstation and prevent a serious injury.
Computer Workstation Computer Workstation ErgonomicsErgonomics
Use the lumbar support your chair provides
Top line of text at eye-level
Keep everything in front of you
Keep your wrists straight
Support your feet
Thighs parallel to chair for weight distribution
Safe Lifting“Back injuries are the most common type of
injuries among health care workers” Avoid reaching above your shoulders Use a step stool or ladder, do not use chairs Use mechanical means
LIFTING - ASK FOR HELP IF POSSIBLE ! Stand close to the object Spread feet wide to straddle Squat, bending knees and hips Keep head up and back aligned Lift with legs Keep load close to body Do not twist when lifting, pivot
Patient Transfer
Ask for assistance if possible Ask the patient if he/she can help Adjust bed to waist level, lock brakes on bed & wheelchair Move patient to edge of bed - use transfer equipment if possible Get in close to the patient Do not twist Keep knees slightly bent, head up, back aligned Lower patient by bending knees
Call Occupational & Environmental Medicine for more “safe lifting” information 638-8400
or call the Safety Office for more info. about
Office Ergonomics at 8-8830
Employee Accidents Report to supervisor Seek medical attention at OEM (F-5) 7:30 - 4:00
weekdays or one of the ED’s all other times Complete with supervisor the Accident Reporting and
Treatment (ART) For Cardiac and Respiratory arrest follow CODE Blue
procedures. For Serious Injuries and Medical Emergencies contact
Public Safety at 4-4444. Supervisors are responsible for conducting accident
investigations. EHS is available for assistance Corrective measures will be
implemented as necessaryto prevent reoccurrence
Crime Prevention Keep valuables with you or locked.
Close and lock doors when not in your office. Always log off the network or use a password protected screensaver when you leave your workstation.
Check the identity of strangers. Notify security or your supervisor for assistance.
Always let someone know where you’ll be.
Always report any broken or flickering lights, doors that do not lock properly, or broken windows.
Do not advertise personal plans to visitors or strangers.
Keep emergency phone numbers posted near by.
Violence Prevention
For you personal safety, being proactive can prevent many potentially violent situations from escalating.
Indicators of a potentially violent individual: A history of angry or abusive behavior Reactions to medications Individuals that may be addicted to drugs or alcohol Serious medical or personal problems Finger pointing Verbal threats Pacing, extreme restlessness Verbal expressions change (stop talking/start talking endlessly) Red face or neck Body gestures change (arms waving, hands clutched, fists formed, etc..) Talking about weapons
Workplace Violence Prevention
• Any employee or staff member who witnesses and act of violence or immediate threat of an act of violence will immediately call Public Safety at 4-4444 and state “Code Green”. If the person calling feels they are unsafe in the area they should immediately leave the area and then make the call. The person making the call will be asked to provide descriptions of the person or persons involved and the location of the incident.
General Services offers workplace violence seminars including deescalating techniques. Ask
your supervisor or Security for details.
TB ProtectionIs for those who may have contact with a
patient with TB.
• You must have had Infection Control Training
• You must be medically cleared through OEM– Forms and medical evaluation by OEM
• Fit testing is performed by EHS personnel– Monthly fit test times are scheduled– Departments may request a fit test
session– Contact EHS, 638-8830 or
www.bu.edu/ehsmc
Recap
Does the hospital expect you to put out fires? What is the Hospital fire plan? Where are your fire extinguishers located? Who do you notify in the event of a fire? What do you do in the event of a bomb threat? What is a MSDS? Where can a MSDS be found? What do you do in the event of a chemical spill?
THANK YOUFOR YOUR TIME!
PLEASE work safely