emergency management · 2016-09-07 · sheet ( msds) ensures the product is appropriately labeled...

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Emergency Management

Prepare

Respond

Recover

Mitigate Emergency

Management

• Internal Disaster Grey • Hostage Taking/Abduction Purple • Neonatal Arrest Pink • Cardiac Arrest Blue • External Disaster Orange • Violent Situation White • Hazardous Spill/Leak Brown • Missing Patient Yellow • Missing Child Yellow Amber Alert

• Bomb Threat/Suspicious Package Black • Evacuation Green • Fire Red

The Emergency Management Program utilizes an incident level determination matrix which helps ensure that we have the appropriate level of response to a given incident.

Code Stages

STAGE LEVEL REQUIRED

RESOURCES DOWN TIME ORGANIZATIONAL

IMPACT

STAGE 3 Site/Org Wide

Outside Agencies Required

Significant Impact or > 24 hrs

Hospital-wide or Site Closure

STAGE 2

Multiple Departments

Within Site + Specific Outside

Vendors/Agencies Required

Site/Incident Specific > 2 hrs but < 24 hrs.

Site Impact

STAGE 1 Department

Within Department

Site/Incident Specific

< 2 hrs

Minimal Impact

In the event you need to call a code, the following steps should be followed:

How to Call a Code

Call Switchboard at ext. 5555

Inform Switchboard

of Code

• Color of code

• Stage of code (if known)

• Location of code

• Your Name and Contact Info

Switchboard will page overhead

• Code Color

• Stage

• Location

Code Alert Email

When a code is called, an email message describing the type and stage of the code is dispersed by Switchboard.

For Example:

From: Code Alert THC or Code Alert CVH

Sent to: ALL USERS

Subject Line: CODE RED – [LOCATION] – [STAGE]

An “All Clear” message will be sent in the same format once the Code has been resolved.

Emergency Response Station

The Emergency Response Stations are located in most departments

and are easily accessible to all staff. Each station consists of:

Code of the

Month contains a

placeholder for the

code of the month

poster

Binder contains

Code Policies, Job

Action Sheets, safety

vest and no-battery

flashlight

Evacuation

Floor Plan showing location of exits

and fire pull station

Fire Safety Code Red

Why Training is Important

• At Trillium Health Partners, we have many patients, visitors and staff routinely utilizing various departments and resources

• It is vital for us to be prepared and trained in the event of an Emergency

• We must ensure quick and effective reactions to prevent the loss of life and/or property

• Our duty as staff is to R.E.A.C.T. when an emergency such as a fire, threatens the safety of you and those around immediate area

Click to edit Master title style How would you R.E.A.C.T.?

• Remove those in immediate danger R

• Ensure room door is closed E

• Activate fire alarm (if not already done) A

• Call Customer Support at 5555 or dial 911 (if offsite) C

• Try to extinguish or control the fire T

Click to edit Master title style What is a Fire Safety System?

A fire safety system is an electronic system that detects fire conditions (smoke and/or heat). Smoke and/or heat detectors will activate the Fire Suppression System which turns on sprinklers shut down ventilation fans, and activate the fire alarm system. The fire safety system can also be activated manually by means of Fire Pull Stations.

Click to edit Master title style There a 4 ways the fire safety system

can be activated:

Click to edit Master title style Fire Alarm Once activated in any

portion of the building, the

fire alarm will sound

throughout the building and

initiate the following actions:

Building occupants are alerted of a possible fire emergency

Elevators are recalled to the ground floor and shut down

Local fire department is notified

Air handling units shut down in non-critical areas.

NOTE: In critical areas such as the OR, the unit will shut if the fire is in that area.

Electromagnetic locked doors will release its lock and close

Click to edit Master title style

A fire requires three

elements in order to create

the reaction needed to ignite.

Once a fire has started, the

resulting chain reaction

sustains the fire and allows it

to continue until at least one

of the elements is removed.

Fire Triangle

What is a Fire Suppression System

Trillium Health Partners employs a Wet Sprinkler System; if the Fire Safety System detects a fire condition it reacts by dispensing water to suppress the fire through sprinkler heads located throughout the facility’s ceilings.

We also have a chemical system located in equipment-sensitive areas (such as the IT server rooms) in order to prevent equipment damage.

Fire Suppression Equipment

• Releases water into the zone in which the fire exists.

Automatic Sprinkler System

• Should only be accessed and used by trained professionals.

Standpipe and Hose System

• An A,B,C fire extinguisher can be utilized for all fires including electrical and wiring, wood and paper, and grease and oil.

Portable Fire Extinguisher

Using a Fire Extinguisher

The use of fire

suppression equipment

is primarily the

responsibility

of the

Fire Department.

Fighting a fire is always

voluntary act

for staff.

To use a fire extinguisher follow these

instructions:

Pull the pin

Aim at the base of the fire

Squeeze the handle

Sweep back and forth

DO NOT re-use a fire

extinguisher which has

been discharged or has the

pin pulled out.

DO NOT place a

discharged fire extinguisher

in its holder.

Fire Prevention

How can we stop a fire from happening and spreading ?

• Be proactive and break the Fire Triangle (that is, never allow the

three fire elements to have contact)

• In the event of a fire, remove one of the elements (for example, use

water to eliminate heat, or chemicals to eliminate O2)

If the fire triangle cannot be broken then we must control and confine

the fire.

Smoke Hazard

Smoke is extremely toxic and spreads rapidly. Smoke causes people to become:

• disoriented

• impaired

• blinded

• confused

Smoke may also prevent search and rescue and firefighting efforts.

Fire Containment

The best way to confine and

control the spread of fire is to

ensure that all doors are closed

and all fire separation doors

are never wedged open or obstructed.

A fire separation door is designed

to resist fire for a limited period of

time in order to contain and

confine the spread of fire and

smoke.

Stay Safe-WHMIS Your Guide to the Workplace

Hazardous Material Information System

WHMIS stands for

Workplace Hazardous Materials Information System

It is a national hazardous material classification system designed to provide workplace standards for the control, handling, storage, and disposal of ‘controlled’ products.

(Workplace Safety and Prevention Services)

What is WHMIS?

There are 3 WHMIS requirements to being safe in the workplace

1. Product Labeling

2. Material Safety Data Sheets

3. Worker's Education

WHMIS Requirements

Roles and Responsibilities

The Supplier

• Determines which products fall under WHMIS.

• Provides buyers with a Material Safety Data Sheet ( MSDS) Ensures the product is appropriately labeled

The Employer

• The Employer identifies and maintains an inventory of all hazardous substances in the workplace.

• Ensures all containers have proper labels.

• Ensures no labels are removed, changed, or defaced.

The Worker

• The worker participates in education and training on hazardous materials.

• Use's the health and safety information including PPE to protect themselves and others when handling, storing, or transporting hazardous materials.

A controlled product is any product or ingredient that meets the criteria for one or more classes of hazards established by WHMIS.

Generally, consumer products are not covered by WHMIS as they fall under different legislation.

Additionally there are some products that are controlled by other regulations (for example, the Explosives Act).

Although these products may not be regulated by WHMIS regulations or labelled within an MSDS, these materials may pose a hazard and therefore there is still an expectation that workers be educated and aware of any hazards associated with them.

Controlled Products

Characteristics of Hazardous Materials

• Cylinders with contents under pressure, may decompress or

Compressed Gas

• a substance capable of easily catching fire and burning

Flammable and Combustible

• Can cause other materials to burn or explode by providing oxygen

Oxidizing

• Can cause harm to your body, with immediate and/or long term effects

Poisonous

• A poisonous substance may harm a worker's health with over-exposure

• Organisms, or the toxins they produce, can cause diseases in humans or animals

Infectious

• A substance that will burn the skin or eyes on contact Corrosive

• A substance capable of undergoing a chemical reaction with the release of energy

Reactive

WHMIS requires all workplaces that may have controlled products in use to:

provide workers with information regarding health and safety hazards in their workplace.(1)

create a workplace inventory of all hazardous materials in the workplace along with its corresponding Material Safety Data Sheets (MSDS)

provide staff with access to the inventory and Material Safety Data Sheets (MSDS).

(1) Workplace Safety and Prevention Services

How Do I Know What Hazardous Materials are in My Workplace?

The Material Safety Data Sheet (MSDS) will include the following technical information about the product:

• Product Name- usually the trade name such as Tide detergent

• Hazardous Ingredient- what is in the product and how much

• Physical Data- such as gas, solid, or liquid

• Description- such as its smell and/or appearance

• Fire/Explosion data- the likelihood of the product catching fire

• Reactivity- is it stable? does it react to light, heat, or moisture?

• Health Hazard- info on the health hazard(s) and/or toxicological data

What Information is on an MSDS?

Emergency Response In the event of exposure, the MSDS must be given to the doctor providing treatment, so that the appropriate care is provided.

How Can I Identify a Hazardous Material?

WHMIS requires at least 1 of the following types of labels to be placed on materials containing controlled products:

• Supplier labels are placed on the product before it is sold.

• Workplace labels are required on controlled products that are produced and used in the workplace.

Supplier Label Requirements

The supplier label must have a

WHMIS hash border around it.

It must also contain the

information you in this diagram.

Workplace Label Requirements

Required: if the supplier label

becomes illegible or if the

product was received and

transferred to another container.

Not Required: if the transferred

material is used in its entirety

prior to the end of the work shift,

for example a mixed solution of

floor cleaner that will be emptied

at the end of the shift.

Categories of Controlled Products There are six main categories of controlled products. Each class has at least one symbol associated with it. These categories include:

Controlled Products and Precautions

Class A: Compressed Gas

Description

• identified by a symbol of a compressed gas cylinder. Compressed gases:

• are under pressure;

• may explode if heated or damaged; and

• may puncture skin and cause fatal embolism with a sudden release of high pressure gas streams.

Precautions

• Transport and handle with care

• Secure cylinders properly

• Store away from sources of heat or fire

• Use proper regulator

Examples in the workplace include oxygen and nitrogen.

Class B: Flammable and Combustible Material

Description

• Flammable and combustible materials:

• may burn or explode when exposed to heat, sparks, or flames;

• burn readily at room temperature; and

• burn when heated.

Precautions

• Store away from Class C (oxidizing materials)

• Store away from sources of heat, sparks, and flame

• Do not smoke near these materials

Examples in the workplace include alcohol, acetone, and methanol.

Class C: Oxidizing Material

Description

• can cause other materials to burn or explode by providing oxygen;

• may burn skin and eyes on contact;

Precautions

• Store away from Class B (flammable and combustible) materials

• Store away from sources of heat and ignition

• Wear recommended protective equipment and clothing

Materials in this class might include bleach or perchloric acid.

Class D: Poisonous & Infectious Material

Class D- Division 1: Materials Causing Immediate and Serious Toxic Effects Identified by a skull and crossbones symbol. It represents materials causing immediate and serious toxic effects. These materials may cause immediate death or serious injury if inhaled, swallowed, or absorbed through the skin. Examples of Class D - Division 1 materials are methanol and phenol.

Precautions

• Avoid inhaling gas or vapours

• Avoid skin and eye contact

• Do not eat, drink, or smoke near these materials

• Wash hands after handling

Description

• Cause death or permanent injury following repeated or long-term exposure;

• Irritate eyes, skin, and breathing passages: may lead to chronic lung problems and skin sensitivity; and

• Cause liver or kidney damage, cancer, birth defects, or sterility.

Precautions

• Avoid inhaling gas or vapours

• Avoid skin and eye contact

• Wear the recommended protective equipment and clothing

• Do not eat, drink, or smoke near these materials

The examples shown here are: • Formalin 10% (used to fix tissues for

laboratory examination) • Klean n’ Shine Multi Surface Cream

Cleanser

Description

Identifies bio-hazardous infectious materials. The symbol displays three intertwined circles over a single circle.

Contact with bio-hazardous infectious materials includes contact with microbiological agents which may cause illness or death.

Precautions

• Handle these materials only in designated areas

• Disinfect work area after handling

Examples of materials in this class might include bacteria like tuberculosis, viruses like influenza, and fungi-like mould's and their toxins.

Class E: Corrosive Material

Class E identifies corrosive materials.

The symbol displays a hand, and a line which represents a hard surface. There are test tubes of materials shown pouring over and altering the surface.

These materials will burn:

• Eyes and skin on contact

• Tissues of the respiratory tract if inhaled

Precautions

Store acids and bases in separate areas Avoid inhaling these materials

• Avoid contact with skin and eyes

• Wear recommended protective equipment and clothing.

Examples you might find in the workplace are Crew Super Blue Bowl Cleaner and acetic acid.

Class F: Dangerously Reactive Material

Description

The symbol displays a capital letter R, with a superimposed test tube showing a reaction above its opening. These materials may:

• be unstable, reacting dangerously to jarring, compression, heat, or exposure to light; and

• burn, explode, or produce dangerous gases when mixed with incompatible materials.

Precautions

• Store away from heat

• Avoid shock and friction

An example found in Trillium’s laboratory is picric acid

Access to WellNet through the hospital intranet is the best way to get a current product MSDS.

WellNet provides a service to obtain and update the MSDSs and make them available in the database.

This database is always up to date and is automatically updated every three years.

Workers can access WellNet at any site which has access to one of our hospital’s intranet.

Accessing WHMIS Information in the Hospital

Mississauga Hospital or Queensway Health Centre : iCare

If you work at the Mississauga or Queensway Hospital you can access WellNet as follows:

iCare, under My Life > Health and Wellness

You will see an online WHMIS link that takes you to WellNet as well as site and department specific records.

Credit Valley Hospital: iShare

If you work at the Credit Valley

Hospital Site, go to Applications

within the intranet.

Next expand the Administrative

Once you have clicked on this tab,

expand the WHMIS tab and then

click on WellNet- MSDS.

The hospital’s master MSDS library can be found in the Employee Health, Safety and Wellness department and contains information for all departments.

Each hospital site receives a disk (CD) copy of their respective master book on a monthly basis.

Copies are also kept in the Corporate Emergency Operations Command Centre should they be required.

Master MSDS Library

Your department may also maintain a WHMIS Binder available for referencing a department specific inventory list and corresponding MSDS.

This can be handy in the event of a power outage.

It is the responsibility of Employers to ensure that this binder is kept up to date with the information available on WellNet as Canadian MSDSs are revised every three years by the manufacturer of the material/product.

WHMIS Department Binders

When dealing with controlled products, you may be required to wear personal protective equipment, sometimes also known as PPE.

The symbols shown on the next page will indicate how to protect yourself from various hazards. These may include:

• face mask

• gloves

• full face respirator

• self-contained breathing apparatus

• safety glasses

• face shield

Precautionary Measures for Controlled Products

The symbols shown here indicate protective equipment that should be used when handling certain materials.

Some chemical labels may include PPE symbols

Personal Protective Equipment Symbols

Only trained employees may use chemicals in the workplace. It is important that you know:

• what you are working with • where the MSDS are located • how to use them

Additionally:

Ensure all containers are properly labeled Use the proper protective equipment (PPE) Store chemicals only in approved areas. Report all leaks and spills immediately Dispose of used chemicals and containers properly

If you have questions or concerns speak to your teamleader or manager

Working with Chemicals Safely

First check the MSDS, then ask questions!

If you can't find an MSDS, STOP! Do not use the product until you know how. Ask your team leader, supervisor, or manager before using any product for the first time.

Consult with Employee Health, Safety, and Wellness when you and/or your supervisor need further assistance

Staying Safe in the Workplace

Be sure to stay safe at all times when working with chemicals. Only trained employees may use chemicals in the workplace. It is important that you:

• Know what you are working with

• Know where the MSDS are located and how to use them

• Ask you team leaders or supervisors if you have questions

In addition:

• Make sure all containers are properly labeled.

• Use the proper protective equipment

• Store chemicals only in approved areas

• Report all leaks and spills immediately

• Dispose of used chemicals and containers properly

Chemical Safety

Personal Protective Equipment (PPE) may be needed to protect yourself from chemical hazards. Use the PPE that your manager, or team leaders have instructed you to use for each chemical. Before using the PPE, inspect it to make sure it is not damaged.

Use a face shield and goggles if there is a splash hazard.

Make sure you know where your eyewash and/or emergency shower is located.

Use the proper respirator for biological hazards, dusts, mists, fumes, and vapours.

Use the right gloves when handling chemicals ( blue nitrile or rubber gloves).

Properly clean and store, or dispose of your PPE after use.

Protect Yourself in the Workplace

In the event of a chemical spill, follow these instructions in a CONTROLLED and CAREFUL manner: DO NOT

attempt to clean-up without assistance from qualified personnel. touch electrical equipment.

safely evacuate and secure the immediate area.

close doors to stop the spread of vapours.

use the appropriate spill kit.

initiate the appropriate spill procedure.

locate information about the chemical and act according to the guidelines provided.

stand by to provide assistance and information.

dial 2700 for the THC Site or 6500 for the CVH if you need a chemical spill kit.

Responding to a Chemical Spill

A Code Brown indicates a hazardous spill or leak. Dial "5555" to initiate an additional response to your location.

When you hear that a Code Brown is called, locate your nearest spill kit. The kit holds the appropriate materials to contain, absorb, and collect the spill safely.

If a spill kit is not available, you can obtain one from our hospitality/environmental services department.

Responding to an Uncontrolled Chemical Spill– Code Brown

Workplace Violence

We commit to you

Ensure the health, safety and well-being of all employees, patients, physicians, volunteers, students, visitors and contractors by enforcing

Zero Tolerance for Violence

Every individual has the right to respect and dignity and freedom from violence and harassment in the workplace

THP’s Responsibilities

Take the appropriate actions to safeguard all employees through the enforcement of organizational protocols where the employee must abide by such guidelines

Ensure that all employees receive related education and training in Workplace Violence and Harassment

Conduct a workplace assessment of the risks of workplace violence that may arise from the nature of the workplace

Advise any employees involved in a violent situation of the resources available to assist them (e.g. Security, EHSW, Employee Assistance Program, Human Resources, Police, etc.)

What is Workplace Violence?

The exercise of physical force by a person against a worker, in a workplace, that

causes or could cause physical injury to a worker.

An attempt to exercise physical force against a worker, in a workplace, that could

cause physical injury to a worker.

A statement or behaviour that is responsible for a worker to interpret as a

threat to exercise force against the worker, in a workplace, that could cause physical

injury to the worker.

What is Workplace Harassment?

Use of comments that are known, or ought to be known, to be unwelcoming, embarrassing, offensive, threatening, or degrading of another individual.

Any act that instills fear or diminishes an individual’s dignity or self-worth, intentionally inflicting psychological trauma on another person.

Unwelcome verbal or physical advance with sexual undertones between two or more individuals.

Verbal Abuse

Emotional/ Psychological

Sexual Abuse

Types of Violence or Harassment

Psychological Emotional

Embarrassing Comments

Gossiping

Exclusion

Humiliating Comments

Physical Acts

Hitting

Pushing

Punching

Kicking

Verbal Abuse

Yelling

Using vulgar or offensive language

Verbal or written threats

Threatening Behaviours

Shaking fists

Throwing objects

Destroying property

Other anger related acts

Did you know

Workplace Violence

Occurrence

Workplace Violence incidents account for 8% of lost time injuries

in Ontario

Bureau of Labour and Statistics reports 48% of all occupational assaults happen in a health care and social work setting

Healthcare workers face 16 times more risk of

experiencing a violent act

50% of all workplace

violence incidents go unreported

Are you at Risk?

Clinicians have to be mindful of the risks associated with working with patients one-on-one, especially when physical contact is necessary

Always introduce yourself and explain any interaction or procedure to your patient

Signs that may lead to Violence

A person may be on the path to a violent act if

you observe one or more of the following signs:

Verbal or written threats

Argumentative, uncooperative

Sudden personality changes

Deteriorating appearance

Easily frustrated, short tempered, rude language or swearing

Suspicious of others, cannot take criticism, low self esteem

Changes in mood or behaviour, becomes withdrawn

If you experience violence

Object and let the

patient / visitor know it’s not okay.

In a crisis situation, call Code

White ext. 5555

Seek medical

attention through EHSW or

Emergency Dept. if

after hours

Report incident to

your Manager /

Team Leader and EHSW

immediately

Complete an on-line incident

report and document in the patient

Ensure all who are in

direct care of patient/visitor are aware of behaviours. Revise care

plan as required

From a patient or visitor, ensure the following steps are taken:

If you experience violence

Object and let the staff

member know its not okay.

In a crisis situation, call Code

White ext. 5555

Seek medical

attention EHSW or

Emergency Dept. if

after hours

Report incident to

your Manager

and EHSW

Complete an on-line incident

report and document

in the patient chart

Contact Human

Resources for support

or if you wish to file

a formal complaint

From a colleague or staff member, ensure the following steps are taken:

Quality Care & Service

Exercise

1. Using note pad in your folders

2. Draw a tiger….

3. Share your tiger with your table partners

Now let’s try it together…. Step by Step

And the details!

What do you notice about your

second attempt?

What is ‘Best Practice’?

Best Practice

a method or technique that has consistently shown superior results as compared to other means, and is recognized as a benchmark across the industry.

Usually stems from:

• evidence-based practice and research;

• service level agreements (SLA’s) and/or;

• Standard Operating Procedures (SOP’s).

Not intended to take away our ability to think critically but rather a way to ensure we are demonstrating a uniform practice.

Why do we need ‘Best Practice’?

Best Practice is to…..

Ensure Patient

and Staff Safety

Reduce Errors

Improve Efficiency

Reduce Waste

Improve Overall Quality of Care

What is Quality Service?

Quality Service is…..delivering “highest quality care and [providing an] exceptional [patient] experience” (Strategic Plan)

So how does this apply to what we do?

Quality Service Looks Like

reet your customer; say “good morning” , “good afternoon”

ntroduce yourself; say “Hi, my name is ___ and I am___”

erify the reason for your communication / interaction

xchange information through good communication techniques

ign-off on your conversation; say “good-bye”, “thank-you”

What can cause our message to NOT be received as intended or anticipated?

The Challenging Customer

What should you do when confronted with a challenging customer?

STOP the issue!

tay Calm and Composed

ake time to Listen

bserve and Acknowledge the Customer’s Emotions

ut Closure on the Issue through Action

How would you provide Quality Service?

Scenario 1:

Visitor and Staff Member

• You are on your way out of the unit for your break when a visitor stops you.

• The visitor’s mother (a patient) has been ill and needs assistance cleaning up. They have rang the call bell several times over the past hour and no one has come to check in with the patient.

Scenario 2:

Visitor and Staff Member

• You have just arrived to work and been given an urgent task to complete within the hour.

• On your way to put your coat away, you encounter a visitor who stops you and is looking for the Fracture Clinic.

Employee Health, Safety & Wellness

Slips, Trips, and Falls Prevention

Legislation

Occupational Health & Safety Act • Employers must “take every

precaution reasonable in the circumstances for the protection of a worker.”

[Section 25(1)(h) and 27(2)(c)]

• Regulation for Health Care and Residential Facilities (Reg. 67/93):

Applies to a hospital as defined in the Public Hospitals Act

• Regulations for Industrial

Establishments (Reg. 851): Section 11 requires floors and other surfaces used by any worker, to be kept free of obstructions, hazards and accumulations of refuse, snow or ice

Canada-wide about ______workers

are injured annually due to falls.

About _____ occur in Ontario.

Did you know

______ lost time injuries in Ontario

are caused by a fall

Did you know

Falls can result in critical injuries such as fractures,

unconsciousness, permanent disability or death

Falls on the same level

Most frequent

Falls from heights

Most severe

Did you know

• What % of lost time injuries result from Slips, Trips, and Falls at Trillium Health Partners each year?

The majority of falls happen as a result of Slips and Trips on the same level due to:

• Wet or oily surfaces as a result of spills or weather (rain, sleet, snow)

• Loose, unanchored or wrinkled rugs and mats

• Uneven surfaces (ex. steps, thresholds) or walking surfaces which do not have the same degree of traction in all areas

• Walking while carrying large objects that block your view

• Poor lighting, clutter in areas, uncovered cables

• Cabinets doors left open

• Walking and texting

• Improper workplace footwear

Be Safe…Avoid These Situations

Your Responsibilities

You are responsible for reducing your own Slip, Trip and Fall hazards

Report all incidents and

hazards to your

supervisor and submit a

Riskpro

Be aware of your

surroundings: look before

and while you walk

Use proper carrying

techniques

Wear proper footwear and

use proper equipment

Walking Technique is Important

• Take short deliberate steps, in which

the mid-foot strikes the ground first,

not the heel

• Always centre the body over the feet.

This allows you to ensure the mid-

foot strikes the ground first, since

most slips occur at the heel strike

phase of gait

• Walk whenever possible, don’t run or

rush. Take the time to be safe by

slowing the walking pace

• Change direction slowly when

walking on slippery surfaces or look

for a less slippery path if possible

Carrying Technique

• Carry objects close to

your body and below

chest level so you can

see over or around what

you’re carrying

• Do not carry too much at

one time

• Make more than one trip,

ask for assistance, or use

assistive devices (e.g.

carts, dollies)

The above is especially important when slippery conditions exist or when

using stairs. The above principles are also important for MSD prevention.

Infection Prevention and

Control and Hand Hygiene Education

Infection Control and Hand Hygiene Practices

What is a Microorganism?

Microorganisms are very small forms of life that require ideal physical and chemical environments to develop, grow and flourish.

This can include a human host or inanimate object and can easily be spread through contact transmission

Reservoir or Host

Warmth and Darkness

Water moisture &

nourishment

Source of Chemical

Compounds (O2, N, C, H)

Proper pH levels

How do microorganisms grow?

Types of Microorganisms

Are non pathogens that live & grow in a certain area. Harmless or even beneficial to the body

Pathogen and non pathogens. Pathogenic can cause serious infections. Treated with antibiotics. (e.g. Pneumonia, MRSA, C-Difficile, VRE, E-Coli)

Smaller than bacteria. Grows inside of cells and take over cell. Not affected by antibiotics. Some can cause serious illness.(e.g. influenza, measles, rubella)

Grows on plants/animals and can be difficult to kill. Often starts growth in the

lungs or on the skin (e.g. ringworm, athlete’s foot, yeast infections)

Normal Flora

Bacteria

Viruses

Fungal

Most common Multi-Resistant Organisms (MROs):

Multi-Resistant Organisms

C-Diff

VRE MRSA

All 3 MRO’s can be easily passed if proper hand hygiene is not performed and precautions not taken

It is everyone’s responsibility to ensure we eliminate the spread of infection

The Chain of Infection 1. Infectious

bacteria, virus, fungi

2. Reservoir people, water,

equipment

3. Portal of Exit

secretions, excretions, droplets

4. Means of Transmission

direct contact, airborne, ingestion

5. Portal of Entry

open skin, GI tracts, mucous membranes,

respiratory

6. Susceptible Host

people who already have underlying illness

By breaking one part of this cycle with

proper hand hygiene and/ or cleaning of

equipment, the risk of transmission is

eliminated

Routes of Transmission

Preventing Infection

The #1 way to prevent the spread of infection is in your hands: Proper Hand Hygiene

Hand Hygiene

Hand Sanitizing

This the PREFERRED method of hand hygiene before and after handling a patient, eating

food, handling equipment, or moving between departments

A hospital grade sanitizer that is a minimum of 70% alcohol concentration will KILL most

harmful agents

Must be rubbed for a minimum of 15 seconds or until dry. Not to be used on visibly soiled

hands.

Hand Washing

Is the BEST method of hand hygiene when coming into contact with any body fluids, your hands are visibly soiled, or handling equipment

that is known to be contaminated.

If done correctly, REMOVES all visible soils and harmful agents from the surface of your skin;

does not kill

Utilizes soap, water, and drying of hands; requires a minimum of 15 seconds under

running water

Hand Hygiene Stops Transmission

• Transmission of organisms by hands of health care providers between two patients can result in health care associated infections (HAIs)

• Hand hygiene with alcohol-based hand rub , correctly applied, kills organisms in seconds

• Hand hygiene with soap and water, done correctly, removes organisms

4 Moments of Hand Hygiene

1) Can include direct AND indirect patient contact.

2) Can include wound care and contact with openings to the body such as nasal, mouth and eye care.

3) Can include exposure to blood, urine, feces, vomit and saliva.

4) Conducted immediately upon leaving patient environment

Protective Measures

Personal Protective Equipment (PPE):

Specialized clothing or equipment worn by an employee for protection against infectious materials.

This includes sanitizer, gloves, face and eye protection

Personal Protection Equipment (PPE) is meant to protect NOT prevent

Donning of PPE

Hand Hygiene

Gown Mask Eyewear Gloves

Doffing of PPE

Gloves Gown Hand

Hygiene Eyewear Mask

Hand Hygiene

Privacy & Security

Personal health information is one of the most highly sensitive types of information that can be collected about a person.

It includes any identifying information about an individual’s health or health care history, such as family medical history, details of a recent visit to your doctor, test results, or your Ontario Health Card.

Personal Health Information Protection Act (PHIPA)

PHIPA, 2004

Governs the collection and use of personal health info

Balances a patient’s right to privacy vs. the need to share information

Allows an individual the right to access their own information and request corrections

Healthcare providers must protect all information and share details only as required

Consent and Right to Access

In order to collect, use and disclose Personal Health Information, the Health Information Custodian (HIC) must obtain consent through a formal procedure for access rights via:

Expressed Consent

• This can be both written and verbal

• Occurs when a HIC discloses information to another Custodian for a purpose other than providing health care

Implied Consent

• Occurs when the patient discloses Personal Health Information in the normal course of receiving care

• HIC discloses health information to another Custodian for the purpose of providing health care to the individual

Privacy Breeches

Faxing / e-mailing Personal Health Information to an unintended recipient

Discussion of Personal Health Information in public areas

Searching for a friend / relative on a clinical system out of curiosity or concern

Saving Personal Health Information onto a USB drive

Computer Security

By employing computer safeguards, we are able to protect the confidentiality, integrity, and availability of systems and data.

Good computer security enables privacy and protects:

Personal Health Information (PHI)

Corporate confidential information, including financials and HR data

Research

Intellectual property

Privileged legal information

How to Avoid Phishing Scams

Passwords

• Do not give out your password

Requests for Information

• Be suspect of requests for financial or personal info

• Do not open unexpected links in emails

• Do not fill out forms embedded in e-mails

Clean Desk Policy

A clean desk policy reduces the threat of a security incident as confidential information will be locked away when unattended.

Sensitive documents left in the open can be stolen by a malicious entity.

Take a few moments at the end of each day and put sensitive information in a locked drawer or filing cabinet.

Providing Accessible

Customer

Service/Diversity

Diversity and Accessibility

What is Diversity?

Diversity is: o Recognizing we live in a society that embraces a wide variety

of people who coexist in practicing different beliefs, values and cultural systems

How do you differ from the person sitting beside you?

What does Diversity look like?

Diversity Ethnicity

and Race

Faith and Religion

Family

Social Organization

Language

Can you think of other examples of Diversity in our communities?

Why be Diverse?

Did You Know? Trillium Health partners caters to a population in the Peel Region that has:

a. a 40% immigrant base

b. a 50% immigrant base

c. a 60% immigrant base

d. a 70% immigrant base

In 2006, the population of the Peel Region was 1,159,405 (last census in 2011, the population was at 1.3 million people). Of that, almost 700,000 people are immigrants to Canada.

Why be Diverse?

Did You Know? In 2006 census, how many people in the Peel Region viewed

themselves as a visible minority?

a. 30%

b. 40%

c. 50%

d. 60%

In 2006, the population of the Peel Region was 1,159,405 (last census in 2011, the population was at 1.3 million people). Of that, almost 600,000 people saw themselves as visible minorities.

Why be Diverse?

Did You Know? Excluding English, the next 3 top languages spoken in the Peel Region include:

a. Urdu, Chinese, Portuguese

b. Punjabi, Urdu, Chinese

c. Punjabi, Portuguese, Polish

d. Chinese, Polish, Punjabi

In 2006, other than English, Punjabi was the next highest spoken language in the Peel Region (8% or 93,000 people), followed by Urdu (3.7% or 43,000 people) and Chinese (3.6% or 42,000 people).

Services We Offer

Translation Services

Food Options

Non-denominat

ional chapel

Onsite religious services

Multi-faith Chaplain

Spiritual Care

Office

What to Avoid

Discrimination

A behavior that unfairly ‘pre-judges’

people based on group membership

e.g. not providing quality care due to

religion or race

Prejudice

Forming an opinion of a person or group

without knowing them

e.g. a person who wears a hat

backwards is a thug

Stereotype

Belief that everyone in a group is alike and acts the same

e.g. all people with an intellectual

disability can’t take care of themselves

What is Accessible Customer Service?

Where all people are able to access our services free of barriers that may inhibit someone with a disability or impairment to fully participate in the activity or service being offered.

At Trillium Health Partners, our ‘customers’ are the patients, visitors and families we serve on a daily basis.

Examples of Barriers

Assisting those with a Disability

• Ask before you assist

• Be patient, receptive, and understanding

• Avoid touching any assistive device without permission

Physical Disability

• Speak in a regular tone of voice

• Keep your questions short and simple;

• Clarify / rephrase if misunderstood; try communicating in the “mother language”

Communication Disability

• Be supportive and patient;

• Consider using written language if verbal communication is difficult for the person

• Keep it simple; share one piece of info at a time

Intellectual Disability

Types of Impairments

A person with Visual

Impairments…

…has a reduced ability to see clearly

…usually has some degree of vision to assist them (i.e.

tunnel, cataracts)

…may require assistance with their surroundings

and require detailed directions

A person with Hearing

Impairments...

…may be hard-of-hearing, deafened, or culturally/

orally deaf.

…may use sign language to assist with the

communication process

…may utilize drawings, illustrations or key words

when explaining information.

Remember

Treat a person with a disability / impairment the same as anyone else – be comfortable, relax and smile!

Offer to assist an individual BUT don’t insist – people with disabilities and impairments have various levels of independence and needs

Don’t raise your voice unless asked and don’t be afraid to repeat or rephrase a statement / question

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