# Presentation: 762631

## OSHA   Update

- Robert Leonard
- OSHA
- Calumet City, IL
**(708) 891-3800**
- 09/16/2003

**Notes:**
Go slow      ( Must be firm )

Washington  has tight control on this project .

It is my job to to see your workman's comp. rates don’t go up.

## Objectives

**Understand:**
**1.**  How OSHA selects home.
**2.**   The latest changes to OSHA’s standards.

**Notes:**
An effective patient handling program

which reduces injuries and illnesses

Adds to the bottom line

## Site selection  process

**1.  Homes  provide injury data.**
**Homes having the highest injury rate are**
**      ****selected.**
**-  Letters are sent.**
**-  Inspectors are sent.**

## Site  selection

_**All**_** homes reporting more than**
** **
**14****  injuries/100  **_**will be **_** inspected.**

## Site  selection

_**Any**_** home reporting more than **
** ****8 **** injuries/100  **_**may be **_** inspected.**
**                 ****             **
**           ****( National  average  for  all  workplaces  is  3.1 )**

**Possible to **
**  ****1.  Delay an inspection**
- 				**&**
**  ****2.  Avoid citations    **

**FREE  INSPECTION SERVICE**
** **
**Illinois Onsite Consultation Service**
**Chicago, IL**
**1 (800) 972-4216**

**Notes:**
Go slow      ( Must be firm )

Washington  has tight control on this project .

It is my job to to see your workman's comp. rates don’t go up.

##  Recordkeeping

## Injury and illness reportOSHA  300

**	****1.  Days ********* away from work**
**	****2.  Restricted work activity********* or transfer**
**	****	****	****          *******_** In  calendar days**_** **

## Annual summary OSHA  300A

**Must post a summary.**
**	****	**_**February 1st – April 30**__**th**_** **** **

##  The inspection process

## Focused  inspection

**1.  Resident handling ( 52%)**
**2.  Slips, trips & falls ( 19%)**
**3.  Blood borne diseases**
**4.  Tuberculosis**

## Resident handling

## Resident handling

**Because**
-     -  52 % of injuries are related to resident
-        handling.
**	**	  ( Costing about 1 billion / year )
**	****	**
-     -  Nursing homes should have a program.

## Resident handling program

- Determine the type of lifting necessary.
- 2.  Determine how the lifts will be done.
- 3.  Provide equipment.
- 4.  Evaluate the residents.
-                  -  Stay up to date

## Resident handling program

- 5.  Train the employee.
- 6.  Evaluate the employees’ performance.
- 7.  Discipline employees and supervisors.

## Program evaluation

**Good program**
-       	1.  Few resident handling injuries
-  		2.  Few days off per injury

## Program evaluation

**Improvement needed**
-       	1.  Many resident handling injuries
-  		2.  Many days off per injury

_**root cause**_** **
**of your injuries.**

**Notes:**
Don’t use this slide

Hold up programs

Officially  from the higher ups these programs will go a long way to make a long care nursing home a safer and healthier place to work.

**2.   **_**Change your program**_** **

**Notes:**
Don’t use this slide

Hold up programs

Officially  from the higher ups these programs will go a long way to make a long care nursing home a safer and healthier place to work.

**Resident evaluation**

## Slide 22

## Slide 23

**    ****Effective training**

## Slide 25

## Resident handling equipment

-   Belts
-   Lifts
-     -  off the floor lifts
-     -  lifts with scales
- 	Beds
- 		    -  electric

**Notes:**
CNA’s wearing transfer belts ?
Are lifts and slings available
Lift for the big people
Does the hoyer lift in corner work

Beds with the old cranks 
must be well maintained

## Resident handling equipment

- Bed	 maintenance
-     -  up & down
-     -  brakes
- Wheel chair maintenance
-     -  brakes

**Notes:**
CNA’s wearing transfer belts ?
Are lifts and slings available
Lift for the big people
Does the hoyer lift in corner work

Beds with the old cranks 
must be well maintained

## Slide 28

## Slide 29

## Slide 30

## Slide 31

## Slide 32

## Slide 33

## Slide 34

## To reduce injuries

-        -  Lifts and slings available.
-         -  Employees use the equipment.

## To reduce injuries

- Everyone
-         - Needs to get along
-        **-  Must work to**_** reduce turnover**_
**	****	****	****	****	**Mentoring  program?

-       **Slips, trips & falls**
**	****	**19 % of injuries

## Slips, trips & falls

**OSHA will evaluate**
-     -   Procedures to deal with spills
- 		    -   Method used to mop floors
- 		    -   Skid resistant floors or floor coatings

## Slide 39

## Bloodborne diseases

**Bloodborne diseases**

## OSHA’s   requirements

**Required **
**      ****	****1.  Safety syringes****  **
**	****	****2.  Safety lancets**
**                                                                                  ****appropriate                               **
**                                                                                  ****effective**
**                                                                                  ****commercially available**

## New  required  documentation

**   ****1.    Periodic review of program**
**  **
**   ****2.   Ongoing evaluation of safer devices**
**   ****3.   Exposure incident report**
**   ****4.   Needle stick  log**
**	****	****	**** ****	**

## Tuberculosis

**Active and suspect are treated the same.**
- Options
- 		1. Get the resident out of the home.
-   			or
- 		2. Negative pressure isolation

## Tuberculosis

**Isolation**
-   -   Daily records of negative pressure
-   -   Respiratory  protection program
-   -   Respirators
-   -   Respirator fit test

**        ****Corrosive Chemicals**

## Eyewash

## Slide 47

**           ****Electricity**

## Slide 49

## Slide 50

## Food
mixers
require
guards

**mixers**
**require**
**guards**

##  Dishwasher

** ****Dishwasher**

## Slide 53

## Slide 54

## E N D

## QUESTIONS

## OSHA 

**FREE  SERVICE**
** **
**Illinois Onsite Consultation Service**
**Chicago, IL**
**1 (800) 972-4216**

**Notes:**
Go slow      ( Must be firm )

Washington  has tight control on this project .

It is my job to to see your workman's comp. rates don’t go up.