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Administrative Controls: Change the Way People Work						Print
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										Group of healthcare workers meeting.Photo by Getty Images
Administrative controls are changes in work procedures to reduce the duration, frequency, and severity of exposure to hazardous chemicals or situations. Administrative controls include work practice controls which are intended to reduce the likelihood of exposure by changing the way a task is performed.
Examples of administrative controls include:
Train on job-related hazards during initial assignment, for any new or updated procedure, and whenever a new process or piece of equipment is introduced
Provide for medical surveillance, vaccination, fit testing, equipment, appropriate selection and availability of PPE
Train and educate about proper use and disposal of PPE and surface disinfection and cleaning practices
Pre-screen patients for aerosol transmissible diseases and/or communicable diseases and reschedule patient contact or appointment, as necessary
Adjust work schedules to avoid fatigue and burnout
Display warning signs for potential hazards (e.g., bloodborne pathogens, lasers)
Identify and label dedicated area for biohazardous waste and contaminated linen storage
Make written health and safety policy and procedure manuals available and accessible, 24 hours a day/7 days per week and ensure they are annually reviewed and updated:
Bloodborne PathogenExposure Control Plan
Toxic and Hazardous Substances (for laboratories)Provide a written inventory of hazardous chemicals, Safety Data Sheets (SDS), and secondary labels accessible 24/7, organized, and in alphabetical order
Hazard Communication StandardWork Practice control examples include:
Hand Hygiene (Centers for Disease Control and Prevention (2020) and per CDC guidance (Hand Hygiene in Healthcare Settings, Healthcare Providers, January 2021): Unless hands are visibly soiled, an alcohol-based hand rub is preferred over soap and water in most clinical situations due to evidence of better compliance compared to soap and water. Hand rubs are generally less irritating to hands and, in the absence of a sink, are an effective method of cleaning hands.
Review for hazardous products currently under FDA investigation
Identify dedicated areas for food and drink storage, eating, drinking, and for applying cosmetics
Transport contaminated instruments using labeled, covered containers
Use spill kits (biohazardous, chemical, and chemotherapy)
Handle patients safely through use of personal protective equipmentPreviousNext
							
					
							Last Reviewed:  October 3, 2022						Source: 	National Institute for Occupational Safety and Health
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        Syndicate homeSafety Culture in Healthcare Settings
Training Informationplus icon
Introduction
Module 1: Safety Cultureplus icon
Why a Culture of Safety is Important
The Sociotechnical Model
Definition Examples of Safety Culture and Overlap with Safety Climate
Key Attributes and Joint Benefits of Safety Culture
Common Features of Positive Healthcare Worker Safety Culture
General Measurable Elements of a Safety Culture
Tools to Measure Safety Culture and Climate
A Snapshot of Safety Culture in U.S. Hospitals
References
Quiz 1Module 2: Work-Related Risks and Hazardsplus icon
Biological Hazardsplus icon
Chain of Infection Components
Risk Factors of Biological Agents and Unsafe Practices
Chemical Hazards
Enviromechanical Hazards
Physical Hazards
Psychosocial Hazards
Hazard Assessment/Determination
Case Study
References
Quiz 2Module 3: Prevention and Control of Work-Related Injury and Illnessplus icon
Hierarchy of Controls
Elimination: Physically Remove the Hazard
Substitution and Engineering Controls
Administrative Controls: Change the Way People Work
Personal Protective Equipment (PPE): Protect the Worker with PPE
Donning and Doffing PPE: Proper Wearing, Removal, and Disposal
References
Quiz 3Module 4: Leadership and Safe Work Environmentsplus icon
Commitment to Workplace Safety as High Priority and Through Role Modeling
Policies and Procedures and Safe Patient Handling
Hazard Analysis and Safe Staffing Workloads
State-of-the-Art Training and Handling Patients
Engage Healthcare Worker Champions and Observe Work
Transparency, Training, and Staff Safety Rounds
References
Quiz 4Module 5: Legal-Ethical Considerations to Promote Safe Working Conditionsplus icon
The Occupational Safety and Health Act and OSHA Standards
OSHA Healthcare Standards
OSHA Hazard Communication Standard and OSHA Guidelines
What Workers Can Do
Ethics and Healthcare Worker Exposure Considerations
Ethical Principles
References
Quiz 5Safety Culture in Healthcare Settings: Resources Follow NIOSH Facebook
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