WORKER SAFETY PROJECT OVERVIEW: “Caring For our Caregivers”

WORKER SAFETY PROJECT OVERVIEW:

“Caring For our Caregivers”

July 24, 2014

Jean Allred Georgia Hospital Association

Nancy Curdy DeKalb Medical Center

Learn. Act. Improve. Spread.Learn. Act. Improve. Spread. Keep the Drum Beat Going.Keep the Drum Beat Going.2

Follow up items from June 26, 2014

• Management and Prevention of Needle Stick Injuries- Angela K. Laramie, Massachusetts Department of Public Health

• Sharps Injuries among Hospital Workers in Massachusetts, 2010 - Massachusetts Department of Public Health

LINK TO CDC “SHARPS INJURY PREVENTION”

http://www.cdc.gov/sharpssafety/

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http://www.mass.gov/eohhs/docs/dph/occupational-health/injuries/injuries-hospital-2010.pdf

http://www.cdc.gov/sharpssafety/


Leading Edge Advanced Practice Topics (LEAPT)

•Subset of Hospital Engagement Network (HEN)

•LEAPT Work Project effective November 2013

•6 National LEAPT Entities

•17 Hospitals in Georgia

•GHA 5 LEAPT Work Topics

•APPROACH: Innovative Ideas, Use of Frontline Staff, Rapid cycles of improvement / Tests of Change

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GHA WORKER SAFETY PROJECT

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•Multi- disciplinary Advisory Council / 5 Topic Hospitals

•Identify Worker Safety Resources

•Establish Best Practices through Rapid Cycle Improvement / Tests of Change

•Monthly Data Collection: OSHA Logs (TCIR and DART rates) and Monthly Employee Turnover

•Quarterly Snapshot Survey incorporates Current Best Practices Identified


WORKER SAFETY RESOURCES

GHA Website Page: Worker Safetyhttps://quality.gha.org/Home/HospitalEngagementNetwork/LEAPTGAPP/WorkerSafety.aspx

•OSHA ROADMAP FOR HOSPITALS

•LUCIAN LEAPE “Through the Eyes of the Workforce”

•CDC “Sharps Injury Prevention” “Vaccination Programs”

•GHA Weekly Newsletter: Workforce Line https://advocacy.gha.org/Home/Workforce/WorkforceLine.aspx

•Ongoing Events / Content Experts:

4th Thursday of Each Month from 1-2 PM

+ All Webinars Recorded5

https://quality.gha.org/Home/HospitalEngagementNetwork/LEAPTGAPP/WorkerSafety.aspx

https://quality.gha.org/Home/HospitalEngagementNetwork/LEAPTGAPP/WorkerSafety.aspx

https://advocacy.gha.org/Home/Workforce/WorkforceLine.aspx

https://advocacy.gha.org/Home/Workforce/WorkforceLine.aspx

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GHA WS RESOURCES: 2014 Recorded Webinars

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BEST PRACTICES: WORKER SAFETY

LEADERSHIP

Top management and leadership rounding considers environmental risks to worker safety during safety inspections Yes No



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HAZARDS IDENTIFICATION

Hospital environmental rounds evaluate environmental risks to worker safety. Yes No

If you answered "Yes" to "Hospital Environmental rounds evaluate environmental risks to worker safety:"

Frequency environmental rounds conducted:

Monthly Quarterly



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VIOLENCE PREVENTION

Hospital has a violence prevention plan that:

Reflects a “zero tolerance” policy Yes No

Addresses patient or family member disruptive or abusive behavior Yes No



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HANDLING OF WORKER INJURIES:

•Hospital has an accident review committee responsible for oversight and investigation of all worker injuries Yes No

•Hospital reports employee injury data to the hospital board Yes No

•Hospital has a workforce health management program or a work-site health center/ clinic staffed by Occupational Specialists to treat injured or sick employees Yes No

•Hospital has a “return to work”*program that promotes the individual employee’s expertise and values their contribution to the organization until they are able to resume their normal duties. Yes No

*http://sbwc.georgia.gov/sites/sbwc.georgia.gov/files/related_files/site_page/ModelReturnToWorkProgram.pdf

http://sbwc.georgia.gov/sites/sbwc.georgia.gov/files/related_files/site_page/ModelReturnToWorkProgram.pdf

http://sbwc.georgia.gov/sites/sbwc.georgia.gov/files/related_files/site_page/ModelReturnToWorkProgram.pdf



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SAFE PATIENT HANDLING:

Hospital has adopted a “Safe Patient Handling Mobility, and Injury Prevention” program, which includes the following components: (Check all that apply)

Not applicable

Specific lift device guidelines

Incorporates a “Team” or “Code/Alert” approach

Frontline Staff provides input in development and implementation of program



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EMPLOYEE FATIGUE EVALUATION:

Hospital assesses employee fatigue as a contributing factor when investigating employee injury events and serious patient events that include (check all that apply):

•Has the employee worked > 12 hours

•Has the employee worked > 60 hours within 7 days preceding the event

•Has the employee worked > 3 consecutive 12 hour shifts

•(NEW) Did the employee have at least 5 hours of sleep prior to the shift start



FATIGUE MANAGEMENT

Staff scheduling process includes “guard rails” to restrict pre-scheduled work hours to < 60 hours within 7 days and < 3 consecutive 12 hour shifts Yes No

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OSHA SAFETY AND HEALTH MANAGEMENT PROGRAM:

•Hospital has Occupational Safety and Health Management System, also known as an Injury and Illness Prevention Program in place Yes No

•Staff Engagement – Employees assist with Safety and Health Management Program design, implementation, evaluation and investigation of incidents Yes No

• Patients and Family Members are educated regarding Hospital Hazards and how to report Yes No



CAREGIVER RESILIENCE:

Hospital employees have access to individuals trained in Critical Incident Debriefing*, such as a Chaplain, or Licensed Clinical Social Worker for staff support during times of extreme stress / crisis. Yes No

* DCH TRAINING CALENDAR:

http://www.georgiaems.net/uploads/2/0/3/8/20382471/hcpp_training_calendar_august_1_2014.pdf

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GEORGIA WORKERS COMPENSATION PROGRAM:

Hospital is certified by Georgia State Board of Workers' Compensation as a drug-free workplace*. Yes No

* http://sbwc.georgia.gov/drug-free-workplace

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5 Hospitals, > 7000 Employees

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UPCOMING WORKER SAFTEY EVENTS

•Ergonomic / Safe Patient Handling “Train the Trainer” Workshop JULY 28, 2014 9-4 PM

•Enhancing Caregiver Resilience –Dr. Brian Sexton

JULY 29, 2014 8-4 PM

• National LEAPT Cross Pollination Event Worker Safety and

“Safety Across the Board” JULY 29, 2014 4-5 PM


GAPP Updates

• Mandatory Meeting Attendance

– Coaching Calls of Each “SPREAD TOPIC” and Sepsis Discussion Second Thursday of month. Must complete an evaluation.

– If you miss a call you can listen to the recording within 1 week. Complete evaluation if applicable, and notify topic lead that you listened to get credit.

• Data Submission:

– Due 3rd or each month – send to Lynne Hall ([email protected])

• TOC (1 for sepsis and 1 for additional topic area)

• Checklist (1 per hospital)

– Worker Safety Data (if in WS group) Send to Jean Allred ([email protected])

• due 15th of month (about 45 days after end of reporting month).

• Next Coaching Call CDI Working Session August 7, 1 -2 pm

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Documents

WORKER SAFETY PROJECT OVERVIEW: “Caring For our Caregivers”