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transcript
18.06.2020
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Employee Health & Safety in Veterinary Practice
Scott Simpson
Risk Consultant
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The AVMA Trusts
avmalife.org and avmaplit.com
Cynthia G. MacKenzie, DVMcynthia.mackenzie@avmaplit.com
859.806.3757
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Employee Health & Safety in Veterinary Practice
Scott Simpson
Risk Consultant
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SCOTT SIMPSON
RISK CONSULTANT
EMPLOYEE HEALTH & SAFETY IN VETERINARY PRACTICE
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Keeping your Practice Safe
Worker’s Compensation Considerations
Students & Volunteers
Risk Management Program
Top 5 Veterinary Regulations
RecordkeepingPersonal Protective Equipment
HousekeepingEmergency Action Plan
Hazard Communication
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Why is Safety Important?
Because less injuries will result in…
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Keeping your Practice Safe
Worker’s Compensation Considerations
Students & Volunteers
Risk Management Program
Top 5 Veterinary Regulations
RecordkeepingPersonal Protective Equipment
HousekeepingEmergency Action Plan
Hazard Communication
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Insurance transfers financial loss to a 3rd party
Designed to protect the employer against liability
Workers Compensation
Reimbursement of medical expenses
Covers time away from work
Short Term / Long Term disability insurance
Rehabilitation and retraining
Worker’s Compensation
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Students and Volunteers
Students & volunteers injured at your practice are covered under the AVMA Trust workers’ compensation.
Monopolistic & Exempt states excluded
Secure Volunteer Accident Coverage
General Liability sublimit may apply
Consider hiring at min wage for WC coverage
CoveredExempt Sates
Monopolistic States
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Students and Volunteers
Additionally Recommend:
Written agreements for expectations
Safety Training/Orientation
Supervision, mentoring and feedback processes
Proof of medical insurance
No cost veterinary student coverages available through AVMA Trust as a SAVMA member benefit:
No cost Veterinary Student Professional Liability
avmalife.org/students
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70.5%
8.3%
7.5%
5.8%
3.4%2.1%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
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Other (4)
Caught In /Under / Btwn
Contact / ExposeToxic Absorp
Slip / Trip / Fall
Struck By /Against
Strain / Sprain
Contact / Animal
AVMA PLIT Claim Count Distribution
Injuries directly from animals
Bites / kicks / stepped on
Strains, lifting injuries
Struck by / against
Slips, trips and falls
Wet floors, stairs, ice, clutter
Cuts from scalpel blades
Punctures from needles
Rabies exposure
Veterinarian Worker’s Comp Claims
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44.6%
21.2%
9.0%
18.2%
2.6%1.6%
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70%
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Other (4)
Caught In /Under / Btwn
Contact / ExposeToxic Absorp
Slip / Trip / Fall
Struck By /Against
Strain / Sprain
Contact / Animal
70.5%
8.3%
7.5%
5.8%
3.4%2.1%
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30%
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Other (4)
Caught In /Under / Btwn
Contact / ExposeToxic Absorp
Slip / Trip / Fall
Struck By /Against
Strain / Sprain
Contact / Animal
Claim Count Distribution Incurred Cost Distribution
Worker’s Comp Claims – Count vs. Cost
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Keeping your Practice Safe
Worker’s Compensation Considerations
Students & Volunteers
Risk Management Program
Top 5 Veterinary Regulations
RecordkeepingPersonal Protective Equipment
HousekeepingEmergency Action Plan
Hazard Communication
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Risk Management Program
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Safety meetings give opportunities to discuss and resolve safety issues
The challenge lies in keeping the meetings productive and interesting
Keep format consistent and the content meaningful
Communication is vital to a safe and productive veterinary facility
If you’re not conducting safety meetings regularly, it is never too late to start
Safety Meetings
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Step #3: Decision Making
How will committee decisions be made?
How will conflicts be resolved?
Step #4: Communication
How will you communicate with members?
Keep membership involved in the process?
Establishing a Committee
Step #1: Roles and responsibilities
Chair person
Vice chair
Committee members
Step #2: Committee Plan
How often will the committee meet?
How will the agenda be established?
Who should take minutes?
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Hold meetings at least once per month at a regular time
Employees should know that meetings are mandatory
Hold employees accountable by discussing attendance at review time
The employee’s regard for safety is as important as the regard for customer satisfaction, patient outcomes, etc.
Safety impacts the profitability and success of the practice
Scheduling and Attendance
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Keeping your Practice Safe
Worker’s Compensation Considerations
Students & Volunteers
Risk Management Program
Top 5 Veterinary Regulations
RecordkeepingPersonal Protective Equipment
HousekeepingEmergency Action Plan
Hazard Communication
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Assure safe working conditions for Americans by:
Setting and enforcing standards
Providing training, outreach, and education
Establishing partnerships
Encouraging continual improvement
Occupational Safety and Health Administration
OSHA Inspections
Enforce standards
No advanced notice
Denying access generates bad will
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General Industry Standards (29 CFR 1910)
Reduce employees’ exposure to hazardous conditions
General Duty Clause
No specific standard in place
Employers must create workplace “Free from recognized hazards”
Can be used by OSHA for citations and fines
Standards and a Clause
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Yes
No
Do you currently post your OSHA 300A Summary each year?
1. Recordkeeping
29 CFR 1904 – Recordkeeping
1904.7 – General recording criteria
1904.32 – Annual summary
All industries are required to record workplace injuries & illnesses. This requires employers to record new cases of work related injuries if they result in death, days away from work, restricted work or transfer to another job, medical treatment beyond first‐aid, or loss of consciousness:
Record injuries/illnesses on OSHA 300 log throughout the year
Create a summary of injuries/illnesses on an OSHA 300A log at the EOY
Post summary where all employees can see it from Feb 1 to Apr 30 every year
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The “Personal Protective Equipment” standard outlines the need for employers to conduct hazard assessments to determine if any personal protective equipment (PPE) needs to be provided to employees:
PPE shall be provided by the employer and maintained in a sanitary and reliable condition
In addition to determining if PPE is necessary, employers need to provide adequate fitting PPE to employees and train them on the appropriate use, care, and maintenance.
2. Personal Protective Equipment
29 CFR Subpart I ‐ Personal Protective Equipment
1910.132 – General requirements
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Personal Protective Equipment is a variety of equipment designed to protect you while performing your job
Personal Protective Equipment
PPE typically include protection for the following:
Hand protection – exam / protective gloves, arm guards
Eye and face protection – safety glasses, face shields
Head protection – helmets
Ear protection – ear plugs
Foot protection – safety shoes
Radiation protection
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Hand Hazards
Exposure to hand hazards include:
Animal hazards: Scratches and bites
Environmental hazards: Heat, cold, material handling
Chemical hazards: Hand absorption of chemical and biological agents
Mechanical hazards: Cuts, punctures, abrasions
Hand Protection
Hand Protection
Hand protection guidelines:
Use gloves, arm guards, sleeves
Exam gloves worn while performing examinations and handling patients with infectious diseases
Disposable gloves should be used once and thrown away
Never use the same gloves on multiple patients
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Foot Hazards
Exposure to foot hazards include:
Cuts / punctures
Stepped on
Burns
Sprains / strain
Compression (large animal)
Slips / Falls
Chemical exposure
Foot Protection
Foot Protection
Foot protection guidelines:
Slip‐resistant shoes required inside
Rubber soled boots preferred where the ground is wet, muddy, or uneven.
Leather‐soled shoes / boots may not be appropriate for slippery surfaces.
Consider steel‐toed boots/safety shoes when working with heavy animals
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Radiation Hazards
Radiation guidelines include:
Before performing any radiographic duties, you must be given a demonstration of the PPE available
Be aware of the hazards associated with exposure to radiation and the methods to minimize exposure
Radiation Protection
Radiation Protection
Radiation protection guidelines:
Lead‐lined apron
Lead‐lined gloves
Shielding for thyroid protection at the neck
Badge measuring radiation exposure
Store badges away from radiation source
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Remove PPE if contaminated
Remove PPE from the top down
Grasp contaminated gloves on the inside and peel down without touching the outside
Wash thoroughly after removing PPE
Place contaminated PPE in assigned containers
Avoid reusing PPE if grossly contaminated
Proper Use
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Slips, trips, and falls are one of the most common employee injuries at any place of employment in the US, and veterinary practices are no different. The “housekeeping” standard states that:
All places of employment, passageways, storerooms, and service rooms shall be kept clean and orderly and in a sanitary condition
The floor of every workroom shall be maintained in a clean and a dry condition
29 CFR Subpart D – Walking‐Working Surfaces
1910.22 – General Requirements (Housekeeping)
3. Housekeeping
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•Wet surfaces
• Inclement weather
•Uneven surfaces
•Poor design / maintenance
•Poor housekeeping
Conditional Causes:
• Lack of focus / distraction
•Poor planning / risk assessment
•Rushing
• Improper equipment use
• Insufficient footwear
Behavioral Causes:
•Good housekeeping
•Properly maintaining walking / working surfaces
•Proper footwear
•Proper equipment
•Appropriate pace of work (not rushing)
Prevention Guidelines:
Causes and Prevention
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Housekeeping Action Needed Date Corrected
All passageways clear & free of tripping hazards?
Floors clear of slipping hazards?
Walking and working surfaces in good condition?
Work areas free of trash?
Stairs clear and in good condition?
Ladders in good condition?
Suitable containers available for trash & waste?
Emergency Exits Action Needed Date Corrected
Emergency evacuation routes posted?
Emergency light working?
Exits unobstructed?
All exits clearly marked with appropriate lighting?
Fire doors in proper working order and not blocked open?
Employees training in emergency plan?
Facility Checklist
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To protect employees in the event of an emergency (fire, severe weather, workplace violence, etc.), OSHA created the “Means of Egress” standard. These require a procedure in writing for:
1. Reporting a fire or other emergency
2. Emergency evacuation process
3. Accounting for employees after evacuation
4. Training for employees performing medical duties
5. Process for contacting employees
29 CFR Subpart E – Means of Egress
1910.38 ‐ Emergency Action Plans
4. Emergency Action Plan
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EAP #3: Accounting for Employees Post‐evacuation
As soon as employees follow evacuation procedures, a manager should account for everyone.
Larger practices should perform a roll call to ensure that all employees have escaped and are safe.
EAP #2: Evacuating the Workforce
Evacuation procedures specific to emergencies your practice may face:
A fire necessitates that employees know where the closest exit door is and where
to meet outside the practice.
A tornado requires employees to know where to shelter inside the practice and
when it is safe to go outside.
EAP #1: Reporting an Emergency
How will you notify emergency response for an emergency? (alarm system to local response, designated person to call 911.
Determine how the practice will report an emergency to others working in the practice. (public address announcement, alarm
system, verbal communication).
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Review with staff when:
The plan is created New employees are hiredChanges to the plan or building are made
As an annual refresher
EAP #5: Contacting Employees
Include employee contact list with name, job title, phone number, and emergency
contact info
Identify the best emergency communication methods and notification
protocol (text, cell phone, email)
Ensure employees do not come to work if there is a dangerous situation
EAP #4: Training Employees in First‐Aid
Include procedures for handling first‐aid in an emergency for certified employees:
Minor wounds and small burns can be treated by first‐aid kits.
Major injuries or serious burns need to be treated by trained medical personnel.
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The Hazard Communication regulation requires employers develop, implement, and maintain a hazard communication program to protect their employees from the exposure to hazardous substances. Employers must train their employees on:
Reading and interpret labels on substance containers
Locating and understanding Safety Data Sheets
What to do if they are exposed to a hazardous substance
5. Hazard Communication
29 CFR Subpart Z – Toxic and Hazardous Substances
1910.1200 – Hazard Communication
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Your Right to Know
What chemicals are present in the workplace
The effect chemicals have on your health
How to protect yourself while using the chemicals
Rights and Requirements
Program Requirements
Company specific written program
Chemical inventory and list
Container labeling and hazard warnings
Safety Data Sheets (SDS)
Employee training
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Under GHS, container labels must include:
Product Identifier
Signal Word
“Danger”, “Warning”
Hazard Statements
“Toxic if swallowed”
Pictograms
Supplier Information
Supplemental Info
Container Labeling
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Safety Data Sheets (SDS):
Contains specific information about a chemical used in the workplace
Workplaces that use or store chemicals
SDS must be accessible to the employees
Available for ALL chemicals on site
Safety Data Sheets
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Questions?
Scott Simpson | Risk Consultant, Risk Services DivisionHUB International Midwest Limited | 55 East Jackson Boulevard | Chicago, IL 60604Phone 312‐279‐4780scott.simpson@hubinternational.com
HUB International Coronavirus Resource Center
https://www.hubinternational.com/products/risk‐services/hub‐crisis‐resources/coronavirus‐resource‐center/
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• June 23rd
• Safety of CBD and THC in Dogs: What Does the Data Say?
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