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Confidential – Not for Distribution 2 Emergency Management
Confidential – Not for Distribution 2
Emergency Management
Emergency Management
Prepare
Respond
Recover
Mitigate Emergency
Management
Codes
• 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
Confidential – Not for Distribution 9
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.
heat
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.
Using a Fire Extinguisher
Fighting a fire is always
voluntary act
for staff.
Using a Fire Extinguisher
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
Using a Fire Extinguisher
Using a Fire Extinguisher
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.
Confidential – Not for Distribution 26
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
Toxic
• 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
• Wear recommended protective equipment and clothing
• Do not eat, drink, or smoke near these materials
• Wash hands after handling
Class D: Poisonous & Infectious Material
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
• Wash hands after handling
The examples shown here are: • Formalin 10% (used to fix tissues for
laboratory examination) • Klean n’ Shine Multi Surface Cream
Cleanser
Class D: Poisonous & Infectious Material
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
• Wear recommended protective equipment and clothing
• Handle these materials only in designated areas
• Disinfect work area after handling
• Wash hands 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
• Wear recommended protective equipment and clothing
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
tab.
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.
DO
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
Confidential – Not for Distribution 60
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
Abuse
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?
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
chart
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”
G
I
S
E
V
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
S
T
O
P
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.
Confidential – Not for Distribution 91
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
Agent
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
Confidential – Not for Distribution 105
Privacy & Security
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
Links
• Do not open unexpected links in emails
Forms
• 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.
Confidential – Not for Distribution 114
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
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
way
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
