Transcript Morningside Recovery - Ce

Morningside Recovery
OVERALL HEALTH AND SAFETY PRACTICES
Overall Health and Safety Practices
Morningside Recovery, LLC values the health and
safety of the persons we serve, employees, and
visitors, and maintains a comprehensive safety
program to promote a safe environment within our
program sites.
Health and Safety
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Safety Officer
Identification of Unsafe Environmental Factors
Hazardous Materials
Infection Control
Emergency and Evacuation Procedures:
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Medical
Fire
Severe Weather
Flash Flooding
Earthquakes
Workplace Violence
Power Failures and Fumes
Bomb Threats
 Identifying Critical Incidents
 Responding to and Reporting Critical Incidents
 Medication Management
Safety Officer
 The Morningside Recovery LLC’s Safety Officer is
responsible for the overall coordination of the health
and safety program at the organization’s facility in
Irvine. In carrying out this role, the designated
Safety Officer will:
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Coordinate emergency drills on all shifts
Coordinate self - inspections on a quarterly basis
Conduct external safety inspections of grounds and buildings.
Seek to make corrections and improvements based on drill and
inspection outcomes
Self-Inspection
 Things to look for when conducting a self-inspection:
 Entrances and exits clear of any clutter and clearly marked.
 Internal doors leading to exits are unlocked
 Fire extinguishers, smoke detectors and fire alarms are all
available and in working order
 Stocked and available first aid kits and emergency lighting
 Evacuation routes clearly posted.
 Plumbing, appliances and equipment in working order.
 Biohazard items properly discarded according to regulations.
Hazardous Materials
 The Safety Officer, or designee, is responsible for
ensuring that the correct procedures for labeling,
handling, using and storing hazardous material is
strictly adhered to by all personnel.
 Hazardous materials must be stored in clearly
marked and strictly controlled safety storage areas.
Infection Control
 The spread of a communicable disease or infection
involves the following components:
A susceptible host
A biological agent sufficient to cause disease
A mode of transmission
All three must be present for an infection to spread
from one person to another. This is called the “chain
of infection”.
Infection Control
 The most common modes of transmission are through the
following:
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Contact: In contact spread, the susceptible person has contact with the
infected source and the contact is either direct, indirect, or by droplets.
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Direct: This is where there is actual physical contact between the source and
the susceptible person. The exposure is a result of close contact to skin and
body secretions/fluids.
Indirect: This occurs when organisms from an infected host are transmitted to
a susceptible host via an inanimate object.
Droplets: Infectious agents in droplets are expelled from respiratory
secretions by coughing, sneezing, or talking.
Airborne Spread: Airborne describes organisms that have a true
airborne phase in their route of dissemination. This usually results in
distance of more than several feet between the source and the receiver.
Infection Control
 Preventing the Spread of Infection:
To prevent the spread of infection it is necessary to eliminate at
least one of the three “chains of infection”.
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Hand Washing: Hands should be washed before and after all tasks involving
occupational exposure to skin, and body fluids/secretions.
Facility Cleanliness: Bathrooms, lavatories, examination areas, work areas,
and eating areas should be disinfected regularly
Spills: All body fluid spills (regurgitation, diarrhea, urination, bleeding, sputum,
etc.) should be cleaned promptly and the contaminated area disinfected.
Waste Disposal: All items that contain bodily fluids, or items that would
release blood or other infectious material if compressed (cleaning rags, tissues,
dressings, gloves, gowns, masks, etc.) should be discarded in labeled biohazard
red bags.
Barrier Protection: Gloves should be worn by any worker required to touch, or
is susceptible to contact with blood and body fluids, mucous membranes, or nonintact skin.
General Rules: Do not share items that could spread germs upon direct
contact. Cover mouth when sneezing or coughing.
Emergency Medical Procedures
 A medical emergency is defined as an incident that
requires interventions beyond simple first aid in order to
stabilize a condition that may result in a serious medical
outcome.
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Call 911 immediately
If it is determined, by staff responding to a medical emergency, that
stabilization of a serious and acute medical condition would reduce
an immediate risk of a threat to an individual’s life, staff will assist
with first aid care, when appropriate, to stabilize a serious lifethreatening condition prior to the arrival of external emergency
personnel.
Employees will not transport individuals in company or personal
vehicles following an acute emergency health care event.
Fire Procedures
 Evacuate immediate area.
 Close all doors to try to contain the fire.
 Attempt to put out with fire extinguisher
 If it is immediately determined that the extent of
the fire cannot be contained with quick and direct
actions, the building will be evacuated.
 Call 911
Severe Weather and Natural Disasters
 If a severe weather watch is issued, the Safety Officer, or
designee, shall access radio or television reporting that
provides information from the National Weather Service
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(Orange County Call Sign: WWG21/Frequency 162.450Mhz)
 In the event of a severe weather, the Safety Officer, or
designee, will instruct employees to immediately move to
the designated areas in the interior of the building that
are noted on the posted evacuation routes.
 The program site Safety Officer, or designee, shall inform
employees of the end of the need to remain in the
designated location when the warning is no longer in
effect, according to the national weather service.
Flash Flooding
 Be prepared to evacuate at a moment’s notice to the
designated “Safe Areas”.
 Stay away from floodwaters. If you come upon a
flowing stream where water is above your ankles,
stop, turn around and go another way.
 After a flood occurs, return to the facility only when
officials have declared the area safe.
Earthquakes
 Stay away from windows.
 Drop, cover, and hold on! Move only a few steps to a
nearby safe place.
 If you are outdoors, find a clear spot away from
buildings, trees, streetlights, and power lines. Drop
to the ground and stay there until the shaking stops.
Injuries can occur from falling trees, street-lights
and power lines, or building debris.
Workplace Violence
 Staff members should exercise common sense in any
situation with an aggressive person. If a situation involves
a weapon, such as a knife or gun, do not attempt to remove
the weapon from the individual.
 If you or anyone else is assaulted or physically threatened
by another individual while conducting business, if possible
remove yourself from the situation, call for help (vocally or
by phone), and/or notify another staff member to summon
the police by calling 911.
 If a crisis situation occurs that involves a direct threat to
any persons in the building, the building will be evacuated.
Power Failures and Fumes
 In the event of a power failure, remain calm. If in an
interior office without natural light utilize the personal
emergency flashlight provided for safe egress to
evacuate to a hallway area. Assist clients to the lighted
area, if necessary.
 Situations that will necessitate evacuation in this area
include chemical spills, and electrical malfunctions
determined to present a health risk.
 If it is determined that there are odors or fumes that
are a health risk due to eye, skin, or lung irritation, the
building will be evacuated.
Bomb Threat
 In the event a bomb threat is received by telephone
(a call in which an individual indicates a bomb has
been placed within or near the facility):
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Obtain as much information as possible from the caller, noting
details of voice, speech patterns, and any background noise.
Ask where the bomb is and when it will go off, and document
any information that is provided by the caller.
• If the threat is received by letter or note:
 Do not handle the letter or note any more than is necessary so
evidence is not compromised.
Bomb Threat
 If you notice a package, container, briefcase, or other
object that is unattended and is out of place within the
facility, does not have common identifiable markings or
labeling, and is not recognized as belonging to an
employee, Clients, or visitor, proceed as follows:
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Upon the discovery of a suspicious object/package/container, do not
touch or move it.
Wait for the arrival of law enforcement authorities outside the
building and turn over management of the unidentified object to law
enforcement upon their arrival.
 In the event of a bomb threat made toward the
organization, the building will be evacuated.
In the event it is determined that evacuation of a building is
necessary, the following procedures will be applied:
 All staff in direct care service areas will assist clients
and visitors in exiting the building through the exits
according to the facility emergency exit plan/map.
 The Safety Officer, or their designee, will exit the
building with the safety file/binder, in order to
access information for contacting emergency services
personnel.
 All staff and clients will proceed to the designated
evacuation meeting areas as quickly as possible after
exiting the building.
Identifying Critical Incidents
A reportable critical incident can involve persons
served, personnel, visitors, or a combination thereof.
A critical incident event may involve one or more
persons directly in an actual acute event, and may
additionally involve one or more persons in an
indirect manner without being present when the
actual acute event occurs.
Identifying Critical Incidents
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Critical Incidents Are:
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Death ( unexplained, natural, accidental)
Physical Injury (significant, requiring off-site TX)
Physical Injury (minor, requiring onsite first-aid)
Suicide
Suicide Attempt
Physical Altercation
Verbal Altercation
Adverse Medication Reaction (involving a serious health condition)
Abuse (sexual, emotional, physical)
Alleged Abuse (sexual, emotional, physical)
Significant Property Damage
Contraband Located
Confidentiality Breach
Employee Arrest
Employee Gross Misconduct
Harassment (verbal, sexual-observed)
Vehicle Accident (while transporting persons served or doing company business)
Restraint (violation of restraint policy) Fire (involving injury or staff negligence)
Criminal Activity
Major Theft (money, checks, embezzlement, personal property)
Breach of Confidentiality (that has a clear potential to result in serious loss exposure)
Responding to and Reporting Critical
Incidents
 First, manage the incident according to all health and
safety policies, procedures and plans.
 The following events require local authorities to be
notified within 15 minutes of the discovery of the event:
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The death of anyone on the organization’s property by any means.
Physical or sexual assaults involving persons served, employees or
visitors, determined to be a reportable law violation
A suicide attempt that results in a serious medical emergency/injury
to any person in the care of the organization or on the organization’s
property.
Responding to and Reporting Critical
Incidents
 The following events require reporting to DHCS, as per
certification requirements by phone, within 24 hours of
the event, and by written report within 7 days of the
event:
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Death from any cause to staff, client, or visitor
Client suicide attempt
Sexual assault
 Information provided to the California DHCS
Certification Department will include the following:
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Name, age, sex, and date of admission (if client)
Date, time, and nature of event.
Attending physician’s name, findings, and treatment, if provided
Responding to and Reporting Critical
Incidents
 Any individual having an employment relationship
with Morningside Recovery Services who has
witnessed and/or is involved in a critical incident
shall complete the following actions:
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Immediately provide a verbal notification and description of the incident
to the CEO and Safety Officer.
Document the incident in PART A. TO BE COMPLETED BY
EMPLOYEE OBSERVING THE INCIDENT on the form within 2 hours
of occurrence.
Following the completion of the required documentation, personnel will
immediately notify the CEO and Safety Officer, via email, with the
following notification: “Incident Report Completed/Filed (date)”.
Critical incident reports have serious legal implications. They are not to
be circulated beyond the outlined pathways of circulation.
Responding to
and Reporting
Critical
Incidents
Page One of Incident
Reporting Form for
Reference.
Medication Management
 Personnel:
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Use or possession of all illegal drugs and any product or container
containing the legal drug alcohol, is prohibited on property owned or
leased by Morningside Recovery.
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Any illegal medication or substance that is discovered to have been left
at the company offices will be disposed of by contacting local law
enforcement, noting the discovery, and requesting they take control of
the medication and/or substance for proper disposal.
Employees who possess prescription medications due to a
requirement that the medication be taken during work hours, shall
maintain the medication within their possession at all times and
shall not administer the medication in the presence of other
personnel or clients.
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Any legal, and/or prescription medication left at the administrative
offices overnight by a current employee or left by an employee who is
not longer employed by Morningside Recovery, will be disposed of by
taking to a local pharmacy for disposal.
Medication Management
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Persons Served:
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If any person served is discovered to be in possession of an illegal substance, medication, or
alcohol, while engaged in services within the organization’s offices, they will be asked to
immediately leave the premises.
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Should such a person appear chemically impaired at a level that reasonably indicates leaving the premises
might cause harm to self or others, and should the person be cooperative and not disrupting the
treatment of others, an attempt to arrange transportation assistance with returning to their
place of residence will be made. If transportation assistance cannot be arranged and the person’s
condition indicates a potential harm to self or others, local law enforcement will be called to intervene.
Should a person served be discovered to be in possession of an illegal substance, medication, and/or alcohol
and appear chemically impaired at a level that reasonably indicates leaving the premises might cause harm to
self and others, and should the person be uncooperative and resist arranging safe transportation to
their place of residence, law enforcement will be called immediately.
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Any legal, and/or prescription medication left at the administrative offices by a person served will
be disposed of by neutralizing in drug destruction bags.
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Any illegal medication or substance that is discovered to have been left at the organization’s
offices will be disposed of by neutralizing in drug destruction bags.