Transcript Do Fires Happen Here?

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The Safety Office
Which training is required ?
It depends on what you do at work:
Research or clinical
Laboratory work:
Laboratory Safety
Training
Any work that involves
Direct Patient Contact:
Safety and Infection
Control Training
Any work that involves
Radioisotopes, X-rays
or Irradiators:
Radiation Protection
Training (8-7052)
Any work that involves
BL3-level Organisms:
BL3 Training
(by arrangement)
Or any combination of these!
We rely on you to help ensure the
safety of each and every employee,
patient, student and visitor!
www.bu.edu/ehsmc
www.bu.edu/ehsmc
Emergency Contact
Information
CODE BLUE
STAT
CODE RED
SPILL
SECURITY
4/8-7777
4/8-6000
4/8-6666
4/8-6666
4/8-4444
Cardiac/Respiratory Arrest
Other medical emergencies
Fire and/or smoke
Chemical, chemo spills
Incidents requiring Security
assistance; suspicious person,
altercation, etc.
Where are these #s located?
 All telephones (yellow sticker)
 ID red cards
 Emergency Procedure Charts
Blue call boxes are located throughout the campus for
immediate contact with Security
EMERGENCY PREPAREDNESS
Types of Disasters…
•Internal
•External
•Natural
Internal Disasters
Infant/Child Abduction - CODE PINK
Response time is critical
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Conduct search of your area
When complete, call Security 4-4444
Report any suspicious object or person
Security maintains log of searched areas & secures perimeter doors
General Services personnel searches common areas/mechanical spaces
Bomb Threats - Call Security at 4-4444
Telephone Calls - Keep caller on phone, observe
Unusual phrases, accent, sex, age, background noises
External Disasters
Natural Disasters
PHASES of Disasters
A
B
C
D
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Potential or actual disaster. Managed by on-site staff
Assistance from other departments may be necessary
Assistance from other departments necessary, including those not
on-site
Catastrophic Natural or Man made Event
Announced to personnel via group page, key departments only
Supervisors/managers responsible for notifying their own staff
A Command Center will be set up for PHASE C events
Reference Disaster Plans on BMC Intranet
Incident Command
Incident Commander
Command Center Staffing
Medical Campus Administrative Services
Other Departments as determined by type of incident
Command Center
Power Plant, 1st Floor, Command and Control Center
Alternate -Harrison Pavilion, 2nd Floor, Conference Room C
Alternate - Health Services Building, Basement, Security Operations Center
Command Center Phones (always active)
Extension 8-6860 (617-638-6860)
Extension 4-6860 (617-414-6860)
Emergency Phone / Utility Issues
 Dialing instructions on phone
 Emergency powered phones listed in BUMC Telephone
Directory
 Report utility issues to the Control Center, 4-6666.
(power outages, medical gases, elevator failures, etc..)
Do Fires Happen Here?
Fires Happen Here
“RACE” Fire Plan
rescue/ remove
alert/alarm
confine/close
extinguish/evacuate
Fire Alarms
“High Rise System”
Pre-recorded Voice Message:
“Attention Please, The signal tone you have just heard indicates a
report of an emergency in this building. If your floor evacuation
signal sounds after this message walk to the nearest stairway exit
and leave the floor. All handicap occupants shall follow the
building evacuation plan. While this report is being verified,
occupants on other floors should await further instructions.”
Buildings with this type of system:
HP, DOB, H, ACC, Dowling, Evans (E), Fuller (M), EBRC (X),
CABR (W), GSDM (G), Talbot (T), BCD, Houseman (R).
Traditional Alarm System
Alarm sounds throughout building… everyone evacuates!
(All other BUMC building)
Egress and Fire Safety Equipment
 Keep egress
and fire safety
equipment free of
obstructions.
Know the
location of the
nearest fire
extinguishers and
pull stations.
Know your
area’s...
 Floor specific
evacuation plan
 Evacuation
route
 Back-up plan in
case your
primary route of
evacuation is not
accessible
 Some doors are
alarmed and will
have a delay
 Avoid
stacking
items near
fire
sprinklers
Fire Drills
• Fire drills are conducted in all BMC buildings
• Drills are unannounced in order to properly test
the plan….
(staff know procedures, alarms are functioning
properly, signal received by BFD, Public Safety
responds in a timely manner)
• Staff is expected to participate and follow Code
Red procedures.
• Practice drills could take 15 - 20 minutes.
• Emergency Preparedness drills will also be
conducted.
How to Use a Fire Extinguisher
pull pin
aim at the base of the fire
squeeze handle
sweep from side to side
Types of Fires
CLASS A
Ordinary combustible; wood, paper,
rags, cloth or trash
CLASS B
Involves gases or flammable liquids;
oil, gasoline, paints, solvents and
grease
CLASS C Involve or surround
electrical equipment
Types of Extinguishers
CLASS A
Water only
CLASS BC
Carbon Dioxide CO2
CLASS ABC
Dry Chemical
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OSHA’s Hazard
Communication Standard
aka The “Right-To-Know” Law
Know the hazards of the chemicals with which you work
Know how to protect yourself
All chemicals must be labeled
Material Safety Data Sheets
Written Plan & Training
Material Safety Data Sheets
Where can you find these?
BMC Intranet
MSDS Binders located throughout hospital
or from EHS at 638-8830
MSDS Information
Developed and Supplied by the Manufacturer
MUST be available for all employees
Provides Synonyms
Formula/Ingredients
Emergency & First Aid
PEL’s
Fire & Explosion
Properties or Hazards
Personal Protective Equipment
Routes of Exposure
Safe Handling Procedures
Storage & Disposal
MSDS’s
Emergency Instructions Flip
Chart
Common Sense Chemical Safety
 Store materials safely, store compatible materials, do not
store under sinks
 Ensure all chemicals are labeled
 Wash hands frequently, and after removing gloves
 Do not eat, drink, apply cosmetics or lip balm, or handle
contact lenses around chemicals
 When performing procedures minimize splashing, spraying,
or spattering
 Wear the appropriate PPE when there is a potential for
contact with an infectious or chemical material (see MSDS)
Those working in
labs should attend
BUMC’s lab safety
training yearly
www.bu.edu/ehsmc
Chemical Spills
What do I do???
1. Identify the chemical
2. Contain the spill
3. Locate an MSDS for clean-up procedures
4. For spills beyond your control, close off the area and call
the Control Center at 4/8-6666 or Safety Office 8-8830
Mercury Spill
 Do not clean up a mercury spill regardless of size
 Call Control Center or Safety Office
Radiation Protection
Radiation Protection Office
Responsible for inspections, maintaining records, and
provides training for those users of radioactivity
Personnel Classification
 Do not work with radiation: Clerical, Administrative,
Dietary…
 May work in areas that use it: Lab techs, maint.,
housekeeping...
 Those who work with radiation: Must attend radiation
protection training, (638-7052). Monitoring devices
worn.
Radiation Protection
(How to protect yourself)
 Observe postings
 Do not go into posted areas if you do not need to
 Do not touch anything labeled “Radioactive”
 Those working with radiation must attend training
ALSO…
 Contact Radiation Protection Office immediately
in the event of a spill or suspected spill
 Radioactive waste must not go into regular trash
 Radiation detectors are installed at shipping area
Electrical Safety
Equipment in patient areas shall have a valid inspection sticker
 Clinical Engineering inspects all incoming patient equipment
 Facilities Management inspects all non-patient equipment in patient areas
 Inspect power cord prior to use
 Avoid using extension cords
 Only oil-filled space heaters are to be used and must be
inspected before use
Medical Equipment
Disconnect any medical device that:
 Throws sparks
 Blows a fuse
 Gives even the slightest shock
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Remove the device from service immediately
Attach a broken equipment tag
Contact Clinical Engineering
Notify others in the immediate area
 Complete an Incident Report
8-6060 ENC
4-4692 HAC
Clinical Engineering
Maintains over 8,500 medical devices, coordinates education
& clinical trials, performs installations, assists in capital
planning, and investigates medical device incidents
For additional information go to:
www.Internal.BMC.Org/Clineng
An On-line source for medical equipment
Equipment profiles
Links to manufacturers
Operating guides
Troubleshooting
Cell Phone Use
To minimize the potential for interference
with medical devices
Restrict use in hospital except for lobbies and
cafeteria’s
Observe sensitive areas posted with signage
Inform guests observed using cell phones
Policy on Clinical Engineering Web Site
Ergonomics
What is it and why is it important?
Ergonomics is the science of fitting jobs to people.
It focuses on designing workstations, tools and work tasks for
safety, efficiency and comfort.
Effective ergonomic design reduces discomfort and injuries and
increases job satisfaction and productivity.
What are the common ergonomic risk factors?
•Awkward body postures – prolonged periods of bending, twisting, etc.
•Excessive repetition – same motion over and over
•Excessive force – physical exertion or pressure while pushing, gripping, etc.
•Contact stress - pressure by tools, edges or hard surfaces on soft tissues of
the body
Computer Workstation Ergonomics
Be aware of pain or discomfort that ONLY occurs while you
are at work. Take the necessary steps to correct a poorly
designed workstation and prevent a serious injury.
Keep everything in front of
you
Keep your wrists straight
Top line of text
at eye-level
Support your
feet
Use the
lumbar
support your
chair provides
Thighs parallel to chair
for weight distribution
Safe Lifting
“Back injuries are the most common type of
injuries among health care workers”
 Avoid reaching above your shoulders
 Use a step stool or ladder, do not use chairs
 Use mechanical means
LIFTING - ASK FOR HELP IF POSSIBLE !
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Stand close to the object
Spread feet wide to straddle
Squat, bending knees and hips
Keep head up and back aligned
Lift with legs
Keep load close to body
Do not twist when lifting, pivot
Patient Transfer
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Ask for assistance if possible
Ask the patient if he/she can help
Adjust bed to waist level, lock brakes on bed & wheelchair
Move patient to edge of bed - use transfer equipment if
possible
Get in close to the patient
Do not twist
Keep knees slightly bent, head up, back aligned
Lower patient by bending knees
Call Occupational & Environmental Medicine for more “safe
lifting” information 638-8400
or call the Safety Office for more info. about
Office Ergonomics at 8-8830
Employee Accidents
 Report to supervisor
 Seek medical attention at OEM (F-5) 7:30 - 4:00
weekdays or one of the ED’s all other times
 Complete with supervisor the Accident Reporting and
Treatment (ART)
 For Cardiac and Respiratory arrest follow CODE Blue
procedures.
 For Serious Injuries and Medical Emergencies contact
Public Safety at 4-4444.
 Supervisors are responsible for conducting accident
investigations. EHS is available for assistance
 Corrective measures will be
implemented as necessary
to prevent reoccurrence
Crime Prevention
 Keep valuables with you or locked.
 Close and lock doors when not in your office. Always log off
the network or use a password protected screensaver when
you leave your workstation.
 Check the identity of strangers. Notify security or your
supervisor for assistance.
 Always let someone know where you’ll be.
 Always report any broken or flickering lights, doors that do
not lock properly, or broken windows.
 Do not advertise personal plans to visitors or
strangers.
 Keep emergency phone numbers posted near by.
Violence Prevention
For you personal safety, being proactive can prevent many
potentially violent situations from escalating.
Indicators of a potentially violent individual:
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A history of angry or abusive behavior
Reactions to medications
Individuals that may be addicted to drugs or alcohol
Serious medical or personal problems
Finger pointing
Verbal threats
Pacing, extreme restlessness
Verbal expressions change (stop talking/start talking endlessly)
Red face or neck
Body gestures change (arms waving, hands clutched, fists
formed, etc..)
 Talking about weapons
Workplace Violence Prevention
• Any employee or staff member who witnesses
and act of violence or immediate threat of an act
of violence will immediately call Public Safety at 44444 and state “Code Green”. If the person
calling feels they are unsafe in the area they
should immediately leave the area and then make
the call. The person making the call will be asked
to provide descriptions of the person or persons
involved and the location of the incident.
General Services offers workplace violence
seminars including deescalating techniques. Ask
your supervisor or Security for details.
TB Protection
Is for those who may have contact with a
patient with TB.
• You must have had Infection Control Training
• You must be medically cleared through OEM
– Forms and medical evaluation by OEM
• Fit testing is performed by EHS personnel
– Monthly fit test times are scheduled
– Departments may request a fit test
session
– Contact EHS, 638-8830 or
www.bu.edu/ehsmc
Recap
 Does the hospital expect you to put out fires?
 What is the Hospital fire plan?
 Where are your fire extinguishers located?
 Who do you notify in the event of a fire?
 What do you do in the event of a bomb threat?
 What is a MSDS?
 Where can a MSDS be found?
 What do you do in the event of a chemical spill?
THANK YOU
FOR YOUR TIME!
PLEASE work safely