To navigate through the CBL, use the scroll bar to the right

To navigate through the CBL, use the scroll bar to the right

(Safety)

Environment of Care (E.O.C.) The objectives of this CBL are: To learn the location of all E.O.C. plans To identify the seven areas of the E.O.C. To develop a basic understanding of all E.O.C. plans. To identify the different types of building occupancy

ENVIRONMENT OF CARE Safety Policies From: ICare Central Click on the Icon to find the Environment of Care Safety Plans. From Citrix: ENVIRONMENT OF CARE SAFETY PLANS Included under this Icon are sections for each campus on Safety, Security, Hazard Materials, Medical Equipment, Fire Prevention and Utilities Management Please familiarize yourself with the Icon and your campus sections in case of an emergency.

There are six areas in the Environment of Care (E.O.C.) Safety Management Security Management Hazardous Materials and Waste Medical Equipment Fire Safety Utility Systems Management

E.O.C. Safety Safety covers a broad array of topics in the Environment of Care. Dennis Strom is the Corporate Safety Officer Ext. 1653. Gary Sullivan is the Corporate Director of Security Ext. 1350 Report all safety risks to your supervisor, if the problem persists report it to the safety officer. Report property damage to your supervisor. If the damage needs immediate attention contact the Engineering Dept. at Ext. 1650. Report all emergencies by calling Ext. 3000 or Security at Ext. 1350.

E.O.C. Security The Security Department is based out of Bowling Green and available 24 hours a day at ext. 1350. Some important security information to be familiar with is: Code Pink This is our response to an infant or pediatric abduction. When code pink is announced become observant for anyone suspicious and report it to Security immediately. Observe for physical description, vehicle information, and carrying a child or container to conceal the child.

E.O.C. Security Code Silver This is the response to an Active Shooter. When you hear Code Silver, take shelter, lock your office or escape to a safe area. Take all occupants that you can with you. Do not proceed to the affected area, allow security and law enforcement to deal with the situation. If you are approached by law enforcement obey all commands and keep your hands visible. Wait for the all clear. Be familiar with the RUN HIDE Fight approach when involved in a Code Silver

E.O.C. Security Safe Handling of Mail When handling mail always wear gloves to protect yourself. If you observe anything strange or suspicious do not open the mail. Observe for the following: - Lumps or bulges - Odors - Strange addresses or labels including foreign addresses - No postmarks or return address - Stains, unusual wrappings or wires protruding Move to a safe area, secure the area that the mail is in and contact security at Ext. 1350.

E.O.C. Security Parking is on campus at all facilities and employees are required to park in employee lots while working and attending in-services. Security provides escorts to and from vehicles for all occupants. In addition security provides dead car battery assistance by jump starting. Security advises you to make sure your vehicle is locked, and do not leave items of value in sight inside the vehicle. Always wear your ID badge while working. The badge should be displayed above the waist with the picture facing out. When walking to and from the facility always stay in well lit areas after dark and walk with others. Lockers are available to all employees by contacting security M-F 7 AM to 7 PM. NOTE: These services are provided by the Engineering personnel at the Scottsville and Franklin facilities.

E.O.C. Hazardous Materials Hazardous Materials come in many forms with the most common being chemical in nature. It is important that we know the safe handling of the chemicals and other hazardous materials and what to do when things go wrong. There is a Hazard Communication Plan in place that is available to everyone that wishes to view it. To do so contact the Corporate Safety Office at Ext. 1653 There are SDS or Safety Data Sheets available for chemicals located in the facility which identify numerous aspects of the chemicals. All employees should take the time to become familiar with the chemicals located in their area of work.

E.O.C. Hazardous Materials If we should have a chemical spill, there is a chemical spill flow chart available that will guide you in the process to follow during such an event. The flow chart can be located in Citrix under the Environment of Care Icon in the Hazardous Material and Waste folder or go to Policies and Manuals on the desktop of you PC. Also during a spill you will find the SDS (Safety Data Sheet) very helpful as well.

If determined to be not hazardous Contact Environmental Service (ESD) Supervisor to Clean-up Spill Spill Occurs Contact Supervisor Supervisor checks Safety Data Sheets (SDS) to determine if spill is hazardous If determined to be hazardous Evacuate spill area; close all doors to the area to prevent the odor/fumes spreading & prevent others from entering area Resume Normal Duties Notify Security EXT 1350 or 3000 ( Security will notify local Fire Department & Corporate Safety Officer for Assistance) Supervisor/Designee completes corporate incident report and forwards to the Corporate Safety Officer for Safety Committee Review Qualified Contractor collects and contains cleanup materials Corporate Safety Officer or their designee notifies a Qualified Contractor to handle clean-up and disposal Fire Department will stabilize the area

E.O.C. Medical Equipment The Medical Equipment plan deals specifically with specialized equipment that aids the staff in the care of a patient. Care should be used when operating this equipment so that we do not cause harm or malfunctions. If the equipment is operated inappropriately it could cause damage and void warranties. All faulty equipment should be tagged for repair to prevent any future malfunctions.

SAFE MEDICAL DEVICES ACT (SMDA) The Safe Medical Devices Act (SMDA) is a federal act designed to assure that all medical devices are implemented safely. A safe medical device is anything used in patient care except drugs (all equipment, all supplies, all instruments). The SMDA Federal legislation was designed so that the FDA could quickly be informed of any medical product that has caused or suspected to have caused a serious illness, injury or death. Biomedical Engineering assists the hospital in the processes for monitoring and reporting incidents in which a medical device is suspected or attributed to the death, serious injury or serious illness of a patient, as identified by the SMDA.

E.O.C. Medical Equipment Repair Tag

GAS Cylinder Safety When handling compressed gas cylinders remember G.A.S.E.S. G Gauge Alignment -Do Not alter the gauge pins. The gauge pins should fit the tank with a tight seal. A Assure proper labels. Read the label to verify the type of gas in the tank. S Secure the tank Keep the tank upright and secured in a cradle to prevent falling and possible injury. E Exercise proper handling Medical gases are a drug, keep your tanks in your possession at all times. S Safety for All Following these guidelines will insure safety for patients and fellow employees.

E.O.C. Fire Prevention Fire is always a major threat to the facility and it is important to know your responsibility during this type of event. If medical gases need to be shut off, Respiratory Therapy does so with the assistance of Engineering. Code Red This is the fire safety plan. We follow the R.A.C.E for fire response and P.A.S.S. on how to use an extinguisher.

E.O.C. Fire Prevention

E.O.C. Fire Prevention R.A.C.E. information continued. Steps can be completed simultaneously Know your area and the location of extinguishers. Know the evacuation routes and the location of all pull stations.

Fire Extinguishers The proper way to use an extinguisher is as follows: Pull the pin between the two handles Aim at the base of the flame Squeeze the handles together while holding the extinguisher upright Sweep from side to side evenly coating the entire area of the fire The extinguisher should be fired from about 8 feet back from the fire and then you can move toward the fire as you extinguish. The extinguisher will last about 15 seconds. After using the extinguisher, move out of the area of the fire and wait for Engineering, Security representatives and the Fire Department.

Types of Fire Extinguishers Class A For ordinary fires involving solids such as wood, paper, and cloth, choose a water or dry chemical extinguisher with a label that says Class A. Do not use water on flammable liquid or electrical fires. Class B For fires involving flammable liquids, choose a dry chemical or carbon dioxide extinguisher with a label that says Class B. Never use a water extinguisher. Class C For fires involving active electrical equipment, choose a dry chemical or carbon dioxide extinguisher with a label that says Class C. Never use a water extinguisher. Class D For fires involving metals, choose a graphite extinguisher with label that says Class D or use sand found in buckets located in laboratories. Never use an A, B, or C extinguisher on this type of fire. Class K For fires involving cooking equipment such as deep fat fryer choose a wet chemical extinguisher with a label that says Class K. Never use a water extinguisher. Halon A Halon fire extinguisher is comprised of a gas that interrupts the chemical reaction that takes place when a fuel burns. This type of fire extinguisher is often used to protect valuable electrical equipment since they leave no residue, however, a Halon extinguisher has a limited range of about 4 to 6 feet.

E.O.C. Fire Prevention How to provide a Fire Safe Environment: Store Supplies Properly (4 inches from the floor and 18 inches from the ceiling) & (flammables in fire safe cabinets) Practice Good Housekeeping Conduct proper disposal of trash and keep your area clean and clear. Keep Exit Corridors Clear at all times to allow for safe evacuation and travel. Observe and Report all Electrical Hazards Immediately. Do not block open fire exits and corridor doors. Observe and enforce the No Smoking policy

E.O.C. Utilities Management Utilities failure is a major concern anytime something like this takes place in the facility. If you observe the loss of a utility in your assigned area don t just assume that it is hospital wide. Take the time to report the outage to Security or Engineering, so service can be restored as soon as possible. The following is a list of utilities that might be interrupted: Electric Water Boiler (Hot Water) Gas

E.O.C. Summary There are six areas of the Environment of Care: 1. Safety 2. Security 3. Hazardous Materials 4. Medical Equipment 5. Fire Prevention (Life Safety) 6. Utilities Management

E.O.C. Summary All Plans can be found in Citrix under the Environment of Care Icon or go to Policies and Manuals link on your desktop of your PC..

Building Occupancy Healthcare Occupancy applies to the hospitals or anywhere patients are cared for and housed on a continual basis. This includes all non-patient care areas that function in the same building. Business Occupancy applies to buildings where office or administrative type work take place. Examples of these under CHC are: CFR, EMS, Urgentcare, Physician Practices, CHC Corporate Offices etc.

Healthcare and Business Occupancy The information provided under both types of building occupancy is very similar; however, some of the rules that apply to these building will differ. If you work in a building that falls under business occupancy, you will be advised to complete the business occupancy CBL as an annual refresher instead of the Environment of Care CBL.

Healthcare and Business Occupancy Healthcare Occupancy facilities include the following: The Medical Center at Bowling Green The Medical Center at Scottsville The Medical Center at Franklin Commonwealth Regional Specialty Hospital The Medical Center Home Health Agency Barren River Adult Day Care All other facilities will fall under business occupancy standards.

Emergency Management is also known as DIASTER PLANS, which are developed to help us respond to all disasters. These plans are:

Emergency Management Code Yellow External This is our external disaster plan that we implement if we have more patients coming to the facility than we have staff on hand to care for them. Code Yellow Internal This is the Internal Disaster plan, which means that the facility has sustained damage due to a certain type of disaster.

Emergency Management Code Evacuation This is the plan in place to evacuate the entire hospital when the building is no longer safe.

Emergency Management Severe Weather Severe weather is the greatest external threat to the facility. Each year this area experiences numerous storms and associated warnings to support this. If the facility is threatened by severe weather we practice the following methods. Bowling Green Campus Shelter in Place Staff in the A, B and C towers will advise patients to remain in their room and close the door. Visitors should remain in the room/building. Wait for further instructions or the all clear. Staff not involved in patient care areas will shelter in place and wait for the all clear. 3D & 4D Staff in 3D and 4D will move patients into interior hallways or other appropriate interior areas. If the patient s condition would create more harm to move them then staff will make every effort to shelter them from possible exposure to the elements.

Emergency Management (Severe Weather Continued) Franklin Campus Shelter in Place Staff will advise patients to remain in their room and close the door. Visitors should remain in the room/building. Wait for further instructions or the all clear. Staff not involved in patient care areas will shelter in place and wait for the all clear. Scottsville Campus Staff will move patients into interior hallways or other appropriate interior areas. If the patient s condition would create more harm to move them then staff will make every effort to shelter them from possible exposure to the elements.