WorkSafeBC Overview for CDAs A credit

Transcription

1 WorkSafeBC Overview for CDAs A credit Hand out and Test developed by: Dave Scott, Occupational Safety Officer Aaron Kong, Occupational Hygiene Officer WorkSafeBC Lecture recorded February 2010 Certified Dental Assistants of BC West Hastings Street Vancouver, BC V6B 1P2 Tel: TF: Fax: info@cdabc.org Web:

2 CDABC Continuing Education Certified Dental Assistants of BC is pleased to offer you the opportunity to access these continuing education materials. The library provides you access to materials for both personal and professional development. Continuing Education If you have previously taken continuing education credits on the topic covered by this course, you should verify whether you are eligible to take additional credits in this subject area. The College of Dental Surgeons of BC is the regulatory body responsible for approving CE applications and they can be reached at or The Format This is an audio course; it is a recording of a live CDABC continuing education event that occurred by telephone on February 9, Instructions on how to access the audio file are included in the registration you receive after you register for the course. The Test The test is available for you to complete online by logging into and going to My Desktop > My Events. The test questions are constructed using a multiple-choice format. You must achieve a score of at least 80% to pass the test. Credits The majority of audio courses are one hour/one credit. Credit information is provided on the first page of material, as well as on the CDABC website where you downloaded the course. Upon successful completion of the test, a certificate will be issued to you for self-study credit. You may use the credit toward the provincial renewal of your certification. To receive these credits you must achieve a score of at least 80% on the test. Partial credits will not be issued.

3 Introduction To WorkSafeBC for the Certified Dental Assistant Association of British Columbia Presented by D. Scott A. Kong WorkSafeBC On 09 February, 2010 Learning Objectives Overview of WorkSafeBC Overview of the WCA-BC Responsibilities Discrimination Risk Assessments WHMIS Specific Hazards in a Clinical Setting Regulations on Safetyengineered medical devices. Questions Overview of WorkSafe BC Provincial Legislation. Workers Compensation Act (WCA) Claims-Compensation Assessments-Funds Prevention-Part 3 Occupational Health & Safety Regulation (OHSR) Prevention of Injury / Disease 1

4 Who is Covered? Workers are always covered for claims Self employed can pay POP Some employers do not apply-rcmp, Military, Canada Post- Federally Regulated for Part 3 of the WCA Types of Injuries Sprains / strains- MSI/ASTD Slips and trips Violence Blood bone pathogens and other infectious substances Exposures (chemical/radiation) Responsibilities under WCA Employers Worker Supervisors Prime Contractors Owners 2

5 Responsibilities Employers Ensure H&S of their workers Other workers Remedy workplace conditions that could pose a risk Establish policies Information, instruction, training, supervision Co-operate with WorkSafeBC Workers Take reasonable Care for themselves and others Follow established work procedures Work is not impaired by alcohol or drugs or other causes Report hazards to employer Co-operate with WorkSafeBC Discrimination If a worker fulfills a right or duty under the act/regulations, an employer must not: Terminate Demote Deduct wages Intimidate Change shift patterns Myths of Risk Assessment On its own, paperwork never saved anyone. It is a means to an end, not an end in itself - action is what protects people. OK, if you re running an oil refinery you re going to need a fair amount of paperwork. But for most, bullet points work very well indeed. 3

6 Risk Assessment Examination of what in the workplace could harm workers so that you can weigh up if you have done enough to protect workers or if more needs to be done. Does not have to use numbers / scores Must eliminate or minimize the risk. What is WHMIS MSDS s Workplace labels l WHMIS What is an MSDS How up to date do they have to be? When do we get them MSDS 4

7 Exposure Control Plan (ECP) Need a written plan for exposures to infectious agents You critical work group with possible exposure. See 6.34 of the OHSR for key components. OH&S 6.36: Safety-Engineered Medical Devices (SEMDs) What Happened? New requirements: January 1, 2008 Safety-engineered needles (SENs) October 1, 2008 Safety-engineered medical sharps Prescriptive if you do this work & use these devices, you must change to SEMD s 5

8 Who else? Other jurisdictions require SENs US, ON, MB, SK, NS, etc. Only BC includes all SEMDs BC includes physicians & dentistry BC s SEMDs requirements do not include veterinarians Guidelines G6.36(1.1)-1 G6.36(1.3) G6.36(1.4) & (1.5) Safety engineered needles Not clinically appropriate Highest level of protection Biohazardous Materials Exposure Prevention Strategies Engineering controls Work practice controls Administrative controls 6

9 Biohazardous Materials Exposure Prevention Strategies - Engineering Controls Isolate or remove the hazard Examples: Sharps container Medical devices with injury protection features (e.g., self-sheathing sheathing needles) Occupational Health And Safety In Exposure Prevention Strategies - Work Practice Controls Change the manner of performing tasks Examples include: Using instruments instead of fingers to retract or palpate tissue Occupational Health And Safety In Exposure Prevention Strategies - Administrative Controls Policies, procedures, and enforcement measures 7

10 Occupational Health And Safety In Exposure Prevention Strategies The best selection for an exposure prevention strategy is dependant on the problem being addressed e.g. An exposure prevention strategy for TB might be administrative (pre-screening and referral) or the use of personal protective equipment. Which control is better? Occupational Health And Safety In Exposure Prevention Strategies Standard Precautions Apply to all patients Integrate and expand Universal Precautions to include organisms spread by blood and also Body fluids, secretions, and excretions except sweat, whether or not they contain blood Non-intact (broken) skin Mucous membranes Occupational Health And Safety In Exposure Prevention Strategies Standard Precautions Elements of Standard Precautions Handwashing Use of gloves, masks, eye protection, and gowns Patient care equipment Environmental surfaces Injury prevention 8

11 Occupational Health And Safety In Exposure Prevention Strategies Hand Hygiene Why Is Hand Hygiene Important? Hands are the most common mode of pathogen transmission Reduce spread of antimicrobial resistance Prevent health care-associated associated infections Occupational Health And Safety In Exposure Prevention Strategies - Personal Protective Equipment last line of defense, only if other controls are not practicable Occupational Health And Safety In Exposure Prevention Strategies - Personal Gloves Protective Equipment Wear gloves when contact with blood, saliva, and mucous membranes is possible Remove gloves after patient care Wear a new pair of gloves for each patient 9

12 Occupational Health And Safety In Exposure Prevention Strategies Latex Hypersensitivity and Contact Dermatitis Type I hypersensitivity to natural rubber latex proteins Reactions may include nose, eye, and skin reactions More serious reactions may include respiratory distress rarely rarely shock or death Sterilization and Disinfection Automated Cleaning Ultrasonic cleaner Instrument washer Washer-disinfector Sterilization and Disinfection Automated Cleaning Autoclaves Steam Dry heat Sterilizers Gluteraldehyde Cidex (OPA) Ethylene oxide 10

13 Occupational Health And Safety In Dentistry - Sterilization and Disinfection (cont d) Automated Cleaning Automated cleaners increase the efficiency of the cleaning process and reduce the handling of sharp instruments Hazards exist from exposure to chemical steriiants. Occupational Health And Safety In Dentistry - Sterilization and Disinfection (cont d) Manual Cleaning Soak until ready to clean Wear heavy-duty utility gloves, mask, eyewear, and protective clothing Ergonomics Legal Requirements Ergonomic Risk Assessment Look for Risk factors - awkward postures, excessive forces, repetition, etc Prioritize risks Develop ways to eliminate or reduce risks Policies Procedures Equipment - ergonomic design, mechanical assistance 11

14 Occupational Health And Safety In Dentistry Ergonomics Consequences of Poor Design Discomfort Chronic Pain Accidents Injuries Fatigue Increased Errors Work-Related Musculoskeletal Disorders (WMSDs) Low back pain Epicondylitis Carpal tunnel syndrome Tendonitis Bursitis Violence and Aggression 4.27 of the OHSR defines violence as.. "violence" means the attempted or actual exercise by a person, other than a worker, of any physical force so as to cause injury to a worker, and includes any threatening statement or behaviour which gives a worker reasonable cause to believe that he or she is at risk of injury. Requirements from the OHSR Assessment-4.28 Policy and Procedures Training-4.30 Follow-up with a GP

15 Radiation Exsposure X-rays and Laser are found in s. 7 of the OHSR. Section.7.20 of the OHSR is a specific requirement for an ECP for those who may be at risk of exposure. See CSA and ANSI Standards. Resources WCA and OHSR available online WorkSafeBC publications available online WorkSafeBC Prevention Info Line (604) / WorkSafeBC Industry and Labour Services (ILS) Healthcare Questions 13