Learning Objectives. 1. Our Staff/Location/Roles

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2 1. Our Staff/Location/Roles Learning Objectives 2. Occupational Health & Safety Duties and Rights Know your Hazards and rights 3. OHS Concerns and Incidents Incidence reporting (WSIB) Workplace accommodations 4. Pre-Employment Work Requirements 5. Participate to mitigate specific healthcare risks BBP Back Care WHMIS Slips Trips and Falls 6. Employee Assistance program

3 Occupational Health & Safety (OHS) Staff Members OHS Administration 1. OHS Manager 2. Occupational Health Medical Director 3. Employee & Abilities Assistant Health & Abilities Benefits 1. Employee Health & Abilities Consultant STD/LTD 2. Employee Health and Abilities Consultant STD/LTD 3. Employee Health & Abilities Consultant - WSIB 4. Attendance Management Safety & Wellness 1. Safety and Wellness Coordinator 2. OHS Specialist Occupational Health Requirements & Injury Support 1. Occupational Health Nurse 2. Occupational Health Nurse

4 Our Department Wilson Located on the 4 th Floor Ext Main Number Finch Main floor First Aid and Fit Testing Room Ext. TBD

5 Everyone has a role in Safety HRH is committed and promotes a healthy & safe workplace for employees, volunteers, students, physicians, and contractors. HRH will comply with the Occupational Health Safety Act, Legislation HRH will have a Occupational Health & Safety Policy Every job has opportunities to grow. You re learning new skills and meeting new people. But every job has hazards, no matter how safe it looks. The number of people in Ontario who suffer a work-related illness or injury each year would fill the seats of a dozen big hockey arenas. That s because they often aren t told about or don t understand the hazards of the job. Studies show that new and young Workers/Students in Ontario are four times more likely to get hurt during their first month on the job than at any other time.

6 Policy vs. Legislation Occupational Health & Safety Policy Internal Responsibility System (IRS): Assumes that the responsibility for creating and maintaining a safe and healthy workplace applies to all Workers/Students within all levels of the organization. Precautionary Principle: Indicates that action to reduce risk need not be postponed in order to await scientific certainty. Occupational Health & Safety Act OHSA OHSA is a set of laws that spells out the duties of employers, supervisors and the rights and duties of Workers/Students; the hazards of the job. The whole point of the OHSA and Regulations is to keep Workers/Students from getting hurt or sick on the job. The OHSA gives everyone in the workplace duties. These duties are connected to the level of authority each person has in the workplace.

7 Duties of the Employer (HRH) 1. Have knowledge of any potential or actual danger to health or safety in the workplace. 2. Make sure Workers/Students and supervisors know about hazards in the work they do and provide them with information, instruction and supervision to protect their health and safety. 3. Take steps to eliminate hazards in the workplace, and where elimination is not possible, to control 4. Make sure Workers/Students use and wear protective equipment, material and devices where required by the regulations. 5. Do everything reasonable in the circumstances to protect Workers/Students from being hurt or getting a work-related illness. Duties of your Supervisor 1. Tell Workers/Students about hazards and dangers in the workplace and show them how to work safely. 2. Make sure Workers/Students follow the law and the workplace health and safety policies and procedures. 3. Make sure Workers/Students wear and use the right protective equipment. 4. Do everything reasonable to keep Workers/Students from getting hurt or sick on the job Duties of Workers/Students 1. Workers/Students have to follow the law and workplace health and safety policies and procedures. 2. Workers/Students have to use and wear the protective equipment required by the employer. 3. Workers/Students have to act in a way that won t hurt themselves or anyone else. 4. If Workers/Students see anything that s unsafe or that goes against the Act, they have to tell the employer about it, so that you can take the necessary steps with your employer to solve the problem.

8 Worker s or Student s Three Rights by Legislation 1. Right to know 2. Right to Participate 3. Right to Refuse 1. You have the right under the OHSA to be told about the hazards in the work you do and to be instructed on how to do your work safely. If someone asks you to do work that you don t know enough about, your employer and supervisor are responsible for making sure you know how to do the work safely. That s why you have the right to speak up and ask questions even if you are shy or unsure. 2. You have the right to participate in your safety through the Joint Health & Safety Committee and by identifying hazards It s against the law for your employer or your supervisor to punish you in any way for doing what the OHSA says or for asking your employer or supervisor to do what the OHSA expects them to do. This is called a reprisal 3. You also have a right to refuse to do unsafe work if you have reason to believe it puts you or a fellow worker in danger.

9 Worker s or Student s Three Rights: Right to know. It s your supervisors' job to tell you about any health or safety hazards and to show them how to work safely. For example, the law says Workers/Students have to receive information and training on the chemicals or hazardous materials that are used, handled or stored at work. This information is available either on warning labels or information sheets. Sometimes you may also have to give the worker written instructions on how to do the work. The employer supports the Workers/Students right to know by making sure they get: 1. Information about the hazards in the work they are doing. 2. Training to do the work in a healthy and safe way. 3. Competent supervision to stay healthy and safe. That means the employer has made sure that you know how to do your job.

10 Worker s or Student s Three Rights: Right to know A job specific hazard is anything in the workplace that could hurt you or the people you work with. Here are some typical job specific hazards at HRH: 1. Repeating the same movements over and over, especially if you are in an awkward position or you use a lot of force. Think of someone who bends down all day, or someone who lifts heavy things over and over again, especially above the shoulders or below the knees. 2. Slipping, tripping or falling. Think of something as simple as spilled coffee on the floor, a cluttered work area, or a raised platform with no guardrails. 3. Working near motorized vehicles. Think of being hit by a dump truck that is backing up on a construction site. or someone getting hit by a forklift truck in a warehouse or on a loading dock. 4. Using or working near machinery. Over the years, many Workers/Students have been killed or seriously injured by the equipment they operated. 5. Workplace violence. It can happen in many workplaces such as to a gas station attendant working alone at night, or to a health care worker or a home care worker in those settings.

11 Worker s or Student s Three Rights: Right to know Here is how HRH protects you from workplace hazards. 1. The best way is to get rid of or eliminate the hazard completely. A good example is replacing a toxic cleaning chemical with one that is non-toxic. 2. If the hazard can t be eliminated, your employer can try to reduce the hazard. This can be done by reducing how much of the hazard you are exposed to. An example of this is turning up the ventilation system in a factory, or putting a barrier around a dangerous piece of equipment. These are called engineering controls. 3. Another way to reduce hazards is to reduce how long or how often you come in contact with the hazard. This can be done by arranging the work differently so that you are not exposed as long. These are called administrative or work practice controls. 4. The OHSA says that one of your duties as a worker is always to wear or use the protective equipment that your employer requires. You may think that a N95, gloves or some other protective clothing are uncomfortable or slow you down. But if the OHSA or your employer says you have to wear or use these things to do the work, you have to.

12 Worker s or Student s Three Rights: Right to know Here at HRH your programs (Front Line Workers/Students/Management) have developed Job Specific Hazard Assessments 1. See ihumber for your job title and your risks within your job Click the Link for your Job Specific Hazard Assessment 2. Ask your Clinical Coordinator or Preceptor or unit Manager about the Hazard

13 Worker s Three Rights: Right to Participate You are supported by HRH with the right to participate in health and safety by getting involved. There are various ways to be involved in workplace health and safety such as asking questions, raising concerns and giving positive feedback. Here are four good ways to get involved in keeping your workplace safe 1. You can ask questions when you re not sure about something. 2. You can volunteer to become a worker member of the joint health and safety committee. 3. You can help your joint health and safety committee with health and safety inspections by pointing out possible hazards in your work area. 4. You can take your health and safety training seriously and put what you learn into practice in your job. You can also be a Safety Role Model 1. Most Workers/Students should be able to look to their supervisors as good health and safety role models. But others may also be looking to you as a role model for good health and safety practices. 2. How you work, and the way you think and talk about the work, can affect the safety of the people you work with. 3. The message you want others to get from you is: Prevention starts here.

14 Worker s or Student s Three Rights: Right to Participate One of the most effective ways Workers/Students can participate in health and safety is by becoming a Joint Health & Safety Committee member (JHSC). 1. HRH has more than 50 Workers/Students thus we have JHSC 5 Worker Representatives and 5 Management Representatives (All Certified) 2. What are the activities and roles of the Joint Health & Safety Committee? Inspections Investigation of complaints Makes recommendations Works with the employee, manager & OHS 3. Who does the JHSC advise? Everyone 4. More information about the JHSC Meets once a Month Bulletin board at all hospital sites Consult with your Union Representative or OH&S office

15 Worker s & Student s Three Rights: Right to Refuse The third right of Workers/Students in the OHSA is the right to refuse to do work that they have reason to believe is unsafe for them or another worker. When a worker comes to tell you that he or she is refusing to do particular work because it is likely to endanger him or herself, you must look into the worker s concerns and do everything you can to help the employer address them. You must report the situation to your supervisor or employer, and should also contact your health and safety representative or committee. Most of the time, your supervisor and committee member will be able to solve the problem.

16 Worker s & Student s Three Rights: Right to Refuse Can Hospital Workers/Students Refuse to Work in Unsafe Situations? OHSA: An employee may refuse to work when equipment, machines, devices, or the physical condition of the environment is likely to endanger the employee or another worker unless such is inherent or a normal condition of the work OHSA: However, you cannot refuse to work if your refusal will directly endanger the life, health or safety of another person.

17 Worker s & Student s Three Rights: Right to Refuse Work Refusal Process 1. Speak to your preceptor and clinical coordinator or manager (designate) immediately 2. Manager or Employee must contact a JHSC member or an OH&S consultant to investigate the situation 4. Manager, JHSC Rep, OHS come to agreement/ solution 3. Until the investigation is complete the employee will remain in a safe place in the work station

18 HRH Culture Of Safety Knowledge/Information Help you need How to Report an Incident Protecting Yourself Specific Healthcare Risks

19 Knowledge / Information ihumber Occupational Health and Safety Page

20 Getting the Help You Need Getting Help Inside Your Workplace. 1. Your Preceptor 2. Your Clinical Coordinator 3. Your Floor Manager 4. Occupational Health & Safety Department If you see something unsafe that could hurt someone, you need to report it to your supervisor.

21 Getting Help Outside Your Workplace. Getting the Help You Need Ministry of Labour Develops, communicates and enforces occupational health and safety requirements and employment standards. Develops, coordinates and implements strategies to prevent workplace injuries and illnesses and can set standards for health and safety training Workers/Students Health & Safety Centre An occupational health and safety training centre for Workers/Students, representatives and employers Occupational Health Clinics for Ontario Workers/Students Six medical clinics located across Ontario that provide occupational health services and information Health & Safety Ontario Public Services Health and Safety Association serves health, education and municipal sectors Workplace Safety and Insurance Board Administers Ontario s no-fault workplace insurance for employers and their Workers/Students

22 Knowledge / Information How to Report an Incident Incident range from a near miss/potential harm (where a worker was nearly injured) to severe worker injury such as fracture, or musculoskeletal disorder. 1. In the event of any injury/disease, the student is to notify preceptor immediately. 2. If needed, student is to seek 1 st aid or medical treatment immediately. During normal business hours (Monday to Friday; 0800 to 1600 hours) the student is to be assessed in Occupational Health and Safety 3. Electronic Staff Incident Report (e-sir) is to be completed by the preceptor or manager of unit within 24 hours of incident. e-sir: 4. Occupational Health and Safety will report all student incidents to the appropriate Training Agency and ensure Professional Practice is aware of the incident.

23 Protecting Yourself Health Requirement Declaration For more Information All students are required to submit proof to their school of the following immunities and surveillance as per requirements of the OHS/OMA Guideline These include and must be adhered to: Measles, Rubella, Mumps, Varicella, Hepatitis B. 1. All students are required to submit proof to their school of TB Surveillance 2. All students are required to submit proof to their school of N95 Respirator Fit testing: Students must be fit tested to one of the N95 respirators listed below. 3M , 9105s, 1860, 1860s, 1870, 9210, s Moldex , 2211, 2212 If a student is unable to receive fit testing at the school, a private resource is available. Contact the Professional Practice Excellence Office at HRH for further information. If students have not completed or have questions about the required OHS education/requirements prior to arrival for their placement, they can contact HRH OHS department.

24 Specific Healthcare Risks Prevention: Blood Borne Pathogen Exposures (BBP) or communicable disease Musculoskeletal Disorders (MSD) Slip Trip and Falls Violence Chemicals - WHMIS

25 Preventing Blood Borne Pathogen (BBP) Exposures All hospital Workers/Students are in danger of being exposed to Blood Borne Pathogens (BBP s) o Life-altering illnesses (Communicable Disease) Tetanus, Hepatitis B, Hepatitis C, HIV How are you exposed Splashed in the face Sustaining a needlestick injury Exposing an open sore to Blood or Body Fluids

26 Preventing Blood Borne Pathogen (BBP) Exposures WHAT TO DO WHEN YOU ARE EXPOSED TO BLOOD OR BODY FLUIDS 1. Bleed the wound 2. Wash away the blood/body fluid with soap gently or gently flush with water. 3. Speak with your preceptor or unit manager 4. Fill out an e Staff Incident report. 5. Proceed immediately to the OH&S Department with the Staff Incident Report a) If the OH&S is not open, go to the ER Department. b) Occupational Health or The Emergency Dept. will assess your injury to determine the level of risk & the need for Prophylactic Treatment (PEP). c) PEP for HIV must be started within the first 2 hours post injury. 6. Baseline blood work will be drawn from you & you will be tested again in 3 months, 6 months & 1 year (in some circumstances).

27 Preventing Blood Borne Pathogen (BBP) Exposures BPP Prevention Program 1. Use safety engineered medical devices (60% reduction since 2007) 39 Needles sticks per year 2. Safe handling and disposal of needles/syringes 20% of needlestick injuries happen to non clinical Workers/Students 3. Wear safety goggles to protect your eyes from Splashes Wear your PPE 25 Splash per year Be Careful Out There! It can happen to you

28 Preventing Musculoskeletal Disorders (MSD) KEEP YOUR BACK HEALTHY #1 injury in hospitals 50% of all injuries o Life-altering injury Lumbar Back, Shoulder, Knee Injuries Muscle, Tendon, Ligament, Vertebrae Patient Handling 1. Lifting from a chair 2. Boosting a patient 3. Transferring a patient Material Handling 1. Lifting a box 2. Pushing a cart/stretcher 3. Carrying an object

29 Preventing Musculoskeletal Disorders (MSD) MSD Prevention Program 1. Patient Handling 1. Ceiling Lifts installed 2. Rollbords 3. Sling Process 4. Turn Assist Beds 2. Material Handling 1. Low force push stretchers 2. AGV and Larger Wheels 3. Proper Equipment Storage 3. Wellness/Assessment 1. Ergonomic Assessment and standard Ergo Furniture 2. Wellness Program and Events

30 Difference between Slip and Trip Preventing Slip Trip and Falls Slips happen where there is too little friction or traction between the footwear and the walking surface. i.e. weather hazards, bucket of water is spilt, ice Trips happen when your foot collides (strikes, hits) an object causing you to lose the balance and, eventually fall. i.e. wrinkled carpeting, crack in sidewalk Common causes Slippery, wet, or icy surfaces indoors and outdoors Accumulation of Clutter and Waste / Improper storage Extension cords, phone cords, and cables across walking surfaces Unsecured floor mats Inadequate lighting

31 Preventing Slip Trip and Falls Slip Trip Prevention Program 1. Common Solutions It is everyone job to clean up, tidy up, move items Mark and clean up spills immediately Take time to complete a scan of work area Run cords under beds, under tables and definitely not in walking pathways When entering a building, remove snow/water from footwear Take short steps to maintain your center of balance over your feet and walk at a safe pace Wear low healed shoes Report any hazards to a supervisor immediately 2. HRH Solutions 1. Snow and Ice management Heating Sidewalks Salk Program 2. Housekeeping Ergo Mops less water on floor Wet Floor Signs 3. Indoor Management Anti-Slip Flooring Dress Code 2 Heels, Closed toe and heel

32 Preventing Violence Incidents & Injuries The Occupational Health and Safety Act (OHSA) to protect Workers/Students against workplace violence The legislation not only enhances protection against workplace violence, but also addresses workplace harassment It applies to all Ontario workplaces Four Classifications of Workplace Violence 1. Patient 2. Worker to Worker 3. Personal Relationship 4. Criminal Intent

33 Preventing Violence Incidents & Injuries Workplace Violence: a) The exercise of, or threat of, physical force by a person against a worker in a workplace that causes or could cause physical injury to the worker. b) an attempt to exercise physical force against a worker in a workplace that could cause physical injury to the worker. Domestic Violence: a) Organizations must take reasonable precautions to address suspected domestic violence when there is risk of it spilling over into the workplace. b) All employers must alert all Workers/Students of possible threats of workplace violence and harassment, which includes telling Workers/Students of persons they are likely to encounter who have histories of violent behavior Workplace Harassment: a) Engaging in a course of vexatious comment or conduct against a worker in a workplace that is know or ought reasonably to be know to be unwelcome. b) Bullying is a form of harassment that means to hurt, intimidate, overbear or persecute. c) It is important to understand that a supervisor or manager, who provides direction, counsel, discipline, or performance reviews as part of his or her job, is not considered to be harassing their Workers/Students. *Workplace violence and harassment may occur outside the formal work space at work-related social functions, conferences or training sessions, in parking lots and other areas, and can include verbal, non-verbal, electronic or written communications.

34 Preventing Violence Incidents & Injuries HRH Violence Program Violence Prevention Sub Committee of JHSC Risk Assessment by Program Statistics Reviewed Monthly and Quarterly by Sr. Team and JHSC Flagging of Patients Specific De-escalation Training i.e CPI Staff Awareness Training Leader/Supervisor Awareness Training It is everyone s right to work in an environment free from harassment and violence and it s everyone s responsibility to ensure a safe and respectful work environment.

35 Preventing Chemical Injuries WHMIS 2015 The Workplace Hazardous Materials Information System (WHMIS) is changing to adopt new international standards as part of the Globally Harmonized System for the Classification and Labelling of Chemicals (GHS). WHMIS is designed to address employers and Workers/Students right to know about the hazards and safe work practices related to certain chemicals and infectious biological substances. Materials that are subject to WHMIS legislation are called controlled products, information about controlled products are provided through three key methods: Labels Material Safety Data Sheets (WHMIS 1988) or Safety Data Sheets (WHMIS 2015) Worker education and training programs at HRH all employees complete yearly WHMIS training

36 Format of Safety Data Sheets (SDS s) WHMIS 1988 vs. WHMIS 2015 WHMIS 1988 Material Safety Data New GHS standards WHMIS 2015 Safety Data Sheets (standardized 16 sections) WHMIS 1988 Hazard Symbols: Supplier Label Design and Content Product Classification Hazard Symbols 8 Hazard Symbols New Hazard Pictograms Use of signal words Use of standardized hazard statements Use of Precautionary statements 6 Classes Physical Hazards 19 classes Health Hazards 12 classes 8 Hazards Symbols 9 Hazard Pictograms WHMIS 2015 Hazard Pictograms:

37 Preventing Chemical Injuries - WHMIS How to find SDS: Safety Data Sheets 1. Digital Copies on ihumber for all clinical and support areas SDS were formally known at MSDS Change in WHMIS Specifi Presentation

38 Contact OHS if you have concerns Remember that when it comes to your health and safety, there is no such thing as a silly question. That question could save your life so ask it.