UNIVERSITY OF TOLEDO

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UNIVERSITY OF TOLEDO

• Regulatory Requirements for all Faculty and Staff

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Safety and Health Department

• Covers both the Health Science Campus (Including
  Hospital) Main Campus
• Responsible for maintaining programs designed to
  protect your Safety and Health
• Controlling Exposures, preventing injuries and
  illnesses
• Monitoring Compliance with Regulatory Bodies

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Safety and Health Education

• New employee education
• Departmental In-services
• Laboratory Safety Training
• Biological Safety Training
• Maintenance Training
• Emergency Preparedness Drills

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General Safety, Health and Security

• Clery Act
• Joshuas Law
• Americans with Disabilities Act (ADA)
• Public Employees Risk Reduction Program (PERRP)
  OSHA in Ohio
• State of Ohio adopted OSHA rules into Ohio
  Administrative Code

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Chemical-Based Regulations

• EPA--Resource Conservation and Recovery Act
  (RCRA)
• Hazardous Waste Rules
• Proper Handling, Labeling and Disposal
• Your Role
• PERRP (OSHA) Hazard Communication Standard
• Proper Labeling of Chemicals
• Materials Safety Data Sheets (MSDS)
• Safety and Health
• DEA--Controlled Substances (Compliance Office)

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Radiation/Radiologic-Based Regulations

• Ohio Department of Health (ODH)
• Radiation Generating Devices
• Proper Labeling, Controls and Signage
• Your Role
• Radioisotopes
• Proper Labeling, Controls, Handling and Signage
• Proper Disposal
• Radiation Safety Office
• Inspections/Surveys

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Radiation Safety

• Radioactive Materials and radiation generating
  devices are managed by Radiation Safety Office
• Look for radiation symbol and stay clear if not
  responsible for patient, or the Radioactive
  Materials

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Biological Infectious-Based Regulations

• EPA Infectious Waste Tracking Act
• Manifesting, Tracking and Disposal Infectious
  Materials
• Toledo-Lucas County Health Department
• Proxy Agent for EPA in Ohio for Infectious Waste
• Proper Labeling, Disposal and Signage
• Your Role
• Ohio Department of Health (ODH) Radioisotopes
• Proper Labeling, Controls, Handling and Signage
• Proper Disposal
• Safety and Health

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Exposure Control Plans What they are and Why we
have them

• Administrative documents, policies procedures and
  protocols written to guide employees safely
  through their workday
• Compliance-OSHA JCAHO regulations
• Protection from workplace injuries illness
• and overall risk management
• Its the right thing to do

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OSHA Exposure Control Plan

• Standard Precautions
• Personal Protective Equipment (PPE)
• Glovessterile/non-sterile
• Face Shields
• Maskssurgical/N95
• Gownsfluid-proof
• Lab coats--scrubs

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Exposure Control Plan

• Based on CDC Guidelines
• Isolation Procedures
• Airborne
• Contact
• Droplet
• To be used in addition to Standard Precautions

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Blood/Fluid Exposures

• Sharps injuries
• Needles, scalpel, glass
• Splashes
• Eyes, mouth, nose
• Non-intact Skin
• Cuts, skin conditions, hang nail

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Exposure Reporting

• Normal Business Hours
• University Health X5394
• After Hours
• Administrative Coordinator (Operator)
• Importance of Prompt Reporting

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Handwashing Procedures

• Ways to accomplish hand hygiene
• Traditional Handwash
• Surgical Scrub
• Waterless Alcohol-based Products
• Alcohol-based Towelettes (not the best)

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Other Regulations, Standards, and Guidelines

• National Fire Protection Administration (NFPA)
• Life Safety and Fire Prevention
• Fire Egress Routes
• Sprinklers and Smoke Detectors
• Fire Extinguishers
• Department of Transportation (DOT)
• Shipping of Chemicals, Biologicals etc.
• National Institutes of Health (NIH)
• Recombinant DNA
• Grant Requirements

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Proper Waste Disposal

• Solid Waste
• Infectious Waste Including Sharps
• Chemotherapeutic Waste
• Radioactive Waste
• Chemical Waste

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Waste Disposal and Recycling

• Hazardous Drugs
• Controlled Substances
• Clean Broken Glass
• Recyclables
• Paper
• Cardboard
• Batteries
• Computers
• Aluminum
• Bulbs

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Waste Disposal Procedures

• Five Major Waste Categories at UT
• Wastes Are Separated Due to Their Unique Hazards.
• Clean Broken Glass (No Needles or contaminated
  glass)
• Only rechargeable batteries must be collected and
  given to Safety and Health (Alkaline Go to Trash)
  
• Recyclables (Paper, Cardboard, Aluminum Cans)

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Important Considerations

• Dont Mix the Waste Streams and Remember the
  Colored Bags Are a Form of Labeling.
• Intermingling of Streams Causes the New Stream to
  Take on the Highest Hazard Class(I.E. Mixed Solid
  and Infectious Is Now All Infectious)

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Important Considerations

• Always Wash Hands After Handling Wastes and Dont
  Eat Drink or Smoke Around Wastes.
• REMEMBER Others on Campus Will Be Handling This
  Materials Based on How You Classify Them

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Emergency Procedures for Hazardous Materials

• Did something spill - Is it a hazardous material?
  Will it affect the environment? (Policy
  HM-08-013)
• Call and Report Any Chemical Spills to Campus
  Police at X77 So That Trained Personnel May Be
  Involved.
• Areas where hazardous materials are stored
• Institutional contingency plan
• Spill supplies

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UT Emergency Codes
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CODE ADAM

• Missing Child Reported in Campus Building
• Called in conjunction with Campus Police over
  emergency channel on radios
• Assistance from Environmental Services and
  Maintenance

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CODE BLACK

• Bomb threat has been made by phone or other means
• Keep individual on the line as long as possible
• Use bomb threat checklist

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CODE BLUE

• Medical Emergency
• Dial X77
• Code team will respond
• Will call 911 in certain buildings on campus

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CODE GRAY

• Severe Weather/ Tornado
• Phase 0 Conditions are favorable to severe
  weather (Watch condition)
• Phase 1 Tornado Warning within 25 miles of UT
• Phase 2 Tornado Warning within 10 miles of UT

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CODE GREEN

• Evacuation of Campus Building
• May be called in association with another code
  (i.e. red or gray)
• Evacuation can be
• Lateral
• Vertical
• Complete

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CODE ORANGE

• Chemical, Biological or Radiological
  Contamination Incident
• Internal or External Incident
• Spill Situation
• Weapons of Mass Destruction (WMD)

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CODE RED

• Fire Reported in Campus Building
• Activated by
• Dialing X77
• Pulling Pull Station
• Smoke and Heat Detector Response
• Smoking on Campus
• Only in designated areas
• Definitely not outside of doors where patients
  enter the institution
• Effective January 1, 2008 No Smoking on HSC
  this includes on grounds/lawn, in parking lots or
  in your personal vehicles???

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R.A.C.E. in Response to a Fire Situation

• R escue anyone in immediate danger
• A larm Sound the alarm that there is a
  fire, pull station or X77
• C onfine the fire by closing doors and
  windows
• E xtinguish with an extinguisher P.A.S.S. or,
• E vacuate the area either Horizontally,
  Vertical or Total

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P.A.S.S. to use a Fire Extinguisher

• P ull the pin on the extinguisher
• A im at the base of the fire
• S queeze the handle to expel the
  extinguishing media
• S weep from side to side working from the
  front of the fire to the back

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CODE WHITE

• Snow or Transportation Emergency
• Level 3 Snow Emergency called in Lucas County
• 4 X 4 Vehicles driven by UT Campus Police pick up
  key employees

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CODE BROWN

• Missing Adult Patient
• Most likely from Geri-psych (6A)
• Much like a Code Adam
• Patient is found by Campus Police, Environmental
  Services and Facilities Maintenance

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CODE YELLOW

• Disaster Procedure Internal or External in Nature
• Phase 0 Potential for multiple victims to
  arrive at UT
• Phase 1 5 to 15 Patients Expected
• Phase 2 Greater then 15 patients have arrived
  at UT

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CODE YELLOW DISASTER

• Hospital Incident Command System (HICS)
• Disaster management system based on a position
  assignment
• Individual staff members may be reassigned to
  work in roles outside of their normal job
• The incident commander is in charge
• The operation of the hospital will change based
  on the needs of the disaster response

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WELCOME

• THANK YOU FOR YOUR ATTENTION
• ANY QUESTIONS/CONCERNS