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Healthcare Hazard Control and Safety Management Second Edition

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Acknowledgments
The Author
Introduction to Healthcare Hazard Control
A. Introduction
B. Healthcare Employment Growth
C. Joint Commission on Accreditation of Healthcare Organizations
D. American Osteopathic Association
E. Canadian Council on Health Services Accreditation
F. Commission on Accreditation of Rehabilitation Facilities
G. College of American Pathologists Laboratory Accreditation Program
H. Institute of Medicine
I. American Health Care Association
J. American Hospital Association
K. Association of Occupational Health Professionals
L. Service Employees International Union
M. ECRI
Summary
For Review and Discussion
Healthcare Safety Management
A. Introduction to Safety Management
B. Management Efficiencies and Safety
C. Safety Leadership
D. Human Behaviors
E. Safety Cultures and Systems
F. Information Management
G. Risk Management
H. Quality Improvement
I. Employee Health
J. Worker’s Compensation Program Management
K. Chemical Dependency and Substance Abuse
L. Materials and Purchasing Management
M. Human Resources Management
N. Security Management
Summary
For Review and Discussion
Healthcare Hazard Control and Safety Management
Healthcare Hazard Control
A. Introduction
B. Management Approach to Hazard Control
C. Understanding Hazards
D. Understanding Accidents
E. Hospital and Healthcare Hazard Categories
F. Personal Protective Equipment
G. Respirators
H. Promoting Safety
I. Safety Orientation, Training, and Education
Summary
For Review and Discussion
Safety Regulations, Standards, and Organizations
A. Introduction
B. Federal Administrative Law
C. Occupational Safety and Health Administration
D. Environmental Protection Agency
E. Food and Drug Administration
F. National Institute for Occupational Safety and Health
G. Nuclear Regulatory Commission
H. Department of Transportation
I. Centers for Disease Control and Prevention
J. Agency for Healthcare Research and Quality
K. National Institutes of Health
L. Agency for Toxic Substances and Disease Registry
M. Occupational Safety and Health Review Commission
N. Health Resources Services Administration
O. Centers for Medicare and Medicaid Services
P. Department of Homeland Security
Q. Federal Emergency Management Agency
R. Americans with Disabilities Act
S. Clinical Laboratory Improvement Amendments
T. Voluntary Organizations
U. Trade and Professional Organizations
V. Other Safety-Related Professional Organizations
W. State, County, and Municipal Health Agencies
Summary
For Review and Discussion
Emergency Management and Fire Safety
A. Introduction
B. Defining Emergencies
C. Emergency Management and Planning
D. Hazard Vulnerability Analysis
E. Drills and Training
F. Plan Evaluation and Revision
G. Evacuation Planning
H. Community Involvement
I. Hazardous Material Emergencies
J. Weather and Natural Disasters
K. Other Emergency Situations
Table of Contents
L. Terrorism and Weapons of Mass Destruction
M. Decontamination Activities (Weapons of Mass Destruction)
N. Introduction to Fire Safety Management
O. Life Safety Code
P. Healthcare Facility Fire Safety Management
Q. Fire Prevention Activities
R. Interim Life Safety
S. Fire Confinement
T. Egress
U. Portable Fire Extinguishers
V. NFPA 99 (Healthcare Facilities)
W. Electrical Equipment Installations
X. Flammable/Combustible Materials
Y. Surgical Fires
Summary
For Review and Discussion
General and Physical Plant Safety
A. Introduction
B. Office Safety
C. Ergonomics
D. Slip, Trip, and Fall Prevention
E. Plant Operations Safety
F. Tool Safety
G. Machinery Safety and Guarding
H. Compressed Air
I. Safety Signs and Color Schemes
J. Welding Safety
K. Electrical Safety
L. Painting Operations
M. Lockout/Tagout (29 CFR 1910.147)
N. Permit-Required Confined Spaces (29 CFR 1910.146)
O. OSHA Noise Standard (29 CFR 1910.95)
P. Utilities Management
Q. Plumbing Operations and Safety
R. Boiler and Heating Systems
S. Refrigeration and Air-Conditioning Maintenance
T. Ventilation
U. Indoor Air Quality
V. Mold in the Workplace
W. Vehicle and Forklift Safety
X. OSHA Helicopter Standards (29 CFR 1910.183)
Y. Landscape/Grounds Maintenance
Z. Construction Safety (29 CFR 1926)
Summary
For Review and Discussion
Managing Hazardous Materials
A. Introduction
B. Hazardous Materials Exposure Risks
C. Emergency Shower and Eyewash Stations
(OSHA Requirements 29 CFR 1910.151)
Healthcare Hazard Control and Safety Management
D. Hazardous Materials Storage
E. OSHA Hazard Communication
F. Compressed Gas Safety
G. Department of Transportation Hazardous Material Regulations
H. Healthcare Hazardous Materials
I. Other Hazardous Materials and Pesticides
J. Hazardous Drug Safety
K. Anesthetic and Other Gases
L. Waste Management
M. Responding to Hazardous Materials Spills and Releases
Summary
For Review and Discussion
Biological Hazard Control
A. Introduction
B. Infection Control Requirements
C. Centers for Disease Control and Prevention
D. CDC Standard Precautions
E. Bacteria and Viruses
F. Healthcare Worker Immunizations
G. Methicillin-Resistant
Staphylococcus aureus
H. Disinfectants, Sterilants, and Antiseptics
I. Hepatitis and HIV
J. OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030)
K. Tuberculosis
L. Biosafety Levels
M. Healthcare Opportunistic Infections
N. Biological Waste Management
O. DOT Infectious Substances Shipping Requirements
P. Special Infection Control Topics
Summary
For Review and Discussion
Safety in Patient and Clinical Areas
A. Introduction
B. Safety Cultures
C. Patient Safety
D. Bed Safety
E. Fall Prevention
F. Use of Restraints
G. Healthcare Workplace Violence
H. Long-Term-Care Combative Resident Behavior
I. Medication Safety
J. Infant Abduction Prevention
K. Nursing and Clinical Departmental Safety
L. Surgical and Operating Room Safety
M. Lasers
N. Patient and Resident Moving and Lifting
Summary
For Review and Discussion
Table of Contents
Support Department Safety
A. Introduction
B. Environmental services
C. Laundry Safety
D. Food Service Department Safety
E. Facility Security Management
F. Radiology and Nuclear Medicine
G. Nonionizing Radiation
H. Laboratory Safety
I. Central Sterile Supply
J. Pharmacy Safety
K. Medical Equipment Management
L. OSHA HAZWOPER Training for Support Personnel
M. Support Department Ergonomics
Summary
For Review and Discussion
Glossary
Appendices
Appendix A. Acronyms
Appendix B1. Accident Investigation Report
Appendix B2. Near-Hit Report
Appendix C1. Key OSHA Bloodborne Pathogens Compliance Issues
Appendix C2. Sample OSHA Bloodborne Pathogens
Standard Exposure Control Plan
Appendix C3. OSHA Bloodborne Pathogens Training Requirements
and Sample Education Plan
Appendix C4. Barrier Precautions for Exposure to Blood or Body Fluids
Appendix D. OSHA Standards for Selected Areas or Departments
Appendix E. OSHA Hospital Health Hazards
Appendix F. OSHA Multi-Employer Citation Policy
Appendix G1. Germicide Effectiveness
Appendix G2. Leadership Tips for Healthcare Environmental Services
Professionals
Appendix H. OSHA HAZWOPER (29 CFR 1910.120) Training Requirements
Appendix I. Model Laboratory Chemical Hygiene Plan
Appendix J1. Hazardous Materials Training Plan
Appendix J2. Model Hazard Communication Program
Appendix K. Overview of NFPA 1600, Managing Emergencies
Appendix L. Worker Safety Perception Survey
Appendix M. Safety Evaluation Profile (SEP)
Appendix N. OSHA General Industry Training Requirements for Healthcare
Appendix O. Key OSHA Compliance Issues for Dental/Medical Offices
Appendix P. Healthcare Resources for Emergency Management
Appendix Q. Back Injury Prevention Workplace Evaluation Tools
Appendix R. Patient and Resident Moving Guidelines
Appendix S. Partial List of NFPA Standards Relevant To Healthcare
Appendix T. Overview of DOT-Regulated Medical Waste Standards
Appendix U. CDC Hand Hygiene Recommendations Chart
Healthcare Hazard Control and Safety Management
Appendix V. Sample Permit-Required Confined Space Program Elements
Appendix W. Patient Safety Plan Development Considerations
Appendix X. Sample Construction Infection Control Program Elements
Appendix Y. OSHA Recording of Work-Related Injuries and Illnesses
Appendix Z. Key OSHA Compliance Standards for Funeral Homes
Safety Checklists
Agency Listings
Alphabetical Listing
Website Quick Reference
Selected Disaster Resource Information
Bibliography
Index

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HEALTHCARE HAZARD CONTROL AND SAFETY MANAGEMENT SECOND EDITION
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