6.18 AVMA Webinar48qbc13dv397vzass1iql2a1-wpengine.netdna-ssl.com/... · 18.06.2020 2 The AVMA Trusts avmalife.org and avmaplit.com Cynthia G. MacKenzie, DVM [email protected]

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Employee Health & Safety in Veterinary Practice

Scott Simpson

Risk Consultant

The green “resource” icon contains downloadable presentation slides, instructions on how to download your CE certificate, a link to take our survey, and links to further information about Pet Poison Helpline.

The yellow “certification” icon is where you will be able to download your CE certificate after you have attended the live presentation for 45 minutes.

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What is Pet Poison Helpline?

Email us for more information:[email protected]

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The AVMA Trusts

avmalife.org and avmaplit.com

Cynthia G. MacKenzie, [email protected]

859.806.3757

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Employee Health & Safety in Veterinary Practice

Scott Simpson

Risk Consultant

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SCOTT SIMPSON

RISK CONSULTANT

EMPLOYEE HEALTH & SAFETY IN VETERINARY PRACTICE

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Keeping your Practice Safe

Worker’s Compensation Considerations

Students & Volunteers

Risk Management Program

Top 5 Veterinary Regulations

RecordkeepingPersonal Protective Equipment

HousekeepingEmergency Action Plan

Hazard Communication

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Why is Safety Important?

Because less injuries will result in…

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Insurance transfers financial loss to a 3rd party

Designed to protect the employer against liability

Workers Compensation

Reimbursement of medical expenses

Covers time away from work

Short Term / Long Term disability insurance

Rehabilitation and retraining

Worker’s Compensation

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Students and Volunteers

Students & volunteers injured at your practice are covered under the AVMA Trust workers’ compensation.

Monopolistic & Exempt states excluded

Secure Volunteer Accident Coverage

General Liability sublimit may apply

Consider hiring at min wage for WC coverage

CoveredExempt Sates

Monopolistic States

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Students and Volunteers

Additionally Recommend:

Written agreements for expectations

Safety Training/Orientation

Supervision, mentoring and feedback processes

Proof of medical insurance

No cost veterinary student coverages available through AVMA Trust as a SAVMA member benefit:

No cost Veterinary Student Professional Liability

avmalife.org/students

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70.5%

8.3%

7.5%

5.8%

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10%

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Other (4)

Caught In /Under / Btwn

Contact / ExposeToxic Absorp

Slip / Trip / Fall

Struck By /Against

Strain / Sprain

Contact / Animal

AVMA PLIT Claim Count Distribution

Injuries directly from animals

Bites / kicks / stepped on

Strains, lifting injuries

Struck by / against

Slips, trips and falls

Wet floors, stairs, ice, clutter

Cuts from scalpel blades

Punctures from needles

Rabies exposure

Veterinarian Worker’s Comp Claims

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Other (4)



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Struck By /Against

Strain / Sprain

Contact / Animal

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60%

70%

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90%

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Other (4)



Slip / Trip / Fall

Struck By /Against

Strain / Sprain

Contact / Animal

Claim Count Distribution Incurred Cost Distribution

Worker’s Comp Claims – Count vs. Cost

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Safety meetings give opportunities to discuss and resolve safety issues

The challenge lies in keeping the meetings productive and interesting

Keep format consistent and the content meaningful

Communication is vital to a safe and productive veterinary facility

If you’re not conducting safety meetings regularly, it is never too late to start

Safety Meetings

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Step #3: Decision Making

How will committee decisions be made?

How will conflicts be resolved?

Step #4: Communication

How will you communicate with members?

Keep membership involved in the process?

Establishing a Committee

Step #1: Roles and responsibilities

Chair person

Vice chair

Committee members

Step #2: Committee Plan

How often will the committee meet?

How will the agenda be established?

Who should take minutes?

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Hold meetings at least once per month at a regular time

Employees should know that meetings are mandatory

Hold employees accountable by discussing attendance at review time

The employee’s regard for safety is as important as the regard for customer satisfaction, patient outcomes, etc.

Safety impacts the profitability and success of the practice

Scheduling and Attendance

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Assure safe working conditions for Americans by:

Setting and enforcing standards

Providing training, outreach, and education

Establishing partnerships

Encouraging continual improvement

Occupational Safety and Health Administration

OSHA Inspections

Enforce standards

No advanced notice

Denying access generates bad will

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General Industry Standards (29 CFR 1910)

Reduce employees’ exposure to hazardous conditions

General Duty Clause

No specific standard in place

Employers must create workplace “Free from recognized hazards”

Can be used by OSHA for citations and fines

Standards and a Clause

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Yes

No

Do you currently post your OSHA 300A Summary each year?

1. Recordkeeping

29 CFR 1904 – Recordkeeping

1904.7 – General recording criteria

1904.32 – Annual summary

All industries are required to record workplace injuries & illnesses. This requires employers to record new cases of work related injuries if they result in death, days away from work, restricted work or transfer to another job, medical treatment beyond first‐aid, or loss of consciousness:

Record injuries/illnesses on OSHA 300 log throughout the year

Create a summary of injuries/illnesses on an OSHA 300A log at the EOY

Post summary where all employees can see it from Feb 1 to Apr 30 every year

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The “Personal Protective Equipment” standard outlines the need for employers to conduct hazard assessments to determine if any personal protective equipment (PPE) needs to be provided to employees:

PPE shall be provided by the employer and maintained in a sanitary and reliable condition

In addition to determining if PPE is necessary, employers need to provide adequate fitting PPE to employees and train them on the appropriate use, care, and maintenance.

2. Personal Protective Equipment

29 CFR Subpart I ‐ Personal Protective Equipment

1910.132 – General requirements

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Personal Protective Equipment is a variety of equipment designed to protect you while performing your job

Personal Protective Equipment

PPE typically include protection for the following:

Hand protection – exam / protective gloves, arm guards

Eye and face protection – safety glasses, face shields

Head protection – helmets

Ear protection – ear plugs

Foot protection – safety shoes

Radiation protection

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Hand Hazards

Exposure to hand hazards include:

Animal hazards: Scratches and bites

Environmental hazards: Heat, cold, material handling

Chemical hazards: Hand absorption of chemical and biological agents

Mechanical hazards: Cuts, punctures, abrasions

Hand Protection

Hand Protection

Hand protection guidelines:

Use gloves, arm guards, sleeves

Exam gloves worn while performing examinations and handling patients with infectious diseases

Disposable gloves should be used once and thrown away

Never use the same gloves on multiple patients

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Foot Hazards

Exposure to foot hazards include:

Cuts / punctures

Stepped on

Burns

Sprains / strain

Compression (large animal)

Slips / Falls

Chemical exposure

Foot Protection

Foot Protection

Foot protection guidelines:

Slip‐resistant shoes required inside

Rubber soled boots preferred where the ground is wet, muddy, or uneven.

Leather‐soled shoes / boots may not be appropriate for slippery surfaces.

Consider steel‐toed boots/safety shoes when working with heavy animals

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Radiation Hazards

Radiation guidelines include:

Before performing any radiographic duties, you must be given a demonstration of the PPE available

Be aware of the hazards associated with exposure to radiation and the methods to minimize exposure

Radiation Protection

Radiation Protection

Radiation protection guidelines:

Lead‐lined apron

Lead‐lined gloves

Shielding for thyroid protection at the neck

Badge measuring radiation exposure

Store badges away from radiation source

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Remove PPE if contaminated

Remove PPE from the top down

Grasp contaminated gloves on the inside and peel down without touching the outside

Wash thoroughly after removing PPE

Place contaminated PPE in assigned containers

Avoid reusing PPE if grossly contaminated

Proper Use

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Slips, trips, and falls are one of the most common employee injuries at any place of employment in the US, and veterinary practices are no different. The “housekeeping” standard states that:

All places of employment, passageways, storerooms, and service rooms shall be kept clean and orderly and in a sanitary condition

The floor of every workroom shall be maintained in a clean and a dry condition

29 CFR Subpart D – Walking‐Working Surfaces

1910.22 – General Requirements (Housekeeping)

3. Housekeeping

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•Wet surfaces

• Inclement weather

•Uneven surfaces

•Poor design / maintenance

•Poor housekeeping

Conditional Causes:

• Lack of focus / distraction

•Poor planning / risk assessment

•Rushing

• Improper equipment use

• Insufficient footwear

Behavioral Causes:

•Good housekeeping

•Properly maintaining walking / working surfaces

•Proper footwear

•Proper equipment

•Appropriate pace of work (not rushing)

Prevention Guidelines:

Causes and Prevention

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Housekeeping Action Needed Date Corrected

All passageways clear & free of tripping hazards?

Floors clear of slipping hazards?

Walking and working surfaces in good condition?

Work areas free of trash?

Stairs clear and in good condition?

Ladders in good condition?

Suitable containers available for trash & waste?

Emergency Exits Action Needed Date Corrected

Emergency evacuation routes posted?

Emergency light working?

Exits unobstructed?

All exits clearly marked with appropriate lighting?

Fire doors in proper working order and not blocked open?

Employees training in emergency plan?

Facility Checklist

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To protect employees in the event of an emergency (fire, severe weather, workplace violence, etc.), OSHA created the “Means of Egress” standard. These require a procedure in writing for:

1. Reporting a fire or other emergency

2. Emergency evacuation process

3. Accounting for employees after evacuation

4. Training for employees performing medical duties

5. Process for contacting employees

29 CFR Subpart E – Means of Egress

1910.38 ‐ Emergency Action Plans

4. Emergency Action Plan

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EAP #3: Accounting for Employees Post‐evacuation

As soon as employees follow evacuation procedures, a manager should account for everyone.

Larger practices should perform a roll call to ensure that all employees have escaped and are safe.

EAP #2: Evacuating the Workforce

Evacuation procedures specific to emergencies your practice may face:

A fire necessitates that employees know where the closest exit door is and where

to meet outside the practice.

A tornado requires employees to know where to shelter inside the practice and

when it is safe to go outside.

EAP #1: Reporting an Emergency

How will you notify emergency response for an emergency? (alarm system to local response, designated person to call 911.

Determine how the practice will report an emergency to others working in the practice. (public address announcement, alarm

system, verbal communication).

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Review with staff when:

The plan is created New employees are hiredChanges to the plan or building are made

As an annual refresher

EAP #5: Contacting Employees

Include employee contact list with name, job title, phone number, and emergency

contact info

Identify the best emergency communication methods and notification

protocol (text, cell phone, email)

Ensure employees do not come to work if there is a dangerous situation

EAP #4: Training Employees in First‐Aid

Include procedures for handling first‐aid in an emergency for certified employees:

Minor wounds and small burns can be treated by first‐aid kits.

Major injuries or serious burns need to be treated by trained medical personnel.

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The Hazard Communication regulation requires employers develop, implement, and maintain a hazard communication program to protect their employees from the exposure to hazardous substances. Employers must train their employees on:

Reading and interpret labels on substance containers

Locating and understanding Safety Data Sheets

What to do if they are exposed to a hazardous substance

5. Hazard Communication

29 CFR Subpart Z – Toxic and Hazardous Substances

1910.1200 – Hazard Communication

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Your Right to Know

What chemicals are present in the workplace

The effect chemicals have on your health

How to protect yourself while using the chemicals

Rights and Requirements

Program Requirements

Company specific written program

Chemical inventory and list

Container labeling and hazard warnings

Safety Data Sheets (SDS)

Employee training

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Under GHS, container labels must include:

Product Identifier

Signal Word

“Danger”, “Warning”

Hazard Statements

“Toxic if swallowed”

Pictograms

Supplier Information

Supplemental Info

Container Labeling

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Safety Data Sheets (SDS):

Contains specific information about a chemical used in the workplace

Workplaces that use or store chemicals

SDS must be accessible to the employees

Available for ALL chemicals on site

Safety Data Sheets

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Questions?

Scott Simpson | Risk Consultant, Risk Services DivisionHUB International Midwest Limited | 55 East Jackson Boulevard | Chicago, IL 60604Phone 312‐279‐[email protected]

HUB International Coronavirus Resource Center

https://www.hubinternational.com/products/risk‐services/hub‐crisis‐resources/coronavirus‐resource‐center/

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Sign up for…

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Blackwell’s Five‐Minute Veterinary Consult Clinical Companion:

Small Animal Toxicology 2nd Edition

• Provides concise, bulleted information focused on the most important facts needed when treating a poisoned cat or dog

• Carefully organized for ease of use in an emergency, with important toxicants arranged alphabetically within categories

• Details clinically relevant information on the most common toxicants encountered by small animals

• Presents a wealth of color photographs to aid in plant identification

• Includes 14 new topics to this edition covering cyclosporine A, sleep aids, tacrolimus, bath salts, synthetic marijuana, poisonous lizards, imidacloprid, spring bulbs, and sodium monofluoroacetate

Drs. Lynn Hovda, Ahna Brutlag, Robert Poppenga, Katherine Peterson

www.wiley.com/go/vet

Paperback | May 2016 | 960 pages | 978‐1‐119‐03654‐8 | $109.99 ∙ CAN $120.99

FT RVT/CVT/LVT: Mid and Evenings shifts available!

FT Non-Certified Technicians/Assistants: Evening shifts available!

Also hiring RELIEF Technicians to work 16-40 hours/week-flexible scheduling options available!

Learn all the details of our positions and qualifications by visiting our careers page:https://www.petpoisonhelpline.com/careers/or by emailing [email protected].

PPH is Hiring!

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• June 23rd

• Safety of CBD and THC in Dogs: What Does the Data Say?

• October 6th

• Worst of the Worst: Evaluating the Most Dangerous Toxins for Pets

• November 10th

• Hot Topic TBD

2020 Webinars Announced

Thank you for attending!CE credit FAQs

1. When will I get my CE certificate?Now! You can download it directly from the On24 platform. Please refer to the green “resource” widget at the bottom of your screen for detailed instructions.

2. I attended the webinar but wasn’t the person who logged in. Can I still get interactive CE credit? Yes. Send your name and email address to [email protected] by1pm central time on June 19th, 2020 (strict deadline).

3. Can I watch the recorded webinar online for CE credit? Yes. You can receive non‐interactive CE credit. Go to the “For Vets” page on our website, www.petpoisonhelpline.com for more info.

Comments? Questions? Email us! [email protected]

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Documents

6.18 AVMA Webinar48qbc13dv397vzass1iql2a1-wpengine.netdna-ssl.com/... · 18.06.2020 2 The AVMA Trusts avmalife.org and avmaplit.com Cynthia G. MacKenzie, DVM [email protected]