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Page 1: The Seven Safety Virtues

THE SEVEN SAFETY VIRTUESJR & Associates, LLC

Page 2: The Seven Safety Virtues

DOES YOUR CENTER SAFETY PROGRAM PRACTICE THE SEVEN

SAFETY VIRTUES?• Are your employees working safely? If so, do you

know why your employees are working safely?

If it’s because you’re watching them, they might revert to sloppy habits when you’re not looking. If they’re working safely because they’re being browbeaten into it, they’re probably not going to keep it up for very long. But if they’re working safely because you’ve created a strong safety culture, your work place safety program has legs.

Page 3: The Seven Safety Virtues

EMPLOYEES IN A STRONG SAFETY CULTURE WORK SAFELY BECAUSE OF THESE 7 SAFETY

VIRTUES1. Employees know what they are supposed to do.2. Employees know how to do what they are supposed

to do.3. Employees know safety is important and affects

them directly.4. Employees are about safety.5. Employees know that their center cares about safety.6. Employees never forget about safety.7. Employees know shortcuts aren’t worth the risk.

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1) EMPLOYEES KNOW WHAT THEY ARE SUPPOSED TO DO

They have been over the center safety rules many times and in several formats. A manager or supervisor has talked to them and made sure they understand. They have passed quizzes on the policies and rules and know whom to ask if they have questions.

How often?Weekly, Monthly, Quarterly and Annual In-services

When?Monthly General Staff meetings, Bi-Weekly payday meetings,

individual department meetings.By whom?

Administrator, Staff Developer, Department Heads or outside consultant or guest speaker.

Page 5: The Seven Safety Virtues

2) EMPLOYEES KNOW HOW TO DO WHAT THEY ARE SUPPOSED TO DO

• Workers have practiced enough to feel comfortable with procedures. Someone instructed, corrected and coached them until they got the procedures right.• When and how?

• During In-service instruction• Return demonstrations – as often as it takes until

employees get it right.

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3) EMPLOYEES KNOW SAFETY IS IMPORTANT AND AFFECTS THEM DIRECTLY

• Employees have learned how accidents can affect them, their families, their co-workers, and the center, both personally and financially. They know the center enforces its safety rules. They also know that working safely is part of their performance appraisals and can affect their pay and job security.• i.e. --- injuries are a real pain (it hurts!)• i.e. --- recovery time can be extensive! • i.e. --- life’s daily activities can be greatly curtailed! As

well as social activities!• i.e. --- co-workers have to pick up the slack!• i.e. --- tough to care for residents when you have allot of

injured staff, let alone admit more residents!

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4) EMPLOYEES CARE ABOUT SAFETY

• Workers care about safety for the reasons just described, but they also care because they have invested time and energy in addressing safety problems. They know that their safety ideas, concerns, and complaints will get a fair hearing by their employer.

HOW• When safety hazards are identified, they are fixed.• When safety concerns are raised they are addressed.• When safety ideas are proposed they are discussed in

the appropriate format.• When complaints are filed, they are responded to timely.

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5) EMPLOYEES KNOW THAT THEIR EMPLOYER CARES ABOUT SAFETY

Your employees have seen accidents and near-misses investigated promptly and thoroughly and have been informed of the results. They expect safety issues to be part of center communications and training. They have observed that the center corrects hazards and establishes and maintains safe work practices. Investigated using: Critical Analysis of Employee

Incident / AccidentsCommunications – Safety Committee – Posters – New

Letters – Payroll stuffers etc...Safety Walk through Surveys done by everyone.

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6) EMPLOYEES NEVER FORGET ABOUT SAFETY

• Even on days when employees feel distracted, they still remember to work safely because it’s become a habit.

Habit defined:an acquired behavior pattern regularly followed until it

has become almost involuntary: the habit of looking both ways before crossing the street.

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7) EMPLOYEES KNOW SHORTCUTS AREN’T WORTH THE RISK

• Even when employees are tempted to take shortcuts around the demands of work safety, they don’t take the risk because they are aware of the consequences of carelessness in the workplace.

Page 11: The Seven Safety Virtues

ROAD BLOCKS

• Bad attitude by a manager/supervisors or employees• Complacent - “I know this job so well I can do it blind

folded”• Tired – worn out from too little sleep or too many

hours at work• Risk-taking – does a job with out enough training,

doesn’t pay enough attention to training• Emotional – angry or upset by something that has

happened at home or at work• Reckless – thinks safety isn’t important or don’t apply

to me• Selfish – thinks that no one else is affected by my

actions • Budget woes – N T

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COMBATIVE RESIDENTSAND EMPLOYEE

INJURIESA Second look!

Page 13: The Seven Safety Virtues

ARE RESIDENTS TO BLAME?

1. IE was attempting to get patient out of bed; patient slapped IE's RT jaw; IE tried to put pillow behind head of patient and patient punched IE in the nose

2. EE & Co worker lifting to reposition a patient in wheelchair & patient started spitting at EE & to avoid spit the EE twisted left side upper & lower back.

3. Patient requested to go to bed & IW removed soft belt in wheelchair, the patient refused was fighting & agitated & the IW along W/another worker were holding the patient's hand & the patient bit the IW left 2nd index finger

Page 14: The Seven Safety Virtues

ARE RESIDENTS TO BLAME? CONT.

4. IE was trying to hold arms of resident to put resident in wheelchair; resident became combative and grabbed the IE RT hand, abrasion & redness to RT hand

5. IW was attempting to restrain a resident, resident scratched IW in the right eye, with fingernail

6. Resident physically attacked employee, injuries to left upper leg and left knee

7. IW was struck by a patient in the back of the neck and the right shoulder

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Employee Injuries from a combative resident should be a

Fully Investigate

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POSSIBLE REASONS FOR COMBATIVE BEHAVIOR

• Combative behavior for resident is unusual and is a reaction to:• change in condition• change in caregiver, or • caregiver was abusive in some way

• Combative behavior is “normal” for resident because:• resident has a psych diagnosis• resident is confused• resident always reacts negatively to care• caregiver was new to resident, or• caregiver was abusive in some way

• Combative behavior unexpected because:• resident new to center• employee new to center • employee not trained

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POSSIBLE SOLUTIONS

PREPARE YOURSELF• Know your residents, avoid surprises!

• Review the care plans• Learn about the new resident• Ask questions / what is their history?• Check to see if any change of conditions took place

from the last time you worked with the resident• Know how to approach an upset resident• If a resident becomes combative, back away, leave

them be! Come back when they’ve settled down.

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POSSIBLE SOLUTIONS CONT.

• Greet resident with preferred name• Identify yourself to the resident• Speak to resident while providing care• Remain calm• Encourage resident to talk • Listen attentively as resident speaks• Use courtesy when communicating• Do not argue with resident• Inform resident before leaving the room

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LAST BUT NOT LEAST

KNOWLEDGEMake sure your staff attend in-services on dementia and cognitively impaired residents

and understand what they’ve been taught

The best offence is a good defense!

Page 20: The Seven Safety Virtues

NEWS FLASH“NEEDLE STICKS” GONE WILD!

• Important, any reported needle stick must be thoroughly investigated as to the following factors:• What exactly was the employee doing when they were

poked?• What kind of syringe was it?• If it was a safety syringe was it activated?• If it wasn’t one our syringes, where did it come from?• If the needle stick was a result of a full sharps disposal

box, what kind was it?Lastly:What corrective action has been taken to avoid future

sticks?


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