CHCOHS 312 A Follow safety procedures for direct

CHCOHS 312 A Follow safety procedures for direct care work 1

Element 4: Hazard Management of hazards includes: 1. Identification e. g audits, inspection, reports, meetings, consultation 2. Modification of hazards 3. Modification of behaviours when around a hazard such as raising awareness , training , signage, reporting and documenting 2

Types of Hazards • Physical • Chemical • Biological • Mechanical/electrical • Psychological 3

What to do when you see a hazard! • Complete a hazard report form or an accident /incident form • Assess the risk/level of potential harm • Eliminate or control the risk • Monitor the control measures • Review /evaluate effectiveness of control measures 4

Hazpak Risk Assessment Model 5

Hierarchy of Controls used in the Management of Hazards • Designing • PPE • Eliminating • Administrative • Substituting • Isolating • Redesign • Engineering 6

Element 4 Identify other hazards and assess risk • Infection • Manual Handling • Sharps • Workplace violence • Accidental Exposure • Stress and psychological injury • Hazardous substances • Fatigue 7

Workplace violence • Harassment • Bullying • Verbal or Written abuse • Physical or sexual assault • Discrimination • Challenging behaviours 8

Stress and psychological injury • Work related stressors • Inability to cope with stressors • Access to support and training • Reporting processes 9

Fatigue • Affects: • Affects on performance • Affects safety of worker and client Ways of Managing fatigue: • Analysing rosters , duty lists and shifts • Work practices • Impacts on Judgement • Leave entitlements • Difficulty in dealing with stressors • Monitoring fatigue 10

Infection • Personal hygiene • Training in Waste management • Breaking the chain of infection • Equipment and resources • Immunisation • Reporting and documentation • Policies and procedures • Consultation 11

Sharps • Identification • Disposal • Work practices • Policies and procedures • Reporting and documentation • Injury protocol 12

Hazardous substances • Storage • Reporting and documenting • PPE • Chemicals • Labelling • Policies and procedures • Material Safety Data Sheets 13

House keeping practice • Know your workplace • Slips trips and falls management • Clean as you go • Store items appropriately • Report and document hazards • Monitor walkways and exits 14

Emergency procedures • Fire response procedures • Attend drills and training • Bomb threat response • Follow emergency and evacuation procedures • Security response • Natural disaster response • Good communication skills 15

Injury management • Employer is required to have: • current workers compensation insurance • a return to work plan • Immediate first aid and medical assessment • Report injury to supervisor and document • MO- documentation , medical certificate if required • Employer to be notified • Case management continues until resolved 16

Standard Precaution Work Practices - Personal Hygiene practices/ Hand washing – Use of PPE – Safe handling of sharps and clinical waste – Correct cleaning, laundering, disinfecting and sterilisation procedures – Correct food handling – Safe use of cleaning agents and spills management – Design and maintenance of facilities and amenities 17

Additional Precautions • Apply to infectious diseases transmitted by airborne or droplet transmission of respiratory secretions eg such as TB, chickenpox, measles, rubella, pertussis and influenza • Isolate client • Rare infectious diseases and outbreaks are reported to Public Health Unit of Area Health Service 18

Infection Risk Management Think - identify and assess Talk - assess the risk Do – practices and strategies • • • Remove the infection hazard Substitute the infection hazard Isolate the hazard Design for safety eg lever taps Change work methods • Review 19

Exposure to infection • Report all exposures • Body fluid contamination • Sharps injury • Eye Splash • Degrees of exposure • Follow workplace policies and procedures when exposure to potential reservoir of infection has occurred 20

Element 2 Identify manual Handling hazards, assess related risk and follow risk minimisation procedures 21

Manual Handling Any activity requiring a person to use any part of their body in their interactions in the workplace Lifting Lowering Holding Restraining Repetitive actions Held postures and positions Pushing Pulling 22

Management of Manual Handling Hazards • • • Analysing workplace injury records Documenting incidents and near misses Conduct OHS consultation, inspections, Safety checks Audits Direct observations 23

Manual Handling Policy • No lift policy • Safer handling policy • Minimal handling policy • Adhere to OHS Standards • Code of practice for manual handling • Encourage independence and use of devices and aids • Training 24

Manual Handling -Risk Assessment • Actions and movements • Experience and skills of worker • Layout of the workplace • Posture and position • Duration and frequency • Sudden jerky movements • Grips • The worker • Clothing • Moving loads 25

Manual Handling Principles • At each interaction assess the client/resident • Assess the risk • Plan actions using the hierarchy of controls • Implement the plan • Evaluate the plan “What am I doing and how can I do it better or safer? ” 26

Element 1 Identify risks to personal safety, assess the level of risk and follow risk minimisation procedures 27

Assessing risk in the delivery of aged care services • Worker related risk • Client related risk • Environmental /ergonomic risks • Equipment • Task related • Activity related • Workplace hazards 28

Worker related risk • Experience of worker • Work load • General health and well – being • Fatigue and stress • Identified knowledge and skills deficits • Time pressured • Unfamiliar environment • Recovering from injury and/or illness • Lack of knowledge of client needs 29

Client related risks • Poor mobility • Cognitive impairment • Sensory loss • Complex care needs • Unpredictable physical movements • Behaviours of concern • Difficulty with communication 30

Environmental /Ergonomic • Poor layout of workplace • Lack of available space • Poor lighting, ventilation, temperature control • Slippery surfaces • Slips, trips and falls hazards • Pets • Noise 31

Equipment • Competent in use of equipment such as hoists, wheelchairs, assistive devices • Poorly maintained equipment • Repetition and strained postures • Pushing and pulling • Carrying and lifting equipment • Electrical hazards 32

Task related • Held positions and postures • Repetitive movements • Work practices related to task • Work policies related to task • Hazards related to techniques used during the task • Poor habits and behaviours when carrying out task • Distractions and stress while attending to task 33

Minimising risk • Regularly carry out risk assessments and monitor and review frequently • Encourage self awareness and self performance appraisal of workers • Attend to, report and document changes following client assessment • Follow workplace policies and procedures 34

Minimising risk cont • Knowledge of job roles and responsibilities • Reporting and recording incidents and near misses • Attend work place safety audits and inspections • Monitor the availability of sufficient resources and equipment • OHS training and activities related to continuous improvement 35