Did You Know That the Healthcare Sector has More Workplace-related Illnesses & Injuries than Any Other Industry???
OSHA Requirements for Healthcare Facilities:
The National Institute of Safety and Health was created in 1970 as a branch of the Centers for Disease Control & Prevention to set workplace standards in the health care sector. The Occupational Safety and Health Administration (OSHA) was created in 1971 to enforce these standards and protects employees’ rights in workplace settings. Examples of these workplaces are hospitals, dental offices, home health care facilities, birthing facilities and nursing homes.
OSHA requires that all healthcare facilities have annual training for their employees that includes certain standards in the workplace. All new employees should have OSHA training within 30 days of hire. The following requirements include those that normally apply to medical and dental offices, whether there are 2 or 200 employees. The complete text of the regulations can be found in Title 29 of the Code of Federal Regulations (29 CFR). Code of Federal Regulations – Title 29
Bloodborne Pathogens Standard (Infection Control)
(29 CFR 1910.1030)
This is the most frequently requested and referenced OSHA standard affecting medical and dental offices. Many healthcare professionals are required to take an infection control course for license renewals. Nine Lives CPR offers the American Heart Association Bloodborne Pathogen Onsite Course that includes 2 CEs for Dental Professionals. There is also a basic Online Bloodborne Pathogens course available that meets the (29 CFR 1910.1030) standard for infection control.
*the online course does not include site specific training, therefore it only offers students .5 CEs through the American Heart Association*
Some basic requirements of the OSHA Bloodborne Pathogens Standard Course includes:
- A written exposure control plan, to be updated annually
- Use of universal precautions
- Consideration, implementation, and use of safer, engineered needles and sharps
- Use of engineering and work practice controls and appropriate personal protective equipment (gloves, face and eye protection, gowns)
- Hepatitis B vaccine provided to exposed employees at no cost
- Medical follow-up in the event of an “exposure incident”
- Use of labels or color-coding for items such as sharps disposal boxes and containers for regulated waste, contaminated laundry, and certain specimens.
- Employee training.
- Proper containment of all regulated waste
Many medical and dental offices choose to take their compliance training even further to ensure that their offices are meeting federal regulations. All it takes is one complaint for DHEC to show up and issue a major fine. It also takes only one mistake for an injury to occur and a law suit to follow. So take your annual training to the next level by adding on other OSHA standards to your workplace update.
Nine Lives CPR recommends that your annual OSHA compliance training for healthcare facilities includes Bloodborne Pathogen Training as well as :
(29 CFR 1910.1200)
The hazard communication standard is sometimes called the “employee right-to-know” standard. It requires employee access to hazard information. The basic requirements include:
- A written hazard communication program
- A list of hazardous chemicals (such as alcohol, disinfectants, anesthetic agents, sterilants, mercury) used or stored in the office
- A copy of the Material Safety Data Sheet (MSDS) for each chemical (obtained from the manufacturer) used or stored in the office
- Employee training
(29 CFR 1910.1096)
This standard applies to facilities that have an x-ray machine and requires the following:
- A survey of the types of radiation used in the facility, including x-rays
- Restricted areas to limit employee exposures
- Employees working in restricted areas must wear personal radiation monitors such as film badges or pocket dosimeters
- Rooms and equipment may need to be labeled and equipped with caution signs
(29 CFR Subpart E 1910.35, 1910.36, 1910.37, and 1910.38 and 1910.39)
These standards include the requirements for providing safe and accessible building exits in case of fire or other emergency. It is important to become familiar with the full text of these standards because they provide details about signage and other issues. OSHA consultation services can help or your insurance company or local fire/police service may be able to assist you. The basic responsibilities include:
- Exit routes sufficient for the number of employees in any occupied space
- A diagram of evacuation routes posted in a visible location.
(Subpart S-Electrical 29 CFR 1010.301 to 29 CFR1910.399)
These standards address electrical safety requirements to safeguard employees. OSHA electrical standards apply to electrical equipment and wiring in hazardous locations. If you use flammable gases, you may need special wiring and equipment installation. In addition to reading the full text of the OSHA standard, you should check with your insurance company or local fire department, or request an OSHA consultation for help.
Every workplace must display the OSHA poster (OSHA Publication 3165), or the state plan equivalent. The poster explains worker rights to a safe workplace and how to file a complaint. The poster must be placed where employees will see it. You can download a copy or order one free copy from OSHA’s web site at www.osha.gov or by calling (800) 321-OSHA.
Reporting Occupational Injuries and Illnesses
(29 CFR 1904)
Medical and dental offices are currently exempt from maintaining an official log of reportable injuries and illnesses (OSHA Form 300) under the federal OSHA record keeping rule, although they may be required to maintain records in some state plan states. If you are in a state plan state, contact your state plan directly for more information. All employers, including medical and dental offices, must report any work-related fatality or the hospitalization of three or more employees in a single incident to the nearest OSHA office. Call (800) 321-OSHA or your state plan for assistance.
Roxx Smilez RDH, BSDH, MEd
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This is a great story by Daniel Green on how he committed to following all of the federal diet and exercise guidelines for one year and saw measurable results in multiple areas of his life. I love the comprehensive approach that he took and how he was able to incorporate everything into his daily routine so that diet and exercise didn’t become a chore.
Most importantly, I’ve finally learned how to live a truly healthy life in a way that suits the rest of my lifestyle. Physical activity and better nutrition are no longer vague notions that I have to figure out how to make time for, but instead are normal parts of my daily routine.
HEART DISEASE IS THE MOST COMMON CAUSE OF DEATH WORLDWIDE
Technology to the rescue on the fight against heart disease! Many phones, for example, already have accelerometers that measure physical activity like steps taken, while the Apple Watch and Fitbits use sensors to measure heart rate. Heart irregularities can be dangerous without causing obvious symptoms, so smart devices that can diagnose them could be helpful as a prevention strategy.
IRREGULAR HEART RATE
The most common heartbeat irregularity is called atrial fibrillation, or afib. Afib happens when the two upper chambers of the heart don’t beat in sync with the two lower chambers, and can increase the risk of everything from heart attack to kidney disease to dementia. But it can be hard to detect. New technology has come out to more accurately diagnose Afib and it’s all in the wristband!
The KardiaBand by AliveCor is a sensor that is compatible with the Apple Watch and can detect abnormal heart rhythm and atrial fibrillation (AFib). The user touches the sensor, which then takes a reading of the electrical activity of the heart, called an electrocardiogram (EKG) and then sends the information to an app. The AliveCor KardiaBand has been approved by the US Food and Drug Administration.
In the past the Fitbits sensor was not as accurate in detecting abnormalities in the heart rate. In October of 2017, Fitbit presented data on an algorithm was developed to detect a atrial fibrillation, using a technology already built into its wristband trackers: photoplethysmography, or PPG. Fitness trackers have long used PPG devices to monitor pulse rates. The tiny sensors, which consist of infrared light-emitting diodes (LEDs) coupled with a sensitive light detector, measure infinitesimal gradations in light in human tissue, due to changing blood volume. This is used as an indicator to detect an irregular heartbeat or Afib.AFib such a good test case for the digital health revolution. It can often be treated cheaply and effectively with oral anticoagulants once it is detected. Discovering someone who has an undiagnosed arrhythmia could save a life! These wearables are well worth the investment! Not to mention they help keep you motivated to move more!
Related Heart Healthy Technology:
How to Choose the Right Kit
We all know that a basic first aid kit can often help a person in need and possibly save a life. However, buying a good first aid kit can be confusing for many people. You can find one in your local grocery store or pharmacy but there’s often only one or two to choose from. There’s an endless supply of first aid kits online but it’s often overwhelming to find the one that has everything you need at the best value. Like many things these days, there is no perfect one size fits all first aid kit. While a basic kit would be a great addition to many homes, some medical offices and businesses may need additional items to keep their employees and customers safe. Let’s take a look at some of the common features in most first aid kits and some items found in the Advanced First Aid Kit.
All first aid kits should include the following items listed below. While items can be purchased separately, there are a wide variety of kits available that include all of these items in a convenient case. This type of kit is a good option for the home or car.
- Bandages and gauze dressings to cover wound or support injuries
- Antibiotic cream
- Scissors to cut dressings, clothing, rope, seat belts and more
- Needle-nose tweezers to pull out splinters, ticks, thorns and snake fangs
- Gloves to protect yourself from blood and other nasty fluids
- A tourniquet to control blood flow to an injured limb
For a basic kit, I would recommend the 100 Piece First Aid Kit by Preparify.
Advanced First Aid Kits have a wide variety of supplies that will prepare you for many emergencies. Nine Lives CPR highly recommends the Be Smart First Aid kit . This kit has 326 pieces that cover up to 100 people. This Kit can be Mounted to the Wall in a Central Location at the Office. Recommenced use for office, home, car, school, emergency, survival, sports, hunting & camping. Here are some features to look for in an advanced kit:
21 antiseptic towelettes, 36 alcohol prep pads, 6 sting relief pads, 6 antibiotic ointment packets, 6 burn cream ointments, 10 antacid tablets, 10 aspirin tablets, 10 non-aspirin tablets, 1 instant cold compress 6″ x 9″, 1 English First Aid guide, 1 Spanish First Aid guide, 20 adhesive bandages, 1″ x 3″ 50 adhesive bandages 3/8″ x 1-1/2″, 60 adhesive bandages 3″ x 3/4″, 10 butterfly closures bandages, 18 wound closure strips, 1/4″ x 1-1/2″ 2 gauze rolls, 2″ x 4.1 yards, 2 eye pads, 8 sterile gauze pads 2″ x 2″, 4 sterile gauze pads 4″ x 4″, 1 sterile trauma pad 5″ x 9″, 30 cotton tip applicators, 1 adhesive tape roll 1″ x 5 yards, 5 finger splints, 1 triangular bandage 40″ x 40″ x 56″, 1 tweezers, 1 metal scissor, 4 nitrile examination gloves.
For an advanced kit, I would recommend the : First Aid Kit Hard Red Case 326 Pieces Exceeds OSHA and ANSI Guidelines for 100 People – Office, Home, Car, School, Emergency, Survival, Camping, Hunting, & Sports
Check out the Video to find out why it is the Best Rated!
Let us know in the comments if there are any other features that you look for in a first aid kit or any good deals available.
Is There a Link Between Gum Disease and Heart Disease?
Overall the data indicates that chronic gum disease may contribute to the development of heart disease, the nation’s leading cause of death in both men and women. Gum disease is a bacterial infection that can affect your over all health. In heart disease, one theory is that gum disease can cause bacteria to enter the bloodstream where they attach to the fatty deposits in the heart blood vessels. This condition can cause blood clots and may lead to heart attacks.
The best thing that you can do is to prevent gum disease by practicing good oral health habits at home every day. An easy way to change your habits is to simply switch to an electric toothbrush. Studies have demonstrated that the power toothbrush removed significantly more plaque after a single brushing than the standard manual toothbrush (Kurtz, 2016). An electric brush simply moves faster than our hands and can cover more ground that way. So now is the time to switch and you are bombarded with mass amounts of toothbrush choices.
As a registered Dental Hygienist, I get the pleasure of testing oral care products. Then, I can recommend them to my patients based on my own personal experience. I have tried every brand and I strongly believe that the BURST toothbrush cleans the best! It has super soft charcoal bristles that remove stains and toxins that cause bad breath. This brush has some serious power and holds a charge up to 4 weeks! The best part is that the replacement heads are shipped to your door for only $6. Did I mention FREE SHIPPING!?
You can order yours online and save money by using my professional PROMO CODE! Get the BURST brush for only $39.99 instead of $69.99. Visit http://www.burstoralcare.com and checkout using PROMO : VPF5WF. You can also click on my direct discounted link :
Roxx Smilez, RDH, BSDH, MEd
For more information about the link between Gum and Heart Disease:
Why Go Red? Cardiovascular disease in the U.S. kill approximately one woman every 80 seconds. The good news is that 80 percent of cardiac events may be prevented with education and lifestyle changes. Support Go Red For Women by participating in National Wear Red Day® on Friday, February 2, 2018 and donate to help fund research during American Heart Month.
Go Red For Women is a movement that starts with you. Lead by example and make the time to “Know Your Numbers.” It’s knowledge that could save your life. Five numbers, that all women should know to take control of their heart health are: Total Cholesterol, HDL (good) Cholesterol, Blood Pressure, Blood Sugar and Body Mass Index (BMI). Knowing these numbers can help women and their healthcare provider determine their risk for developing cardiovascular diseases. It’s time for all women to learn the most critical numbers in their life — their hearts depend on it.
For more information AHA
In November 2017, Apple launched a Heart Study using the Apple Watch’s heart rate sensor to collect data on irregular heart rhythms and notify users who may be experiencing atrial fibrillation
“Every week we receive incredible customer letters about how Apple Watch has affected their lives, including learning that they have AFib. These stories inspire us and we’re determined to do more to help people understand their health,” said Jeff Williams, Apple’s COO. “Working alongside the medical community, not only can we inform people of certain health conditions, we also hope to advance discoveries in heart science.”
Apple is partnering with Stanford Medicine to perform the research. As part of the study, if an irregular heart rhythm is identified, participants will receive a notification on their Apple Watch and iPhone, a free consultation with a study doctor and an electrocardiogram (ECG) patch for additional monitoring. The Apple Heart Study app is available in the US App Store to customers who are 22 years or older and have an Apple Watch Series 1 or later.
Nine Lives CPR is now offering a combination course that includes both CPR and Infection Control for 5 CEUs.
This course is designed to satisfy requirements for license renewal by the SC Board of Dentistry. The course is offered ONSITE and can be customized to fit your needs. We will also be offering it at our partner locations throughout South Carolina. Stay tuned for date announcements.
As PACE providers, we look forward to bringing the convenience of continuing education to dental offices! Please visit our Dental Professionals page for more details.
Love this story on the Today Show about Madeline Dahl who helped three people in one year using CPR and first aid.
The first time she helped a stranger was last October. After reading an article about an app that alerts users if a person nearby needs CPR, Dahl downloaded it. For months, she received no notifications. But as she was leaving work one Friday, the app started beeping. Someone nearby needed CPR.
For the full story, check out http://www.today.com/health/woman-saves-3-people-1-year-doing-cpr-first-aid-t114490
Got Spare Time Between Flights?
Three airports around the U.S. have joined an American Heart Association (AHA) initiative to provide hands-only CPR training kiosks for passengers waiting for flights.
The Cleveland Hopkins International, Cincinnati/Northern Kentucky International and Orlando International airports are now equipped with the kiosks, bringing the total number of airports with one in the U.S. up to seven. The initiative is funded by Indianapolis-based insurance company Anthem, according to a statement.
Training only takes about five minutes and could help reduce the number of lives taken by cardiac arrest. Each year, more than 350,000 cardiac arrests occur outside a hospital with about 20 percent happening in public spaces, according to the AHA.
Each kiosk includes a touch screen with a short video that gives directions on how to perform CPR. It offers a practice sessions and a 30-second test on a practice manikin while giving the user feedback on their technique.
“Our nation’s airports have proven to be a great way to extend our educational campaign to train people on the lifesaving skill of hands-only CPR and, help meet the Association’s goal to double bystander response by 2020,” said Craig Samitt, MD, chief clinical officer at Anthem. “By expanding the availability of the training kiosks, we’re hopeful that more people will feel confident to administer hands-only CPR on a stranger or someone they love.”