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Staff Management > 07 Safety Management (49 docs)

07 Safety Management (49 docs)

Free Forms, caregiving, nursing forms, policies, Licensing, Training, Case Management, Home Care, Assisted Living, DD, MI, HCBS

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Documents in 07 Safety Management (49 docs) (49)

Free List of 75 Safety Forms and Documents for Assisted Living Facilities, Nursing Homes and Community Care Facilities. 75 Safety Forms and Documents
Form used to investigate and document details associated with an accidental exposure for employees are residential care facilities. Accident Exposure Investigation Report
A good brief overview of proper procedure to complete an accident investigation.  If an accident occurs at the care facility, at least a basic investigation needs to be conducted, to find out the cause and to try to prevent the accident or incident from occuring again.

The Administrator shall investigate every accident, incident, injury or exposure. The Administrator of the care facility shall complete a full report (see Accident Exposure Investigation Analysis). The State Licenisng Office will require certain accidents and injuries be... Accident Investigation for Care Facilities and Care Home Administrators
This document explains good procedures to follow in case of an automobile accident. It is a useful tool for nursing homes, assisted living facilities and community based care employees.  It is designed to help the driver(s) understand their responsibilities and the procedures they are to follow in the event of an auto accident.  

In the event of an accident these procedures should be followed:

1. Check to see if anyone is injured and needs assistance, provide first aid as needed.  Keep everyone away from any potential safety hazard.  The police will respond when 911 is called, if necessary call 911 yourself or ask someone reliable to do so for you.  Only disclose resident information to proper authorities.  Resident confidentiality should be respected. Auto Accident Procedures
A form designed to help investigate an auto accident, helpful for a risk management investigation. Useful for all types of care businesses and care facilities. Auto Accident Report
This great document defines how The Administrator will make sure all possible measures have been taken to prevent or lessen any potential chemical hazards and/or accidents.  

The Administrator of this facility is responsible for ensuring that each employee is trained in safety procedures regarding the chemicals used in the facility, the potential hazards, first aid & emergency procedures, and how to use any related personal protective equipment.  He/she shall be responsible for... Care Facility Administrators Hazardous Chemicals Responsibilities
This form covers responsibilities of the safety committee, reviewing accident safety reports, safety reports, employee communication forms, etc.  for all types of community based care homes and residential care facilities. 

The purpose of the Safety Committee is to assist management in their decision-making process.  Our Safety Committee is responsible for reviewing; making recommendations and seeing that all the policies and procedures of the Illness and Injury Prevention Program are being followed.  The specific duties shall include:... Care Facility Business Safety Committee Duties Form
Exposure to disinfectants and cleaning solutions is a common cause of chemical injuries among
medical center employees, with housekeepers and maintenance workers at greatest risk.
Glutaraldehyde irritates skin and mucous membranes and may cause allergic contact dermatitis,
rhinitis, and asthma. Care Facility Workers' Chemical Exposures
Free infromation for training staff from CDC.  Protecting Healthcare Personnel from HIV. CDC Healthcare Training Docs
CDC's Free Information on Immunizations for Health Care Personnel CDC's Free Information on Immunizations for Health Care Personnel
If you have employees you need to have an Exposure Control Plan, plus, whomever is in charge of the making sure people are following the plan, needs to be properly trained to make sure they can properly supervise others to help ensure compliance. Do you have an updated Exposure Control Plan? Hazards and Safety
Sample form - Employee Job Exposure Training Check Off List for Care Facility Staff Training.  Good tool to help ensure employees in all departments' staff get the basic exposure training required by OSHA. Employee Job Exposure Training Form Check Off List for Care Facility Staff Training
This document defines the forms and information an employer must have posted, and available to employees concerning Worker's comp claims and other general information about workers comp.  


~  Employers must have the appropriate information(s) posted, which provide necessary information about Workers Compensation benefits.  Employer's Workers Comp Responsibilities
Form used by an employee to assess their ability to lift. 

In order for the facility to better assign lifting tasks to individuals who are able to perform the job, we require each employee to complete this form.
Employee's Name:	
Facility Name:
To Whom it May Concern,
I understand one lifting standard does not fit all persons, due to size, weight, height, and physical strength that it is my responsibility to ensure for my self-safety.  I know I can safely lift: Ergonomics Self Verification Form
Free CDC Sharps Safety Poster # 1 Free CDC Sharps Safety Poster # 1
Free CDC Sharps Safety Poster 2 Free CDC Sharps Safety Poster 2
Clearly defines the OSHA law regarding employer and employee requirements concerning a safe work environment. General Duty Clause
This form is used by staff to assess hazardous situations and document any corrective action taken. Hazard Assessment and Correction Record
This form is used to train the staff regarding hazardous chemicals that may be found in the workplace. Hazardous Chemical Training
Health Literacy Universal Precautions Toolkit - free info Health Literacy Universal Precautions Toolkit - free info
Workers with reasonably anticipated potential blood and body fluid exposure should, according to federal regulation, be offered vaccination for hepatitis B. Those previously vaccinated for hepatitis B should have documentation of hepatitis B surface antibody response to the vaccine.
Hepatitis B surface antibody testing should be carried out among previously vaccinated personnel without such documentation. Because hepatitis B surface antibody titers wane with time without compromising immunity, a negative hepatitis B surface antibody test several years following completion of vaccine does not provide evidence that an individual is a non-responder to the vaccine. Hepatitis B Information for Health Care Workers
Following percutaneous exposure to infected blood, risk of hepatitis C seroconversion among exposed healthcare workers ranges from 0 to 10%, with an average risk of 1.8%. Infection following mucocutaneous exposure appears to be much less common. Antibodies to HCV may be detected within 5 to 6 weeks of infection, and may persist regardless of whether virus is actively replicating. Most individuals have no acute symptoms. Hepatitis C Information for Health Care Workers
The new law amends the California Occupational Safety and
Health Act of 1973 to require an employer to maintain a safe patient
handling policy, as defined, for patient care units, and to provide
trained lift teams, as defined, or staff trained in safe lifting
techniques in each general acute care hospital, except for specified
hospitals. The safe patient handling policy would require the
replacement of manual lifting and transferring of patients with
powered patient transfer devices, lifting devices, or lift teams, as
specified. As part of the injury and illness prevention programs
required by existing regulations, employers would be required to
adopt a patient protection and health care worker back and
musculoskeletal injury prevention plan, which shall include a safe
patient handling policy component, as specified, to protect patients
and health care workers, as defined, in health care facilities. Hospital Patient and Health Care Worker Injury Protection Act. California
Routine patient contact has not been found to increase worker risk of acquiring HIV. Health care workers should be trained, retrained and mandated to follow CDC Standard Precautions Guidelines. Personnel should minimize the risk of exposure to parenteral or mucosal contact with potentially infectious material (blood, sputum, aerosols, and other body fluids). Appropriate personal protective equipment and training should be available and mandated. Human Immunodeficiency Virus (HIV) Information for Health Care Workers
This form is used as a risk assessment tool in the Illness and Injury Prevention Program (IIPP).  Many state agencies require care facilities to have an IIPP program. IIPP Survey Services
The Joint Commission on Accreditation of Health Care Facilities (JCAHO) requires that facilities have a safety program. Such programs require skills in safety, industrial hygiene, engineering, environmental management, housekeeping, workers compensation, and clinical disciplines.

Such programs generally consist of written policies, require some form of internal inspection and quality assurance, and rely on defined approaches to the solving of recognized problems. JCAHO HEALTH CARE SAFETY
This form is used to evaluate the employee while they are performing their normal job duties, checking to make sure safety and procedures are followed at all times. Job Safety Check List
For front of MSDS binder: Material Safety Data Sheets (MSDS) Acknowledgement Material Safety Data Sheets (MSDS) Acknowledgement
This form is used to inventory and audit chemicals used and located at the facility and to make sure there is a Material Safety Data Sheets (MSDS) on file for each chemical kept in a binder for easy reference in case of emergency. MSDS Inventory Safety Log
Needlestick injuries remain a significant cause of health care worker injuries. Sharps with engineered safety features should be regularly reviewed, trialed, and implemented where feasible. Needles should not be recapped or broken before disposal. Puncture resistant containers should not be filled to capacity. Needlestick injuries require determination of worker and source (wherever possible) serological status regarding hepatitis B and C, and HIV.
Appropriate consents to HIV test the worker and source are necessary, and regulations vary by State. Needlestick Injuries for Health Care Workers
NO DISTRACTION DRIVING FORM - free form for community care facilities, assisted living communities, nursing homes and community based care homes. NO DISTRACTION DRIVING FORM
Free Ohio Care Facility Safety Manual - excellent free safety management tool for all types of care facilities. Ohio Care Facility Safety Manual
This free document covers the OSHA requirements and possible solutions for work related ergonomic stressors, there are many useful links here. 

Possible Solutions
~ OSHA recommends that employers identify and address ergonomic stressors in their facility's safety and health plan. General safety and health plan information can be found in the.... OSHA - Ergonomics
OSHA Guidelines for Nusring Homes Ergonomics 2009 OSHA Guidelines for Nursing Homes Ergonomics 2009
OSHA Training Requirements for Generators OSHA Training Requirements for Generators
Workers in hospitals, nursing homes, and other healthcare settings face significant risks of workplace violence, which can refer to any physical or verbal assault toward a person in a work environment. Violence in healthcare facilities takes many forms and has different origins, such as verbal threats or physical attacks by patients, gang violence in an emergency department (ED), a distraught family member who may be abusive or even becomes an active shooter, a domestic dispute that spills over into the workplace, coworker bullying, and much more. OSHA's Caring for Our Caregivers
OSHA's Employee Driver Recommendations OSHA's Employee Driver Recommendations
A great form to determine potential risk to health and or body. Risk Identification Checklist
Form used to document topics discussed at the safety meeting by the Safety Committee. Safety Committee Meetings Minutes
A form used by the Safety Committee for periodic checking and follow-up on safety issues. Safety Committee Report
It is the Owner/Administrators responsibility to provide a safe risk free workplace, this document covers the basic duties for the facility administrator and the safety committee.  

The Administrator of the facility will ensure that a Safety Committee is in place, and reviews company safety practices at least on a quarterly basis.  All the items below are the Owner/Administrator's responsibilities.... Safety Management
Cover for section 7 of the Staff Management Manual. Safety Management Cover
Safety Orientation for temp employees, students, vendors etc..  for hospitals Safety Orientation
The USA Job Safety Law of 1970 The Job Safety Law of 1970
Universal Precautions & Exposure Links Universal Precautions & Exposure Links
Van Lift Wheelchair Safety Training Procedures Form Van Lift Wheelchair Safety Training Procedures Form
Checklist to help reduce your facility's Worker's Comp liability.  This great form is designed for use in the managing of Residential Care, Assisted Living, and Nursing Home Facilities, however, this plan applies to almost any business. An excellent workman's compensation reduction plan resource. Worker's Compensation - Loss Control Management Plan
World Health Organization's Health Care Worker's Safety free information. World Health Organization's Health Care Worker's Safety
World Health Organization's Standard Precautions in Health Care Settings - free information for all types of care facilities and care givers. World Health Organization's Standard Precautions in Health Care Settings
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