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Emergency Services > 05 Personal Safety (24 docs)

05 Personal Safety (24 docs)

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

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Documents in 05 Personal Safety (24 docs) (24)

This document contains information regarding occupational safety and health from div. 5, section 6391 - 6394 for California.

(b) The hazards of other risks in the use of the hazardous substance, including all of the following:
        (1) The potential for fire, explosion, and reactivity.
        (2) The acute and chronic health effects or risks from exposure.
        (3)The potential routes of exposure and symptoms of overexposure. CA Occupational Safety and Health Div. 5, Section 6391
This form is used to report exposure to any pathogens, such as blood. Care Facility Exposure Report Form
This document provides an overview of the responsibilities of the employees, residents and care facility regarding fire safety and prevention. This contains basic fire safety prevention standards applicable to all types of community care facilities as well as nursing homes.

Information, training, and knowledge are the best fire prevention plan for any facility. Fire safety systems vary slightly among facilities, so each employee has to learn their facility's system. Joint trainings with local fire department and EMS personnel ensure that everybody is working in a cooperative effort.  Facilities are required to have fire drills on a quarterly basis. Preplanning does make a difference. Care Facility Fire Prevention Safety Plan
This form is used with all new employee's, and is completed by checking off all areas that the employee has been trained in regarding safety. Care Facility Staff Safety Training Check Off List Form
This is a free document from Centers for Disease Control Prevention on chemical agents and clean up.

What to do
Act quickly and follow the instructions of local emergency coordinators. Every situation can be different, so local emergency coordinators might have special instructions for you to follow. The three most important things to do if you think you may have been exposed to a dangerous chemical are to (1) quickly remove your clothing, (2) wash yourself, and (3) dispose of your clothing. Here's how: ... Chemical Agents - Clean Up
An audit to make sure your facility is properly storing and handling chemicals and medication brought into the facility.

The facility should be inspected at least twice a year or quarterly to make sure these hazardous conditions/situations do not exist. Chemical Safety Storage Audit
Communication and suggestion form used by employee's regarding unsafe conditions and/or occupational health concerns. Employee Safety Communication and Suggestion Form
Procedures for fire prevention and safety.

To understand safety procedures and create safety plans requires identifying the risk and hazards.  Developing a relationship with your local fire department can be a very valuable tool. Joint fire drills with your local fire department are a great way to identify risk and hazards and the training benefits everyone. Fire Prevention Safety Procedures
This form is used by staff to assess hazardous situations and document any corrective action taken. Hazard Assessment and Correction Record
This document deals with procedures to follow when communicating about any hazards or potential hazards that may be found in or around a care facility.  This document addresses making plans to assess the situation.

To comply with OSHA standards all of the following procedures must be followed:

1. Immediately Report all potential hazards.  See Hazard Report Form

All Material Safety Data Sheets (MSDS) information is kept in a binder in the kitchen for easy access. See Hazard Communication and Assessment Plan
This form is used to report and document any hazardous situation. Hazard Report Form
A quiz for the staff to take dealing with hazardous chemicals to make sure they are properly trained. Hazardous Chemical Staff Quiz
This form is used to train the staff regarding hazardous chemicals that may be found in the workplace. Hazardous Chemical Training
Article from the Agency for Toxic Substances detailing the color codes for hazardous materials and the warning labels for them.

Health (Blue) 

Health hazards in firefighting generally result from a single exposure, which may vary from a few seconds up to an hour. Only hazards arising out of an inherent property of the material are considered. It should be noted, however, that the physical exertion demanded in firefighting or other emergency conditions tends to intensify the effects of any exposure. Hazardous Material Classification System
This document deals with the procedures for the maintenance supervisor to follow regarding job health, safety and their responsibilities.

The Maintenance Supervisor has a special responsibility to the residents who suffer with dementia, because they may not be able to act on their own behalf.  Things like eliminating access to potentially poisonous plants, for example, must be considered. All possible precautions to ensure residents safety should be reviewed. The Maintenance Supervisor shall successfully complete an in-house Alzheimer's Training Course, which addresses: ... Maintenance Supervisor Job Health & Safety Responsibilities
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
OSHA article regarding the effectiveness of personal equipment.

Whether braces, wrist splints, back belts, and similar devices can be regarded as offering personal protection against ergonomic hazards remains open to question. Although these devices may, in some situations, reduce the duration, frequency, or intensity of exposure, evidence of their effectiveness in injury reduction is inconclusive. In some instances they may decrease one exposure but increase another because the worker has to Personal Equipment: Is It Effective?
Cover for Section 5 of the Emergency Service Manual which deals with personal safety. Personal Safety Cover
Links to websites dealing with Poisonous Plants.

There are many common houseplants and landscape plants that pose a serious threat to the health and safety of residents in care facilities if eaten.  Below is a resource list of links to help you determine your risk. ... Poisonous Plants
This document covers the correct procedures for heavy lifting in resident care areas and general lifting to help avoid back injuries.

~Most back injuries in care facilities occur when providing direct resident care.  Use extra caution.

~Never rush the resident.

~Do not lift a combative resident.

~Always check the resident's care and service plan before attempting any lifting or assisting in transferring.  Find out how the doctor wants the resident assisted. Protecting Your Back
This useful form is used to conduct a quarterly safety check of a community-based care facility and grounds.  Safety of the residents, public and staff is essential for all residential care homes, assisted living facilities, and nursing homes.

The facility must always be maintained in a clean, safe, odorless and sanitary condition.  It is the Maintenance Supervisor's job to ensure this checklist is completed quarterly.  This company's desire is to always meet the state and federal laws and regulations and exceed their standard.  Other items not included on this list might become apparent, in such cases whenever a safety issue is Quarterly Safety Management Check Off
If a staff member or volunteer feels there is a safety issue they may turn down an assignment and report the issue to his/her supervisor.

Safety is a first priority issue.  Occasionally a situation can arise where the employee or volunteer is asked to do something he or she feels is unsafe.   Every person has the right to Safety Issue - Turn Downs
General procedures regarding Fire Prevention, First Aid, MSDS, Work Safety, Health of Employees, and Plan of Action in various types of community based care facilities.

Be sure you document every person, place and thing that relates to the event, on the Safety Personnel Policies and Procedures for Community Care Facilities
Procedures to follow in the event of a threatening intruder in your facility. 

An intruder drill should be performed twice a year.

Per-determined code word is: ____

Call 911, if a phone is available.

Everyone is to use extreme caution.  Do not attempt to disarm.  Do not sound the fire alarm.  A fire alarm would place occupants in potential harm as they attempt to leave the building. Threatening Intruders Plan
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