oshaʼs role in health care...
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OSHA’s Role in Health Care Ergonomics
Dana L. Root, MS, PT, CPE Regional Ergonomics Coordinator 414.297.3315 [email protected]
Top Occupations with MSD Injuries 2008
Bureau of Labor Statistics 2010
OSHA’s Ergonomics Strategy
4 Prong Approach 1. Industry and Task Specific Guidelines 2. Outreach and Assistance 3. Enforcement 4. Advancing Research
Guidelines • Industry and task-specific guidelines for industries
and particular hazards • OSHA
– Meatpacking Guidelines – Nursing Homes – Retail Grocery – Poultry – Ship Building
Outreach and Assistance • Materials To Help Yourself
– www.osha.gov – OSHA Consultation – Compliance Assistants
• www.osha.gov e-Tools – Using Our Experience
• Nursing Homes • Hospitals
Enforcement
Inspection Plan • Industries which have been identified
as having a significant number of ergonomics related injuries – Data Initiative – Emphasis Programs – Complaints
Enforcement
General Duty Clause • Hazard must exist • Hazard must be recognized • Hazard must cause serious physical
harm • Must have feasible
abatement
Enforcement
Letter to company • Ergonomic Hazard Alert Letter – EHAL
• FY02 to FY10 ~4900 EHALs sent • Acknowledgement Letter
Citation • 5(a)(1)
Enforcement: Citations
1. Alpha Health Services, (3 sites) 2003 4. Security Metal Products, 2003 5. Brown Printing, 2003 7. Mariner Health Care, (2 sites) 2003 8. Tri-State Coca-Cola Bottling, 2003 9. Regency Senior Services LLC, 2003 10. Madonna Manor, 2003 11. Haven Health of Norwich, November 2003 12. Alden Court, February 2004 13. Pepsi Bottling Group, LLC, June 2004 14. Jacksonville Health and Rehab, August 2004 15. Tree of Life, 2004 16. Wolcott Hall, November 2005 17. Super Valu, 2007 18. Haven Health of Jewett City, January 2008 19. Bath Iron Works, February 2008 20. G & J Pepsi Cola Bottlers, Inc. 2010 21. Wilson Sporting Goods Co., 2010
So, What Is New?
2010 Regulatory Agenda includes 1. Recordkeeping NEP 2. MSD column 3. Injury and Illness Prevention Program
Recordkeeping
• Recordkeeping NEP – Accurately reporting MSD injuries – Discovered cases
• Discouraged from reporting • Inaccurately recorded
– Initial findings • 50% unrecorded and/or under-recorded I & I cases • Worker injuries and illnesses are under reported • 200/350 assigned inspections completed
Richard Fairfax, Deputy Assistant Secretary, July 2010
MSD Column
• OSHA 300 Log – Assist in efforts to identity and address potential
safety and health hazards • Pulled by the Office of Management and
Budget – To allow small business time for input into
proposed change • OSHA will not change how approach
ergonomic inspections – Investigations nature of work versus accident
Injury & Illness Prevention Program
• Plan, Prevent and Protect – Enforcement strategy – Require employers to implement an Injury and
Illness Prevention Program tailored to the actual hazards in their workplaces
• Selecting specific NAICS codes
• OSHA’s Goal – Require employers to plan, prevent and protect
workers from exposure to occupational hazards
Injury & Illness Prevention Program
• Ask Employers – Find the safety and health hazards
present in their facilities that might injure workers
– Fix those hazards
Find the Problems: Records
• Check the past three years – OSHA logs – Worker Comp data
• Calculate rates using HCP hours worked – Resident Handling Incident Rate – Resident Handling Severity Rate
• Look for trends and clusters – By task – By body part – Shift
Find the Problems: Training
• What are risk factors • What are the symptoms of injury • How to report injury to employer • How to eliminate or reduce the physical
stressors – The task – The workstation – The system – Not changes to the worker
Find the Problem: Job Analysis
• What body parts are stressed? • Which task is hazardous? • What do the workers say?
Establish a safe patient/resident handling process: – Evaluate Injury and Illness costs
• Obtain funding – Establish a lifting committee – Resident/Family notification – Training – Coordination with all staff – Evaluate & select equipment
• Receive and prep equipment – Resident assessment – Enforcement – Performance measurement
Fix: Feasible Means of Abatement
Fix: Feasible Means of Abatement
For Success
infrastructure MUST be in place prior to implementing SPHM
Program
http://www.visn8.med.va.gov/patientsafetycenter/safePtHandling/default.asp
Resource Guides http://
www.visn8.med.va.gov/patientsafetycenter/safePtHandling/default.asp http://www.cdc.gov/niosh/
topics/ergonomics/
http://www.aohp.org/About/documents/GSBeyond.pdf
www.osha.gov/SLTCergonomics/index.html