Duke Occupational & Environmental Safety Office
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1 Duke Occupational & Environmental Safety Office On the OESO website, you will find: Safety manuals, including BBP and TB exposure control plans Site-specific fire plans (Material) Safety Data Sheets ((M)SDS resources) Information on safety hazards in clinical work areas Additional safety& environmental training Page 1
2 Duke University Hospital Emergency Codes Emergency Management Plan Activation Standby Code Triage Code Triage Standby Hazardous Materials Code Orange Medical Emergency Code Blue Fire Alarm Code Red Missing Infant/Child Security Alert Utility /Communication System Failure ED Critical Saturation Code Pink Code Gray Code Black Code Purple
3 Know Your Fire Alarm CODE RED DUH & DHRH use a 4-digit code system DRH also uses a code system Fire Safety code & evacuation plans are found in the unit/department fire plan
4 Risk of Infection from a Needlestick Hepatitis B 1/3 chance of contracting ti Hep Bif stuck with a Hep B-infected needle Hepatitis B virus is a major infectious occupational hazard to health care workers because it is possible to transmit in the workplace. The good news is that there is a very effective vaccine that will protect you if you expect to have contact with human blood or body fluids. The hepatitis B vaccine is strongly recommended. Page 4
5 Needlestick? Cut? Splash to Face? REPORT IT. Duke University Hospital : -DUH Employee Exposure Hotline: Dial 115 -Off-site: Durham Regional Hospital : -DRH Employee Exposure Hotline DRH Employee Health 7:30 am - 4:30 PM -DRH Emergency Room After hours Duke Health Raleigh Hospital : -DHRH Employee Health 7:30am 4:00pm -Clinical Administrator After hours
6 Standardized Isolation Signage g North Carolina has a "voluntary" unified color scheme for isolation signage for use in acute care hospitals, rehabilitation and long- term care facilities, and ambulatory/surgical centers. Duke University Health System has adopted this signage, which follows on the next slides. The categories for Transmission Based Precautions are: Droplet Contact Airborne Special Airborne Protective
7 DROPLET Precautions Program for Infection Prevention and Healthcare Epidemiology
8 CONTACT Precautions Program for Infection Prevention and Healthcare Epidemiology
9 AIRBORNE Precautions Program for Infection Prevention and Healthcare Epidemiology
10 Program for Infection Prevention and Healthcare Epidemiology SPECIAL AIRBORNE/CONTACT Precautions CDC-recommended for use with: SARS a novel influenza strain other highly infectious respiratory diseases
11 PROTECTIVE Precautions Program for Infection Prevention and Healthcare Epidemiology The Protective Environment (PE) is recognized by the CDC for patients with allogeneic hematopoietic cell transplants only. Protective or Reverse Isolation precautions have not been demonstrated to be efficacious for other patient populations (i.e. long-term steroid use).
12 REMINDER: To ensure patient confidentiality/privacy, on personal networking sites/pages (Facebook, MySpace, Twitter, blogs, LinkedIn, YouTube postings, Instant Messaging, etc.), students cannot: Post or discuss DUHS patients or any detail of their training activity at DUHS such as: Discuss their day at work that includes events that happen on the unit or department, e.g., had a bad day because one of my patients died Participate in any online conversation with patients or regarding patients Post or discuss any PHI (Protected Health Information) Communicate with specific patients about their condition/treatment even if the patient initiates communication on-line Communicate with the instructor, other students, friends, family, etc. about your training at DUHS and DUHS patients Even when not on-line, students cannot discuss patients or patient information with family, friends, or others not involved in the patient s care. If students have questions or concerns regarding privacy and social networking sites, they should contact their preceptor/instructor or the DUHS Compliance Office at , or they may the contact the Duke Medicine Integrity Line at for anonymous and confidential reporting.
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