Safety Manual

Run

Retreat              

Rabbit

Rescue

19.  What does the R in Race stand for?

True

False

20.  What does the A in RACE stand for?

Alter

Alarm

Apple

Attempt escape  

21.  What does the C in RACE stand for?

Egg

Elect                                            

Engage                     

Extinguish                           

Capture

Counter

Cause

Contain

22.  What does the E in RACE stand for?

23.  If you are in immediate danger from a fire, get out and call 911, do not attempt to extinguish it.

True

False

24.  What is the Phrase to remember for putting out a fire with an extinguisher?

PASS

RACE

PACE

DRAW

25.  How to prepare for a fire.

27.  How far away do space heaters need to be from anything that can burn?

30.  What is the most important thing to remember when lifting objects.

31.  How much pressure does a 10 pound weight put on your back if you hold it at arms length?

32.  If you are injured on the job and you DO NOT require 911, what do you do FIRST?

First Name (required)

Last Name (required)

True

False

True

False

Identify the nearest emergency exit and be familiar with the escape route

Have an emergency plan and practice leaving the building

Have a fire extinguisher and know how to use it

All of the above

2 feet

3 feet

4 feet

1 foot

True

False

True

False

10 pounds

25 pounds

50 pounds

75 pounds

100 pounds

150 pounds

Call the office (even after hours, there is always someone on call)

Call Medcor at 1-800-775-5866 (open 24/7)

Go to the emergency room

Go to urgent care

Make sure to twist when you pickup items

Keep your legs as close together as possible

Hold the object at arms length

Keep you butt behind you (Center of gravity over base of support)

26.  How do you put out a small grease fire, in a pan?

Pour water on it

Pull the pan of the burner and wait for it to go out

Put a lid on it

Use a fire extinguisher

 1.  You are walking towards your clients home, you see a group of people in your way.  What do you do?

 2.  You arrive at your shift, a family member is drunk and yelling profanities.  What do you do?

 3.  Pathogens are germs that cause disease.

True

False

 4.  What is the most important thing you can do to prevent the spread of germs?

Leave the home and call 911 if necessary, then call the

office

Stay and get your work done, it's your job.

Confront the drunken family member

Stay and make sure your client is safe.

 5.  How long do you need to wash your hands for?

 6.  What is the most important part of hand washing?

5 Seconds

10 Seconds

20 Seconds

30 Seconds

Water

Friction

Hot water

Soap

Bathing regularly

Getting enough sleep

Frequent effective hand washing

 7.  Food borne bacteria may take 6 weeks to make you sick.

True

False

True

False

The refrigerator

Place the frozen food in a watertight plastic bag under cold water and change the water often

The kitchen counter

Microwave the meat

 8.  Hand washing only needs to be done after removing gloves, not before.

 9.  Do not open the door of a Dishwasher early. The dry cycle is an effective sanitizer.

10.  To thaw frozen meat (the Thaw Law)  which of these is NOT correct.

11.  Discard (throw away) any perishable foods left at room temperature longer than 2 hours. When temperatures are above 90°F, discard food after 1 hour.

12.  At room temperature, bacteria in food can double every 20 minutes

True

False

13.  How long are refrigerated leftovers good for?

1 day

2 days

3 days

4 days

14.  If you need to call 911, it is best to use a cell phone.

False

True

16.  When do you call Helping Hands?

911

Helping Hands

Client's family

Client's case manager

15.  In an emergency, who do you call first?

Immediately after 911

The next day

Lower body weakness

Problems with walking and balance

Taking four or more medications or any psychoactive medications

Parkinson's Disease, history of stroke, arthritis, cognitive impairment, and visual impairments

All of the above

17.  Modifiable risk factors for falls

18.  The 3 elements of a fire are Oxygen, Fuel, and Heat.

Date (required)

0

Walk through the group of people

Cross the street to avoid going through the group of people

Walk around the group without crossing the street

Return to your car and go home

28.  Heating pads can burn people.

29.  Oxygen tanks can act like a torpedo is the valve is damaged.

Covering your cough

SAFETY TIPS FOR THE DCW


  1. Before leaving your home, know how to change a tire and take emergency supplies with you. Always use reliable transportation with plenty of fuel.
  2. Always inform your office regarding the address you are visiting and the anticipated length of time you will be there.
  3. Alert the client (when possible) that you are coming and have him or her watch for you.
  4. Have accurate directions to the street, building, or apartment. Obtain a map to identify the location to which you are traveling.
  5. Drive with the windows closed and all car doors locked. Keep your purse or wallet in the trunk.
  6. As you approach your destination, carefully observe your surroundings. Note the location and activity of the people; types and locations of cars; conditions of buildings (abandoned or heavily congested buildings).
  7. If you see a gathering of people, do not walk through them. Walk on the other side of the street.
  8. Before getting out of the car, once again thoroughly check the surroundings. If you feel uneasy, do not get out of the car and notify your office.
  9. Park your car in a well-lit, heavily traveled area of the street. Lock your car and lock your personal items in the trunk.
  10. Do not enter the home if the situation seems questionable (for example, drunk family members, family quarrel, combativeness, unleashed pets, etc).
  1. Note your exits when you enter a client’s residence. Try to always have a safe way out.
  2. You should remain cautious when approaching pets within the home/community setting. They may be territorial and protective of their owners. It may be necessary to ask a family member to confine them briefly while you are completing your assessment and/or visit.



THE SPREAD OF DISEASES AND PREVENTION


Preventing the spread of disease depends on how the disease is transmitted and the source of the infection. Germs, also called microorganisms, are tiny living particles. They can be found anywhere: in the air, on the ground, in our bodies.


Pathogens—the germs that cause diseases—often live in a specific environment. Some diseases are spread by touching objects that an infected person has touched. Other diseases are spread when you come into contact with the body fluids of an infected person, for example blood or saliva.


Sources of infection


Healthy individuals with healthy immune systems will stay healthy because their immune system will fight the germs. To help the body fight off diseases, there are simple things you can do every day. You can reduce the spread of infectious microorganisms by:


Risk factors

People are at greater risk for getting infections if they:


Procedure: Hand Washing



Food Safety

Foodborne Illness

Foodborne illness is transmitted to people by food or beverages, sometimes called food poisoning. The very young and the very old are at increased risk for foodborne illnesses for different reasons:



To reduce the risk of illness from bacteria in food, individuals who are at greatest risk are advised not to eat:



Recognizing foodborne illness


The bacteria in unsafe food are hard to detect. Often the individual cannot see, smell or taste the bacteria.

Foodborne bacteria may take 20 minutes to six weeks to make you ill depending on the type of bacteria.

Symptoms of foodborne illness may be confused with other types of illness, but are usually nausea, vomiting, diarrhea, or a fever, headache and body aches.


Food Preparation


Wash your hands

Following correct procedures before preparing food is very important.

A DCW may see several clients and/or do different tasks such as cleaning, bathing and food preparation.

When preparing food for a client, you need to make sure fingernails are clean and contain your hair (pull back or wear a hairnet).

Wear disposable gloves to reduce contamination and cover broken skin areas with a bandage.  

Remember to wash your hands BEFORE applying and AFTER removing gloves.



Washing and preparing food


Preparing vegetables



Other guidelines



Defrosting Meat


There are three safe methods to thaw frozen meat (the Thaw Law):


It is NOT safe to thaw meat, poultry or fish on the kitchen counter.

Bacteria can multiply rapidly at room temperature.


Storage


Two-hour rule


Did You Know?

Do not rely on reheating to make leftovers safe. Staph bacteria produce a toxin that is not destroyed by heating.


Refrigerator and freezer temperatures



Open containers



Keep food clean

Keep hot food hot

Keep cold food cold

When in doubt, throw it out!



EMERGENCY PLANNING


Good safety precautions can help prevent falls, fires, and other emergencies. Keep appliances in good repair, practice personal safety, and prepare a plan for emergencies. Direct care workers (DCWs) need to know how to respond to emergencies and how to help prevent them. For several reasons, elderly persons and people with disabilities are more at risk for injuries at home:



What to do in an Emergency - General Guidelines



If the individual is not responding and not breathing normally:



If the individual is not responding but is breathing:



Cell phone use


Call your supervisor after the paramedics have been called and the consumer (and yourself) are no longer in danger.



Emergency Plan


Every individual especially if living alone should have an Emergency Plan posted in an obvious place such as the refrigerator. The plan should be kept up to date with current medications (recommend attaching it to the back of the plan) in case the individual is unable to give the paramedics the information in an emergency. Below is an example of an Emergency Plan.


Name: __________________________________________________________


Address: ________________________________________________________


Phone: __________________________________________________________


Responsible Party/Emergency Contact(s)


Name:_________________________________ Phone(s):____________________


Name:_________________________________ Phone(s):____________________

911: Fire/Police/Paramedics


Hospital Preference:___________________________________________________


Physician:______________________________________ Phone: _______________


Living Will: Yes No                                                                           .                      ..


CPR: Yes No                  (If No, my orange form is located (where):__________________


My Current Medication List Is Located (where): ________________________________


Comments:___________________________________________________________


Signature: _________________________________________Date:_______________



FALLS



How serious is the problem?



What to Do if an Individual Falls:


If the individual has already fallen when you find him/her or is complaining of pain after falling:


If the individual is not responsive, call 911 immediately

Fall Prevention


Who is at risk?


All men and women are at risk for falling. White men have the highest death rates related to falls. Women are more at risk for hip fractures. For both men and women, age is a risk factor for hip fractures: People age 85 and older are 10 times more likely to break a hip than people at age 60 to 65.

Through careful scientific studies, researchers have identified a number of modifiable risk factors:


Seniors can modify these risk factors by:


What other things may help reduce fall risk?

Because seniors spend most of their time at home, one-half to two-thirds of all falls occur in or around the home. Most fall injuries are caused by falls on the same level (not from falling down stairs) and from a standing height (for example, by tripping while walking).  Therefore, it makes sense to reduce home hazards and make living areas safer.

Researchers have found that simply modifying the home does not reduce falls. However, environmental risk factors may contribute to about half of all home falls.

Common environmental fall hazards include tripping hazards, lack of stair railings or grab bars, slippery surfaces, unstable furniture, and poor lighting.


To make living areas safer, seniors and people with disabilities should:



FIRE SAFETY


The Three Key Elements of a Fire

A fire needs all three elements to continue to burn. To extinguish a fire you need to take at least one of the elements away. You can put out a very small flame with a heavy blanket. If there is a fire in a cooking pot or a garbage can, put a lid on it. Use a fire extinguisher. Without fresh oxygen, the fire will go out.


Use R.A.C.E:



If you are in immediate danger from flames or smoke, Get out and stay out. - Call 911.



How to Use a Fire Extinguisher



Fire extinguishers are categorized by the type of fire they put out (Class A, B, or C fires). If only one extinguisher is available, make sure that it is an ABC fire extinguisher type so that it will put out all three classes of fires.


IF YOU FIGHT A FIRE, REMEMBER THE WORD PASS


WHEN NOT TO FIGHT A FIRE


IF ANY OF THE ABOVE CONDITIONS EXIST, LEAVE IMMEDIATELY!



Fire Prevention


Preventing a fire is better than fighting fires. Fire alarms and safe handling of fire and other heat sources are important The U.S. Consumer Product Safety Commission has targeted these principal consumer products associated with fires:


The most important fire safety measure is to make sure the consumer has at least one working fire alarm on every floor preferably near the bedrooms and/or kitchen. Test the battery monthly.


How to be prepared for a Fire


Cooking


Smoking


Heating


Electrical Safety


Using Oxygen




PRINCIPLES OF BODY MECHANICS


Some of the most common injuries sustained by healthcare workers are severe muscle strains. Many injuries can be avoided by the conscious use of proper body mechanics when performing physical labor. Body mechanics is the utilization of correct muscles to complete a task safely and efficiently, without undue strain on any muscle or joint.


Using correct body mechanics is an important part of a DCW’s job because:


Just as lifting, pushing, and pulling loads can damage your back, so can bending or reaching.  As a DCW, you may have witnessed firsthand the pain and misery a back injury can cause. The good news is that you can learn some simple ways to reduce the risk of injury.


Body mechanics principles that play an integral part of this section are:


Procedure: Lifting Objects with Good Body Mechanics


Practical tips


Don’t forget!



I Just Didn’t Listen

I am a caregiver and I thought I knew all about body mechanics. I took a four-hour class about how to stand, transfer, use a mechanical lift, etc. I really thought I knew what to do. I remember my instructor telling me she was going to give us some “tools” in how to interact with our environment. Some of the “tools” were to keep our center of gravity over our base of support, and she really emphasized to make sure you keep your butt behind you. She even added, to push this point stronger, to keep your butt behind all your activity. We all chuckled when she made this statement. She challenged us for the next two weeks to focus on keeping our butts behind all our activity. I thought I had this down pat. Well, I messed up and messed up BIG TIME! I was sitting on the couch watching TV and my three year old niece was sitting next to me. I love my niece, she sure puts a smile on my face. Well, I just turned to pick her up to put her on my lap to snuggle and POW! I felt the twinge in my back. I couldn’t believe it, I just couldn’t believe it. I needed to set up an appointment with my doctor. “Yes,” he said, “it looks like you pulled a muscle.” I was lucky it was not any worse than the pulled muscle. I thought back at what I did, and I realized I did not have my butt behind me. I actually twisted myself. It was so easy not to follow the directions. I am now really challenging myself to focus on the tools my instructor gave me, and I think I have it this time. Next time I will just tell my niece to snuggle up on my lap rather than have me twist and lift. No more twisting for me. Well, maybe on the dance floor!


When holding, lifting or carrying items



ON-THE-JOB INJURIES


Through training, proficient matching of caregivers to clients, periodic review of clients needs, and so forth, Helping Hands makes every effort to minimize the risk of injury to our caregiving staff. However, even under the best of circumstances, on-the-job injuries can occur. When they do, it then becomes Helping Hands’ objective to assure that injured employees first receive the most efficacious medical attention and care possible, and then the highest degree of protection of their best interests possible.

To accomplish this Helping Hands has contracted with an independent consulting firm to manage our employees’ workmen’s compensation injuries and claims. That firm is Workers’ Compensation Company of America (WCCA). As a part of their services for us and our staff, they provide an injury management and claims reporting service (known as Medcor) that looks out for everyone’s best interests when on-the-job injuries occur.

 

PROCEDURES TO FOLLOW WHEN AN INJURY OCCURS

      As soon as possible after an on-the-job injury occurs (other than a serious injury requiring a   call to 911), the injured staff person should make two telephone calls.


FIRST CALL  -  DIAL 1-800-775-5866, 24 hours a day, 7 days a week. (MEDCOR)


You will be connected with an Registered Nurse at Medcor, who will take down all the information on the injury and offer a recommendation on the next step(s) you should take.


SECOND CALL  -  Call your Helping Hands office,  24 hours a day, 7 days a week.


If the injury is not during normal office hours, just let the person on call know that you are reporting a work injury, and they will get the message to the appropriate administrative staff. If it is during normal office hours, again just let whoever answers the phone know that you need to report a work injury, and your call will be directed to the correct administrative staff person.

 information on the injury and offer a recommendation on the next step(s) you should take.


NOTE: If the injury results in a need to leave the job, or will prevent you from filling you next scheduled shift, it is extremely important that you let the office know just as soon as possible so we can find a replacement caregiver to fill in while you are off work


After the  paramedics leave

As soon as you and the client are safe.