EHSSENTIALS 2018
 

Sessions

Symposium Agenda – Thursday, October 25, 2018

  • 8:00 – 8:30 AM

     
  • Li Ka Shing Center Lobby

    Registration & Coffee

  • 8:30 – 9:30 AM

     

  • Berg Hall

    Welcome & Keynote Speaker

    Importance of Sleep in Safety

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    Scott Kutscher, Sleep Specialist; Assistant Professor of Sleep Medicine, Stanford Center for Sleep Sciences and Medicine

    Sleep occupies one third of our lives and is critically important for the maintenance of health, as well as optimal physical and cognitive performance. As a growing body of research supports these connections, sleep is increasingly recognized as a key factor in workplace safety across industries. This talk will focus on how variables in the amount and timing of sleep influence safety in the hospital, and how to promote optimal sleep for workers in an industry that does rest.

  • 9:45 – 10:45 AM

     

  • Track A – Berg Hall A

    Standardizing the Soiled Utility Rooms to Reduce Risk to Patient / Staff Injuries and Support the Environment of Care

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    Tina Cortez, Advanced Project Manager Certification, Program Manager, Safe Patient Handling, Stanford Medical Center
    Erika Kimball, RN, MBA, Waste Reduction Program Manager, Sustainability and Energy, Stanford Health Care
    Anthony Nguyen, Quality & Compliance Manager, Hospitality, Stanford Health Care

    Linen loss costs US healthcare facilities over $840 million dollars a year. Come learn how Stanford Health Care has applied 5S methodologies to the hospital’s inpatient soiled utility rooms to limit loss of patient handling safety equipment due to inappropriate disposal of linen.


  • Track B – Berg Hall B

    Implementing Ergonomics Solutions in EVS and Nursing

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    Christy Foster, Environmental Health and Safety Director, Lucile Packard Children’s Health Stanford
    Amish K. Waland, MBA, CSP, EH&S Practice Specialist, Kaiser Permanente

    This session will provide information about how Kaiser assessed and began to implement a participatory ergonomics program. This session will focus on the solutions that were developed from risk assessments, injury review, awareness trainings and group workshops.


  • Track C – Berg Hall C

    Hazardous and Medical Waste Segregation

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    Matthew J. Huray, Principal Consultant, National Environmental Health and Safety Department, Kaiser Permanente

    Healthcare generates more types of waste than just about any other industry. This includes medical waste, hazardous waste, universal waste, confidential waste, radioactive waste, food waste, landscaping waste, recyclable solid waste, and municipal solid waste. It is critical that healthcare organizations maintain and continually improve waste management programs that meet regulatory requirements and minimize environmental impact. This presentation will highlight actions that a large health care system has implemented to meet these challenges, and provide examples of steps taken to garner stakeholder support that is necessary for success.

  • 11:00 – 12:00 NOON

     

  • Track A – Berg Hall A

    Management of Challenging Parents and Patients: Extra Grace Required

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    Dr. Julie Collier, Clinical Assistant Professor, Pediatrics – Rheumatology, Stanford School of Medicine
    Elizabeth Hinchman, NP, Family Psychiatric Nurse Practitioner, Lucile Packard Children’s Hospital Stanford

    There is a great deal of training and education material around workplace violence prevention in healthcare, however the focus of this material to date has been primarily on recognition and response to aggressive or combative behavior. A focus on preventing these behaviors in the first place is an approach that aligns better with the basic principles of safety, and provides additional tools and resources for staff to provide safe and effective patient care. In this session you will hear how Lucile Packard Children’s Hospital is achieving success in true prevention of workplace violence through an innovative program focused on partnership with patients and families. The presentation will include an overview of the history of the program, underlying principles, and examples of how these techniques have been applied in actual patient care situations.


  • Track B – Berg Hall B

    10 Minutes to HAZWOPER

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    Shelley R. Carry, NEH&S Principal Consultant, Kaiser Permanente

    Does your organization struggle quantifying chemical spill size for incidental and large (HazWOpER) spills? You are not alone. Come hear how Kaiser Permanente has cracked the code to define incidental and large spills.


  • Track C – Berg Hall C

    Case Study – Implementation of the New CMS Standards for Clinic Emergency Preparedness

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    Calvin Fakkema, CHSP, CHEP, Manager, Safety & Security, Children’s Hospital of Orange County (CHOC)
    David Bernstein, CBCP, CEM, CHEP, CHPCP, Senior Consultant, BSI EHS Services and Solutions

    With network growth always on the horizon, it can be difficult to incorporate new CMS regulations for clinics and engage with all of them in a meaningful way. Through the CMS exercise requirement for clinics, Children’s Hospital of Orange County (CHOC) has found a way to both better prepare clinics for emergencies, and also to integrate them into the Hospital Incident Command Structure (HICS). Attendees in this session will walk away with lessons for meeting CMS requirements for clinics as well as lessons and strategies for effectively integrating outpatient facilities into their command structure. Calvin Fakkema of CHOC and David Bernstein of BSI EHS Services and Solutions will present on their experience planning an exercise for clinics to meet the new CMS requirements and how this was framed to meet Calvin’s vision of integrating the Hospital Incident Command Structure (HICS) and supporting resources to the clinics. Calvin and David will touch on the strategic direction of the exercise and how the scenario reinforced a support structure to demonstrate integration of outpatient facilities to the larger response organization. Based on the positive response of the clinics, we believe this can be used as an effective model to integrating clinic operations in other hospital networks. Attendees should expect to learn about the methodology used for creating the exercise as well as strategies for engaging outpatient and offsite ancillary care services in HICS.

  • 12:45 – 1:30 PM

     

  • Plenary Session

    Where There Is Smoke, There is Fire: The Kaiser Permanente Santa Rosa Evacuation, Recovery, and Repopulation Experience

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    Susan Fitzgerald, MD, Emergency Physician, Regional Emergency Management Training Director, Kaiser Permanente

    What happens when the Fire Department comes into your hospital and says to the Incident Commander “We are taking a last stand” at the very edge of your property? At Kaiser Permanente Santa Rosa October 9th at 2:30 AM that is exactly what happened. A wildfire, within hours, became an urban fire which then engulfed the trailer park 100 yards from our medical center.

    With 80 trailers literally blowing up next door, we had to decide what to do and how best to do it. Kaiser Permanente Santa Rosa Command Center Team Members will share with you their experience, including how they evacuated more than 120 patients in 3.5 hours, and the challenges of the recovery and repopulation of the medical center. Presenters will answer questions and engage the participants.

  • 1:45 – 2:45 PM

     

  • Track A – Berg Hall A

    Leading Indicators and Injury Prevention

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    Rebecca (Ferrier) Hariri, PT, DPT, Injury Prevention Manager, UCSF Medical Center
    Veronica Villalon, MLSO, Safety Manager, UCSF Medical Center and Benioff Children’s Hospital

    Safety programs are often based on compliance with regulations, with the best paper programs ending up un-used on a shelf. In this session, UCSF Injury prevention and compliance management will share how they have moved their program from one based on past injuries to a more proactive approach to prioritize time and resources.

  • Track B – Berg Hall B

    Ergonomic Risk Assessment Tool for Operating Rooms

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    John Vaughan, CPE, MSE, Senior Safety Engineer, Manager of the Ergonomics Programs, Stanford Health Care

    Ergonomics in the Operating Suite is a unqiue challenge, with sterile field requirements, limited space, and procedures specific requirements making traditional engineering controls difficult or impossible to implement. Stanford Health Care has developed a tool designed to specifically assess the risks in the O.R., and help present solutions that will work in this environment. This presentation will provide an overview of the risks unique to Perioperative Services along with some ideas for solving these ergonomic challenges.


  • Track C – Berg Hall C

    Incident Notification and Communication Protocols

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    Mitch Saruwatari, National Director of Emergency Management, Kaiser Permanente

    Discuss how an incident typically evolves and the communication pathways needed to mobilize an appropriate response. This session will review protocols for incident identification, initial notification and event assessment, and use examples from the 2017 Wildfires to demonstrate how agencies can share, process, publish and distribute information.

  • 3:00 – 4:00 PM

     

  • Track A – Berg Hall A

    Best Practices for Lock Out/Tag Out

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    Charity Nicolas, MPH, Senior EHS Consultant and Manager, BSI EHS Services and Solutions

    Not following proper LOTO procedures can lead to very serious injuries and fatal injuries. A well planned Hazardous Energy Control (HEC) and Lockout/Tagout (LOTO) program can protect workers from injuries caused by unexpected discharges of hazardous energy. At this session, you will learn the basics of HEC and LOTO, and how to keep your employees safe.

  • Track B – Berg Hall B

    Hazardous Drugs Handling

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    Nicholas Filipp, PhD, CIH, Principal Consultant, BSI EHS Services and Solutions

    Class II B2 Biosafety Cabinets (BSC) are considered the minimum safety standard for compounding of chemotherapy drugs because they exhaust 100% of all intake air to the exterior of the building to prevent recirculation of hazardous drugs. However, many healthcare facilities throughout the U.S. use Class II A2 BSC for compounding of chemo drugs. Recirculating Class II A2 BSC exhaust 30% of their airflow to the exterior of the building and recirculate the balance of air back into the BSC. There are few studies demonstrating whether recirculating Class II A2 BSC are similarly effective as Class II B2 BSC in protecting employees during chemo-drug compounding activities. The purpose of this study was to evaluate whether the use of Class II A2 BSC together with administrative controls used by many healthcare facilities for compounding tasks are effective at controlling worker exposures or require change/modification to improve their safety. This presentation looks into an Airborne Exposure Assessment and the results found regarding the effectiveness of Class II A2 Biosafety Cabinets at controlling workplace exposures to chemotherapy agents.

    Class II B2 Biosafety Cabinets (BSC) are considered the minimum safety standard for compounding of chemotherapy drugs because they exhaust 100% of all intake air to the exterior of the building to prevent recirculation of hazardous drugs. However, many healthcare facilities throughout the U.S. use Class II A2 BSC for compounding of chemo drugs. Recirculating Class II A2 BSC exhaust 30% of their airflow to the exterior of the building and recirculate the balance of air back into the BSC. There are few studies demonstrating whether recirculating Class II A2 BSC are similarly effective as Class II B2 BSC in protecting employees during chemo-drug compounding activities. The purpose of this study was to evaluate whether the use of Class II A2 BSC together with administrative controls used by many healthcare facilities for compounding tasks are effective at controlling worker exposures or require change/modification to improve their safety. This presentation looks into an Airborne Exposure Assessment and the results found regarding the effectiveness of Class II A2 Biosafety Cabinets at controlling workplace exposures to chemotherapy agents.


  • Track C – Berg Hall C

  • 4:00 – 4:15 PM

     

  • Berg Hall

    Closing Remarks

     

Environmental, Health & Safety Symposium for Healthcare