forms - Independent Counselling Enterprises

July 2010Health and Safety Minutes3.1 Review of Regional Healthand Safety MinutesSouth RegionMeeting minutes date: May 19,2010Point of clarification re Southminutes:Corinne is revising Health andSafety binders for ICE rather thanthe Health and Safety CommitteeMembership binders. These wouldbe organized by the South H&Scommittee.#2 – CPI training is generallyreserved for staff required toimplement an authorized plannedprocedure for a client that includesuse of approved restraints.Calgary RegionMeeting minutes date: April 21,2010Review of Near MissMar 19/10 – Staff was pinned toher seat by a client holding herarms.Recommendations:Client had blood work that morning,that staff was not aware of.Ensure that parents know the importanceof relaying changes in thefuture. CSC to discuss with staffstrategies on how to inform clientabout changes in environment, etc(prepare). Ensure that staff follows3-hour transportation after escalationrule.No additional recommendation.3.2 Evaluation of current InjuryInvestigationsApril 20/10 – Upon return fromhis day program, client was veryirritable. Client has been goingthrough a period of adjustmentin regards to a relationship with agirlfriend. Client approached staffand there was physical involvement.Staff was injured (arms andneck) she experienced headachebecause of this incident.Recommendations:• That male staff be booked to supportclients at this program.• Follow up MH support team.• Staff at the program receiverefresher PBI training.• Staff to use PBI techniques, i.e.maintain personal space and bealertMay 2/10 – Staff was in process ofadministering medication to client.Staff was carrying a pen for recordingpurposes; staff slipped andaccidentally poked himself in thenose. The pen broke the surface ofthe skin. First Aid was applied.Recommendations:• Attach pens for recording medicationadministration on each individualclient’s clipboard to avoidstaff walking about with a pen.• Give medication first, recordingcan be done afterward reducing thedivision of attention that may havecontributed to the incident.• Review if the floor surfacemay have been affected by use ofmaterials such as non-stick cookingspray or flour creating hazards notvisible. Review safe use of suchmaterials with staff team.• Review if shoes soles were wornand smooth.May 25/10 – Office staff wasgoing up the stairs and fell. Staffstated that she tripped and then fellforward and then slid backwardsdown the stairs.Recommendation:• Use the banister at all times• Use safe methods to carry itemson the stairs (sight of stairs maintained)• Limit the amount of items thatare carried when using the stairs• Focus on task at handMay 23/10 – Staff poked herselfwith a blood glucose testing device.Recommendations:• Retraining of employee and teamin safe BG testing procedures.• Refer to Policy. Policy 2.3.10 –Handling of Sharps/PunctureWounds. Review this policy withteam (also recommended forreview with all other teams thatcomplete blood glucose testing.)3.3 Evaluation of Near Miss InvestigationsThe phone was ringing in a residentialprogram. A client becameagitated and slapped and pusheda staff person when the phone wasnot answered quickly enough forthem. The client may have beenunder the influence of unknownsubstances. Police intervention wasinvolved.• Review PBI with staff team.• Follow up with client and supportnetwork and develop andimplement positive approachesif not in place (i.e. agitation, substanceabuse counseling etc.)3.4 Review of COR Audit ActionPlan 2009The group reviewed Section 6.0(pages 47-49) – Emergency Response6.3 key recommendations• A person in the Edmonton officehas a connection with a Fire Fighterwho is willing to assist with trainingstaff to use Fire Extinguishers.More information will be coming.• As per Policy, Fire Drills must beperformed by staff at residentialprograms (including weekend andovernight staff). Reports for WEand ON staff completing drills is tobe submitted Corinne.o It was suggested by TC’s in attendancethat a system that workswell is to set up a fire drill scheduleamongst staff and to make sure thata rotation is being practiced thatincludes all residential positions includingWeekends and Overnights.• Robin suggested (where appropriateand non- intrusive) posting acopy of the “How to Operate a FireExtinguisher” instructions (fromH&S Binder) right beside the fireextinguisher. This encourages staffto review the information regularly.3.5 Review of Master Hazard assessmentand Control DocumentReviewed Master Hazard Assessmentand Control Document• Corinne asked for H & S committee’sassistance in completing theEdmonton Office site specific.4.1 Sign up for Hazard AssessmentTrainingHazard Assessment and Controltraining for Edmonton Health andSafety members will be held onTuesday, June 8th from 9 am-12:00noon in the downstairs trainingroom.Confirmed:Robin, Ursula, Ruby, PelitaAlice – Corinne will contactMelissa, Pat and Vesna – will becontacted by PelitaLorena – is on holidays that week.4.2 July ICE page articles andremindersSuggested topics:• Avoiding injuries/damages by“Being Present” – i.e. maintainingpresence of mind on actions beingcompleted.• Lawn mowing• Wearing proper footwear• Robin will send Corinne informationthat she received regarding“Being Present” in everything thatyou do.• Improper footwear often becomesan issue in summer; it is a goodidea to remind staff about the ICEPolicy in regards to professional(modest) and safe apparel.4.3 Policy ReviewThe group reviewed Policy 2.3.11Emergency Medical Situations• Assignment of restricted activities/ assigned tasks. Kelly providedan update on professional nursingterms. Kelly will provide informationto Corinne and the CR Managerson this topic in reference to CRdocuments.• Kelly will re-circulate an electroniccopy of desk work “stretchingexercises” to all regions.4.4 Other• First Aid Kit reviews – Corinneshared with the group an effectivetip that she learned from aTC regarding taking First Aid kitinventory.• It was suggested that H&S membersshare this with other TC’s attheir unit meetings.• Employee First Aid Kits at residentialprograms are the responsibilityof ICE to stock and maintain.These may be replenished bysending the inventory of missingitems to Corinne. Corinne will alsorequire First Aid Record forms forFirst Aid items used.• Team Coordinators to sendinventory records of missingEmployee First Aid kit items toCorinne. Also First Aid Recordforms for First Aid items used.• It was also reviewed that ClientFirst Aid kits are the responsibilityof the client’s to supply and restock.• Team Coordinators to ensure firstaid supplies are present and maintainedfor clients as part of monthlyclient supports.Page 6www.icenterprises.com