Health and Safety Amanda Parker-Harrison 2014

Key Learning Points  Factual knowledge of safety requirements to employers and employees A working knowledge of legislation and regulations How to carry out a risk assessment Occupations hazards and avoidance General safety and security issues

Health and Safety at Work At 1974  Workplaces, staff and patients covered  Regulated by the HSE  5 or more employees, must produce a H&S policy  Health and Safety (young persons) regulations 1997  Management of Health and Safety at work regulations 1999

Compliance with Health and Safety includes:  Fire precaution (workplace) Regulations 1999  Health and Safety (First Aid) Regulations 1981  Control of Substances Hazardous to Health (COSHH) 1994  Reporting of Injuries, Diseases and Dangerous Occurrences (RIDDOR) 1995  Environmental Protection Act 1990  Special Waste and Hazardous Waste Regulations 2005  Ionising Radiation Regulations (IRR) 1999  Ionising Radiation (Medical Exposure) Regulations 2000  Occupational Hazards  General Safety measures  General Security measures

Risk Assessment  Identify Hazard  Who may be harmed  Evaluate risk  Control risk  Record findings  Review process

Risk Assessment  In pairs  Carry out a risk assessment of the classroom Points to consider -Lighting --temperature --working space --airflow --SMARTboard 10 minutes

Fire Precautions(Workplace) 1999  Identify Hazards  Who may be harmed  Evaluate risk of occurrence  Control risk  Record findings  Review periodically

Fire Precaution (Workplace) Regulations 1999 Fire Detection Battery operated smoke detectors. Fire inspector will advise how many are needed. Fire Fighting Class A- Paper, wood and textiles Class B – Oils solvents and petrol Class C – Gas, butane, LPG Class D – Reactive metal Class E - Electrical Class E – Kitchen fats

Smoking in the Workplace  Prohibited in all UK Workplaces  No Smoking sign must be displayed  Nurses must change out of uniform  Not be visible to patients

Health and Safety (First Aid) Regulations 1981  All workplaces must have adequate provision  All staff trained and certificated in basic life support  At least one employee trained in emergency first aid  Full first aid kit available  Accident book

Control of Substances Hazardous to Health (COSHH) 1994  COSHH file must be kept  All materials used should be assessed  Available to whole dental team  Ensure storage is adequate  Suitable ventilation and temperature

Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR) 1995 Accidents in the Workplace fall into two categories:  Minor Accident  Major accident Not relevant to patients in the Dental chair, only those on the premises. Nurses that are registered with the GDC are personally responsible for their own errors under H&S law.

Minor Accidents Slip,trip or fall Clean needle stick injury Minor mercury spillage

Major Accident Fracture of skull, spine or pelvis Fracture of the long bone in an arm or leg Amputation of a hand or foot Loss of sight in one eye Hypoxia Any injury requiring 24hours or more hospital admission

Reportable diseases:  Legionella  Hepatitis B or C  HIV  Any acute ill health caused by infection with dangerous pathogen

Special waste and Hazardous Waste Regulations 2005 Dental Workplace Waste Non- Hazardous Waste Offensive Waste Trade Waste Hazardous Waste Medicines, out of date stock, lead foil

Hazardous Waste Non Infectious (chemical) Fixer and Developer Waste Amalgam and Mercury Teeth with amalgam fillings and Mercury Infectious (clinical) Sharps Teeth without amalgam, used LA cartridges Soft PPE, swabs, wipes Gypsom Waste

Trade Waste  Dental equipment  Electronic waste  Lighting tubes  Batteries

Offensive Waste  PPE  Toilet hygiene waste  Any waste not in contact with bodily fluids but which may still cause offence

Waste Management Environmental Protection Act 1990  Has written policy  Segregate waste  Staff training  Correct storage  Licensed waste collectors

Consignment notes Hazardous waste  Must accurately describe waste contents and be kept for 3 years Non-hazardous  Must accurately describe waste contents and be kept for 2 years

Ionising Radiation Legislation  Ionising Radiation Regulations 1999 (IRR99)  Ionising Radiation (Medical Exposure) Regulations 2000 (IR(ME)R2000)  Specific legislation in place to ensure compliance with Health and Safety  Aim of both sets of regulations is to keep exposures to a minimum required for clinical necessity

Occupational Hazards  Cross infection and inoculation injuries  Exposure to ionising radiation  Exposure to hazardous chemicals  Exposure to hazardous waste  Exposure to lasers, whitening and curing lamps  Display screen equipment

General Safety Measures  Manual handling  Safe means of entry and exit  Non slip floors  No trailing electrical cables  PAT testing  First Aid kit  Guards around heaters  Security  Alarms