1. Jake Slivensky Safety Manager

7. VA TVHS Demographics 2 Main Hospitals Nashville- Tertiary Care Murfreesboro- Long Term Care/Psych 14 Outpatient Clinics (and growing) 2 Cemeteries 2 Veterans Community Centers 3800 FTEE

8. VA Safety Construction Environmental Life Safety Fire Safety Emergency Management Accident Investigation Industrial Hygiene

9. Life Safety NFPA 101 Life Safety Code Minimal Building Construction Maintaining Egress Corridor Widths Fire Suppression & Maintenance Door Functionality

10. Fire Safety Fire Drills Scored/Critiqued Rolls and Responsibilities Evacuation- leave or stay? Fire Extinguishers Unique Challenges Based on location/area/section

11. Construction Heard of Walter Reed VA Medical Center? $56 Million Projects Protect the Patients Dust Noise Critical Patients Preserve Fire Suppression

12. Industrial Hygiene (IH) Hazardous Materials Storage & Disposal OSHA- Right to Know Monitoring Chemical Badge/Dosimeter Indoor Air Quality (IAQ) Noise Confined Spaces

13. Emergency Management Comprehensive Response Plans Full Scale Drills Critique and After Action Reports

14. Environmental Green Environmental Mgmt System (GEMS) Air Emissions Boilers ETO Sterilizers Routine water sampling Underground Storage Tanks (UST)

15. Other VA Safety Responsibilities Resident Care Home Programs RCH ~120 Homes Nursing Home Care Programs ~20 Facilities Homeless Shelters ~5 Shelters

16. VA Safety Obstacles Finances Federal Budget Hiring Training Salaries Equipment Politics/Oversight Overkill on Inspections Growth: Facility + Geographic “Me Too” Syndrome

17. Who annoys inspects VA Safety? OSHA (federal) TDEC The Joint Commission**** Office of Inspecting General Congressmen News Reporters Quality Management VA Patients ****Governing Body of Accreditation

22. Questions/Comments Jake Slivensky (615) 456-6396 Jake.Slivensky@va.gov