Downloaded from https://www.everyspec.com 22–6. Inspections Qualified personnel shall inspect all vessels and floating plants at least annually for seaworthiness and safe operating condition. Periodic inspections and tests shall assure that a safe operating condition is maintained. 22–7. Preaccident or preemergency planning Prior to vessel or plant deployment, plans shall be prepared for response to marine emergencies such as fire, sinking, flooding, severe weather, man overboard, and HAZMAT incidents as outlined by USCG guidance and/or USACE EM 385–1–1, Section 19. Drills and exercises of these plans shall be conducted as stated in the guidance. Chapter 23 Medical Safety 23–1.
Introduction The health care delivery industry requires strenuous activities to include lifting, pulling, sliding, turning of patients, transferring of patients, moving of equipment, and standing for long periods of time. Such requirements create environments conducive to accidents and injuries. This chapter provides— a. The additional practices and procedures that constitute a safety program in Army MTFs and supplement other codes, standards, and laws. b.
Guidance for medical commanders, MTF safety personnel, supervisors, and other personnel in the hospital to provide a safe, functional, supportive, and effective environment for patients, staff members, and other individuals in the hospital. 23–2. Policy An effective medical safety program must go beyond the minimum requirements found in the regulations, codes, and standards. Therefore, the requirements of Environment of Care Essentials for Health Care, published by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and DA Pam 385–80 are mandatory. 23–3. Army Medical Safety Program Management a. The MTFs will comply with the host installation safety program. b.
Accident reporting and recordkeeping procedures and responsibilities for MTF’s safety directors are defined in 29 CFR 1904, chapter 3 of this regulation, and JCAHO environment of care standards. 23–4. Hospital safety a. The hospital commander has overall responsibility for safety in the MTF or hospital. (1) A Safety and Occupational Health Advisory Council or an Environment of Care Committee will be organized with representation from the administration, PVNTMED service, medical staff, nursing staff, engineering and mainte- nance, emergency management, security, housekeeping, and nutritional care.
(2) The committee will meet regularly but not less than every other month and keep written minutes of its meetings. (3) The findings of the committee and appropriate recommended corrective actions will be reported in the commit- tee minutes and all minutes will be signed and approved by the hospital commander. (4) If the MTF opts to have an Environment of Care Committee then the safety director will be an active member of the installation safety committee and report appropriate items of interest to the MTF at the bimonthly Environment of Care Committee meeting. Additionally, the safety director will convey safety items that the MTF addresses to the installation safety office. b.
The hospital will have written safety policies to include procedures for safety of patients and accident reporting procedures for patients, visitors, and staff. c. Safety training. (1) A safety orientation program will be provided for all new employees. (2) Ongoing safety education will be provided by the supervisor for all employees and it will be documented. (3) Educational programs will be developed for specific areas and activities within the hospital. (4) All employees will be instructed by their supervisors as to the hazards inherent in their jobs and the safety rules pertaining to their specific duties.
(5) Education related to job hazards will be coordinated with occupational health personnel, the safety director, and the infection control nurse as appropriate. d. The hospital will have a written policy that prohibits smoking in the hospital for staff or visitors. An exception may be made for patients in accordance with JCAHO environment of care standard. 82 AR 385–10 • 23 August 2007