HAWELLA TULA PRIMARY HOSPITAL
TRAINING ON OCCUPATIONAL
SAFETY AND HEALTH
PREPARED BY: DR. ABEL A. (IF &EDMC)
MR. TAGEL T. (FMgt. &CASH)
..
OCCUPATIONAL SAFETY AND HEALTH
-RISK ASSESSMENT REPORT OF
2011E.C AND PROPOSED ACTION
PLAN
PREPARED BY: DR. ABEL A. (IF &EDMC)
OUTLINE
• MEASURMENT FOR RISK ASSESSMENT
• RISK ASSESSMENT RESULT AND ACTION PLAN FOR
2012E.C
MEASURMENT FOR RISK ASSESSMENT
1. Reporting Keys: Risk Assessment Evaluation Scale
The following keys were used for reporting results of the assessment of occupational safety and
health risk in the year 2011E.C:
Table 1: Risk Assessment Key (Scale)
O 1 2 3 4 5
Not Insignificant Minor Moderate Major Severe
applicable
MEASURMENT FOR RISK ASSESSMENT
Not applicable (0) - the process likely to present risk not undertaken in the facility
Insignificant (1) - No risk or the risk is low completely mitigated
Minor (2) - Risks exist in low quantities: exposures possible but unlikely in large quantities.
However, processes may present some risks whose results could be felt as minor on exposure
Moderate (3) - Significant risk exists; action plans must be developed and reviewed frequently
Major (4) – Non-compliance, risk Serious enough to warrant urgent changes in day to day
operations and exposure could be catastrophic: any negligence would move to catastrophic stage
Severe (5) - Catastrophic: Risk is serious enough to influence the hospital’s ability to meet
commitments; immediate intervention is required
RISK ASSESSMENT RESULT AND ACTION
PLAN FOR 2012E.C
1. Occupational safety and health risk assessment of Hawela Tula
primary hospital major findings and subsequent recommended
action plans
1.1. Risk assessment major findings and
subsequent action plans of EOPD
• 1.1.1. Risk assessment major findings of EOPD
• Identified major and severe risks at EOPD
• Major risks:
• Needle in glove waste
• HBV unvaccinated health professionals of EOPD
• Notice used needle under examination bed
• Severe risks:
• Attendant violence
• Immediate availability of PEP
1.1. Risk assessment major findings and
subsequent action plans of EOPD
•Table-2 Subsequent action plans of EOPD
No. Risks Sub-category of risks Action plan Responsible body Time Target %
period
1 Severe Attendant violence No more than two IF, EOPD
attendant per coordinators,
patient security staffs,
cash unit, CEO
Formal and final IF, EOPD
discussion b/n coordinators,
responsible bodies security staffs,
cash unit, CEO
Follow up of Cash unit, IF, and
implementation CEO
and fulfill the gap
1.1. Risk assessment major findings and
subsequent action plans of EOPD
• Table-2 Subsequent action plans of EOPD
Immediate availability of Opening ART center In progress - -
PEP in the hospital
Major Needle in glove waste Orientation to EOPD EOPD coordinators,
2 staffs on proper cash unit, head of
disposal system sanitation staffs
HBV unvaccinated health Vaccination already HIV/AIDS focal,
professionals of EOPD started, thus, EOPD coordinator,
orientation to EOPD IF
staffs to be vaccinated
Notice used needle under Orientation to EOPD EOPD coordinators,
examination bed staffs on proper cash unit, head of
disposal system sanitation staffs
2. Risk assessment major findings and subsequent action plans of
IPD
• 2.2.1. . Risk assessment major findings of IPD
• Major and severe identified risks at IPD
Major risks:
• Poor electrical supply
• Poor watery supply
Severe risks:
• Risk of side fall down during transportation to IPD especially
during night time and for critical and disabled individuals
• Absence of PEP
• Unvaccinated to HBV vaccine
2. Risk assessment major findings and subsequent action plans of
IPD
Subsequent action plans of IPD
•Table-3 Subsequent action plans of IPD
No. Risks Sub-category of risks Action plan Responsible body Time Target %
period
1 Severe Risk of side fall down during Build protective CEO, finance
transportation to IPD sidewall dep’t, IF
especially during night time throughout road
and for critical and disabled to IPD especially
individuals to left side
Absence of PEP Opening ART In progress - -
center in the
hospital
Unvaccinated to fully HBV Vaccination HIV/AIDS focal,
vaccine already started, IPD coordinator, IF
thus, orientation
to IPD staffs to
be vaccinated
2. Risk assessment major findings and subsequent action plans of
IPD
Subsequent action plans of IPD
•Table-3 Subsequent action plans of IPD
Major Poor electrical supply Provision of CEO, financial
2 continues dep’t, security
electrical supply staff
through
generator during
absent electrical
supply
Poor water supply Improve water CEO, cash unit
provision
3. Risk assessment major findings and subsequent action plans of MCH AND
OR
• Risk assessment major findings of MCH AND OR
• Major and severe risks identified:
Major risks:
• Poor personal protective materials
• Exposure to blood and fluids during labor and delivery
• Absence of continues water supply at labor and OR
• Absence of vaccination to HBV
Severe risks:
• Overflow attendant and violence
• Absence of PEP service at hospital
• Poor electricity supply for surgical procedures
3. Risk assessment major findings and subsequent action plans of MCH AND
OR
• Subsequent action plans of MCH AND OR
Table-4 Subsequent action plans of MCH AND OR
No. Risks Sub-category of risks Action plan Responsible Time Target %
body period
1 Severe Overflow attendant and No more than IF, MCH &OR
violence two attendant coordinators,
per patient security staffs,
cash unit, CEO
Formal and final IF, MCH & OR
discussion b/n coordinators,
responsible security staffs,
bodies cash unit, CEO
Follow up of Cash unit, IF, and
implementation CEO
and fulfill the gap
3. Risk assessment major findings and subsequent action plans of MCH AND
OR
• Subsequent action plans of MCH AND OR
Table-4 Subsequent action plans of MCH AND OR
Absence of PEP service at Opening ART In progress - -
hospital center in the
hospital
Poor electricity supply for Provision of CEO, financial
surgical procedures continues dep’t, security
electrical supply staff
through
generator during
absent electrical
supply
3. Risk assessment major findings and subsequent action plans of MCH AND
OR
• Subsequent action plans of MCH AND OR
Table-4 Subsequent action plans of MCH AND OR
Major Poor personal protective Provision of CEO, financial
2 materials adequate dep’t, MCH and OR
personal coordinators
protective
materials
Exposure to blood and fluids Provision and MCH and OR
during labor and delivery proper utilization coordinators, CEO,
of protective financial dep’t
materials
Absence of continues water Improve water CEO, cash unit
supply at labor and OR provision
Absence of vaccination to Vaccination HIV/AIDS focal,
HBV already started, MCH & OR
thus, orientation coordinator, IF
to MCH & OR
staffs to be
vaccinated
2.4. Risk assessment major findings and subsequent
action plans of pharmacy and laboratory
• 2.4.1. Risk assessment major findings of pharmacy and
laboratory
• Major and severe identified risks:
Major risks:
• Absence of full personal protective materials
• Unvaccinated to HBV
• Untrained individual at proper usage of fire extinguisher
• Poor water supply at laboratory
Severe risks:
• Absence of immediate PEP
• Absence of antidote for acid chemicals
2.4. Risk assessment major findings and subsequent
action plans of pharmacy and laboratory
subsequent action plans of pharmacy and laboratory
No. Risks Sub-category of risks Action plan Responsible Time Target
body period %
1 Severe Absence of immediate Opening ART In progress
PEP center in the
hospital
Absence of antidote for Orientation on Laboratory -
acid chemicals reducing coordinator
exposure
Provision of Lab head, CEO,
antidote on finance dep’t
selected
chemicals
2.4. Risk assessment major findings and subsequent
action plans of pharmacy and laboratory
• ..
subsequent action plans of pharmacy and laboratory
Major Absence of full personal Provision of CEO, financial
2 protective materials adequate dep’t, laboratory
personal coordinator
protective
materials
Unvaccinated to HBV Vaccination HIV/AIDS focal, lab
already started, and pharmacy
thus, orientation coordinator, IF
to pharmacy and
lab staffs to be
vaccinated
untrained individual at Training on safe Cash unit
proper usage of fire use of fire
extinguisher extinguisher
Poor water supply at Improve water CEO, cash unit
laboratory provision
DISCUSSION?
• ..
..
• THANK YOU!!
