Guide to JCAHO Human Resource
Standard 2.20
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Introduction
Table
of Contents Checklist
for 2.20
|
Human
Resources
standard 2.20: Staff members, licensed
independent practitioners (LIP), students and volunteers as
appropriate, can describe or demonstrate their roles and
responsibilities based on specific job duties or
responsibilities relative to safety.
Element of Performance 1:
Can describe risks within the hospital's
environment |
This page
provides a set of criteria for evaluating the staff's and others'
understanding of risks that they may encounter in the facility.
| See also Elements of Performance 2,
3,
and 4,
below. |
 |
=
Compliance |
 |
=
Environmental Improvement
|
 |
=
Tools and Resources
| | |
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Each job
description details training requirements related to safety
and environmental management issues including:
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Training records
indicate employees trained, dates, agenda covering
environmental risk areas such as indoor air quality, hazardous
materials and waste and infectious materials and
waste.
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Employee
performance records indicate employee compliance with
responsibilities related to environmental management and
safety. |
|
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Employees can
demonstrate familiarity with emergency procedures such as
spill clean up and reporting. |
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Employees can
demonstrate knowledge of hazardous materials and
waste. |
|
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Records are
available for ongoing, periodic competence
assessment.
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Training records
indicate training on pollution prevention and waste reduction
concepts. |
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Staff can describe
pollution prevention and waste reduction activities occurring
in the facility. |
|
|
Staff can describe
how safety risks might be minimized thorough the use of
pollution prevention, e.g. use of less toxic
cleaners. |
|
Human
Resources
standard 2.20: Staff members, licensed
independent practitioners (LIP), students and volunteers as
appropriate, can describe or demonstrate their roles and
responsibilities based on specific job duties or
responsibilities relative to safety.
Element of Performance 2:
Can describe actions to eliminate,
minimize or report
risks. |
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|
Employees
demonstrate competence in handling hazardous and infectious
materials. |
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Employees
demonstrate competence in handling hazardous and universal
waste.
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Employees operate
in such a manner as to minimize spill risks. |
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Employees can apply both engineering and work
practice controls to help minimize or eliminate exposures to
harmful chemical or physical agents. |
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Employees can
locate, and are familiar with, spill response kits and
equipment. |
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Employees are
familiar with spill response procedures.
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Staff members, LIP,
students and volunteers can describe how safety risks might be
minimized through the use of pollution prevention, e.g. use of
less toxic cleaners. |
|
|
Purchasing policies
and procedures are in place that minimize the quantity of
hazardous materials entering the facility, or that eliminate the
use of some hazardous materials entirely.
|
|
Human
Resources
standard 2.20: Staff members, licensed
independent practitioners (LIP), students and volunteers as
appropriate, can describe or demonstrate their roles and
responsibilities based on specific job duties or
responsibilities relative to safety.
Element of Performance 3:
Can describe procedures to follow in the
event of an
incident. |
|
|
Staff members, LIP,
students and volunteers can demonstrate competency in
procedures to follow in the event of a release, spill, or
fire.
|
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|
Staff members, LIP,
students and volunteers are knowledgeable regarding the
location of resources to address environmental incidents e.g.,
spill response plan, spill kit, emergency response
coordinator, material safety data sheets, protective
equipment. |
|
Human
Resources
standard 2.20: Staff members, licensed
independent practitioners (LIP), students and volunteers as
appropriate, can describe or demonstrate their roles and
responsibilities based on specific job duties or
responsibilities relative to safety.
Element of Performance 4:
Can describe reporting processes for
common problems, failures and user
errors. |
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|
Procedures are in
place and documented for reporting environmental and safety
incidents such as exposures and illnesses, spills, leaks,
compromised containers, etc. |
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Employees can
demonstrate knowledge of reporting processes. |
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|
Employee, patient
and visitor incident/accident reports are being used and data
available for trending. Reports of problems and errors are
submitted to Safety/Risk management/Infection Control
committees. |
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|
Number of incidents
relating to spills and releases decreases over
time. |
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|
Number of employee
exposure and illness related incidents decrease over
time. |
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