| TITLE: ENVIRONMENT OF CARE COMMITTEE
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Date May 4, 2016
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| FOCUS
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DISCUSSION
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ACTION/FOLLOWUP/EVALUATION
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ATTENDANCE:
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Ellen Ryan, Karen Renaud, Cindy Teichroew, Kim Carlson, Kris Bombard, Mark Vizenor, Julie Ray, Kris Bombard
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| GOVERNING BOARD RESPONSE:
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Documentation reflects the Governing Board indicates a concurrence to the action of the Safety Committee with no additions or information required for the meeting of February 3, 2016
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MINUTES:
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The Minutes of February 3, 2016 meeting were accepted as written.
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GENERAL SAFETY
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Employee incidents for the 1st quarter of 2016 were reviewed. There were 4 employee injuries and 2 patient related issues.
There were 6 inpatient falls with 2 injuries and 1 eye clinic patient fall with no injuries.
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PERFORMANCE IMPROVEMENT PLAN:
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FROM PREVIOUS MEETING:
Hazardous/Waste and Cleaning product inventory will be discussed next meeting. Working on complete the inventory.
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PLAN:
Mark to develop a plan with Materials Management to identify cleaning materials that are FLHS approved.
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| INFECTION PREVENTION & CONTROL:
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Flu shot vaccination of employees totaled 93%.
There were 2 Construction permits were issued during the 1st quarter- 1 CSR/Decon Wall Project, 1 Mora Eye Clinic
Discussion on Sharp’s vendor – waiting on a proposal from Bio-hazard/Sharps waste vendor. Environmental Service is evaluating proposals from Laundry service providers and will be doing site visits in the near future. There were no sharp’s injuries or blood exposures in the first quarter – great job!
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.
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HAZARDOUS MATERIALS AND WASTE
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Nothing to report at this time.
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HAZARD SURVEILLANCE:
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TLC has completed the hazardous surveillance inspection and Facility Operations is working on rectifying the deficiencies.
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SECURITY:
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Violence Prevention Team update – they are continuing to meet and review incidents along with revising response plans. FROM PREVIOUS MEETING: Panic button solutions are being further explored for all sites.
Digital radios are being passed out during the evening shifts for quicker response time to emergencies.
Security/maintenance new position has been filled.
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FOLLOW UP: Panic button solution is completed and working well. Looking to do the same at Hinckley and Pine City.
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EMERGENCY PREPAREDNESS:
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FLHS participated in the MN state wide exercise MnTrac Exercise on March 29th. Great experience and good training session The Emergency Codes-Flip Charts are being updated and will be distributed to Departments and clinics when complete. The new 3M PAPR’s have arrived and they will be stored near the Emergency Department.
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FOLLOW UP:
FOLLOW UP: Mark Vizenor will forward the Run/hide/fight video to departments to watch and discuss – completed by, June 1, 2016.
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| EDUCATION:
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ü Alpha 53% completed ü Beta 49% compleed ü Gamma 51% completed ü Violence Preventaion 55% completed ü Legal Compliance 60% completed ü HIPAA 60% completed
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EQUIPMENT MANAGEMENT
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TLC has reviewed the Preventative maintenance report (see attached) § 36 Pieces of equipment added § 7 pieces have been retired § 100% of Class I preventable maintenance completed § 100 of Class II has been completed § 0 patient incidents reported § 3 User errors § 2 Misuse errors Recall notices have been uploaded to the Public recall folder and have been forwarded to the appropriate managers.
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FIRE SAFETY:
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All fire drills have been completed for 1st quarter of 2016
Positive feedback noted on fired drill critiques from staff on the laminated smoke compartment maps. Very helpful.
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UTILITY MANAGEMENT
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Lab had a chemical analyzer failure due to heat – has been rectified.
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| OTHER:
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COLA inspection went well.
Discussion on temp trak response time. More discussion at next meeting.
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PLAN: Develop a process for a response plan for temp trak notifications.
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NEXT MEETING:
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Next regular scheduled meeting will be Wednesday, August 3rd at 9am in Small Conference Room.
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