All posts by Doug

UNDERSTANDING MRSA

The Center for Disease Control announced September 8, 2008, that it had kicked off its National MRSA Education Initiative, to highlight specific actions parents can take to protect themselves and their families from this strain of infection that is resistant to broad-spectrum antibiotics used to treat it.

MRSA (methicillin-resistant staphylococcus aureus bacteria) – called “staph” infections are most common in hospital or health care settings.  Older people with weakened immune systems are most at risk.  It is a very serious infection that can sometimes be fatal.  Recently, another type of MRSA has occurred among otherwise healthy people, community associated MRSA or CA MRSA.  It causes serious skin and soft tissue infections and can also bring about a serious type of pneumonia.

In health care settings, it is stressed that patient care givers:

  • Practice immaculate hand hygiene
  • Wear gloves when caring for patient
  • Wear proper PPE, mouth, eye, nose protection
  • Wear gowns for protection
  • Clean and disinfect surfaces, i.e., bed rails, bed tables, door knobs, toilet areas, etc.
  • Patient should be kept in private room, with warning signs on door to make visitors aware of precautions they should take.

The CDC emphasizes to parents the importance teaching their children good hand hygiene, not using dirty towels (locker room), no direct contact with infected individual, and keeping cuts and scrapes clean, and covered with bandages.  They must recognize signs of suspected infection and get treatment.  It is especially important to contact the physician if the person has a skin infection accompanied by fever.

Persons may refer to websites, brochures, radio, public service announcement, blogging sites, and mainstream media for useful information to prevent and/or overcome this terrible infection.

SAFETY ADVICE FOR WOMEN OF ALL AGES

It doesn’t matter if you are a student, young adult, or older person, women of all ages need to be careful at all times.  Predators exist in this world, just waiting for the right moment of vulnerability, so it pays to be on the alert.  You may have other ideas you would like to share that just might save someone’s life.  Here are some of our thoughts:

  • If you are working/studying late, let someone know where you are, and what time you plan to arrive home.
  • Use the “buddy system”, there’s safety in numbers.  Stay away from dark areas and places like parks and alleys.
  • If you are going for a walk, take confident, quick strides. Take your cell phone.
  • If you are visiting someone in a hospital, avoid getting in an elevator/stairway alone.
  • Again, keep that cell phone handy at all times.
  • On public transportation, sit near the driver or conductor.
  • Wherever you have parked your car, have your keys ready when you leave the building.  When you get to your car, check under and inside it before you unlock it, and then lock it as soon as you get in.
  • If there is a security person in the parking area that you use, ask him/her to walk with you, if you are uneasy.
  • At work, keep your purse and personal belongings in a locked desk or locker.
  • While shopping, don’t leave your purse in the dressing room if you step out momentarily.
  • When you stop at a traffic light, or maybe a convenience store, keep your car doors locked.  It only takes a second to lock it while you are looking through your purse for something while you are parked in front of a store.
  • If you work at night, or late hours, keep the door to your work area locked if you are alone.
  • Have numbers of security and police available.
  • Ask your employer to have security or police check your place of work regularly.

There was an interesting segment on television the other night regarding single women on a first date.  It seems there is a growing number of women that prefer to take their vehicle on a first date.  They feel they are safer driving their own car by being in control of their destination and not at the mercy of someone they may not know that well.

If you have other suggestions, or have had an experience that you know will help others, we would love to hear from you.  We all are working toward making this a safer world.

LOVE YOUR HEART

As we are halfway through National Heart Month, February, we hope you have considered what you can do to become Heart-Healthy, if you haven’t already started to do so.  Heart disease is the leading cause of death of both men and women in the United States.  Regardless of your age or gender, now is the time to think about the “rest of your life”.   The America Heart Association recommends that you know your cholesterol and triglyceride numbers as well as you know your shoe size or 401(k) balance.  It’s wise to watch your calorie intake, and try to stay with the six food groups recommended by the USDA and American Heart Association.

The best Valentine gift that I’ve ever received was having my husband still here with me.  One day last May, he began having chest pains and shortness of breath.  A trip to the emergency room revealed that his cardiac enzyme levels were extremely high.  An ambulance journey to a larger hospital and cardiac cath lab indicated that he had 95%, 90%, 60% and 40% blockage in arteries to his heart.  He had successful open-heart surgery with four bypasses.  After weeks of cardiac rehab therapy, he is back on the golf course, and ready to start a new garden this spring!  It was very lucky that he had this warning, which averted a possible heart attack and/or heart damage.

Cardiovascular disease of the heart and blood vessels develops over time (beginning in childhood), and occurs when arteries develop atherosclerosis, a buildup of plaque inside them.  This buildup reduces blood flow in arteries.  When plaque becomes fragile and ruptures, blood clots can form.  If arteries to the heart or brain are blocked, heart attack or stroke can be the result.

Controlling cholesterol and triglyceride levels can save lives.  By choosing healthier diets and developing a regular exercise routine, you can be on the road to better heart health.  Know your family history, reduce stress in your work/home, if you smoke-STOP, don’t consume too much alcohol, and have your blood pressure checked regularly.  If you are overweight, try to find a healthy way to lose weight.  Regular checkups are the key to maintaining good health.

If you or someone you are with complains of chest discomfort, squeezing or tightness in the chest, aching in the back, neck, jaw, stomach, call 911.  Other signs of heart problems are being sweaty, clammy, or chalky.  Many people have been brought into emergency rooms thinking they had a case of indigestion, later to discover they are having a heart attack.  It is better to be safe than sorry.

There are many resources that can help you with planning proper nutrition, exercise, and all the necessary information to help your heart health.  Now is the time to take action by making lifestyle changes if necessary.  It will be worth it in the long run.  Remember to “Love your heart!”

ASBESTOS PART II

According to OSHA, there are an estimated 1.3 million employees in the construction and general industry that face significant asbestos exposure on the job.  Other workers involved are those in the manufacture of products that contain asbestos: textiles, friction products, insulation and other building materials, and persons that do automotive brake and clutch repair work.
Structures that were built before 1980 likely contain asbestos, and those constructed thereafter still may have ACM’s (asbestos containing materials.)  Plaster, insulation, tiles on floors and ceilings ductwork, roof shingles, adhesives are among the parts of buildings that have ACM’s.

Although asbestos is still legal, under federal rules, it is classified as a toxic substance. Your home, school, or office more than likely has asbestos.  It is not a threat as long as it is undisturbed and in good condition.  If you plan to continue living/working in this building, here are ways to ensure safety:

  • If the floor, ceiling, etc. are in good shape, leave them alone and undisturbed.  Be sure to check them often to see that they are in good condition.
  • Enclose with airtight barriers.  For example, floor tiles could be covered with another type of flooring.
  • Encapsulate with materials that surrounds or embeds the fibers with materials such as foams.

If your only option is to renovate or destroy the building, here is some valuable information:  individual owners may do it themselves, but they still must follow federal, state and local guidelines regarding waste transport and disposal.  Removal is a very expensive and complex option, and is better handled by contractors with special training, who understand the importance of personal safety equipment, isolation of dust, and monitor waste containment.  Contractors must follow OSHA guidelines and regulations.

If non-friable ACM can be removed whole and undamaged, the precautions listed below may be overkill, but for common situations such as removing ACM’s where free-floating asbestos fibers are an invisible hazard, these are instructions must be followed to ensure the workers’ safety:  they should

  • Be covered, head to toe, with disposable protective clothing
  • Wear special respirators with high efficiency particulate air (HEPA) filters
  • Use rubber boots and gloves

OSHA prevention measures include requiring companies to provide engineering controls such as evaluating exposure time, furnishing showers, and ensuring that proper respiratory protection and clothing are furnished.

There are “many do-it-yourselfers” that may not understand the underlying respiratory problems that can be caused by little critters hiding in their houses.  We hope this article aids in their becoming conscious of the importance of using proper protection when undertaking projects that require extra safety measures.
OSHA
Asbestos.net
Asbestos-Abatement.com

ASBESTOS PART I

Asbestos is a natural mineral that is found on just about every continent.  It is still mined in some countries, including Canada and Russia, but others have outlawed mining of asbestos.  It is a highly fibrous mineral with long, thin, separable fibers that can be spun together to create valuable heat-resistant properties to be used in insulation and other products.  Studies estimate that there are more than 3,000 different types of commercial products that include asbestos.  The mineral itself is not harmful, as long as it is intact.  But when it is damaged and fibers become airborne, it can have harmful health effects.

Since the 1980’s asbestos use has dropped.  But the 4.5 million people who worked in U.S shipyards during World War II have been the greatest group of individuals at risk.  Well known as an excellent fire retardant and heat insulator, asbestos was used for insulating boilers, steam pipes, and hot water pipes in ships.  Shipyard workers were exposed to what is known as “friable asbestos”.  When it can be crumbled and released into the air, breathing asbestos fibers will stay in the body and cannot be expelled.

Our family lost a member to mesothelioma this past year.  She had worked in the shipyards back in the ‘40’s, running electrical wiring in the interiors of warships, during WW II.  About seven years before her death, she developed some respiratory symptoms.  Her doctors attributed it to heart failure, which she was prone to have due to a heart attack many years earlier. About six months before she died, she was experiencing particularly acute respiratory distress. This time, her chest x-ray showed something very suspicious.  Her doctor thought it might be some sort of cancer.  She specifically referred to it as “sheet like” infiltration.   She was diagnosed with mesothelioma.   Inhaling asbestos fibers can cause inflammation, which eventually results in the form of cancerous tumors, particularly on the mesothelium (lining of the lungs).  Mesothelioma usually takes decades to surface.  In her case, it took several decades; however, her pain and suffering was not diminished.

In our next segment, we will talk about removal/abatement of asbestos: whether it is hiding in your home or school, how to contact the proper authorities, and use of proper tools, personal protective equipment, including breathing protection.

Protecting Your Eyes

Your eyes are vulnerable and easily damaged. OSHA requires employers to supply face and eye protection to workers. However, it’s ultimately up to the employee to choose to wear protective eye equipment.

An insane but apparently common misconception is that contact lenses offer adequate eye protection. This idea could not be more wrong. Contact lenses offer no protection from common workplace hazards and many times can actually make things worse.

For example, a hot spark could land on your contact lens and melt it onto your eyeball.

If you wear contacts, you need to wear safety glasses for additional eye protection, too. If you wear glasses you need to either have prescription safety glasses that meet ANSI standards or wear over-sized safety glasses over your regular glasses. If you wear over-sized safety glasses over your regular glasses they need to fit right so you can still see.

Safety Skills can help you learn about safety requirements with our online safety training programs.

FACTS ABOUT DRUG AND ALCOHOL ABUSE IN THE WORKPLACE

In an earlier installment on our website, we talked about ways to recognize and do something about coworkers that have problems with alcohol and drugs.  Here are some of the staggering facts:
In the United States:

  • One out of every 10 people has an alcohol problem;
  • There are more than 50 million binge drinkers;
  • There are 17 million illegal drug users;
  • Almost 15 million people  who abuse prescription drugs are out there;
  • Approximately 68% of illegal drug users are employed either full-time or part-time. (National Institute on Drug Abuse)
  • Between 10% and 20% of our nation’s workers who die on the job test positive for alcohol or other drugs. (OSHA)

Do you know or work with someone who would be included in the above figures?  Persons who have a problem with drugs or alcohol are costly to employers, because of being less productive.  They are likely to hurt themselves or someone else.  They normally miss more work days, file more worker’s compensation claims, or damage equipment by making errors in judgment.

If you know someone who might have a problem with drugs or alcohol, you will hurt them more by ignoring their problem, doing their job, lending them money, or covering up for them.  Don’t enable them.  Most companies have Employee Assistance Programs, ensuring that their employees can get treatment without penalty.  If they have a serious addiction problem, they should be encouraged to get help.  After successful therapy, everyone wins in this situation: the employee, the company, and the coworkers!

There also should be policies against drug use in the workplace, with firm consequences for violations.  If appropriate, drug testing should be utilized.  If your company doesn’t have a program of this type, work with your security office or employee association to set up an anonymous hotline for reporting drug trafficking on the job.

OSHA works with the U.S. Department of Labor’s Partners for An Alcohol and Drug Free Workplace program to help employers ensure their health and safety plans are enhanced through workplace drug prevention.

www.findtreatment.samhsa.gov

LOCKOUT TAGOUT FACTS

Around three million workers in this country have jobs to repair or service equipment or machinery. According to OSHA, the number of lockout/tagout fatalities each year range between 150 and 200. The number of lockout/tagout accidents per year average 60,000.  The best way to avoid an accident is to shut off power, lock out energy, release stored energy and double-check.

Lockout is the preferred method of isolating machines or equipment from the release of energy sources. These sources can be mechanical motion, motion due to pressure, gravity, springs that are under tension or compression, electrical, or thermal (high or low temperatures).

All equipment must be locked or tagged out to protect against accidental or inadvertent operation when such operation could cause injury to personnel. Persons must not attempt to operate any switch, valve, or other energy-isolating device when it is locked or tagged out.  OSHA standards require that a designated person turns off and disconnects machinery/ equipment from its energy source before the service/maintenance is performed.  To prevent unauthorized persons from reactivating the flow of energy, the point of control must be secured by locks, tags, and/or posting a qualified person, or a combination of all three.

Listed below are types of businesses that are not covered under these standards, but are covered under other standards:

  • Construction, agriculture and maritime equipment
  • Electric utilities
  • Oil and gas well drilling and servicing
  • Work on cord and plug connected equipment that is unplugged and under control of         employee, and
  • Gas steam, water or petroleum hot tap operations under certain circumstances.

Almost 95 percent of all lockout/tagout citations involve not having a formal Energy Control Program in place. Lockout/tagout remains near the top of the Occupational Safety and Heath Administration’s (OSHA) list of most frequently violated standards. Injuries and citations could be reduced by properly training all employees on lockout/tagout procedures.
OSHA, NIOSH

WORKING IN CONFINED SPACES

OSHA defines confined spaces as those with configurations which hinder activities of employees who must enter, work in and exit places that have limited and restricted means for entry or exit, and are not designed for continuous employee occupancy.  These can include:

  • storage bins
  • manholes
  • pits
  • silos
  • process vessels
  • pipelines
  • underground vaults
  • sewers
  • wells
  • tanks

One or more of the potential hazards of working in Permit-Required Confined Spaces can be a hazardous atmosphere to engulf the entrant, walls that converge inward, or floors sloping downward and tapering into smaller area which could possibly trap or asphyxiate the person, unguarded machinery, exposed live wires, or heat stress.

To prevent accidents, companies should:

  • Train employees thoroughly;
  • Post proper signs on location;
  • Always assume that hazards are present;
  • Follow proper lockout/tagout procedures;
  • Ensure adequate ventilation for employees;
  • Furnish non-sparking tools;
  • Provide and ensure required PPE is used at all times;
  • Monitor continuously while work is being performed;
  • Have rescuers on site and trained for any emergency.

It is estimated that over one and one-half million workers enter confined spaces annually.
Most accidents can be prevented by properly educating the persons who do this work and ensuring that they are adequately supervised at all times.

More About Protecting Your Eyes

In researching eye injuries at the National Institute for Occupational Safety and Health, their logo is “Use Them or Lose Them”, picturing a person with safety glasses on.  Thousands are blinded each year from work-related injuries that could have been prevented with proper use of eye and face protection.  More than $300 million per year in lost production time, medical expenses and worker compensation are due to eye injuries alone.  Each day, over 2,000 U.S. workers have job-related eye injuries that require medical treatment. Safety glasses, goggles, face shields, and welding hoods, and full-face respirators must meet ANSI Z87.1 standards.  The frame of safety glasses must have Z87 or Z87+ on the frame. Anytime workers face hazards of flying particles or objects, they are required to have side protection or side shields on glasses.  Those who work in health care, janitorial, construction, laboratory staffs, construction, and welding, risk permanent damage to their eyes if they do not wear the proper PPE for face and eyes.  Employers must determine the types of hazards that are present before assigning PPE to workers. Side shields come in a variety of styles that will fit just about any shape of safety glass, and are used widely among many professions.  They are a great safety convenience, as they slip on and off safety glasses, but give the added security of side protection.  Wrap around glasses also furnish protection from wind, flying particles, dust, and much more.  Eye injuries occur because of inadequate side protection, proper fit, or particles that fell from above, such as drilling or hammering overhead. What have you observed at your work site?  How many workers are wearing any type of eye protection?  And do they keep it on all day?  A very common response after the fact of an eye injury is “I didn’t think I needed it.”  With all the wonderful features that safety glasses boast, there’s just no excuse for not wearing eye protection!  There are safety glasses available for  all kinds of work that are stylish and have features, such as fitting over regular prescription glasses, numerous tints, even ones with bifocal lenses. The next time you need a pair of sunglasses, check out the cool new styles of safety glasses.  They look great, cost less, and furnish much more protection.  You’ll be stylin’ with your new safety glasses on the job, working around the house, or at play. Sources: OSHA NIOSH