Ensuring Employee Safety and Health in Healthcare Sterile Processing: Best Practices from an SPD Educator's Perspective

 

By Martin Li, M.A., CRCST, CER, CIS, CHL

 

As an SPD Educator, ensuring the safety and health of employees in sterile processing departments (SPDs) is not just a priority—it’s a critical aspect of daily operations. SPDs play a vital role in maintaining infection control and patient safety, but they also pose numerous risks to workers. Here, I share strategies to mitigate these risks, drawing on insights from OSHA officials and best practices from authoritative sources.

1. Implement Comprehensive Fall Protection Measures

Falls are a significant hazard in many workplaces, including healthcare. According to Eric Harbin, OSHA's Region 6 Administrator, fall protection violations remain a top concern, leading to numerous injuries and fatalities annually. To prevent falls in SPDs:

• Conduct Regular Risk Assessments: Identify areas where falls could occur, such as wet floors or high storage areas.
• Install Proper Equipment: Ensure the availability of anti-slip mats, guardrails, and appropriate ladders.
• Training and Awareness: Regularly train staff on fall prevention and the proper use of safety equipment.

2. Enhance Hazard Communication (HaxCom) Programs

Effective communication about workplace hazards is essential for safety. Harbin emphasized the importance of having a robust hazard communication (HazCom) program to manage chemical risks, which are prevalent in SPDs due to the use of various cleaning and disinfecting agents. Key steps include:

• Develop a Written HazCom Program: Outline procedures for handling chemicals, including proper labeling and safety data sheets.
• Employee Training: Conduct regular training sessions to ensure all employees are aware of chemical hazards and safe handling practices.
• Regular Updates: Keep the HazCom program updated with new chemicals and revised safety protocols.

3. Implement Ergonomic Solutions

Musculoskeletal disorders (MSDs) are common in healthcare due to repetitive motions and heavy lifting. Harbin noted that addressing ergonomic hazards through proper workplace design can significantly reduce these injuries. Strategies include:

• Engineering Controls: Utilize mechanical lifts and adjustable workstations to minimize manual handling of heavy objects.
• Administrative Controls: Rotate tasks among employees to reduce repetitive strain and implement mandatory breaks.
• Personal Protective Equipment (PPE): Provide supportive footwear and padding to reduce the impact of repetitive tasks.

4. Regular Machine Guarding Inspections

Machine guarding violations are a frequent cause of injuries in healthcare settings, particularly in areas with sterilization and packaging equipment. Harbin highlighted the high incidence of serious violations related to inadequate machine guarding. To mitigate these risks:

• Conduct Regular Inspections: Ensure all machinery has appropriate guards and safety features.
• Training: Train employees on the importance of machine guarding and safe operation practices.
• Maintenance: Regularly maintain and repair equipment to ensure all safety features are functional.

5. Foster a Culture of Safety and Employee Participation

Creating a culture where safety is a core value and employees are actively involved in safety programs can significantly enhance workplace safety. Harbin stressed the importance of worker participation in identifying and addressing hazards. Effective approaches include:

• Encourage Reporting: Create a non-punitive environment where employees feel comfortable reporting hazards and near-misses.
• Safety Committees: Establish safety committees that include employee representatives to discuss and address safety concerns.
• Continuous Improvement: Regularly review and improve safety policies and procedures based on employee feedback and incident analysis.

                Sterile Processing Department Training Session:                                                       An instructor   demonstrating proper chemical handling and labeling with attendees taking notes, and safety posters and charts on the walls.

                Sterile Processing Department Safety Meeting:                                                 Employees gathered around a table discussing safety practices and procedures, equipped with safety posters, charts, a whiteboard, and personal protective equipment (PPE).

These visuals illustrate the importance of safety measures and training in maintaining a safe working environment in SPDs.

Conclusion

Ensuring the safety and health of employees in healthcare sterile processing requires a comprehensive approach that includes fall protection, effective hazard communication, ergonomic solutions, machine guarding, and fostering a culture of safety. By implementing these strategies and leveraging OSHA's resources and guidelines, healthcare facilities can create a safer working environment, ultimately improving employee well-being and patient care.

References

1.     Safety+Health Magazine. (2023). OSHA’s Top 10 most cited standards for fiscal year 2023. Retrieved from Safety+Health Magazine

2.     Occupational Safety and Health Administration. (2023). Hazard Communication Standard. Retrieved from OSHA

3.     Bureau of Labor Statistics. (2023). Musculoskeletal Disorders Data. Retrieved from BLS

4.     National Safety Council. (2023). Machine Guarding Guidelines. Retrieved from NSC

5.     OSHA. (2023). Worker Participation in Safety Programs. Retrieved from OSHA

6.     OSHA. (2023). Fall Protection Standard. Retrieved from OSHA

7.     National Institute for Occupational Safety and Health. (2023). Ergonomics and Musculoskeletal Disorders. Retrieved from NIOSH

8.     American Society of Safety Professionals. (2023). Safety and Health Management Programs. Retrieved from ASSP

9.     Centers for Disease Control and Prevention. (2023). Workplace Safety and Health Topics. Retrieved from CDC

10.International Labor Organization. (2023). Safety and Health at Work. Retrieved from ILO