Summer 2002

Circulate to:

____ Safety                  ____ Infection Control

____ Plant Operations ____ Other

 

Mel Creeley, President, East Liverpool City Hospital  presented Pat Martin, President and CEO of Fisher-Titus Medical Center in Norwalk, the first ever John Chapman award. This award was given to honor an Ohio hospital CEO who has shown excellence in initiating or supporting hospital pollution prevention programs. The award is named after John Chapman, popularly called “Johnny Appleseed,” who planted thousands of apple trees across the Midwest during the 19th century.

 

Pat Martin’s life-long concern for the environment is carried out in his role at Fisher-Titus Medical Center, which this year won the Ohio EPA's Mercury Challenge Award, and was named a Partner for Change by the AHA-affiliated Hospitals for a Healthy Environment.  The ongoing pollution prevention program, fueled by Pat Martin’s support and passion, so far has collected 1,645 mercury thermometers, removed a total of 28 pounds of mercury from the environment, and has been successful in other areas of pollution prevention and waste-stream volume reduction.

EPA Releases Environmental educational resources directory

The Office of Environmental Education (OEE) of the Ohio Environmental Protection Agency (EPA) recently published a directory that gives regional information on environmental resources available to Ohio communities in a single, easy-to use volume. The manual is a result of a six-year partnership between OEE and the Environmental Education of Ohio.

 

The free manual aids educators in finding information and resources in their area, and provides contacts for state and federal environmental education programs. The 236-page guidebook includes an index that  details a myriad of exhibits, tours, and hikes, outdoor adventure courses, speakers’ bureaus, publication, residential programs, arboretums, conservatories, camps, environmental organizations, museums, planetariums, science and nature centers, preserves, parks, zoos and aquariums and programs they offer.

 

The directory will be updated and printed regularly. You can download a copy at www.environmentaleducationohio.org/. Copies can also be requested by calling 614.644.2873.

H2e recognizes hospitals for environmental programs

Hospitals for a Healthy Environment (H2E) bestowed its premier award on three hospitals at the American Hospital Association (AHA) annual meeting.

 

The Environmental Leadership Award, recognizes outstanding environmental performance. H2E also recognized 11 health-related organizations with the Champions for Change Award, which honors their work in promoting pollution prevention and for bringing new hospitals into the H2E program. Seventeen hospitals were also recognized with the Partners for Change Award for making significant progress in reducing waste and eliminating mercury. Our very own Fisher-Titus Medical Center in Norwalk was one of the 17 hospitals.

 

Additionally, 20 hospitals were presented the Making Hospital Mercury Free Award. H2E is a joint program with the AHA, the American Nurses Association, Health Care Without Harm and the Environmental Protection Agency.

 

The Environmental Leadership Council of the Ohio Hospital Association, Greater Cincinnati  Health Council, Greater Dayton Area Hospital Association, and the Health Council of Northwest Ohio would like to thank MedCentral Health System, Children’s Hospital Medical Center, and St. Charles Mercy Hospital, for hosting the Pollution Prevention Waste Assessment Training Program. These hospitals opened their doors to OHA members for a hands-on approach to evaluate waste systems.

Salute to our  P2 graduates

 

MedCentral

Kathy Albert

Sharon Bohnak

Rose Heard

Elizabeth Newlen

Rich Schuffert

 

Cincinnati Children’s Medical Center

Pam Amos

Larry Baldwin

Terry Dalton

Terri LoPresti

Gary Taylor

 

St. Charles Mercy Hospital

Mike Carales

Greg Kulow

Selene Svejkovsky

Nancy Whitney

Kevin Zimmerman

Governor Unveils Fuel Cell Initiative

Gov. Bob Taft unveiled a new $100 million, three year initiative that will position Ohio as a national leader in the growing fuel cell industry through investments in research, project demonstration and job creation for Ohio citizens.

 

According to the governor, Ohio is well-positioned to be a leader in the fuel cell industry. The $100 million fuel cell initiative is an integral part of the Third Frontier Project, a 10-year, $1.6 billion plan to create high-tech, high-paying jobs through the expansion of the state’s high-tech research capabilities and promotion and start-up of companies.

The initiative will focus on three core areas:

·         Expand the state’s research capabilities by building on work at universities

·         Participate in demonstration projects involving hydrogen infrastructure; and

·         Invest in expanding the fuel cell industry in Ohio, to attract companies and the jobs they provide.

Highly efficient and environmentally friendly, fuel cells directly convert the chemical energy in a fuel, such as hydrogen, natural gas, methanol and others into electricity. Fuel cells can deliver more energy per volume and weight than batteries, even including the volume and weight of stored fuel. Equally important, fuel cells represent clean sources of energy and the use hydrogen, the most abundant element on earth.

Source: Hannah News Service

Clarifying Policy

The Occupational Safety and Health Administration (OSHA) has clarified its policy on the prohibition of removing contaminated needles from blood tube holders in order to reduce the dangers of needlesticks for health care workers. Announced Wednesday, OSHA explained that the bloodborne pathogens standard requires blood tube holders with needles attached to be immediately discarded into a sharps container. In the revised Bloodborne Pathogens compliance directive, the agency says that removing a needle from a used blood-drawing/phlebotomy device is rarely, if ever, required by a medical procedure. Because the devices involve the use of a double-ended needle, removing the needle exposes employees to additional risk, as does the increased manipulation of a contaminated device. OSHA Administrator John Henshaw said removing contaminated needles can expose workers to multiple hazards, and the practice is prohibited in order to protect workers from being exposed to contaminated needles. For more, visit www.osha.gov/wutsnew.html.

Low Staffing Levels Increase Chances of Needle-Stick Injuries

Needle-stick injuries in hospital nurses increase dramatically when nurse staffing levels are low, University of Pennsylvania researchers concluded in the June 2002 issue of the American Journal of Infection Control. Current research indicates that patient outcomes suffer when nurse staffing levels fall; however, this is one of the first studies linking on-the-job injuries in hospital nurses with heavier workloads.

 

The study, conducted in 22 U.S. hospitals, all with reputations for excellence, found that poor working conditions and high workloads were associated with 50 percent to 200 percent increases in needle-stick injuries and near-misses. The report went on to say that hospital cost-cutting might have a double-edged effect on injuries. "Nurses potentially unfamiliar with safe use of sharps were often forced to become proficient while their workloads were increasing in other ways," said Sean Clarke, RN, Ph.D, associate director of the Center for Health Outcomes and Policy Research at the University of Pennsylvania School of Nursing.

Types of Environmental Purchasing Programs at 50 Top Hospitals

  • 20%  reduce the purchases of polyvinyl chloride (PVC)

  • Use PVC-free intravenous bags

  • 80% have mercury-reduction programs

  • 60% buy reusable, over-disposable products when feasible

  • 46% have packaging-reduction programs

  • 80% recycle mixed/white office paper and corrugated cardboard

 

Sixty percent of the hospitals have no purchasing policies regarding office paper and eight percent have purchasing policies promoting use of unbleached paper product.

Source: Environmental Working Group. “Greening” hospitals an analysis of pollution prevention in America’s top hospitals. Falls Church (VA): Health Care Without Harm; 1998 Jun.

Questions and Answers

Can suction canisters contaminated with blood can be poured into the drain instead of adding a solidifying agent?

 

Paragraph C (3) of Rule 3745-27-30 of the Ohio Administrative Codes states: Generators of infectious wastes may discharge untreated liquid or semiliquid infectious wastes consisting of blood, blood products, body fluids, and excreta into a disposal system, as defined in section 6111.01 of the Revised Code, unless the discharge of those wastes into a disposal system is inconsistent with the terms and conditions of any permit for the system issued under Chapter 6111 of the Revised Code.

 

Is there any relief from the requirement that “all syringes” be discarded into a sharps container?

 

Sadly there is no relief at present because the infectious waste statute includes “syringe” in the definition of “sharp.” The strategy to pursue is to have the manufactures label such devices as something that does not include the word “syringe” and see if the Ohio Environmental Protection Agency rep (and perhaps your waste hauler too) will allow you to dispose of them as non sharps.

 

If you have questions for an expert, please send them to Rick Sites at OHA at ricks@ohanet.org.

Audio Tapes Available

OHA is hosted a series of telephone briefings to assist you with EPA regulatory compliance, waste stream management and volume reduction, mercury elimination and pollution prevention. Audio tapes from those telephone briefings are available for $5. each, including shipping and handling. Tapes available are JCAHO Standards for Environment of Care; Addressing Hazardous Material, and Creating a P2 Plan; Surviving an EPA Inspection; Holding a Mercury Thermometer Exchange; and Green Cleaning, Keeping Score, and Reducing Red Bag Waste. CONTACT: Susan Zabo at 614.221.7614 or e-mail susanz@ohanet.org

Report offers help for emergency responders in terrorist events

The Centers for Disease Control and Prevention (CDC) recently released a report highlighting for emergency responders how to adequately prepare for major disasters such as the World Trade Center attacks or the anthrax scare.

 

The report, released by Rand, covers information gleaned from a two-day workshop in New York City last December for responders such as firefighters, emergency medical services, health and safety professionals, and others.

 

According to the report, important areas for preparations include: developing guidelines for use of personal protective equipment, effectively outfitting all responders at sites of large-scale incidents, establishing effective management as early as possible at sites of large-scale incidents and identifying ways to provide real-time safety and health information to responders at incident sites and ensure appropriate training on use of personal protective equipment.

 

The report is available online at www.cdc.gov/niosh.

 

OHA EnviroNews

Editors: Rick Sites, OHA (ricks@ohanet.org
Glenn McRae, CGH Environmental Strategies, Inc. (Glennmcrae@aol.com
Hollie Shaner, RN, MSA, CGH Environmental Strategies, Inc. (Hshaner@aol.com
Susan Zabo, OHA (susanz@ohanet.org)

Additional information or copies of any reports cited, contact Susan Zabo or Rick Sites at 614.221.7614 or by e-mail.