communication – Page 55 – SafetyAtWorkBlog

From worker safety to patient safety

Many of us grew up under the “shadow of the mushroom cloud” and have strong suspicions towards radiation of any kind but the OHS achievements of those working with radiation should be acknowledged.

In the latest edition of the IAEA Bulletin (May 2009) this achievement is clearly summarised as it relates to those in medical radiation.

The early emphasis on staff protection did pay rich dividends in terms of making staff safer. Currently, most (nearly 98%) of those who work with ionizing radiation in any area of medical practice receive a radiation dose that is lower than what they get from natural radiation sources — the so-called background radiation, e.g., cosmic radiation, radon, radiation from building material, earth, food, etc. Background radiation depends on the place you live, but typically is 1 mSv to 3 mSv per year, although in some places can be up to 10 mSv. The dose limit for staff currently recommended by the International Commission on Radiological Protection (ICRP), and adopted by the IAEA and most countries with few exceptions, is 20 mSv/year, expressed as 100mSv over a period of five years. Such has been the success of occupational radiation protection programmes that not even 0.5% of staff members who work in medical facilities (or in any nuclear facility) reach or exceed the dose limit.”

The siginifcance of the article from which this paragraph is taken comes from the next sentence:

“Since there are no dose limits for patients, many may incorrectly assume that there are no controls on patient exposure.”

The article by Madan M Rehani, and thankfully available online, discusses the possibility of introducing an ongoing monitoring system that records the cumulative exposure to radiation by patients. The smart card project launched by the International Atomic Energy Agency will be one to watch as there could be applications of such a system to other occupations and work-related hazards.

The importance of such a program is high as Rehani writes:

“The risk of cancer from radiation doses imparted through a number of CT scans is not insignificant. Most other radiation effects (such as skin injury, just to name one) can be avoided rather effectively, but this is not true for the risk of cancer. There are estimates of few million excess cancers in the USA over the next two to three decades from about 60 million CT scans done annually.”

Kevin Jones

Handling trauma

The Rural Health Education Foundation (RHEF) produced a DVD recently as part of its professional development program on managing trauma. It is an introduction for rural medical practitioners on how to identify trauma and how to advise on management. The video was produced in conjunction with the Australian Centre for Posttraumatic Mental Health and is unavailable at the moment due to a lack of funding. However, the video, and others, are available online through a free registration at the RHEF website.

Health and safety practitioners rarely prepare themselves adequately for handling a traumatized worker whether it is from a work experience or an issue outside the workplace. OHS practitioners often have a linear perspective where an incident occurs, the personal damage is handled or referred on and the avoidance of recurrence is prevented.

The cycle of incident, rehabilitation and reintegration to the workplace is not widely understood in the OHS field. The “Recovery From Trauma: What Works” video illustrates the personal and psychological cost of an incident. Through a case study it also shows the early signs of trauma, when a worker may “not be himself” – the clues to a possible bigger problem. One case study, John, specifically includes the impact of his situation on his work performance.

In the early stages of trauma, around a week after an incident, the video advises that people avoid

Alcohol and drugs
Keeping overly busy
Involvement in stressful situations
Withdrawing
Stopping yourself doing things you enjoy
Taking risks

If the worker is out of sorts for longer than a week, professional assistance should be sought.

The video was broadcast in February 2009 so the information is current.

The program continues with issues of post-traumatic stress disorder with additional case studies including a policeman talking about his counseling and the therapy he undertook after a traumatic event.

RHEF does not try to do everything by itself and draws upon subject matter experts on trauma and recovery. The video is a very professional production and RHEF should be supported in its initiatives. Readers are encouraged to watch the videos online and, if you can, consider supporting RHEF financially so that these important resources can be made available to medical professionals throughout Australia.

Kevin Jones

River death leads to OHS prosecution

The prosecution of a New Zealand adventure company, Black Sheep Adventures, over the death of Englishwoman Emily Jordan has received more press in England than in Australia but the case should be watched by all OHS professionals.

One report provides a useful summary of the fatal incident

“Emily Jordan drowned while riverboarding on the Kawarau river in New Zealand’s south island in April last year [2008].

The 21-year-old former Alice Ottley School (now RGSAO) pupil was travelling with her boyfriend after graduating from Swansea University with a first class degree in law.

The riverboarding company Black Sheep Adventures Ltd and its director Brad McLeod have been charged with failing to ensure the actions or inaction of employees did not harm Miss Jordan.”

The same article is an illustration of the importance of regular communication with the family of the deceased by the Authorities, even if the parties are on opposite sides of the globe.

The family established The Emily Jordan Foundation and a eulogy about Emily is available which provides a clearer understanding of what was lost in this tragedy.

Black Sheep Adventures have also been charged under the Health and Safety Employment Act 1992, with failing “failure to take all practical steps to ensure the safety of employees and the prevention of possible hazards.” The company and its director have pleaded not guilty.

The Birmingham Post is continuing to cover the case including the start of the trial due for next week.

Maritime New Zealand who are prosecuting the company instigated a review of the river boarding industry in late 2008.

Kevin Jones

Share Solutions for the 21st century

SafetyAtWorkBlog has received several enquiries around the Share Solutions mentioned in an August 5, 2009 blog posting. Coincidentally overnight WorkSafe Victoria released one of its “Health and Safety Solutions” dealing with falls through cellar trapdoors in the hospitality industry.

For those of the “Youtube generation” the video below shows the risks of not controlling the hazard of an open cellar door.

Information distribution

This latest is a good example of how good old ideas can be updated, but it would still be good to see such solutions “harmonised” through a national process and disseminated more widely that relying on business finding these items on the website.

It is understood that WorkSafe believes that the OHS professionals are an important medium for this type of information, and this mention in SafetyAWorkBlog perhaps illustrates that strategy. Looking at the websites of some of the OHS associations in Australia, none seem to be lining through to new WorkSafe content or reproducing the content on their own sites for their members. The commercial sites are doing the work for regulators and the associations and funding their activities through advertising.

This certainly makes a low cost distribution model for WorkSafe but one that is short-sighted and of questionable sustainability.

Kevin Jones

Leadership, stress and performance reviews – interview

Graham Winter is an Australian psychologist who was the chief psychologist for the Australian Olympic team and is now an author and business adviser. In August 2009 he has a book released entitled “The Man Who Cured the Performance Review”.

SafetyAtWorkBlog managed to interview Graham last week about the book, stress and safety leadership. The SafetyAtWorkBlog podcast is available for download.

SafetyAtWorkBlog Graham Winter Interview

Kevin Jones

Does a new mobile telephone equal productivity increases?

The largest Australian telecommunications company, Telstra, announced the release today of a new service for mobile telephones aimed at the business sector. Below are some excerpts from the media release:

“Telstra launches new smartphone to power workforce productivity

August 3, 2009 – Business professionals have a powerful new productivity tool at their disposal with the launch of the new HTC Snap on the Telstra Next G™ network.

Available from 11 August, the Snap is a Windows Mobile®-powered smartphone that helps users get the most out of every hour by connecting them with email, their office calendar and the mobile internet in real-time….

Telstra Business Executive Director, Cathy Aston, said the HTC snap was the ideal productivity device for busy business people who need to respond to clients and manage their email on the go.”

The email-ready HTC Snap lets users steal back otherwise lost work time by keeping them

connected to email on the commute to work, on the way to the airport or when waiting to attend a

meeting.

“The email-ready HTC Snap lets users steal back otherwise lost work time by keeping them connected to email on the commute to work, on the way to the airport or when waiting to attend a meeting.”

“Telstra Product Management Executive Director, Ross Fielding, said this remarkably slim smartphone set a new benchmark for productivity device affordability and would appeal to business people who demand always-on email, as well as consumers who are increasingly interested in messaging capabilities on the go.”

The words emphasised above indicate a dominant thought that business people are obliged to be contactable at all times of the week. Research is beginning to show that this is becoming an unsafe practice, if it is not already (see below). The “steal back otherwise lost work time” is of concern. What time is being referred to going to the toilet, spending time with one’s family, countering fatigue and stress through sleep?

In December 2008, Telstra undertook a survey of small business operators. The survey showed that many would be working over the Christmas break. Telstra Business Group Managing Director, Deena Shiff said

“In 2008, Australian SMEs have been world leaders in the take up of mobile technology based on the Telstra Next G™ network – in fact businesses are now using mobile technology more than fixed line phones and data….

The key is to use technology not to intrude on personal time, but to manage the ongoing needs of the business in a more efficient way that doesn’t keep people away from family.” [my emphasis]

In 2006, the Chartered Institute for Personnel and Developmetn (CIPD) undertook research that said

“The phenomenon of “teleworking” has been overexaggerated, is unlikely ever to be a prospect for the majority of workers, and may be overshadowing far more effective means of improving work-life balance…”

The most important feature of modern mobile phones is the OFF button.

Kevin Jones

New Bachelor degree in OHS

A new Bachelor degree in OHS is being offered at the University of Queensland. Professor of Occupational Health and Safety Mike Capra says in a media release that

“graduates would become a new generation of highly-trained OHS specialists who would be in demand due to a workforce shortage.”

The New South Wales WorkCover has had to remind employers not to cut corners on safety due to the tough economic climate. With the unemployment rate increasing in Australia, the demand claimed by Professor Capra is disputable.

The issue of employability was raised in a discussion forum recently. One person pointed out that employers are able to be more selective. When they have to choose between a graduate fresh from university or an applicant with experience, experience will win every time.

It will be interesting to see what programs the Bachelor Degree has in place to provide the necessary practical experience.

Hopefully on graduation in 2015, the career opportunities have improved with a stronger economy.

Professor Capra is quoted further.

“The program was developed at the request of the OHS industry, including peak body the Safety Institute of Australia, which saw the need for a professional qualification in the field,” Professor Capra said. “The lack of well-qualified OHS professionals is causing alarm among members of major OHS associations, government authorities and employers.”

The biggest motivation for improved professionalism has come from WorkSafe Victoria through the Health and Safety Professionals Alliance, and only within the last couple of years. It is is the “alarm” of the OHS regulator that seems to have been the biggest factor. At least WorkSafe is willing to fund the development of such a program having provided a grant of almost $A400,000 recently.

Some of the claims in the promotional video for the course are dubious (“never be out of a job”, for example) and the video could pass, in parts, for a tourism ad, but if the target audience is school leavers, the focus on fun, sun and job variety is probably relevant.

If it is the first course of its kind in Australia, as claimed, it will be very interesting to watch how it is received.

Kevin Jones

Category: communication

From worker safety to patient safety

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Handling trauma

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River death leads to OHS prosecution

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Share Solutions for the 21st century

Information distribution

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Leadership, stress and performance reviews – interview

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Does a new mobile telephone equal productivity increases?

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New Bachelor degree in OHS

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