Given Medicare’s addition of several orthopedic procedures to its fee schedule, an increasingly graying population and a post-COVID effect that has predisposed...
Build your own safety manual? Sure, in all your spare time, right? It's not as difficult or as daunting as it might sound. Read on as I outline how to assemble a manual that will be easy for your OR team to read, understand and apply.
What's the purpose?
Put simply, a safety manual must communicate the essence of your safety policies and provide staff with clear descriptions of their roles in all types of emergencies. The manual must be useful in times of calm and crisis - as a part of your team's ongoing knowledge base to create a safe environment and as a tool for quick reference when a real emergency or safety issue arises (see sample below).
Management must lead the process and show support of the manual's usefulness. But it's certainly acceptable, and often desirable, to delegate the actual development of the manual to a staff member. Choose someone with a broad point of view, someone who's enthusiastic, knowledgeable of industry standards and self-motivated to complete the task. It's more important that the person have clinical expertise than writing skills (you can always edit). Give the person the time and resources to develop the manual.
Frontline team members frequently have the best ideas for approaching safety issues. Engage them in both business and clinical areas to ensure a number of desired outcomes, such as their buy-in to the value of the tool and their insights about the actualities of the practice setting. A manual full of instructions and actions that can't be easily applied to real-life settings is useless.
Consider the distinct needs of your environment, including the type of facility, patient population, staff mix and other concerns specific to your setting. For example, what are the options for communication during a telephone outage? Is your center contained on one floor? Are walkie-talkies available? Is there a logical central desk that should be considered a command center?
Next, investigate appropriate resources for standards and regulations that affect the safety plan. Hopefully you already did this when you developed your center's comprehensive safety plan, but it's always good to check for updates and clarifications. For example, accreditation organizations annually review and may update standards that apply to the environment of care. National, state and county regulations may change to accommodate recent updates from the National Fire Protection Agency, CMS, and local building and fire codes.
Short and to the point
For this type of publication, brevity wins over protracted descriptions and processes. Each topic should generally fit on one page. The use of graphics and color enhances a user-friendly appeal. Also include tabs for quick reference during emergencies (see "Example of a Safety Manual Outline").
What to Do in a Fire: Borrowing a Page from a Safety Manual
Each page of your safety manual should contain key points for the end user. For example, the page about "Code Red, Your Role in a Fire" should break down each employee's role.
Excerpt the salient points from your existing safety policies and procedures. Other information that you may want to include in the manual may come from Web sites, industry news, healthcare literature and other sources. Such investigation will lead to the next step of making an outline for content.
After development, administration should review and approve the manual. Review by the facility's governing body and medical executive committee is appropriate as well. Orientation and annual staff updates are good opportunities to discuss the tool.
If you provide the manual electronically, make one hard copy available for access during unexpected computer downtimes. Remember to update that hard copy if you make changes to the electronic version. An annual review of content should identify any changes in regulations, organizational structure and telephone numbers, and the accuracy of current practices.
Example of a Safety Manual Outline
TAB 1 ORGANIZATIONAL INFORMATION