{"ref":"MI-HH-HR-05","title":"Staff Safety in the Home and Workplace Violence Prevention","category":"Human resources","summary":"Sets out how the Agency protects staff who work alone in patients’ homes and on the road: the MIOSHA general duty to keep the workplace free from recognized hazards, home safety risk assessment and flags, visit scheduling, check-in and check-out, escorts and joint visits, safe driving (including Michigan’s hands-free law), managing aggression and leaving unsafe situations, pets, weapons, pests and environmental hazards, safe patient handling, reporting and reviewing incidents, MIOSHA reporting of work-related deaths within 8 hours and in-patient hospitalizations, amputations and losses of an eye within 24 hours, injury records, support for staff, and discharge for cause when the home cannot be made safe.","inShort":["Read the safety flag before every visit, and check in and out every time.","If you feel unsafe, leave. You will not be disciplined for leaving a threatening visit.","Michigan law bans holding or using a phone while driving. Pull over safely first.","Report every threat, injury, bite or crash to the clinical manager the same day.","The Agency reports a work-related death to MIOSHA within 8 hours, and a hospitalization, amputation or loss of an eye within 24 hours."],"primaryCitation":"MCL 408.1011","citations":["Michigan Occupational Safety and Health Act, MCL 408.1001 et seq.","MCL 408.1011","Mich. Admin. Code R 408.22139","Mich. Admin. Code R 408.22133","MCL 257.602b"],"federalCitations":["42 CFR §484.50(d)(5)","42 CFR §484.80(h)(4)"],"surveyorAsks":["How do you assess and flag safety risks in a patient’s home?","How do you know a staff member has finished a visit safely?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (MCL 408.1011)","5. Home Safety Risk Assessment","6. Scheduling, Communication and Check-In","7. Travel and Driving","8. Managing Aggression and Leaving Unsafe Situations","9. Environmental Hazards and Safe Patient Handling","10. Reporting and Reviewing Incidents","11. MIOSHA Reporting and Records","12. Support After an Incident","13. When the Home Cannot Be Made Safe","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"mi-hha","state":"Michigan","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}