Section:

iii. Liability Reduction

1. Security: Physical therapists, occupational therapists and the receptionist will
have keys to the building. The facility should remain locked at all times when
the business is not in its hours of operation.
2. Fire: Fire extinguishers will be located in the following areas: We will have one
by the main entrance, one by the emergency exit, one by the employee
entrance and one in the kitchen. Smoke detectors will be installed in every
room and will be tested 4 times a year. In case of a fire, everyone in the
building will exit the building at the nearest door to them. After exiting the
building everyone should meet
3. Facility hazard: If a patient is using any piece of our equipment, they should
never be out of eyesight of at least one of the employees that is trained in
using that piece of equipment working in that area. Each employee must be
trained on how to use every piece of equipment we own, this training must
be completed before that individual is allowed to supervise or set up a patient
on that given piece of equipment.
iv. Electrical and Equipment Safety
1. Each outlet should be installed with a GFCI. Any defective equipment will be
discontinued until the problem is resolved. All equipment using electricity will
be evaluated annually. In the hydrotherapy area, all electrical outlets will be
installed 4 feet off the ground. All electrical equipment and modalities will be
calibrated yearly.
v. Blood borne pathogens/Infection control procedures

1. Equipment cleaning will be done after every use. The aide on duty will
thoroughly clean treatment tables, change pillowcases, wipe down exercise
equipment. The aide will also clean the windows once a week, vacuum the
floors daily (the aide on duty when closing). The aide in the OT part of the
clinic will handle these duties in that part of the clinic and the aide in the PT
part of the clinic will handle the duties in their part of the clinic. In the
circumstance of blood, if it comes in contact with any equipment or any part
of the facility it should be cleaned up with disinfectant and should be
disposed of in the biohazard can located next to the trash can.
vi. CPR/FA training
1. Every member of our staff must be CPR and First Aid certified.
a. One of the therapists on our staff will be certified to train these
classes.
b. We will conduct a training bi-annually.
c. The employees that are participating in the training will split the cost
of the re-certification with the employer. New employees will have to
be certified before their official start date and will pay for their first
certification on their own.
vii. Emergency Action Plan
Purpose
The purpose of this Emergency Action Plan is to guarantee quality healthcare and
safety of the staff, personnel and patients in this facility in the event of an
emergency. This EAP sets protocols for evaluation, transportation and procedures in
the event of an emergency.
Personnel

During patient visits and appointments a Physical Therapist or a Occupational

Therapist will always be in supervision of the patient. At no point in time should a
patient be left unattended. If the Physical Therapist or Occupational Therapist needs
to leave the area, there should always be an aide in the area to supervise the
exercises and activities.

PTs
o Desirae Cruse
o William Bullard
o Adam Simon
OTs
o Brittney Dunbar
Aides
Secretary

Training of Personnel
At the beginning of employment, each employee will undergo new hire training. This
training will include specifics on their job description, specifics of the emergency
action plan and the standard procedures of the facility. Regardless of the
employees previous experience with equipment, they will still be informed on how
to use the equipment to ensure proper instruction to patients. If any equipment is
added to the facility, each member of the staff will be instructed on how to use that
piece of equipment. All employees are required to be certified in CPR and First Aid.
Communication
We have two landline telephones located in our facility. One is located at the front
desk and the other is located on the desk in the treatment area. If landlines are not
available, in the case of an emergency cell phones should be utilized to activate
EMS. In the event of an emergency, the secretary will be informed and will be the
person to activate EMS.

When talking to EMS the caller must be the last person to hang up. Once it is
confirmed that EMS is on their way, one of the aides will be the designated person
to meet EMS in the parking lot to direct them to where the emergency is.
Emergency Phone numbers
EMS/FIRE: 911
Poison Control: (800) 222-1222
Mckay Dee Emergency Room: (801) 387-7000
Emergency Chain of Command
This chain of command is in place so that everyone knows their role if an
emergency occurs. It will be pivotal for us to act as a team to make sure the
appropriate actions are taken. In the event that a member of the chain of command
is not present during the emergency, the next person in line will fill that spot.

Owner/President
Physical Therapists
Occupational Therapists
Aides

First Aid/ Emergency equipment

Our emergency first aid equipment is located just to the right of the door going into
the storage room. There we have a first aid kit, and oxygen. We also have an AED in
this building which is located on the wall between the kitchen and the storage room.
In Case of Fire
Staff will be responsible for making sure that everyone exits the building. Each
PT/OT on duty will be responsible for the patients that they are working with. If they

have more than one patient at that time they can delegate one of their patients to
one of the aides. After everyone has exited the building we will meet in the grass on
the northwest corner of the parking lot. Again, the exit closest to you at the time is
the exit to take.
In Case of Earthquake
In the case of an earthquake it will be the person who is highest on the chain of
command that is present to instruct all patients and staff to drop to their hands and
knees where they are and seek cover. The person directing everyone should make it
clear not to run outside or move near walls or any other places that increases the
risk of something falling on them. Landlines can be down during an earthquake, so if
they are down the secretary will be responsible for activating EMS via their cell
phone if necessary.
Life/Limb Threatening Injuries
Cardiac Emergencies: Check ABCs and LOC, once the patients status is clear,
activate emergency medical services. Perform CPR as needed until EMS arrives on
scene and takes over. Perform a secondary survey by getting the patients
symptoms, signs and history. Get a brief medical history, this should include:
Allergies, medications, PMHX, when they ate last, and an event history (what
happened to cause this situation). Monitor the patients vital signs and be on the
lookout for signs of shock.
Spinal Injury: Check ABCs and LOC, once patient status is clear activate EMS. It is
imperative that the patients movement be limited as much as possible, person who
is at the head of the patient should stabilize the head and should maintain this

position until EMS arrives. The airway should remain clear and needs to be
monitored. The patients vitals should also be monitored until EMS arrives.
Respiratory Emergencies: Check ABCs and LOC, once patient status is clear,
activate EMS. Perform CPR and rescue breathing as necessary until EMS arrives. If it
is possible, and safe for the patient, place the patient in the following position:
Laying on their side with their top knee bent to prevent the patient from rolling on
to their stomach, with their bottom arm straight out in front of them and their top
arm bent so that their hand can go underneath the head. This is also known as the
recovery position. Monitor vital signs and signs of shock until EMS arrives.
Major Musculoskeletal Injuries
Perform a primary survey, get an adequate history from the patient (how it
happened, where pain is located, pmhx etc.). Be on the lookout for signs of the
patient going into shock, if patient is going into shock then begin treatment for
shock. If there is blood involved, provide first aid to the patient. Check the patient
for distal pulse. Splint patient in the position they are found in, after splinting check
distal pulse and feeling again. Monitor patient vital signs. Take patient to medical
center/emergency room.
Post Emergency Documentation
After an emergency, documentation becomes a priority. If the emergency was
limited to one patient, the attending physical/occupational therapist will be
responsible for the appropriate documentation regarding the situation. There should
be a SOAP note done which should include as many specifics and as much detail of
the situation absolutely possible. An injury report should be done that once again
will need to be immensely detailed.

viii. Hazardous Chemicals

Hazardous cleaning agents will be stored in the storage room on a shelf. Under each
treatment table, there will be a bottle of cleaner to clean the tables after each use.
The bottle should be used, then put back under the table, not left out in the open.
The cleaning agent should be wiped up immediately to avoid a patient or anyone
else coming in contact with a potentially dangerous chemical. All medications will
also be stored in the storage room on one of the shelves. The medication will be
stored here so that they are out of sight and only staff will know where it is located.