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The  Graveyard Shift Ayesha Riaz Nicole Griebel
Agenda Company Details & Assumptions Business Problem Incident Facts Ramifications & Costs Solutions Recommended Solution
Company Details Metro Hospital Formed 1955 in Toledo Ohio 1,100 employees Specialize in Ambulatory and Acute Care $3.5 Million annual revenue Major competitors: St. Nicole, Mercy Hospital & St. Luke
Assumptions No current security system Lack of set staff authorization levels Hospital morgue not used for forensics No current Diener/Morgue Attendant
Business Problem Security Employee conduct OSHA Regulations Safety & Health Hazard
Incident Facts Night Administrator received a call from a funeral home to have paperwork and a body ready for release within the hour An assistant accompanied the Night Administrator to the morgue for identification for the body Both employees discovered a night orderly resting among the corpses
Incident Facts Night Administrator instructed the night orderly to leave the morgue immediately Night orderly left after picking up his dinner from the refrigerator in the morgue Night Administrator gave verbal warning to orderly but no written warning
Ramifications & Costs Lack of security & improper employee conduct can cost Metro Hospital  Time & Money Unauthorized personnel in restricted areas are a security concern due to confidential information Employee conduct suggest underlying conflict issue among hospital staff
Ramifications & Cost Security issue can resonate in other areas & involve non-employees as well Civil lawsuits against healthcare facilities contending lack of security have increased 10% in Ohio averaging over $950,000 worth of settlement
Ramifications & Cost OSHA Regulation violated  Bloodborne Pathogens Standard 29 CFR 1910.1030  Formaldehyde Exposure   Not to exceed two parts formaldehyde per million parts of air as a 15-minute   short term exposure
Ramifications & Cost Over 70% of OSHA inspections are unannounced  Average fine of $2,300, penalties of up to $70,000 may be imposed for each willful violation  Hospital reputation & loss of funding $1.1 million at risk
Ramifications & Cost Safety & Health hazard Storage of food or drink in areas where blood or other infectious materials are present pose serious health risks Formaldehyde Eye and respiratory irritation, bronchitis or bronchial pneumonia
Solutions Install key code locks Set staff authorization levels Train staff Key code & authorization OSHA Standards Team building exercise Solution 1
297,000 Total Cost 4,500 - 4,500 Team building exercise [OnTrack] 214,500 1,100 195/ Training OSHA:  [Mid America OSHA Training Institute] OSHA 7200 Blood Borne Pathogen Exposure Control  3,000 - 3,000 Training Key Code [Lock1] 55,000 1,100 50/ Staff Authorization Levels [Lock1] 20,000 - 20,000 Install key code Locks [Lock1] Total Cost ($) # Employees Cost ($) Description
Solution 2 Improve on employee lounge area Add sleeping quiet area Install larger capacity fridge to replace cooler Train supervisors on hospital disciplinary policies
1,000 - 1,000 Install larger capacity fridge in employee lounge [Lowes] 4,500 - 4,500 Team building exercise [OnTrack] 10,000 - 10,000 Build designated sleeping area in employee lounge [Gates Construction] 301,625 Total Cost 1,125 45 25/ Training Supervisors on Hospital Disciplinary Policies [Internal HR] 214,500 1,100 195/ Training OSHA:  [Mid America OSHA Training Institute] OSHA 7200 Blood Borne Pathogen Exposure Control  3,000 - 3,000 Training Key Code [Lock1] 55,000 1,100 50/ Staff Authorization Levels [Lock1] 20,000 - 20,000 Install key code Locks [Lock1] Total Cost ($) # Employees Cost ($) Description
Solution 3 OSHA additional training topic OSHA 501 for Management & Supervisors OSHA Standards for Morgue Ventilation system: Downdraft tables Splatter guards Provide PPE (personal protective equip.) Hire 2x Morgue attendant Install proper lighting
1,000 - 1,000 Install larger capacity fridge in employee lounge [Lowes] 4,500 - 4,500 Team building exercise [OnTrack] 10,000 - 10,000 Build designated sleeping area in employee lounge [Gates Construction] 3,000 - 3,000 Ventilation System [Solar] 1,125 45 25/ Training Supervisors on Hospital Disciplinary Policies [Internal HR] 214,500 1,100 195/ Training OSHA:  Mid America OSHA Training Institute OSHA 7200 Blood Borne Pathogen Exposure Control  3,000 - 3,000 Training Key Code [Lock1] 55,000 1,100 50/ Staff Authorization Levels [Lock1] 20,000 - 20,000 Install key code Locks [Lock1] Total Cost ($) # Employees Cost ($) Description
395,625 Total Cost 54,000 1 st  year 50,000 following  2 1,500 500 25,000 Morgue Attendant Recruitment Training Salary ($25,000/year) 2,000 - 2,000 Lighting system [Solar] 3,000 50 60/ Splatter guards & PPE [Supplies Inc] 24,500 35 700/ Training OSHA:  [Mid America OSHA Training Institute] OSHA 501 Rights & Responsibilities, Record Keeping, General Standards  Total Cost ($) # Employees Cost ($) Description
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MBA HRM- Employer-Employee Relations Class Presentation: The Graveyard Shift

  • 1. The Graveyard Shift Ayesha Riaz Nicole Griebel
  • 2. Agenda Company Details & Assumptions Business Problem Incident Facts Ramifications & Costs Solutions Recommended Solution
  • 3. Company Details Metro Hospital Formed 1955 in Toledo Ohio 1,100 employees Specialize in Ambulatory and Acute Care $3.5 Million annual revenue Major competitors: St. Nicole, Mercy Hospital & St. Luke
  • 4. Assumptions No current security system Lack of set staff authorization levels Hospital morgue not used for forensics No current Diener/Morgue Attendant
  • 5. Business Problem Security Employee conduct OSHA Regulations Safety & Health Hazard
  • 6. Incident Facts Night Administrator received a call from a funeral home to have paperwork and a body ready for release within the hour An assistant accompanied the Night Administrator to the morgue for identification for the body Both employees discovered a night orderly resting among the corpses
  • 7. Incident Facts Night Administrator instructed the night orderly to leave the morgue immediately Night orderly left after picking up his dinner from the refrigerator in the morgue Night Administrator gave verbal warning to orderly but no written warning
  • 8. Ramifications & Costs Lack of security & improper employee conduct can cost Metro Hospital Time & Money Unauthorized personnel in restricted areas are a security concern due to confidential information Employee conduct suggest underlying conflict issue among hospital staff
  • 9. Ramifications & Cost Security issue can resonate in other areas & involve non-employees as well Civil lawsuits against healthcare facilities contending lack of security have increased 10% in Ohio averaging over $950,000 worth of settlement
  • 10. Ramifications & Cost OSHA Regulation violated Bloodborne Pathogens Standard 29 CFR 1910.1030 Formaldehyde Exposure Not to exceed two parts formaldehyde per million parts of air as a 15-minute short term exposure
  • 11. Ramifications & Cost Over 70% of OSHA inspections are unannounced Average fine of $2,300, penalties of up to $70,000 may be imposed for each willful violation Hospital reputation & loss of funding $1.1 million at risk
  • 12. Ramifications & Cost Safety & Health hazard Storage of food or drink in areas where blood or other infectious materials are present pose serious health risks Formaldehyde Eye and respiratory irritation, bronchitis or bronchial pneumonia
  • 13. Solutions Install key code locks Set staff authorization levels Train staff Key code & authorization OSHA Standards Team building exercise Solution 1
  • 14. 297,000 Total Cost 4,500 - 4,500 Team building exercise [OnTrack] 214,500 1,100 195/ Training OSHA: [Mid America OSHA Training Institute] OSHA 7200 Blood Borne Pathogen Exposure Control 3,000 - 3,000 Training Key Code [Lock1] 55,000 1,100 50/ Staff Authorization Levels [Lock1] 20,000 - 20,000 Install key code Locks [Lock1] Total Cost ($) # Employees Cost ($) Description
  • 15. Solution 2 Improve on employee lounge area Add sleeping quiet area Install larger capacity fridge to replace cooler Train supervisors on hospital disciplinary policies
  • 16. 1,000 - 1,000 Install larger capacity fridge in employee lounge [Lowes] 4,500 - 4,500 Team building exercise [OnTrack] 10,000 - 10,000 Build designated sleeping area in employee lounge [Gates Construction] 301,625 Total Cost 1,125 45 25/ Training Supervisors on Hospital Disciplinary Policies [Internal HR] 214,500 1,100 195/ Training OSHA: [Mid America OSHA Training Institute] OSHA 7200 Blood Borne Pathogen Exposure Control 3,000 - 3,000 Training Key Code [Lock1] 55,000 1,100 50/ Staff Authorization Levels [Lock1] 20,000 - 20,000 Install key code Locks [Lock1] Total Cost ($) # Employees Cost ($) Description
  • 17. Solution 3 OSHA additional training topic OSHA 501 for Management & Supervisors OSHA Standards for Morgue Ventilation system: Downdraft tables Splatter guards Provide PPE (personal protective equip.) Hire 2x Morgue attendant Install proper lighting
  • 18. 1,000 - 1,000 Install larger capacity fridge in employee lounge [Lowes] 4,500 - 4,500 Team building exercise [OnTrack] 10,000 - 10,000 Build designated sleeping area in employee lounge [Gates Construction] 3,000 - 3,000 Ventilation System [Solar] 1,125 45 25/ Training Supervisors on Hospital Disciplinary Policies [Internal HR] 214,500 1,100 195/ Training OSHA: Mid America OSHA Training Institute OSHA 7200 Blood Borne Pathogen Exposure Control 3,000 - 3,000 Training Key Code [Lock1] 55,000 1,100 50/ Staff Authorization Levels [Lock1] 20,000 - 20,000 Install key code Locks [Lock1] Total Cost ($) # Employees Cost ($) Description
  • 19. 395,625 Total Cost 54,000 1 st year 50,000 following 2 1,500 500 25,000 Morgue Attendant Recruitment Training Salary ($25,000/year) 2,000 - 2,000 Lighting system [Solar] 3,000 50 60/ Splatter guards & PPE [Supplies Inc] 24,500 35 700/ Training OSHA: [Mid America OSHA Training Institute] OSHA 501 Rights & Responsibilities, Record Keeping, General Standards Total Cost ($) # Employees Cost ($) Description

Editor's Notes

  • #2: Good Evening everyone, My name is ___ and my associate is Ayesha Riaz. Tonight we will be talking about the Graveyard Shift case.