McKesson Medical-Surgical Webinar Wednesdays Series The Transition from Material Safety Data Sheets (MSDS) to Safety Data Sheets (SDS) November 11, 2015

Brian Williams Vice President of Compliance, MedTrainer

Brian Williams Vice President of Compliance, MedTrainer Brian Williams has more than 25 years of healthcare management experience, specializing in staff management, infection prevention and healthcare regulatory issues. He currently serves as the chairperson for the Association for the Health Environment (AHE) industry task force.

© 2015 McKesson Medical-Surgical

BETTER OUTCOMES IMPROVING ACCESS AND COMMUNICATION OF HAZARDOUS SUBSTANCES AND MATERIALS

Transitioning from Material Safety Data Sheets to Safety Data Sheets (SDS)

Presented by: Brian S. Williams, MBA

Speaker Background Brian S. Williams, MBA • • • • • • • •

25+ years of healthcare management experience working closely with diverse staff throughout Southern California Significant involvement in healthcare operations, finance, and regulatory issues – developing creative solutions HAZWOPER: Train-the-Trainer for hazardous waste management. Master of Business Degree Claremont Graduate University Current student at University of Southern California Master of Health Administration Program with emphasis on population health management Member of the American Writers Association Chair of the Industry Task Force for the Association of the Healthcare Environment Subject Matter Expert and Author for multiple administrative training and developmental activities in healthcare.

Webinar Objectives o Learn about the global transition from Material Safety Data Sheets (MSDS) to Safety Data Sheets (SDS) and its international impact

o Get familiar with the Global Harmonized Standard (GHS) and the requirements for chemical manufacturer’s, distributors, and employers o Hear about effective SDS management techniques o Consider uses of SDS sheets and who needs to be familiar with them

o Learn how to properly educate staff on the importance of proper SDS usage and what to do when the final changes are required by law o Understand the regulations, potential fines and penalties from noncompliance or mismanagement of SDS sheets

Webinar Outline Agenda •

Background of Material Safety Data Sheets and Right to Know Laws – –



The Global Harmonized Standard (GHS) –



Labeling requirements Final shipments – Dec. 1, 2015

The employers primary responsibilities – – –



A comparison Pictograms & language barriers

Manufacturers and distributors – –



Going global

How the GHS and SDS provide consistent messaging – –



Why make a change after so much effort with MSDS? Over-the-counter and non-hazardous materials

How to interpret the SDS information SDS management – best practices Risks for non-compliance

Wrap-up and Questions

The USA Chemical Industry

o One of the United States’ largest manufacturing industries o Major exporting sector of the U.S. manufacturing industry o Produces 15% of global chemical shipments o In 2012, the U.S. chemicals industry had sales of $769.4 billion and more than 784,000 workers. o > $57 billion in R&D, and strong enforcement of intellectual property rights, one-fifth of all patents granted in the United States are chemistryrelated.

The Right to Know Law .

President Nixon signs into law the Occupational Safety and Health Administration Act (OSHA)

OSHA extends workplace safety laws with the Hazardous Communication Standard

OSHA requires that all employees are trained on the Global Harmonized Standard

OSHA's mission is to send every worker home whole and healthy every day. Since the agency was established in 1971, workplace fatalities have been cut by 62 percent and occupational injury and illness rates have declined 40%. US Department of Labor

The last date for shipment of chemicals under existing regulations

All chemicals must be labeled according to GHS standards & final implementation of Safety Data Sheets (SDS)

Excluded from GHS & SDS

o Pharmaceuticals, food additives, cosmetics and pesticide residues in food at the point of intentional intake, but will be covered where workers may be exposed, and in transport. o Non-hazardous pharmaceuticals and over-thecounter medicines. o Not excluded from packaging and label requirements for consumer warnings. o FDA - Fair Packaging and Labeling Act provide consumers with accurate information about the quantity of contents

Caution Many over the counter drugs and supplements have local requirements for disposal and cannot be discarded directly into the regular waste stream

Chemicals (Medicines) Going Global “Total global spending on medicines will exceed one trillion U.S. dollars for the first time in 2014 and reach almost $1.2 trillion in 2017” IMS Institute for Healthcare Informatics

The Global Harmonized Standard (GHS) Universal Standardization o Hazard Classification o Health and physical hazards o Includes Mixtures

o Safety Data Sheets o Specified 16-section format

o Labels o harmonized signal word o Pictogram o hazard statement (hazard class and category) o Precautionary statements

65 Countries Have Adopted GHS

Benefits of Harmonization

o Consistent standards for producers and users. o Covers all hazardous chemical substances, dilute solutions, and mixtures. o Reduces language barriers (pictograms) o Enhance the international protection of human health and the environment. o Comprehensible system for hazard communication. o Provide a recognized framework for those countries without an existing system. o Reduce the need for testing and evaluation. o Facilitate international trade.

Product Labeling Requirements

As of June 1, 2015 • • • • • • •

Product Identifier Supplier Identification Precautionary Statement(s) Hazard Pictograms Signal Word Hazard Statement(s) Supplemental Information

Safety Data Sheets Sections REQUIRED SECTIONS

NON-MANDATORY SECTIONS

1: Identification

12: Ecological Information

2: Hazard(s) Identification

13: Disposal Considerations*

3: Composition/Information on Ingrédients

14: Transport Information*

4: First-Aid Measures

15: Regulatory Information

5: Fire-Fighting Measures

16: Other Information

6: Accidental Release Measures 7: Handling and Storage 8: Exposure Controls/Personal Protection 9: Physical and Chemical Properties

10: Stability and Reactivity 11: Toxicological Information

Employers must ensure that the SDSs are readily accessible to employees for all hazardous chemicals in their workplace.

McKesson Access Through Formulary

Access (M)SDS

Hazard Communication Pictograms

Pictograms are intended to provide immediate visual alert

OSHA & SDS Enforcement Guidance issued February 9, 2015 Manufacturers & Distributors “Reasonable Diligence" & "Good Faith Efforts“ o o o o o o o

Obtain classification information and SDSs from upstream suppliers; Find hazard information from alternative sources (e.g., chemical registries); and, Classify the data themselves. Distributor must document ALL efforts to comply. Once received must be maintained. Employers must also make a reasonable effort to comply Discussion with OSHA indicates that further clarification is likely.

OSHA STATES THAT LACK OF MSDS AND UPDATED SDS ARE THE NUMBER ONE NEGATIVE FINDINGS BY OSHA INSPECTORS. THEY MOSTLY ISSUING CITATIONS FOR CORRECTION – AT THIS TIME…

McKesson Transitioning also to SDS

If there is any question about availability of SDS that are not on the “More Information” tab or are not available – click here or call

Total SDS Implementation Effective Date

Requirement

Who is Responsible

December 1, 2013

Train employees on GHS label requirements

Employers

June 1, 2015

Compliance with all modified provisions

Chemical manufacturers, Distributors, and Employers

December 1, 2015

Distributor to not ship without new labeling (there is an exception.

Distributors

Update workplace labeling and hazardous communication program

Employers

June 1, 2016

Important Dates to be Prepared December 1, 2015 & June 1, 2016

Straw Poll Is your organization ready to be GHS and SDS compliant?

Strategies for Improvement o How many locations are (M)SDS binders kept? o How are chemicals and Rx purchased? o Who is responsible for SDS? o Who needs access to SDS? o Paper systems are difficult and expensive to maintain. o Are electronic systems acceptable?

Best Practices • • • • • • •

Capture data available at critical junctures of the supply chain. Develop preferred vendor relationships. Use online purchasing systems, exchanges, or vendor sites. Track chemicals and manage inventory efficiently. Manage and reduce hazardous waste. Calculate and re-engineer operations. Invest in information management systems.

Organize Chemical & Rx Data

Manage Inventory

Reduce Costs

Improving Outcomes



The GHS has the building block approach, changes to the HCS are expected. The HCS may not implement all hazard classes, e.g., hazardous for the environment.



Even within some hazard classes the HCS may not regulate all hazard categories, e.g., acute toxicity. Many hazard classes will require some type of change to the HCS.



Minnesota has the most advanced standards (opinion).

MedTrainer Resources for Improving Access

o o o o o

SDS On-Demand Upload Entire Inventory McKesson SDS included Create Binders Simplify and Expand Access for all Staff

Create Identification & Classification Waste Stream Classifications o Solid Waste

o Hazardous o RCRA o Universal o Other

Use the SDS & State Regulations to Classify Waste

Resources

OSHA Hazardous Communication Standard Brief https://www.osha.gov/Publications/OSHA3514.pdf

Quick Product Label Reference https://www.osha.gov/Publications/HazComm_QuickCard_Labels.html

Hazardous Communication Guidance Documents https://www.osha.gov/dsg/hazcom/guidance.html

Hazardous Communication Questions and Answers https://www.osha.gov/dsg/hazcom/hazcom-faq.html

Wrap-up and Questions

How can your organization benefit from the tools provided today?

For more information regarding this webinar please feel free to visit www.Medtrainer.com or contact us at 888-337-0288

Sources Hazard Communication, United States Department of Labor, Occupational Safety and Health Administration, Website, 2015. Sources: U.S. Census Bureau, 2010; American Chemistry Council, Guide to the Business of Chemistry 2013 Cosmetic Labeling Guide, Food And Drug Administration, Website, 2015 The Global Use of Medicines: Outlook through 2017, IMS Institute for Healthcare Informatics, Nov. 2013 Galassi, Thomas, Dir. of OSHA Enforcement Programs, Enforcement Guidance for the Hazard Communication Standard's (HCS) June 1, 2015 Effective Date, Feb 9, 2015 Diamantidis, Tony, Best Practices For Chemical Management, June 27, 2014

Thank You! Brian Williams, Vice President Compliance, MedTrainer www.Medtrainer.com 888-337-0288

Unless otherwise noted, the recommendations in this document were obtained from the presenter. Be advised that information contained herein is intended to serve as a useful reference for informational purposes only and is not complete information. McKesson cannot be held responsible for the continued currency of or for any errors or omissions in the information. This webinar has been provided to participants on a complimentary basis. McKesson makes no representations or warranties about, and disclaims all responsibility for, the accuracy or suitability of any information in the webinar and related materials; all such content is provided on an “as is” basis. MCKESSON FURTHER DISCLAIMS ALL WARRANTIES REGARDING THE CONTENTS OF THESE MATERIALS AND ANY PRODUCTS OR SERVICES DISCUSSED THEREIN, INCLUDING WITHOUT LIMITATION ALL WARRANTIES OF TITLE, NON-INFRINGEMENT, MERCHANTABILITY, AND FITNESS FOR A PARTICULAR PURPOSE. The content of webinar and related materials should not be construed as legal advice and is intended solely for the use of a competent healthcare professional. Eligibility Requirements For Participating in a McKesson Webinar: This webinar is not open to the general public. Your participation in this webinar cannot be transferred or assigned to anyone for any reason. You do not have to be a current customer of, purchase products from, or be affiliated with, McKesson, in order to participate in the webinars. McKesson, in its sole discretion, may terminate this promotion at any time. Due to certain regulatory restrictions, this promotion cannot be offered to health care providers licensed in Vermont and/or to government employees. All trademarks and registered trademarks are the property of their respective owners. © [2015] McKesson Medical‐Surgical Inc

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