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Date: Tue, 28 Jun 2011 16:16:24 +0000
Reply-To: DCHAS-L Discussion List <DCHAS-L**At_Symbol_Here**LIST.UVM.EDU>
Sender: DCHAS-L Discussion List <DCHAS-L**At_Symbol_Here**LIST.UVM.EDU>
From: "Robin M. Izzo" <rmizzo**At_Symbol_Here**PRINCETON.EDU>
Subject: Re: Boston College incident follow up
In-Reply-To: <8C1FF28BDDEB6048B3411BEA66988278A516B1F5A3**At_Symbol_Here**WITTFSVS.wittenberg.edu>
All,
Lots of very good points here, but training still only gets you so far. Li
ke others have pointed out, you can participate in training and repetitive
refreshers, even participate in drills, but when the incident happens to YO
U, you may or may not react to it appropriately. What helps is to have som
eone else there who is not directly affected by the incident. We do a much
better job recalling how to help another person than how to help ourselves
. We can be in denial.
I've seen it here and I've experienced it myself. Let me share a couple of
examples...
The first was a highly, repetitively trained molecular biology lab instruct
or who spilled phenol onto her leg. Her response was to go into the ladies
' room, remove her pants, wipe off her leg with a paper towel, rinse her pa
nts, put the pants back on, go back and finish the class. Then she went ho
me and showered. It was not until the next day when the pain and blisterin
g continued that she finally sought medical attention. This is a person wh
o had helped students through spills and cuts and incidents for more than 1
0 years. She knew better, but somehow trusted that it was going to be okay
.
The second involved a graduate student who had a similar incident. She abs
olutely knew that she could have called for help, but instead, she phoned h
er mother, who is a PhD chemist, bench scientist at a well-known pharmaceut
ical company. Her mother told her to wipe it off and take some Advil. The
student kept asking if she should go to the health center (and it would ha
ve cost nothing, as every graduate student on our campus has health insuran
ce through the University), but her mother told her it would be okay. She
finally went to the health center nearly 48 hours after the incident.
And I myself, a safety professional and former EMT, have reasoned my way ou
t of getting an x-ray, checking to see if something needs sutures, etc., be
cause there can be a bit of denial about health issues affecting your own b
ody. I recently read an article by Dr. Oz - the physician who regularly gi
ves medical management and health advice to millions, who delayed his own f
ollow-up colonoscopy because he just didn't want to deal with the fact that
something might just be wrong.
I make a point of giving these examples when providing training, hopefully
provoking people to think about how they might react. You just don't know,
which is why people should not work alone in labs.
Robin M. Izzo, M.S.
Associate Director, EHS
Princeton University
609-258-6259 (office)
=A0
How many legs does a dog have if you call the tail a leg? Four. Calling i
t a tail a leg doesn't make it a leg.
~ Abraham Lincoln
-----Original Message-----
From: DCHAS-L Discussion List [mailto:DCHAS-L**At_Symbol_Here**LIST.UVM.EDU] On Behalf Of Da
vid C. Finster
Sent: Tuesday, June 28, 2011 10:52 AM
To: DCHAS-L**At_Symbol_Here**LIST.UVM.EDU
Subject: Re: [DCHAS-L] Boston College incident follow up
All,
I would "second" Brad's comments about the need for training and education
that exposes students to simulated events and that is heavily based on repe
tition. Truth is: people panic when confronted with unexpected events and
, in knowing this, it's almost laughable that one of first "rules" we teach
in a panic-inducing situation is "not to panic." Yeah, right. So, I tell
students to go ahead and "panic" (for a BRIEF moment!) to get that out of t
he way and then "go back to your training". That is, do what you have prac
ticed doing. In the EMS world, EMTs get trained about the "ABCs" (airway,
breathing circulation) when confronted with an unresponsive patient. Do wha
t you have been trained to do. The ABCs, (and there's more, happily.)
But... how much training can we do? Some programs are lucky to talk about
the use of fire extinguishers, much less design the use of one in some simu
lated situation. This takes time. And, repetition takes time. (Duh.) Co
llege chemistry faculty (of which I am one) guard time jealously in their c
lasses and labs. There are LOTS of pressures to cover material, and beyond
the chemistry we now have to teach writing, speaking, critical thinking, e
tc. And, let me tell you, the students are NOT coming to us "better prepar
ed" these days. When I teach chemical kinetics in general chemistry a sign
ificant portion of my students don't know the difference between a linear a
nd non-linear function. Gees. I ask them to sketch the graph of "y = x
-squared" and many cannot do this. Think PV=nRT is a simple equation? N
ot for everyone.
So, there is "lots to teach" (and learn!) Having said this, though, what c
an POSSIBLY be more important than teaching chemical health and safety? Di
d anyone ever die from not knowing the Diels-Alder reaction mechanism? Or
how the d orbitals are split in a tetrahedral field? Or, the difference be
tween STO-3G and STO-3G**? Or...?? And, I love all this stuff, and I lov
e to teach it. The challenge to the chemical education community is to fin
ally face up to the fact that we simply MUST teach more about chemical heal
th and safety in all of our programs, in all of our classes. It is immoral
not to do so. To put students in hazardous situations (called "labs") wit
hout training (and education - not really the same thing, but both are nece
ssary) is irresponsible. This takes time. It takes repetition, which take
s more time.
No simple answers here. It's pretty hard to argue against the notion of a
"constant volume" curriculum the way we have designed our educational packa
ges so that "safety education" will likely have to displace something else.
Life is full of choices. What is more important than safety?
I'm likely preaching to the choir on this listserve, of course. OK. CHAS
and CHED (and CCS and ??? and ???) need to get together on this topic and s
tart to force changes.
Dave
David C. Finster
Professor of Chemistry
University Chemical Hygiene Officer
Department of Chemistry
Wittenberg University
dfinster**At_Symbol_Here**wittenberg.edu
-----Original Message-----
From: DCHAS-L Discussion List [mailto:DCHAS-L**At_Symbol_Here**LIST.UVM.EDU] On Behalf Of No
rwood, Brad
Sent: Tuesday, June 28, 2011 9:03 AM
To: DCHAS-L**At_Symbol_Here**LIST.UVM.EDU
Subject: Re: [DCHAS-L] Boston College incident follow up
All,
While there is *some* evidence that communication/culture barriers or diffe
rences *might* have played a role here, in my mind the fundamental issue is
training.
Please understand - I am not harping on BC's training in particular, but EV
ERY training program - except one - of which I've ever been a part.
The fundamental truth is that when we get in a panic/emergency situation, i
f this is the first time we've ever really thought about what we would do w
e will almost inevitably do the wrong thing. This brings me to the ONE tra
ining program that I've been involved in that (IMO) got things very nearly
totally correct. Prepare to groan.
The United States Navy (other branches may have similar systems, but after
20 years active and reserve, the Navy's is the one I'm familiar with).
Emergency training in the Navy is focused on:
1) Simulation of actual events that have happened elsewhere (i.e. "We know
what they did, but what would you do?")
2) Realistic scenarios of desperate (and, sometimes not so desperate) casua
lties
3) Careful (if primitive) simulation of adverse conditions. Are you fighti
ng a fire? Then smoke will obscure your view if it takes too long (and we
would get green translucent plastic placed over the face shields of our Eme
rgency Air Breather masks, and have to continue fighting the fire until it
was out and the space was ventilated).
4) Repetition, repetition, repetition.
5) Review and discussion of how the responders handled the situation - what
they did right, what they did wrong. In some cases, we turned right aroun
d and repeated the drill if it was determined (in the oh-so-subjective opin
ion of the Executive Officer) that the way the casualty was handled might h
ave led to loss of life or even the entire boat (submarine).
Our saying was, you fight like you train. This is true in warfare, but the
focus was getting people "comfortable" with the emergency situation so tha
t in the shock of a real casualty, we would switch into automatic mode and
do things the way we had been trained.
Ms. Cho was probably so flummoxed and surprised by what happened, that she
defaulted to "I will go home and get my first aid kit". In the process of
doing so, I'm also confident she walked past at least one other convenient
first aid kit and a couple of phones on which she could have called for hel
p (not to mention the cell phone that was undoubtedly in her pocket). I ha
d a similar situation occur here at our lab, where *one month* after fire e
xtinguisher training (putting out a real fire with a real fire extinguisher
), we had a minor fire in an instrument. The technician ran right past the
CO2 fire extinguisher to get some water to throw on this *electronic* devi
ce, thereby destroying a controller worth about $5K and a lost day of produ
ctivity.
So, to sum up: Don't look for additional placards or signs by the phone or
language/cultural training to fix this problem. The fundamental issue her
e is getting people to automatically think and act the way we need them to
*in the moment of panic* when an actual accident occurs. This requires a f
ar more realistic, frequent and site-specific kind of training. That also
means that there is no "one size fits all" bureaucratic solution that shoul
d (or can) be imposed from above. WE are the answer.
Just my $0.02
Dr. Bradley K. Norwood
Arista Laboratories, Inc.
1941 Reymet Road
Richmond, VA 23237
(804) 271-5572
brad.norwood**At_Symbol_Here**aristalabs.com
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-----Original Message-----
From: DCHAS-L Discussion List [mailto:DCHAS-L**At_Symbol_Here**list.uvm.edu] On Behalf Of Se
cretary, ACS Division of Chemical Health and Safety
Sent: Tuesday, June 28, 2011 7:58 AM
To: DCHAS-L**At_Symbol_Here**LIST.UVM.EDU
Subject: [DCHAS-L] Boston College incident follow up
Gail asked me to pass this along to the list as background for some of the
discussion occurring here. I would also note that there is a lot of specula
tion about the event in the media and blog-world; a summary can be found at
http://cenblog.org/the-safety-zone/2011/06/boston-college-student-injured-i
n-lab-explosion/
- Ralph
From: Gail Hall
Date: Jun 27 2011
The Chemistry Department and EHS at Boston College train every graduate stu
dent initially and annually to call Campus Safety in the event of an emerge
ncy. There are signs at every phone. There is even a question on the quiz t
hat they have to take to get their keys.
At the moment we are still collecting information and don't have a cause fo
r the explosion or a reason that the student acted as she did. We seem to
have had our share of learning opportunities in the past 18 months, and I w
ill share our hypotheses and/or conclusions on this one when we have been a
ble to fully research the matter. I hate to think I have enough material f
or an article in JCHAS, but it's beginning to look that way.
In the meantime, if anyone has any ideas about sources of pictograms to hel
p communicate certain things to students for whom English is the second lan
guage, we'd appreciate the information.
Gail
Gail Hall
Director, EH&S
Boston College
gail.hall**At_Symbol_Here**bc.edu
617-552-0300
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