©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Management of Hazardous Materials Chapter 12

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. OSHA’s Objective To provide safe work environment for all employees

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Scope and application –All employees at risk of exposure to blood and other potentially infectious materials (OPIM)

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Methods of compliance –Standard precautions –Engineering and work practice controls –PPE –Housekeeping

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Standard precautions –All blood and OPIMs considered infectious –Same precautions must be taken at all times

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Engineering controls –Primary method of controlling exposure –Must be evaluated and documented regularly

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Sharps containers –Readily accessible –Puncture resistant –Labeled and color- coded –Leak-proof –Closable –Frequently replaced © Cengage Learning 2013

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Work practice controls and rules –Handwashing –Handling needles –Behavior in work –Storage of personal items –Handling of hazardous materials –Transport of specimens –Decontamination

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard PPE –Goggles or face shields –Gloves –Protective overgarments –Resuscitation equipment –Readily accessible and stored at worksite

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Eye protection –Required if risk of splash, spray, or splatter –Prescription glasses should be fitted with side shields –There must be a plan for decontamination

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Gloves –Must be worn if handling blood or OPIMs –Variety available to meet needs of employees

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Protective clothing –Must be worn when risk of splash or splatter –Variety to choose from depending on exposure risk

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Housekeeping –Written schedule for cleaning and disinfecting –Clean contaminated work areas or equipment as soon as possible –Use protective coverings over equipment

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Regulated waste containers (nonsharp) –Closeable –Leak proof –Labeled and color- coded © Cengage Learning 2013

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Laundry –Little handling –Bagged where used –Labeled and color-coded –Transported in leak-proof bags

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Hepatitis B vaccination –Made available upon employment –Free to employees –Must sign form if declined –Must be available at later date if refused

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Post-exposure follow-up –Wash thoroughly –Have blood drawn as soon as possible or within two hours –Document incident –Identify source –Attempt to test source –Provide results

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Labels –Should say “Biohazard” –Fluorescent orange and orange-red –Red bags or containers

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Information and training –Required –Given initially upon employment Annually thereafter –Provided at adequate levels for employee understanding –Interactive

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Training components –Explanation of standard –Epidemiology and symptoms –Modes of transmission of HIV/HBV –Exposure control plan –Engineering controls

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Training components –PPE –Decontamination vaccination –Post-exposure procedures –Labels and color-coding

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Medical records –Kept for each employee –Vaccination status –Post-exposure follow-up procedures –Health care professional’s written opinion –Maintained for 30 years

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Training records –Kept for three years from date of training –Contents of training –Qualifications of trainer –Names and job titles of people attending

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Exposure control plan components –Must be written –Must reference existing policies and procedures

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Exposure control plan –List job classifications at risk –List tasks with risks –State compliance policies and procedures –Sharps disposal procedures –Disinfection policies and procedures –PPE procedures –Procedures for disposal of regulated wastes

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Laboratory technician Assistant Hygienist Dentist Exposure to blood, saliva, and body tissue Category One Receptionist Coordinating assistant Occasional exposure Category Two Insurance processor Accountant No exposure Category Three Exposure Control Plan Job Classifications Occupational Exposure Determination Employees list tasks and identify category of risk

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Exposure control plan –Laundry procedures –Hepatitis B vaccination procedures –Post-exposure follow-up procedures –Training –Updated annually

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Bloodborne/Hazardous Materials Standard Employee responsibilities –Attend training –Follow rules –Practice universal precautions, safe work practices, and engineering controls –Use PPE –Report unsafe conditions –Maintain clean work areas

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Dental Check Name OPIM. –Blood; saliva; cerebrospinal fluid (CSF); amniotic, synovial, pleural, peritoneal, and pericardial fluids; semen and vaginal secretions; and unfixed tissues

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Revisions to OSHA Standard April 2001 –Needlestick Safety and Prevention Act –Required OSHA to revise standard

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Revisions to OSHA Standard Employer must solicit input from employees Input must be documented in plan Sharps injury log must be maintained Must use safer medical devices when feasible

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Engineering and Work Practice Controls Splash guards Sharps containers Ventilation hoods Needleless systems

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Sharps Needle guards Never recap using two hands Proper disposal © Cengage Learning 2013

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Sharps Container Red Biohazard label Puncture-resistant Leak-proof Sealed lid © Cengage Learning 2013

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Occupational Exposure to Bloodborne Pathogens Report exposure immediately Provide confidential medical evaluation Document exposure on incident report Employee testing Post-exposure follow-up

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Hazardous Chemicals Employee “right to know” law –Employees have right and need to know identity and health hazards of chemicals they use in dental office

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Hazardous Chemicals Employee training Chemical inventory record Safety measures for handling of chemicals Product material safety data sheet (MSDS) sheets Labeling of chemical containers

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. MSDS Identifies chemicals in product States health and safety information Provided by manufacturer One copy for each dental product Stored in notebook with easy reference guide

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Chemical Warning Labels Developed by National Fire Protection Agency Warns employees using chemicals about hazards Courtesy of POL Consultants

©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Dental Check What color on a warning label indicates the substance poses a health hazard? –Blue