1. Departmental Safety Representative (DSR) Session Shirley Jeandron RN, BSN, MBA Manager of Infection Control/Workers Compensation

2. Overview  Quick overview of what this meeting is all about Agenda What to expect

3. Agenda Topics  Blood-Borne Pathogen Issues  Infection Control Practices  Infectious Diseases & Immunizations  Personal Protective Equipment  Environmental Cleanliness  Latex Allergies  Safety Products  Employee On-the-Job Injuries & Illnesses  Worker’s Compensation

4. Objectives Describe what you should do if you have a sharps injury Name five ways to comply with Infection Control Practices List major Infectious Pathogens in your department and prevention measures implemented to prevent accidental exposure Identify three components of the Workers Compensation program Describe three selected work hazards found in your department Identify one method your department implemented this year to prevent a workplace injury or illness Describe three basic types of latex reactions Describe three symptoms of a latex allergic reaction List three safety products that might prevent work injuries in your department Describe three signs or symptoms that indicate a co-worker might be ill List three factors that should be considered when selecting a surface disinfectant

5. Surveillance, Prevention & Control

6. Surveillance, Prevention, & Control of Infection (Con’t) How Pathogens are Spread

7. Surveillance, Prevention, & Control of Infection (Con’t) Infection Control Resources

8. Surveillance, Prevention, & Control of Infection (Con’t) Infection Control Resources

9. Surveillance, Prevention, & Control of Infection (Con’t) Infection Control Resources

10. Bloodborne Pathogen Issues  29 CFR 1910.1030, Occupational Exposure to Bloodborne Pathogens 1992  Needlestick Safety and Prevention Act, P.L. 106-430 2001 July 2001  OSHA Sharps Log  ECP update once a year with input from staff  HBV  PEP protocol after BBP exposure  Safety devises and PPE (don’t forget the eyewash station)

11. Methods of Compliance  Universal Precautions  Engineering and Work Practice Controls  Personal protective equipment  Housekeeping

12. Methods of Compliance (Con’t)  Universal Precautions  Engineering and Work Practice Controls  Personal protective equipment  Housekeeping

13. Safety Products  Safety needles/syringes  Blades  Suture needles  Masks/face shields  TB respiratory masks  Fluid proof gowns  Sharps containers  Biohazard bags/boxes  Gloves  Goggles  Disinfectant/Solidifier products Websites providing more information on safety products in your work area: http://www.med.virginia.edu/medcntr/centers/epinet/products.html http://www.sharpslist.org/cgi-in/db.cgi?db=default&uid=default

14. Hypodermic syringes with “Self-Sheathing” safety feature Self-sheathed protected position

15. Hypodermic syringes with “Retractable Technology” safety feature Retracted protected position

16. Phlebotomy needle with “Self-Blunting” safety feature Blunted protected position

17. “Add-on” safety feature Attached to syringe needle Attached to blood tube holder

18. Retracting lancets with safety features Before During After In use After use

19. Disposable scalpels with safety features Retracted position Protracted position

20. Exposure Control Plan: 1910.1030(c) New Provisions The ECP must be updated annually to include:  changes in technology that reduce/eliminate exposure  annual documentation of consideration and implementation of safer medical devices  solicitation of input from non-managerial employees

21. Exposure Determination  The employer must: Identify worker exposures to blood or OPIM Review all processes and procedures with exposure potential Re-evaluate when new processes or procedures are used

22. Engineering and Work Practice Controls (con’t)  The employer must: Evaluate available engineering controls (safer medical devices) Train employees on safe use and disposal Implement appropriate engineering controls/devices

23. Recordkeeping: 1910.1030(h)  Sharps Injury Log Only mandatory for those keeping records under 29 CFR 1904 Confidentiality Maintained independently from OSHA 300

24. Sharps Injury Log At a minimum, the log must contain, for each incident:  Type and brand of device involved  Department or area of incident  Description of incident

25. Infection Control Practices  Wash Your Hands “Hands should be washed before significant contact with any patient and after activities likely to cause contamination.” Handwashing gels (61 % alcohol and hopefully emollients) when sinks are not available

26. Handwashing A Critical Infection Control Issue Hand hygiene is the simplest, most effective measure for preventing facility-acquired infections. Hand Hygiene

27. Handwashing Steps 1, 2 and 3

28. Why Handwashing is Difficult

29. Major Infectious Diseases  Monkey B  HBV  Tuberculosis  HCV  HIV  SARS  West Nile  Biological Agents

30. Immunizations  Hepatitis A Vaccine  Hepatitis B Vaccine  PPD Mantaux Skin testing  Mumps, Measles, Rubella (MMR)  Tetanus  Meningococcal  Influenza Vaccine  And if you go traveling!!! Make an appointment with the Travel Medicine Doctor

31. IC issues related to Bioterrorism Biological Agents

32. Foodborne & Waterborne Diseases  Food-borne  Waterborne

33. Foodborne & Waterborne Diseases (Con’t) Where To Find More Information Web site for the complete plan, Preventing Emerging Infectious Diseases: A Strategy for the 21st Century: www.cdc.gov/ncidod/emergplanwww.cdc.gov/ncidod/emergplan

34. Monitoring the Environment Environmental-hazard risk assessments Monitoring of the environment Identifying workplace problems that could cause injuries or illnesses

35. Environmental Cleanliness  What’s dirty  What’s clean  How do you know?  What do you clean with?

36. Environmental Cleanliness (Con’t)  What’s dirty  What’s clean  How do you know?  What do you clean with?

37. Environmental Cleanliness (Con’t) Decontamination table is available at http://www.nih.gov/od/ors/ds/pubs/biodecontamination /biodecon1.htmwww.nih.gov/od/ors/ds/pubs/biodecontamination /biodecon1.htm

38. Contamination  Gloves  Linen

39. Glove Composition

40. Allergies  Signs & Symptoms

41. Latex Allergies (Con’t)  Who Develops Latex Allergies?

42. Latex Allergies (Con’t)  Classification of Reactions

43. Latex Allergies (Con’t)  Screening for Latex Allergies

44. Latex Allergies (Con’t)  Products with & without latex  “Latex Free” Environment

45. Working Sick  Not a good idea

46. Workers Compensation  Papers to complete  Where documentation should be sent  How they are paid  Procedures to follow

47. Workers Compensation  When an injury occurs follow these steps

48. Workers Compensation  Responsibilities of Employees and Supervisors

49. Workers Compensation  Follow-up on lost time

50. Workers Compensation  Questionable or suspicious claims

51. Preferred Site for Treatment of Work-Related Injuries & Illnesses Tulane University Hospital and Clinic Occupational Medicine Clinic 1 st Floor LaSalle Garage (Primary Care Clinic) Monday – Friday (7:30AM - 4:30PM) Telephone (504) 586-3986 Tulane University Emergency Room 1430 Tulane Avenue New Orleans, LA 70112 Telephone (504) 588-5711 When Occupational Medicine is not available.

52. Office of Environmental Health and Safety Shirley Jeandron RN., B.S.N., M.B.A. Manager of Infection Control/Workers Compensation Office of Environmental Health & Safety (OEHS) Office: (504)988-2869Cell: (504)234-8084 Fax: (504)988-2196OEHS: (504)988-5486 Email: sjeandr@tulane.edusjeandr@tulane.edu url http://www.som.tulane.edu/oehshttp://www.som.tulane.edu/oehs

53. Summary  Questions?