1. Management of Hazardous Materials
Chapter 12

2. Engineering/Working Practice Controls
Physical equipment and mechanical devices that protect employees.
Splash guards on model trimmers, ventilation hoods, and sharps containers.
Employer must ensure that hands are washed and eyes are flushed if contact with microorganism/hazardous material has occurred.

3. Controls Cont…
Any mucous membrane must be flushed if contact with blood or OPIM ( other potentially infectious material ) has occurred.
Occupational exposure is: any reasonable anticipated eye, skin, mucous membrane, or parenteral contact with blood or other OPIM due to work related activities.
Parenteral: piercing the mucous membrane by the way of needle stick, cuts, or abrasions.

4. According to OSHA: Anything visually contaminated with blood.
Saliva in dental procedure
Cerebrospinal fluid
Amniotic fluid
Synovial fluid
Pleural, Peritoneal, and Pericardial fluids.
Semen/Vaginal secretions

5. OSHA Cont… Unfixed tissue HIV/HBV cultures/solutions
Blood, organs, tissues from animals with HIV/HBV
These Are All Considered Potentially Infectious!

6. Sharps Needle guards may be used to protect against sticks.
Needle should NEVER be recapped using two handed technique.
Use scoop method, using one hand.
All contaminated sharps are put in a labeled, leak-proof, puncture resistant container.

7. Sharps Cont….
Commonly placed items like: blades, broken glass, ortho wire, anesthetic carpules, and sharp broken instruments and burs.
When sharps container is full: seal, sterilize, and send out to biohazard agency.

8. Occupational Exposure to Bloodborne Pathogens
Any employee who has experienced and occupational exposure must report it immediately.
Confidential medical evaluation ( doctor visit ) and follow-up must be provided by employer at no cost to employee.

9. Documentation of the Exposure Incident
Dentist documents info on incident
Included is: routes of exposure, circumstances surrounding exposure, and identity of the source if known.
Report is confidential
Report is given to medical provider
If source patient is known, request of his/her HBV/HIV status will be made

10. Documentation Cont….
If source doesn’t consent to testing, documentation must be completed.
If source will be tested, it should be done as soon as possible and the employee notified.

11. Exposed Employee Blood ( Collection and testing )
Employee has a right to refuse testing up to 90 days.
Employee may have baseline test for HBV/HIV.
Employee may consent to only HBV and not HIV.
Employee’s blood is saved for 90 days in case their mind is changed.

12. Exposed Employee Cont…
All testing is done at an Accredited lab.
No cost to the employee.
Medical professional will notify employee of the results.

13. Post-Exposure Follow-Up Procedure
Employee must be provided counseling.
Employee must also be counseled on protection during sexual contact.
Employee will be continually evaluated for any health developments.
If any medical treatment is needed, a referral will be made immediately.

14. Employee Work Site Employee must have clean and sanitary work site.
Written infection control and decontamination procedure must be available.
Proper disposal of garbage/biohazards must be observed.
Broken glass must be placed in sharps container.
Laundry that is sent out must be in labeled bag with a biohazard symbol.

15. Hazardous Chemicals Employees must receive training.
Training must occur within 30 days of being hired.
Must have documentation of training on file.
Must have written standards for hazardous chemicals and bloodborne pathogens.

16. Material Safety Data Sheets ( MSDS )
Every office must have a manual.
It must be alphabetized, indexed, and available to all employees.
Can be on hard copy or computerized.
If MSDS isn’t available, one Must be requested.

17. This concludes your lecture!
Be Safe!
Bye, Bye!