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Week 1. History of Surgical Technologist Post WWII created nursing shortage in ORs nationally Post WWII created nursing shortage in ORs nationally Military.

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Presentation on theme: "Week 1. History of Surgical Technologist Post WWII created nursing shortage in ORs nationally Post WWII created nursing shortage in ORs nationally Military."— Presentation transcript:

1 Week 1

2 History of Surgical Technologist Post WWII created nursing shortage in ORs nationally Post WWII created nursing shortage in ORs nationally Military Corpsman position created a position that caught on nationally and thus became the “operating room technician” (ORT) Military Corpsman position created a position that caught on nationally and thus became the “operating room technician” (ORT) Not created to replace nurses, but to supplement the needed personnel to provide patient care Not created to replace nurses, but to supplement the needed personnel to provide patient care 1969 nursing and surgeon organizations created the AORT (Association of Operating Room Technicians) 1969 nursing and surgeon organizations created the AORT (Association of Operating Room Technicians) 1974 LCC-ORT (Liaison Council on Certification for the Operating Room Technician) established and the certification exam was born to provide a means of establishing competency for the ORT 1974 LCC-ORT (Liaison Council on Certification for the Operating Room Technician) established and the certification exam was born to provide a means of establishing competency for the ORT 1978 ORT became the ST (surgical Technologist) which changed the names of the AORT to AST (Association of Surgical Technologists) and the LCC-ORT became the LCC-ST (Liaison Council on Certification of the Surgical Technologist) which is now the NBSTSA ( National Board of Surgical Technology and Surgical Assisting) 1978 ORT became the ST (surgical Technologist) which changed the names of the AORT to AST (Association of Surgical Technologists) and the LCC-ORT became the LCC-ST (Liaison Council on Certification of the Surgical Technologist) which is now the NBSTSA ( National Board of Surgical Technology and Surgical Assisting)

3 Organizations JCAHO JCAHO Joint Commission on Accreditation of Healthcare Organizations. Joint Commission on Accreditation of Healthcare Organizations. Private organization. Private organization. Evaluates US hospitals for their compliance with federal regulations. Issues fines if not in compliance. Evaluates US hospitals for their compliance with federal regulations. Issues fines if not in compliance. DFS – Department of Facility Services DFS – Department of Facility Services Similar to JCAHO, but state run department. Similar to JCAHO, but state run department.

4 Organizations AST - Association of Surgical Technologists AST - Association of Surgical Technologists Responsible for the Core Curriculum Responsible for the Core Curriculum Provides educational services. Provides educational services. Our professional organization that we belong to. Our professional organization that we belong to. CAAHEP – CAAHEP – the largest programmatic accreditor in the health sciences field. CAAHEP reviews and accredits educational programs. the largest programmatic accreditor in the health sciences field. CAAHEP reviews and accredits educational programs.

5 Organizations ARC-ST – Accreditation Review Committee on Education in Surgical Technology ARC-ST – Accreditation Review Committee on Education in Surgical Technology Directly oversees academic accreditation for the ST field. Directly oversees academic accreditation for the ST field. NBSTSA – National Board of Surgical Technology and Surgical Assisting NBSTSA – National Board of Surgical Technology and Surgical Assisting Responsible for our credentials (ST, CST, CFA) and administering the CST exam. Responsible for our credentials (ST, CST, CFA) and administering the CST exam.

6 Surgery classifications Emergent – a “must do now to save the life of the pt.” case. Emergent – a “must do now to save the life of the pt.” case. Urgent – a “ must do soon” case Urgent – a “ must do soon” case Elective - procedure is beneficial to the patient but does not need be done at a particular time Elective - procedure is beneficial to the patient but does not need be done at a particular time Optional – give me an example! Optional – give me an example!

7 Reasons For Surgery Diagnostic Diagnostic Palliative - treatment that provides symptomatic relief but not a cure Palliative - treatment that provides symptomatic relief but not a cure Prophylactic - Preventative Prophylactic - Preventative Restorative Restorative

8 Surgical Specialties General General Obstetrics/gynecology (OB-GYN) Obstetrics/gynecology (OB-GYN) Genitourinary Genitourinary Otorhinolaryngology (ENT) Otorhinolaryngology (ENT) Orthopedics Orthopedics Peripheral Vascular Peripheral Vascular Cardiothoracic Cardiothoracic Neurosurgery Neurosurgery Ophthalmology Ophthalmology Plastics/Reconstructive Plastics/Reconstructive Oral/Maxillofacial Oral/Maxillofacial

9 Primary Goal of Surgery Return the patient back to their best possible state of physical and mental health Return the patient back to their best possible state of physical and mental health

10 Operative Timeframes Pre-operative – admission to incision Pre-operative – admission to incision Intra-operative – incision to dressing application Intra-operative – incision to dressing application Post-operative – dressing application to patient discharge. Post-operative – dressing application to patient discharge.

11 Surgical Technologist Professional Definition (JCAH)-”An allied health professional who works closely with surgeons, anesthesiologists, registered nurse, and other surgical personnel delivering patient care and assuming appropriate responsibilities before, during, and after surgery.” Definition (JCAH)-”An allied health professional who works closely with surgeons, anesthesiologists, registered nurse, and other surgical personnel delivering patient care and assuming appropriate responsibilities before, during, and after surgery.”

12 Expectations of Scrub Tech Provide quality patient care by giving assistance to the operating surgeon he/she is working with. Provide quality patient care by giving assistance to the operating surgeon he/she is working with. #1 Task: Anticipate the surgeon and patient needs during the operative procedure. #1 Task: Anticipate the surgeon and patient needs during the operative procedure. To accomplish #1 Task, the ST will “learn to think like the surgeon.” To accomplish #1 Task, the ST will “learn to think like the surgeon.” ST will be knowledgeable in “anatomy, pathophysiology, and microbiology.” ST will be knowledgeable in “anatomy, pathophysiology, and microbiology.” ST will be one of a team of OR staff who “monitor the surgical environment.” ST will be one of a team of OR staff who “monitor the surgical environment.”

13 Competencies/Roles of the ST Founded by 3 principles: Founded by 3 principles: Education, competency, legal requirements of a health care professional Education, competency, legal requirements of a health care professional Certification Certification Follows state laws and hospital policies Follows state laws and hospital policies

14

15 Competency Level 1 Entry Level (less than 1 year experience/certified/independently scrubs basic procedures) Level 1 Entry Level (less than 1 year experience/certified/independently scrubs basic procedures) Level 2 Proficient (more than 1 year experience/can perform most surgical procedures) Level 2 Proficient (more than 1 year experience/can perform most surgical procedures) Level 3 Expert (superior and broad knowledge base/role model/leader) Level 3 Expert (superior and broad knowledge base/role model/leader)

16 The OR Team Definition of Team- A group of people working together to achieve a common goal. For the OR team, that goal is to provide the highest quality of patient care, while promoting surgeon satisfaction as well as each team member’s own satisfaction. Definition of Team- A group of people working together to achieve a common goal. For the OR team, that goal is to provide the highest quality of patient care, while promoting surgeon satisfaction as well as each team member’s own satisfaction.

17 Responsibilities of the OR Team Patient positioning Patient positioning Grounding pad Grounding pad Skin prep Skin prep Sterility maintenance Sterility maintenance Aseptic environment maintenance Aseptic environment maintenance Blood loss surveillance Blood loss surveillance Keeping track of medications administered on sterile field Keeping track of medications administered on sterile field

18 Surgical Team Members Duties Preoperative Case Management Preoperative Case Management Intraoperative Case Management Intraoperative Case Management Postoperative Case Management Postoperative Case Management

19 Preoperative Case Management PPE PPE OR preparation OR preparation Obtaining supplies, instruments, and equipment Obtaining supplies, instruments, and equipment Creation, maintenance, and monitoring of surgical sterile field Creation, maintenance, and monitoring of surgical sterile field Scrubbing and donning sterile OR attire Scrubbing and donning sterile OR attire Organizing sterile field Organizing sterile field Counting supplies and instrumentation Counting supplies and instrumentation Assisting other sterile team members as they enter the sterile field Assisting other sterile team members as they enter the sterile field Providing exposure of the operative site via prepping and draping Providing exposure of the operative site via prepping and draping

20 Intraoperative Case Management Sterile field maintenance and monitoring Sterile field maintenance and monitoring Providing instrumentation, supplies, and equipment to the surgeon and his or her assistant as needed in the proper order Providing instrumentation, supplies, and equipment to the surgeon and his or her assistant as needed in the proper order Preparation of and handling medications within the sterile surgical field Preparation of and handling medications within the sterile surgical field Counting supplies and instrumentation Counting supplies and instrumentation Handling and caring for specimens Handling and caring for specimens Preparation of and application of sterile surgical dressing Preparation of and application of sterile surgical dressing

21 Postoperative Case Management Sterile field maintenance and monitoring until patient is safely transported from the OR suite Sterile field maintenance and monitoring until patient is safely transported from the OR suite Taking down or disassembling the sterile field Taking down or disassembling the sterile field Removal, handling, and maintenance of supplies, instruments, and equipment according to institutional policy within or from the OR Removal, handling, and maintenance of supplies, instruments, and equipment according to institutional policy within or from the OR Preparation of the OR for the next operative procedure Preparation of the OR for the next operative procedure

22 OR Roles Sterile: Sterile: STSR STSR Surgeon Surgeon Surgical Assistant Surgical Assistant Nonsterile: Circulator Anesthesia provider Other: Anesthesia RN assist Radiology tech Pathologist Anesthesia tech Nursing assistant/clinical tech Perfusionist Perfusionist tech

23

24 Circulator Circulator-A registered nurse (RN) with the ability to move about the room and leave if necessary to acquire needed items. Circulator-A registered nurse (RN) with the ability to move about the room and leave if necessary to acquire needed items. Duties: Duties: Position patient Position patient Skin prep/initial scrub prep Skin prep/initial scrub prep Communication between sterile and nonsterile areas Communication between sterile and nonsterile areas Opening of supplies before and during surgical procedure Opening of supplies before and during surgical procedure Assistance to other team members not involved directly with the sterile field. Assistance to other team members not involved directly with the sterile field.

25 Surgical Technologist Scrub tech duties: Scrub tech duties: Help with OR room/suite preparation Help with OR room/suite preparation Helps with opening supplies/instruments Helps with opening supplies/instruments Surgical hand scrub Surgical hand scrub Putting on/donning sterile gown and gloves Putting on/donning sterile gown and gloves Working within the boundaries of the surgical sterile field Working within the boundaries of the surgical sterile field Preparing/passing needed instruments/supplies to surgeon and his/her assistant Preparing/passing needed instruments/supplies to surgeon and his/her assistant Monitoring/maintaining the sterile field Monitoring/maintaining the sterile field Assisting as needed (prn) on the surgical field Assisting as needed (prn) on the surgical field

26 Primary Surgeon Primary Surgeon-physician/medical doctor (MD) performing the operative procedure. He or she is ultimately in charge. Primary Surgeon-physician/medical doctor (MD) performing the operative procedure. He or she is ultimately in charge.

27 Primary Surgeon Duties Determines need for and the type of surgical procedure to be performed Determines need for and the type of surgical procedure to be performed Discussed surgical procedure and its risks with the patient and family Discussed surgical procedure and its risks with the patient and family Offers alternatives to surgery to the patient if available Offers alternatives to surgery to the patient if available Performs actual surgical procedure Performs actual surgical procedure Provides and plans care for the patient post-operatively Provides and plans care for the patient post-operatively

28 Assistant to the Surgeon Assistant (to the surgeon): Assistant (to the surgeon): other surgeons other surgeons Physician’s assistant (PA) Physician’s assistant (PA) Registered nurse Registered nurse Registered nurse first-assist (RNFA) Registered nurse first-assist (RNFA) Surgical technician (may be concurrent with primary duties) Surgical technician (may be concurrent with primary duties) Surgical technician first assist (STFA) Surgical technician first assist (STFA)

29 Surgeon Assistant Duties Aides with patient positioning Aides with patient positioning Assists with draping the patient Assists with draping the patient Aides surgeon by providing visualization of the operative site by retraction, suctioning and sponging Aides surgeon by providing visualization of the operative site by retraction, suctioning and sponging Aides to achieve hemostasis Aides to achieve hemostasis May close body planes or suture body planes May close body planes or suture body planes Determines type of dressing and may apply or direct application of dressing Determines type of dressing and may apply or direct application of dressing

30 Anesthetist/Anesthesiologist Anesthesiologist-responsible for sedating or anesthetizing patient. Often act as a supervisor of this action. Anesthesiologist-responsible for sedating or anesthetizing patient. Often act as a supervisor of this action. Certified registered nurse anesthetist (CRNA)-An RN with extensive critical care experience and a master’s degree in anesthesia specialization. Will be the person actually performing the anesthesia in most facilities today. Certified registered nurse anesthetist (CRNA)-An RN with extensive critical care experience and a master’s degree in anesthesia specialization. Will be the person actually performing the anesthesia in most facilities today.

31 Other Other: Other: Anesthesia RNs Anesthesia RNs Anesthesia technicians (techs) Anesthesia technicians (techs) Nursing assistants/Clinical technician Nursing assistants/Clinical technician Housekeeping Housekeeping Sales representatives (Reps) Sales representatives (Reps) X-ray/radiology technician X-ray/radiology technician Electroencephalography technician (EEG tech) Electroencephalography technician (EEG tech) Laser/Video Technicians also called Minimally Invasive Surgical Technicians (MIST team) Laser/Video Technicians also called Minimally Invasive Surgical Technicians (MIST team) Cell saver technicians Cell saver technicians Perfusionist Perfusionist CPD Central Processing Department CPD Central Processing Department

32 Patient Care Departments Divided into 2 types: Divided into 2 types: 1. Direct Contribute directly to patient care Contribute directly to patient care 2. Indirect Contribute indirectly to patient care Contribute indirectly to patient care

33 Direct Patient Care Departments See Text Table pg. 21 See Text Table pg. 21 Nursing Care Units Nursing Care Units Diagnostics Diagnostics Laboratory Laboratory Pharmacy Pharmacy Physical Therapy (PT)/Occupational Therapy (OT) Physical Therapy (PT)/Occupational Therapy (OT)

34 Indirect Patient Care Departments Hospital administration Hospital administration Maintenance/Engineering Maintenance/Engineering Housekeeping Housekeeping Food/Nutrition Services Food/Nutrition Services Purchasing/Central Supply Services Purchasing/Central Supply Services Medical Records Medical Records

35 Hospital Organizations Institutional organization Institutional organization Departmental organization Departmental organization See Text Figure pg. 20 See Text Figure pg. 20

36 Job Description Components Job Title Job Title Requirements Requirements Nature of Position Nature of Position Duties Duties Accountability Accountability Immediate Supervisor Immediate Supervisor

37 Financial Reimbursement for Surgery 5 Methods in the United States: 5 Methods in the United States: Private Insurance Private Insurance HMO HMO PPO PPO Medicare Medicare Medicaid Medicaid

38 Private Insurance Works by insurance premiums paid by individual insured, deductibles paid, insurance company pays agreed upon or contracted percentage of costs incurred for health care Works by insurance premiums paid by individual insured, deductibles paid, insurance company pays agreed upon or contracted percentage of costs incurred for health care

39 HMO Health Maintenance Organization Health Maintenance Organization Contractual arrangement between hospital and physician involved in patient’s health care Contractual arrangement between hospital and physician involved in patient’s health care Payments are limited to set pre-agreed upon amounts Payments are limited to set pre-agreed upon amounts Hospitalization is determined based on the patient’s diagnosis and or surgical procedure being performed Hospitalization is determined based on the patient’s diagnosis and or surgical procedure being performed

40 PPO Preferred Provider Organization Preferred Provider Organization Set up same as HMO Set up same as HMO

41 Medicare Federal government administers Federal government administers Patient care reimbursed to following: Patient care reimbursed to following: Qualified over 65 years of age Qualified over 65 years of age Eligible for social security disability payments for 2 years minimum Eligible for social security disability payments for 2 years minimum Working and their families who require organ transplants or kidney/renal dialysis Working and their families who require organ transplants or kidney/renal dialysis Part A: reimburses hospitals Part A: reimburses hospitals Part B: reimburses physicians and other departments such as lab, radiology, etc. Part B: reimburses physicians and other departments such as lab, radiology, etc.

42 Medicaid State and federal funding State and federal funding Provided to low-income families who meet the criteria Provided to low-income families who meet the criteria

43 The Lifestyle of a Surgical Technologist

44 Considerations Foreign environment: cold, quiet, dark, isolated Foreign environment: cold, quiet, dark, isolated Will know more than 95% about the human body than the general population and anyone who lived prior to the 20 th century Will know more than 95% about the human body than the general population and anyone who lived prior to the 20 th century Take part in surgical procedures the public see as miraculous Take part in surgical procedures the public see as miraculous Work life alien to family and friends Work life alien to family and friends Must face and deal with emotional and psychological events few will ever face Must face and deal with emotional and psychological events few will ever face Must be prepared to be available when called upon Must be prepared to be available when called upon

45 Impact on you, the Surgical Technologist May have to leave family at inconvenient times May have to leave family at inconvenient times If “on call” cannot have drinks with your friends or family If “on call” cannot have drinks with your friends or family Obligated to protect yourself from communicable disease in order to protect your patients Obligated to protect yourself from communicable disease in order to protect your patients Will be privy to things about other’s lives (patient) that cannot be shared with your family or friends Will be privy to things about other’s lives (patient) that cannot be shared with your family or friends May find that family and friends do not want to “hear” about your work that you consider exciting and at times humorous May find that family and friends do not want to “hear” about your work that you consider exciting and at times humorous

46 Personal and Professional Live as a Surgical Technologist 2 key principles: 2 key principles: Professional obligations proceed personal freedom at times Professional obligations proceed personal freedom at times Will be isolated from the public Will be isolated from the public

47 Critical Considerations Physical strain Physical strain Emotional strain Emotional strain Psychological strain Psychological strain Obligations/personal considerations Obligations/personal considerations Confidentiality Confidentiality Commitment to patient safety Commitment to patient safety

48 Summary Class Rules Class Rules History History Surgery classifications/timeframes Surgery classifications/timeframes ST definition/roles ST definition/roles Competencies/job descriptions Competencies/job descriptions OR team/roles OR team/roles Direct verses Indirect Departments Direct verses Indirect Departments Hospital/Departmental Organization Hospital/Departmental Organization Lifestyle of the ST Lifestyle of the ST

49 " The nose of the Bulldog is slanted back, so that he can still breathe without ever letting go." Winston Churchill

50 ABTCC Blood Borne Pathogens Training

51 Occupational Safety Health Administration Occupational Safety Health Administration OSHAOSHA Standards/Law set in place to protect workers from blood borne pathogensStandards/Law set in place to protect workers from blood borne pathogens Defines universal precautions and how they are carried outDefines universal precautions and how they are carried out

52 Universal Precautions All body fluids, tissues, and blood are treated as if known to contain infectious HIV, Hepatitis B, Hepatitis C, or any other blood borne pathogenAll body fluids, tissues, and blood are treated as if known to contain infectious HIV, Hepatitis B, Hepatitis C, or any other blood borne pathogen

53 Purpose Protect the studentProtect the student Protect the patient’s in the student’s careProtect the patient’s in the student’s care Protection prevents disease and death to a student or patientProtection prevents disease and death to a student or patient Must be adhered to in clinical settings visited by students of the allied health programsMust be adhered to in clinical settings visited by students of the allied health programs

54 PPE Personal Protective Equipment Provided by the collegeProvided by the college Provided by employers/clinical sitesProvided by employers/clinical sites Safety is the student’s ultimate responsibility once the student has been properly trained in its useSafety is the student’s ultimate responsibility once the student has been properly trained in its use

55 Blood Borne Pathogens Microscopic pathogens present in human blood that can cause disease and death in humansMicroscopic pathogens present in human blood that can cause disease and death in humans Includes HIV, Hepatitis B, Hepatitis CIncludes HIV, Hepatitis B, Hepatitis C Is not limited to theseIs not limited to these

56 Other Infectious Materials or Fluids Anything that has a human’s body secretions on itAnything that has a human’s body secretions on it Body fluids can include: tissue, cerebrospinal fluid, urine, feces, synovial fluid, peritoneal fluid, pleural fluid, pericardial fluid, semen, vaginal secretions, amniotic fluid, saliva, or anything that presents with visible blood or that could contain bloodBody fluids can include: tissue, cerebrospinal fluid, urine, feces, synovial fluid, peritoneal fluid, pleural fluid, pericardial fluid, semen, vaginal secretions, amniotic fluid, saliva, or anything that presents with visible blood or that could contain blood

57 What is Infectious? Everything that could contain blood visible or notEverything that could contain blood visible or not Every body fluid is treated as potentially infectiousEvery body fluid is treated as potentially infectious

58 How Can I Be Exposed? Needle sticksNeedle sticks Open cuts/soresOpen cuts/sores Eye splashesEye splashes DermatitisDermatitis Puncture woundPuncture wound Hang nailsHang nails Mouth splashesMouth splashes AbrasionsAbrasions Scalpel cutScalpel cut Human bitesHuman bites AcneAcne ChafingChafing Nasal splashesNasal splashes

59 Definitions Contaminated- the presence of blood or any infectious material on an item or surfaceContaminated- the presence of blood or any infectious material on an item or surface Decontamination- use of chemical or physical means to remove or destroy an infectious source rendering it safe for handling, use or disposal, therefore incapable of transmitting diseaseDecontamination- use of chemical or physical means to remove or destroy an infectious source rendering it safe for handling, use or disposal, therefore incapable of transmitting disease

60 Hepatitis B Vaccination Must begin this immediately if you have not alreadyMust begin this immediately if you have not already Required for all health care program studentsRequired for all health care program students Can sign a declination form if refuse to receive thisCan sign a declination form if refuse to receive this Will provide immunity to Hepatitis BWill provide immunity to Hepatitis B Immunity prevents risk of transmission of Hepatitis B to you, patients, family members, and classmates should you acquire the diseaseImmunity prevents risk of transmission of Hepatitis B to you, patients, family members, and classmates should you acquire the disease

61 Compliance with Blood Borne Pathogen Training Engineering controls (what you use)Engineering controls (what you use) Work Practice Controls (what you do)Work Practice Controls (what you do) Personal protective equipment =PPE (what you wear)Personal protective equipment =PPE (what you wear)

62 PPE Disposable gloves: clean or sterileDisposable gloves: clean or sterile Face masksFace masks Face shieldsFace shields GogglesGoggles Shoe coversShoe covers Sterile gownsSterile gowns Lab coatsLab coats

63 Disposal of Contaminates Items with large amounts of blood material should be “red bagged”Items with large amounts of blood material should be “red bagged” Check individual hospital policy for specific amounts.Check individual hospital policy for specific amounts. Sharps or anything that could become broken or sharp goes in a plastic sharps containerSharps or anything that could become broken or sharp goes in a plastic sharps container

64 Safe Practices Do not recap needlesDo not recap needles Do not bend or break needlesDo not bend or break needles Wear glovesWear gloves Discard sharps in a sharps container not garbage bagDiscard sharps in a sharps container not garbage bag Use approved productsUse approved products

65 Needle Sticks Types:Types: CleanClean DirtyDirty Result of:Result of: Infection such as staph or tetanusInfection such as staph or tetanus Hepatitis BHepatitis B Hepatitis CHepatitis C HIVHIV

66 Hand washing Single most effective safety mechanismSingle most effective safety mechanism Treat sink and faucets as contaminatedTreat sink and faucets as contaminated Use paper towels to adjust controlsUse paper towels to adjust controls Hold hands lower than arms to prevent water from flowing from your cleaner part, your arms down to the contaminated part, your handsHold hands lower than arms to prevent water from flowing from your cleaner part, your arms down to the contaminated part, your hands Wet forearms, wrists and fingersWet forearms, wrists and fingers Soap and scrub vigorously minimum of 30 seconds to one minuteSoap and scrub vigorously minimum of 30 seconds to one minute Clean nails prnClean nails prn Rinse from arms down to fingersRinse from arms down to fingers Dry wellDry well Turn off faucet with dry paper towelsTurn off faucet with dry paper towels Are other products that can be used in place of soap and waterAre other products that can be used in place of soap and water

67 Unsafe Work Practices Do not eat, drink, or smoke in areas where exposure to pathogens can occurDo not eat, drink, or smoke in areas where exposure to pathogens can occur Do not apply cosmetics or handle contact lenses where exposure to pathogens can occurDo not apply cosmetics or handle contact lenses where exposure to pathogens can occur Do not store food or drinks in areas where infectious material are presentDo not store food or drinks in areas where infectious material are present Contaminated personal clothing should not be laundered at home, but laundered here at the collegeContaminated personal clothing should not be laundered at home, but laundered here at the college

68 Cleaning up Blood Spills Do not touch blood or body fluid spills unless have proper PPEDo not touch blood or body fluid spills unless have proper PPE Plant operations can be contacted at 365 to clean up the spillPlant operations can be contacted at 365 to clean up the spill Spill must be contained using disposable materialsSpill must be contained using disposable materials Wash hands after removing glovesWash hands after removing gloves

69 Cleaning up Broken Glass Use brush, tongs, dust pan, and broomUse brush, tongs, dust pan, and broom Do not pick up glass with your handsDo not pick up glass with your hands Place broken glass in a sharps containerPlace broken glass in a sharps container Wash your hands after a clean upWash your hands after a clean up

70 Biohazard Symbol

71 Disposal of Clean Trash Biohazardous waste costs thousands of dollars to dispose of in incineration costs (10 x’s the cost of normal trash!)Biohazardous waste costs thousands of dollars to dispose of in incineration costs (10 x’s the cost of normal trash!) Non-biohazardous waste must be disposed of in regular trash receptaclesNon-biohazardous waste must be disposed of in regular trash receptacles Examples: wrappers, pads, clean gauze, needle caps, non-contaminated gloves, paper towels, wrappers, etc.Examples: wrappers, pads, clean gauze, needle caps, non-contaminated gloves, paper towels, wrappers, etc.

72 Exposure Incidents Any contact with infectious materials that results from student’s duties in class, lab, or clinicalAny contact with infectious materials that results from student’s duties in class, lab, or clinical Contact security immediately EXT 135Contact security immediately EXT 135 Complete incident report (see ST handbook)Complete incident report (see ST handbook) Off campus report within 24 hoursOff campus report within 24 hours Activate student accident insurance EXT 109Activate student accident insurance EXT 109 Testing of source may be involvedTesting of source may be involved

73 Immediate First Aid Cut or needle stick, force site to bleed on way to a sinkCut or needle stick, force site to bleed on way to a sink Wash area well with soap and waterWash area well with soap and water Apply a disinfectantApply a disinfectant Cover with a Band-Aid or bandageCover with a Band-Aid or bandage If severe go to the emergency roomIf severe go to the emergency room Eye splash, use eye wash immediatelyEye splash, use eye wash immediately Nose or mouth splash, rinse immediately with waterNose or mouth splash, rinse immediately with water Exposure to intact skin, wash with soap and water immediatelyExposure to intact skin, wash with soap and water immediately

74 The End!


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