1. Policy 4 – 2: Health and the Workplace
POLICY VOL 1
Developmental Services
POLICY VOL 2
SAFETY
HIPAA
ADSD
Nevada On Line Professional Development Center
Training Bulletin:
Health and the Workplace
Start Date: Today
NEIS
CBC
Welcome
to:
Health
and the Workplace
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2. A Safe and Healthy Work Environment
Infection Control
To promote a safe and healthful work environment the Division has established some general health and safety requirements.
Training on this topic is required for all Division staff.
The topics covered in this training are listed opposite this page.
INFECTION CONTROL
General Precautions
Hand washing
Break rooms and kitchens
Tuberculosis
Blood borne pathogens
Infection control
Lice
Bed bugs
Employee medical evaluations
Employee with a communicable
disease
Reporting communicable
diseases
Occupational exposures

3. General Precautions – The Office
HAND WASHING
Adherence to hand washing and or use of a hand sanitizer have been shown to:
terminate outbreaks of infectious
disease;
reduce transmission of antimicrobial
resistant organism; and,
reduce overall infection rates.

4. Break Rooms and Kitchens
Employee break rooms and kitchens with counters, tables, dish drains and/or sinks must be kept free from food debris.
Use paper towels and disposable:
table cloths
dishwashing cloths
Clean surfaces with soap and/or disinfectant and hot water.
Wash dirty dishes, eating utensils and other food prep items with soap and hot water immediately.

5. Refrigerators and Food Storage
BREAKROOM
Clean the refrigerator with soap or disinfectant and hot water using a disposable cleaning cloth (aka paper towel) weekly so that they are free of food debris.
Remove food stored in the refrigerator after 1 week. Storage containers must tightly seal.
Don’t store food and drinks not requiring refrigeration on the floor.
Keep trash cans clean by washing them with soap or disinfectant and hot water weekly.

6. Communicable Diseases
Communicable Diseases and Conditions Transmittable By Person – To – Person Contact
POLICY VOL 1
Developmental Services
POLICY VOL 2
HIPAA
SAFETY
ADSD
NEIS
CBC
Communicable Diseases
Transmission
Transmission by
Person to
Person Contact
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7. Tuberculosis Tuberculosis
Tuberculosis is a potentially serious infectious disease that usually affects a person’s lungs but can also affect any part of the body including the kidney, brain and spine.
TB is spread through the air from one person to another.
The TB bacteria are put into the air when a person with
TB disease of the lungs or throat coughs, sneezes, speaks,
or sings. People nearby may breathe in these bacteria and become infected.
This topic is covered more thoroughly in
The Division’s required course on “TB and
Bloodborne Pathogens”

8. Lice
LICE
Lice are tiny, wingless parasite insects that live among human hairs and feed on extremely small amounts of blood drawn from the scalp.
They are not dangerous but they are highly transmittable from person to person.

9. More On Bed Bugs BED BUGS only come out at night to feed
They live in cracks and crevices and
only come out at night to feed
Common locations for bedbug bites
are the face, neck, hands, and arms.
A bedbug bite is painless and is
generally not noticed.
They are not known to spread disease
BED BUGS

10. Bed Bugs More on bed bugs…
Bed bugs are small wingless insects that feed upon the blood of warm blooded animals, such as rodents, birds, bats and pets and humans.
Young bugs are about the size of a poppy seed and adults are about ¼ inch long.
Their bodies are oval and flat and their color ranges from nearly white to deep brown.

11. Removal - Employee REMOVAL
Removal of bed bugs from clothing is best resolved by consulting with a licensed pest control operator as soon as possible.
Removal of lice is accomplished by pursuing medical evaluation and following recommended treatment.
If an employee feels they have been exposed to bed bugs:
Remove outerwear (jackets, shoes)
and place them into a sealable plastic
bag prior to entering the vehicle, home or
office.
Always take the following action:
Consult with the supervisor
Consult with Personnel prior to taking action
for approval and referral to an appropriate
state vendor.

12. Removal - Providers REFERRAL
For community providers of supported living arrangements, staff may provide referral information on licensed pest control operators for removal of bed bugs:

13. Exposure to A Communicable Disease or Other Condition
If an employee feels they have been exposed
to a communicable disease or other condition
that is transmittable by person – to – person
contact, they shall:
Discuss it with the supervisor
Discuss it with Personnel
Collaborate on the need for medical evaluation
Complete Worker’s Compensation paperwork
Suspend home visits until medically cleared

14. Exposure to Lice If an employee is notified that a Participant has a
communicable disease or other condition transmitted
by person – to person contact they shall:
Notify their supervisor
Refer the Participant to a medical professional if not already under
care for the condition
Employee may suspend home visits until Participants are cleared
by medical personnel.

15. Participant Response If the Participant chooses not to
pursue medical evaluation or treatment,
in accordance with NRS ,
employee health must be protected.
Services to the Participant cannot be terminated for refusal to
seek medical evaluation/treatment for a communicable
disease or condition transmitted by person – to – person
contact. However:
Participant attendance in services funded by ADSD out
of the home cannot be resumed until they have been
treated by a medical professional and determined free
of contagious disease.
Utilize the team process regarding how to proceed.

16. Out of Home Residential Services
Acceptance of Participants into out – of - home residential placements with a known communicable, contagious or infections disease occurs contingent upon the nature of the condition or disease in order to prevent subsequent infections.
In making the determination:
assess the capability of the provider to
facilitate treatment; and,
adequately safeguard other
individuals.
from the contagious disease
Treatment
Access
Safeguard

17. Prior to Acceptance PRIOR TO ACCEPTANCE
Any person diagnosed as having a contagious or infectious disease must be:
evaluated by a licensed medical
provider within the last 30 days; and
be pre-approved by the program manager
prior to acceptance into a
residential service.

18. EMPLOYEE WITH A COMMUNICABLE DISEASE
An employee returning to work after an absence due to a communicable disease must:
Follow the advice of their medical
professional
Provide written medical clearance from a
licensed medical professional as requested

19. Communicable Disease
Communicable diseases are defined as infectious diseases transmittable from person to person by direct contact with an affected individual or the individual’s discharges or by indirect means (something that can carry germs)
If you know someone has a communicable disease and they are not under care of a professional health care provider, you must report it to the local health authority per NRS 441A.150.
Please refer to Policy 4 – 2 for a list of communicable
diseases:

20. Occupational Exposures
NRS
If an employee has been exposed to a hazard and the Division considers a medical examination necessary, the cost of the examination must be paid by the Division.
The results of the examination must be furnished only to the Division and, at the request of the employee, to their personal physician.
EXPOSED

21. Health and the Workplace
POLICY VOL 1
Developmental Services
POLICY VOL 2
SAFETY
HIPAA
ADSD
NEIS
CBC
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