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Occupational Safety and Health Course for Healthcare Professionals.

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Presentation on theme: "Occupational Safety and Health Course for Healthcare Professionals."— Presentation transcript:

1 Occupational Safety and Health Course for Healthcare Professionals

2  Identify the general requirements for personal protective equipment.  Describe the requirements for eye, respiratory, hand, head, and foot protection.  Discuss the implications of these requirements for healthcare settings.

3 “ Specialized clothing or equipment, worn by an employee for protection against infectious or other hazardous materials/objects.

4  PPE for eyes, face, hand, extremities, protective clothing, respiratory devices, protective shields and barriers: * Shall be provided, used, and maintained in a sanitary and reliable condition, * Wherever it is necessary by reason of hazards or processes or environment.

5  Must provide PPE at no cost to employee.  Must assess all work environments for potential hazards.  Must provide training to any employee who uses any PPE.  Must pay for replacement of any required PPE, unless the employee has lost or intentionally damaged the item.

6 Chemical Radiological Thermal Mechanical Blood and OPIM (other potential infectious material) Encountered by an employee in a manner capable of causing injury or impairment in any function/body part through absorption, inhalation, or physical contact.

7  Employer shall assess the workplace to determine if hazards are present that require the use of PPE.  Communicate presence of hazards to employees.  Select the appropriate PPE – must fit each employee.

8  Engage supervisors and employees in the process.  Assess in all work locations: support service areas, patient care areas, specialty areas, facility management areas, external areas, etc.  Need to have a written certification that identifies what was evaluated, who did it, the date.  Reassess when appropriate - if services change, locations change.

9  Locations/situations in healthcare where this is needed?  Must ensure that each affected employee uses eye protection that provides front and side protection from flying objects/materials.  If they wear prescription lenses, the eye protection can incorporate the prescription in the design, or be worn over the prescription lenses – must not disturb the prescription lenses or the protective lenses.

10  Does everyone who should wear this, do so, every time?  Are they fit properly?  Are they checked to be sure they are in good condition?  What could we do differently?

11  First Priority: Engineering Controls.  Includes: enclosure or confinement, general or local ventilation, or substitution of less toxic materials.  When engineering controls are not adequate or feasible: Face masks or Respirators should be used!

12  Provided by the employer.  Must be applicable and suitable for the purpose and potential hazards involved.  Must establish and maintain a respiratory protection program.

13  Identify when and where respiratory PPE needs to be used by employees and what type.  Provide Medical evaluations prior to fit-testing and use.  Follow standards on fit-testing procedure.  Documentation requirements!  N95 or higher NIOSH certified respirators.

14  Employer must select and provide appropriate hand protection for employees that are exposed to hazards: * skin absorption of harmful substances * severe cuts, lacerations, or abrasions * punctures * chemical or thermal burns * harmful temperature extremes

15  When and where: patient care, environmental services, engineering, laboratory, other areas.  Glove material: vinyl, latex, nitrile, other.  Sterile and nonsterile.  Single use or reusable.  Critical to train employees on appropriate use, putting on, and taking off of gloves.

16  For employees working in areas where there is a potential for injury to the head from falling objects.  When would this apply in healthcare settings?

17  Employees use protective footwear when working in areas where there is: * danger of foot injuries due to falling or rolling objects; * objects that can pierce the sole; * where employee’s feet are exposed to electrical hazards.

18  Not too often do we encounter such hazards.  Be aware – particularly if there is construction, reconstruction going on in the work setting.  CFR 1910.132 (h)(1-6) – specifies when the employer does and does not have to pay for protective equipment.

19  Gown first  Mask or respirator  Goggles or face shield  Gloves  Combination of PPE will affect sequence – be practical !


21 Select a fit tested respirator Place over nose, mouth and chin Fit flexible nose piece over nose bridge Secure on head with elastic Adjust to fit Perform a fit check – –Inhale – respirator should collapse –Exhale – check for leakage around face

22  Gloves  Face Shield or goggles  Gown  Mask or respirator  And always wash hands thoroughly after removal of PPE!

23  Must train before they use the PPE.  Need to know at least the following: * when PPE is necessary * what PPE is necessary * How to properly put on, take off, adjust, and wear PPE * the limitations of the PPE * proper care, maintenance, useful life, and disposal of PPE. Resources available: OSHA and CDC/NIOSH

24  Before using any PPE.  Document training.  Do not make assumptions about prior knowledge of the use of PPE!

25  When do you want employees to use hand protection?  What are some of the most important “engineering controls” we need to provide?  Gloves/all PPE must be easily accessible, in good condition, good fit for every employee.  Monitoring practices.  Current state of our art?

26  Monitoring  Reminders – examples?  Easy access  Good role models/teachers

27  Hazard in healthcare and first responder situations.  Must control contact with blood and OPIM.  Provide hand, eye, face, full body protection – easily accessible and good fit.  Teach employees how to use, when to use, how to put on and take off, how to dispose.

28  To improve employee safety.  To enhance our care of patients, keeping them and their families safe.

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