Select the correct statements about exposure control. A77. A39. Insults and threats of harm, including verbal and non-verbal communication. Published in category Computers and Technology, 27.08.2020 >> <<. Bloodborne pathogens are infectious microorganisms in human blood that can cause disease in humans. (Do NOT use Hands). What are the qualifications that a person must possess in order to conduct employee training regarding bloodborne pathogens? While "work area" must be determined on a case-by-case basis, a work area is generally considered to be an area where work involving occupational exposure occurs or where the contamination of surfaces may occur. The employer shall ensure that employees who have contact with contaminated laundry wear protective gloves and other appropriate personal protective equipment. A8. In the remaining jurisdictions where Federal OSHA has authority, hospitals operated by state, territorial or local governments are required to comply with the Bloodborne Pathogens standard with enforcement by the Centers for Medicare and Medicaid Services (42 U.S.C. If an exposure incident as defined in the standard has taken place, other post-exposure follow-up procedures must be initiated immediately, as per the requirements of the standard. The standard requires an annual review of the exposure control plan. Q50. If an employee declines the hepatitis B vaccination, the employer must ensure that the employee signs a hepatitis B vaccine declination. Gloves (816) 283-8745, Region VIII Q57. Are employees allowed to take their protective equipment home and launder it? Red bags or red containers may be substituted for the biohazard labels. Bending, recapping, or removing contaminated needles is prohibited, except under certain circumstances. Reporting procedures must be in place under the exposure control plan to ensure that all first-aid incidents involving the presence of blood or OPIM are reported to the employer before the end of the work shift during which the incident occurs. (CO, MT, ND, SD, UT*, WY*) A47. Masks in combination with eye protection devices, such as glasses with solid side shields, goggles, or chin-length face shields, shall be worn whenever splashes, spray, spatter, or droplets of blood or OPIM may be generated and eye, nose, or mouth contamination can be reasonably anticipated. Containers serving as collection receptacles within a facility must bear the OSHA label since these are not covered by the DOT requirements. Nam lacinia pulvinar tortor nec facilisis. A26. Lab Coats & other protective clothing MUST be removed when contaminated & placed into appropriate laundry containers, HOME laundering of PPE (Lab Coats) is PROHIBITED, Protective Eye-wear MUST be cleaned after each use & if contaminated, Disinfected before leaving the work area, Mouthpieces for CPR & resuscitation bags MUST be available, Gloves MUST be removed, appropriately discarded & hands washed with soap before leaving Lab. My company supplies contract employees to healthcare facilities. Chicago, IL 60604 Q34. (215) 861-4900, Region IV A42. A15. A67. The employee also has the right to decide to take the vaccination at a later date if he or she so chooses. The person conducting the training is required to be knowledgeable in the subject matter covered by the elements in the training program and be familiar with how the course topics apply to the workplace that the training will address. The trainer must demonstrate expertise in the area of occupational hazards of bloodborne pathogens. A40. Two Pershing Square Building Employers must enter sharps injury cases on the OSHA 300 Log and the sharps injury log without entering the employees name. Q11. Closed immediately before removal or replacement to prevent spillage or protrusion of contents during handling, storage, transport, or shipping; Placed in a secondary container if leakage is possible. The client, of course, may specify what qualifications are required for supplied personnel, including vaccination status. Whenever contaminated laundry is wet and presents a reasonable likelihood of soak-through or leakage from the bag or container, the laundry shall be placed and transported in bags or containers which prevent soak-through and/or leakage of fluids to the exterior. A30. Although research laboratories may not have the volume found in production facilities, they deal with solutions containing higher viral titers than those normally found in patients' blood. The corporation which employs these physicians may be cited by OSHA for violations affecting those physicians. (IA*, KS, MO, NE) if cannot appropriate biphazard labels must be affixed and company notified. In addition, the employer must ensure that this information is conveyed to the affected employees, the servicing representative, and/or the manufacturer, as appropriate, before handling, servicing, or shipping. Also, all employees who will have contact with the specimens must be trained to handle all specimens with Universal Precautions. Q64. Exposure is described in terms of lux-seconds, which is a measure of the amount of exposure a section of film would receive under a controlled set of conditions. What type of counseling is required following exposure incidents? This letter constitutes OSHA's interpretation of the requirements discussed. HIV and HBV Research Laboratories and Production Facilities Administration of Biological and Chemical Hazards to Animals Controlled Substances Laboratory Animal Allergies Medical Clearance and Safety Training For Animal Researchers Zoonotic Disease Information Biological Safety Emergencies, Exposures and Spills Autoclave Use Biohazard Waste Disposal Biological Safety Cabinets Biological Toxins A45. Contaminated laundry shall be bagged or containerized at the location where it was used and shall not be sorted or rinsed in the location of use. (a) What was the initial condition that separated the ancestral population above into populations A and B? This book provides you with (1) an employee exposure determination, (2) the method and schedule of implementation of standard requirements, and (3) a description of exposure incident evaluation procedures. If you have regular occupational exposure to BBPs, your employer must provide vaccination Gloves are the only types of PPE you need to protect yourself from BBP exposure . The hierarchy of controls has five levels of actions to reduce or remove hazards. Q22. Q72. There is no OSHA requirement stipulating that employers must purchase a washer and dryer to launder protective clothing. A51. The responsibility lies with the employer to make the hepatitis B vaccine and vaccination, including post-exposure evaluation and follow-up, available at no cost to the employees. Washing hands with soap and water immediately after any exposure and as soon as possible after removal of gloves or PPE. In addition, each regional office has a Bloodborne Pathogens Coordinator who answers compliance and related questions on the standard. After consent is obtained, the exposed employee's blood is collected and tested as soon as feasible for HIV and HBV serological status. Denver, CO 80202-5716 If OSHA determines, on a case-by-case basis, that sufficient evidence of reasonably anticipated exposure exists, the employer will be held responsible for providing the protections of 29 CFR 1910.1030 to the employees with occupational exposure. Regulated waste that has been decontaminated. A research laboratory produces or uses research laboratory-scale amounts of HIV and HBV. A54. The information contained is this document is not considered a substitute for any provisions of the Occupational Safety and Health Act of 1970 (OSH Act) or the requirements of 29 CFR 1910.1030, Occupational Exposure to Bloodborne Pathogens. The contract between the personnel provider and the client should clearly describe the training responsibilities of both parties in order to ensure that all training requirements of the standard are met. The term, "engineering controls," refers to controls (e.g., sharps disposal containers, self-sheathing needles, safer medical devices, such as sharps with engineered sharps injury protections and needleless systems) that isolate or remove the bloodborne pathogens hazard from the workplace. First-aid providers must receive training under the Bloodborne Pathogens standard that covers the specifics of the reporting procedures. All medical evaluations and procedures, including the hepatitis B vaccine and vaccination series, are to be provided according to the current recommendations of the U.S. Public Health Service (USPHS). The labels must be fluorescent orange or orange-red or predominantly so, with symbols and lettering in a contrasting color. What should be included in the evaluation of an exposure incident? Injury or infection caused by contaminated wastes away from the patient, such as in waste transfer or disposal. In addition, many states administer their own occupational safety and health programs through plans approved under section 18(b) of the OSH Act. If the specimens leave the facility (e.g., during transport, shipment, or disposal), a label or red color-coding is required. Sharps MUST be promptly discarded into approved containers. A38. A datum is an individual value in a collection of data. Exposure Control Methods . All specimen containers, primary and secondary, must be closed, properly labeled or color-coded (except as described above) and must prevent leakage. Work Practices Exposure Control Plan Must describe: Potential risks in the Lab, Measures taken to protect personnel, & Procedures to follow of Lab personnel are exposed to bloodborne pathogens. The employer's written schedule for cleaning and decontamination should identify such specifics on a task-by-task basis. Q43. C Statement (iii) is correct. OSHAs Bloodborne Pathogens and Needlestick Prevention Topics Page provides resources that can be used for training. A73. Biology questions and answers. If previously vaccinated, Proven Immunity or Contraindicated due to medical reason, Safety officer MUST complete an incident report following exposure to bloodborne pathogen. Q5. What is meant by the term Universal Precautions? If consent cannot be obtained and is required by state law, the employer must document in writing that consent cannot be obtained. Does protective clothing need to be removed before leaving the work area? What does OSHA mean by the term "contaminated laundry"? A48. (Corrected 11/01/2011. At the time of exposure and 3, 6 & 12 Months following incident, Blood should be drawn and saved for 90 days in case later testing is needed if, An exposed individual refuses testing following exposure to bloodborne pathogens. If a mobile cart is used in these areas, an alternative would be to lock the sharps container onto the cart. What are the required colors for the labels? The Connecticut, Illinois, New Jersey, New York and Virgin Islands programs cover public employees only. The declination's wording is found in Appendix A of the standard. Are employers required to provide these safer devices? Closed before removal to prevent spillage or protrusion of contents during handling, storage, transport, or shipping. A64. What mass of carbon is present in 1.4 \times 1020^{20}20 molecules of sucrose? How often must the exposure control plan be reviewed? An employer may use different words if they convey the same information. However, under the section on HIV and HBV Research Laboratories and Production Facilities, there is a requirement stating that all regulated waste from the facilities must be either incinerated or decontaminated by a method, such as autoclaving, known to effectively destroy bloodborne pathogens. VMware Hands-on Labs allow you explore VMware products and services; we make the . Please refer to the standard for the complete text. The employer does not have to make the hepatitis B vaccination available to employees who have previously received the vaccination series, who are already immune as their antibody tests reveal, or for whom receiving the vaccine is contraindicated for medical reasons. the solicitation of non-managerial healthcare workers (who are responsible for direct patient care and are potentially exposed to injuries from contaminated sharps) in the identification, evaluation, and selection of effective engineering and work practice controls. nec facilisis. In addition, see Question 6 for vaccination of employees designated to render first aid. L Do not eat, drink or put on makeup while wearing gloves [ Single use gloves must be changed frequently and never re-used If you have regular occupational exposure to BBs, your employer must provide you with a Hepatitis B vaccination [ Always assume any blood or OPIM is infectious A49. When a mobile device in turned on, it connects to the nearest available base station through an available traffic channel b. Q51. Assume all blood & other body fluids & tissues are contaminated with HIV or HBV. Q48. ), Occupational Safety & Health Administration, Most Frequently Asked Questions Concerning the Bloodborne Pathogens Standard, Occupational Safety and Health Administration, Outreach Training Program (10- and 30-hour Cards), OSHA Training Institute Education Centers, Hepatitis B Vaccination and Post-Exposure Follow-up Procedures, Biosafety in Microbiological and Biomedical Laboratories, http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5011a1.htm, maintains an online library of training materials, Severe Storm and Flood Recovery Assistance, Most frequently asked questions concerning the bloodborne pathogens standard. A22. Are feminine hygiene products considered regulated waste? Are gloves required during phlebotomy procedures? Substitution. a) Infectious microorganisms are found in human blood or other bodily fluids. The Act also mandated additional requirements for maintaining a sharps injury log and for the involvement of non-managerial healthcare workers in evaluating and choosing devices. Question 5 of 13 Correct Bloodborne diseases can be spread in the healthcare setting. Personal Protective Equipment A24. Hypoallergenic gloves, glove liners, powderless gloves or other similar alternatives must be provided for employees who are allergic to the gloves that are normally provided. Non-responders must be medically evaluated. NC*, SC*, TN*) In addition, training must be provided when changes (e.g., modified/new tasks or procedures) affect a workers occupational exposure. select the correct statements about transmission and exposure. There is no specific requirement to autoclave waste before disposal. Can employees of an ambulance medical rescue service eat or drink inside the cab of the unit? A13. Table of Contents Q4. How should contaminated laundry be handled? Q15. What are some alternatives when an employee is allergic to the gloves provided? Requires biohazard labels to be securely attached and be colored Fluorescent Orange or Orange/Red, Labels are NOT required if Red bags or Red containers are used. Controls that isolate or remove the bloodborne pathogens hazard from the workplace (sharps disposal containers, self-sheathing needles, safer medical devices, such as sharps with engineered sharps injury protections and needleless systems). The written opinion for post-exposure evaluation must include information that the employee has been informed of the results of the evaluation and told about any medical conditions resulting from exposure that may require further evaluation and treatment. This determination is not based on actual volume of blood, but rather on the potential to release blood (e.g., when compacted in a waste container). Region I Humans are sexually dimorphic: generally, males have greater body strength and females have a higher body fat percentage. Academic HIV and HBV research laboratories are regarded as research laboratories under the standard. Q73. What water temperature and detergent types are acceptable? - ANS - It is a self-regulatory. A16. States with approved programs must have standards that are identical to, or at least as effective as, the Federal OSHA standards. If an employer is exempted from the OSHA recordkeeping rule, the employer does not have to maintain a sharps log. What type of container should be purchased to dispose of sharps? During sleep, there is a decrease in muscle activity, and interactions with the surrounding environment are significantly reduced. To access the full functionality of the PDFs, download and open in a suitable PDF viewer such as Adobe Acrobat Reader DC. The medical record includes the name and social security number of the employee; a copy of the employee's hepatitis B vaccination status including the dates of all the hepatitis B vaccinations and any medical records relative to the employee's ability to receive the vaccination; copies of all results of examinations, medical testing and follow-up procedures; copies of the healthcare professional's written opinion; and copies of the information provided to the healthcare professional. A41. OSHA Requires Lab's keep ______________ for each employee. Medical records must be kept for the duration of employment plus 30 years. 181. c) K, R b & C s being large in size can easily stabilize large ions, thus forming superoxides . Other requirements include: Q45. 2300 Main Street, Suite 1010 Appropriate specimen handling including Keep blood, tissue or other potentially infectious body fluids in approved containers (Identified with biohazard label) during collection, handling, storage, & shipment. As stated in a similar answer to Question 5, OSHA considers personnel providers, who send their own employees to work at other facilities, to be employers whose employees may be exposed to hazards. Gloves MUST be replaced as soon as practical following contamination. What type of personal protective equipment (PPE) must employees in a dental office wear? Exposed individual is entitled to FREE: Medical evaluation, Prophylaxis vaccination & Lab testing for HIV & HBV. Access to over 100 million course-specific study resources, 24/7 help from Expert Tutors on 140+ subjects, Full access to over 1 million Textbook Solutions. In these circumstances, no citations will be issued. Q75. Our interpretation letters explain these requirements and how they apply to particular circumstances, but they cannot create additional employer obligations. A59. Q23. Engineering controls and work practices - Methods including sharps disposal , review of work practices, employee involvement and awareness are all included. Impulse noise greater than 140 dBP will hurt your hearing right away. Copies of the OSHA Bloodborne Pathogens standard are available from the OSHA website. Lab coats, scrubs, coveralls, uniforms, & other outerwear must be clearly identifiable. All first-aid providers who render assistance in any situation involving the presence of blood or other potentially infectious materials, regardless of whether or not a specific exposure occurs, must have the vaccine made available to them as soon as possible but in no event later than 24 hours after the exposure incident. Are gloves required when giving an injection? (617) 565-9860, Region II The exposure control plan must contain, at a minimum: Q9. (AK*, ID, OR*, WA*) Are there guidelines to be followed when laundering personal protective equipment? However, as the nature of the innate immune response depends on the type of infection, . This noise, called impulse noise or impact noise, may come from gunfire or fireworks. It was written to help individuals fighting AIDS find their voice. How should reusable sharps (e.g., large bore needles, scalpels, saws, etc.) 170 S. Independence Mall West The training record contains the dates of the training, the contents or a summary of the training sessions, the names and job titles of all persons attending the training, and the names and qualifications of the persons conducting the training. Hepatitis B Vaccination and Post-Exposure Follow-up Procedures nk. You can correct any missed questions and check your answers again. Exposure Control Plan. Regulation 42 of the Building Regulations 2010 requires builders to provide evidence of the testing of all fixed fans to the Building Control Body (BCB) within 5 days of the test being carried out. It is the responsibility of the employer to provide, launder, clean, repair, replace, and dispose of personal protective equipment. Physicians employed by professional corporations are considered employees of that corporation. Reusable containers shall not be opened, emptied, or cleaned manually or in any other manner which would expose employees to the risk of percutaneous injury. Select only, "all the true statements" listed below. The employer must identify and document the source individual, if known, unless the employer can establish that identification is not feasible or is prohibited by state or local law. Sleep can be described as a state of reduced mental and physical activity, in which consciousness is altered, and sensory activity is inhibited to a certain extent. A12. A2. Another option is to contract out the laundering of protective clothing. The information on the source individual's HIV and HBV testing must be provided to the evaluating healthcare professional. Q52. Adaptive immune responses must be very carefully regulated. However, if a routine booster dose of hepatitis B vaccine is recommended by the USPHS at a future date, such booster doses must be made available at no cost to those eligible employees with occupational exposure. All PPE & clothing (lab coats, scrubs, surgical gowns, & gloves MUST be removed prior to leaving a patient care area or Lab. 230 South Dearborn Street, Multiple sclerosis is a neurological disorder that affects the myelin sheath of the neurons in the central nervous system. Sharps containers shall be maintained upright throughout use, replaced routinely and not be allowed to overfill. The Curtis Center Training records must be retained for 3 years from the training date. Copy of the information provided to the health care professional. OSHA's position is that EPA-registered tuberculocidal disinfectants, diluted bleach solutions and EPA-registered disinfectants that are labeled as effective against both HIV and HBV as well as Sterilants/High-Level Disinfectants cleared by the FDA, meet the requirement in the standard and are "appropriate" disinfectants to clean contaminated surfaces, provided that such surfaces have not become contaminated with agent(s) or volumes of or concentrations of agent(s) for which higher level disinfection is recommended. *These states and territories operate their own OSHA-approved job safety and health plans and cover state and local government employees as well as private sector employees. This plan gives hope to workers in term of protection when working with their Employer. However, the job classification (e.g., "nurse") must be listed in the plan's exposure determination, and all employees within the job classification must be included under the requirements of the standard. 1395cc(a)(1)(V) and (b)(4)). (415) 625-2547, Region X Should include the Individual's Name, Social Security Number & Dates of Vaccinations for Hepatitis-B virus. Have a high potential for exposure to bloodborne pathogens must be listed & described. 720-264-6550, Region IX Q24. The employer must make the vaccination available at that time. The location of the plan may be adapted to the circumstances of a particular workplace, provided that employees can access a copy at the workplace during the workshift. Seattle, WA 98101-3212 Contact of infectious fluid or tissue with Mucus membrane (eyes, nose, mouth). A27. Any employer who is required to maintain a log of occupational injuries and illnesses under OSHAs Recordkeeping regulation (29 CFR Part 1904) is also required to establish and maintain a sharps injury log for the recording of percutaneous injuries from contaminated sharps. These recommendations include refraining from blood, semen, or organ donation; abstaining from sexual intercourse or using measures to prevent HIV transmission during sexual intercourse; and refraining from breast feeding infants during the follow-up period. Employees have the right to refuse the hepatitis B vaccine and/or any post-exposure evaluation and follow-up. Because your company maintains a continuing relationship with its employees, but another employer (your client) creates and controls the hazard, there is a shared responsibility for assuring that your employees are protected from workplace hazards. The Bloodborne Pathogens standard uses the term, "regulated waste," to refer to the following categories of waste which require special handling: (1) liquid or semi-liquid blood or OPIM; (2) items contaminated with blood or OPIM and which would release these substances in a liquid or semi-liquid state if compressed; (3) items that are caked with dried blood or OPIM and are capable of releasing these materials during handling; (4) contaminated sharps; and (5) pathological and microbiological wastes containing blood or OPIM. We'll be at the Onslow Veterans Pow-Wow on Saturday, November 5, from 10 a. You should know where to locate this plan. No. Responsible for Writing & Monitoring and Exposure Control Plan. The U.S. Public Health Service (USPHS) does not recommend routine booster doses of hepatitis B vaccine, so they are not required at this time. A10. Our interpretation letters explain these requirements and how they apply to particular circumstances, but they cannot create additional employer obligations. This allows the employer to select PPE based on the type of exposure and the quantity of blood or OPIM which can be reasonably anticipated to be encountered during performance of a task or procedure. If the employee consents to the follow-up evaluation after an exposure incident, but does not give consent for HIV serological testing, the blood sample must be preserved for 90 days. It is certainly in the interest of the lessor employer to ensure that all steps required under the standard have been taken by the client employer to ensure a safe and healthful workplace for the leased employees. Gloves, Masks, & Disposable Gowns MUST be placed into RED-Bag lined containers after each use & between patients. (312) 353-2220, Region VI labour, materials and plant/equipment), output of labour and plant/equipment with respect to various tasks and various industry variables (e. A53. A34. For example, these actions may be necessary when performing blood gas analyses; when inoculating a blood culture bottle; or when administering incremental doses of a medication to the same patient. OSHA requirements are set by statute, standards and regulations. [29 CFR 1910.1030(g)(2)(vii)].
