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     Orientation for
     Healthcare
     Professionals:
     OSHA Training
Contents

   Standard Precautions
   Bloodborne Pathogens
   Tuberculosis
   Hazard Communication
   Back Safety/Ergonomics
   Fire Safety
   Workplace Violence
Standard Precautions
                    "Standard precautions," as
                     defined by CDC, are a set of
                     precautions designed to prevent
                     transmission of human
                     immunodeficiency virus (HIV),
                     hepatitis B virus (HBV), and other
                     bloodborne pathogens when
                     providing first aid or health care.
                    Under Standard precautions,
                     blood and certain body fluids of
                     all patients are considered
                     potentially infectious for HIV,
                     HBV and other bloodborne
                     pathogens (CDC, 1999).
Standard Precautions

   The Center for Disease Control (CDC) recommends an
    infection control plan, work practice controls, personal
    protective clothing and equipment, sufficient training
    and education, provision of the Hepatitis B vaccine,
    and medical intervention after exposure incidents.
   Personal Protective Equipment (PPE) includes:
    –   Gloves
    –   Gowns
    –   Mouth, Nose and Eye Protection
Standard Precautions

                    Hand Hygiene: The
                     Center for Disease
                     Control (CDC) has
                     recently created new
                     standards for hand
                     hygiene in healthcare
                     facilities.
Standard Precautions

                    Click Here to Complete
                     the CDC's Interactive
                     Training for
                     Handwashing.
                    When directed to the
                     CDC site, click “Launch
                     the Course”.
Standard Precautions: Respiratory
Hygiene/Cough Etiquette
   The transmission of SARS-
    CoV in emergency
    departments by patients and
    their family members during
    the widespread SARS
    outbreaks in 2003 highlighted
    the need for vigilance and
    prompt implementation of
    infection control measures at
    the first point of encounter
    within a healthcare setting.
Standard Precautions: Respiratory
Hygiene/Cough Etiquette

   Click on the link below to
    view video:

   Why Don’t We Do It In
    Our Sleeves?

   After directed to the
    website, please select a
    format to view video.
Bloodborne Pathogens

• Healthcare professionals
  are at risk of exposure to
  bloodborne pathogens,
  including Hepatitis B,
  Hepatitis C, and
  HIV/AIDS.
Bloodborne Pathogens
   An estimated 600,000 to
    800,00 needlestick injuries
    occur annually.
   1 out of 3 injuries occur
    during disposal.
   In 1991, OSHA issued the
    Bloodborne Pathogens
    Standard (29 CFR
    1910.1030) to protect workers
    from this risk. In 2001, in
    response to the Needlestick
    Safety and Prevention Act,
    OSHA revised the
    Bloodborne Pathogens
    Standard (OSHA, 2008).
Bloodborne Pathogens

   This 24 minute video explains how workers can
    protect themselves against occupational
    exposure to bloodborne pathogens, such as
    Hepatitis B Virus (HBV) and the Human
    Immunodeficiency Virus (HIV). This program is
    targeted primarily to health care workers and
    related professionals (OSHA, 1992).
   To view the video, Click Here.
Bloodborne Pathogens
                   Click on the image to your left
                    to learn about:
                     –  Exposure Control Plan
                     – Post Exposure Follow-up
                     – Recordkeeping for Bloodborne
                        Pathogens
                     – Needlestick Injuries
                     – Other Sharps
                     – Universal Precautions
                –   Personal Protective Equipment
                –   Latex Allergy
                –   HBV, HIV, and HCV
                –   Labeling and Signs
Back Safety/Ergonomics

                   Click on the image to
                    your left to learn about:
                     – Ergonomics
                     – Patient Handling Program
                     – Patient Handling Controls
                     – Trips/Slips/Falls
                –   Awkward Postures
                –   Other Ergonomic Hazards
                –   Recordkeeping
Back Safety/Ergonomics
                   Sources of work-related injury
                    include:
                    1.   Resident handling
                    2.   Falls
                    3.   Contact with objects and
                         equipment
                    4.   Assaults and violent acts by
                         persons
                    5.   Exposure to harmful
                         substances
                   Click Here to view video:
                    "Nursing Homes - Hazards
                    and Solutions".
Tuberculosis
   Infectious disease cause by
    the bacterium, Mycobacterium
    tuberculosis.
   Spread by airborne droplets,
    "droplet nuclei," which may be
    generated when a person
    with TB disease coughs,
    sneezes, speaks or signs.
   Annual testing is required and
    will be provided for all
    healthcare professionals.
Tuberculosis

   Nearly one-third of the world's population is infected
    with TB, which kills almost 3 million people per year.
    –   “In the mid-1980s, a resurgence of outbreaks in the U.S.
        brought renewed attention to TB. Since 1985, the incidence of
        TB in the general population has increased 14% reversing a
        30 year downward trend. In 1993, over 25,000 new cases of
        TB were reported in the U.S. During 1994 and 1995, however,
        there was a decrease in TB cases in the U.S. likely due to
        increased awareness and efforts in prevention and control of
        TB” (OSHA, 2008).
Tuberculosis
   Factors Contributing to an Increase in TB
    –   Homelessness
    –   Intravenous drug use
    –   Overcrowding in institutional settings
    –   HIV infection
    –   Drug-resistant strains of TB
    –   Reduced TB control and treatment resources
    –   Immigration from high TB prevalence areas
   The TB incidence rate in 2007 was the lowest recorded
    since national reporting began in 1953.
    –   “In 2007, a total of 13,293 tuberculosis (TB) cases were reported in
        the United States; the TB rate declined 4.2% from 2006 to 4.4 cases
        per 100,000 population” (CDC, 2008).
Tuberculosis
                  The Centers for Disease
                   Control and Prevention (CDC)
                   has identified these
                   workplaces as having high
                   incidences of TB:
                   –   Healthcare Facilities
                   –   Correctional Institutions
                   –   Homeless Shelters
                   –   Long-term Care Facilities for
                       Elderly
                   –   Drug Treatment Centers
Tuberculosis
                               Click Here for a
                               sample exposure
                               control plan.
Click Here to learn
about the employee
servicing system.


                                                     Click Here to learn
                                                     about the N95
                                                     Respirator.




                                                                    Click Here to read
                                                                    about the door warning
                                                                    sign.
     Click Here for hazards
     found in a tuberculosis
     area.
                                Click Here to view
                                information on disposal
                                for reusable
                                respirators.
Hazard Communication

   In order to ensure chemical safety in the workplace,
    information must be available about the identities and
    hazards of the chemicals. OSHA's Hazard
    Communication Standard (HCS) requires the
    development and dissemination of such information by
    preparing labels and material safety data sheets
    (MSDSs) to convey the hazard information to their
    downstream customers.
Hazard Communication
   Material Safety Data Sheets
    (MSDS) is a fact sheet about
    a chemical and contains the
    following information:
     –   Identification of the chemical
     –   Listing of the physical and
         health hazards
     –   Precautions for handling
     –   Identification of the chemical
         as a carinogen
     –   First-aid procedures
     –   Name, address, and phone
         number of manufacturer
   Inquire at each facility where
    the MSDS sheets are located.
Hazard Communication
                  Click on the image to
                   your left to learn about:
                    –  Contaminated Work
                       Environments
                    – Appropriate Disinfectants
                    – Contaminated Equipment
                    – Contaminated Laundry
               –   Sharps and Containers
               –   Hazardous Chemicals
               –   Latex Allergy
               –   Slips/Trips/Falls
Fire Safety
                 There are four essential
                  steps to remember if you
                  discover a fire:
                  –   Rescue
                  –   Alarm
                  –   Contain
                  –   Extinguish
                 Familiarize yourself with
                  facility fire safety and
                  evacuation plan!
Fire Safety

   Staff can remember the
    basic use of a fire
    extinguisher by
    remembering the
    acronym PASS:
    –   Pull the pin
    –   Aim at the base of the fire
    –   Squeeze the trigger
    –   Sweep the nozzle
Workplace Violence
   According to OSHA, “The prevention of workplace
    violence has emerged as an important safety issue in
    and around hospitals and healthcare facilities.
    Workplace violence such as physical assaults, or
    threatening or violent behavior, are a growing problem
    in the workplace. The workplace may be any location
    either permanent or temporary where an employee
    performs any work-related duty” (2008).
   Review a sample workplace violence policy. Always
    inquire about the policy at the facility you are placed.
Workplace Violence

                    Click on the image below
                     to learn how the
                     following can create a
                     safer work environment:
                     –   Safe Furniture and Clear
                         Countertops
                     –   Adequate Lighting
                     –   Secondary Doors
                     –   Use of the Buddy System

				
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posted:3/8/2011
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