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OSHA BLOODBORNE PATHOGENS Z
Terms in this set (97)
human blood, blood components and products made from human blood.
Means pathogenic micro-organisms that are present in human blood and can cause disease in humans. These pathogens included, but are not limited to, hepatitis B virus and HIV
A workplace where diagnostic or other screening procedures are performed on blood or other potentially infection materials.
The presence or the reasonably anticipated presence of blood or other potentially infectious materials on an item or surface.
Laundry which has been soiled with blood or other potentially infectious materials or may contain sharps.
any contaminated object that can penetrate the skin including, but not limited to, needles, scalpels, broken glass, broken capillary tubes and exposed ends of dental wires.
The use of physical or chemical means to remove, inactivate or destroy bloodborne pathogens on a surface or item to the point where they are no longer capable of transmitting infectious particles and the surface or item is rendered safe for handling, use or disposal.
sharps disposal containers or other controls devices that isolate or remove the bloodborne pathogens hazard from the workplace.
A specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that result from the performance of an employee's duties.
A facility providing an adequate supply of running potable water, soap and single use towels or hot air drying machines.
Licensed Healthcare professional
A person whose legally permitted scope of practice allows him or her to independently perform Hepatitis B vaccine and Post exposure Evaluation and follow up.
Hepatitis B Virus
Human immunodeficiency virus
means reasonably anticipated skin, eye, mucous membrane or parenteral contact with blood or other potentially infectious material that may result from the performance of an employees duties
Other potentially infectious materials
The following human body fluids: Semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids.
Piercing mucous membranes or the skin barrier through such events as needlesticks, human bites, cuts and abrasions.
Personal Protective Equipment
Specialized clothing or equipment worn by an employee for protections against a hazard. General work clothes not intended to function as protection against a hazard are not considered to be personal protective equipment.
liquid or semi liquid blood or other potentially infectious materials; contaminated items that would release blood or other potentially infectious materials, contaminated sharps
any individual, living or dead, whose blood or other potentially infectious materials may be a source of occupational exposure.
The use of a physical or chemical procedure to destroy all microbial life including highly resistant bacterial endospores.
an approach to infection control. According to the concept of UP, all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV and other Bloodborne pathogens
Work Practice Controls
Controls that reduce the likelihood of exposure by altering the manner in which a task is performed
Exposure Control Plan
A plan which is to be reviewed and updated annually. This plan is to outline the procedure for the evaluation of circumstances surrounding exposure incidents. This plan should be accessible to all employees.
An update to the Exposure Control Plan should include what?
Should be reviewed and updated annually and whenever necessary to reflect new or modified tasks and procedures which affect occupational exposure. Reflect changes in technology, and consider implementation of d
A list of all tasks and procedures in which occupational exposure can occur. This determination shall v be made without the consideration of personal protective equipment.
Methods of Compliance
Universal precautions shall be observed to prevent contact with blood or other potentially infectious materials.
Maintenance of Engineering and work Practice controls
Where exposure remains after the use of engineering controls protective equipment shall be used. Controls must be examined and maintained or replaced on a regular schedule.
Employers must annually identify, evaluate and select engineering and work practice controls.
Every employer with employees that use medical sharps in direct patient care.
Evaluation must be done on a facility-by-facility basis.
When a department has specific work practice concerns, each individual department must be evaluated.
After a device has been selected what is the process about putting a device in place?
If a device is not purchased because of employer or employee concerns, those concerns must be documented. If the employer chooses not to purchase a device that has employee support, the employer must also document the employee support as well as the justification for not purchasing that device.
If a device is purchased without consent of the employees, what must be documented?
The employees concerns as well as the employers justification for purchasing it.
All documentation for device management must be kept as part of the written exposure plan
The employer must ensure that all affected employees are informed on the process for selecting safer medical devices.
Employees must be trained in the use of safer medical devices before the employees use those devices.
Employers shall provide handwashing facilities
When provision of handwashing facilities is not feasible, the employer shall...?
provide either an appropriate antiseptic hand cleanser in conjunction with clean cloth/paper towels or antiseptic towelettes.
When antiseptic hand cleansers or towelettes are used...
hands shall be washed with soap and running water as soon as feasible.
Employers shall ensure that employees wash their hands immediately or as soon as feasible after...?
Removal of gloves or other personal protective equipment.
Employers shall ensure that employees wash hands and any other skin with soap and water, or flush mucous membranes with water immediately or as soon as feasible following contact of...
such body areas with blood or other potentially infectious material.
Contaminated needles and other contaminated sharps shall not be bent, recapped or removed.
Shearing or breaking of contaminated needles is prohibited.
When can contaminated needles be bent or recapped?
When employer can demonstrate that no alternative is feasible or that such action is required by a specific procedure.
How must the needle removal be accomplished?
through the use of a mechanical device or a one-handed technique
immediately or as soon as possible after use, contaminated reusable sharps shall be placed in...
appropriate containers until properly reprocessed
These containers shall be...
Puncture resistant, labeled or color coded, leakproof on the sides and bottom
Eating, drinking, smoking, applying cosmetics or lip balm and handling contact lenses are...
Prohibited in work areas where there is a reasonable likelihood of occupational exposure.
Food and drink shall not be kept in refrigerators, freezers shelves or cabinets where...
...Blood or other potentially infectious materials are present.
All procedures involving blood or other potentially infectious materials shall be performed in such a manner as to...
minimize splashing, spraying, spattering, and generation of droplets of these substances.
Mouth pipetting/suctioning of blood is prohibited. True or false
Specimens of blood or OPIM shall be placed in a container which...
prevents leakage during collection, handling, processing, storage, transport or shipping.
The container for storage, transport or shipping shall be labeled or color coded.
When a facility utilizes Universal Precautions in the handling of all specimens, the labeling/color coding is not necessary provided containers are recognizable as containing specimens.
If outside contamination of the primary container occurs...
the primary container shall be placed within a second container which is puncture resistant in addition to the above characteristics.
Equipment which may become contaminated with blood or other potentially infectious materials shall be examined...
and decontaminated prior to servicing unless decontamination is proved unfeasible.
Provision of Personal protective equipment
When there is occupational exposure, the employer shall provide, at no cost to the employee, appropriate personal protective equipment.
Use of Personal Protective Equipment
To be used by the employee unless the employer shows that the employee temporarily and briefly declined to use personal protective equipment when, under rare and extraordinary circumstances, it was the employees professional judgement that its use would have posed an increased hazard to employee or co-worker OR would have prevented delivery of health care.
Accessibility of personal protective equipment
Equipment should be in the appropriate sizes and readily accessible at the work site. Hypoallergenic alternatives shall be readily accessible to those employees who are allergic to the gloves normally provided.
Cleaning, Laundering and disposal of personal protective equipment.
Employer shall clean, launder and dispose of equipment
Repair and Replacement of Personal Protective Equipment.
The employer shall repair or replace equipment as needed to maintain its effectiveness at no cost to the employee.
If a garment is penetrated by blood...
the garment shall be removed immediately or as soon as feasible.
All personal protective equipment shall be removed prior to...
...leaving the work area.
Disposable gloves shall be replaced as soon as practical when contaminated or as soon as...
feasible if they are torn , punctured, or when their ability to function as a barrier is compromised.
Disposable gloves shall not be washed or decontaminated for re-use. True or False
Utility gloves may be decontaminated for re-use if the integrity of the glove is not compromised. True or False
Utility gloves must be discarded if...
...they are cracked, peeling, torn, punctured or exhibit other signs of deterioration or when their ability to function as a barrier has been compromised.
Masks, Eye Protection and Face shields should be worn when...
Whenever splashes, spray, spatter or droplets of blood or other potentially infectious materials may be generated and eye, nose, or mouth contamination can be reasonably anticipated.
Gowns Aprons and other Protective body clothing should be worn...
...in occupational exposure situations. The type and characteristics will depend on the task and degree of exposure anticipated.
Surgical caps or hoods and or shoe covers or boots shall be worn...
...in instances when gross contamination can reasonably be anticipated (e.g., autopsies, orthopedic surgery)
Employers shall ensure that the worksite is maintained in a clean and sanitary condition.
Employers are responsible to determine and implement and appropriate written schedule for cleaning and method of....
decontamination based upon the location within the facility, type of surface to be cleaned, type of soil present and tasks or procedures being performed in the area.
All equipment and environmental and working surfaces shall be cleaned....
and decontaminated after contact with blood or OPIM
Contaminated work surfaces shall be decontaminated with an appropriate disinfectant after completion of procedures...
immediately or as soon as feasible when surfaces are overtly contaminated or after any spill of blood or other potentially infectious materials and at the end of the work shift if the surface may have become contaminated since the last cleaning.
Protective coverings such as plastic wrap aluminum foil or imperviously backed absorbent paper used to cover equipment shall be...
...removed and replaced as soon as feasible when they become overtly contaminated or at the end of the shift.
All bins, pails, cans and similar recepticles intended for reuse which have a reasonable likelihood for becoming contaminated...
shall be inspected and decontaminated on a regular scheduled basis.
Broken glassware which may be contaminated shall not be picked up directly with hands....
It shall be cleaned up using mechanical means, such as a brush and dust pan, tongs or forceps.
Reusable sharps that are contaminated with blood or OPIM shall not be stored or processed in a manner that...
Requires employees to reach by hand into the containers where these sharps have been placed.
Contaminated sharps shall be discarded immediately or as soon as feasible in containers that are:
Closable, puncture resistant, leakproof on the sides and bottom and labeled or color coded
During use, containers for contaminated sharps shall be...
Easily accessible to personnel and located as close as is feasible to the immediate area where sharps are used or can be reasonably anticipated to be found.
Contaminated sharps containers must be maintained upright throughout use and....
replaced routinely and not be allowed to overfill
When moving containers of contaminated sharps from the are of use, the containers shall be...
closed immediately prior to removal or replacement to prevent spillage or protrusion of contents during handling.
If leakage is possible the container shall be...
placed in a secondary container
The second container shall be...
Constructed to contain all the contents and prevent leakage during handling. Closable and Labeled or color coded.
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.
Laundry that is contaminated shall be handled....
as little as possible with a minimum of agitation.
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.
Contaminated laundry shall be placed and transported in bags or containers labeled or color coded.
When a facility utilizes Universal Precautions in the handling of all soiled laundry, alternative labeling or color coding is sufficient if it permits all employees to recognize the containers as requiring compliance with Universal precautions.
Whenever contaminated laundry is wet and represents a reasonable likelihood of soak-through of or leakage from the bag or container...
the laundry shall be placed in bags which prevent soak through and leakage of fluids to the exterior.
The employer shall ensure that employees who have contact with contaminated laundry...
wear protective gloves and other appropriate personal protective equipment.
Post exposure evaluation and follow-up
Post exposure evaluation and follow-up
Following a report of an exposure incident, the employer shall make immediately available...
...a confidential medical evaluation and follow-up
The report must include...
route of exposure, and the circumstances under which the exposure occured.
Identification and documentation of the source individual unless...
the employer can establish that identification is infeasible or prohibited by state or local law.
The source individual's blood shall be tested for...
HBV and HIV if consent is obtained.
Results of the source individual's testing shall be made available to the exposed employee...
and the employee shall be informed of applicable laws and regulation concerning disclosure of the identity and infectious status of the source individual.
The exposed employees blood shall be collected....
as soon as feasible and tested after consent is obtained.
Labels and signs shall be affixed to containers of regulated waste....
with a BIOHAZARD legend
The labels shall be fluorescent orange or orange red....
with the letters and symbols in a contrasting color.
Labels shall be affixed as close as feasible to....
the container by a string, wire, adhesive or other method that prevents their loss or unintentional removal.
Red Bags or Red containers...
may be substituted for labels.
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