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An exposure control plan must be established in writing-Determine exposures-Procedure’s for evaluating exposures-How and when the exposure methods are to be used.-The plan must be reviewed annually

Identify employees at risk-Exposure through daily task, nurses, medical assistants, and physicians

-Exposure through incidental control, laundry, housekeepers, office workers

Employees must be aware of all the different hazards in the workplace at all times.

Hepatitis B vaccine, offered at no cost to the employees.

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Bloodborne Pathogen Engineering Controls

Constantly seek ways to improve control methods in work practice, such as needleless devices.

No food, drink or use of cosmetics in area where blood is kept. Use proper hand washing, handle needles correctly. Personal protective equipment (PPE) must be supplied by

employers. Sharps container for disposal of used needles must be provided

and maintain by employer. Treat all body fluids and soiled linens as they are

contaminated. Have a post exposure plan which may include counseling and

getting blood sample from source is possible. Any exposures must be documented. All records must be kept for at least 3 years.

Sharps container

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Closeable Puncture resistant. Leak-proof on sides and bottom. Labeled or color coded

-Fluorescent orange, or orange-red

“Biohazard” must be displayed. Easily accessible to employees within work area. Maintain upright when in use. Replaced routinely.

Needle sticks

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Hazards

-Infection from a contaminated needle

Prevention

-Never remove a needle cap using your mouth.-Do not recap in hand “scoop” the cap on if needed.

-Dispose of all needles and syringe in approve sharps container.

Develop communication and enforce safety standards-Employees must be trained on safe way to handle needles.

Sharp injury log Documentation and report every needle stick injury.

Ergonomics of Lifting and Repetitive Task

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Coordinate, have one employee manage all ergonomics program.

Train, show employees the proper lifting techniques, computer work station design and ways to make adjustments, also be sure that they know the early warning signs of any problems.

Report, if the employee does not report that something is wrong or that they were hurt then it can’t be fixed

Analyze; look over the work station so that the hazard can be seen before something happens.

Identify, make any and all adjustments within the work station to control hazard.

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Product identification, it tells you who make it and what the products name is.

The ingredients of the chemical. The physical and chemical properties, such as the specific

gravity, boiling point, appearance and odor, and melting point. The fire and explosion data, as what type of extinguisher to

use, and what the flash point is.  -Flashpoints less than 115 degrees are considered

flammable. The protective precaution. 

-where you find the personal protective equipment needed to work safely with the product.

The health hazards associated with the product and the first aid procedures in case you are over exposed to the product.

The reactivity data. 

- If the product will react with other materials to cause a fire, explosion, or gas. 

- Tells you what not to mix it with.

How to store the product. The transportation procedures. Every chemical must have their own MSDS All MSDS must be keep in a binder Easily accessible to all employees 24 hours 7 days a week

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Hazard communication

A written hazard communication plan in place. Assign accountability, for compliance to ensure training,

labeling, and MSDS maintenance is done. Inventory of all the hazardous chemicals within the building. Ensure hazardous chemicals are safely stored and labeled

correctly. Documentation of the communication plan.

Review annually or when needed.

Hazardous drugs

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A written safety plan in place for the drug, preparation, handling, administration, and safe disposal of when done.

Warning signs should be placed in area where the hazardous drugs are used or stored.

Good work practices to prevent spraying. Use proper PPE and wash hands after handling drugs. Clean spills up immediately with spill kit. Use biological safety cabinets of class II or class III that are

certified and vented properly.

Dispose of such drugs in accordance with EPA regulation. Label item such as syringes with warning label and any special

instruction. Investigational drug should only be administered by the person

involved with the drug research. Emergency procedures should be posted on what to do in a

spill or release of a hazardous drug. Medical monitoring program for those employees exposed. Report and document all hazardous drugs to proper personal.

Respiratory hazards

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Chemicals, drugs, and diseases that can become airborne may be inhaled, or ingested.

Written program in place where respirator use is required. Respirators, training and medical evaluation at no cost to

employees. Quantitative fit testing.

-Fit factor of 100 for tight fitting -Fit factor of 500 for full faced

Every respirator should be checked before use and during cleanup.

Any damaged respirator must be reported and documented to ensure it is fixed.

Must be certified monthly though approved agency.

Tuberculosis

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Employees should know how to early identify individual with TB.

Information and training to ensure staff are aware of the hazards of TB, its signs and symptoms.

Free medical screening for those employees at greater risk. Evaluate staff with positive TB. Acid-fast bacilli (AFB) isolation rooms for suspected or

confined patient where high risk procedures are done with HEPA filters.

Provide respiratory protection for employees who are at risk. Warning signs must be posted outside of room “Special

respiratory isolation” or “AFB isolation”. Records of employee exposures to TB must be documented. Label roof outlet and exhaust ducts.

Radiation

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A survey to determine radiation hazards - Incident to release. - Disposal or presence of radioactive material. - Physical survey of equipment and measurements of levels radiation present.

Appropriate personal monitoring equipment. - Film badges

- pocket dosimeters Caution signs be posted where radioactive material are

present. -Magenta or purple, yellow background

Radiation safety officer and a radiation safetycommittee to oversee process.

Radiology department exposures rooms have lead lined protection.

Lead-lined PPE should be provided for patient and employees. Survey must be documented by person performing it.

X-ray hazards

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Increase risk of cancer. Skin burns. Eye damage, doses greater than 200 rad. Equipment must be checked for any radiation leaks. Any leaks must be documented properly. Lead-lined wall must be provided for employees. Warning signs must be in place and visible at all times.

Lab Hazards

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Acceptable permissible exposure limits must be posted. Employee exposure determination for those at risk. Chemicals hygiene plan. Employee information, training and proper warning signs. Hazards identification system.

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Documentation of all hazards within the lab itself. MSDS for all chemical within the lab.

Emergency Plan

Written emergency plan in place. Evacuation routes and escapes procedure. Procedure for employees to follow before evacuation.

-Assign one employee to account for all other employees’ safety after.

Assign duties to current employees to follow. Contacts of more people to help if needed. Alarm system. Training must be provided and documented.

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Fire Prevention

Written plan in place. Know what and where fire hazards are and how to handle

them properly. Employee communication on potential ignition sources, control

procedures, and proper PPE. Test fire alarm and maintain suppression system. Train employees on fire evacuation, fire containment, and how

to extinguish small fires. Store combustible and flammable item in approved container,

with proper warning signs

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Documented safety training and update annually.

Emergency chemical response

Where chemicals are located, potential for releases, consider leaks, spill and containers that may become punctured.

Determine area that can be set up differently to prevent uncontrolled release.

Know which chemicals may be cleaned by employees or must be evacuated.

Consider patient that may pass through the areas. Training of all employees. Document and reported any emergency involving chemicals.

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Personal Protective Equipment

Employer assessment of hazards which require PPE, documented.

Name of clinic Person performing assessment Dates assessment performed

Employer must provide PPE to all employees.

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Employees shall be trained on use and training must be kept on file with date of any retraining.

Updated with new PPE when needed.

Protect from undue latex exposures. ADA, requires employers make accommodation for

employees with latex sensitivity. Non latex gloves must be provided at no cost to

employees. Provide employees with education and training on

occupational risk of latex.

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Screen high-risk employees for allergy symptoms. Good housekeeping skills. Document any latex exposures.

Eyewash/Showers Emergency

Station shall be located where exposures to corrosives material are.

Station accessible within 25 feet of the know hazard. Highly visible sign identifying its location. Personal eyewash equipment) plastic bottles) may be used for

immediate use, but doesn’t replace the eyewash station. Eyewash station must be capable of flushing eyes for at least 15

minutes. Maintenance program checked weekly shower should deliver

20 gallons of water per minute for 15 minutes.

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Shower head must be 82 to 96 in from floor level, eyewash must be 33 to 45 in from floor level .

Warning signs

Design and colors must be consistent throughout facility.

-Danger- immediate danger, red, black and white. -Caution potential hazards, unsafe work practice yellow background, with black letters, and a black panel with yellow letters.

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Safety instruction – green panel with white letters and with white background.

Specific signs biological hazardous (orange- red) radiation (purple and yellow).

Preventive Measures-Initial Assessment-Prevention Strategies

Handling complaints alleging workplace security hazards. Employees should have training to know what kind of violence

to look for and should know who they can tell.

Investigate assaults involving death or serious injury. Record and report any workplace violence.

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