170.1044 Exposure Control Plan Addendum D

of 5 170.1044 EXPOSURE CONTROL PLAN ADDENDUM D

DEPARTMENT BLOOD BORNE HAZARD EXPOSURE IDENTIFICATION & CONTROL PROCEDURES

RESPIRATORY THERAPY DEPARTMENT

REQUIRED PERSONAL EXPOSURE HAZARD EXISTING ENGINEERING PROTECTIVE REQUIRED WORK DISPOSAL, CLEANING CONTROLS EQUIPMENT PROCEDURES PROCEDURES AEROSOLIZED MEDICATION: saliva, sputum disposable nebulizer gloves, hand washing routinely dispose in regular trash unless disposable unit does mask if patient before and after contamination suspected, medications coughing, utilize a biohazard labeled red spattering likely bag to isolate discarded equipment ASSIST WITH BRONCHOSCOPY: blood, sputum disposable closed system gloves, gowns, hand washing routinely dispose in regular trash unless specimen containers for apron, mask before and after contamination is suspected; bronchial washings and utilize a biohazard red bag to secretions isolate discarded equipment and personal protective equipment ASSIST WITH TRACHEOSTOMY: blood, sputum disposable tracheostomy tube gloves, mask, hand washing routinely regular trash unless gown, apron before and after contamination is suspected; if so use a biohazard labeled red bag to isolate discarded equipment CARDIOPULMONARY RESUSCITATION: blood, saliva, sputum bag and airway disposable gloves, gowns, hand washing routinely dispose in regular trash unless manual resuscitation mask, apron, eye before and after contamination is suspected; protection utilize a biohazard labeled red bag to isolate discarded equipment and personal protective equipment Page 2 of 5 170.1044 EXPOSURE CONTROL PLAN ADDENDUM D

REQUIRED PERSONAL EXPOSURE HAZARD EXISTING ENGINEERING PROTECTIVE REQUIRED WORK DISPOSAL, CLEANING CONTROLS EQUIPMENT PROCEDURES PROCEDURES

COUGH TRAINING/INCISIONAL SUPPORT: sputum tissues gloves/mask if hand washing routinely dispose gloves/mask in soiling or spattering before and after procedure regular trash unless likely contamination suspected; utilize biohazard labeled red bag to isolate discarded equipment and personal protective equipment INSERTION OF AIRWAY: saliva, sputum, blood, disposable artificial airway gloves, gown, hand washing routinely utilize a biohazard labeled red gastric contents apron, protective before and after bag to isolate discarded eye gear catheter gloves and other protective equipment ARTIFICAL AIRWAY STABILIZATION: blood, saliva, sputum, disposable artificial airway gloves, mask, eye hand washing routinely personal protective equipment gastric contents stabilizer or tape protection, gown before and after – dispose in regular trash unless contamination is suspected; if so, utilize a biohazard labeled red bag ARTIFICAL AIRWAY CUFF PRESSURE MEASUREMENT: sputum equipment designed to connect gloves hand washing routinely gloves, regular trash; cuff to pilot balloon of airway before and after procedure manometer hytor disinfect Page 3 of 5 170.1044 EXPOSURE CONTROL PLAN ADDENDUM D

REQUIRED PERSONAL EXPOSURE HAZARD EXISTING ENGINEERING PROTECTIVE REQUIRED WORK DISPOSAL, CLEANING CONTROLS EQUIPMENT PROCEDURES PROCEDURES ARTIFICAL AIRWAY CARE: saliva, sputum disposable airway cleaning kit gloves, mask, hand washing routinely regular trash unless gown, eye before and after contamination is suspected; if protection if so use a biohazard labeled red spattering is likely bag to isolate discarded equipment and personal protective equipment EQUIPMENT CLEANING: blood, saliva, sputum equipment disassembly and gloves, apron, if hand washing routinely regular trash unless removal soiling or spattering before and after contamination is suspected; if likely so use a biohazard labeled red bag to isolate discarded equipment and personal protective equipment INCENTIVE SPIROMETER: none disposable incentive spirometer none hand washing routinely dispose in regular trash unless before and after contamination is suspected. Utilize a biohazard labeled red bag to isolate discarded equipment and personal protective equipment Page 4 of 5 170.1044 EXPOSURE CONTROL PLAN ADDENDUM D

REQUIRED PERSONAL EXPOSURE HAZARD EXISTING ENGINEERING PROTECTIVE REQUIRED WORK DISPOSAL, CLEANING CONTROLS EQUIPMENT PROCEDURES PROCEDURES IPPB: saliva, sputum disposable circuit gloves, mask if hand washing routinely regular trash unless coughing, before and after contamination suspected: spattering likely utilize a biohazard labeled red bag to isolate discarded equipment and personal protective equipment NASOTRACHEAL SUCTION: saliva, sputum catheter, glove kits gloves, gowns, hand washing routinely utilize a biohazard labeled red mask, apron, eye before and after bag to isolate discarded protection if catheter gloves and other spattering likely protective equipment OXYGEN ADMINISTRATION: nasal secretion, saliva, disposable equipment gloves hand washing routinely dispose in regular trash unless sputum nasal cannula mask before and after contamination suspected; if so utilize a biohazard labeled red bag to isolate discarded equipment PULMONARY FUNCTION TESTING: saliva, sputum equipment, disassembly to gloves if soiling or hand washing routinely single use mouthpiece dispose accommodate sterilization spattering likely before and after in regular trash unless contamination is suspected; utilize a biohazard labeled regular bag to isolate discarded equipment and personal protective equipment Page 5 of 5 170.1044 EXPOSURE CONTROL PLAN ADDENDUM D

REQUIRED PERSONAL EXPOSURE HAZARD EXISTING ENGINEERING PROTECTIVE REQUIRED WORK DISPOSAL, CLEANING CONTROLS EQUIPMENT PROCEDURES PROCEDURES SPUTUM COLLECTION: sputum specially designed specimen gloves, apron, hand washing routinely regular trash unless containers which help prevent mask, protective before and after contamination is suspected; if exposure to specimen eye covering if so use a biohazard labeled red soiling or spattering bag to isolate discarded likely equipment and personal protective equipment ASSISTING WITH INTUBATION: blood, saliva, sputum none gloves, gown, hand washing routinely regular trash unless mask, eye before and after contamination suspected; protection utilize a biohazard labeled red bag to isolate discarded equipment and personal protective equipment