EXPOSURE CONTROL PLAN for VDH/DHP Dental Vans and Portable Equipment Operations
Address: Plan Prepared By: R L Browder, DDS,MBA Date: 07/01/2014 Date Reviewed for Update:
Exposure Determination List
In the following job classifications in this facility, all employees may have contact with blood or other potentially infectious materials. (Occasionally may handle urine specimen and perform housekeeping chores.)
Physician Physician Assistant _Nurse Nurses Aide Laboratory Technician Radiologist Others: DENTIST, DENTAL ASSISTANTS DENTAL HYGIENISTS
In the following job classifications in this facility, some employees may occasionally have contact with blood or other potentially infectious materials. (
Secretary Receptionist Medical Clerk Housekeeping Staff
Others:
In the following procedures performed in this facility occupational exposures can occur.
ALL PATIENT CARE 7/9/2014 SOME LAB PROCEDURES ALL CLEAN UP AND INSTRUMENT PROCESSING PROCEDURES DISPOASAL OF REGULATED WASTE
Schedule and Methods for Implementation of the Regulations
Work Practice Controls
The following work practice controls are in place in this facility.
Handwashing is required in this facility, and employees have to be instructed in this procedure, and know where facilities are located.
Recapping of sharps and bending and breaking of needles is prohibited in this facility. Employees have been trained in these procedures. Sharp containers located in Immunization Room and Exam Rooms.
If needles must be recapped, it is done:
X With a one-handed scoop (passive recapping); or X A recapping device is used.
X Disposal of sharps after use, all sharps are placed in appropriate receptacles for reprocessing or disposal. The containers meet the requirements as outlined in the OSHA Regulations for Engineering Control.
Employees have been trained in these procedures, and have been instructed not to overfill containers. (No more than 3/4 full). NA Mechanical pipettes are required in this facility when appropriate. (This may not be applicable to your facility). Blood and other potentially infectious materials are handled with care in this facility. Employees have been trained in these procedures. X Eating, drinking, smoking, applying cosmetics and hand- ling contact lenses is prohibited in this facility, in work areas where there is any risk of occupational exposure. Employees have been informed of this rule.
X Storage of food and drink is prohibited in places where other potentially infectious materials are kept. This applies to refrigerators, freezers, shelves, cabinets, countertops and benchtops. Employees have been informed of this rule.
X Leak-proof containers are used for all specimens in this facility.
X Equipment that may become contaminated is inspected for blood or other potentially infectious materials on a regular basis and decon- taminated if necessary. Includes venipuncture sleeves, lab surfaces, tables, & gloves. (See attached sheet.) Daily cleansing done as 7/9/2014 eded and major cleaning done weekly.
X Equipment is also inspected before it is repaired or shipped and decontaminated if necessary. If it cannot be decontaminated before repair or shipment, staff has been instructed to label the site(s) of contamination clearly with bio-hazard labels.
X Sharps containers in this facility are puncture and leak- proof. Staff has been instructed to close the containers when they are moved to prevent spillage and locked prior to disposal.
X Closable, leak-proof containers with the appropriate color coding or label are available in the event that the sharps containers appear to be leaking.
X Closable, leak-proof containers with the appropriate color coding or labeling are available for all other regulated waste such as disposable gloves or bloodied bandages. Have bio-hazard plastic bags and cardboard boxes with procedure for disposal. Red bags located in supply closet.
PERSONAL PROTECTIVE EQUIPMENT
Engineering Controls
The following Engineering Controls are in place in this facility:
Handwashing facilities are available for staff use at the following locations:
All vans ______
X Where handwashing facilities are not available, antiseptic hand sanitizer is available for staff use at the following locations:
X Leak-proof, puncture-resistant sharps containers, with appropriate labels or color coding, are available at the following sites:
7/9/2014 ______
Type of container(s) used:
______----
NA Specimens of blood or other potentially infectious materials are kept in leak-proof containers during collection, handling, storage, or mailing.
Type of container(s) used: Red hazard bags and rigid transport boxes
NA When packages that contain blood or other poten- tially infectious materials are shipped, a biohazard label is affixed to the outside of the package.
Other regulated waste within this facility, include:
X Used gloves if visibly contaminated with blood. Soiled laundry - towels, packs, jackets Bandages, gauze, etc. - red bio-hazard bags
Others: SATURATED GAUZE
It is kept in closed containers that can hold all contents without leakage during handling, storage and transport, and is color coded or labeled. It is disposed of in the following manner: ______-
______
7/9/2014 Type of container(s) used:
NA Mechanical pipettes are available and in use in this facility, where necessary.
_____X______The Engineering Controls outlined above are inspected and maintained on a regular basis. (See clinic operations schedule)
PERSONAL PROTECTIVE EQUIPMENT
The following Personal Protective Equipment are available in this facility free of charge.
X Disposable gloves, in appropriate sizes, are available for all workers at risk of exposure, for use at their discretion, at the following locations in this facility:
Explanation of when used, if applicable, or reasons for lack of use:
ALL PATIENT CARE DEVELOPING X-RAYS HANDLING CONTAMINATED LAB WORK POST TREATMENT CLEAN UP
______
X Hypoallergenic nitrile glove are available to workers allergic to regular gloves, at the following locations: stocked on vans/ available for portable set ups ______
Explanation of when used, if applicable, or reasons for lack of use:
X Utility gloves are available for all housekeeping and other staff at the following locations in this facility: ______
7/9/2014 They are checked for cracks before each use and replaced as neces- sary. Explanation of when used, if applicable, or reasons for lack of use:
HEAVY HAND SCRUBBING INSTRUMENT/ EQUIPMENT SCRUBBING
Face protection ( x ) is required in this facility.
Type of face protection used:
X Face masks X Glasses with solid side shields X Goggles X Chin-length face shields
Others:
Explanation of when used, if applicable, or reasons for lack of use:
DURING DIRECT PATIENT CARE
The following protective body clothing is required in this facility:
X Clinic jackets X Gowns - disposable Laboratory coats Aprons
Others:
Explanation of when used, if applicable, or reasons for lack of use:
PROCEDURES WITH LIKELIHOOD OF BLOOD OR OPI MATERIAL SPLATTERING SUCH AS SURGERY. FULL COVERAGE TO GLOVES TO BE USED.
HOUSEKEEPING 7/9/2014 The following Housekeeping procedures are in place in this facility:
X A written schedule for cleaning and decontaminating work sites is attached. (See staff duties/schedule)
X Employees are responsible for ensuring that equipment or surfaces are cleaned with an appropriate disinfectant and decon- taminated immediately after a spill or leakage occurs and at the end of the work shift. (to make written schedule/guides)
X Employees have been instructed to clean reusable recep- tacles with a reasonable likelihood for becoming contaminated with an appropriate disinfectant and replace protective coverings for surfaces and equipment after contamination or at the end of the work shift.
X Broken glass: Staff has been instructed to never pick up by hand any broken glassware that may be contaminated. A brush, dust pan, forceps and/or tongs is available for picking up broken glassware that may be contaminated.(JANITORS CLOSET) The implements used for these purposes are cleaned and decontaminated if the glass container held any material. (SPRAY DISINFECTANT)
X Sharps containers in this facility are closable and puncture and leak-proof.
X Staff has been instructed not to overfill the containers.
X Staff has been instructed to close the container when they are moved to prevent spillage.
X Closable, leak-proof containers with the appropriate color coding or labeling are available in the event that the sharps containers appear to be leaking.
X Closable, leak-proof containers with the appropriate color coding or labeling are available for all other regulated waste such as dispos- able gloves or bloodied bandages.
X Reusable sharps that are contaminated with blood or any infectious materials are stored and processed in a way that does not require employees to reach, by hand, into the containers where these sharps have been placed.
NA Laundry: Color coded or labeled bags or containers are available where the clothing is used to store them prior to cleaning. Soiled laundry is sorted and rinsed off-site. Staff has been instructed to handle contaminated laundry as little as possible. Contaminated Laundry is shipped to ______IN RED BAGS for cleaning. The containers used for shipping are appropriately labeled or color coded.
7/9/2014 NA Contaminated laundry which is wet and presents a reason- able likelihood of soak through or leakage from the bag or container is stored and transported in bags or containers which prevent soak through and/or leakage of fluids to the exterior.
NA Protective gloves are used by all workers who have contact with contaminated laundry; other protective equipment is available as required.
HEPATITIS B VACCINE
The following at-risk employees have been offered the hepatitis B vaccine free of charge: Unvaccinated staff with clinical responsibilities
Name
N/A an evaluation of the exempt status of workers is made by a licensed health care professional.
N/A A written opinion submitted by the above evaluators is included in the confidential medical records for each employee.
A copy is provided to the employee within 15 days of the evaluation.
N/A At-risk employees who declined the hepatitis B vaccine sign a copy of the OSHA's hepatitis B vaccine declination. A copy is included in their confidential medical record.
LABELS AND SIGNS
______This facility uses red color coding and/or biohazard labels to mark all hazardous items. If labels, a sample of the label is included in this plan.
Hazardous items that are so marked include:
Sharps containers marked with
X Red color coding and/or X Biohazard labels;
Containers of other regulated waste (laundry, used gloves, etc.) are marked with:
7/9/2014 X Red color coding and/or Biohazard labels;
Refrigerators or freezers that hold potentially infectious materials are marked with:
X Red color coding and/or Biohazard labels; and
Containers used to transport, ship or store potentially infectious materials, including US Postal Service such as Express Mail packages, UPS or Federal Express packages are marked with:
Red color coding and/or X Biohazard labels.
RECORDKEEPING
The following recordkeeping procedures are followed in this facility.
Medical Records
Confidential medical records (Appendix 2) are kept for all with occupational exposure. They include:
X Employee's name and social security number; X Hepatitis B vaccination status (including dates of vaccinations, records relating to employee's ability to receive the vaccine, and signed declination form, where applicable); X All information given to evaluating health care professional in the event of an exposure incident; and a copy of the evaluator's written opinion.
X The confidential medical records are kept for at least 30 years after the persons leaves employment.
X Written permission from the employee is required for access to these medical records.
X Employee medical records are available upon request to the Assistant Secretary and the Director of OSHA.
X If this facility closes, it is understood that the employer must inform the Director at least three months before disposing of the records.
The confidential medical records are kept at the following location: TO BE DETERMINED 7/9/2014 ______-
RECORDS
For the training of all workers at risk of occupation exposure are kept in this facility. These records include:
X Dates of training sessions; X Material covered; X Names and qualifications of the trainers; and X Names and job titles of the trainees.
The records are kept for three years from the date of the training sessions.
X These records are available upon request to all employees or their representatives.
X Employee training records are available upon request to the Assistant Secretary and the Director of OSHA.
X If this facility closes, it is understood that the employer must inform the Director at least three months before disposing of the records.
PLAN FOR EVALUATION OF EXPOSURE INCIDENTS
Contact for Exposure Incidents:
Facility Evaluator for Exposure Incidents: ______
The following procedure for evaluation of exposure incidents are followed in this facility. X Written documentation is required for every exposure incident in this facility. The documentation includes:
X Name of individual exposed; X Name of source of exposure; X Description of how the incident occurred; X Date and time of incident; and Written evaluation of exposure incident.
Written evaluation of exposure incidents includes:
Suggestions for changes in facility procedures and A record of how these changes are implemented for each incident. 7/9/2014 X A copy of the exposure incident evaluation is placed in the exposed employee's medical record.
7/9/2014