OSHA General Health and Safety course for new employee orientation in behaivoral healthcare facilities. Covers blood borne pathogens, needle sticks, ergonomics, fire and repetitive stress injuries.
2. Overview The Occupational Safety and Health Act of 1970 (OSHAct) was passed to prevent workers from being killed or seriously harmed at work. The law requires that employers provide their employees with working conditions that are free of known dangers. Workers may file a complaint to have OSHA inspect their workplace if they believe that their employer is not following OSHA standards or there are serious hazards. Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
3. Overview cont… To help assure a safe and healthful workplace, OSHA also provides workers with the right to: Receive information and training about hazards, methods to prevent harm, and the OSHA standards that apply to their workplace Observe testing that is done to find hazards in the workplace and get test results Review records of work-related injuries and illnesses Get copies of their medical records Request OSHA to inspect their workplace Use their rights under the law free from retaliation and discrimination. Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
4. Bloodborne Pathogens Objectives Identify types of bloodborne pathogens Implement standard precautions in various situations Follow safe work practices Effectively manage and exposure incident including using personal protective equipment, documentation and reporting Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
5. Bloodborne Pathogens Disease causing “bugs” present in human blood and body fluids High Risk Pathogens HIV HIV attacks the immune system by finding and destroying white blood cells HBV-Hepatitis B & HCV-Hepatitis C Liver diseases Often results in chronic liver problems including cirrhosis or cancer Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
6. Potentially Infectious Fluids Semen & vaginal secretions Saliva in dental procedures Amniotic fluid Cerebrospinal or synovial (joints) fluid Any fluid contaminated with blood Exposed tissues or organs other than intact skin from humans or other animals dead or alive Cell or tissue cultures Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
7. Standard Precautions Precautions Never touch bodily fluids or “unknown” fluids without personal protective equipment (PPE) Use a disinfectant solution to clean up Dispose of potentially infectious material in biohazard red bags Hand washing after taking off PPE When to use Blood Body fluids Mucous membranes Secretions and excretions (with or without visible blood) Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
8. Other Bugga-Buggas Many other things can be transmitted thorough blood and body fluids Staph and Strep Salmonella Pneumonia Syphilis Tuberculosis Malaria Measles Chicken Pox Herpes Urinary Tract Infections (UTI) Blood Infections Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
9. Transmission Methods Airborne Droplets Direct Contact Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
10. Exposure Control Plan The plan must Identify how the employer will use a combination of engineering and practice controls Ensure the availability and use of personal protective equipment (gloves, CPR guard) Provide training Provide medical surveillance Provide Hepatitis B vaccinations Post signs and labels for biohazard equipment and procedures Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
11. Engineering Controls Equipment to protect the employee Needleless devices Shielded needles Plastic capillary tubes Personal Protective Equipment Gloves Gowns/aprons Masks Protective eye wear Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
12. Workplace Procedures Needles should never be manipulated or recapped by hand Disposable sharps must be in puncture resistant containers close to the use area for disposal or reprocessing HBV vaccinations must be offered for free to the employee by the employer All work-related exposures must be logged on the OSHA 300 Log Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
13. Training All employees are trained Records indicate Date of training Content Trainer’s qualifications Name and job title of trainee Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
14. OSHA Fire Safety Objectives Identify potential fire hazards Identify various types of fires and extinguishers Learn to properly extinguish fires Implement emergency repose protocol Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
15. Common Hazards Heat producing equipment (lamps, computers) Electrical appliances Damaged electrical equipment or cords Overloaded plugs/outlets Smoldering matches or cigarettes Combustible materials Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
16. Prevention Control dust, especially around hot machines Dispose of rags with combustible solvents in appropriate metal containers Keep combustible materials away from ignition sources (Don’t store files by the furnace) Avoid overloading outlets Use surge protectors Keep working fire extinguishers nearby Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
17. Emergency Action Plan Identifies Method for orienting employees to the plan Individuals responsible for various activities Method of communication to alert employees How employees can report emergencies Evacuation routes and gathering locations Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
18. Fire Extinguishers PASS Pull the Pin Aim at the base of the fire Squeeze the handle Sweep from side to side Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
19. Fire Extinguishers Portable Class A: Combustible paper/wood/plastic Class B: Combustible liquids gas/oil/grease Class C: Electrical Class D: Chemical labs Fire Hose Sprinkler/Fire Suppression Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
20. Fighting a Fire Call 911 Close doors/windows as you evacuate if you can SAFELY do so Use the correct extinguisher Never do it alone Know your location and keep escape route clear Do NOT use the elevator Be aware of dangers such as toxic fumes, low oxygen Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
21. Stop, Drop and Roll Wrap in fire retardant blanket or douse in water Remove contaminated clothes without injuring burned area Cover the person to prevent shock Get immediate medical attention Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
22. OSHA Ergonomics Objectives Identify the most common Learn the signs of musculoskeletal injuries Identify work processes that need to be modified to prevent injury Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
23. Musculoskeletal Disorders An injury to any part of the musculoskeletal system Muscles Joints Tendons/Ligaments Nerves Often caused from repetitive stress or sudden increases in demands on the body Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
24. Common Disorders Bursitis: Inflammation of sac in knee, elbow or shoulder causing pain and swelling Tenosynovitis: Inflammation of tendons in the hand causing aching, difficulty using the hand Carpal Tunnel Tingling, pain and numbness in thumb and fingers, especially at night Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
25. Ganglion Hard, swelling cyst usually on the back of hand or wrist Tendonitis Swelling and tenderness at hand, wrist or forearm where muscle and tendon are joined Tension neck Inflammation of neck and shoulder muscles and tendons Trigger Finger Pain and difficulty in smooth movement of fingers due to having to grip too much/long/tightly Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
26. Signs and Symptoms Computer Associated Numbness and burning in hands Reduced grip strength Swelling or stiffness in joints Pain in wrists, elbows, forearms, neck, back Reduced range of motion in the shoulder, neck, back Dry, itchy eyes Blurred or double vision Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
28. Neutral Positioning Standing: legs, torso, neck and head are in alignment Upright sitting: legs are at approximately a 90 degree angle to torso Declined sitting: Person is leaning back slightly with their buttocks slightly higher than their legs Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
29. Work Area Monitor should be at least 20 inches away and directly in front of you (no more than 35 degrees off center) Center of monitor 15-20 degrees below horizontal eye level Perpendicular to line of site Keyboard Same height as elbows Elbows should remain close to the body Adjustable in height and tilt Adequate space for mouse, keyboard etc. Palm Supports Should never rest on your wrist Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
30. Leg room should allow for changing positions frequently Feet should rest gently on the floor with knees bent at a 90 degree angle. If necessary, use a foot rest Chair Lumbar support Allows you to recline at least 15 degrees 5 legged base Phones Consider ear piece if you use the phone a lot Keep cord out of the way to minimize tripping Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
31. Lighting and Glare Position monitors to reduce glare from lights or windows Clean monitor frequently Use blinds or drapes Attach glare filters to the monitor Limit reflection from walls and work surfaces—use a medium colored, nonreflective paint and avoid shiny desks Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
32. Ventilation Do not place yourself just below the vents Maintain humidity at 30-60% Keep temperature between 68 and 74 during the summer and 73-78 during cold weather Ensure proper supply of fresh air Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
33. Reporting MSD signs must be reported to your supervisor immediately Early reporting allows for early intervention Report ergonomically unsafe work environments as soon as they occur Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com
34. Summary There are many workplace hazards Bloodborne pathogens Fire Ergonomics Workplaces need to have emergency response plans Copyright AllCEUs.com 2010-2016. Unlimited CEUs for 12 months $74.99 http://AllCEUs.com