In accordance with the Department of Labor Occupational Safety and Health Administration

29 CFR 1910.1030(G) (2) (ii) (c) Occupational Exposure to Bloodborne Pathogens and

Annual Training for 2015 & Chapter 64E-16 Florida Annual Medical Waste Training &

29 CFR 1910.157(g) (2) Annual Portable Fire Extinguisher Training  

Signature Job Title Date

     

     

     

     

     

     

     

     

     

     

     

     

     

     

The  above  employees  have  completed  the  annual  requirements  for  updating  the  Bloodborne  Pathogen  Standard.  This  update  included,  but  was  not  limited  to  a  discussion  on  HIV  &  HBV  and  other  Bloodborne  diseases,  including  a  discussion  on  Universal  Precautions.  

All  employees  have  had  direct  access  to  a  qualified  trainer  during  this  update  and  all  employees  have  demonstrated  knowledge  of  the  above.  AK  Medical  Services,  Inc.  will  not  be  responsible  for  the  outcome  of  an  OSHA  inspection  where  it  has  been  the  decision  of  the  health  care  professional  not  to  institute  engineering  controls  as  per  the  OSHA  guidelines.  In  addition  it  is  the  responsibility  of  the  employer  to  provide  AK  Medical  Services,  Inc.  with  all  of  the  employees  for  training.        All  information  is  being  provided  in  good  faith  by  AK  Medical  Services,  Inc.  

1910.1030(c)  (1)  (iv)  (b)  

As per the January 18, 2001 needle-stick amendment, the practice is conducting on-going evaluations of new safety devices that are applicable to the industry for 2015. The practice has instituted engineering and work practice controls to eliminate or minimize employee exposure, in accordance with 29CFR 1910.1030(c) (1) (IV) and OSHA Directive CPL 2-2.69 Section c.5. Input has been sought from non-managerial employees.

Each new device will be put through an active clinical trial in the workplace and then a decision will be made by the health care professionals involved about the feasibility of the device to eliminate or minimize employee occupational exposure.

Application of safety devices will not be automatically instituted in the workplace because they are marketed as such.

Engineering devices for the medical and dental community

www.cdc.gov

www.osha.gov  

Conducting on-going Evaluation for 2015

What are the design features of a safer needle device?

a) Provide a barrier between the hands and the needle after use. b) The safety feature should allow or require the worker’s hand to remain

behind the needle at all times. c) Be an integral part of the device not an accessory. d) Be in effect before disassembly and remain in effect after disposal to

protect downstream works. e) Be simple and self-evident to operate and require little or no training to

use effectively.

All safety items will be used to the extent that medical or dental conditions will allow, so that they will not compromise the ability of the health care professional to deliver safe and appropriate care to the patient, based on reasonable judgment by the HCP.

_____________________________ ____________________

Signed By: (Health care professional) Date

Government Questions

2015

Bloodborne Pathogens, means pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, hepatitis B virus (HBV) and human immunodeficiency virus (HIV). Personal Protective Equipment, is specialized clothing or equipment worn by an employee for protection against a hazard. General work clothes (e.g., uniforms, pants, shirts or blouses) not intended to function as protection against a hazard are not considered to be personal protective equipment.

Hand washing Facilities, means a facility providing an adequate supply of running potable water, soap, and single-use towels or air-drying machines.

Exposure Incident, means a specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee's duties.

Universal Precautions, is an approach to infection control. According to the concept of Universal Precautions, all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV, and other Bloodborne pathogens.

General, Universal precautions shall be observed to prevent contact with blood or other potentially infectious materials. Under circumstances in which differentiation between body fluid types is difficult or impossible, all body fluids shall be considered potentially infectious materials.

Exposure Control Plan. Each employer shall ensure that a copy of the Exposure Control Plan is accessible to employees

Hepatitis B Vaccination shall be made available after the employee has received the training required in paragraph (g) (2) (vii) (I) and within 10 working days of initial assignment to all employees who have occupational.

 

1910.1030(c)(2)(i)

Each employer who has an employee(s) with occupational exposure as defined by paragraph (b) of this section shall prepare an exposure determination. This exposure determination shall contain the following:

1910.1030(c)(2)(i)(A)

A list of all job classifications in which all employees in those job classifications have occupational exposure;

Job classifications (circle all that apply)

Nurse Physician Assistant Medical Assistant Dental Assistant

Doctor Dental Hygienist Lab Tech Therapists

Other______________________________________________________________

Don’t let this be you

1910.1030(d)(3)(i)

Provision. When there is occupational exposure, the employer shall provide, at no cost to the employee, appropriate personal protective equipment such as, but not limited to, gloves, gowns, laboratory coats, face shields or masks and eye protection, and mouthpieces, resuscitation bags, pocket masks, or other ventilation devices. Personal protective equipment will be considered "appropriate" only if it does not permit blood or other potentially infectious materials to pass through to or reach the employee's work clothes, street clothes, undergarments, skin, eyes, mouth, or other mucous membranes under normal conditions of use and for the duration of time which the protective equipment will be used.

1910.132(d)(1)

The employer shall assess the workplace to determine if hazards are present, or are likely to be present, which necessitate the use of personal protective equipment (PPE) with the employee.

1910.132(f)(3)(iii)

Inadequacies in an affected employee's knowledge or use of assigned PPE indicate that the employee has not retained the requisite understanding or skill.

1910.1030(d)(3)(x)

Masks, Eye Protection, and Face Shields. Masks in combination with eye protection devices, such as goggles or glasses with solid side shields, or chin-length face shields, shall be worn 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.

1910.1030(g)(2)(iv)

Annual training for all employees shall be provided within one year of their previous training.

1910.1030(f)(1)(i)

The employer shall make available the hepatitis B vaccine and vaccination series to all employees who have occupational exposure, and post-exposure evaluation and follow-up to all employees who have had an exposure incident.

Inspection Check List for 2015

1. Be sure all exit signs have working light bulbs…

2. All emergency lighting works when you press the test button…

3. Do not have your emergency exit blocked or locked…

4. Doors are properly labeled…storage…employees only…

5. Simple first aid kit is available…

6. Sink mount Eye Wash Station in good working order.

7. Fire extinguishers are mounted, charged and tagged…

8. Be sure you have posted your Needle Stick Protocol …

9. Be sure all basements have no exposed electrical wires…

10. Evacuation plan conspicuously displayed…

11. One set of state labor law posters with new amount…

12. All employees can locate your Written Exposure Control Plan.

13. Sharps containers do not overfill… 75% full…

14. Locate your training documents for the last three years…

15. Hepatitis B documentation for all employees…

16. Be sure all your employees can locate your OSHA binder…

If you any have questions here is my cell number 914-497-1353

AK Medical Services, Inc.

Needle-Stick & Occupational

Exposure Protocol

1. Treat the area with anti-microbial soap and water. Squeezing the area does not have any beneficial advantage. 1a. If mucus membranes are involved flush the area with free flowing water for 15 minutes. 2. Report the exposure to your employer immediately, to ensure the proper treatment and documentation. 3. Call AK Medical so we can be sure that the employee and the employer has all of the necessary information.

The employee does have the right to ask the patient for a sample of blood for testing for infectious diseases. The patient has the right to refuse. (At the employer’s expense)

The employee can seek out post-exposure testing, counseling, and prophylactic medicine as prescribed by a consulting health care professional if so desired. (At the employer’s expense)

The employee also has the option to do nothing once the exposure has been treated, reported and AK Medical has been contacted. We will send you an injury acknowledgement form, which both employee and employer signs off on.

Jim Lease E-mail oshaman1@comcast.net

My Fax 845-621-0368 1 (800) 457-4248

My Cell 914-497-1353

Quiz and Annual Update for the Bloodborne Pathogen

Standard in Accordance with 29CFR 1910.1030(g) (2) (ii) (2) For 2015

1. PPE is also known as Personal Protective Equipment?

True or False

2. You and your employer must decide together when selecting PPE?

True or False

3. When PPE is selected you as an employee have an option not to use it?

True or False

4. Your employer must pay for your PPE and ensure that you use it?

True or False

5. OSHA can cite you if they feel a particular situation is unsafe?

True or False .

6. Employees must know the location of your Written Exposure Control Plan?

True or False . 7. Safety Data Sheets (SDS) now replace (MSDS)?

True or False

8. All employees must receive initial Bloodborne training when they assume a job that has the potential for an occupational exposure within 10 days? True or False

9. All injuries that occur in a medical/dental office are occupational exposures?

True or False

___________________ ________________ Employee Name Date