Contaminated Clothing and Turnouts Flashcards
For PF&R, clothing and turnouts are contaminated any time soiled/infested with what 4 things?
Patient body fluids
Body lice
Bed bugs
Haz mat
Can you use station washing machines to clean contaminated clothes?
NO
What do you do with soiled clothing?
Double bagged, large red bio bag
Tag bag and put in Logistics pick up area
*Remember to change gloves between bags. Wear glasses and gloves. Do it outside the station
Who do you call if need turnouts after hours or weekends?
On duty BC
Who is designated infection control officer?
Required by federal law
EMS Program Manager or designee
(Janet Woodside)
What is a Level 3 exposure?
Contact w blood/body fluids to:
Non intact skin
Mucous membranes
Dirty needle stick
Who is the contact order for a significant blood borne exposure?
- DICO (Janet Woodside)
- Safety Chief
- On duty BC
Sending an exposed firefighter to the emergency room requires authorization from who?
C103!!
What is DICO?
Designated infection control officer
Janet Woodside
For a confirmed significant exposure from the DICO/Deputy Chief, the OFFICER must do what 3 things for documentation?
- personnel exposure report 900.02
Sent to EMS - Injury report
Personnel System - Sharps exposure report (if needle stick) 900.43
Who does follow up if DICO is on vacation?
SAFETY Chief
If you come into contact with body fluids of another person you are allowed to have the source person tested for what?
HIV and hepatitis b or c
What are the 3 levels of exposure?
- presence of pt with communicable disease
- contact on intact skin/clothing/equipment
- non intact skin or mucous membranes
What are the 3 basic procedures if someone has a significant blood borne exposure?
2 Extra…?
1 clean exposure area
2 contact DICO. Safety Chief if DICO gone
3 COMPANY OFFICER call BC who calls C103
4 C103 send FF to same hospital as source
5 DICO follow up w employee within 72 hrs
If a patient is treated and found to have reportable infectious disease federal and state laws require what?
The employee must be notified in a timely manner
What clothes get disposed and what get bagged?
T-shirts, sweatshirts (disposed)
Nomex pants, bravo shirt, turnouts (double bagged)
What do you write on the contaminated bag tag?
- Name
- Station
- Source of contamination
What is the PF&R form number for instructions and tracking contaminated clothing?
500.50
What hours can you contact Janet Woodside?
M-F 0630-1700
How long do you wait for a response from Janet before calling Safety Chief?
15 mins
What basic initial steps does the employee take after a significant blood borne exposure?
- Immediate care to site
- Wash wounds w soap/water
- Flush membranes with water
- Rinse & spit if in mouth
Federal and State laws require firefighters to be notified upon finding what regarding treating a patient?
A patient treated by PF&R found to have a reportable infectious disease
What Oregon law applies to firefighters getting exposed to a potentially infectious pt while on duty? What does it allow?
If you come into contact with a patient body fluids you can seek to have the person tested for HIV and HEP B/C
ORS 433.085
Pt body fluids are defined as what?
Any fluid which originated from the PT
Blood, urine, fecal matter, saliva (with/without blood), vomitus
Are you required to shower after exposure?
Yes shower as soon as possible
What documentation must be entered by the officer for all exposures requiring medical care?
Personnel Exposure report
Injury report in Personnel System
Sharps Exposure report (if needle stick)
Does the DICO fill out the Exposure reports or the Officer?
OFFICER
The DICO will follow up with the employee within how many hours of the exposure?
72
A human bite is what level exposure?
Level 3
