Exposure Control Manual and Risk Mgt guide Flashcards
A significant exposure is deveined as :
Needle stick or sharps:
Blood or fluid containing visible blood
Semen
Vaginal fluids
CSF
Synovial fluid
Peritoneal fluid
Pleural fluid
Pericardial Fluid
Amniotic fluid
Mucous membranes
Abrased or abraded skin
Airborne contagions
The exposure control officer works under who?
Chief of training and safety division
Exposure to an Airborne contagion other than TB should be documented on ?
FR exposure form
For percuteanous needle sticks how to care for them?
10 min washing with soap and water or 10% iodine or chlorine compounds until soap and water are available
Washing mucous membranes from significant exposure how?
Irrigate with normal saline or water for 10-15min
“Right to know” is applicable for the source patient if?
Patient was transported to the hospital
Blood drawn for routine medical need.
If the hospital or the physician do not comply with state mandates for exposure testing what happens?
Contact the EMS captain who will contact the medical director if necessary.
Ryan White act notification is for what time frame?
Within 48hrs of notification of patient diagnosis
EMS captains responsibilities for exposure?
Make sure that employee is source tested
Make sure state mandates are followed at the ER
Notify the Exposure control officer as soon as possible during working hours or if unusual or receives treatment have paged
Contact facility for F/U instructions
Contact the OHC to make arrangements for F/U or as soon a possible for testing
Ensure Exposure form is filled out and turned in by the end of shift
Forward the exposure to the Exposure control officer
Definition of “Verification” for exposure?
Determining whether a reported exposure is and “Actual” or perceived health threat.
When should post exposure testing occur?
1-2 hours preferably at the OHC or Hospital
When it is deemed necessary to have follow up testing who contacts the employee and when?
EMS captain , Exposure control officer, or OHC within 24 hours
Written documentation of follow up testing for an exposure should follow when ?
Within 48hours
Follow up testing from exposure is done at what intervals?
Initially, 3mo, 6mo, 1 year
Post exposure treatments are for which diseases?
, HIV, Hep B, Hep C, Menningcoccal meningitis, TB
A post exposure treatment written opinon statement is to be completed by what time frame?
Within 15days
A written exposure treatment opinion includes what ?
Results of the medical evaluation
Verification that the employee has been informed about any medical condition resulting from the exposure.
Time frame for post exposure prophylaxis?
Within 1-2 hours
What cases are mandated to be reported to the CDC?
Contagious ds
AIDS
HBV
TB
A report of the department’s exposures are sent to who and how often?
Wellness coordinator- Annually.
Who ensures confidentiality with exposure reports for the employee?
EMS captain
Exposure control officer
What are the most likely transmission routes from TB?
Persistent cough >2 weeks with one of the following
- Anorexia
- weight loss
- fever
- hx of drug use
- night sweats
- bloody sputum
When treating a possible TB patient what should happen ?
N95 on employees
Oxygen to patient or if not needed N95 for patient
Air vents open -no recirculating
When are risk management reports due?
By the end of shift and forwarded to the appropriate party
