Exposure Control Plan Flashcards
What should an employee do immediately after an exposure event?
Minimize additional exposure and remove self to a safe area
Employees should notify troop radio and/or a supervisor and flush any wounds or exposed skin with soap and water, and seek medical attention.
Who should an employee notify upon realizing they have been exposed?
Troop radio and/or a supervisor
The employee should provide the identity of the source of the exposure if known.
What is the first step for supervisors when an employee has been exposed?
Assign another employee to complete on-scene investigation or enforcement activity
Supervisors should also notify the troop/division exposure control officer.
What type of mask should an employee wear if exposed to airborne pathogens?
N95 mask or other suitable respiratory protection device
This is to prevent further exposure to infectious contaminants.
What should be done if a bloodborne pathogen source individual refuses to provide a blood sample?
Contact local prosecuting attorney for a court order
This allows for obtaining an involuntary blood draw.
What is the definition of a critical incident?
An incident involving injury, death, threat of injury or death, or extremely unusual circumstances
It likely exceeds one’s life experiences and normal stress coping mechanisms.
What should an employee do after experiencing a critical incident?
Submit appropriate exposure paperwork and seek assistance if needed
Employees can contact the Employee Assistance Program for help.
What steps should a troop/division exposure control officer take upon learning of an exposure?
Notify the exposed employee’s supervisor and ensure medical attention is sought
They should coordinate with treatment facilities and the troop/division commander.
What is the recommended decontamination method for hazardous chemical exposure?
Flush-contaminated area with clean water for 5 minutes, then seek medical attention
Additional steps include removing or treating clothing stuck to skin.
What should be done if an employee is exposed to hazardous materials?
Request HazMat EMS and notify troop radio/supervisor
Employees should also identify the specific hazardous chemical/substance they were exposed to.
What is the role of the troop/division commander in exposure events?
Ensure operational policies are followed in response to hazardous exposures
They should refer to relevant special and general orders.
Fill in the blank: After an exposure event, an employee should seek medical attention at a _______ trauma facility.
Level 1
If a Level 1 facility is not available, seek treatment at a nearby reputable hospital.
True or False: The Exposure Control Program Manager can be billed directly for services rendered for a Patrol-requested blood draw.
True
The medical facility may send the bill to the designated address of the Exposure Control Program Manager.
What is the recommended contact for guidance on biological agents exposure?
USDOT Emergency Response Guidebook
This guide provides precautions related to specific products exposed.
What should be done if an employee is exposed to a radioactive contaminant?
Refer to the USDOT Emergency Response Guidebook
It provides guidance on handling hazardous and radioactive materials.
What is the primary focus for cleaning and decontamination after exposure?
Minimize further contamination and ensure proper disposal of contaminated items
This includes disposable PPE and sharps.
What should supervisors do to monitor employees after a critical incident?
Monitor for changes in behavior or performance
Report any findings to the troop/division exposure control officer.
What should be done upon notification of an employee exposed to a critical incident?
Confirm the troop/division exposure control officer has been activated.
What procedures should be followed for deadly force incidents involving an employee?
Follow the procedures for applying administrative leave and required professional consultation as listed in General Order 22-17.
What is provided for groups of employees involved in a critical incident according to General Order 22-17?
A critical incident stress debriefing.
What is the DirectLink Phone Number for the DEFENSE Program?
(573) 522-7600, ext. 1075.
Fill in the blank: Employees should use appropriate Personal Protective Equipment (PPE) when responding to _______.
crash scenes or human assaults.
What should employees do when they suspect exposure to airborne communicable diseases during transport?
Request the transported person wear an approved N95 filter mask.
What should be utilized when conducting searches of suspects?
Personal Protective Equipment, including flexible barrier gloves and durable outer gloves.
What is the best choice for respiratory protection during a hazardous chemical release?
Self-Contained Breathing Apparatus (SCBA).
True or False: Employees should attempt to smell, taste, or touch chemicals to identify them.
False.
What should employees avoid doing until they have washed their hands and face after exposure to hazardous materials?
Eating, drinking, smoking, or chewing gum or tobacco.
What personal protective equipment may help with decontamination after radiation exposure?
Barrier gloves, Tyvek coveralls, and booties.
What should be done with disposable personal protective equipment (PPE) that has been contaminated?
Dispose of it appropriately in a clearly marked, leak-proof container.
What type of gloves provide protection from blood and body fluids?
Nitrile gloves.
What is the purpose of safety goggles?
To protect the eyes from dust and splashes from hazardous liquids.
What should be done with contaminated reusable devices and monitoring equipment?
Wipe down with a chlorine bleach solution, then soap and water.
How should sharps be transported until safely processed?
In a hard-shell container.
What should employees do if their patrol vehicle becomes contaminated?
Consult with the troop/division exposure control officer for decontamination guidance.
What is the procedure for cleaning contaminated clothing?
Launder with soap and water or discard if non-serviceable.
What should be used to package non-sharp biohazard trash?
Leak-proof plastic bags clearly marked as biohazard waste.
What should be done after major decontamination events?
Notify the affected troop/division commander.
What type of respiratory protection devices is used when inhaling harmful air is expected?
N95 Mask, Avon C50, and SCBA.
What type of gloves should be avoided for those allergic to latex?
Latex gloves.
What should non-sharp biohazard trash be packaged in?
Leak proof plastic bags marked as biohazard waste
Where should securely tied biohazard bags be delivered for disposal?
Nearest hospital emergency room
What is the role of the troop/division exposure control officer?
Providing supervision and verification of post-exposure care
What form must exposed employees submit after an exposure?
SHP-202, Lotus Notes-Based Exposure Control Tracking System
What is the purpose of the SHP-204 form?
Used by Gaming Division employees for exposure reporting
What is required when an employee expects to be off work for 3 or more days due to exposure?
SHP-144, Workers’ Compensation Lost Time Preference Form
True or False: The filing of the DHSS Communicable Disease Exposure Report mandates testing of the patient.
False
What is a significant exposure as defined by the CDC?
Person-to-person contact with co-mingling of respiratory secretions, blood, or other body fluids
What must be maintained by the medical facility regarding communicable disease exposure forms?
A record of all forms received containing specific patient and exposure information
What are universal precautions?
An approach to infection prevention treating all human blood and certain body fluids as if infectious
Fill in the blank: The _______ is responsible for updating the Exposure Control Plan annually.
Program Manager
What types of diseases are specified for notification within 48 hours after exposure?
- Pulmonary Tuberculosis
- Hepatitis B and C
- HIV/AIDS
- Rubella
- Measles
- Plague
- Rabies
Who is responsible for accepting contaminated items for disposal?
Troop/Division Property Control Officer
What does the term ‘Good Samaritans’ refer to?
Individuals that provide emergency medical assistance until ERPs arrive
What should be done if medical facility personnel refuse to accept biohazard waste?
Contact the troop/division property control supervisor
What is the primary function of the designated officer in relation to communicable disease exposure?
Collecting facts surrounding possible exposure
What is the definition of ‘airborne transmission’?
Person-to-person transmission of infectious organisms through the air
What should be done with contaminated items temporarily stored in a secure area?
Decontaminated as described in the Cleaning & Decontamination section
Fill in the blank: The _______ is responsible for coordinating with the Training Division for employee training.
Program Manager
What does ‘blood borne transmission’ mean?
Transmission of an infectious agent through contact with an infected person’s blood or body fluids
What must the troop/division commander ensure regarding PPE supplies?
An adequate supply of PPE and cleaning/disinfecting supplies is readily available
What form is used for documenting a significant exposure incident?
Communicable Disease Exposure Report, DHSS Form MO 580-1825
What is the role of the program manager concerning exposure records?
Ensure records of exposure are maintained in the employee’s workers’ compensation file
What are the duties of the designated officer in relation to communicable disease exposure?
The designated officer shall:
* Collect facts surrounding possible exposure
* Contact facilities for exposure determinations
* Notify ERPs or good Samaritans of exposure within 48 hours
* Notify ERP or Good Samaritan of potential exposure upon request.
What is the time frame for notifying an ERP or Good Samaritan about potential exposure to a communicable disease?
Notifying within forty-eight (48) hours of receiving the patient’s diagnosis report.
What should the receiving medical facility personnel do upon determining significant exposure?
Notify the ERP or good Samaritan or the appropriate designated officer.
True or False: A medical facility has absolute knowledge of the communicable disease status of all its patients at all times.
False
What is the procedure if an ERP or Good Samaritan requests a determination of significant exposure?
The medical facility or coroner/medical examiner’s office shall evaluate the facts and determine if significant exposure occurred.
What happens if the information provided for exposure determination is insufficient?
The ERP, good Samaritan, or designated officer shall be notified in writing, by telephone, or by electronic transmission.
Fill in the blank: A Level 1 Trauma Facility provides total care for every aspect of injury from _______ through rehabilitation.
[prevention]
What is a Level 1 Trauma Facility?
A comprehensive regional resource that can provide total care for every aspect of injury from prevention through rehabilitation.
What is the definition of an Initial Treatment Facility?
Any licensed hospital facility with a 24-hour emergency room when a Level 1 trauma facility is not readily available.
Who is the contact person for Level 1 Trauma Facilities in Columbia?
Autumn Ugalde
What is the Severity Level for a significant exposure involving blood or bodily fluids?
Significant
What constitutes a moderate exposure?
When a source individual’s body fluids (not containing blood) contact an employee’s mucous membranes.
What is an example of a minimal exposure?
Blood or body fluids contact an employee’s intact skin.
What is the definition of a probable to no exposure?
Occurs when a source individual’s intact skin contacts a responder’s intact skin.
What should be assured regarding the reporting forms for exposure control?
An adequate supply of reporting forms should be provided to all receiving medical facilities or coroner/medical examiner’s offices.
What is the role of the Department of Health regarding unresolved exposure questions?
A request may be made to resolve issues or questions under the procedures.
What is the purpose of the Communicable Disease Exposure Report?
To notify medical facilities or coroners/medical examiner’s office regarding suspected exposure.
Who should receive information regarding significant exposure to communicable diseases?
The affected ERP or Good Samaritan.
What must be protected when providing information about possible exposure?
The identity and confidentiality of the possibly infected individual and the ERP or Good Samaritan.
What is the unit for Radiation Absorbed Dose?
1 Gy = 100 rads
What is the unit for Roentgen Equivalent Man?
1 Sv = 1 rem
What type of radiation is known as ‘penetrating radiation’?
Gamma Radiation
How far can Alpha Radiation particles travel?
They do not travel far and can be harmful if inhaled or swallowed.
What is considered a significant radiation exposure dose?
From .7 to 10 Sv (70-1000 rem)
What are the symptoms of significant radiation exposure?
- Nausea
- Vomiting
- Headaches
- Diarrhea
- Fever
What is the definition of moderate exposure to radiation?
Causes temporary discomfort or minor injury, lasting between 1 to 48 hours.
What is the radiation exposure range for moderate exposure?
From .05 to .7 Sv (5-70 rem)
What is the definition of minimal exposure to radiation?
Temporary exposure to a minimally hazardous chemical or substance with discomfort lasting less than 1 hour.
What is the radiation dose limit for emergency workers considered minimal exposure?
Up to .05 Sv (5 rem)
What does ‘Probable/None’ exposure mean?
Exposed to hazardous substances but wearing appropriate personal protective equipment.
What is defined as a critical incident?
Significant exposure to an event classified as a critical incident.
What is an example of a critical incident?
Direct involvement in an officer-involved shooting.
What is the definition of a moderate incident?
Exposure to an event not identified as significant but likely to cause stress reactions for more than 48 hours.
What is an example of a minimal incident?
Investigating a routine crash with no personal connection to the fatality.
What is the stress reaction duration for a minimal incident?
Less than 48 hours.
True or False: Mandatory reporting of a critical incident exposure is required for all job-related activities.
False
Fill in the blank: Significant exposure is defined as radiation exposure from ______ to 10 Sv.
.7 Sv
Fill in the blank: The symptoms of significant radiation exposure can include ______ and vomiting.
nausea
