osfdeck_1055287 Flashcards

1
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OSHA Regulations that Affect Funeral Homesa) OSHA has no standard specific to funeral homesb) Each employer shall furnish to each of his employees….a place of employment which is free from recognized hazards that are causing, or are likely to cause death or serious physical harm. It also requires that employers comply with occupational safety and health standards promulgated under OSHA.

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Who’s Covered By OSHAa) Any employer with 1 or more employees is coveredb) Employers with 11 or more employees are required to comply with OSHA’s Recording and Reporting Occupational Injuries and Illness requirements.c) Employers are required to maintain occupational injury and illness records.

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2
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Purpose of maintaining occupational injury and illness records:i) Provide injury and illness information used by OSHA to measure and direct the agency’s effortsii) Employees and employers to identify types and causes of injuries and illnesses at each establishmentiii) Employers and employees more safety consciousiv) Employee and employer cooperation

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Respiratory Protection Programa) Ensure all employees are properly protected from respiratory hazardsb) Creating and maintaining an individualized written respiratory protection program is the responsibility of all employers who provide respirators to employees.c) Must be administered by a suitable trained program administratord) Establishing Respiratory Protection Programe) Respiratory protection must be approved by National Institute of Occupational Safety and Health (NIOSH) for the contaminants(s) present

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3
Q

Respiratory Protection ProgramWhen establishing Respiratory Protection Program, i) Employer must first identify what airborne contaminants are presentii) Employer need to conduct air monitoring to determine whether employee exposures exceed OSHA’s permissible exposure limit for identified contaminant(s)iii) If contaminants are above the PEL, employer must implement engineering controls (ventilation systems) or administrative controls (job rotations) to reduce the employee exposure.iv) If neither of these options are feasible, the employer must then provide appropriate respiratory protection to employees.

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Chemical Compatibility Concerns in Storagea) Proper storage information can usually be found on the chemical’s MSDSb) Proper segregation of chemicals is necessary to prevent incompatible materials from inadvertently coming into contact with each otherc) A physical barrier and/or distance is effective for proper segregationd) If cabinets are used to segregate chemicals, consider the compatibility of the chemicals with the cabinet itself.e) The class of a flammable or combustible is determined by its flash point and boiling point.

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4
Q

is to ensure that chemical hazards in the workplace are identified and evaluated and that information concerning these hazards is communicated to employers and employees.

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The Hazard Communication Standard (Right-to-Know)

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5
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The Hazard Communication Standard (Right-to-Know) 6 Major Categories:a) Hazard determination (Hazardous Chemical List (HCL)b) Material Safety Data Sheets (MSDS)c) Labels and other Forms of warningsd) Employee Information and traininge) Written hazard communications planf) Trade Secrets

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Hazard determination (Hazardous Chemical List (HCL)-identify and evaluate all chemicals used in the workplace1) Listed hazards2) Defined hazards

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6
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Listed hazardsi) ACGIH Threshold Limit Values (TLV)ii) National Toxicology Programiii) International Agency for Research on Cancer

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Defined hazards (specified by OSHA as physical or health hazards)i) Combustible liquidsii) Oxidizersiii) Corrosivesiv) Reproductive Toxinsv) Non-toxins

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7
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Material Safety Data Sheet (SDS)a) Generated from chemical manufacturer or the supplierb) Delivered to employer with producti) Employer must pass it down line to the employee using and exposed to itii) Employer trains employees to recognize exposure symptoms, and how to minimize exposure, through established methods.

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MSDS Requirementsa) Manufacturer must include it with each shipmentb) Employer must maintain it or appoint employee to maintain it c) Must be available to employees working with or near the hazardous chemicald) Must be in English, but may be in other languages as welle) Must contain required elements

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8
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MSDS Required Elements Section Reviewa) The identity used on the labelb) Physical hazardsc) Health hazardsd) The primary Route(s) of Entrye) Exposure Limits (OSHA PEL, ACGIH Threshold Limit)f) Safe handlingg) Spill & cleanup procedures h) PPE (Control measures: engineering controls, safe work practices)i) Emergency and first aid proceduresj) Contact Information of chemical manufacturerk) If listed as a toxin or carcinogenl) Data MSDS prepared or last changedm) Physical and chemical characteristics

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Labels and Other Warningsa) Requires labels on all chemicals in the workplacec) Legible and in English (Other languages added in conjunction with English label)d) Portable containers are exempt if they are filled and emptied on same work shift

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9
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Labels and Other WarningsAll labels should containi) Identity of hazardous materialii) Appropriate hazard warningsiii) Name and address of the manufactureriv) Importer or other responsible partyv) Other appropriate warning information such as pictures/symbols can be used in conjunction with hazard information

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Written Hazard Communications Plana) *Requires employers to fully document the action taken to comply with all of the provision of the standardb) *List the responsible person(s) for each area of the programc) *Copy of the written program must be made available upon request to all employees and OSHA officials

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10
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8) Written Hazard Communications Pland) Purpose is to reduce employee exposure to hazardous chemicalse) It has to be a written planf) Available for employees to reviewg) Outlines the MSDS programh) Outlines the labels programi) Outlines employee training program

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Employee Information and Traininga) Employers provide employees with effective information and training on hazardous chemicals in their work area: i) Initial assignment ii) Whenever new physical or health hazard is introduced into the areab) Training shall include: i) Methods and observations used to detect the presence or release of the chemical ii) Physical and health hazards iii) Protective measures iv) Labeling and explanation of the MSDS

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11
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Employee Information and TrainingTraining shall include: i) Methods and observations used to detect the presence or release of the chemical ii) Physical and health hazards iii) Protective measures iv) Labeling and explanation of the MSDS

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Hazard Communication Traininga) Provide employee with effective information on hazards in their work area prior to assignment, and training on minimizing the hazardsb) Refrain if a new hazard is introduced into the work areac) Review characteristics of chemical with the employee

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12
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Hazardous Chemical Lista) Employer maintains list of hazardous chemicals in the work placeb) We keep this list in front of the MSDS manual

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Control Measuresa) Monitoring and be alert for odorsb) Emergency Drench Showerc) Eye Washd) Engineering controlse) Safe Work Practicesf) PPE

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27
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Bloodborne Pathogens StandardEmployers must:1. Establish an exposure control plan2. Update the plan annually3. Implement use of universal precautions4. Identify and use engineering controls5. Identify and ensure use of work practice controls6. Provide PPE7. Make available hepatitis B vaccinations to all workers with occupational exposure8. Make available post-exposure evaluation and follow-up to any occupationally exposed worker who experiences and exposure incident.9. Use labels & signs to communicate hazards10. Provide information & training to workers11. Maintain worker medical & training records

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Bloodborne Pathogens Written Exposure Control Plan1. Establish an exposure control planThe employer must prepare an exposure determination that contains a list of job classifications in which all workers have occupational exposure and a list of job classifications in which some workers ave occupational exposure, along with a list of the tasks and procedures performed by those workers that result in their exposure.

28
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Bloodborne Pathogens Written Exposure Control Plan2. Update the plan annually-to reflect changes in tasks, procedures, and positions that affect occupational exposure & technological changes that eliminate or reduce exposure.-document that they have solicited input from frontline employees in identifying, evaluating, and selecting effective engineering & work practice controls

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Bloodborne Pathogens Written Exposure Control Plan3. Implement use of universal precautions-treating all human blood and OPIM as if known to be infectious for bloodborne pathogens

29
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Bloodborne Pathogens Written Exposure Control Plan4. Identify and use engineering controls-devices that isolate or remove the bloodborne pathogens hazard from the workplace.-ie: sharps disposal containers, self-sheathing needles, safer medical devices

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Bloodborne Pathogens Written Exposure Control Plan5. Identify and ensure use of work practice controls-reduce the possibility of exposure by changing the way a task is performed.-ie: handling & disposing contaminated sharps, handling specimens, handling laundry, cleaning contaminated surfaces/items

30
Q

Bloodborne Pathogens Written Exposure Control Plan6. Provide PPE-Mandatory; employers must clean/repair/replace PPE as needed at no cost to employees

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Bloodborne Pathogens Written Exposure Control Plan7. Make available hepatitis B vaccinations to all workers with occupational exposure-after required bloodborne pathogens training & within 10 days of initial assignment to job with occupational exposure-2 years after declining, employee can change mind and get vacine at employers expense

31
Q

Bloodborne Pathogens Written Exposure Control Plan8. Make available post-exposure evaluation and follow-up to any occupationally exposed worker who experiences and exposure incident.-exposure incident - a specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or OPIM.-evaluation and follow-up at no cost to employee-includes documenting the route(s) of exposure & circumstances exposure occurred-identify & test source individual with their consent

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Bloodborne Pathogens Written Exposure Control Plan9. Use labels & signs to communicate hazards-may use red bags/containers instead of labels-warning labels must be affixed to containers of regulated waste-containers of contaminated reusable sharps-refrigerators and freezers containing blood or OPIM-other containers used to store/transport/ship blood or OPIM-contaminated equipment being shipped or serviced-bags or containers of contaminated laundry-HIV & HBV research laboratories & production facilities signs must be posted at all access doors when OPIM or infected animals are present

32
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Bloodborne Pathogens Written Exposure Control Plan10. Provide information & training to workers-initial assignment-annually-when new or modified tasks or procedures affect employees

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Bloodborne Pathogens Written Exposure Control Plan11. Maintain worker medical & training records-must maintain sharps injury log unless exempt under Recording & Reporting Occupational Injuries & Illnesses

33
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Bloodborne Pathogens Written Exposure Control Plan12. Record Keeping-must maintain training records for 3 years-evaluate every year with employer & employee

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The Bloodborne Pathogen StandardCleaning and Decontamination Policy• Bloodborne pathogens can survive for at least one week in dried blood on surfaces like tabletops, countertops and sinks.• Use a 1 to 10 part solution of bleach to water• All equipment must be cleaned and decontaminated after each contact with blood or other potentially infectious materials.• After each work shift you want to clean and decontaminate:• Countertops• Reusable buckets and pails• Embalming machines and instruments• Embalming tables• Floors and walls• Other areas where contamination is apparent or possible

34
Q

The Bloodborne Pathogen StandardExposure to Body Fluids: Puncture Incident• IMMEDIATELY encourage bleeding• Wash the area with antiseptic• Notify your supervisor IMMEDIATELY after you sanitize the wound

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Exposure to Body Fluids: Splash Incident• For non-intact skin wash the affected area immediately with soap and warm running water.• For eyes flush with cold water for 15 minutes at the eyewash station holding the eyelids open.• For the mouth rinse with water spitting the water out several times.• For inside the nose irrigate the nasal with cool to warm water to the extent possible.• Report any exposure incident to your supervisor IMMEDIATELY after sanitizing the affected area.

35
Q

Exposure to Body Fluid• Supervisor will arrange for a confidential medical exam and follow up by a healthcare professional.• A sample of your blood will be taken• Physician may recommend treatment and provide written opinion• OSHA form 200 will be filled out

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Hepatitis-B (no cure)• Causes acute inflammation of the liver• Can lead to cirrhosis or liver cancer• Spread by blood, blood products and other body fluids• Can be very serious or fatal

36
Q

Hepatitis-B Inoculation Program• Program is voluntary• Vaccine is offered within 10 days of job assignment & at no cost to the employee unless it is declined (Heb-B Declination Form must be signed)• Vaccine does not offer perfect protection but is considered the best available prevention and protection.• Vaccine only protects you from Hepatitis-B• Vaccine is administered in 3 parts over 6 months• All 3 injections are necessary to confer immunity to the virus• At-risk employees will attend an orientation program regarding Hepatitis-B and the risks and benefits of the vaccine.• -if employee initially declined vaccination (signed form required) & decides to take it later, then it is still offered at no cost to the employee.

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BBP Training and Recordkeeping• Training required at time of employment or at time of assignment in risk category• Training at least once a year after initial training or when change in task or procedures occurs (evaluate every year)• Training Records must be kept for 3 years from date of training• Require both employer & employee input• Right to examine records• The employer must maintain accurate & confidential records for every employee with occupational exposure

37
Q

applies to all occupational exposure to blood or other potentially infectious materials.

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The Bloodborne Pathogen Standard

38
Q

must be implemented by the employer to eliminate or otherwise minimize employee exposure as required by the Standard.

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A written Exposure Control Plan

39
Q

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)

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Pathogenic microorganisms

40
Q

Set of guidelines established by the Centers for Disease Control (CDC) for safely handling remains.

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Universal Precautions

41
Q

are based on the assumption that ALL remains could be infected with bloodborne pathogens

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Universal Precaustions

42
Q

infectious microorganisms present in blood that can cause disease in humans.ie: Heb-B, Heb-C, HIV

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Bloodborne Pathogens

43
Q

The standard protects workers who can reasonably be anticipated to come into contact with blood or OPIM as a result of doing their job duties.

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OPIM (Other Potentially Infectious Materials)

44
Q

A 15 minute period or employee exposure limit currently 2 ppm

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Short Term Exposure Limit (STEL):

45
Q

A 8 hour employee exposure limit currently 0.75 ppm

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Time Weighted Average (TWA):

46
Q

A concentration of 0.5 ppm over an 8 hours TWA

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Action Level:

47
Q

First Step in Compliance is to monitor Prep Room• Identify employees who have MAY have exposure to formaldehyde.• Monitor for both STEL & TWA using the same employee for both tests and performed at the same time• Locations with multiple shifts will test one employee on each shift• When monitoring, clip the monitor on the outside-front of the employees protective gown NEAR THE BREATHING ZONE. (Do not place under layers of clothing and attach to the wall of the preparation room.)• The embalmer being tested should NEVER touch the monitor• If employee being tested is going to be out of the prep room for an extended period of time, remove the monitor and place in a Ziploc bag. When employee returns replace the same monitor on the gown until monitoring is completed.

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Notice• If the tests is less than the required 8 hours, then the employer must enter the actual length of the test on the Formaldehyde Monitoring Record so the test results can be averaged over 8 hours• When testing is completed, place the monitor in mailing box with necessary paperwork and mail to the sensor company for reading• Within 15 days of receiving the results of monitoring the employer shall notify the affected employees of the results in writing• The employer may discontinue periodic monitoring if results from two consecutive sampling periods taken at least 7 days apart indicate exposure is below the Action Level and the STEL• OSHA would like for monitoring to be done under worse case situations (autopsy)• If the monitoring results are at or above PEL or STEL, the employer shall develop and implement a written plan to reduce exposure within 15 days. This written plan will be distributed to the employees and shall contain a description of the corrective action being taken by the employer to decrease exposure.

48
Q

Action to be Taken• If levels can’t be reduced immediately, respirators shall be provided and a respirator program shall be implemented in compliance with OSHA standard 1910.134

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Regulated Areas• The employer shall limit access to regulated areas to authorized individuals who have been trained to recognize exposures• If airborne exceeds either the TWA or the STEL, then all entrances & accesses must have a sign with the following information. o “Danger, Formaldehyde irritant & potential cancer, hazard, authorized personnel only”

49
Q

PPE• The use of PPE is required under the standard• Eye wash station• Drench shower

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Medical Surveillance• The employer must make a medical surveillance program available at no exposure and at a reasonable time to the employee if the exposure is above the Action Level or STEL• Includeo Medical questionnaireo Physical examination• The physician must supply the employer a written statement containing the physician’s opinion as to the results of the medical examination• The employer shall provide a copy of the physician’s written opinion to the affected employee within 15 days of its receipt• The examination will determine if the employee may return to normal duties in prep room• If the employee is informed by a physician to be removed from the exposure, the employer will transfer the employee to work having no or significantly less exposure• The employer shall transfer the employee to comparable work where exposure is less• The employer shall maintain the employee’s current earnings, seniority, and other benefits• If no work is available then the employer shall maintain the employee’s current status until work becomes available; until the employee is determined to be unable to return to work place formaldehyde exposure; until the employee is determined to be able to return to the original job status, or for six months, whichever comes first

50
Q

Multiple Physician Review• After the employer selects the initial physician who conducts any medical procedures for this standard, the employee may designate a second physician to review any findings and to conduit any medical procedures. The employer shall promptly notify the employee of the right to such opinion• The employer may condition its participation in, and payment for, this procedure upon the employee doing so within 15 days after receipt of the notification for second opinion or receipt of the initial physician’s written opinion• The employee must inform the employer of the intention to seek a second opinion • The employee takes steps to make an appointment• If the two physician differ in opinion, then the employee and employer shall ensure that efforts are made for the two physicians to resolve the disagreement• If that cannot be done, then a third physician which both parties agree upon will review all documentation• The employer shall act with the findings, determination and recommendations of the third physician, or if the employee and employer can reach an agreement of at least one of the three physicians

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Recordkeeping• Exposure monitoring records shall be kept for 30 years• Medical records shall be kept for duration of employment plus 30 years

51
Q

Work Practice Controls & Engineering Controls• Exhaust system working properly and turned to maximum• Always keep lid on the embalming machine• Replace cap on bottle after pouring and when bottle is empty• All waste receptacles should be covered• Repair leaks on embalming machine immediately• Cover drainage receptacles• When using a “cavity pack” or external preservative, cover the area so the fumes will not be emitted• Keep drainage from collecting in autopsy cases

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end notes