OSHA Regulations Flashcards
OSHA-
Occupational safety and health administration
Role of osha
Protects employee not employer.
Regulated safety of American employees in the workplace, inspects work environments and imposes penalties. All expenses incurred by OSHA compliance must be borne by the employer; costs cannot be taken from employee.
OSHA TRAINING
Employee must be trained in OSHA standards, receive vaccinations, and any other medical care that may be required during regular work hours, or he paid for the time the spend outside work hours being trained, etc. employers may not reduce benefits or take expenses out of the employees salary in order to fund expenses associated with OSHA standards.
OSHA requires employers establish a written exposure control plan.
That includes engineering and work practice controls.
The exposure control plan must:
Contain a description of dental offices compliance with the blood borne pathogens standard
Be accessible to every employee
Be reviewed and updated annually
Employee must be trained annually
Bloodborne pathogens standard
Provides safeguards to protect workers against health hazards caused by BBPs
Personal protective equipment PPE
Lab coats/protective clothing
Filtration (face) mask
Reduce transmission of aerosol microorganisms and prevent contamination during splash procedures.
Protective eyewear
Face shields: if worn, it is still necessary to wear a mask, they protect the wearer from splatter.
Gloves
Must be worn by all dental staff members when in contact with blood, saliva, mucous membranes, contaminated surfaces, or soiled items.
Latex gloves prevent contact with BOPIM and provide the greatest protection in the 1st hour of wear.
Utility or nitrile gloves worn when handling chemicals. Must be made available by the employer.
Employees should use utility gloves instead of exam gloves during cleaning and decontamination.
Occupational exposure determination:
I: routinely exposed to blood, saliva, or both.
II: may on occasion be exposed
III: never exposed.
Exposure incident:
Any contact of BOPIM with a staff members broken skin, Music’s membrane, respiratory system, or digestive system. P
Occupationally exposed employees:
I’m employees contact blood or other potentially infectious materials in the course of performing job duties, they are considered “occupationally exposed” and fall under osha regulations. HBV vaccination must be offered to all occupationally exposed employees, although they may decline the vaccine and sign a document stating that they decline the vaccine at this time, but may receive it at the employers expense in the future if they change their minds. First 10 days of employment- HPV
BOPIM-
Blood or other potentially infectious materials.
Universal precautions or standard precautions
OSHA requires that the dental staff treat all patients as if they are known carriers of an infectious disease. PPE and other work practice controls are used in the treatment of every patient.
Following an exposure:
Immediately stop the procedure, remove gloves and gently squeeze the site to express a small amount of blood. Wash your hands with an antimicrobial soap and warm water; apply antiseptic. Bandage the wound & complete a post exposure incident report.
Follow up on an exposure from a puncture requires:
Medical counseling & HIV testing at specific intervals.
Hepatitis a testing of no record of vaccination
Tetanus booster
Documentation on OSHA incident form
Confidential medical records
Must be kept for each employee. Employee medical records must be kept for the duration of employment plus thirty years.
OSHA requires that an exposure incident be documented in a written report, filed in the employees confidential medical record that is kept for the length of employment plus 30 years.
Sharps (considered medical waste)
Disposal is regulated by the EPA.
used ortho wires and needles are considered sharps. Extracted teeth are considered sharps.
Sharps containers:
OSHA requires that all disposable contaminated sharps be disposed of in a leakproof, puncture resistant container with rigid edges and marked with biohazard symbol (red or red-orange) in color. The container must be closable.
Hepatitis vaccination
Hepatitis B virus - vaccination must be provided by the employer within 10 days of employment.
Record keeping requirements
Confidential employee medical records. Employment + 30 yrs.
Training records must be maintains for a minimum of 3 years.
Sterilization and disinfection
Sepsis - the presence of disease producing microorganisms
Label requirements
Lab cases/impressions - always disinfect incoming and outgoing cases. Lab cases may not be sent out without a written prescription signed by the dentist.
Hazard communications standard
OSHAs hazard communication standard requires that a hazard communication program be written for the workplace. Describes methods for using labels and other health warnings, how to use safety data sheets (SDS) and employee information and training.
SDS safety data sheets
Employers responsibilities - if a product is shipped without an SDS, dental office personnel must write (go online) and ask for an SDS and keep a copy of the letter on file.
Manufacturers responsibilities - it is the responsibility of the manufacturer to provide an SDS with each product that contains potentially hazardous chemicals.
Labeling requirements
Containers - chemicals that are not in their original containers must be labeled h less the substance will be used up by the employee within one working day
CDC
Center for disease control and prevention. Only recommends. Keeps records of disease outbreaks, informs the public of precautions to take in order to prevent the spread of disease and studies diseases and their causes/cures.
“Recommended infection control practices for dentistry” which has the force of law in the state of Missouri.
EPA
Environmental protection agency.
Regulates the production, shipping, and disposal of hazardous chemicals and other materials.
Classifies regulated waste and dental office compliance guidelines. Record keeping for medical waste disposal should be retained for 3 years.
ADA approved disinfectant labels are regulated by the EPA as
Tuberculocidal, virucidal, and fungicidal and display an EPA number.
