Download Chapter 10 Management of Hazardous Materials

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Chapter 12
Management of
Hazardous Materials
Hazardous Chemical Training

Employee Training
–
–
–

Within 30 days of hire
Annually
Before using any
chemicals.
Additional training
–
–
–
–
New product
New materials
New chemicals
Oooops….

Accidental exposure
Hazardous Chemicals

Employees must be made
aware of;
–
–

Risks
Safety precautions
Employer
–
–
–
Must provide training
Keep documentation of
training.
Must keep and maintain a
MSDS

Material Safety Data Sheet

Chemical examples
–
–
–
–
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Sodium hypochlorite
Formaldehyde
Glutaraldehyde
Pickling solutions
Disinfectants
MSDS
Material Safety Data Sheet

Provided by the product
manufacturer.
–
Lists






All chemicals
Risks
Precautions
PPE
First aid
Warning ‘diamond’

National Fire Protection
Association Color and
Number method!
–
Red

–
Yellow

–
Reactivity
Blue

–
Flammability
Health
White

PPE
–
Higher # = greater risk!
Agencies

Occupational Safety
and Health
Administration
–
–
OSHA
Set standards for…


Employers to protect?
Employees
–
–
While on the job
DA students are NOT
covered under OSHA

Standards (guidelines)
–
–
–
–
–
–
–
–
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Employee training
Exposure determination
Infection control
Universal precautions
Post exposure follow-up
Labeling
MSDS’s
Housekeeping
Disposal of waste
Engineering /
Work Practice Controls

Physical or mechanical
devices that protect the
employee.
–
–
–
–
–
Splash guards
Sharps containers
Ventilation hoods
Needle re-capping
devices
Utility gloves
Sharps






Needles
Blades
Broken glass
Anesthetic carpules
Orthodontic wire
Broken instruments
–
Anything that ‘could be’
sharp

NEVER recap using
two hands.
–
–

Use one hand scoop
method.
Needle recapping device
All sharps are put into a
–
–
–
labeled,
leak-proof,
puncture resistant
container.
Occupational exposure

Exposed to infectious
material on the job
–
–

Report immediately
Don’t get in trouble
Document
–
–
–
–
Route of exposure
How it occurred
Source patient
Follow-up Tx
OPIM


Other Potentially
Infectious Materials
Anything visually
contaminated with:
–
–
–
Blood
Saliva
Any body fluid

Includes:
–
Unfixed tissue


–
–

Bone
Gums
HIV / HBV cultures
Any tissue from animals
These Are All
Considered
Potentially Infectious!
Testing

Employee
–
–
Right to have blood
tested.
Decline testing


–

Patient.
–



Up to 90 days
No cost

Employee is informed of
results.

Not employer
If known
–
Request testing
Consent required
Can decline to be
tested.
ASAP
Results are disclosed to
exposed employee
Postexposure Follow-up

Employer must provide
counseling for:
–
–
–
–
Sexual transmission of a
disease
Understanding test
results
Potential future risks
Necessary Tx
Employee work site

Employer must provide
–
Work site


–
Clean
Sanitary
Written schedule for


Infection control
Decontaminating
procedures
–
How to clean up
 Blood
 Chemicals
Conclusion



Being aware of hazards in your office is very
important.
Make sure you are trained in the handling of
chemicals before you use them.
Always refer to the MSDS for info about a
product.
Document related concepts

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