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 – – – – – 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) – – – – – – – – – 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.