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HCP-ECP online training – p. 1 of 14 HAZARD COMMUNICATION PLAN and BLOOD-BORNE PATHOGENS EXPOSURE CONTROL PLAN ONLINE TRAINING Student Health Service Montana State University – Bozeman www.montana.edu/wwwhs/hcpecp/courseintro.html COURSEintro The Montana State University Student Health Center (SHS) has developed this online training course to help you manage two major risks that you may encounter while working at the SHS. The first part of this course describes the Hazard Communication Plan (HCP), which provides information regarding the hazardous chemicals which you may encounter in your work area. The second part of this course describes the Blood-Borne Pathogens Exposure Control Plan (ECP) for the prevention and treatment of exposures to blood-borne pathogens. The HCP and ECP are administered by the Infection Control Committee (ICC). Current ICC members, and the work areas they represent, are: Dana Pray – Chair, Central Supply, Surgery Jill Erickson – Janitorial Bob Flaherty – Physician Advisor Eleanor Harvey – Lab, X-ray Gina Huffman – Dental Clinic Kim Kotur – Acute Care Sue Ward – Front Desk Bonnie White – Back Hall If you have any questions about the HCP, the ECP or this online training program, please contact the ICC representative for your work area, the ICC Chair or your supervisor. In addition to this online training course, you are required to review and initial the HCP and ECP notebooks in your work area annually. These notebooks contained additional policies and procedures not presented in this online course. This online training course is designed as a programmed learning activity. After you have read each screen, answer the question at the bottom of the screen. When you click on the correct answer, you will proceed to the next screen. If you click on the wrong answer, you will not proceed, and must select a different answer. You need to answer the question on every Web page to complete the course. If you need to stop in the middle of this online training course, pookmark the Web page you are on, or record the URL address, so you can return to that page in the future and proceed from there to finish the course. At the end of the course you will receive a certificate of completion, which you can print out and submit to Raechell Nielsen to receive credit for completing your annual HCP and ECP training. The Hazard Communication Plan and the Blood-Borne Pathogens Plan: HCP-ECP online training – p. 2 of 14 a. Provide employees with information regarding the potential hazards and safe handling of chemicals used at the SHS, and prevention of exposure to serious infections b. Aren’t particularly important to workers, except to satisfy OSHA regulations c. Can be safely ignored ========================== HCPintro The Hazard Communication Plan The Hazard Communication Plan (HCP) provides you with information regarding the potential hazards and safe handling of chemicals used at the MSU Student Health Service (SHS). The MSU Student Health Service (SHS) is complying with the OSHA Hazard Communication Standard (“Right To Know”), 29:1910.1200, by compiling a hazardous chemicals list, by using MSDSs, by ensuring that containers are labeled, and by providing you with this training. This HCP applies to all work operations at the SHS where you may be exposed to hazardous chemicals under normal working conditions or during an emergency situation. The Chair of the ICC is the HCP coordinator, acting as the representative of the SHS Director, who has overall responsibility for the HCP. The Chair of the ICC will review and update the HCP as necessary. Copies of the written HCP and the regulations governing the HCP are available in the HCP notebook in the Infection Control Coordinator’s office. The most important parts of the written HCP itself is available in the HCP notebook located in your work area. Your supervisor will show you the location of that notebook for your review. Under this HCP, you will be informed of the contents of the Hazard Communication Standard, the hazardous properties of chemicals with which you work, safe handling procedures, and measures to take to protect yourself from these chemicals. You will also be informed of the hazards associated with non-routine tasks. The complete written Hazard Communication Plan is located in the ICC Chair’s office. The parts of the plans that are most important to you are also located in: a. The SHS library b. Your work area c. The coffee break room ============================= HCPlist List of Hazardous Chemicals The Chair of the ICC maintains a list of all hazardous chemicals used at the SHS, and will update the list as necessary. A list of all of the chemicals used in your particular work area is available in the “Hazard Communication Plan” notebook in each work area. Each list also identifies the corresponding MSDS for each chemical. HCP-ECP online training – p. 3 of 14 A complete list of all hazardous chemicals use at the SHS is maintained by the Chair of the ICC, and a list of chemicals used in your work area is kept in the “Hazard Communication Plan” notebook in your work area. a. True b. False =========================== HCPmsds Material Safety Data Sheets (MSDSs) Nearly every product used in the SHS is included on our Chemical Inventory List and has a MSDS, both of which are on file in the HCP notebook in your work area. A master list of MSDSs is included as part of the master list of hazardous materials available from the Chair of the ICC. Although the format and appearance of a MSDS may vary, each MSDS provides important information about any hazardous components in a product. This information includes: Chemical name Manufacturer Emergency contact phone numbers Physical and chemical characteristics Fire and explosion hazard data, including special fire fighting procedures Reactivity data, including corrosiveness and environmental conditions to avoid Health hazard data, including signs and symptoms of exposure and first aid measures Precautions for safe handling and use, including spill cleanup and disposal methods Exposure control measures, including protective clothing and equipment Click here to see an example of a typical MSDS for isopropyl alcohol (isopropanol, rubbing alcohol). If you order a chemical or material not previously used in the SHS, please clear the use of the new chemical with the ICC member for your work area or the ICC Chair. They can help you add the chemical to the Chemical Inventory List and place the MSDS in the HCP notebook in your work area, before using it. Material Safety Data Sheets (MSDS) a. List hazardous ingredients in the chemicals we use at the SHS b. Provide information on potential hazardous effects, handling precautions and first aid measures related to chemical exposures c. Are on file in the HCP notebook in your work area d. All of the above ============= HCPlabels Labeling Every container of chemicals (not pharmaceuticals) in the SHS must have a label, including water bottles. If a container contains a hazardous material it must have an original manufacturer’s label or a National Fire Protection Agency (NFPA) label that provides information about potential hazards. If you transfer a chemical from its original bottle to a new bottle, the new bottle needs a NFPA label. HCP-ECP online training – p. 4 of 14 The NFPA label style we currently use is shown below: Note that the diamond symbols represent different risks, such as health, flammability, reactivity (e.g. corrosiveness) and any special risks. Written inside each of these diamond symbols should be a number describing the level of severity of each risk. If you transfer a chemical from its original bottle into another (secondary) container, the secondary container needs a. Only the brand name of the chemical written on it b. To be the same shape as the original bottle c. To have a NFPA label placed on it, indicating the hazards of the chemical and necessary safety measures =================================== HCPexposure Exposure to Hazardous Materials There are several different ways to protect yourself from exposure to hazardous chemicals. Personal Protective Equipment includes gloves, glasses, gowns, masks, etc. to prevent chemicals from contacting your skin Engineering controls reduce exposure to chemicals through the use of machinery or equipment, such as tongs, and brushes and dustpans Work controls involve the use of procedure-related techniques that reduce your exposure to chemicals, such as monitoring the temperature of volatile chemicals. The MSDS will usually describe the types of protection that are required. If you are exposed (e.g., by spill, splash, inhalation, etc.) to a hazardous chemical, immediately do the following: 1. Cease the procedure as soon as it is safe or practical to do so. 2. First aid: a. Inhalation - Get fresh air b. Ingestion- Rinse mouth out thoroughly c. Skin - Wash with soap and water d. Eye - Flush 15 minutes with tap water. Eye-wash stations are located in Acute Care, X-ray and the Lab. 3. Consult the MSDS in the HCP notebook in your work area to review additional specific firstaid procedures. 4. Report the incident immediately to your supervisor, the Medical Director or the Infection Control Coordinator. HCP-ECP online training – p. 5 of 14 5. Obtain medical counseling from the Medical Director regarding lab testing and treatment. More detailed first aid information will be found in the MSDS, as well as in the HCP notebook in your work area. First aid for exposure to a hazardous chemical includes: a. For inhalation - Get fresh air b. For ingestion- Rinse mouth out thoroughly c. For skin exposure - Wash with soap and water d. For eye exposure - Flush 15 minutes with tap water e. All of the above ========================================================= HCPspills Spill Clean-up Hazardous chemicals or blood or other potentially infectious materials may be accidentally spilled in your work area. These spills require special attention, as follows. Spill Clean-Up Kit Each work area has a Spill Clean-Up Kit, and a larger Spill Clean-Up Kit is available in the Janitor’s closet. Each Spill Clean-Up Kit contains the following items: “Deluxe Staff Protection Kit” containing PPE (Personal Protective Equipment) Gloves (heavy duty reusable kitchen-type gloves and disposable exam-type gloves) Gown Goggles Respirator mask (surgical mask-type) Sharps container Ring forceps or tongs (to pick up sharp objects and contaminated material) Brush and dustpan for dry particulate material, glass, etc. Yellow biohazard bag for contaminated laundry Red biohazard bag or clear autoclave bag for contaminated wipes, pads, etc. Orange absorbent wipes marked with biohazard stickers Grey, or blue and white absorbent pads marked with biohazard stickers Disposable diapers Hand cleaner (use when water isn’t available for hand washing) Spill Clean-Up Procedure These instructions are also included in each Spill Clean-Up Kit and in the HCP notebook in you work area. 1. Immediately alert others in the area and your supervisor, and evacuate the area, if necessary. 2. Attend to any people who may be contaminated, according to the First Aid protocols and the relevant MSDS in the “Hazard Communication Plan” binder in your work area. 3. Isolate the spill using the materials in the Spill Clean-Up Kit. Barricade the contaminated area with chairs if necessary. HCP-ECP online training – p. 6 of 14 4. For chemical spills, check the Material Safety Data Sheet in the “Hazard Communication Plan” notebook in your work area for hazard information and accidental release/spill information. 5. Don the appropriate personal protective equipment from the spill kit, including gown, splash goggles and gloves. If respiratory protection is needed, call Safety & Risk Management at 2711. 6. If broken glass is involved, do not pick it up with your gloved hands. Use a scoop or tongs to place it in the polyethylene hazardous waste bag, then place the bag in a strong cardboard box or plastic container. 7. Blood/OPIM spills a. Absorb the spill using the large grey pad, orange pad, or blue and white pad, or use disposable diapers and/or paper towels, absorbing as much of the spill as possible before applying disinfectant. Place these in the clear “biohazard” bag. b. Apply disinfectant (Envirocide or 10% bleach) to the absorbent side of the pads and place them on the spill. Do not spray disinfectant directly on the spill, as this could aerosolize the spill. Do not use 10% bleach on carpeting. c. For carpeting, apply pressure to the plastic side of the disposable diaper to promote absorption. d. Leave pads in place for 10 minutes. e. Handle contaminated pads with the ring forceps in the Spill Clean-Up Kit. f. Dispose of pads in the clear “biohazard” bag. g. Repeat steps a) through e) as needed. h. Dispose of gloves and other disposable PPE in the clear “biohazard” bags. i. Place contaminated cloth items, such as cloth towels, washcloths, etc. into the yellow contaminated laundry bags. The yellow bags will then be placed in the autoclave room for removal and laundry. j. Replace any items used from the Spill Clean-Up Kit. 8. Liquid chemical spills a. If flammable, turn off all sources of ignition. b. Absorb the liquid with the gray absorbent pad and/or the disposable diapers, and place them in the polyethylene hazardous waste bag. c. Handle contaminated pads with the ring forceps in the Spill Clean-Up Kit. d. Wipe the area down with a wet paper towel, then wash with detergent and water. e. Dispose of paper towels with the waste generated from the spill clean-up. f. Seal bag with tape and label the bag as to the chemical contents. g. Contact Safety & Risk Management at 2711 for advice on disposal. h. Replace any items used from the Spill Clean-Up Kit. 9. Mercury a. Broken thermometers, sphygmomanometers or other mercury-containing materials may be placed in a plastic bag or glass or metal container, and sealed. b. Contact Safety & Risk Management at 2711 for advice on disposal. c. Replace any items used from the Spill Clean-Up Kit. 10. Solid Material Spills HCP-ECP online training – p. 7 of 14 a. Use the plastic scoop to place the spilled material into the polyethylene hazardous waste bag. b. Care should be taken so as not to create dust or cause the contaminated powder to become airborne. c. After the bulk of the material is cleaned up, wet a disposable diaper and wipe the area down, then wash with detergent and water. d. Dispose of paper towels with the waste generated from the spill clean-up. e. Seal bag with tape and label the bag as to the chemical contents. f. Contact Safety & Risk Management at 2711 for advice on disposal. g. Replace any items used from the Spill Clean-Up Kit. 11. All re-usable tools used in the clean-up need to be decontaminated (plastic scoop, tongs, etc.). a. Remove all gross contamination with a wet paper towel. b. Dispose of the contaminated paper towels as waste. c. Rinse the tools off with copious amounts of water, then wash with detergent and water. d. Dispose of the gloves as waste. e. Dry the tools off and place back into the Spill Clean-Up Kit along with the splash goggles. f. Contact the Janitor to obtain replacement gloves and spill clean-up material. 12. Fill out an Incident Report form and submit it to your supervisor Where will you find a Spill Clean-Up Kit? a. The Janitor’s closet b. In or near your work area c. In the Janitor’s closet and in or near your work area ============================================================ ECPintro The Blood-Borne Pathogens Exposure Control Plan (ECP) The ECP provides you with information and policies regarding the prevention and treatment of exposures to infections carried by blood and other body fluids while working at the SHS, through compliance with 29 CFR 1910.1030. This ECP applies to all work operations at the SHS where you may be exposed to blood-borne infections under normal working conditions or during an emergency situation. The Chair of the ICC is the ECP coordinator, acting as the representative of the SHS Director, who has overall responsibility for the ECP. The Chair of the ICC will review and update the ECP as necessary. Copies of the written ECP and the regulations governing the ECP are available in the ECP notebook in the ICC Chair’s office. The most important parts of the written ECP itself are available in the ECP notebook located in your work area. Your supervisor will show you the location of that notebook for your review. The complete written Blood-Borne Pathogens Exposure Control Plan (ECP) is located in the ICC Chair’s office. The parts of the plans that are most important to you are also located in: a. The SHS library b. Your work area HCP-ECP online training – p. 8 of 14 c. The coffee break room =========================================== ECPinfections Blood-Borne Pathogen Infections Blood-borne pathogens (BBP) are spread by exposure to blood and other potentially infectious material (OPIM), which includes semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, any body fluid with visible blood, any unidentifiable body fluid, and saliva from dental procedures. Since all SHS employees could be exposed to patients with BBP infections, all SHS employees need to be aware of these infections. The most common BBPs are Hepatitis B, Hepatitis C and Human Immunodeficiency Virus (HIV). Hepatitis B and Hepatitis C infect the liver and can cause liver failure, liver cancer and death. HIV causes AIDS. There is a vaccine available to protect against Hepatitis B, but there are no vaccines to protect against Hepatitis C or HIV. Thus, the most important way to prevent infection by all of these BBPs is to prevent exposure to them. Blood-borne pathogens (BBPs) include which of the following: a. Hepatitis B b. Hepatitis C c. HIV d. Influenza e. Hepatitis B, Hepatitis C and HIV ======================================== ECPuniversal Universal Precautions Since patients with a BBP infection may not appear ill, it may not be possible to know which patients harbor a serious infectious disease. Therefore, all human blood and OPIM are treated as if they are infectious for HIV, hepatitis B and C viruses and other BBPs. This approach is called “Universal Precautions.” Universal Precautions means: a. If you think a patient may be ill, treat their blood and other potentially infectious material as if they are infectious for HIV, hepatitis B and C viruses and other blood-borne pathogens. b. All human blood and other potentially infectious material are treated as if they are infectious for HIV, hepatitis B and C viruses and other blood-borne pathogens. c. Blood is the only material that needs to be considered infectious. =================================================================== ECPhandwashing Protecting Yourself from Exposure to Blood-Borne Pathogens: Hand Washing Hand washing is the single most important means of preventing the spread of infections. Remember that the use of gloves does not preclude hand washing. Hands should be washed in the following situations: HCP-ECP online training – p. 9 of 14 When coming on duty Whenever hands become soiled Before and after examining patients Before performing invasive procedures Before preparing or handling medications Before handling clean dressings, gauze pads, etc. After handling dressings or equipment potentially contaminated with blood or OPIM After contact with blood or OPIM After removing personal protective equipment such as gloves, etc. After personal care activities such as using the bathroom, blowing the nose, combing the hair, etc. Before and after eating Before going on breaks When going off duty Hand washing procedure Rub soap onto all surfaces of hands for 10 seconds. Rinse hands thoroughly under running water. Hold hands lower than wrists to allow water to run off. Dry hands thoroughly with paper towels, then turn off the faucets with those towels. Discard towels into trash. Antiseptic hand cleansers may be used as an alternative to soap and water. Moisturizing lotion may be applied after hand washing. Wash your hands with soap and water a. Before and after examining patients b. Before going on breaks c. For at least 10 seconds d. All of the above =========================== ECPppe Protecting Yourself from Exposure to Blood-Borne Pathogens: Personal Protective Equipment Use Personal Protective Equipment (PPE) to prevent direct exposure to potential infection. Examples include gloves (if there is blood/OPIM), gown (if it drips), face mask (if it splashes). Ask your supervisor to show you the location of the PPE in your work area and in Minor Surgery. All employees using PPE must observe the following precautions: Wash hands immediately or as soon as feasible after removal of gloves or other PPE. Remove PPE after it becomes contaminated, and before leaving the work area. Used PPE may be disposed of in designated containers located in work areas where the task is being performed. Wear appropriate gloves when it can be reasonably anticipated that there may be hand contact with blood or OPIM, and when handling or touching contaminated items or surfaces. Replace gloves if torn, punctured, contaminated, or if their ability to function as a barrier is compromised. HCP-ECP online training – p. 10 of 14 Utility gloves may be decontaminated for reuse if their integrity is not compromised; discard utility gloves if they show signs of cracking, peeling, tearing, puncturing, or deterioration. Never wash or decontaminate disposable gloves for reuse. Wear appropriate face and eye protection when splashes, sprays, spatters, or droplets of blood or OPIM pose a hazard to the eye, nose, or mouth. Remove immediately or as soon as feasible any garment contaminated by blood or OPIM, in such a way as to avoid contact with the outer surface. Guidelines for using Personal Protective Equipment (PPE) include: a. Gloves - if there is blood/OPIM b. Gown - if it drips c. Face mask - if it splashes d. All of the above ===================================== ECPcleanup Clean-Up and Disposal of Blood and OPIM Always use the appropriate PPE when cleaning up spills or splashes of blood or OPIM. The techniques of spill cleanup are outlined under the discussion of the clean-up of other hazardous material in the HCP section of this course, and also in the ECP notebook in your work area. Disposing of Contaminated Materials/Waste Use PPE when disposing of contaminated materials. Microbiology waste, blood, blood products are collected in a translucent plastic autoclave bag and placed in the biohazard container in the lab for weekly pickup by MSU Safety & Risk Management. Place contaminated laundry in the yellow bag for contaminated laundry at the location where the laundry is used. Handle all sharps (needles, scalpels, lancets, etc.) with extreme care. Discard used sharps in the plastic sharps containers located in every clinical area. Fill the sharps container only 3/4 full, then snap shut and transport to the autoclave room. See Exposure Control Plan Policy #5: Disposal of Sharps for more information. Containers containing infectious waste will be colored red and/or labeled with a red or orange biohazard label similar to the label below: Decontaminating reusable equipment HCP-ECP online training – p. 11 of 14 Equipment designed for re-use, such as surgical instruments, will be cleaned and sterilized according to policies found in the Clinic Aide’s ECP notebook. Clean-up of spills of blood or OPIM requires: a. Wearing the appropriate PPE b. Disposing of contaminated materials in the appropriately colored and labeled containers c. Using techniques outlined in the ECP notebook in your work area d. All of the above =============================== ECPincidents Exposure Incidents You have been exposed to blood/OPIM if: 1. You get blood/OPIM on a cut, rash or chapped skin. 2. You get blood/OPIM in your eye, nose or mouth. 3. You stick yourself with a contaminated sharp. If you are exposed, immediately do the following: 1. Cease the procedure as soon as it is safe or practical to do so. 2. Wash the exposed area thoroughly with soap & water. 3. Report the incident immediately to your supervisor, the Medical Director or the Chair of the ICC. 4. Follow the procedures described in the “Exposure Kit” in the ECP notebook in your work area. 5. Obtain medical counseling from the Medical Director regarding lab testing, treatment and follow-up. 6. For more information, see the “Post-Exposure Evaluation and Follow-Up” section of the ECP or the “Exposure Kit”, both of which are in the ECP notebook in your work area. If you have been exposed to blood or OPIM, you must report this exposure to your supervisor, the Medical Director or the Chair of the ICC: a. Only if you think it is an important exposure b. At the end of your shift c. Immediately ===================== ECPhepbimm Hepatitis B Immunization Hepatitis B, Hepatitis C and HIV are the major blood-borne infectious diseases. There are no vaccines to prevent Hepatitis C and HIV. The only way to prevent Hepatitis C and HIV infection is to prevent exposure. There is, however, an effective immunization to prevent Hepatitis B. Hepatitis B vaccine is given by injection, is highly effective in preventing Hepatitis B infection, and has very few side effects. It is available free of charge to all SHS employees and is strongly recommended. If you have not had the three-shot series previously, see the Employee Immunization Coordinator in Acute Care to arrange for these immunizations. HCP-ECP online training – p. 12 of 14 Hepatitis B vaccine is: a. Effective b. Safe c. Strongly recommended d. Available to SHS employees free of charge e. All of the above ============================ ECPtb Tuberculosis Control Program Although it is not a blood-borne pathogen, staff at the SHS could be exposed to Tuberculosis (TB). TB primarily infects the lungs and is relatively easily transmitted by coughing. The SHS Tuberculosis Control Program is briefly mentioned here, and additional information is found in the Tuberculosis Exposure Policy in the ECP notebook in your work area. TB surveillance All staff members are required to have a TB skin test (or a chest x-ray) every year. This is to determine whether employees have been exposed to TB in the past, and to provide a baseline to evaluate any future exposures. New employees who have not had a recent TB skin test will be given a “two-step” TB test, consisting of a second TB skin test given two weeks after the first TB skin test. Patients with possible acute TB If a patient comes to the SHS complaining of a productive cough lasting more than 2 weeks, fever, night sweats and/or recent weight loss, place the patient in Room A or D with the door closed. Ask them to wear a mask and ask the patient to cover their mouth with tissue when coughing or sneezing. Immediately tell one of the Acute Care nurses. For more information, see the Tuberculosis Exposure Policy in the ECP notebook in your work area. Symptoms of Tuberculosis include: a. Productive cough of more than 2 weeks duration b. Fever c. Night sweats d. Weight loss e. Any or all of the above ===================== CERT CERTIFICATE OF COMPLETION . Annual Hazard Communication Plan and Blood-Borne Pathogens Exposure Control Plan Online Training Fall 2005 through Summer 2006 Congratulations! You have successfully completed the annual Hazard Communication Plan (HCP) and Blood-Borne Pathogens Exposure Control Plan (ECP) training, and you have answered the test HCP-ECP online training – p. 13 of 14 questions correctly (Click here if you want to review the test questions and answers. Click on your “Back” button to return to this screen.) Please review the HCP and ECP notebooks in your work area. If you have additional questions about the HCP or the ECP, please contact the Infection Control Committee representative for your work area, or the Chair of the ICC. Please print this page, fill in your name, sign and date where indicated and give this page to Raechell Nielsen in the SHS Director’s Office before October 31, 2005, or within one month of beginning employment if you are a new employee. ________________________________________ Print name ________________________________________ Signature ____________________ Date ============================== testqa . Annual Hazard Communication Plan and Blood-Borne Pathogens Exposure Control Plan Online Training Fall 2005 through Summer 2006 Test Questions and Answers Q: The Hazard Communication Plan and the Blood-Borne Pathogens Plan: A: Provide employees with information regarding the potential hazards and safe handling of chemicals used at the SHS, and prevention of exposure to serious infections Q: The complete written Hazard Communication Plan is located in the ICC Chair’s office. The parts of the plans that are most important to you are also located in: A: Your work area Q: A complete list of all hazardous chemicals use at the SHS is maintained by the Chair of the ICC, and a list of chemicals used in your work area is kept in the “Hazard Communication Plan” in your work area: A: True Q: Material Safety Data Sheets (MSDS): A: List hazardous ingredients in the chemicals we use at the SHS; provide information on potential hazardous effects, handling precautions and first aid measures related to chemical exposures; and are on file in the HCP notebook in your work area Q: If you transfer a chemical from its original bottle into another (secondary) container, the secondary container needs: A: To have a NFPA label placed on it, indicating the hazards of the chemical and necessary safety measures HCP-ECP online training – p. 14 of 14 Q: First aid for exposure to a hazardous chemical includes: A: For inhalation - get fresh air; for ingestion - rinse mouth out thoroughly; for skin exposure - wash with soap and water; for eye exposure - flush 15 minutes with water/saline IV Q: Where will you find a Spill Clean-Up Kit? A: The Janitor’s closet and in or near your work area Q: The complete written Blood-Borne Pathogens Exposure Control Plan (ECP) is located in the ICC Chair’s office. The parts of the plans that are most important to you are also located in: A: Your work area Q: Blood-borne pathogens (BBPs) include which of the following: A: Hepatitis B, Hepatitis C and HIV Q: Universal Precautions means: A: All human blood and other potentially infectious material are treated as if they are infectious for HIV, hepatitis B and C viruses and other blood-borne pathogens. Q: Wash your hands with soap and water: A: Before and after examining patients, before going on breaks and for at least 10 seconds Q: Guidelines for using Personal Protective Equipment (PPE) include: A: Gloves - if there is blood/OPIM, gown - if it drips, face mask - if it splashes Q: Clean-up of spills of blood or OPIM requires: A: Wearing the appropriate PPE, disposing of contaminated materials in the appropriately colored and labeled containers and using techniques outlined in the ECP notebook in your work area Q: If you have been exposed to blood or OPIM, you must report this exposure to your supervisor, the Medical Director or the Chair of the ICC: A: Immediately Q: Hepatitis B vaccine is: A: Effective, safe, strongly recommended and available to SHS employees free of charge Q: Symptoms of Tuberculosis include: A: Productive cough of more than 2 weeks duration, fever, night sweats and weight loss Rev. 2/21/05