Baker College Laboratory Safety Presentation

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Baker CollegeLaboratory Safety Presentation

• May 7, 2004

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Presented By

• Richard Perry
• Marsh Risk Consulting
• Sheree Duff
• Director of Dental Hygiene, Baker College of Port
  Huron
• Barbara Honhart
• Vice President of Academics/Systems

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Todays Agenda

• Overview of Baker Colleges Updated Chemical
  Hygiene Plan - R. Perry
• Tips on Supervising Students in Labs and
  Industrial Arts Classrooms - R. Perry
• Making Your Department MIOSHA Compliant -
  S. Duff
• Where Do We Go From Here? - B. Honhart

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Laboratory Safety Issues

• Employees - Safety governed by MIOSHAs Chemical
  Hygiene Plan requirements
• Students - Doctrine of Reasonable Care applies

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Chemical Hygiene Plan (CHP)

• Purpose
• Provide guidance and protocols for the protection
  of employees from safety and health effects of
  laboratory hazardous materials.

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CHP General Requirements

• Ten General Requirements
• Must be readily available to employees
• Must designate persons responsible for
  implementation of the CHP of each applicable
  site.
• Must include provisions for employee information
  and training (Training must be documented)
• Must include the criteria that the employer will
  use to determine and implement control measures
  to reduce employee exposures to hazardous
  materials

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CHP General Requirements

• Must include SOPs relevant to each labs safety
  and health considerations related to substances
  of moderate to high chronic toxicity or high
  acute toxicity
• Must identify circumstances under which
  particular laboratory operations, procedures, or
  activities would require prior approval
• Must include provisions for employee exposure
  determination when there is reason to believe
  that exposure levels routinely exceeded the
  action level (or PEL) for that substance

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CHP General Requirements

• Must include procedures for medical evaluation of
  employees who may have been over-exposed or who
  show signs or symptoms associated with a
  hazardous chemical found in the laboratory
• Must include provisions for added employee
  protection for work with potentially hazardous
  substances, including
• Select carcinogens
• Reproductive toxins
• Substances with a high degree of acute toxicity
• Annual review and update of CHP required

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Baker Colleges CHP Has Been Developed by

• Office of Environmental Health and Safety (Flint
  Campus)
• Kamal Osman, Ph.D. - Health Sciences Laboratory
  Coordinator
• and
• Chris DeVriendt, LVT - Health Sciences
  Laboratory Assistant

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Baker College CHP Implementation Instructions

• Generic information applicable to most laboratory
  situations on each campus plus
• Provisions to customize the CHP to each Baker
  College campus

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Baker College CHP Implementation Requirements

• Each location must
• Assign a Chemical Hygiene Officer
• Identify all locations where laboratory hazardous
  chemicals will be kept including designated
  areas where specific classes of chemicals will
  be stored
• Complete a hazardous chemical inventory
• Update floor plans to assure all needed emergency
  equipment is in place and properly identified

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Baker College CHP Implementation Requirements

• Complete a PPE hazardous assessment
• Conduct documented staff training on the hazards
  of the chemicals present in their work areas

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CHP Implementation Requirements

• Identify where MSDS are kept and how to read an
  MSDS
• Develop local SOPs for specific chemicals and/or
  operations which require prior approval from your
  local Chemical Hygiene Officer

Complete instructions and implementation
schedules for this updated Baker College CHP will
be provided soon
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Tips on Supervising Students Within Industrial
Arts and University Laboratories
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• Injuries to Students in an Industrial Arts
  Classroom or College Laboratory
• May be a Tort for which the University is liable
• Negligence vs. Liability
• Guest Statute

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• Doctrine of Reasonable Care
• Duty - What would a reasonable person of ordinary
  prudence do
• Breach of Duty - Failure to conform to the legal
  duty (an act or failure to act)
• Causation - Breach causes the injury
• Direct act
• Proximate Cause
• Injury - There must be an injury

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• Examples of Negligence in Industrial Arts and
  Laboratory Injury Claims
• Unclear or misunderstood instructions
• Instructions do not clearly warn of impending
  hazards
• Instructor not present in the laboratory at the
  time of the injury
• Instructor preoccupied at the time of injury
• Lack of safety equipment
• Assigned experiment was unnecessarily dangerous
• Instructor not adequately trained to supervise

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• Unclear or Misunderstood Instructions
• I must have misunderstood..
• He speaks a foreign language..
• I didnt want to appear stupid..
• I dont think the instructor is good at giving
  directions..
• I was in a hurry to finish..

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• Instructions do not clearly warn of impending
  hazards
• If it was so dangerous, why wasnt I told..
• I dont remember things until I hear them
  repeated..
• The book is unclear..
• I was just trying to see what happens..
• No one told me that ether fumes can spread so
  far..

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• Safety Training Steps
• Identify the safety concerns
• Restate your concerns
• Inform student of the correct methods and
  safeguards
• Repeat information on correct methods and
  safeguards
• Check to make sure there is understanding
• Emphasize the importance of safety to the student
  and to all others in the class

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• Instructor not present at the time of the injury
• BYU vs. Lilliewhite Case
• Intro to Chemistry class
• Explosion occurred while instructor was across
  the hall meeting with another student
• Jury found plaintiffs injury was proximately
  caused by failure of the instructor to supervise
  the experiment

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• Instructor preoccupied at time of the injury
• General rules of supervision
• Younger people need more supervision than older
  people
• More supervision is needed when materials or
  equipment are more dangerous
• Industrial Arts, Chemistry and Biology labs are
  inherently dangerous!!!

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• Lack of safety equipment
• We dont require safety glasses all the time..
• We do not have the resources to purchase gloves
  for everyone..
• We cant make them wear lab coats..
• We have safety rules posted on the wall..

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• Assigned experiment/procedure was unnecessarily
  dangerous
• Weve had this experiment as part of our
  curriculum for years..
• We warned them..
• I should have practiced the demo beforehand
• The student was at fault..
• I didnt realize this could happen to my
  students..

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• Instructor was not adequately trained to
  supervise
• He/she is hard to follow and understand..
• I think he/she is new..
• Maybe its easy for him/her, but I still needed
  help..
• I dont think his/her warning was strong
  enough..

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• Other Safety Tips for Classroom Risks
• Consider using simulations rather than have
  students handle hazardous materials/equipment
• Syllabus should disclose potential risks
• Encourage students to express concerns regarding
  safety

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• Safety supervision involves
• Being a good
• Communicator
• Role model
• Coach
• Trainer
• Enforcer
• Investigator

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• Safety Tips for Laboratories and Industrial
  Arts Classrooms
• Each classroom has unique exposures that should
  be identified
• Lab and shop safety self-inspection programs are
  helpful
• Safety rules needed for each unique exposure area
• Documented safety training should be held
  regularly throughout each class duration
• Review instructions related to hazardous work to
  make sure they are thorough and understandable
• Make sure adequate supervision is present during
  all times when hazardous activities are underway

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Introduction/Background

• Making your department MIOSHA compliant and safe
  for students, faculty and staff.

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MIOSHA Compliance/Safety

• Personnel training (faculty and staff full and
  part-time)
• Student training
• Documentation of training
• Maintenance and confidentiality

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Objective

• To educate health care faculty, staff and
  students regarding the principles of infection
  control, identify work-related infection risks,
  institute prevention measures, and ensure proper
  exposure management and medical follow-up.

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Department Specific Protocol

• Clinic setting
• Laboratory setting

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Handbook

• Development of the Faculty and Staff Handbook
  Specific to the Dental Hygiene Program.
• Many items, including MIOSHA information and
  sign-off sheet.

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Faculty/Staff Training Modules

• 1. Infection Control Protocol
• 2. Hazard Communication Protocol
• 3. Medical Waste Management Protocol

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Infection Control Protocol

• BAKER COLLEGE DENTAL HYGIENE PROGRAM
• PREVENTING OCCUPATIONAL EXPOSURE TO BLOOD-BORNE
  DISEASES
• A RECORD OF EMPLOYEE INFORMATION AND TRAINING
  PROGRAM
• On the date indicated below, dental hygiene
  faculty participated in an information and
  training session on the subject of preventing
  occupational exposure to blood-borne diseases.
• Date of information and training
  program_______________________________
• Training conducted by ___________________________
  __________________
• Signature of trainer ____________________________
  ___________________
• The following information was presented
• What is OSHA.
• What is the OSHA Bloodborne Pathogens Standard.
• Exposure determination categories discussed
  recognizing tasks with a disease transmission
  hazard.
• Modes of transmission of blood-borne diseases.
• Risks of exposure to HIV and HBV.
• How to apply the concept of Universal
  Precautions.
• Requirements for Hepatitis B immunization.
• Proper use of personal protective equipment
  including the following
• When PPE is needed
• What PPE is necessary

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Infection Control Continued

• BAKER COLLEGE DENTAL HYGIENE PROGRAM
• INFECTION CONTROL PRODEDURES
• A RECORD OF EMPLOYEE INFORMATION AND TRAINING
  PROGRAM
• On the date indicated below, dental hygiene
  faculty participated in an information and
  training session on the subject of infection
  control.
• Date of information and training
  program_______________________________
• Training conducted by ___________________________
  __________________
• Signature of trainer ____________________________
  ___________________
• The following information was presented
• How to use and care for sharp items.
• What engineering controls this education clinic
  utilizes to reduce or eliminate employee
  exposure.
• How and when to use the needle recapping device.
• What work practice controls this educational
  clinic utilizes to reduce or eliminate employee
  exposure.
• Review of information to employees who are or may
  become pregnant regarding possible risks to fetus
  from HBV/HIV and other associated infectious
  agents.
• Review of procedures for dealing with an
  accidental exposure or puncture.
• Information on the appropriate schedule for
  cleaning and disinfecting the various surfaces,
  equipment and other areas in the clinic (usually
  accomplished by the student).
• Information on the types of sterilants and
  disinfectants used in the clinic.
• Information on the types of protective coverings
  (barriers) used in the clinic.
• Location of the information regarding the
  Infection Control Program for the clinic.

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• GUIDELINES FOR EXPOSURE MANAGEMENT
• A Faculty Member Must Be Informed Immediately!
• An exposure incident means a specific eye, mouth,
  or other mucous membrane, non-intact skin or
  parenteral contact with blood or other
• potentially infectious materials that results
  from the performance of a dental hygiene
  student's duties. In the event that there is an
  accidental
• exposure, the following steps should be taken
• Immediately decontaminate the area of exposure
  by
• 1. Washing the skin thoroughly with soap and
  water.
• 2. Rinsing exposed mucous membranes with water.
• 3. If the exposure is to the eye, use the
  eyewash to flush your eyes for 15 minutes.
• 4. If blood is splashed into the mouth or nose,
  flush the area with clean, running water.
• Hepatitis B Virus and Human Immunodeficiency
  Virus Postexposure Management
• Once an exposure has occurred, the blood of the
  individual from whom exposure occurred should be
  test for Hepatitis B surface antigen (HbsAg)
• and antibody to human immunodeficiency virus (HIV
  antibody). Local laws regarding consent for
  testing source individuals must be followed. All
• post-exposure follow-up will be performed by the
  exposed individual's personal physician. If the
  student or patient doesn't have a personal
• physician, the following options are available
• 1. Contact the Port Huron Hospital Health Access
  Line, which is a 24 hour service. They support
  all three local hospitals and a referral to an
  appropriate physician will be made upon the
  patient/student's request. Call 1-800-228-1484.

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• DEPARTMENT OF CONSUMER AND INDUSTRY SERVICES
• DIRECTOR'S OFFICE
• Filed with the Secretary of State on June 30,
  1993 (as amended November 14, 1996)
• These rules take effect 15 days after filing with
  the Secretary of State
• (By authority conferred on the director of the
  department of consumer and industry services by
  section 24 of Act No. 154 of the Public Acts of
  1974, as amended, and executive reorganization
  orders nos. 1996-1 and 1996-2 being 408.1024,
  330.310 1, and 445.2001 of the Michigan Compiled
  Laws)
• R 325.70004, R 325.70005, R 325.70007. R
  325.70008, R 325.70009, R 325.70012, R 325.70013,
  R 325.70015, and R 325.70016 of the Michigan
  Administrative Code, appearing on pages 601 to
  605, 612, and 613 of the 1993 Annual Supplement
  to the 1979 Michigan Administrative Code, are
  amended to read as follows
• BLOODBORNE INFECTIOUS DISEASES
• R 325.70001 Scope.
• Rule 1. These rules apply to all employers that
  have employees with occupational exposure to
  blood and other potentially infectious material
  as defined by the provisions of R 325.70002(c),
  (n), and (r).
• R 325.70002 Definitions.
• Rule 2. As used in these rules
• (a) "Act" means Act No. 154 of the Public Acts
  of 1974, as amended, being 408.1001 et seq. of
  the Michigan Compiled Laws.
• (b) "Biologically hazardous conditions" means
  equipment, containers, rooms, materials,
  experimental animals, animals infected with HBV
  or HIV virus, or combinations thereof that
  contain or are contaminated with, blood or other
  potentially infectious material.
• (c) "Blood" means human blood, human blood
  components, and products made from human blood
• (d) "Bloodborne pathogens" means pathogenic
  microorganisms that are present in human blood
  and can cause disease in humans. These pathogens
  include hepatitis B virus (HBV) and human
  immunodeficiency virus (HIV).
• (e) "Clinical laboratory" means a workplace where
  diagnostic or other screening procedures are
  performed on blood or other potentially
  infectious material
• (f) "Contaminated- means the presence or the
  reasonably anticipated presence of blood or other
  potentially infectious material on an item or
  surface.
• (g) "Contaminated laundry" means laundry which
  has been soiled with blood or other potentially
  infectious materials or may contain sharps.

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Sharps Injury Log Book
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(No Transcript)
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Incident Report

• SHARPS INJURY LOG
  ___________
• BAKER COLLEGE OF PORT HURON
• DENTAL HYGIENE PROGRAM
• RECORD OF EMPLOYEE / STUDENT INCIDENT
• Date of the incident_____________________________
  ____
• Type of incident ? ?Injury ? Illness ? Other
• Staff members (s) / student (s) involved
• Name Social Security Number Title
• 1_________________________________________________
  __________________________________________________
  __________________
• 2.________________________________________________
  __________________________________________________
  __________________
• 3.________________________________________________
  __________________________________________________
  __________________
• 4.________________________________________________
  __________________________________________________
  __________________
• Description of the incident
• __________________________________________________
  __________________________________________________
  _________________
• Location where the incident occurred
• __________________________________________________
  __________________________________________________
  _________________
• Was a medical referral necessary? ? Yes ? No
• If yes, where was the patient referred for
  evaluation?

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Hazard Communication Protocol

• BAKER COLLEGE DENTAL HYGIENE PROGRAM
• HAZARD COMMUNICATION
• A RECORD OF EMPLOYEE INFORMATION AND TRAINING
  PROGRAM
• On the date indicated below, dental hygiene
  faculty participated in an information and
  information and training session on the subject
  of hazard communication.
• Date of information and training
  program_____________________________________
• Training conducted by ____________________________
  _______________________
• Signature of trainer______________________________
  ________________________
• The following information was presented
• Provisions of the Right to Know Law and Hazard
  Communication Standard.
• The physical and health hazards of chemicals in
  the clinic.
• Location of the Haz-Com program including the
  hazardous chemicals list and the Material Safety
  Data Sheets (MSDS).
• The details of the hazard communication program,
  including an explanation of the labeling system,
  MSDS, and how to obtain and use the hazard
  information on the labels and the MSDS.
• Information on emergency procedures for spills,
  etc.
• Review of the Emergency Evacuation Plan.
• Other ___________________________________________
  ______________
• Staff Title ________________________
  Signature__________________________

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Hazard Communication Protocol

• HAZARD COMMUNICATION PROGRAM
• I. Hazard Determination Baker College of Port
  Huron Dental Hygiene Clinic will be relying on
  Material Safety Data Sheets from product
  suppliers and the ADA to meet hazard
  determination requirements.
• II. Labeling
• A. The Program Director will be responsible for
  seeing that all containers (including portable)
  in the clinic are properly labeled. (Note
  although the Director has the final
  responsibility in this matter, this day to day
  task may be delegated to a trained work study
  student, under the direction of the Director.)
• B. All in-coming labels will be checked for
  identity, hazard warning, name and address of
  responsible party.
• III. Material Safety Data Sheets
• A. The Program Director will be responsible for
  compiling the master MSDS file. It will be kept
  in the Dental Hygiene Clinic. Copies will be
  given by the
• Director to the Campus Safety Director for the
  Campus master copy, which is available to all
  employees.
• B. All MSDS's will be available for review by
  all employees and students.
• C. The full-time faculty member responsible for
  ordering supplies will ensure that MSDS are
  requested with each new product order.
• D. The required MIOSHA Right to Know Poster is
  located in the faculty lounge on the second
  floor. The Campus Safety Director is responsible
  to post new or revised MSDSs.
• IV. Employee Information and Training
• A. The Program Director shall coordinate and
  maintain records of all OSHA training.
• B. Training information for new employees will
  include
• ? chemicals and their hazards the work areas

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Material Safety Data Sheets

• Organization
• Location
• Use
• Maintenance

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Medical Waste Management Protocol

• BAKER COLLEGE DENTAL HYGIENE PROGRAM
• MEDICAL WASTE MANAGEMENT
• A RECORD OF EMPLOYEE INFORMATION AND TRAINING
  PROGRAM
• Date of information and training
  program______________________________
• Training conducted by_____________________________
  ________________
• Signature of trainer _____________________________
  __________________
• The following information was presented
• Which waste items need special handling as
  medical waste, and which items may be disposed of
  as a non-regulated waste.
• The measures that should be used to minimize
  exposure to infectious agents during the handling
  and disposal of medical waste including, where
  applicable, standard operating procedures (work
  practice controls) for processing medical waste,
  the use of protective equipment and clothing, the
  use of physical containment devices and the
  prevention and control of aerosols.
• The requirements for waste containment, including
  the workplace standard operating procedures for
  segregating and packaging each category of
  medical waste generated.
• The meaning of the universal biohazard warning
  symbol, as well as how a container of each
  medical waste generated must be labeled.
• The requirements for waste storage, collection
  and disposal.
• An understanding and familiarity of the protocols
  and procedures outlined in the Student Handbook
  relating to OSHA requirements.
• Other ___________________________________________
  ___________________
• Staff Title ______________________
  Signature____________________________

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Medical Waste Management

• GUIDELINES FOR REMOVAL AND STORAGE OF MEDICAL
  WASTE
• Guidelines regarding removal and storage of
  medical waste, including sharps will follow
  Federal, State and Local guidelines and will be
  updated as needed. Medical waste will be disposed
  of at regular intervals not to exceed 90 days.
  Waste will be collected in OSHA approved red
  containers marked medical waste. Storage of these
  bags will be in room 111A , which is a restricted
  area with limited access. They will be collected
  by the Facilities Department of Baker College,
  who are fully informed of the potential risks and
  who have been trained in Universal Precautions,
  following all the appropriate guidelines, and
  within 24 hours. At designated schedules, "Waste
  Management" company will pick up Baker College's
  BIO-waste. The dental clinic is a "small"
  generator of medical waste.
• Stericyle
• P.O. Box 9001588
• Louisville, KY, 40290-1588
• All local, state, and federal regulations for
  hauling medical waste are followed. The required
  forms and documents for transport and disposal
  are kept in the office of Ralph Jordan, Director
  of Safety/Facilities.
• The following is a list of disposable items that
  will be placed in the student's trash bag during
  and at the completion of patient treatment
• Face masks, cotton rolls, patient gloves,
  articulating paper, finger cots, prophy cup,
  patient big, prophy brush, prophy paste
  containers, floss/tape, dappen dishes, pit and
  fissure brushes, cotton tip applicators, saliva
  ejector, headrest cover, bitewing tabs, all
  plastic barriers, x-ray film packets, gauze
  squares.
• All sharps (needles etc.) will be placed in the
  Sharps container located on the countertop in the
  sterilization area of the Clinic. Upon closing
  the container, it will be stored in room 111A
  until pick-up at regularly scheduled intervals.
• Following manufacturer's instructions, the
  suction cleaner (currently Vacusol Ultra) will be
  run through the suction system daily.

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Clinic Emergency Evacuation

• BAKER COLLEGE OF PORT HURON
• DENTAL HYGIENE CLINIC FIRE EVACUATION PLAN
• FOR THE DENTAL HYGIENE STUDENTS AND FACULTY
• A plan has been created to provide easy exit from
  the building in case of a fire. A fire drill
  will take place during the Fall quarter.
  Responsibilities have
• been assigned to eliminate confusion in the event
  of a real fire.
• Responsibilities of the student when an alarm
  sounds
• 1. Things to do before you leave
• a. Take your keys.
• b. Take backpack and/or purse (if easily
  accessible).
• c. Take your coat (if easily accessible).
• d. Assist your patient and your neighboring
  student out of the building.
• 2. Where should you go?
• From these locations Exit to these locations

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Clinical Quality Assurance Document

• Quarterly Assessment of MIOSHA Guidelines and
  Safety
• Sharps containers
• Number of Incident Reports
• Safety equipment eye wash station, oxygen
  tank
• Radiographic equipment dosimetry badges
• Hazardous Waste Management
• Emergency drug kit
• Autoclave maintenance/spore testing
• Faculty credential review

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Annual Update of Employee Training

• BAKER COLLEGE OF PORT HURON
• DENTAL HYGIENE PROGRAM
• ANNUAL OSHA UPDATE
• RECORD OF EMPLOYEE INFORMATION AND TRAINING
  PROGRAM
• OCTOBER 10, 2002
• As part of a faculty orientation meeting, I was
  updated on the following OSHA issues
• Revision of the Exposure Control Plan to
  include the use of Metri-Wipes for use as a
  surface
• disinfection. A new MSDS sheet is filed in
  the log book.
• Maintenance of the policies for the Needle Stick
  Safety and Prevention Act which was explained at
  the Fall 2001 faculty orientation. I have been
  given the opportunity to discuss and have input
  into any recapping devices I think might be
  appropriate for the Dental Hygiene Clinic.
• Review of Annual Training Modules
• Infection Control Procedures
• Waste Management
• Hazard Communication
• In addition, I have had the opportunity to update
  my Latex Allergy Survey to document any
  changes.
• Faculty Signature _______________________________
  _____Date______________________
• Trainer Sheree Duff RDH, MS

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Faculty Folder for Credentials

• Training upon hire
• Annual updates and training
• Latex Survey annually
• Signed

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Faculty Information and Credential Review

• BAKER COLLEGE OF PORT HURON
• DENTAL HYGIENE PROGRAM
• FACULTY INFORMATION AND CREDENTIAL REVIEW
• 2002-2003
• Name ___________________________ Position______
  ____________________
• Home Address___________________________ E-mail
  address_____________________
• Home Phone ___________________________
• Cell Phone ___________________________
• Work Phone ___________________________
• Immunization Hepatitis vaccine - ? Yes ?
  No Date(s)_____________________
• CPR Certification Date issued_________ Date
  expires_____________________________
• Licensure
• States licensed in_______________________________
  ________________________
• Renewal date_____________________________________
  _____________________
• License number (s)_______________________________
  ______________________
• Drug license number - DDS only __________________
  ________________________
• Annual CEU documentation provided for previous
  year (2001-2002) ? Yes ? No
• OSHA Instruction- Original Date at Baker
  College__________________________________
• Annual OSHA Update_______________________________
  _________________________

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Occupational Asepsis and Safety Procedures - OSAP

• Membership www.osap.org
• P.O. Box 6297
• Annapolis, MD 21401

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Student Training for MIOSHA and Safety Procedures

• Student Handbook
• Curriculum Content
• Testing and Assessment
• Weekly Grading Criteria
• Laboratory Safety Rules for
• Oral Anatomy
• Dental Radiology
• Dental Materials

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Dental Hygiene Student Handbook

• MIOSHA section
• Sign-off sheet

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Student Waiver Form for Potential Latex Allergy

• STUDENT WAIVER FORM
• Latex Allergy
• The goal of Baker College is to have a latex
  safe environment. However, because latex can
  be found in a variety of products and materials
  (i.e.,
• erasers, wallpaper, computer terminals, etc.) it
  is difficult to ensure a latex free
  environment. Therefore, the following
  information is being
• presented to fully inform all students of the
  potential risks of this exposure to latex.
• Students at Higher Risk previous history of
  allergies
• numerous previous exposures to latex of any
  kind
• health care workers
• spina bifida patients
• rubber plant employees
• Methods of Exposure skin/mucosal contact, glove
  wearing, and via airborne particles in the air.
• Symptoms From a simple runny nose to a life
  threatening anaphylactic reaction.
• General symptoms include sneezing, coughing,
  itching, asthma, rash, headaches, shortness of
  breath.
• Systemic reactions hives, swelling, edema,
  coughing, asthma, shock, laryngeal edema,
  cardiovascular changes and gastrointestinal
  changes.
• Caution Students with a mild sensitivity to
  latex may, at any time, develop a serious life
  threatening reaction to latex.
• Baker College has attempted to ensure your
  safety however, students developing serious
  reactions to latex may not be able to complete
  their
• specific program of study at Baker College.
• I understand the risks involved in using and
  being exposed to latex products. I understand I
  will have the opportunity to request latex free

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Student Training

• BAKER COLLEGE OF PORT HURON
• DENTAL HYGIENE PROGRAM
• Student Handbook
• 2003-2004

• HANDBOOK INFORMATION SIGN-OFF
• I have received and read the information provided
  in the 2003-2004 Baker College of Port Huron
  Dental Hygienes Program Student Handbook.
• Student name (print) _______________________
• Student signature _______________________
• Date___________________

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Curriculum Content

• Videos
• Lectures
• Demonstrations
• Class Handouts
• Tests/Assessments

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(No Transcript)
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Weekly Grading with Rubrics
Weekly Grading with Rubrics

• DIGITAL CAMERA
• PROCESS EVALUATION
• STUDENT NAME _____________________________________
  DATE ____/____/____
• INSTRUCTOR NAME _________________________________
  PASS REPEAT
• STANDARDS OF CARE
• ? Infection control
• ? Professionalism
• ? Time management
• ? Patient management
• ? D.H. Assessment / Tx. Planning
• PROCESS
• ? Obtain camera, retractors, and mirrors.
• ? Inform patient about the procedure and
  rationale for use.
• ? Describe and demonstrate the use of the
  retractors and mirrors for an anterior view, a
  buccal view, an occlusal view and a full face
  view.
• ? Dry the teeth and/or mirror.

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Laboratory Safety Rules

• LABORATORY SAFETY RULES
• They will be enforced by the laboratory
  instructors. The rules are for the safety and
  follow-up care
• for all individuals.
• 1. Injuries
• ? Follow emergency procedures as specified in
  the Student Handbook (p. 111-113).
• ? Report all injuries to the instructor.
• ? File an Incident Report (Appendix A, p.
  152-153) of the Student Handbook.
• 2. Safety precautions
• ? Follow universal precautions by wearing the
  appropriate personal protective
• equipment (PPE) during procedures
• ? Eyewear
• ? Masks
• ? Gloves
• ? Clinic jacket
• ? Clinic shoes are worn during laboratory
  periods.
• ? All long hair must be pulled back.
• ? Clinic scrubs or dress attire will be worn
  during laboratory periods.
• ? Jewelry can include a wedding ring, one
  necklace tucked in laboratory coat, and one

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Laboratory Safety Rules Continued

• 5. Model trimmers
• ? Use safety glasses and a mask while operating
  or standing near a model trimmer.
• ? Remove all rings and bracelets and keep hair
  tied back.
• ? Keep knuckles, fingernails, and fingers away
  from the blade during operation.
• ? Operate the trimmer with water.
• ? Do not operate model trimmer if the blade is
  wobbling.
• ? Do not try to stop the cutting wheel if it is
  still moving.
• ? Clean and disinfect the area (countertops,
  trimmer, and shield) after usage.
• ? If you smell a trimmer overheating, turn it
  off at once, inform instructor, and fill out
• a maintenance report slip.
• ? Shut off equipment after usage.
• ? Sweep floor after usage.
• ? Wipe any spilled water during/after usage.
• ? Shield must be in place at all times.
• 6. Materials used during the finishing and
  polishing of amalgams
• ? Use safety glasses and a mask while operating
  or standing near a motor, sheath, latch
• angle, burs, points or cups.
• ? Insure that the latch is holding the bur,
  point, or cup before inserting into the mouth.
• ? Clean handpiece and latch angle after use.

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Laboratory Safety Rules

• INFECTION CONTROL IN RADIOGRAPHY LAB
• I. Considerations
• A. Infection control procedures must include
  guidelines for dental radiographic procedures in
  dental settings.
• B. Thorough review of the patient's
  medical history is necessary.
• C. All infection control protocols
  should be followed.
• II. Procedure NOTE You must be wearing a
  mask, gloves, and safety glasses during
  disinfection.
• A. Preparation for exposing radiographs
  in the operatory
• 1. Disinfect anything that you will touch
  by wiping the following with Caviwipes
• ? lead apron and thyroid shield
• ? sink and faucet handle and knobs
• ? viewbox
• ? trays inside and outside of operatory
• ? on/off switch on x-ray unit
• ? door knob (inside and outside)
• 2. Cover, utilizing the barrier technique,
  the following items
• ? chair headrest cover
• ? tubehead and cone clear plastic bag
• ? control panel buttons (outside
  operatory) clear plastic
• ? sensor, keyboard, and mouse (digital
  operatory)

63
C. Exposure 1. Always wear
gloves and protective eyewear. 2.
Wearing a mask is optional but recommended. D.
Daylight loading procedure 1.
Take off gloves after last film is placed into
the exposed E cup. 2. Carry film
in the Ecup to the developing area and place in
the daylight loader along with a plastic baggie
to be used for disposables paper and
film packaging, gloves. 3. Record
the patients name and date on mounts and place
on top of the machine. This is important
because it indicates to others that radiographs
are being processed! 4. Turn the
processor to the Run position. 5.
Donn new powder-free gloves. 6.
Insert hands through sleeves of daylight loader.
7. Open the film packets being
careful not to touch the lead foil or film with
contaminated gloves. 8. Drop the
lead foil and film into the white container
marked Exposed films only. 9.
Place the contaminated film packets into the
plastic baggie. 10. Open all of the
film packets in this manner. 11.
After the last film packet has been opened,
remove your contaminated gloves by turning them
inside out and place them in the plastic
baggie with the film packets. 12.
Remove the exposed films (one at a time) from the
white container (with ungloved hands) and place
in the slots of the processor,
alternating the films (i.e. slot 1 slot 3, then
slot 2 and slot 4 this prevents the films from
sticking to one another) Be careful with
dual film packets! 13. After the last
film has been place into the processor, empty the
white container of the lead foils into the clear
plastic container marked Lead Foils.
14. Remove hands from the daylight
loader sleeves. 15. Open the filter
window and carefully remove the plastic baggie
containing contaminated material and dispose.
16. Return to the radiography room, wash
hands, donn nitrile gloves and begin disinfecting
procedures. 17. When processing is
complete, take films and mounts to the mounting
area and place in mounts. E. Darkroom
procedure 1. Follow the above
steps (1-3) for carrying the film to the
darkroom. 2. Enter the darkroom
only if the outside red light is NOT lit.
3. Turn on the safelight and close and lock
door. 4. Donn new gloves.
5. Follow the above steps (7-11) for opening
the film packets. 6. Place film on
a film hanger which has been labeled with the
patients name, date and number of films taken.
Be sure the films are secure on the
hanger. 7. Once all films are on the
film hanger, place the films into the developing
solution following the recommended time for the
temperature of the solution, rinse, then
place in the fixer solution for a minimum of 4
minutes. 8. Set the timer
appropriately. 9. Properly dispose
the contaminated cup and empty the lead foils
into the appropriate container. 10.
Turn off the safelight and return to the
radiography room, wash hands, donn nitrile gloves
and begin disinfecting procedures. 11.
When films are dry, take films and mounts to the
mounting area and place in mounts.
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65
Work-Study Students
Work Study Students

• Must be MIOSHA Trained

66
Ongoing Assessment/Maintenance of MIOSHA
Guidelines and Safety Protocol
Ongoing Assessment/Maintenance of MIOSHA
Guidelines and Safety Protocol

• Written training modules
• Mandatory annual training
• Course content
• Policies and procedures
• Trainers knowledge
• Costs
• Attitudes

67
The Future Dental Hygienist!
68
Safety and Infection Control is

• A process
• A mindset
• An attitude
• No single event or an
• occasional decision

69
Thank-you!
70
Final Comments
Final Comments

• Barbara Honhart - VP of Academics/System
• Where do we go from here...?