University of Iowa Health Care Safety Training

1
University of Iowa Health Care Safety Training

• Tornado
• Utility Interruptions
• Fire
• Ergonomics
• Workplace Violence
• Reproductive Hazards
• Security/Emergency
• MSDS
• Chemical Spills
• Disaster/Emergency

• Communications
• Tuberculosis
• Code Pink
• Accident/Emergency
• Bloodborne Pathogens
• Medical Equipment
• Standard Precautions

2
Tornado Safety

• Tornado Watch
• Tornado watch means conditions are right for a
  tornado. Staff should be alert to weather
  conditions.
• Tornado Warning
• Tornado warning means a tornado has been sighted.

3
Tornado Safety
An announcement will be made over the CDD
public address system advising staff, patients,
families and visitors of the tornado warning.
4
Tornado Safety

• Areas Of Safety
• Areas of safety include rooms and corridors
  without windows, especially rooms and corridors
  that do not border an outside wall. Crouch near
  the floor or under heavy, well supported objects
  and cover your head.
• Areas to Avoid
• Stay clear of all windows, corridors with
  windows, or large, free-standing expanses.

5
Tornado Safety

• General Guidelines
• Remain calm, avoid panic, offer
• reassurance to patients.
• Transfer all ambulatory patients to areas of
• safety.
• - Patients who cannot be moved should be covered
  with pillows, blankets, mattresses.
• - Close all doors, including corridor doors, so
  that they latch.
• - Close all drapes, curtains, or blinds as time
  permits.
• - Do not attempt to utilize elevators due to the
  possibility of power failure.

6
Tornado Safety
CDD room N181 (staff lounge) has been equipped as
a storm shelter. This room contains a gray
back-up telephone, red emergency outlets and
other emergency supplies.
7
Tornado Safety

• A notification stating, The Tornado Warning time
  has expired. The Tornado Warning is no longer in
  effect, will be sent out when it is safe for
  staff members to return to their work areas.
• End of Topic

8
Utility Interruptions Electrical

• Loss of Normal Power
• - Generator produced emergency power will be
  available to red outlets at CDD within ten
  seconds.
• - Only critical patient support equipment should
  be plugged in to red emergency electrical
  outlets.
• - Elevator A is tied into CDDs emergency power
  system and will operate normally during a power
  outage.

9
Utility Interruptions Electrical

• Staff should report the loss of power to Safety
  Security (6-2658 or 195 for emergencies).
• Staff in patient care areas should ensure there
  are flashlights and extra batteries at the work
  area.

10
Utility Interruptions Medical Gases (including
oxygen, air and vacuum)

• Check status of all patients on medical gases.
• Ensure life support equipment is maintained.
• Dial Safety and Security (6-2658 or 195 for
  emergencies) to report loss of medical gases.
• Only patient care staff in the affected area have
  the authority to shut off medical gases.

11
Utility InterruptionsMedical Gases

• Oxygen is not affected by electrical power
  outage. In the event of low oxygen gas pressure
  (displayed by the medical gas alarm panel),
  oxygen cylinders will be delivered to patient
  areas.
• Medical air compressors will be maintained by
  emergency power generators.

12
Code F (Fire)

• In the event of a fire alarm, check the CDD
  fire annunciator panel located near elevator A on
  first floor.

13
Code F (Fire)

• If the annunciator panel does not indicate an
  alarm condition in your immediate area, resume
  normal activities, but remain alert for signs of
  smoke and fire.

14
Code F (Fire)

• If the annunciator panel indicates an alarm
  condition in your area, proceed to the area
  indicated and follow the RACE procedure
• Rescue /remove the patient
• Activate the fire alarm, pull the nearest pull
• station and dial 195 (outside UIHC dial 911)
• Confine the fire, close the door
• Evacuate patients if necessary extinguish
• the fire if possible to do so safely 

15
Code F (Fire)

• Patient Evacuation
• -Evacuate horizontally, if possible, through at
  least one set of smoke/fire doors.
• -If not possible to evacuate horizontally,
  evacuate vertically using fire safe stairwells
  (do not use elevators).
• -Evacuation routes are identified by the red
  exit lights.

16
Code F (Fire)

• Types of Fire Extinguishers
• Type A - Pressurized water in silver cylinders.
  Use on materials such as wood, paper, and cloth.
  Do not use on flammable liquids or electrical
  equipment.
• Type BC - Carbon dioxide (CO2) in red cylinder.
  Use on flammable liquids and electrical fires.
• Type ABC Multi-use dry chemical extinguisher in
  red cylinder, found primarily in equipment and
  mechanical rooms.

17
Code F (Fire) Fire extinguishers are
located throughout the Center for Disabilities
and Development. Learn the locations of
extinguishers closest to your work area(s).
Extinguish the fire with a fire extinguisher only
if you are confident you can do so safely.
18
Ergonomic Risk Factors

• WHAT IS ERGONOMICS?
• Ergonomics is the science of fitting the
  workplace conditions to the job demands of the
  worker.

19
Ergonomic Awareness
Risk Factors
Awkward Posture
Forceful Exertions
Repetitive Motions
Contact Stress
Static Loading
Vibration
20
Ergonomic Awareness

• Examples of Ergonomic Injuries
• -Back Disorders (most back injuries result from
  lifting patients or objects without adequate
  assistance)
• -Cumulative Trauma Disorders (CTD)
• -Carpal Tunnel Syndrome (CTS)
• -Tendonitis

21
Ergonomic Awareness

• Work Practice Controls
• Ergonomic risk factors can be minimized or
  eliminated by
• -Incorporating proper body mechanics and
• neutral postures and/or
• -Managing work time at a job task by using
• job rotation or breaks.
• - Using engineering controls (such as patient
  lift equipment).

22
Ergonomic Awareness

• Ergonomic Injuries
• Employees shall report all injuries including
  ergonomic injuries to their supervisor and
  complete the Workers CompensationFirst Report
  of Injury or Illness form. Additionally, the
  employee shall complete a UIHC Unusual Incident
  Accident / Staff, Visitor, and Equipment
  Report form.
•  

23
Ergonomic Awareness

• Questions?
• If you have a question or concern regarding The
  University of Iowas Ergonomics Program or any
  topic covered in this guide, contact David
  Hackbarth, Safety Engineer, Health Protection
  Office, at 335-9547 or e-mail david-hackbarth_at_uio
  wa.edu. End of Topic

24
Security and Emergency

• Combative Patients/Code Green
• A Code Green violent patient management team is
  available to respond to potentially violent
  patient situations. Any staff member may declare
  a Code Green by dialing 192 if out-of-control
  patients pose a threat. When calling the Code
  Green number
• - identify that you need the Code Green team
• - identify yourself
• - identify the unit, building and room number

25
Security and Emergency

• Disruptive, Hostile, Threatening Visitor, Family
  or Staff
• -Staff shall report incidents of violence
  directed at themselves, other staff, students or
  patients to their supervisor, Hospital Human
  Resources or Safety Security (dial 6-2658 or
  195 for emergencies). Safety Security will
  work with Hospital Administration and local law
  enforcement agencies to control these situations.
  

26
Security and Emergency

• Violent Occurrences
• - Be prepared to provide as much information as
  possible.
• - location
• - who is involved
• - what is happening
• - type of weapon, if any

27
Security and Emergency

• Possession of Deadly Weapons by Patients,
  Visitors, and Staff
• When it is known or suspected that a person is in
  possession of a weapon, contact Safety Security
  (195 for emergencies) for assistance.

28
Security and Emergency

• Bomb Threat
• - Remain calm.
• - Try to keep the caller on the line.
• - Pay attention to background noises and
  distinctive sounds
• - callers voice (ethnicity, level of
  education)
• - traffic or machine sounds, other voices.
• - Try to obtain information on location of bomb,
  time of detonation and type of detonator.
• - Call Safety and Security (195 for emergencies)
  as soon as possible.

29
Security and Emergency

• Missing Patients
• Call Safety Security (dial 6-2658 or 195 for
  emergency) for assistance in locating the
  patient. Also contact CDD Administration.

30
Security and Emergency

• Personal Safety
• - Notify Safety Security (dial 6-2658) to
  report activities involving harassing or obscene
  telephone calls or mail, threats, confrontations.
  
• - If you are working in an area by yourself
  during evenings, nights or weekend hours, notify
  another staff member or Safety Security.

31
Security and Emergency

• Avoid dark, isolated areas. Be aware of your
  surroundings and of other people who might
  approach you. Proceed to your destination
  quickly and confidently.
• Do not enter or remain in an elevator if
  individuals make you feel uncomfortable.
  Elevators at UIHC have a red button that when
  pressed will connect you with Safety and
  Security.

32
Security and Emergency

• Staff Escorts
• Staff concerned about their personal safety may
  request rides from UIHC to UI parking areas.
• - Weekdays 700 p.m. - 100 a.m., Driver is
  located at the main entrance.
• - Weekdays 100 a.m. dawn, Call Safety
  Security (6-2658).
• - Weekends 700 p.m. dawn, Call Safety
  Security (6-2658).
• End of
  Topic

33
Workplace Violence

• Domestic Violence Concerns
• It is not uncommon for domestic violence
  issues
• to be carried over into the workplace.
• Staff who have concerns about domestic violence
  should notify their supervisor and Safety and
  Security (6-2658). Such reports will remain
  confidential.
• Staff who are aware of domestic violence issues
  involving patients should report the information
  to their supervisor, CDD Social Services, and CDD
  Administration.

34
Workplace Violence Warning Signs

• Single characteristics do not serve as an
  indicator, but combinations of characteristics
  could indicate an increased likelihood of
  violence.
• Use of alcohol or drugs
• Expressing anger regularly in the workplace
• Loud and aggressive nature
• Change in mood
• Personal hardships
• Mental health issues
• Negative behavior
• Verbal threats
• History of violence

35
Workplace Violence Response

• In most cases it is best to avoid challenging
  the aggressive person. Try to show empathy and
  understanding.
• It is almost always better to let a person
  vent. Respond in a soft voice. This may cause
  the person to stop yelling in order to hear what
  you are saying.
• In some cases, setting acceptable limits with
  the individual may be effective, e.g., Im
  sorry, I cant talk to you when you are yelling
  at me please stop yelling so we can talk.

36
Workplace Violence Response

• Staff should be certain they are at least one
  body length away from an aggressive person.
  Position yourself so you can step back or exit
  the area quickly.
• Staff who are facing a potentially violent
  situation should attempt to leave and report the
  incident to their supervisor or Safety Security
  (195 for emergencies).

37
Reproductive Hazards

• A reproductive hazard is any biological,
  chemical, or physical stressor that has the
  potential to adversely affect the human
  reproductive process. These effects may occur
  through either parents reproductive cells, prior
  to conception or during the development of the
  fetus.

38
Reproductive Hazards

• Each year some 14 million workers are exposed to
  conditions that may impair their reproductive
  systems or unborn children. The University of
  Iowa Hospitals and Clinics is committed to a safe
  and healthy workplace, and reproductive health is
  one aspect of that program.

39
Reproductive Hazards

• The following table lists examples of some common
  reproductive hazards that you may encounter here
  at the hospital and in everyday life.
• This list is by no means exhaustive. You should
  consult your Departments Hazard Communication
  plan and review all chemical MSDSs that you work
  with for a complete listing.

40
Reproductive Hazards
Examples of Reproductive Hazards Found at Work
Hazard Risk
Infectious diseases such as CMV, measles, chicken pox, rubella, parvovirus etc. Impotence, Malformed fetuses, Miscarriages
Alcohol Malformed fetuses, Fetal alcohol syndrome
Formaldehyde Menstrual disorders, Reduced birth weight, Miscarriages
Ethylene oxide Decreased sperm count, Malformed fetuses, Miscarriages
Nitrous oxide Decreased fertility, Low birth weight, Miscarriages
Chemo therapy drugs Malformed fetuses, Miscarriages
Ribavirin Possible fetal malformations
Pentamidine Miscarriages, Malformed fetuses, Fetal death, Growth retardation
Radiation Chromosomal abnormality, Fetal death
41
Reproductive Hazards

• Employees shall report reproductive hazard
  concerns to their supervisor as soon as possible.
  
• If you have a question or concern regarding
  reproductive hazards, contact the University
  Employee Health Clinic at 356-3631 or the UIHC
  Safety Manager at 384-5208.
• End of Topic

42
Material Safety Data Sheet (MSDS) Information

• All staff have the right to know what hazards are
  present when working with chemicals.
• Each department shall maintain an inventory of
  all chemicals used in an area along with MSDSs
  for those chemicals. MSDSs will be available to
  all staff during work hours.
• In addition to the MSDS, other sources of
  information regarding chemicals in your work area
  include container labels and the INFORMM system

43
Material Safety Data Sheet

• The sections of an MSDS include
• Chemical Identity
• Hazardous Ingredients
• Physical and Chemical Characteristics
• Reactivity Data
• Fire and Explosion Data
• Health Hazards (including exposure hazards and
  symptoms)
• Precautions for Safe Handling and Use
• Control Measures (including spill clean up)

44
Material Safety Data Sheet

• READ LABELS! Labels will identify health and
  physical hazards. All hazardous product labels
  must include the name of the chemical, the nature
  of their hazards, and what precautions should be
  taken. If a secondary container is used, the
  name of the chemical and the hazards must be
  transferred to the new container. End
  of Topic

45
Hazardous Chemical Spill Response

• Before cleaning up a spill, staff need to know
  what chemicals are involved.
• Use the MSDS to find out what kind of precautions
  and procedures to take in cleaning up the spill.

46
Hazardous Chemical Spill Response

• Spills should be contained so that they do not
  get into drains and sewers.
• Report all hazardous chemical spills using a
  Staff/Equipment Unusual Incident Accident
  Report, Form 261.

47
Hazardous Chemical Spill Response

• Unmanageable Chemical Spill
• If any of the following conditions apply,
  immediately call Safety Security (195 for
  emergencies)
• - the chemical is unknown
• - there is an immediate danger to life or health
• - there is a combustible or explosive hazard
• - there is a threat to the environment
• - staff have no knowledge of the material
• or cleaning process

48
Disaster/Emergency Preparedness and Response

• Disaster Preparedness
• Every CDD staff member must be familiar with the
  role of their department within the CDD Disaster
  Plan.

49
Disaster/Emergency Preparedness Response

• Unless patient care duties or facility conditions
  dictate otherwise, report to your supervisor or
  CDD Administration for further instructions upon
  learning that a disaster response situation is in
  effect.

50
Disaster/Emergency Preparedness Response

• Staff responsible for patient care should
  continue their normal activities, but remain
  alert for further instructions and information.
  Be prepared to assist CDD patients, families and
  visitors to exit the facility.
•  

51
Disaster/EmergencyPreparedness Response

•   Do not leave your area of assignment until
  released by your supervisor or CDD
  Administration.
• When off duty, remain at home and await
  telephone, radio, or television notification
  before reporting to CDD or other areas of
  University of Iowa Hospitals and Clinics.

52
Disaster/EmergencyPreparedness Response

•   Refrain from using telephones, overhead public
  address system, paging system, or other
  communication systems except for reasons required
  for patient care obligations or priority
  activities related to the disaster.

53
Disaster and Emergency Preparedness Plans are
available at CDD in Administration, the
Environmental Services Office, the Healy Clinic
and on The Point under the Safety and Security
Department site.
54
Communications Systems Failures

• In case of telephone outage, grayback-up
  telephones will be activated. Locations and
  telephone numbers for gray back-up telephones are
  available in the UIHC Disaster and Emergency
  Preparedness Plan.

55
Communication Systems Failures

• Emergency outgoing calls shouldbe placed through
  the hospital operator by dialing 0.
• Public pay phones may or may not be operational
  during loss of UIHC Telephone System.
• Cell phones should not be used (or turned on) in
  close proximity (within 3 feet or less) to
  patient care equipment.

56
Communication Systems Failures

• If staff are unable to access the131 UIHC
  Paging System through gray backup phones,
  emergency paging requests should be directed to
  the UIHC operators by dialing "0." Emergency
  requests for overhead pages should also be
  directed to the operators.
• End of Topic

57
Tuberculosis Information

• Transmission of TB
• TB is transmitted by the airborne route. The
  organism, Mycobacterium tuberculosis, becomes
  airborne on droplet nuclei that are produced when
  a person with active disease talks, sings, coughs
  or sneezes.

58
Tuberculosis Information

• TB infection versus active disease
• A susceptible person becomes infected when they
  inhale droplet nuclei that contain M.
  tuberculosis. In most people who are infected,
  the immune system effectively contains the
  organism. The tuberculin skin test becomes
  positive, but the person has a normal chest x-ray
  and does not have symptoms. Therefore, this
  person is not contagious.

59
Tuberculosis Information

• About 10 of persons infected with M.
  tuberculosis will develop active disease. The
  interval between TB infection and active disease
  may be weeks or years. The person with active
  disease has an abnormal chest x-ray and develops
  symptoms. The person with active disease IS
  contagious, should be placed on airborne
  precautions and begin treatment.

60
Tuberculosis Information

• Symptoms of Active TB
• Symptoms include fever, weight loss, cough
  (lasting longer than 3 weeks) fatigue, night
  sweats, loss of appetite, and blood in the
  sputum.

61
Tuberculosis Information

• Work Practice Controls/ Personal Protective
  Equipment (PPE)
• - Identify patients or health care workers with
  active disease early.
• - Place patients with known or suspected active
  TB on airborne precautions and post sign.
• - Wear a TB mask when providing care to patients
  with known or suspected active TB.

62
Tuberculosis Information

• Tuberculin Skin Testing Program
• - Staff at UIHC have annual tuberculin skin test
  (TST) unless known to be TST positive.
• - Staff exposed to a patient with active TB
  should notify their supervisor and report to the
  University Employee Health Clinic (UEHC).
• End of Topic

63
Code Pink/Infant or Pediatric Abduction

• When Safety and Security is notified of an infant
  or pediatric abduction, telecommunications will
  initiate an overhead page announcement of a Code
  Pink and the age of the abducted infant or
  child.

64
Code Pink/Infant or Pediatric Abduction

• Once a Code Pink has been announced, all
  staff have the authority to question a person who
  is acting in a suspicious manner and request to
  inspect any bags. (It is not uncommon for
  abductors to place infants
• in duffel bags, gym bags or a backpacks.)

65
Code Pink/Infant or Pediatric Abduction

• Approach the suspicious person in a
  non-threatening manner, facing the person at a
  safe distance.
• Instruct the nearest coworker or bystander to
  immediately contact Safety and Security (dial
  195) for assistance.

66
Code Pink/Infant or Pediatric Abduction

• Speak using a calm, steady voice, explaining that
  the hospital is on alert for
• a possible infant abduction.
• Attempt to delay the person by keeping him or her
  in front of youeven walk backwards slowly if
  necessary.

67
Code Pink/Infant or Pediatric Abduction

• In the absence of a Code Pink announcement, staff
  who observe a suspicious/potential abduction
  situation should
• Advise Safety Security (dial 195) or request
  another staff member to do so.
• Try to keep the people under observation as long
  as possible.
• Note physical descriptions of those involved as
  well as vehicles and license plates.
• End of Topic

68
Accident and Emergency Response

• Code Blue
• Code Blue (dial 199) is activated
• when a person is in respiratory or
  cardiopulmonary arrest.

69
Accident and Emergency Response

• Report a Code Blue by dialing 199
• Access building paging system by dialing 858
• Announce Code Blue
• Give the floor and room numbers
• Repeat the announcement three times

70
Accident and Emergency Response

• Then dial 9-911 to request ambulance service
• Explain the emergency
• Direct the ambulance to go to the first-floor CDD
  main entrance.

71
Accident and Emergency Response

Dispatch runners to the third-floor courtyard
entrance to meet the Code Team and to the
first-floor main entrance to meet the ambulance.
72
Accident and Emergency Response

• A crash cart and defibrillator must be brought to
  the code blue location.
• A pediatric/adult crash cart is located on each
  floor in rooms 149, N220 and 337.

73
Bloodborne Pathogens

• Bloodborne Pathogen Exposures
• Exposures to blood and body fluids consist of
• Needle sticks or cuts from sharp instruments
  contaminated with blood or Other Potentially
  Infectious Material (OPIM).
• Contact of the eye, nose, mouth, or non-intact
  skin with blood or OPIM.
• Human bite that breaks the skin.

74
Bloodborne Pathogens

• If exposure occurs, wash and flush the affected
  area and report immediately to the University
  Employee Health Clinic (UEHC) from 730 a.m. -
  430 p.m. Monday thru Friday. After hours and
  weekends, report to the Emergency Treatment
  Center (ETC).
• Do not delay Prophylaxis if warranted, should
  be started as soon as possible after exposure.

75
Bloodborne Pathogens

• Standard Precautions
• Standard precautions are designed to reduce the
  risk of transmission of bloodborne pathogens and
  applies to ALL patients regardless of their
  diagnosis or presumed infection status.
• Contaminated surfaces need to be properly
  disinfected with a hospital-approved
  disinfectant. Disinfectant solutions need to
  remain on contaminated surfaces for a minimum of
  10 minutes to ensure disinfection. Hepatitis B
  virus has been demonstrated to survive in dried
  blood at room temperature on environmental
  surfaces for at least 1 week.

76
Bloodborne Pathogens

• Use of Safety Engineering Controls, Work Practice
  Controls and Personal Protective Equipment is
  Required. OSHA regulations as well as UIHC
  policies and procedures require that identified
  Engineered Safety Devices (such as sharps
  containers) Safe Work Practice Controls (such as
  hand hygiene) and Personal Protective Equipment
  (gloves, masks, gowns) be used by all staff. The
  use of these controls and devices is not
  optional.

77
Bloodborne Pathogens

• Blood and blood-tainted body fluids
• pose a risk for the transmission of HIV
• and Hepatitis. Signs and Symptoms
• HIV Incubation period is variable. Most HIV
  infected persons sero convert 6-12 weeks after
  exposure. Initially, flu-like symptoms may
  develop may also develop fatigue, fever and
  weight loss.
• Hepatitis B Incubation period is 30-180 days.
  30 of persons have no signs or symptoms. Slow
  onset (without symptoms in the majority of
  patients for the first 20 years after infected).
  Symptoms include loss of appetite, abdominal
  discomfort, nausea, vomiting, malaise.
• Hepatitis C Incubation varies range is 2 weeks
  to 6 months. 80 of persons infected have no
  sings or symptoms. Onset is slow. 10-25 of
  persons develop nonspecific or gastrointestinal
  symptoms or jaundice. Chronic infection develops
  in 75-85 of infected persons.

78
Bloodborne Pathogens

• Hepatitis B Vaccine
• The vaccine is available to any staff member free
  of charge through UEHC. Staff are encouraged to
  accept the vaccine, as it has been shown to be a
  safe and effective preventive measure. Staff
  will be asked to document whether they accept or
  decline the vaccine.

79
Bloodborne Pathogens

• Sharps Containers
• All needles and other sharps must be disposed of
  by placing into identified sharps containers. Do
  not recap used needles. If recapping is
  necessary, use a one-handed scooping method.
  Replace sharps containers when they are 2/3 to
  3/4 full.

80
Bloodborne Pathogens

• Regulated Waste
• Place all regulated waste (potentially
  infectious waste) in a red plastic bag or in a
  container with a biohazard label on the outside.
  Regulated waste containers that may leak must be
  placed in a secondary, leak-proof plastic bag or
  container that is either red in color or displays
  the biohazard symbol.

81
Bloodborne Pathogens

• Direct questions to the Program of Hospital
• Epidemiology at 6-1606.
• End of Topic

82
Medical Equipment Incidents

• In the event of a medical equipment
• Incident involving a patient
• Maintain patient life support.
• Isolate, impound, and label the device .
• and all associated disposable parts.
• Complete a UIHC Computerized Incident Report
  (CIR).
• Contact appropriate technical support.

83
Medical Equipment at CDD

• All electrical patient-care equipment
• used in CDD will be evaluated by
• the UIHC Bioengineering Department
• before use.

84
Standard Precautions

• Standard precautions (formerly knownas universal
  precautions) reduce the risk of transmission of
  microorganisms from both recognized and
  unrecognized sources of infection in hospitals
  and applies to all patients regardless of their
  diagnosis or presumed infections status.

85
Standard Precautions

• Standard precautions apply to
• Human blood
• Any body fluids (except sweat)
• Secretions, and excretions regardless of whether
  or not they contain visible blood
• Non-intact skin, (includes rashes and lesions)
• Mucous membranes
• Equipment or surfaces that may have come in
  contact with these substances

86
Standard Precautions

• Hand Hygiene
• Hand Washing should be performed
• - If hands are visibly dirty or contaminated
  with blood and/or body fluids or visibly soiled.
• - If exposure to spores is suspected or proven
• - Before eating and after using the restroom
• Hand Hygiene should be performed with an alcohol
  based hand rub (Avagard D) - Before having
  direct contact with patients
• - Before donning sterile gloves
• - After contact with a patients intact skin
• - After contact with body fluids or excretions,
  mucous membranes, non-intact skin and wound
  dressing.
• - If moving from a contaminated body site to a
  clean body site during patient care
• - After contact with inanimate objects
  (including equipment) in the immediate vicinity
  of the patient
• - After removing gloves

87
Standard Precautions

• Gloves
• - Wear gloves when touching blood, body fluids,
  secretions, excretions, non-intact skin and
  contaminated items.
• - Gloves should be removed after use, before
  touching another patient, before touching
  non-contaminated items and environmental
  surfaces.
• - Gloves should be changed between patients,
  between tasks and procedures on the same patient
  and after touching material that may contain high
  concentrations of microorganisms.
• - Perform hand hygiene immediately after
  removing gloves as hands can be contaminated.

88
Standard Precautions

• Mask, Eye Protection Face Shield
• - Wear mask and eye protection or a face shield
  to protect mucous membranes of the eyes, nose and
  mouth during procedures and activities that
  generate splashes, sprays, splatters, droplets or
  aerosols of blood or other potentially infectious
  material.

89
Standard Precautions

• Gown
• - Wear a non-sterile gown to protect skin and to
  prevent soiling of clothing during procedures and
  activities that generate splashes or sprays of
  blood or body fluids.
• - Remove a soiled gown as promptly as possible
  and wash hands to avoid transfer of
  microorganisms to other patients or environments.

90
Standard Precautions

• Patient Care Equipment
• - Handle used patient care equipment that
• has been soiled with blood, or body fluids, in a
  manner that prevents skin and mucous membrane
  exposures, or contamination of clothing.
• - Send reusable equipment to Central Sterilizing
  Services for processing or clean and disinfect
  with a hospital-approved disinfectant.
• -Discard single use items in designated
  receptacles.

91
Standard Precautions

• Linen
• - Bag and close linen at the point of generation.
• - Place soiled linen directly into white plastic
  bags.
• - Place linen that is dripping into a white
  plastic bag and then place the first bag into a
  second white plastic bag to contain the moisture.
• - Do not pre-rinse soiled items.

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Personal Protective Equipment

• Personal Protective Equipment (PPE) is
  specialized clothing or equipment worn by an
  employee for protection against infectious
  materials.
• Use of identified PPE is not optional and must be
  used by staff.

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Types of PPE Used in HealthcareSettings

• Gloves protect hands
• Gowns/aprons protect skin and/or clothing
• Masks and respirators protect mouth/nose/respirat
  ory track
• Goggles protect eyes
• Face shields protect face, mouth, nose, and
  eyes

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Sequence for Donning PPE

• Put on before contact with the patient, generally
  before entering the room in the following
  sequence
• Gown
• Mask or respirator
• Goggles or face shield
• Gloves
• Combination of PPE will affect sequence be
  practical

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Sequence for Removing PPE

• Remove and discard PPE carefully, in the
  following sequence, either at the doorway or
  immediately outside patient room
• Gloves
• Face shield or goggles
• Gown
• Mask or respirator (Remove respirator outside
  room, after door has been closed)

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Personal Protective Equipment Use

• Direct questions to the Program of Hospital
  Epidemiology at 6-1606.
• 
  
  
• End of Topic

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Resources

• Infection Control Manual
• Located on IPR Browser,
• UIHC Policies/Procedures on The Point,
• Manual located in CDD Administration Office

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Safety Manuals (large green notebooks) are
available for review on The Point under the
Safety and Security Department Site and at CDD in
the following locations Administration
Environmental Services
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Safety Reference Cards

• are located in each CDD office and are also
  available on The Point under the Safety and
  Security Department site and in and IPR under
• UIHC Policies and Procedures.

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If you have any questions regarding the safety
information covered in this program,
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contact your supervisor, or contact Judy
Stephenson, Judy-stephenson_at_uiowa.edu 221, CDD,
6-1452
101
End of Training ProgramTo view the Power
Point program and take the quiz through ICON
please follow these instructionsOpen ICON
courseware by clicking on the ICON on your
desktop (black circle outlined in green with a
green arrow pointing up) or go to
http//icon.uiowa.edu.After opening ICON, log
on using your HawkID and password.In the middle
of the screen locate the blue bar labeled My ICON
courses. If no courses are listed, click on
ongoing to expand the selection.Click on the
Center for Disabilities and Development course
selection. Under CDD Safety and Security, click
on View the CDD Safety and Security Training and
review the information on the Power Point
program. After viewing the program, return to
the Center for Disabilities and Development
course listing and click on Take the UIHC Safety
and Security quiz. Take the quiz, remembering to
click on save following each question and again
at the conclusion of the test to record your
answers and then press submit to electronically
record your test.After this final step you are
done for another year! Please contact Mary Irey,
Jessica Perry or myself if you have any questions
about these instructions.