Occupational Safety and Health Administration (OSHA)

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Occupational Safety and Health Administration
(OSHA)

• Standard and Universal Precautions

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OSHA

• Federal regulations related to infection control
  and asepsis were developed by the Department of
  Labors Occupational Safety and Health
  Administration (OSHA)
• These laws protect health-care workers from
  health hazards on the job, particularly from
  accidentally acquiring infections and health
  hazards patients and any other people who may
  come into the medical office

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The following must be discarded in a biohazardous
waste container

• blood products
• body fluids
• human tissues
• Vaccines
• table paper, linens, towels, and gauze with body
  fluids on them
• Used scalpels, needles, sutures with needles
  attached, and other sharp instruments
• Used gloves, disposable instruments, cotton
  swabs, and disposable applicators
• make reference to table 1-1 on pg. 19

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OSHA laws ensure

• That proper measures are taken to prevent
  infection
• Provide a margin of safety,
• Ensure that a medical facility meets at least the
  minimal criteria for asepsis
• These laws include requirements for training
  personnel, keeping records, housekeeping, wearing
  protective gear

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Universal Precautions

• OSHA requires medical professionals to follow
  specific universal blood and body fluid
  precautions as set forth by the Dept. Of Health
  and Human Services Centers for Disease Control
  and Prevention (CDC)

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Universal Precautions apply to

• Blood and blood products
• Human tissue
• Semen and vaginal secretions
• Saliva from dental procedures
• Cerebrospinal, synovial, pleural, peritoneal,
  pericardial and amniotic fluids, which bathe
  various internal structures in the body
• Other body fluids, if visibly contaminated with
  blood or of questionable origin in the body
• Breast milk (not on list) is generally treated
  as such because mother can pass HIV to baby

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Standard Precautions

• Hospitals now use Standard Precautions, which are
  a combination of Universal Precautions and rules
  to reduce the risk of disease transmission by
  means of moist body substances

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Standard Precautions apply to

• Blood
• All body fluids, secretions, and excretions
  except sweat
• Non-itact skin
• Mucous membranes

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Six Steps of Standard Precautions

• 1. Handwashing
• 2. Use of appropriate barrier techniques
• 3. Cleaning sanitizing
• 4. Proper disposal techniques
• 5. Not sharing personal items
• 6. Report exposures

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IMPORTANT to note

• Standard Precautions are used in hospitals
• Universal Precautions are used in medical offices

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OSHA divides tasks into 3 categories

• Category I tasks that expose a worker to blood,
  body fluids, or tissues or those that have a
  chance of spills or splashes. These tasks always
  require specific protective measures
• Category II minimal risk of exposure ex.
  administering nose drops (hand washing)
• Category III tasks that do not require any
  special protection (ex. talking to the patient)

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OSHA Procedures for Postprocedure Cleanup

• Decontaminate work surfaces with bleach
• Replace protective covering
• Decontaminate receptacles such as bins, pails and
  cans on a regular basis
• Pick up any broken glass with tongs (never use a
  vacuum to pick up broken glass)
• Discard all potentially infectious waste
  materials in appropriate biohazardous waste
  containers

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Other OSHA Requirements

• Vaccines free of charge (employee is permitted to
  decline the vaccination if he or she signs a form
  accepting all the conditions)
• Special requirements in place if worker infects
  patient

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As a healthcare worker your job is to EDUCATE
patients

• Hand washing
• Proper hygiene
• Use of tissues when coughing or sneezing
• Routinely use disinfectants for cleaning
• Eat nutritiously
• Keep up with vaccines
• Exercise and weight control
• Alcohol and drug use and abuse
• Stress reduction techniques

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This course will give you a foundation to become
whatever and whoever you want to be in the
healthcare field! Work hard and enjoy it! You
will be rewarded!

• http//www.youtube.com/watch?vc2iCWXyRb5g