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  1. personal protective equiptment
    • gowns
    • mask or respirator
    • goggles or face sheild
    • gloves
  2. std precations for MDRO's
    • wash hands after every patient
    • disinfect table at start of every shift and after every patient
    • pay attention to enviorment and patient
  3. when treating a known MDRO patient
    • -wear a gown and gloves (masks only with respitory symptoms). Remove and dispose of these before leaving isolation area.
    • -plan treatment in advance. Leave pens and chart outside, chart outside of treatment.
    • -if possible use disposable items
    • -foot pedal trash bin marked " contaminated waste" if unavailable use sharps container for small items and leave gowns in the room
  4. pcom exposure control plan blood spill (blood spill of any size)
    • -put on utility gloves
    • -absrob spill with absorbent material (paper towels)
    • -dispose of absorbent material , if dripping into red biohazard bag, place in biohazard waste container for offsite disposal if not dripping, normal trashcan
    • -change gloves if they become contaminated
    • -clean with soap to break down protein film dispose of materials used in trashcan
    • -disinfect the area
    • -disinfectant solution is absorbed and placed in trashcan
    • -clean and dry utility gloves after use in accepted disinfecctant 1:10 bleach solution
    • -rinse disinfectant off of gloves, allow to dry
  5. bleach solutions
    • muse be made up same day, used or discarded
    • -for routine disinfecting of smooth surfaces: 1:100 concentration
    • -for porous surfaces or organic material 1:10 for one hour
  6. pcom exposure control plan for broken glass
    • -utility gloves must be worn during clean up
    • -pick up with dustpan and brush or forceps (never manually)
    • -dispose of broken glass in sharps container or in another puncture resistant container, that is
    • clearly marked
    • labeled to indicate contents
    • -dispose of as biohazard
  7. pcom exposure control plan for unexpected event
    ex: lost needle, fire in trash can, a person throws up, pregnant women's water breaks
    • -contain the accident
    • -do not put yourselves or others at risk
    • -handle emergencies per emergency action plan
    • -prevent others from entering or tracking through area
    • -use forceps or other non-manual method to pick up sharps
    • -absorb wet accidents with absorbent material (spill kits available)
    • -if fumes present, ventilate room
    • -once accident contained, danger controlled, stop and think about next step
    • -notify supervisor or safety officer or dean of students who will make decision if other help is needed
    • -write up incident report or near miss ( if not injuries or property damage)
  8. pcom blood or body fluid and needlestick exposure protocol
    • -immediately clean and decontaminate affected area
    • (betadine or 10% provadone-iodine_
    • Time is Of the Essence (immediate medical attention within one hour of exposure)
    • -immediately call appropriate number
    • -immediately inform clinic supervisor, director of clinical services, or chair of dept of clinical practice
Card Set
osha clinical tech
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