CENTRAL SERVICE (CS) PROFESSIONALS REQUIRE SIGNIFICANT
|
|
- Madeline Andrews
- 5 years ago
- Views:
Transcription
1
2 by Rose Seavey, MBA, BS, RN, CNOR, CRCST, CSPDT President/CEO of Seavey Healthcare Consulting Safety in Handling Chemical Sterilants LEARNING OBJECTIVES 1. Describe how governmental regulating agencies promote safety practices in Central Service departments 2. Identify how following professional organization standards and guidelines can help decrease common hazards associated with the use of chemical sterilants 3. Discuss safety concerns applicable to chemical sterilants CENTRAL SERVICE (CS) PROFESSIONALS REQUIRE SIGNIFICANT knowledge about a wide range of disciplines and priorities, and none is more important than safety. While safety is everyone s responsibility, there are some areas in which nurses and technicians can control the risks, and where safety concerns for employees and patients must be especially emphasized. This lesson will address the role of governmental regulatory and professional associations in managing safety, and basic safety protocols for handling chemical sterilants and the most frequently-used chemical sterilant systems. OBJECTIVE 1: DESCRIBE HOW GOVERNMENTAL REGULATING AGENCIES PROMOTE SAFETY PRACTICES IN CENTRAL SERVICE DEPARTMENTS REGULATORY REQUIREMENTS Several U.S. governmental agencies have a direct regulatory impact on safety in the CS workplace. These include: U.S. Food and Drug Administration (FDA). The FDA regulates the manufacture of all medical devices and requires the pre-market clearance of new medical devices. The 1990 Safe Medical Devices Act requires healthcare facilities to follow user reporting protocols. 1 For example, facilities must report suspected medical device-related deaths to the FDA and manufacturers within 10 work days, and injuries must be reported to the manufacturers within 10 work days. The FDA also administers the MedWatch program, a voluntary system by which healthcare professionals can notify FDA about issues, including medical device malfunctions. MedWatch provides a vehicle by which healthcare professionals can notify the FDA about medical device malfunctions, including ineffective manufacturers instructions for use (IFU). 2 Forms to report either This series of self-study lessons on CS topics was developed by the International Association of Healthcare Central Service Materiel Management (IAHCSMM), and can be used toward CRCST re-certification or toward nursing credits. Pfeidler Enterprises and IAHCSMM both offer grading opportunities. Earn Continuing Education Credits Online: Nursing Credit: Pfiedler Enterprises will award nursing credit for this Self-Study Lesson Plan. Pfiedler Enterprises is a provider approved by the California Board of Registered Nursing, Provider Number CEP 14944, for 1 contact hour. Obtaining full credit for this offering depends upon attendance, regardless of circumstances, from beginning to end. Licensees must provide their license numbers for record keeping purposes. The certificate of course completion issued at the conclusion of this course must be retained in the participant s records for at least four (4) years as proof of attendance. In order to receive credit you must go to and complete the test, evaluation and registration forms. Once completed, you will be directed to print your certificate of completion. Scoring: IAHCSMM will award credit for this Self- Study Lesson Plan toward the renewal of a CRCST certification. To receive IAHCSMM credit, please visit for online grading (nominal fees will apply). Each online quiz with a passing score of 70% or higher is worth two points (2 contact hours) toward CRCST re-certification of 12 CEs. For more information: For questions or problems about Nursing Credits available for this lesson plan, please contact tonia@pfiedlerenterprises.com. For questions about IAHCSMM Credit available for this lesson plan, please contact us at or mailbox@iahcsmm.org. SEPTEMBER / OCTOBER 2017 Communiqué 47
3 voluntary or mandatory device issues may be obtained from the FDA website at: The FDA s role in patient safety is comprehensive. It regulates the sterilants and high-level disinfectants used to process medical devices and enforces medical device recalls when a device is defective and/or poses a health risk. Additionally, the FDA is very concerned about the improper processing of medical devices. It has established requirements for manufacturers as they develop reprocessing instructions for reusable medical devices and other products, and it has released requirements applicable to the reuse of single-use devices. The above programs both regulate the use of chemical sterilants and provide a means to report concerns regarding the use of these products. Environmental Protection Agency (EPA). The EPA regulates chemical disinfectants and sterilants used in CS, and the agency has issued directives for handling medical waste. It also administers the 1990 Clean Air Act and amendments that address standards for the use of ethylene oxide (EtO). Some state EPA offices have issued laws regarding drain discharge which regulates what can and cannot be discarded via the sewer system. Glutaraldehyde is one of the chemicals regulated in some states. Occupational Safety and Health Administration (OSHA). The primary purpose of OSHA is to protect workers from job-related illnesses and injuries. The Occupational Safety and Health Act administered by OSHA requires employers, including healthcare facilities, to provide employees with a place of employment that is free from recognized hazards that cause, or are likely to cause, injury or death. OSHA also has issued numerous requirements about healthcare safety concerns in general work areas. Its personnel conduct announced and unannounced facility inspections and can levy significant penalties for applicable safety violations. OSHA regulations of special concern to CS professionals relate to guidelines for the use of EtO, bloodborne pathogens (disease-causing microorganisms), and Safety Data Sheets (SDSs). OSHA has issued rules for exposure levels for many chemicals that may be hazardous to humans. Chemical sterilants have each been assigned specific exposure levels, the most stringent of these is EtO and glutaraldehyde. OSHA also enforces the use of personal protective equipment (PPE) requirements for CS workers. Centers for Disease Control and Prevention (CDC). The CDC promotes health and quality of life by preventing and controlling disease, injury, disability and by responding to health emergencies. CDC guidelines are written as voluntary guidelines; however, some of their guidelines have been written into law by other federal agencies making those guidelines regulatory. Many CDC guidelines are incorporated into instrument processing protocols, including those for medical devices that are or may have been exposed to prions (an infectious protein particle that causes Creutzfeldt-Jakob Disease). The CDC creates and releases educational information that is helpful toward the prevention of diseases including several posters and power point presentations displaying the proper way to don (put on) and doff (remove) PPE. This free information can be downloaded from and hai/pdfs/ppe/ppe-sequence.pdf. The aforementioned agencies create and enforce guidelines and laws that mandate compliance with their guidelines. State and/or local safety requirements are additionally applicable to healthcare facilities. Failure to comply with these regulations may result in fines and negative media attention for the facility. Also, if conditions exist that are out of compliance, accidents with resulting injuries are more likely to occur. OBJECTIVE 2: IDENTIFY HOW FOLLOWING PROFESSIONAL ORGANIZATION STANDARDS AND GUIDELINES CAN HELP TO DECREASE COMMON HAZARDS ASSOCIATED WITH THE USE OF CHEMICAL STERILANTS Guidelines from voluntary standards organizations also impact CS safety procedures. While not required by law, some of these standards have been written into law by federal and state agencies. Facilities should follow these best practice guidelines and recommendations as if they were legally required to do so. These organizations have a significant impact on how things are done, and some of their guidelines directly relate to safety. Examples include: Association for the Advancement of Medical Instrumentation (AAMI). AAMI Working Groups, under the auspices of the AAMI Sterilization Standards Committees, develop recommended practices and standards that consider the use, care and processing of devices and systems. Standards committees also write standards for manufacturers that recommend the labeling, safety and performance requirements for the products they produce. AAMI documents contains a wide range of safety-related recommendations. Examples include those related to patient safety; decontamination; safe storage handling; disposal of 48 Communiqué SEPTEMBER / OCTOBER
4 NURSING LESSON PLAN contaminated and chemical agents; engineering controls; appropriate labeling; and responsibilities of employers and staff. Safety information about product recalls, chemical and thermal disinfection, and exposure to bloodborne pathogens are also addressed in the AAMI publications. 3, 4, 5, 6 Some examples include:» ST79 Comprehensive guide to steam sterilization and sterility assurance in health care facilities» ST58 Chemical sterilization and high-level disinfection in health care facilities» ANSST41 Ethylene oxide sterilization in health care facilities: Safety and effectiveness» ST91 Flexible and semi-rigid endoscope processing in health care facilities Healthcare accrediting organizations. Organizations such as the Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (TJC) develop standards that are evaluated for implementation by teams of surveyors. Surveyors usually arrive at facilities unannounced and spend several days studying almost every aspect of care within that facility. Their focus is on quality, safety and process improvement. CS professionals must understand and cooperate with their facility s procedures to comply with CMS and TJC requirements, including those relating to all safety standards and especially those that are specific to the CS. They must also attend mandatory inservice training sessions, some of which are directed at safety practices. OBJECTIVE 3: DISCUSS SAFETY CONCERNS APPLICABLE TO CHEMICAL STERILANTS Two safety concerns apply to all chemical sterilants. 7, 8 First, to avoid risks to patients, toxic (poisonous) sterilant residuals cannot be left on packaging or devices after sterilization is completed. Second, providing a safe environment to protect employees. Recommendations of sterilizing equipment and chemical sterilant manufacturers should always be followed to minimize safety risks. In addition, special concerns are applicable to commonly used sterilants: EtO, hydrogen peroxide, ozone and glutaraldehyde. ETHYLENE OXIDE EtO sterilizers should be located in well-ventilated areas, with a room air exchange rate of at least 10 exchanges per hour. Ventilation systems and exhaust lines, including floor drains, should be routinely checked by qualified personnel. To prevent potential health hazards to workers, OSHA has established exposure limits for EtO. Facilities are required to implement engineering controls, including ventilation systems, establish procedures for safe work practices, provide PPE and use other methods to ensure that occupational exposure limits are not exceeded. A permissible exposure limit (PEL) is the average concentration of a chemical in the air to which a worker can be exposed over a specific time period (usually eight hours). The PEL for EtO is 1 part per million (ppm) in air as an eighthour time-weighted average (TWA). A short-term exposure limit (STEL) is the maximum concentration of an airborne chemical to which a worker may be exposed over a 15-minute period. OSHA has adopted a STEL for EtO of 5 ppm. A facility may need to implement a medical surveillance program and develop a written plan to reduce employee exposure at or below the PEL, if exposure levels are exceeded. When the STEL is exceeded, a written plan must be developed to define actions to reduce exposure. Employers must determine employee exposure to EtO using breathing zone air samples representative of 15-minute STEL or the 8-hour TWA exposure levels. Personnel monitoring typically involves the use of devices affixed directly to the employee s clothing in the breathing zone (within one foot of a person s nose); however, one limitation is that results are not available until after the actual sampling period. Therefore, OSHA requires that facilities use a process, such as an air monitoring system, to immediately alert employees of an emergency. These devices provide real-time, continuous monitoring of airborne EtO and can quickly detect emergency situations, such as leaks, spills or ventilation system failures. Area monitors may not provide reliable breathing zone measurements, however, and they may not be appropriate for STEL or TWA data. To comply with OSHA regulations, the employer must inform all affected employees about the results of personnel monitoring results. Today s EtO sterilizers, used in healthcare facilities, operate under negative pressure, so the likelihood of an exposure is greatly reduced. Still, in the event of an incident, direct contact with the liquid or inhalation of the vapor can cause burning of one s eyes, a burning sensation in the throat, and skin redness and irritation. To minimize the safety risks associated with the use of EtO, employees should be instructed about: Hazards of EtO; Sterilizer manufacturer and EtO supplier IFU; Storage and handling of EtO gas cartridges; Procedures to reduce employee exposure; Use of PPE; Principles of EtO monitoring and interpretation of results; Handling canceled cycles; Applicable OSHA standards; SEPTEMBER / OCTOBER 2017 Communiqué 49
5 Figure 2: EtO canisters should be stored in a cabinet specifically designed for this purpose. Applicable Safety Data Sheets; and EtO emergency plans. HYDROGEN PEROXIDE Several types of low-temperature systems use hydrogen peroxide (H2O2) as the sterilant. H2O2 sterilization can be in the form of a gas plasma, vaporized or used with ozone. H2O2 can be irritating to the eyes, nose, throat and lungs; however, a number of safeguards built into the sterilizers are designed to minimize the likelihood of personnel contacting hydrogen peroxide in either liquid or vapor phase. To minimize the likelihood of exposure to H2O2 when removing items from a canceled cycle, technicians should always wear latex, vinyl (PVC) or nitrile gloves. As with any chemical used for sterilization, healthcare workers should consult the SDS and follow all manufacture recommendations and departmental procedures. To minimize hydrogen peroxide risks, employees should be instructed about: Hazards of hydrogen peroxide; Storage, handling and disposal of hydrogen peroxide cassettes; Handling canceled cycles; Applicable OSHA standards; The use of PPE; Applicable SDSs; and Recommendations for routine maintenance of sterilization equipment. OZONE Today, in the U.S., ozone (O3)is used in conjunction with one of the H2O2 sterilization systems. O3 sterilizers were previously sold in the U.S. until the H2O2/O3 technology became available. Whichever system is used, O3 is generated within the equipment and the sterilizer design limits the risk of exposure of personnel. O3 passes through a catalyst that converts it back to oxygen before being exhausted into the room. Since the O3 gas is created in an enclosed generator within the unit, there is no handling of the sterilant. The O3 sterilizer has builtin features that protect the user from exposure to high O3 concentrations; however, all chemicals used for lowtemperature sterilization are toxic, so compliance with the manufacturers safety and other recommendations is always necessary. To minimize O3 risks, employees should be instructed about: Hazards of O3; Handling cancelled loads; Applicable SDSs; and Applicable OSHA standards. CONCLUSION Education and written plans for dealing with any potential exposure to sterilization chemicals is required. Experienced nurses and technicians must pay constant attention to the safety risks inherent in their work because doing so is critical for their own safety and that of other employees and patients. REFERENCES 1. U.S. Congress. H.R.3095 Safe medical devices act of gov/bill/ 101st-congress/house-bill/3095. Accessed June 8, U.S. Food and Drug Administration. MedWatch: The FDA safety information and adverse event reporting program. fda.gov/safety/medwatch/default.htm. Accessed June 8, ANSI/AAMI ST79:2010 & A1:2010 & A2:2011 & A3:2012 & A4:2013, Comprehensive guide to steam sterilization and sterility assurance in health care facilities, 4. ANSI/AAMI ST58:2013, Chemical sterilization and high-level disinfection in health care facilities. 5. ANSI/AAMI ST41:2008/(R)2012, Ethylene oxide sterilization in health care facilites: Safety and effectiveness. 6. ST91 Flexible and semi-rigid endoscope processing in health care facilites. ANSI/AAMI ST91: AAMI TIR67:2014, Promoting safe practices pertaining to the use of sterilant and high-level disinfectant chemicals in healthcare facilities. 8. Association for the Advancement of Medical Instrumentation. Personnel Safety in Sterile Processing Departments Video. Available at: ProductDetail.aspx?ItemNumber=2726. Accessed 12/21/2016. This lesson was adapted from: IAHCSMM Central Service Technical Manual,Eighth Edition (2016), and Managing Safety Hazards in Central Service, Module 6, in EXX CELL 2000 Plus: Strategies for Success (2000). 50 Communiqué SEPTEMBER / OCTOBER
CENTRAL SERVICE (CS) TECHNICIANS PERFORM MANY IMPORTANT
by Rose Seavey, MBA, BS, RN, CNOR, CRCST, CSPDT President/CEO of Seavey Healthcare Consulting LEGAL ISSUES: Regulations That Protect the Healthcare Worker and Their Patients LEARNING OBJECTIVES 1. Identify
More informationCENTRAL SERVICE (CS) PERSONNEL AND THEIR HEALTHCARE
by Rose Seavey, MBA, BS, RN, CNOR, CRCST, CSPDT President/CEO of Seavey Healthcare Consulting Quality Management in Central Service Using a Systematic Approach LEARNING OBJECTIVES 1. Define the terms quality
More informationLegal Implications Recommended Practices
Legal Implications of Standards and Recommended Practices for CS Departments by Rose Seavey, MBA, BS, RN, CNOR, CRCST, CSPDT Learning Objectives 1. describe applicable terms and how they apply to the CS
More informationPROCESS IMPROVEMENT AND ENHANCED QUALITY CARE ARE THE
by Rose Seavey, MBA, BS, RN, CNOR, CRCST, CSPDT President/CEO of Seavey Healthcare Consulting Accreditation Surveys Focus on CS LEARNING OBJECTIVES 1. Explain the importance of a successful accreditation
More informationFormaldehyde Exposure Control Policy
Formaldehyde Exposure Control Policy POLICY AND PROCEDURES FOR WORKING WITH FORMALDEHYDE Policy: It is Columbia University (CU) policy to maintain formaldehyde exposure below the action level (AL) 0.5
More informationThis course presents the applications of sterile processing theory in the clinical setting.
COURSE INFORMATION Course Prefix/Number: SUR 125 Course Title: Sterile Processing Practicum (Central Service Technician) Lecture Hours/Week: 3.0 Lab Hours/Week: 6.0 Credit Hours/Semester: 5.0 VA Statement/Distance
More informationFormaldehyde Exposure Control Plan
A. Purpose To maintain formaldehyde exposure below the limits established by the Occupational Safety and Health Administration s (OSHA) Formaldehyde Standard 29 CFR 1910.1048. These limits are the Action
More informationEVEN THOUGH THE ACCREDITATION PROCESS HAS BEEN IN PLACE
CIS Self-Study Lesson Plan Lesson No. CIS 263 (Instrument Continuing Education - ICE) Sponsored by: by Christina Poston, CRCST, CIS, CHL, BA ED and Gwendolyn Byrd, CRST, CHL CIS, CFER, GTS Preparing for
More informationOf Critical Importance: Infection Prevention Strategies for Environmental Management of the CSSD. Study Points
Of Critical Importance: Infection Prevention Strategies for Environmental Management of the CSSD I. Introduction Study Points Management of the CSSD environment is vital to preventing surgical site infections.
More informationHAVING THE CORRECT KNOWLEDGE TO ASK THE RIGHT
Lesson No. CHL 360 (Supervisory Continuing Education - SCE) Sponsored by: by Richard Schule, BS, MBA, FAST, CST, FCS, CRCST, CHMMC, CIS, CHL, AGTS Director of Clinical Education, STERIS Corporation Implementing
More informationFormaldehyde Program. For Compliance with Federal and State Regulated Carcinogen Regulations
Formaldehyde Program For Compliance with Federal and State Regulated Carcinogen Regulations Approved by Safety Committee April 20, 2017 Table of Contents PURPOSE... 1 AUTHORITY CITATIONS... 1 DEFINITIONS...
More informationINSTRUMENT CLEANING HAS BECOME A TOPIC OF INTEREST IN
Lesson No. CRCST 150 (Technical Continuing Education - TCE) Sponsored by: by Gwendolyn Byrd, CHL, CIS, CRCST CPD Educator, Children s Hospital of Philadelphia Christina Parson, CHL, CIS, CRCST SP Manager,
More informationCMS REQUIREMENTS: ESSENTIAL ELEMENTS FOR ASCS
CMS REQUIREMENTS: ESSENTIAL ELEMENTS FOR ASCS Luci Perri, RN, MSN, MPH, CIC, FAPIC Infection Control results OBJECTIVES Identify three areas frequently cited by surveyors State how to avoid two common
More informationCENTRAL SERVICE (CS) IS A VITAL DEPARTMENT IN ANY HOSPITAL
CRCST Self-Study Lesson Plan Lesson No. CRCST 158 (Technical Continuing Education - TCE) by Jon Wood, BAAS, IAHCSMM Clinical Educator Sponsored by: Understanding and Preventing Cross Contamination LEARNING
More informationOak Grove School District Respiratory Protection Program
Oak Grove School District Respiratory Protection Program District Policy The purpose of this notice is to inform you that Oak Grove School District is complying with the OSHA Respiratory protection Standard,
More informationSterile Processing: Preparing for Accreditation Surveys. Monday, March 4, 2013, 8-9am & 9:30-10:30am
SESSION TITLE: SPEAKER NAME: SESSION NUMBER: DATE/TIME: CONTACT HOURS: Sterile Processing: Preparing for Accreditation Surveys Rose E. Seavey, MBA, BS, RN, CNOR, CRCST 9015 & 9106R Monday, March 4, 2013,
More informationCHEMICAL HYGIENE PLAN
CHEMICAL HYGIENE PLAN The SDSU Laboratory Chemical Safety Program for Compliance with 29 CFR 1910.1450 and 8 CCR 5191: Occupational Exposure to Hazardous Chemical in Laboratories Prepared by San Diego
More informationNJ Dept of Health Central Service Standards SUBCHAPTER 8. CENTRAL SERVICE. 8:43G-8.1 Central service policies and procedures
NJ Dept of Health Central Service Standards SUBCHAPTER 8. CENTRAL SERVICE 8:43G-8.1 Central service policies and procedures (a) The hospital's central service shall have written policies and procedures
More informationAllied institute of professional Studies N. Broadway. #340. Chicago, IL Page 1
Allied Institute of Professional Studies Course Catalog for 2017-2018 Allied Institute of Professional Studies 4554 North Broadway Street Suite: 340 Chicago, IL 60640 (773) 961-8150 / (773) 709-4228 Effective
More informationSterile Processing in Healthcare Facilities
Advancing Safety in Health Technology Sterile Processing in Healthcare Facilities PREVIEW COPY Preparing for Accreditation Surveys, 3rd Edition Rose Seavey Sterile Processing in Healthcare Facilities PREVIEW
More information3M Sterile U Sterilization Assurance Continuing Education
3M Sterile U Sterilization Assurance Continuing Education Take the Lead in Infection Prevention What to Look For in Your Sterile Processing/Central Sterile Supply (SP/CSSD) Department Martha Young, BS,
More informationMANY ORGANIZATIONS ARE TAKING A CLOSER LOOK AT THE
Lesson No. CRCST 161 (Technical Continuing Education - TCE) Sponsored by: by Jean Ludwig, MS, RN, CRCST, CCRN SPS Educator and Nursing Service Orientation Coordinator VA Maryland Health Care System Tools
More informationChallenges in the US Approach to Disinfection and Sterilization
Challenges in the US Approach to Disinfection and Sterilization Lisa Huber, BA, CRCST, FCS Sterile Processing Manager Anderson Hospital IAHCSMM President Objectives Discuss the challenges of communication
More information[Type here] RESPIRATORY PROTECTION PROGRAM
[Type here] RESPIRATORY PROTECTION PROGRAM 1 March 7, 2017 TABLE OF CONTENTS Section Title Page 1. Scope... 1 2. Program Administration and Responsibilities... 1 3. Immediately Dangerous to Life and Health
More informationCharles Hughes. Instrument Reprocessing Update: What s New?
1 Instrument Reprocessing Update: What s New? 2 Objectives Upon completion, participants will be able to... 1. Explain various national accreditation organizations along with their new survey methods,
More informationPersonal Protective Equipment Program. Risk Management Services
Personal Protective Equipment Program Services Table of Contents I. Program Goals and Objectives... 2 II. Scope and Application... 2 III. Responsibilities... 2 IV. Procedures... 3 V. Training... 5 VI.
More informationControl of Substances Hazardous to Health (COSHH) Procedure
Control of Substances Hazardous to Health (COSHH) Procedure Objective The purpose of this procedure is: To ensure that the necessary use of substances hazardous to health is safe and controlled. To ensure
More informationRESPIRATORY PROTECTION PROGRAM
RESPIRATORY PROTECTION PROGRAM 1.0 PURPOSE The purpose of this Respiratory Protection Program is to protect respirator users at California State University East Bay from breathing harmful airborne contaminants
More information3M Sterile U Network 3M Sterile U Web Meeting January 16, 2014
3M Sterile U Network 3M Sterile U Web Meeting January 16, 2014 Today s meeting times: 9:00 a.m., 11:00 a.m. and 1:00 p.m. CST To hear audio, call 800-937-0042 and enter access code 7333633 Phone lines
More informationPart I AAMI ST79 Recommended Practice
Infection Prevention Division Attest Sterile U Network Part I AAMI ST79 Recommended Practice June 9, 2011 Welcome! Topic: Part I AAMI ST79 Recommended Practice Facilitator: Jamie Meilahn, 3M Marketing
More informationLaboratory Safety Chemical Hygiene Plan (CHP)
Laboratory Safety Chemical Hygiene Plan (CHP) The Occupational Safety and Health Administration s (OSHA) Occupational Exposure to Hazardous Chemicals in Laboratories standard (29 CFR 1910.1450), referred
More informationi. Identifying work areas, processes or tasks that require workers to wear respirators, and evaluating hazards.
St. Norbert College RESPIRATORY PROTECTION POLICY (29 CFR 1910.134) 1. INTRODUCTION - The purpose of this respiratory policy is to establish standard operating procedures to ensure the protection of all
More informationGuidance for the Selection and Use of Personal Protective Equipment (PPE) in Healthcare Settings
Guidance for the Selection and Use of Personal Protective Equipment (PPE) in Healthcare Settings : Program Goal Improve personnel safety in the healthcare environment through appropriate use of PPE. :
More informationRespiratory Protection
Respiratory Protection Program ENVIRONMENTAL HEALTH & SAFETY pg. 1 Table of Contents A. Introduction...3 B. Scope...3 C. Responsibilities...3 1. Department - Chair/Director...3 2. Environmental Health
More informationOH&ESD. Technical Data Bulletin
3 Technical Data Bulletin OH&ESD #160 Reusable Respirator Facepieces and Powered Air Purifying Respirator Systems (PAPRs) in the Health Care Environment: Considerations for Use Published: August, 2003
More informationCRCST Self-Study Lesson Plan Lesson No. CRCST 136 (Technical Continuing Education - TCE)
Lesson No. CRCST 136 (Technical Continuing Education - TCE) Sponsored by: by Susan Klacik, ACE, BS, CIS, CRCST, FCS CSS Manager, St. Elizabeth Health Center, Youngstown, OH The Flash Dance is Over! IUSS
More informationHEALTHCARE FACILITIES ARE FACING INCREASING PRESSURE
CIS Self-Study Lesson Plan Lesson No. CIS 253 (Instrument Continuing Education - ICE) by Lisa Huber, BA, CRCST, FCS, ACE Sterile Processing Manager Sponsored by: Anderson Hospital Maryville, Ill. SURFACE
More informationTEMPLE UNIVERSITY ENVIRONMENTAL HEALTH AND RADIATION SAFETY
Page 1 of 12 ISSUED: 6/94 REVISED: 06/07 Introduction: Purpose The purpose of this program is to ensure the protection of all employees from respiratory hazards through the proper use of respirators. Respirators
More informationTHE BEGINNING OF THE END OF THE FLASH DANCE, WHICH
Lesson No. CRCST 136 (Technical Continuing Education - TCE) Sponsored by: by Susan Klacik, ACE, BS, CIS, CRCST, FCS CSS Manager, St. Elizabeth Health Center, Youngstown, OH THE FLASH DANCE IS OVER! IUSS
More information2016 Sterilization Standards Update
2016 Sterilization Standards Update Susan Klacik BS, CRCST, CIS, FCS IAHCSMM Representative to AAMI Thank you to Onesourcedocs for your sponsorship Objectives Discuss the FDA Panel on Gastroenterology
More informationAmbulatory Surgical Center (ASC) INFECTION CONTROL SURVEYOR WORKSHEET
Ambulatory Surgical Center (ASC) INFECTION CONTROL SURVEYOR WORKSHEET Name of State Agency or AO (please print at right): HFAP Instructions: The following is a list of items that must be assessed during
More information12/02/2016. It's Survey Time! Preparing for TJC or CMS Accreditation Survey. Welcome! House Keeping. From the GoToWebinar page:
SM 3M Health Care Academy It's Survey Time! Preparing for TJC or CMS Accreditation Survey February 18, 2016 Welcome! Topic: It's Survey Time! Preparing for TJC or CMS Accreditation Survey Facilitators:
More informationUniversity of Arkansas for Medical Sciences. Part III - Hazardous Materials and Waste Management Plan FY18
University of Arkansas for Medical Sciences Part III - Hazardous Materials and Waste Management Plan FY18 I. MISSION STATEMENT The purpose of the Hazardous Materials and Waste Management Plan is to identify
More informationAdministration OCCUPATIONAL HEALTH AND SAFETY
ACCREDITATION STANDA RDS OCCUPATIONAL HEALTH AND SAFETY The accreditation standards relating to occupational health and safety include those most critical to staff safety in the non-hospital setting; however,
More informationRespiratory Protection Program
Respiratory Protection Program Revised 7/1/2010 Marquette University Effective: 5/21/06 Respiratory Protection Program Updated: 07/21/10 Revision No. 1 l. OBJECTIVE The Marquette University Respiratory
More information9/14/2017. Best Practices in Instrument Cleaning. Objectives. Healthcare-associated Infections
in Instrument Cleaning Crit Fisher, CST, FAST Director, Field Operations Protection1 Services Karl Storz Endoscopy-America, Inc. Objectives Discuss regulations, standards and guidelines of equipment management
More informationSuperior Office Safety. Continuing Education Provider # 4967 Approved by the Dental Board of California. CDA Recommended Speaker s Bureau
Superior Office Safety Continuing Education Provider # 4967 Approved by the CDA Recommended Speaker s Bureau Federal & CAL/OSHA Authorized Trainer Diane Arns, BS, holds a Bachelor s Degree in International
More informationUniversity of Chattanooga Respiratory Protection Program. Areas Affected: Employees whose duties require the use of a respirator
University of Tennessee @ Chattanooga Respiratory Protection Program OSHA Standard 29 CFR 1910.134 Effective date: 3/1/2012 Areas Affected: Employees whose duties require the use of a respirator Introduction:
More informationObservations will be made of the storage. knowledge of the hazardous materials. labeling the container to the use of. containers (which may range from
PHYSICAL ENVIRONMENT STANDARD / ELEMENT EXPLANATION SCORING PROCEDURE SCORE 11.05.06 Hazardous Materials - Routine Monitoring. Monitoring of hazardous materials and wastes is conducted to reduce the exposure
More informationRespiratory Protection Program
Respiratory Protection Program Office of Environmental Health and Safety Revised July, 2012 Cleveland State University Respiratory Protection Program 1 Cleveland State University Respiratory Protection
More information1. Describe the role of the Sterile Processing Department (SPD) within an organizational structure.
LEARNING OBJECTIVES: Sterile Processing University, LLC Module 1: Roles and Responsibilities Part I [Technician] Copyright Sterile Processing University, LLC 2016 All Rights Reserved. This material may
More informationRespiratory Protection Plan
Respiratory Protection Plan Contents: Sample Respiratory Protection Plan Introduction... ii Plan Cover Sheet... 1 Policy... 2 Responsibility... 2 Plan Elements... 3 Organizational Responsibility Chart...
More informationRMM # 500 Title: Designated Substances Control Program Approved: Karen Belaire Vice President, Administration
McMaster University Risk Management Manual Submitted: Risk Management Support Group RMM # 500 Title: Designated Substances Control Program Approved: Karen Belaire Vice President, Administration Date: July
More informationWorksheet: Friend, Foe or Both?
Medicare s ASC Infection Control Worksheet: Friend, Foe or Both? Tammeria Tyler, RN CIC Infection Preventionist Learning Objectives To understand outlined Conditions for Coverage in the ASC Infection Control
More informationLaboratory Chemical Hygiene Plan Research Lab
Laboratory Chemical Hygiene Plan Research Lab A chemical hygiene plan is a written program developed to establish procedures, protective equipment requirements and standard work practices that promote
More informationHealth And Safety Instructions On Cleaning >>>CLICK HERE<<<
Health And Safety Instructions On Cleaning Materials At Home Identify the risks involved with window cleaning, choose the right access equipment to do the job. Vaccine Safety Guidelines for Flu Vaccination
More informationEAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY
EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Department: Family Practice Dental Clinic Date Originated: 05-31-2006 Date Reviewed: 06-21-2006 Date Approved: Page 1 of 7 Approved by: Department Chairman
More informationLaboratory Chemical Hygiene Plan -- Teaching Lab
Laboratory Chemical Hygiene Plan -- Teaching Lab A chemical hygiene plan is a written program developed to establish procedures, protective equipment requirements and standard work practices that promote
More informationWestern Michigan University. Respiratory Protection Safety Policy
Western Michigan University Respiratory Protection Safety Policy I. Purpose: The purpose of Western Michigan University s Respiratory Protection Safety Program is to enhance the protection of employee
More informationRespiratory Protection Safety Program
Purpose Document location: P:\ASDAEH\^Risk Management^\Respiratory Safety The purpose of Florida Gulf Coast University s is to enhance the protection of employee health by ensuring proper training, selecting
More informationSafety in the Pharmacy
Safety in the Pharmacy Course Practicum in Health Science - Pharmacology Unit I Preparation for Practicum Essential Question Why is safety in the pharmacy important not only to the patient, but the pharmacy
More informationAustralian/New Zealand Standard
AS/NZS 4815:2001 AS/NZS 4815 Australian/New Zealand Standard Office-based health care facilities not involved in complex patient procedures and processes Cleaning, disinfecting and sterilizing reusable
More informationINFECTION PREVENTION & CONTROL, INCLUDING PROCESSING ITEMS FOR REUSE, IN GENERAL PRACTICE
INFECTION PREVENTION & CONTROL, INCLUDING PROCESSING ITEMS FOR REUSE, IN GENERAL PRACTICE Rose Griffiths May 2016 Rose.griffiths1@gmail.com M 0425 736 817 Ref: RACGP Infection Prevention and Control Standards
More informationRESPIRATORY PROTECTION
RESPIRATORY PROTECTION 29 CFR 1910.134 OSHA law requires that engineering controls rather than respirators be used to solve most air contamination problems. Respirators are too often used as a permanent
More informationCLEANING Reusable Medical Devices. AAMI/FDA Medical Device Reprocessing Summit October 11-12, 2011 Silver Spring, MD
CLEANING Reusable Medical Devices AAMI/FDA Medical Device Reprocessing Summit October 11-12, 2011 Silver Spring, MD CLEAN is defined several ways in the dictionary, one being Free from contamination or
More informationHazardous Materials and Waste Management Plan
Hazardous Materials and Waste Management Plan EC 01.01.01 EP 5; EC 02.02.01; EC 04.01.01 I PURPOSE MCG Health, Inc. (MCGHI) is a leader in health care for the state of Georgia and provides a full spectrum
More informationUsing Body Mechanics
Promotion of Safety Using Body Mechanics Muscles work best when used correctly Correct use of muscles makes lifting, pulling, and pushing easier Prevents unnecessary fatigue and strain and saves energy
More informationINFECTION CONTROL SURVEYOR WORKSHEET
Attachment 2 Exhibit 351 INFECTION CONTROL SURVEYOR WORKSHEET Instructions: The following is a list of items that must be assessed during the on-site survey, in order to determine compliance with the infection
More informationOSHA s Top 5 (Make That 6) Safety Problems in the Veterinary Practice Philip J. Seibert, Jr., CVT SafetyVet
OSHA s Top 5 (Make That 6) Safety Problems in the Veterinary Practice Philip J. Seibert, Jr., CVT SafetyVet www.safetyvet.com The Occupational Safety & Health Administration (OSHA) was created under the
More informationEAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY
EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Department: Pediatrics-Hem/Onc-Module F Date Originated: 03/6/2012 Date Reviewed: 6/14, 9/12/17 Date Approved: 6/5/12 Page 1 of 8 Approved by: Department
More informationUniversity of North Dakota Facilities Department Respiratory Protection Program. Table of Contents. 1.0 Introduction Purpose...
University of North Dakota Facilities Department Respiratory Protection Program Table of Contents Section Page 1.0 Introduction...1 2.0 Purpose...1 3.0 Scope...1 4.0 Responsibilities...1 5.0 Respirator
More informationInfection Control Policy and Procedure Manual. Post-Anesthesia Care Unit (Recovery Room) Page 1 of 6
(Recovery Room) Page 1 of 6 Purpose: The purpose of this policy is to establish infection prevention guidelines to prevent or minimize transmission of infections in the. Policy: All personnel will adhere
More informationI. Introduction. Definitions SP /16/2016. Chemistry Department Emergency Action Plan Spill Response
I. Introduction The CWU Chemistry department s highest priority is to protect employee and student health and safety. On that basis, CWU Chemistry employees or students will not attempt to clean up an
More informationRESEARCH LABORATORIES CONDUCTING HIV/HBV RESEARCH AND PRODUCTION
RESEARCH LABORATORIES CONDUCTING HIV/HBV RESEARCH AND PRODUCTION A. Definition of HIV/HBV Research and Production Laboratories Research laboratory means a laboratory which produces or uses research laboratory
More informationNational Association of Rural Health Clinics
National Association of Rural Health Clinics A Virtual Walk Through of a Rural Health Clinic October 17, 2017 Kate Hill, RN VP Clinical Services Inc. Tom Terranova Chief Operating Officer Who Is In The
More informationQuality Assurance: Crisis to Control Linda L. Condon, MBA, BSN, RN Cynthia Spry, MSN, MA, RN, CNOR, CRCST
SESSION NAME SPEAKERS SESSION NUMBER 0027 DATE/TIME CONTACT HOURS (CH) 1.0 SESSION OVERVIEW: Quality Assurance: Crisis to Control Linda L. Condon, MBA, BSN, RN Cynthia Spry, MSN, MA, RN, CNOR, CRCST Monday,
More informationRespiratory Protection Program
Respiratory Protection Program July 2016 Table of Contents Purpose... 1 Scope and Application... 1 Responsibilities... 2 Program Administrator... 2 Directors/Supervisors... 2 Employees... 2 Program Elements...
More informationEAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY
EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Office of Prospective Health Infection Control Plan Date Originated: August 26, 2003 Date Reviewed: 10/22/03; 9/04/07; 03/09/10; 9/01/15; Date Approved:
More informationSECTION 6 PERSONAL PROTECTIVE EQUIPMENT (PPE)
SECTION 6 PERSONAL PROTECTIVE EQUIPMENT (PPE) 6.1 Personal Protective Equipment 6.2 Respiratory Protection Program 6.3 Information for Voluntary Use of Respirators 6.4 Hearing Conservation Program Reviewed:
More informationInfection Prevention Checklist Section I: Policies and Practices I.1 Administrative Measures
Infection Prevention Checklist Section I: Policies and Practices I.1 Administrative Measures Facility name:... Completed by:... Date:... A. Written infection prevention policies and procedures specific
More information3M Sterilization Assurance Standards Practice. In Sterilization with the Core Four
3M Sterilization Assurance Standards Practice 1 2 3 4 Confidence In Sterilization with the Core Four 1 Equipment Monitoring Equipment Monitoring is a way to find out whether or not your sterilizer is doing
More informationSANDBLASTING CONTROL PLAN
SANDBLASTING CONTROL PLAN Steingass Mechanical Contracting, Inc. 754 Progress Drive Medina, Ohio 44256 (330) 725-6090 1 Purpose The Sandblasting Control Plan establishes mandatory guidelines to protect
More informationCertified Healthcare Safety Environmental Services (CHS-EVS) Examination Blueprint/Outline
Certified Healthcare Safety Environmental Services (CHS-EVS) Examination Blueprint/Outline Exam Domains 100-130 1. Safety Management 38-50 (38%) 2. Hazard Control 38-50 (38%) 3. Compliance & Voluntary
More information10/11/2013. Immediate-Use Steam Sterilization in the OR. House Keeping. House Keeping. Questions. Martha Young, MS, BS,
3M Infection Prevention Solutions Learning Connection Immediate-Use Steam Sterilization in the OR Martha Young, MS, BS, CSPDTmarthalyoung1@aol.com October 8, 2013 House Keeping Questions From the GoToWebinar
More informationAS/NZS 4187:2003 AS/NZS
AS/NZS 4187:2014 Incorporating Amendment No. 1 Australian/New Zealand Standard Reprocessing of reusable medical devices in health service organizations Superseding AS/NZS 4187:2003 AS/NZS 4187:2014 AS/NZS
More informationTRAINING. A. Hazard Communication/Right-to-Know Training
XIII. TRAINING A multitude of training requirements are addressed by OSHA and other safety, health and environmental regulations. A summary of these requirements are presented. A. Hazard Communication/Right-to-Know
More informationISO INTERNATIONAL STANDARD. Medical laboratories Requirements for safety. Laboratoires de médecine Exigences pour la sécurité
INTERNATIONAL STANDARD ISO 15190 First edition 2003-10-15 Medical laboratories Requirements for safety Laboratoires de médecine Exigences pour la sécurité Reference number ISO 15190:2003(E) ISO 2003 PDF
More informationPersonal Protective Equipment
Policies & Procedures Personal Protective Equipment Internal Procedure: PPE Effective Date: 1-15-18 Last Modified: 1-15-18 Approved By: Todd Barnette Contents Purpose... 2 Applicability... 2 Definitions...
More informationBRIGHT EYES SESSION. Bridging the gap through collaboration:
BRIGHT EYES SESSION Bridging the gap through collaboration: Why Central Sterile Processing is central to you! Cynthia McDonough, RN, CPSN, CNOR, CSPDT ASPSN 38 th Annual Convention New Orleans, Louisiana
More informationInfection Control in the Hearing Aid Clinic What is infection control & why should we care?
Infection Control in the Hearing Aid Clinic What is infection control & why should we care? OBJECTIVES What do we need to do? A.U. Bankaitis, PhD, FAAA Vice President & General Manager Oaktree Products,
More informationCHEMICAL HYGIENE PLAN
SAMPLE WRITTEN CHEMICAL HYGIENE PLAN For Compliance With 29 CFR 1910.1450 Wyoming General Rules and Regulations Wyoming Department of Workforce Services OSHA Division Consultation Program ACKNOWLEDGEMENTS
More informationDepartment of Environmental Health & Safety 11/ of 15
Respiratory Protection Plan Department of Environmental Health & Safety 1 of 15 Author(s): James H. Nelson, M.S.,REHS/RS Director, Environmental Health & Safety Revisions: Rev. Date Change Details Reference
More informationWest Virginia University
West Virginia University Environmental Health and Safety RESPIRATORY PROTECTION PROGRAM Revised January 2017 West Virginia University P.O Box 6551 Morgantown WV 26506 # 304-293-3792 Fax 304-293-7257 http://ehs.wvu.edu
More informationEAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY
EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Family Medicine Physical Therapy Date Originated: February 25, 1998 Dates Reviewed: 2.25.98, 2.28.01 Date Approved: February 28, 2001 3.24.04; 9/10/13
More informationCentral Sterile Processing and Operative Services: Consults, Leadership Staff, Assessments and Education
Central Sterile Processing and Operative Services: Consults, Leadership Staff, Assessments and Education Angela Lewellyn - SPD Director LaWayne Perkins - National Project Manager Advantage Support Services,
More informationLouisiana State University
Revision: 3 Effective Date: December 1, 2010 Page 1 of 9 Louisiana State University Office of Facility Services Operating Instruction 4006 SUBJECT: RESPIRATOR PROTECTION PROGRAM I. General A. In compliance
More informationHealth & Safety Policy and Procedures Manual SECTION 31 CADMIUM
SECTION 31 CADMIUM 1. CADMIUM A. Scope: This written compliance program applies to all Maul Electric, Inc employees or employees of Maul Electric, Inc subcontractors who may be exposed to cadmium at or
More informationANSWERING TO A HIGHER CALLING
ANSWERING TO A HIGHER CALLING Verifying Laundry Processes, Quantifying Cleanliness Quality Assurance Best Management Practices Continuous Improvement Process and Outcome Measures ANSWERING TO A HIGHER
More informationBloodborne Pathogens Cumru Township Fire Department 02/10/2011 Policy 10.5 Page: 1 of 7
Policy 10.5 Page: 1 of 7 Purpose: The Cumru Township Fire Department is committed to providing a safe and healthful work environment for our entire staff, both career and volunteers. In pursuit of this
More informationHealth and Safety in the lab. Seyed Hosseini SA Pathology Chemical Pathology
Health and Safety in the lab Seyed Hosseini SA Pathology Chemical Pathology ISO 15190 This International Standard specifies requirements to establish and maintain a safe working environment in a medical
More information