Health Workers Working Healthy: Personal Protective Equipment

Transcription

1 Health Workers Working Healthy: Personal Protective Equipment This material was produced under grant SH SH5 from OSHA, the Occupational Safety and Health Administration, US Department of Labor. It does not necessarily reflect the views or policies of the US Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the US government SH6 1

2 Personal Protective Equipment (PPE) for Healthcare Employees SH6 2

3 3 Learning Objectives Hazard Assessments and PPE Routes of Exposure & PPE Choices Hand Protection Mouth and Nose Protection Eye Protection Clothing PPE for Handling Corrosives Emergency Eyewash and Showers PPE and Slip/Trip/Falls SH6

4 Managing Hazards: Hazard Assessments and PPE Workplace Free of Recognized Hazards Identify ( assess ) hazards of each task Physical & Health Hazards Use PPE to control hazards plus engineering controls, training, policies, etc. Employers have to provide free PPE to each employee who needs PPE to do their job safely. OSHA 29 CFR (d) SH6 4

5 Hazard Assessments What parts of your body could be injured by your work? How might you get hurt? What protection do you need to work safely? SH6 5

6 ROUTES OF EXPOSURE SH6 6

7 Routes of Exposure How Substances Harm You Inhalation: breathing in hazards Ingestion: accidently swallowing something hazardous 7 Injection: getting stuck or cut by something contaminated Absorption: Skin, mucus membranes absorb hazards SH6

8 PPE CHOICES Know the Routes of Exposure to Harm. Choose PPE to protect that Route of Exposure SH6 8

9 PPE IS The Last Line of Defense: PPE is only used when: You can t completely get rid of the hazard You cannot engineer it away You need a BARRIER SH6 9

10 Engineering Controls Machinery or equipment that manages unsafe conditions Room ventilation Safe patient lifting devices Sharps containers Safer needles Handwashing Forklifts, etc. Engineering Controls are better at controlling hazards than PPE*** ***You will probably still need PPE to protect yourself even with engineering controls in place SH6 10

11 Engineering Control Examples SH6 11

12 Why wear PPE? Protective Equipment protects your health Use PPE! leave the hazards at work. Please don t take hazards home with you! Under OSHA, YOU have the right to receive, and use the PPE you need to stay safe on the job SH6 12

13 Personal Protective Equipment in Nursing Homes SURGICAL MASK/ EYESHEILDS/ PROTECTIVE GLASSES GLOVES 13 SHOES & BOOTS SCRUBS & UNIFORMS DISPOSABLE GOWNS SH6

14 GLOVES SH6 14

15 How do you know which type of glove will give you the best protection from the product you re using? You can find out on the Safety Data Sheet (SDS)* *USED TO BE CALLED THE MSDS SH6 15

16 Remember to Pick the right kind of glove for the job Choose a size that fits your hands Inspect the gloves Do they have any tears? Are they worn out? Remove any jewelry that could cause the glove to break SH6 16

17 What should you not wear at work? Avoid jewelry that can tear holes in disposable gloves. Jewelry may not be thoroughly cleaned very often. Think how many germs can hide in all of those cracks and crevices SH6 17

18 GLOVES These gloves have a waterproof & chemical resistant coating over a cotton liner (blue part). They are NOT waterproof above the knuckle (white part) SH6 18

19 GLOVES..Wear hospital gloves underneath them for protection from bodily fluids and germs SH6 19

20 Gloves Disease or infectious exposures? Use hospital-type nitrile or vinyl examination gloves*** ***Latex is not so used much anymore due to allergies There is a special way to remove them so you don t contaminate yourself SH6 20

21 Glove Failure Breakthrough When the products you re working with invisibly damage your gloves You get the product on your skin, trapped underneath the glove Long or uneven nails can rip gloves too SH6 21

22 Avoid Hygiene Failure CHANGE YOUR GLOVES OFTEN* *and wash your hands with soap and water when you change them When you leave a patient s room When you enter a patient s room When you start and finish a job If you feel breakthrough Whenever you see glove damage SH6 22

23 DOFFING DEMONSTRATION: TAKING HOSPITAL GLOVES OFF SH6 23

24 GLOVES Cut or Splinter Hazard? Use leather work gloves Consider Kevlar cut resistant gloves Chemical exposure? Use chemical resistant gloves. Nitrile Neoprene Butyl SH6 24

25 What s wrong here? SH6 25

26 The worker in this picture should not be cutting towards herself, and her thumb should be more out of the way. This injury was caused when a worker used a box cutter incorrectly SH6 26

27 How should you open packages? Hold package firmly so it can t move ALWAYS cut AWAY from your body Apply steady firm pressure Only use sharp blades with box cutter Consider cut resistant gloves Kevlar Thick Leather Retract blade when done SH6 27

28 MOUTH AND NOSE PROTECTION SH6 28

29 Protect Your Breathing Zone: the area around your mouth and nose SPIT TRAVELS! SH6 29

30 Loose fitting Surgical Masks* Can protect you from: SPLASHES DROPLETS SPIT Can also protect patients from YOUR germs *Do not protect from AIRBORNE hazards or disease SH6 30

31 Get rid of your masks after use DISPOSABLE Used to help control spread of infection Don t reuse! Wash your hands before putting on your mask, and after taking it off SH6 31

32 EYE PROTECTION SH6 32

33 When do you need eye or face protection? WORKING WITH: Corrosive chemicals Splash hazards Flying dust Infectious droplet hazards SH6 33

34 Important things to look for in PPE for eye protection Good fit! Not too tight or too lose! Special frames for workplace safety Stamped with Z87 to show approval Impact and chemical resistant SH6 34

35 Lightweight Protects eyes from splashes, impacts and heat Side shields protect from hazards happening around you Safety Glasses SH6 35

36 Safety Goggles Full eye coverage from splashes or mist Fits over glasses SH6 36

37 Face Shields Protects face and eyes from flying splinters, chips and splashes SH6 37

38 Masks with Eye Shields Combination helps protect face, nose, mouth, and eyes from moisture Use to protect from splashes Prevents breathing in infectious droplets SH6 38

39 PROTECTIVE CLOTHING SH6 39

40 Laundering Uniforms, Scrubs, Gowns Is there a chance you might get blood, secretions, or other bodily fluids on your clothes at work? YES? Your employer must clean work clothing that s been exposed to infectious materials- Not You. Your employer must launder your exposed clothing and supply you with clean PPE SH6 40

41 Laundry Rules: Leave Germs at Work (Don t take them home) The employer shall clean, launder, and dispose of PPE (required by this standard,) at no cost to the employee Bloodborne Pathogen Standard OSHA 29 CFR (d)(3)(iv) SH6 41

42 FOOT PROTECTION Big Mess? Wear rubber boots! Consider 2 pairs of shoes: one pair for work one pair for home! SH6 42

43 HANDLING CORROSIVES SH6 43

44 FOOT PROTECTION Chemical Resistant Boots Used around corrosive chemicals Used where it s wet Anti-slip soles SH6 44

45 What are Corrosives? Products that burn & irritate your skin, eyes, nose, mouth, lungs. Liquid and fumes can both be corrosive * Some corrosives can even burn through metal SH6 45

46 PPE for handling corrosives: Don t Get Burnt! I need a uniform too! SH6 46

47 PPE Needed CHEMICAL RESISTANT: Boots Gloves Apron Eye/Face Shield Eyewash/Shower Nearby What s missing from her PPE???? SH6 47

48 PPE Needed The skin of her arms is exposed to something that she needs a face shield and high gloves for SH6 48

49 EMERGENCY EYEWASH AND SHOWERS SH6 49

50 Eyewash and Shower Stations You need access to Emergency Eyewashes and Showers if you work around anything that can splash and hurt you Corrosive chemicals Infectious body fluids Showers must be warm Eyewash must be tepid SH6 50

51 How to use an eyewash station Step 1: Turn eyewash on Should only need to use one hand Should stay on without you touching it Step 2: Bring your face to the running water and hold both eyes open If you are a contact lens wearer, remove lenses first and then keep rinsing! DO NOT reuse contaminated contact lenses! Step 3: Continue rinsing for minutes Step 4: Seek medical attention and report accident to your supervisor RINSE YOUR EYES BEFORE YOU DO ANYTHING ELSE! SH6 51

52 How long should I use an eyewash for? RINSE YOUR EYES FOR MINUTES SH6 52

53 How long should I rinse my eyes for? minutes! Ways to remember The time it would take you to: hard boil an egg in cold water cook a frozen pizza cook some pasta! SH6 53

54 Eyewash Regulations Eyewash station must be easy to get to! 10 seconds walking time from the hazard (approximately 55 feet away) Must be on the same level as the hazard Should NOT require going up or down stairs or ramps Nothing should be in the way SH6 54

55 Eyewash Stations Both kinds of eyewash stations pictured here are OK. They need to be maintained (tags, signed weekly) Signs/ Labels Clean & Ready EASY to get to in emergency SH6 55

56 Old Style of Eyewash NOT GOOD Smaller Saline bottles of eyewash are NOT OK Flow from saline bottles won t last long enough to clean your eyes effectively Minutes SH6 56

57 Shower Stations Do you know where to go if you need to take an emergency shower? SH6 57

58 FIND THE HAZARDS SH6 58

59 What s wrong here? SH6 59

60 What s wrong here? Did he wash his hands? Where are his gloves? Where is his beard cover? Where is his apron? Where is his hair net? SH6 60

61 SLIPS, TRIPS, FALLS & PPE SH6 61

62 Use the right shoes to support your back and to help prevent slips, trips and falls. Non Skid Soles SH6 62

63 Preventing Slips, Trips and Falls Reports spills IMMEDIATELY Report damaged walking surfaces IMMEDIATELY SH6 63

64 Preventing Slips, Trips and Falls - Mopping POST SIGNS: Mark the area as wet Remove sign when dry Remove extra water from mop before mopping Regular floor cleanings should happen when fewest people are around (during off hours) SH6 64

65 Preventing Slips, Trips and Falls Moving Boxes By Hand Wear comfortable and supportive footwear Make sure you can SEE where you are going Check your pathway BEFORE you do the job Whenever possible use a dolly or hand truck SH6 65

66 Questions? SH6 66

67 67 Learning Review Hazard Assessments and PPE Routes of Exposure & PPE Choices Hand Protection Mouth and Nose Protection Eye Protection Clothing PPE for Handling Corrosives Emergency Eyewash and Showers PPE and Slip/Trip/Falls SH6

68 Retaliation is against the law NO: Firing or laying off Blacklisting Demoting Denying overtime or promotion Denial of benefits Disciplining Failure to hire or rehire Intimidation Making threats Reassignment affecting prospects for promotion Reducing pay or hours No Adverse Actions for Safety Activities District 1199C Training Fund HWWH SH SH6 68

69 What if you get in trouble for complaining? Whistleblower Time Line OSHA LAW Under Section 11(c) of the OSH Act, employees are protected from retaliation when they: file a safety complaint participate in a safety inspection. TO BE PROTECTED If employees experience retaliation, they must file a complaint with OSHA within 30 days. If employees win a complaint case, they could be entitled to back pay and compensation for damages If employees lose a complaint case, they have 15 days to appeal* the decision. *Second chance to win SH6 69

70 Five (5) Ways to Communicate with OSHA 1. an Interactive ONLINE Form 2. Call OSHA 3. In-Person Visit 4. Fax a Complaint 5. Mail a Letter SH6 70

71 How to Contact OSHA How to contact OSHA US Department of Labor/OSHA The Wanamaker Building 100 Penn Square East, 12 th Floor Philadelphia, PA Telephone: (215) Fax: (215) Call their toll-free number: OSHA (6742) OSHA WILL KEEP YOUR INFORMATION CONFIDENTIAL SH6 71

72 For More Information Health Workers Working Healthy District 1199C Training & Upgrading Fund Breslin Learning Center 100 S Broad St., 10 Fl. Philadelphia, PA SH6 72

73 Special Thanks to Drexel University School of Public Health Google Images Bing Images Environmental Health & Safety Department at the University of San Diego SH6 73