Health Workers Working Healthy: Personal Protective Equipment This material was produced under grant SH 27656-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. 29634- SH6 1
Personal Protective Equipment (PPE) for Healthcare Employees 29634-SH6 2
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 29634-SH6
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 1910.132 (d) 29634-SH6 4
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? 29634-SH6 5
ROUTES OF EXPOSURE 29634-SH6 6
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 29634-SH6
PPE CHOICES Know the Routes of Exposure to Harm. Choose PPE to protect that Route of Exposure 29634-SH6 8
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 29634-SH6 9
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 29634-SH6 10
Engineering Control Examples 29634-SH6 11
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 29634-SH6 12
Personal Protective Equipment in Nursing Homes SURGICAL MASK/ EYESHEILDS/ PROTECTIVE GLASSES GLOVES 13 SHOES & BOOTS SCRUBS & UNIFORMS DISPOSABLE GOWNS 29634-SH6
GLOVES 29634-SH6 14
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 29634-SH6 15
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 29634-SH6 16
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. 29634-SH6 17
GLOVES These gloves have a waterproof & chemical resistant coating over a cotton liner (blue part). They are NOT waterproof above the knuckle (white part). 29634-SH6 18
GLOVES..Wear hospital gloves underneath them for protection from bodily fluids and germs 29634-SH6 19
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. 29634-SH6 20
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 29634-SH6 21
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 29634-SH6 22
DOFFING DEMONSTRATION: TAKING HOSPITAL GLOVES OFF 29634-SH6 23
GLOVES Cut or Splinter Hazard? Use leather work gloves Consider Kevlar cut resistant gloves Chemical exposure? Use chemical resistant gloves. Nitrile Neoprene Butyl 29634-SH6 24
What s wrong here? 29634-SH6 25
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. 29634-SH6 26
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 29634-SH6 27
MOUTH AND NOSE PROTECTION 29634-SH6 28
Protect Your Breathing Zone: the area around your mouth and nose SPIT TRAVELS! 29634-SH6 29
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 29634-SH6 30
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 29634-SH6 31
EYE PROTECTION 29634-SH6 32
When do you need eye or face protection? WORKING WITH: Corrosive chemicals Splash hazards Flying dust Infectious droplet hazards 29634-SH6 33
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 29634-SH6 34
Lightweight Protects eyes from splashes, impacts and heat Side shields protect from hazards happening around you Safety Glasses 29634-SH6 35
Safety Goggles Full eye coverage from splashes or mist Fits over glasses 29634-SH6 36
Face Shields Protects face and eyes from flying splinters, chips and splashes 29634-SH6 37
Masks with Eye Shields Combination helps protect face, nose, mouth, and eyes from moisture Use to protect from splashes Prevents breathing in infectious droplets 29634-SH6 38
PROTECTIVE CLOTHING 29634-SH6 39
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. 29634-SH6 40
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 1910.1030 (d)(3)(iv) 29634-SH6 41
FOOT PROTECTION Big Mess? Wear rubber boots! Consider 2 pairs of shoes: one pair for work one pair for home! 29634-SH6 42
HANDLING CORROSIVES 29634-SH6 43
FOOT PROTECTION Chemical Resistant Boots Used around corrosive chemicals Used where it s wet Anti-slip soles 29634-SH6 44
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 29634-SH6 45
PPE for handling corrosives: Don t Get Burnt! I need a uniform too! 29634-SH6 46
PPE Needed CHEMICAL RESISTANT: Boots Gloves Apron Eye/Face Shield Eyewash/Shower Nearby What s missing from her PPE???? 29634-SH6 47
PPE Needed The skin of her arms is exposed to something that she needs a face shield and high gloves for... 29634-SH6 48
EMERGENCY EYEWASH AND SHOWERS 29634-SH6 49
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 29634-SH6 50
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 15-20 minutes Step 4: Seek medical attention and report accident to your supervisor RINSE YOUR EYES BEFORE YOU DO ANYTHING ELSE! 29634-SH6 51
How long should I use an eyewash for? RINSE YOUR EYES FOR 15-20 MINUTES 29634-SH6 52
How long should I rinse my eyes for? 15-20 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! 29634-SH6 53
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 29634-SH6 54
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 29634-SH6 55
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. 15 20 Minutes 29634-SH6 56
Shower Stations Do you know where to go if you need to take an emergency shower? 29634-SH6 57
FIND THE HAZARDS 29634-SH6 58
What s wrong here? 29634-SH6 59
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? 29634-SH6 60
SLIPS, TRIPS, FALLS & PPE 29634-SH6 61
Use the right shoes to support your back and to help prevent slips, trips and falls. Non Skid Soles 29634-SH6 62
Preventing Slips, Trips and Falls Reports spills IMMEDIATELY Report damaged walking surfaces IMMEDIATELY 29634-SH6 63
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) 29634-SH6 64
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 29634-SH6 65
Questions? 29634-SH6 66
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 29634-SH6
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-29634-SH6 68
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 29634-SH6 69
Five (5) Ways to Communicate with OSHA 1. E-mail an Interactive ONLINE Form 2. Call OSHA 3. In-Person Visit 4. Fax a Complaint 5. Mail a Letter 29634-SH6 70
How to Contact OSHA How to contact OSHA www.osha.gov US Department of Labor/OSHA The Wanamaker Building 100 Penn Square East, 12 th Floor Philadelphia, PA 19107 Telephone: (215) 597-4955 Fax: (215) 597-1956 Call their toll-free number: 1-800-321-OSHA (6742) OSHA WILL KEEP YOUR INFORMATION CONFIDENTIAL 29634-SH6 71
For More Information Health Workers Working Healthy District 1199C Training & Upgrading Fund Breslin Learning Center 100 S Broad St., 10 Fl. Philadelphia, PA 19110 215-568-2220 www.1199ctraining.org 29634-SH6 72
Special Thanks to Drexel University School of Public Health Google Images Bing Images Environmental Health & Safety Department at the University of San Diego 29634-SH6 73