Chapter 12Management of

Hazardous Materials

Hazardous Chemical Training

Employee Training– Within 30 days of hire– Annually– Before using any

chemicals. Additional training

– New product– New materials– New chemicals– Oooops….

Accidental exposure

Hazardous Chemicals

Employees must be made aware of;

– Risks– Safety precautions

Employer– Must provide training– Keep documentation of

training.– Must keep and maintain a

MSDS Material Safety Data Sheet

Chemical examples– Sodium hypochlorite– Formaldehyde– Glutaraldehyde– Pickling solutions– Disinfectants

MSDSMaterial Safety Data Sheet

Provided by the product manufacturer.

– Lists All chemicals Risks Precautions PPE First aid Warning ‘diamond’

National Fire Protection Association Color and Number method!

– Red Flammability

– Yellow Reactivity

– Blue Health

– White PPE

– Higher # = greater risk!

Agencies

Occupational Safety and Health Administration

– OSHA– Set standards for…

Employers to protect? Employees

– While on the job– DA students are NOT

covered under OSHA

Standards (guidelines)– Employee training– Exposure determination– Infection control– Universal precautions– Post exposure follow-up– Labeling– MSDS’s– Housekeeping– Disposal of waste

Engineering / Work Practice Controls

Physical or mechanical devices that protect the employee.

– Splash guards– Sharps containers– Ventilation hoods– Needle re-capping

devices– Utility gloves

Sharps

Needles Blades Broken glass Anesthetic carpules Orthodontic wire Broken instruments

– Anything that ‘could be’ sharp

NEVER recap using two hands.

– Use one hand scoop method.

– Needle recapping device All sharps are put into a

– labeled, – leak-proof, – puncture resistant

container.

Occupational exposure

Exposed to infectious material on the job

– Report immediately– Don’t get in trouble

Document – Route of exposure– How it occurred– Source patient– Follow-up Tx

OPIM

Other Potentially Infectious Materials

Anything visually contaminated with:

– Blood– Saliva – Any body fluid

Includes:– Unfixed tissue

Bone Gums

– HIV / HBV cultures– Any tissue from animals

These Are All Considered Potentially Infectious!

Testing

Employee– Right to have blood

tested.– Decline testing

Up to 90 days No cost

– Employee is informed of results.

Not employer

Patient.– If known

Request testing Consent required Can decline to be

tested. ASAP

– Results are disclosed to exposed employee

Postexposure Follow-up

Employer must provide counseling for:

– Sexual transmission of a disease

– Understanding test results

– Potential future risks – Necessary Tx

Employee work site

Employer must provide– Work site

Clean Sanitary

– Written schedule for Infection control Decontaminating

procedures– How to clean up

Blood Chemicals

Conclusion

Being aware of hazards in your office is very important.

Make sure you are trained in the handling of chemicals before you use them.

Always refer to the MSDS for info about a product.