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SA Nursing1111 Wk1
OSHA
| Question | Answer |
|---|---|
| Top 10 OSHA Violations 1. Hazard Communication Program | The Hazard Communication Program is the written plan dealing with chemicals. |
| Hazard Communication Program Components | *Labeling requirements *Safety procedures in case of Emergency *List of specific chemicals used in workplace |
| OSHA Violation regarding Hazard Communication Program | Most offices have a plan obtained in kit form and has been improperly completed |
| Top 10 OSHA Violations 2. Certification of PPE Assessment | Each employer must document an assessment of the employee's PPE needs. |
| OSHA Violation regarding Certification of PPE Assessment | Relatively new and few veterinary hospitals have complied. |
| Top 10 OSHA Violations 3. Fire and Emergency Plans | Plans must be in place to prepare employees to deal with fires and emergency evacuations. |
| Fire and Emergency Plans must be stored how and for how many employees? | Plans must follow the specific guidelines set by OSHA and must be maintained in written form in any facility with 11 or more employees on staff. |
| Top 10 OSHA Violations 4. Employee Training Documentation | Documents to certify that employees were trained in all aspects of the written plans, PPE and hazards of the workplace |
| Training documentation must show what? | All employees on staff have received necessary training |
| How often must some safety training be repeated? | Certain training sessions must be repeated annually |
| Top 10 OSHA Violations 5. Material Safety Data Sheets (MSDS) aka SDS safety data sheets | Must be maintained for all chemicals listed as hazardous in the Hazard Communications Program |
| What info do MSDS/SDS contain? | information which may be necessary if there is a leak, fire or exposure incident involving a chemical |
| MSDS Violation | Most facilities have less than 10% of the forms needed and do not have the forms appropriately indexed for emergency use |
| Top 10 OSHA Violations 6. Appropriate PPE - Personal Protective Equipment | Must be provided to protect employees from all foreseeable hazards |
| Examples of PPE | May include gloves, eye protection, radiation protective wear and heat resistant mitts |
| PPE Violation | Few facilities provide all necessary PPE items and even fewer ensure that employees wear the PPE when required |
| Top 10 OSHA Violations 7. Chemical Labeling | All chemical containers must be labeled with both the product name and an appropriate caution |
| When must secondary containers be labelled? | Secondary containers must be labeled appropriately as soon as they are filled |
| Chemical Labeling Violation | Vet facilities have an average of more than 100 inappropriately labeled chemical containers |
| Top 10 OSHA Violations 8. OSHA Forms | All employers must post an appropriate OSHA poster |
| What form must employers with 11+ employees keep on hand? | Employers with 11 or more employees must also maintain OSHA form 200 |
| What is OSHA Form 200 and what does it do? | OSHA form 200, Loss and Summary of Occupational Injury and Illness. Summarizes information from the employer's workers' compensation forms and must be posted every February. |
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| Top 10 OSHA Violations 9. Human Food in Unsafe Areas | Human food should not be eaten, prepared or stored in areas which represent a possible biological or chemical hazard |
| Human Food in unsafe areas Violation | refrigerator or freezer which contains human food as well as chemicals, injectables or even cadavers. |
| Top 10 OSHA Violations 10. Waste Anesthetic Gases | A system must be in place to prevent waste anesthetic gases from building up in the area of use. |
| 2 types of evacuation systems | Active and Passive |
| What is passive gas evacuation? | Gas absorbing canister or tube to exterior of building |
| What is active gas evacuation? | High power fan to evacuate air from room or vacuum tube system |
| How should passive evacuation systems route waste gasses? | Waste gasses should be routed downward as WAGs are heavier than air and may not move upward |
| HMIS | Hazardous MaterialsInformation System |
| Hazardous Materials Information System | HMIS - a color and number system that uses a color coded square with four rows in which numbers are used to signal the degree of health hazard, flammability hazard, and reactivity hazard |
| What are the 4 segments of the HMIS | Health Hazard Flammability Hazard Reactivity Hazard PPE (needed) |
| What are the 5 levels of Hazard in HMIS | 0 = Minimal Hazard 1 = Slight Hazard 2 = Moderate Hazard 3 = Serious Hazard 4 = Severe Hazard |
| What is a zero (0) on the HMIS? | 0 = Minimal Hazard |
| What is a one (1) on the HMIS? | 1 = Slight Hazard |
| What is a two (2) on the HMIS? | 2 = Moderate Hazard |
| What is a three (3) on the HMIS? | 3 = Serious Hazard |
| What is a four (4) on the HMIS? | 4 = Severe Hazard |
| Health Hazard color code | Blue |
| Flammability Hazard color code | Red |
| Reactivity Hazard color code | Yellow |
| PPE (needed) color code | White/no color |
| What does an asterisk (*) indicate on the HMIS? | Indicates chronic health hazards are associated w/ the chemical |
| Health Hazard 4/severe | Highly toxic under OSHA’s Hazard Communication Standard |
| Health Hazard 3/serious | Highly toxic under OSHA’s Hazard Communication Standard. Substances can be severely irritating or corrosive to skin. Substances can be corrosive and cause irreversible destruction to eyes |
| Health Hazard 2/moderate | Toxic under OSHA’s Hazard Communication standard. Moderately irritating and considered to be a primary skin irritant or sensitizer. Moderately to severely irritating to the eyes. May be reversible. |
| Health Hazard 1/slight | Not considered toxic under OSHA’s Hazard Communication Standard. Slightly or mildly irritating to the skin. Slightly or mildly irritating to the eyes and reversible within 7 days |
| Health Hazard 0/minimal | Not considered toxic under OSHA’s Hazard Communication Standard. Essentially non-irritating to the skin and eye |
| Flammability Hazard 4/severe | Substance considered a flammable liquid under OSHA’s Hazard Communication Standard |
| Flammability Hazard 3/serious | Substance considered a flammable liquid under OSHA’s Hazard Communication Standard |
| Flammability Hazard 2/moderate | Substance considered a combustible liquid under OSHA’s Hazard Communication Standard. |
| Flammability Hazard 1/slight | Substance considered a combustible liquid under OSHA’s Hazard Communication Standard |
| Flammability Hazard 0/minimal | Substance will not burn. Substance not considered flammable or combustible under OSHA’s Hazard Communication Standard. |
| Reactivity Hazard 4/severe | Readily capable of detonation or explosive decomposition at normal temps & pressures. Includes substances sensitive to localized thermal or mechanical shock at normal temps & pressures. Considered explosive under OSHA’s Hazard Communication Standard |
| Reactivity Hazard 3/serious | Capable of detonation or explosive reaction, but that require a strong initiating source or must be heated under confinement before initiation. Substance considered explosive under OSHA’s Hazard Communication Standard |
| Reactivity Hazard 2/moderate | Substance normally undergoes a violent chemical change at elevated temperatures and pressures. Substance considered explosive under OSHA’s Hazard Communication Standard |
| Reactivity Hazard 1/slight | Normally stable material but becomes unstable at elevated temperatures and pressures. Substance considered explosive under OSHA’s Hazard Communication Standard. |
| Reactivity Hazard 0/minimal | Normally stable materials that do not react with water. Substance not considered explosive under OSHA’s Hazard Communication Standard. |
| Hazard Communication Standard Pictogram * Health Hazard | *Carcinogen *Mutagenicity *Reproductive Toxicity *Respiratory Sensitizer *Target Organ Toxicity *Aspiration Toxicity |
| Hazard Communication Standard Pictogram * Flame | *Flammables *Pyrophorics *Self-Heating *Emits Flammable Gas *Self-Reactives *Organic Peroxides |
| Hazard Communication Standard Pictogram *Exclamation Mark | *Irritant (skin and eye) *Skin Sensitizer *Acute Toxicity (harmful) *Narcotic Effects *Respiratory Tract Irritant *Hazardous to Ozone Layer (Non-Mandatory) |
| Hazard Communication Standard Pictogram *Gas Cylinder | *Gases Under Pressure |
| Hazard Communication Standard Pictogram *Corrosion | *Skin Corrosion/Burns *Eye Damage *Corrosive to Metals |
| Hazard Communication Standard Pictogram *Exploding Bomb | *Explosives *Self-Reactives *Organic Peroxide |
| Hazard Communication Standard Pictogram *Flame Over Circle | *Oxidizers |
| Hazard Communication Standard Pictogram *Environment (Non-Mandatory) | *Aquatic Toxicity |
| Hazard Communication Standard Pictogram *Skull and Crossbones | *Acute Toxicity (fatal or toxic) |
| HMIS Personal Protection Index: A | Safety Glasses |
| HMIS Personal Protection Index: B | Safety glasses and gloves |
| HMIS Personal Protection Index: C | Safety glasses, gloves, and apron |
| HMIS Personal Protection Index: D | Face shield, eye protection, gloves and apron |
| HMIS Personal Protection Index: E | Safety glasses, gloves, and dust respirator |
| HMIS Personal Protection Index: F | Safety glasses, gloves, apron, and dust respirator |
| HMIS Personal Protection Index: G | Safety glasses, gloves, vapor respirator |
| HMIS Personal Protection Index: H | Splash goggles, gloves, apron, and vapor respirator |
| HMIS Personal Protection Index: I | Safety glasses, gloves, dust and vapor respirator |
| HMIS Personal Protection Index: J | Splash goggles, gloves, apron, dust and vapor respirator |
| HMIS Personal Protection Index: K | Airline hood or mask, gloves, full suit, and boots |
| HMIS Personal Protection Index: N | Splash goggles |
| HMIS Personal Protection Index: O | Face shield and eye protection |
| HMIS Personal Protection Index: P | Gloves |
| HMIS Personal Protection Index: Q | Boots |
| HMIS Personal Protection Index: R | Apron |
| HMIS Personal Protection Index: S | Full Suit |
| HMIS Personal Protection Index: T | Dust Mask |
| HMIS Personal Protection Index: U | Vapor Respirator |
| HMIS Personal Protection Index: W | Dust & Vapor Respirator |
| HMIS Personal Protection Index: Y | Full Face Respirator |
| HMIS Personal Protection Index: Z | Airline Hood or Mask |
| OSHA | Occupational Health and Safety Administration |
| MSDS | Material Safety Data Sheet |
| SDS | Safety Data Sheet (Formerly MSDS/Material Safety Data Sheet) |
| CDC | Center for Disease Control |
| PPE | Personal Protective Equipment |
| Hospital Safety Manual | |
| Ethylene Oxide | (EtO) A sterilization agent in human and veterinary medicine Human carcinogen |
| Formalin | Formalin has been used in the veterinary profession for tissue preservation, diagnostic tests, and even sterilization Human carcinogen |
| Glutaraldehyde | A potent chemical used in the veterinary practice to sterilize hard instruments without the use of an autoclave |
| Zoonotic diseases | Infectious diseases that can be passed from animals to humans |
| Sharps | |
| Carcinogen / carcinogenic | |
| Ergonomic injury | |
| Right to Know Law | OSHA law that requires you to be infomed of all chemicals you may be exposed to while doing your job. Also requires you wear all safety equipment prescribed by the mfg and the practice when using hazardous chemical |
| Occupational Safety and Health Act | Known as "the Act" |
| Hazardous Materials Plan | Includes instructions for organizing and maintaining the practices "right to know" documents |
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| 1. Who is the most important person in ensuring your safety on the job? | Yourself |
| 2. What does a workplace safety program include? | Hospital Safety Manual •safety rules • dos and don'ts •written safety related policies • |
| 3. What are your responsibilities with regards to safety in a veterinary clinic? | •To learn and follow the safety rules and practices for your position •"comply with all occupational safety and health standards, rules, regulations & orders issued under the Act" •OSHA standards and workplace-specific rules |
| 4. Explain proper methods for lifting objects and animals. | Keep back straight Lift with legs Never bend at the waist Get help with pts over 40 lbs Follow ergonomic principles when positioning & restraining |
| 5. Is it important to store food and drink in a different refrigerator than the one used to store drugs / chemicals, laboratory samples, and vaccines? | Yes/True •contamination/ingestion of pathogenic organisms or harmful chemicals •zoonotic concerns • |
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| 6. Understand how to use a fire extinguisher. What does the acronym ‘PASS’ stand for? | P - pull the pin A - aim low, point to base of fire S - Squeeze the handle S - Sweep from side to side at base of fire |
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| 7. What information does a MSDS / SDS contain? | Precautions, instructions, and advice for handling the product Globally Harmonized System - 16 STD sections •ID•Hazards•Composition•1stAid•Fire•storage•Exposure•Physical/Chemical propertiess•Reactivity•Toxic•Ecologic•Disposal•Transport•Regulatory•Otr |
| 8. What are some of the most common chemicals used in a veterinary practice? | •Ethylene Oxide •Formulin •Glutaraldehyde & other chems for cold sterile •Isopropyl Alcohol •Hydrogen Peroxide •Shampoos/medicated dips •WAGs •Dry Ice |
| 9. What is a secondary container? Do these need to be labeled? | When a chemical is decanted into a secondary/smaller container. These need to be labelled immediately |
| 10. List 2 chemicals used in veterinary clinics that are carcinogenic. | • (EtO) as a sterilization agent in human and veterinary medicine •Formalin has been used in the veterinary profession for tissue preservation, diagnostic tests, and even sterilization |
| 11. You have a tray of instruments soaking in a cold sterilizer chemical such as glutaraldehyde. What can you do to minimize potential hazards associated with this chemical? | Follow rules by mfg for safe handling Wash hands, wear gloves Keep trays covered to avoid spillage and evaporation |
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| 12. What is the most common type of injury among workers in veterinary clinics? List some of these hazards. | Animal related accidents are the most common injury among vet-related jobs Bites, scratches, muscle strain, crush injures, death |
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| 13. List methods to minimize the hazards associated with animal handling. | Stay alert No sudden movements or noises Proper restraint Learn animal behavior and body language Considered approach Touch gradient |
| 14. What do you need to use when bathing or using dips on an animal? | PPE - glasses/goggles, gloves, apron Proper ventilation Eye wash station if necessary |
| 15. How is Rabies virus transmitted? | Contact with an infected animal's saliva |
| 16. List some of the animals that can be infected with the Rabies virus. | Mammals only Bats Racoons Skunks Cats Dogs Horses Cattle Foxes |
| 17. What do you need to use while performing dental procedures? Why? | |
| 18. List precautions for storage and handling of compressed gases. | |
| 19. What are some precautions used with needles, scalpel blades, etc? | |
| 20. Are the medications used to treat illnesses in humans and animals always safe for the technician to work with? | |
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