SOP 73

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Questions and Answers

According to the passage, what is the primary purpose of the plan?

To provide training on HIV/AIDS and other communicable diseases

To list the job classifications that may incur occupational exposure

To comply with OSHA's Bloodborne Pathogen Standard and other relevant regulations (correct)

To determine which personnel may be exposed to blood or infectious materials

Which of the following job classifications is NOT listed as potentially exposed to blood or infectious materials?

Administrative Assistant (correct)

Firefighter/EMT/Paramedic

Fire Chief

Deputy Chief

According to the passage, how often is the mandatory in-service training on HIV/AIDS and other communicable diseases provided?

Monthly

Annually (correct)

Bi-annually

Quarterly

According to the passage, what is the exposure determination based on?

Disregarding the use of personal protective equipment Signup and view all the answers

Which of the following is NOT mentioned as part of the scope of the plan?

Procedures for post-exposure treatment Signup and view all the answers

What should be done with the exhaust fan and A/C when placing a facemask on a patient during transport?

Exhaust fan on, A/C off Signup and view all the answers

What is the recommended action when notifying the receiving facility about a possible infectious patient?

Recommend a negative pressure room, if available Signup and view all the answers

What should be done with needles after use during emergency procedures?

Needles should be placed in a puncture-proof container immediately after use Signup and view all the answers

What type of disinfectant should be used to clean reusable equipment that has been contaminated?

EPA-approved tuberculocidal disinfectant Signup and view all the answers

What is the minimum contact time required for the disinfectant solution to be effective?

10 minutes Signup and view all the answers

What personal protective equipment (PPE) is required when performing decontamination of equipment?

Gloves, eye protection, and disposable apron Signup and view all the answers

What is the purpose of the utility sinks located at each station?

For cleaning contaminated equipment Signup and view all the answers

What is the recommended personal protective equipment for treating a patient with minor bleeding?

Gloves only Signup and view all the answers

What personal protective equipment is required for firefighters and other emergency responders?

Turnout gear, including helmet with face shield, bunker coat and pants with moisture barrier Signup and view all the answers

Where should food and beverages not be kept in work areas with potential exposure to blood or other infectious materials?

All of the above Signup and view all the answers

What is the responsibility of the Infection Control Officer (ICO) mentioned in the text?

Coordinating immunizations and infectious disease screening Signup and view all the answers

Which job classifications are considered at risk of occupational exposure according to the text?

Marine Rescue Lifeguards and Auxiliary personnel Signup and view all the answers

What is the purpose of wearing disposable gloves during patient contact as outlined in the text?

To prevent contact with blood or body fluids Signup and view all the answers

When should additional barrier precautions like mask, gown, respirator, and eye covering be worn?

When handling trauma patients or emergency childbirth scenarios Signup and view all the answers

What does the policy mandate for personnel regarding blood and other body fluids?

Treat them as infectious regardless of the source individual's status Signup and view all the answers

Who should the Infection Control Officer (ICO) maintain a liaison with according to the text?

Multiple entities including Fire Rescue Physician and Safety Committee Signup and view all the answers

How often should each rescue unit use the AeroClave for decontamination?

Monthly Signup and view all the answers

Which method of distributing the AeroClave solution involves using a wand similar to a paint sprayer?

The second option Signup and view all the answers

What is the recommended equipment to wear when using the wand method for distributing AeroClave solution in poorly ventilated areas?

SCBA Signup and view all the answers

How long does each AeroClave application take to complete?

20 minutes Signup and view all the answers

Where are the instructions on how to use the AeroClave located?

On the machine itself Signup and view all the answers

Which area should be vacated until the unit has completed decontamination during the fixed head operation of AeroClave?

No specific area mentioned Signup and view all the answers

What should personnel do immediately after being exposed to blood or body fluids?

Report the incident according to the department's Standard Operating Procedure (SOP) for on-the-job injuries and vehicle accidents Signup and view all the answers

What is the primary method of exposure to HIV/AIDS, hepatitis B virus (HBV), hepatitis C virus (HCV), and syphilis?

Percutaneous or permucosal exposure to blood and/or body fluids Signup and view all the answers

What constitutes a "significant" exposure according to Florida Statute 381.004?

Exposure to blood or body fluids through a needle stick, instruments, or sharps; exposure of mucous membranes to visible blood or body fluids; or exposure of skin to visible blood or body fluids when the exposed skin is chapped, abraded, or afflicted with dermatitis or the contact is prolonged or covers an extensive body surface area Signup and view all the answers

What should personnel do if they encounter a "Good Samaritan" who may have suffered a significant exposure to blood or body fluids?

Both B and C Signup and view all the answers

How often should all bins, pails, cans, and similar receptacles be inspected and decontaminated?

Monthly Signup and view all the answers

What should personnel do with broken glassware that may be contaminated?

Sweep it onto a square point shovel or dustbin, and dump it directly into a needle container Signup and view all the answers

When should contaminated work surfaces be decontaminated?

After completion of procedures immediately, or as soon as feasible after any spill of blood or other potentially infectious material, and again at the end of the shift if surfaces have again become contaminated since last cleaning Signup and view all the answers

What personal protective equipment (PPE) should personnel use when handling potentially infectious materials?

Gloves, eye protection, and a disposable apron Signup and view all the answers

Who is responsible for notification, verification, treatment, and medical follow-up for exposed personnel?

The Infection Control Officer (ICO) Signup and view all the answers

What should an employee do if they are prescribed drug therapy following a significant exposure?

Initiate the therapy immediately, as it is most effective within 24 hours of exposure Signup and view all the answers

What type of personal protective equipment (PPE) should be worn during extrication procedures where blood is present or there is a possibility of being cut on sharp metal or glass?

Bunker gear Signup and view all the answers

If facial protection is required, what is an acceptable substitute for a facemask?

Chin-length face shield Signup and view all the answers

What type of protection does the face mask portion of the SCBA (self-contained breathing apparatus) provide?

Eye, face, and respiratory protection Signup and view all the answers

When should a gown, apron, or bunker coat and pants be worn?

Whenever there is a potential for splashes, spray, splatter, or droplets of blood or other potentially infectious material Signup and view all the answers

How should contaminated clothing or bunker gear be handled?

Placed in a red plastic bag with the universal biological waste symbol and sent to an approved commercial laundry Signup and view all the answers

How should contaminated disposable equipment be handled?

Placed in a red bag before leaving the scene of an incident Signup and view all the answers

What is required by the standard for maintaining a clean and sanitary work site?

A written schedule for cleaning and method of decontamination Signup and view all the answers

How often should the decontamination areas and bio-hazardous waste storage areas be cleaned and disinfected?

Monthly Signup and view all the answers

What solution should be used for decontamination?

Either (a) or an EPA-approved tuberculocidial solution provided by the Department Signup and view all the answers

What personal protective gear should be worn while cleaning equipment and/or reusable supplies?

Surgical mask and gloves Signup and view all the answers

What is the consequence of a worker refusing to undergo immunization or prophylaxis?

The worker is disqualified from the benefits of the presumption Signup and view all the answers

What is required by federal law for all personnel, according to the text?

Be skin, blood or chest x-rayed for tuberculosis Signup and view all the answers

What is the definition of 'bio-hazardous' waste, according to the text?

Any solid or liquid waste that may present a threat of infection to humans Signup and view all the answers

How should contaminated sharps be handled, according to the procedure outlined in the text?

Segregated from all other waste and placed in a rigid, leak-resistant, puncture-resistant container designed for contaminated sharps Signup and view all the answers

How should bio-hazardous waste be labeled, according to the procedure outlined in the text?

With the international bio-hazardous symbol Signup and view all the answers

What is the maximum time period that bio-hazardous waste can be stored at the generating facility, according to the procedure outlined in the text?

30 days Signup and view all the answers

What is the maximum weight limit for packages of bio-hazardous waste during transportation, according to the procedure outlined in the text?

25 pounds Signup and view all the answers

What should be used to clean surfaces contaminated with spilled or leaked bio-hazardous waste?

A solution tuberculocidial Signup and view all the answers

What must accompany any equipment sent for repairs, according to the text?

A disclaimer stating the equipment may be contaminated Signup and view all the answers

How often will training on blood-borne pathogens and communicable diseases be conducted, according to the text?

Annually Signup and view all the answers

What information will the company officer obtain before leaving the scene of a Good Samaritan exposure?

The exposed person's name, address, phone number, and the Emergency Department they are going to Signup and view all the answers

What will happen to the 'Good Samaritan' who was exposed?

They will be referred to seek medical treatment at the nearest Emergency Department Signup and view all the answers

Who will the ICO (Infection Control Officer) contact regarding the Good Samaritan exposure?

The Battalion Chief and the exposed person Signup and view all the answers

What is required for personnel regarding tuberculin skin testing?

All of the above Signup and view all the answers

What is required for personnel who choose to decline offered immunizations?

They will be required to sign a written declination Signup and view all the answers

What immunizations will be offered to personnel according to the text?

Hepatitis B vaccine and hepatitis A vaccine Signup and view all the answers

What is the significance of Florida being a 'Presumptive Eligibility' state for emergency workers?

All of the above Signup and view all the answers

How will the medical treatment of the exposed person be coordinated?

Through the ER physician and the exposed person's primary care physician Signup and view all the answers

What is the purpose of the Department Investigation Report (DIR) mentioned in the text?

To document the exposed person's name, type of exposure, and source patient information Signup and view all the answers

What is the purpose of maintaining confidentiality regarding the results of the exposed person's medical treatment?

To comply with HIPAA regulations regarding protected health information Signup and view all the answers

Study Notes

Infection Control and Prevention

Facemasks should be worn during patient transport with exhaust fan on, A/C off, and rear windows open, if possible.
Receiving facilities should be notified of potential infectious patients, and a negative pressure room should be requested if available.
Artificial airways and resuscitative devices should be used instead of mouth-to-mouth rescue breathing.

Needle Safety

Needles should not be recapped, bent, or broken after use to prevent accidental needle stick injuries.
Needles should be placed in puncture-proof containers immediately after use.

Contaminated Equipment

Personnel handling contaminated equipment should wear eye protection, disposable latex gloves, and aprons.
Reusable equipment should be scrubbed, disinfected, and then wiped down with an EPA-approved tuberculocidal.
Ambulance work areas and emergency stretchers should be wiped with absorbent toweling and then cleaned with an EPA-approved tuberculocidal.
Monitoring equipment should be cleaned with isopropyl alcohol before being wiped down.

Work Area Restrictions

Eating, drinking, smoking, applying cosmetics, and handling contact lenses are prohibited in work areas where there is a risk of exposure to blood or other potentially infectious materials.
Food and beverages should not be stored in areas where blood or other potentially infectious materials are present.

Personal Protective Equipment

All personnel will be provided with personal protective equipment (PPE) without cost.
PPE will be chosen based on the anticipated exposure to blood or other potentially infectious materials.
Protective clothing, including turnout gear, helmets, and face shields, will be provided to each department member.

Exposure to Blood and Body Fluids

Exposure to blood and body fluids can occur through percutaneous or permucosal exposure.
A "significant" exposure includes exposure to blood or body fluids through a needle stick, instruments, or sharps, or exposure to mucous membranes or skin.
Personnel who experience an exposure should report it immediately and seek medical treatment.

Treatment and Follow-up

The ICO will coordinate source patient testing and provide treatment options to exposed personnel.
Exposed personnel will receive counseling services and follow-up testing and care from the designated treatment facility.

"Good Samaritan" Exposure

The company officer should determine if a "Good Samaritan" has suffered a significant exposure to blood or body fluids.
If the exposure is significant, the Battalion Chief will be notified, and a Good Samaritan exposure form will be completed.

Communicable Disease Testing and Prevention

Tuberculin skin testing is required for all personnel at the time of hiring or within 2 weeks of starting date.
Annual skin testing will be required for all personnel.
Immunizations will be offered at no charge to personnel according to CDC recommendations.

Presumptive Eligibility

Florida is a "Presumptive Eligibility" state, which means that personnel who suffer a condition or impairment of health caused by hepatitis, meningococcal meningitis, or tuberculosis may be eligible for benefits.
Personnel who decline offered immunizations will be required to sign a written declination.

Bio-hazardous Waste Disposal

Bio-hazardous waste includes non-liquid human tissue, lab waste, discarded sharps, human blood, and body fluids.
Bio-hazardous waste will be identified, segregated, and packaged in impermeable, red, polyethylene or polypropylene plastic bags.
Sharps will be placed in rigid, leak-resistant, puncture-resistant containers.

Training

Training for all personnel will be conducted prior to initial assignment to tasks where occupational exposure may occur.
Training will include, but not be limited to, epidemiology and symptomatology of bloodborne and other communicable diseases, modes of transmission, and the Department's Exposure Control Plan.### Infection Control and Prevention
Job classifications with potential occupational exposure to blood or other potentially infectious materials: none currently listed
Job classifications with no risk of occupational exposure: Fire Mechanic, Office Specialists, Office Managers, Billing Employees, Logistics Employees, Communications Employees, Prevention/Inspectors, and Infection Control Officer

Infection Control Officer (ICO)

Responsible for maintaining liaison with Fire Rescue Physician, Safety Committee, infection control representatives, and health care regulatory agencies
Examine compliance procedures and engineering controls to ensure effectiveness
Knowledgeable about bioterrorism pathogens, emerging infectious diseases, and CDC guidelines
Coordinate administration of immunizations and infectious disease screening

Compliance Methods

Universal precautions observed by all personnel to prevent contact with blood or other potentially infectious materials
Engineering and work practice controls used to eliminate or minimize exposure
Personal protective equipment (PPE) used when exposure remains after controls
Training information and updates provided as outlined in this policy

Personal Protective Equipment (PPE)

Department apparatus equipped with non-latex gloves, masks, protective eye wear, and disposable gowns
Disposable gloves worn during all patient contact, including handling blood or body fluids, equipment, and cleaning/decontaminating equipment
Gloves removed, hands washed, and new gloves applied if torn or punctured
Additional barrier precautions worn when extensive exposure of blood or body fluids exists

Record Keeping

All records required by OSHA Standard and Florida EMS office maintained by the Department
AeroClave machine used for decontaminating vehicles, facilities, and equipment

AeroClave

Used on a routine basis to minimize exposure risk from airborne and non-airborne diseases/illness
Three ways to distribute AeroClave solution: port on the side of the ambulance, wand, and fixed head operation
Each rescue unit uses AeroClave on a monthly schedule or more often as needed
Instructions on how to use the AeroClave located on the machine itself

Housekeeping

Work sites maintained in a clean and sanitary condition
Written schedule for cleaning and method of decontamination required
Contaminated laundry handled as little as possible, not sorted or rinsed, and washed in an approved commercial laundry
Contaminated disposable equipment placed in a red bag before leaving the scene of an incident

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Description

This quiz covers the training requirements for St. Johns County Fire Rescue personnel in accordance with various standards and acts related to bloodborne pathogens, including OSHA and NFPA guidelines. Topics include initial in-service training on HIV/AIDS and other communicable diseases mandated by the State of Florida.