2 Regulatory Agencies in the Podiatric Practice 2023.pdf

Regulatory Agencies in the Podiatric Practice Vickie Behrends, Health and Safety Manager Introduction Ø OSHA – Protection of employees Ø EPA – Chemical waste disposal Ø DOT – Biohazard Waste disposal Ø CLIA – Laboratory testing 2 OSHA Ø Standards/R...

Regulatory Agencies in the Podiatric Practice Vickie Behrends, Health and Safety Manager Introduction Ø OSHA – Protection of employees Ø EPA – Chemical waste disposal Ø DOT – Biohazard Waste disposal Ø CLIA – Laboratory testing 2 OSHA Ø Standards/Regulations/Rules/Law Ø Code of Federal Regulations Ø States may have own regulations Ø Mission Ø Website Ø www.osha.gov 3 OSHA Ø Rules that regulate the medical industry: Ø 29 CFR 1910.1030 – Bloodborne Pathogens Ø 29 CFR 1910.1200 – Hazard Communication Ø 29 CFR 1910.132 – PPE Standard Ø 1910 Subpart M – Compressed Gas and Compressed Air Equipment Ø 1910.134 – Respiratory Protection Ø 29 CFR 1910.35 – Means of Egress Ø 29 CFR 1910.151 – Eye Wash and Shower Ø 1910.1048 – Formadehyde Ø Section 5(a)(1) of the Occupational Safety and Health Act, General Duty Clause 4 Bloodborne Pathogens Ø Written exposure control plan Ø Engineering controls must be available Ø Safe sharps Ø Sharps containers Ø Have established work practice controls to protect employees Ø PPE available 5 Bloodborne Pathogens Ø Post-exposure evaluation and testing Ø Counseling Ø Testing you Ø Testing the source patient Ø Training Ø Document the training 6 Hazard Communication Hazardous Chemicals Right-to-Know Law Ø Written Haz Com plan Ø Appropriate labels on containers Ø Safety Data Sheets Ø Training 7 Hazard Communication Plan Ø Written Plan Ø A list of all hazardous chemicals in the facility Ø Labels Ø Name and address of the manufacturer Ø The contents of the container Ø Any hazard warnings 8 Label Clorox Healthcare® Hydrogen Peroxide Cleaner Disinfectant Liquid INGREDIENT INFORMATION Active ingredient: Hydrogen Peroxide………….. 1.4% Other ingredients:………….……………..…………… 98.6% Total (not including weight of wipe):……… 100.00% The Clorox Company, 1221 Broadway, Oakland CA, 94612 Telephone 1-510-271-7000 SAFETY INFORMATION Reference the Safety Data Sheet (SDS) sheet for complete product safety information. CAUTION: Causes moderate eye irritation. Avoid contact with eyes or clothing. Wash thoroughly with soap and water after handling and before eating, drinking, chewing gum, using tobacco or using the toilet. FIRST AID: IF IN EYES: Hold eye open and rinse slowly and gently with water for 15–20 minutes. Remove contact lenses, if present, after the first 5 minutes, then continue rinsing. Call a poison control center or doctor for treatment advice. Have the product container or label with you when calling a poison control center or doctor, or when going for treatment. PHYSICAL AND CHEMICAL HAZARDS: The product contains no substances which at their given concentration, are considered to be hazardous to health National Fire Protection Association (NFPA) Ratings Health Hazard: 1 Flammability: 0 Instability: 0 Physical and Chemical Hazards: None Hazardous Materials Identification System (HMIS) Ratings Health Hazard: 1 Flammability: 0 Physical Hazard: 0 Personal Protection: A 9 Safety Data Sheets Ø Safety Data Sheets (SDS) provide useful information to workers about hazardous materials and chemicals in the workplace. Ø They contain information about Ø Manufacturers (name, address, phone, ER phone) Ø Chemical synonyms Ø Physical and/or chemical health hazards Ø Spill response Ø PPE Ø First aid information 10 Hazard Communication Ø Training Ø How to recognize the hazardous chemical Ø Odor Ø Color Ø First Aid Ø Remove any clothing if necessary Ø Flush for 15 minutes with water Ø Seek medical attention Ø If swallowed Ø vomit or dilute 11 Pictograms Explosive Oxidizer Flammable Compressed gas Health Hazard Irritant Acute toxic Corrosive Environmental Hazard 12 PPE Standard Ø Having the proper PPE available for employees Ø Good working order Ø Proper fit Ø Medical categories Ø Impact – safety glasses/face shields Ø Penetration – gloves Ø Chemical – safety glasses/face shields, gloves Ø Harmful aerosols or dust – nail dust, biologicals Ø X-ray radiation 13 Respiratory Protection Standard Ø Types of Respirators Ø N95 Ø Regulator Ø Fluid Resistant Ø Elerostatic ½ face with cartridges Ø Power air purifying respirator (PAPR) Ø Must have a medical clearance to wear Ø N95 and electrostatic must be fit tested Ø PAPR – no fit test required Ø Surgical/procedures mask 14 Et Cetera Ø Eye Wash Standard Ø If corrosive materials must have an eye wash station Ø Phenol Ø Means of egress Ø Compressed gas cylinders Ø Formaldehyde 15 EPA Ø Title 40 of the Code of Federal Registry Ø RCRA Ø New EPA initiative Ø Medications 16 RCRA Waste Ø What does the EPA consider a hazardous chemical? Ø Characteristics Ø Ignitability – flash point