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20 Cards in this Set
- Front
- Back
Joint Commission Hazard Catagories
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1. Chemicals and disinfectants
2. Chemothereputic materials 3. Radioactive materials and wastes 4. Infectious and regulated medical waste incl. sharps |
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Hazardous Sunstance Entrance Routes
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1. Absorption
2. Inhalation 3. Ingestion 4. Injection |
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RCRA Hazardous Material Characteristics
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1. Corrosiveness
2. Ignitability 3. Reactivity 4. Toxicity |
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Exposure Term: Permissible Exposure Limit (PEL)
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Maximum allowed OSHA exposure for workers
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Exposure Term: Threshold Limit Value (TVL)
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Voluntary exposure limit published by ACGIH
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Exposure Term: Toxicity
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Harm based on exposure length, level of the hazard, and individual susceptibility
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Exposure Term: Acute Effects
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Short-term or high concentrations that can cause irritation, illness, or death
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Exposure Term: Chronic Effect
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Involve continued exposure to a toxic substance over a period of time
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Exposure Term: Air Contaminants
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Term for hazardous substances regulated by OSHA in 29 CFR 1910
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OSHA Additive Formula
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Used to determine exposure affects to people when the substance contains two or more hazardous ingredients (29 CFR 1910 Subpart Z)
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Chemical Storage Requirements
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- Store hazardous material according to compatability
- Refer to MSDS for spill response and storage guidance - Pesticide container labels contain storage and safety info - NFPA publishes gneral standards on hazardous and flamable material storage - storage decisions consider temp, ignition control, ventilation, and reactive properties |
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OSHA Hazard Communication Standard (29 CFR 1910.1200)
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- develop a written program and make it available to workers during their shift
- describe labeling policy/access to MSDS - Implement effective education and training - Maintain current chem inven - Lable containers with chem name, hazard, and warnings - Train workers exposed to hazardous chem at the time of initial assignment - train workers when introducing a new haz material to work area |
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Material Safety Data Sheets (MSDS)
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- OSHA requires info but not the format
- Must be available in English - Teach workers how to read and understand the data sheets - Each data sheet explains physical nature (fire, explosiveness, reactivity) - Each sheet must have preparer's info - Infor re: safe handling, storage, spill response - Does NOT address final disposal actions - Contains recommendations on PPE and engeneering controls |
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Labeling of Hazardous Materials
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- NFPA 704 remains the most common system in healthcare
- Labels contain diamond with colors for type of risk - 0-4 describe levels of risk (4=high) - blue= health hazards, red= flammable, yellow= reactivity, white= specific hazards (oxidizers) |
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Glutaraldehyde
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- Potential carcinogen
- Regulated by OSHA - Present in a number of sterilizing agents and disinfectants - Approved by EPA as registered disinfectant - Niosh has an established exposure limit of 0.2 ppm |
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Formaldehyde
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- Formalin is a commonly used tissue preserver
- Known carginogen - OSHA requires monitoring to ID workers exposed at or above the action level of 0.5 ppm - Monitor exposures when reports of symptoms are recieved - Train annually all workers exposed to 0.1 ppm or greater Educate workers on the signs and symptoms of formaldehyde exposure |
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Aerosolized Drugs
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Ribavirin and pentamidine exposures can occur during mixing and during administration
- Exposure can result in dryness of nose, eyes, and throat - Primary concerns to Ribavirin are the possible reproductive risks |
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Chemotherapeutic (anti-neoplastic drugs)
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- NIOSH provides info on preparation, admin, disposal, and spill response
- Recommend use of class II vertical flow biological safety cabinet for mixing operation - Ensure cabinets are placed on a disposible plastic-backed spill proof mat - Dispose of all these agents and wastes in accordance with EPA regs - Exposures can have harmful effects on reproductive health |
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Ethylene Oxide
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- Used to sterilize medical instruments and the substance is a known carcinogen
- Employee rotation is prohibited as a way of ensuring compliance with the excursion limit - Monitor all work areas per OSHA requirements - Use signs and labels to warn workers about carcinogenic and reproductive hazards - Provide initl and annual training to workers who may be exposed at the action level |
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Nitrous Oxide
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- NIOSH recommends that exposure levels be kept below 25 ppm
- Inspect all equipment for defective or worn parts - |