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20 Cards in this Set

  • Front
  • Back
Joint Commission Hazard Catagories
1. Chemicals and disinfectants
2. Chemothereputic materials
3. Radioactive materials and wastes
4. Infectious and regulated medical waste incl. sharps
Hazardous Sunstance Entrance Routes
1. Absorption
2. Inhalation
3. Ingestion
4. Injection
RCRA Hazardous Material Characteristics
1. Corrosiveness
2. Ignitability
3. Reactivity
4. Toxicity
Exposure Term: Permissible Exposure Limit (PEL)
Maximum allowed OSHA exposure for workers
Exposure Term: Threshold Limit Value (TVL)
Voluntary exposure limit published by ACGIH
Exposure Term: Toxicity
Harm based on exposure length, level of the hazard, and individual susceptibility
Exposure Term: Acute Effects
Short-term or high concentrations that can cause irritation, illness, or death
Exposure Term: Chronic Effect
Involve continued exposure to a toxic substance over a period of time
Exposure Term: Air Contaminants
Term for hazardous substances regulated by OSHA in 29 CFR 1910
OSHA Additive Formula
Used to determine exposure affects to people when the substance contains two or more hazardous ingredients (29 CFR 1910 Subpart Z)
Chemical Storage Requirements
- 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
OSHA Hazard Communication Standard (29 CFR 1910.1200)
- 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
Material Safety Data Sheets (MSDS)
- 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
Labeling of Hazardous Materials
- 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)
Glutaraldehyde
- 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
Formaldehyde
- 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
Aerosolized Drugs
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
Chemotherapeutic (anti-neoplastic drugs)
- 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
Ethylene Oxide
- 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
Nitrous Oxide
- NIOSH recommends that exposure levels be kept below 25 ppm
- Inspect all equipment for defective or worn parts
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