OSHA: Trivia Quiz On Active Shooter Incident!

Part 1: Bloodborne Pathogens   Today’s training will be about standard precautions.  We will learn about the use and disposal of sharps, procedures regarding exposure incidents, food service practices, disposing of regulated waste and the spread of disease as well as other related topics. According to the OSHA (Occupational Safety and Health Administration) government website, bloodborne pathogens are defined as pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, hepatitis B virus (HBV) and human immunodeficiency virus (HIV). Bloodborne pathogens spread from person to person through indirect or direct contact with blood or other bodily fluids.  Direct contact transmission occurs when infected blood enters another person’s body.  It could be in contact with someone’s nose, eyes, mouth or an open sore. Indirect contact  is achieved through some intervening medium. Transmission can occur by, for example, a person with an open sore touching a used Band-Aid. You can obtain more information about modes of transmission in Policy C-7: Policy and Procedure for Communicable Disease and Infection Control. OSHA specifically outlines the rules for four diseases of a bloodborne nature; HIV, AIDS, Hepatitis B and Hepatitis C, HIV or human immunodeficiency virus is the virus which can lead to AIDS.  HIV finds and kills white blood cells which help fight off disease. AIDS or acquired immune deficiency syndrome is actually the last stage of the HIV infection.   Hepatitis is generally a liver disease.  To date, more and more hepatitis viruses are being found.  While many people know of the Hepatitis A, B and C viruses, did you know there is also a D, E, F, and G virus?  Many of the later viruses can be related to the initial viruses found but are indeed their own viruses with their own issues, some of which have no cure or treatment. The Hepatitis B virus can cause cancer, liver failure and ultimately lead to death in some cases. In our line of work as a direct care workers, needle sticks are the most common form of bloodborne exposure, generally reaching between 600 and 800 thousand sticks per year. As indicated in Policy C-7, we do not recap or bend used needles. They are to be placed immediately into a sharps container. Communicable diseases are diseases that can spread between two people such as measles, athlete’s foot and the flu. We want to prevent the spread of these diseases in any way we can and rely on medical professionals for diagnosis and suggestions for prevention. Some general rules to prevent spreading disease are to cover your mouth when you cough and sneeze, wash your hands frequently, but especially after coughing or being coughed or sneezed upon by others, use a mask in certain cases.  

One of the most important rules for all support staff to follow is the use of biohazard containers, and is a rule of OSHA.  The container must have the biohazard sign, and can be used to contain regulated waste, the shipping of blood or other bodily fluids and disposal of sharps. If needed, you can use red bags in place of biohazard containers.Regulated waste is also very important to put into biohazard bags such as tissues, wet and dry blood exposed clothing and sharps.  Sharps are not limited to but include needles, broken glass and lancets.Gloves, gowns, glasses, masks and some other materials are called PPE, or personal protective equipment. It is used to protect your skin and prevent contamination of bloodborne pathogens.  When cleaning up spills or working with blood in any way, these materials should be worn at all times. It is also imperative that one wear this equipment when transferring infectious materials in any way to take care of your skin and the prevention of disease. Policy C-7 outlines the specific instances when PPE should be used. Remember to use fresh gloves for EACH contact/procedure, even if it is the same person. Non-use of PPE will be investigated by the Program Manager. If you do not have the correct equipment or PPE to complete the task contact your manager immediately. Please remember; NEVER put any type of specimen container in the same refrigerator as food is stored in. 

In regards to food service please follow the following precautions: 

• Never touch food or food equipment with an open sore or wound.
• Never touch food if you have diarrhea or jaundice.
• Never touch food if you have a disease that could spread through the handling of food.
• Always wash your hands.
• Always keep equipment clean and stored properly.
• Keep non food products away from all food products.
• Keep all food prep and eating areas sanitary.
• Keep garbage in containers with lids and dispose of it often.
• Do not reuse disposable utensils.
• Do not use a towel or drinking cup that was used by someone else.
• Do not put your drink or food on the floor.
• Do not cut veggies and fruits on board that you cut meat on and vice versa.

In regards to housekeeping and general laundry practices please follow the following precautions: 

• Use chlorine bleach to disinfect most items.
• Pick up items in a way that avoids contact with you or other people’s bodies.
• Always clean and disinfect reusable equipment after each use.
• Put contaminated waste in OSHA containers.
• Double bag all other waste.
• Wear gloves when moving laundry.
• When your clothes are contaminated, change as soon as possible.
• Use separate containers for clean and dirty linen and change linens at least weekly and more if needed.

Only change linens when they are visibly dirty.

EXPOSURE INCIDENTS:Please follow the following procedure regarding any exposure to blood or bodily fluids of any kind:

• Wash the exposed area with soap and water
• While wearing the proper PPE, clean up any blood spill
• Report the exposure to your supervisor and/or on-call immediately by phone
• Seek medical attention from a healthcare professional
• In addition to our regular incident reports you may need to also fill out a confidential employee accident report.

There are specific instructions for each type of exposure outlined in Policy C-7. 

• Any employee who will come into contact with hazardous substances must be trained 
• All manufacturers and distributors must comply with the new rules.
• MSDS will no longer be used, the format will change and they will be Safety Data Sheets (SDS).
• Easy to recognize pictographs will assist employees to easily recognize what type of chemical they are working with.
• If a product is purchased and used in the manner in which it was intended, we do not need to keep information on it. (i.e. Windex, and any other household cleaners kept in the original consumer container)
• Any products purchased in bulk sizes and mixed into smaller bottles for use would require SDS sheets to be  maintained.
• Any products used in a manner different than it’s intended use requires SDS sheets to be maintained.

   

Symbols used in GHS.

WARNING:This training includes a dramatization of an active shooter event which is intended to grab your attention.  This may be traumatic for individuals who may have experienced a serious event in the past. If you have any concerns about your response to this training, please advise the trainer now. If you are viewing this material online, please contact your supervisor before continuing.

WARNING This training includes a dramatization of an active shooter event which is intended to grab your attention.  This may be traumatic for individuals who may have experienced a serious event in the past. If you have any concerns about your response to this training, please advise the trainer now. If you are viewing this material online, please contact your supervisor before continuing.

Whether you survive an active shooter event may depend on you having a plan.

If you can get out, this should be your first action.

You should attempt to gather your ID, purse/wallet before you evacuate.

Which of the following actions should you take if you plan to run when an active shooter is in your vicinity? (Check all that apply)

If your best option is to hide during an active shooter event which of the following should you do if possible?

If you hide, you should try to find a hiding place that provides protection if shots are fired in your direction.

Attempting to fight the shooter should only ever be your last resort and only if your life is in danger.

If you have to fight the active shooter which actions should you take? (Check all that apply)

What should you do when law enforcement arrives?

Which order is recommended in an active shooter event.