HEALTH CARE SAFETY & PRECAUTIONS Vocabulary List ANTIBIOTIC – Medications capable of inhibiting the growth of or destroying microorganisms. ANTISEPTIC – Chemical agents that prevent or inhibit growth of microorganisms. ASEPSIS – Methods used to make the patient, worker, and the environment as pathogen-free as possible. AVIAN FLU - a flu caused by influenza viruses found in birds and may be transmitted from birds to humans. It may be deadly to humans. BACTERIA – A one-celled plants that can either be pathogenic or nonpathogenic. BIOHAZARD – Any living organism or material from a living organism that is harmful or potentially harmful if it comes into contact with a person. BLOODBORNE PATHOGENS STANDARD – Federal regulations established in 1992 by the Occupational and Safety Health Administration (OSHA). Their purpose is to reduce the risk to employees of being exposed to infectious diseases through blood and other body fluids. BODY MECHANICS – the way in which the body moves and maintains balance while making the most efficient use of all its parts. CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) – A branch of the U.S. Public Health Service that tracks the incidence and spread of disease in this country and worldwide. Based upon the data, the CDC then makes recommendations (like Standard Precautions) to prevent the spread of disease. CHAIN OF INFECTION – Six elements that must be present for an infection to develop are: 1. Infectious Agent – a pathogen. 2. Reservoir Host – a place where the pathogen can live and grow/survive. 3. Portal of Exit – a means for the pathogen to leave the host. Ex: infected wounds. 4. Route of Transmission – the means by which the pathogens leaves the host, direct or indirect. Ex: are, food, insects, hands. 5. Portal of Entry – the way by which the pathogen enters a new host. Ex: broken skin. 6. Susceptible host – the person who has a large number of pathogens invading the body and is at risk to develop disease. COMMUNICABLE DISEASE – A disease that can be transmitted either directly or indirectly from one individual to another. CONTAMINATED – Presence of infectious material. DISINFECTANT – Agents or methods that destroy most bacteria and viruses on inanimate objects. DRUG RESISTANT INFECTIONS – Pathogens or germs that have become resistant to medications developed to fight then in infected people. ENGINEERING CONTROLS – Any physical or mechanical devices that remove or reduce health hazards from one’s workplace. Example: self-capping needles, handwashing facilities. ENVIRONMENTAL SAFETY – The identification and correction of potential hazards that can cause accidents and injuries. ERGONOMICS – The science of designing and arranging things in the working and living environments for maximum efficiency and maximum health and safety. EXPOSURE CONTROL PLAN – A plan written by each office or facility which is designed to eliminate or minimize employee exposure to blood-borne pathogens or other potentially infectious materials (OPIM). The elements of the plan must include 1) exposure determination, 2) compliance methods, and 3) post-exposure evaluation and follow-up procedures. This plan must be made available for review by all staff and annually updated. FLAMMABLE – Easily set on fire, same as inflammable FOOD BORNE ILLNESS - also referred to as "food poisoning". It is an illness that occurs after the consumption of contaminated food. FUNGUS – Large groups of simple plants. Two forms of fungi are potential pathogens: yeast and mold. GERM THEORY – A theory that states that specific microorganisms, called bacteria, are the cause of specific diseases in both humans and animals. HAZARD – Any substance or material that can cause injury or damage. HEPATITIS B VIRUS (HBV) – the major infectious bloodborne pathogen for healthcare workers. INCIDENT REPORT – A written document that is filled out when any unexpected situation occurs that can cause harm to a patient, employee, or any other person. INFECTION CONTROL – To prevent the spread of infectious diseases. INFECTIOUS DISEASE – Any disease caused by the growth of pathogens. IMMUNE RESPONSE – A specific defense used by the body to fight infection and disease by producing antibodies. ISOLATION – Separation of a patient from other individuals to either protect the patient from being exposed to environmental irritants or pathogens or to prevent the spread of infection from the patient to others. ISOLATION PRECAUTIONS: Airborne – the germ is in the air and inhaled by the host Contact – person to person touch by contaminated hands or indirectly by contaminated items. Droplet – no direct contact but occurs within 3 feet of a person and is spread by sneeze, cough, talking. JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO) – An agency that provides voluntary accreditation of a variety of healthcare organizations (hospitals, long-term care facilities, nursing homes, etc). MEDICAL ASEPSIS – Procedures to decrease the number and spread of pathogens in the environment. MICROORGANISMS – a very small, usually one-celled living plant or animal. MRSA (Methicillin Resistant Staphylococcus Aureus): a bacterium responsible for infections in humans; sometimes referred to as a "staph infection" NOSOCOMIAL INFECTION - originated in a hospital and usually appears 48 hours or more after admission but may appear within 30 days after discharge. OCCUPATIONAL EXPOSURE – Actual contact or anticipated contact with blood or body fluids or any OPIMs that occur during the performance of an employee’s duties. OCCUPATIONAL SAFETY AND HEALTH ADMINISTATION (OSHA) – A government agency established in 1970. Its function is to establish minimum health and safety standards for the workplace and to enforce those standards. P.A.S.S. – Proper sequence of operation of a fire extinguisher P – Pull the pin A – Aim the nozzle at the base of the fire S – Squeeze the handle S – Sweep back and forth at the base of the fire PATHOGEN – Disease producing microorganism (germ). PERSONAL PROTECTIVE EQUIPMENT (PPE) – Any of a number of materials or devices that are used to protect an individual from harm/hazard. Ex: gloves, mask, lab coats, etc. R.A.C.E. – Procedure to follow when a fire occurs R – Remove the patient A – Activate the alarm C – Contain the fire E – Extinguish the fire or Evacuate the area SAFETY DATA SHEET (SDS) – A document providing information about a hazardous chemical that must be made available to employees who use and come into contact with that chemical. The MSDS provides information about the chemical, its hazards, and measures to take to avoid injury and illness when handling the chemical. This document is mandated by OSHA, and must be published by the manufacturer of the hazardous chemical. STANDARD PRECAUTIONS – Practices used to reduce the risk of transmission of microorganisms from both recognized and unrecognized sources of infection in health care settings. These practices are recommendations of CDC and are incorporated into OSHA’s Blood-borne Pathogen Standards. STERILE FIELD – An area that has been designed as free of microorganisms. STERILIZATION – Agents or methods that totally destroy all microorganisms, including viruses and spores. SURGICAL ASEPSIS – Procedures to completely eliminate the presence of pathogens from objects and areas. TRANSMISSION-BASED PRECAUTIONS (TBP) – Recommendations that include three types of isolation procedures (airborne, droplet, and contact precautions) required for specific infections. VIRUS – Smallest microorganism which needs a host to supply food and an environment in which to multiply. There are no specific medications to treat viruses. Viruses can multiply rapidly and are easily transmitted by blood and body secretions. VRE (Vancomycin Resistant Enterococcus): a form of intestinal bacteria which is not sensitive to the antibiotic Vancomycin