Practice Manual Chapter 8. – OSHA Training

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OSHA Training
Our practice’s annual employee OSHA Training is
scheduled for _____________________________ .
It will be held in ___________________________ .
Date: __________________ Time: ___________
Your attendance is required!
Please come prepared to learn and take notes.
Bring a pen!
If you are unable to attend, please see your supervisor to make
alternate arrangements. This training is required by OSHA upon
hire and at least every 12 months. Failure to participate in this
training may affect your annual employee evaluation.
American Academy of Provider Offices and Laboratories
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OSHA TRAINING REQUIREMENTS
In a Nutshell
Who must receive OSHA training?
Training is required for all employees who may be at risk for the hazard being discussed. This
includes part-time employees, contract employees, and agency employees.
It does not include self-employed personnel, students, or volunteers, unless some form of
compensation is involved.
It does not include employees of employers who are renting space from you.
It does include home healthcare workers, cleaning crew, repairpersons, or any other
employee who may be at risk for exposure to a specific hazard while on the job.
When must the training take place?
The training must be completed before the employee is put at risk for exposure. It must be offered
during normal working hours and at no expense to the employee. There must be additional training
anytime a new hazard is introduced, and refresher training must be provided annually. It must
include site-specific information, and someone must be available to answer questions in person.
 Include those new hires who have just been trained in annual training also.
What topics must be covered?
Training must cover all hazards to which the employee(s) may be exposed. It must include the
employees’ rights under OSHA, information about the hazard(s), the employer’s written protection
program, all protective measures employees must take, how to recognize and report occupational
illnesses and injuries, and how the employee will be assisted if these occur.
An outline for OSHA training in outpatient settings is on the next page.
What about training records?
Training records must be kept for at least three years. Training records must include the date of the
training, the contents of the training, names and job titles of those who attended the training, and
qualifications of the trainer.
Documentation forms follow.
What are the qualifications of the trainer?
The trainer must have knowledge of the subject. No certification is required.
American Academy of Provider Offices and Laboratories
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OSHA TRAINING OUTLINE
I.
Background Information
A.
B.
C.
D.
II.
Program in General
A.
B.
C.
III.
OSHA=Occupational Safety and Health Act/Administration
Original Act 1970
Purpose of OSHA
General Duty Clause
Employer Responsibilities
Employee Rights and Responsibilities
Standards/Guidelines Affecting Healthcare
Bloodborne Pathogen Standard
Hazard Communication Standard
Workplace Violence (Guidelines)
Ergonomics (Guidelines)
TB (Guidelines)
General: Fire, Working/Walking Surfaces, Exits, Emergency Evacuations
Inspections
Who? What? Where? When? Why?
Must address hazards that are present
Safety Coordinator
Manual – Know where yours is and what it covers
1. Bloodborne Pathogen Standard
2. Hazard Communications Standard
3. Written Infection Control Plan
4. Written Hazard Communication Plan Labeling/MSDS
5. General Safety/Emergency Preparedness
6. Workplace Violence, Ergonomics
7. Tuberculosis
Bloodborne Pathogen Standard
A.
B.
C.
D.
E.
F.
G.
H.
Define bloodborne pathogen and name several
Discuss universal precautions
Exposure I.D. Form
1. Discuss what activities pose hazards
2. Define exposure
HBV, HBC, and HIV
1. Transmission
2. Symptoms
3. Statistics
Personal Protective Equipment (PPE)
1. Appropriate to the task
2. Appropriate to the individual (Latex Allergy)
3. What to wear when
4. Location of PPE
5. CPR device location
Biohazardous Waste Disposal
Disinfectant & “kill” times
HBV immunization
1. Exposure
2. Definition
3. Follow-up
4. Statistics
American Academy of Provider Offices and Laboratories
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IV.
General Safety
A. Electrical hazards to avoid
B. Fire
C. Emergency preparedness
Designated meeting area
D. Indoor Air Quality
E. Radiation/Lasers
V.
HazCom
A. Chemical Hazards
1. Physical (fire, explosion, etc.)
2. Health
a. Acute (headache, irritation, nausea, etc.)
b. Chronic
B. Frequently used hazardous chemicals
Know at least one you work with, its hazards, and how to protect yourself.
C. Labeling
1. Primary containers are labeled by the manufacturer
2. This facility must label secondary containers
D. MSDS – Know location, how to understand, how to obtain
E. Spill kit – Where is yours?
F. Spill clean up directions – Include Personal Protective Equipment (PPE) used
VI.
Ergonomics
A. Define/Purpose
B. Examples
C. Controls
VII.
Workplace Violence
A. Risks
B. Triggers
C. Controls
VIII.
Tuberculosis
A.
B.
C.
D.
E.
F.
History
Transmission
Symptoms
Diagnosis (history, skin test, chest x-rays, AFB smear, and culture and sensitivity acid
fast bacteria)
Risk determination
Control
American Academy of Provider Offices and Laboratories
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OSHA Quiz
Site Specific Information
Safety Coordinator
Location of: OSHA Poster
OSHA Manual
Spill Kit
Eye Wash
Medical Records
Fire Extinguisher
SDS Sheets
Designated meeting place
Emergency phone number for work
Circle the most correct answer
1.
The OSHA ____ should be posted for employees to read
a. Regulations
b. General Duty Clause
c. Poster
d. Fines
2.
OSHA regulations are set up for the protection of the
a. Business
b. Employees
c. Employers
d. Patients
3.
OSHA fines the
a. Business
b. Employees
c. Employers
d. Patients
4.
Bloodborne pathogens (when blood is present) can be transmitted through
a. Urine
b. Saliva
c. Blood
d. All of the above
5.
PPE stands for
a. Patient Preventive Exam
b. Protection for Patients and Employees
c. Preventing Problems for Employees
d. Personal Protective Equipment
6.
Possible symptoms of a latex allergy include __________
a. Irritation
b. Dermatitis
c. Asthma
d. All of the above
for hazards.
American Academy of Provider Offices and Laboratories
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7.
Protective x-ray equipment should be stored how
a. Hanging
b. Folded
c. Locked
d. Hidden
8.
A graphic used for chemical labeling is called a
a. Hieroglyphic
b. Pictogram
c. Sonogram
d. Signal word
9.
Labels must be
a. Legible
b. On secondary containers
c. Prominently displayed
d. All of the above
10. A ______ diamond with a ________ background is on each pictogram.
a. Red/black
b. Black/white
c. Red/white
d. Blue/red
11. A skull and crossbones on a label means
a. Toxic
b. Pirate
c. Warning
d. Danger
12.
a. corrosive
13.
b. irritant
14.
c. explosive
15.
d. carcinogen
16.
e. flammable
American Academy of Provider Offices and Laboratories
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17.
f. aquatic toxicity
18.
g. oxidizer
19.
h. gases under pressure
20. Two signal words for labels are
a. Signal and pictogram
b. SDS and MSDS
c. Danger and warning
d. Corrosive and irritant
21. When using an eyewash station, flush for
a. 15 seconds
b. 15 minutes
c. 30 seconds
d. 30 minutes
22. Musculoskeletal problems are caused by poor
a. Body mechanics
b. Labeling
c. Signage
d. MSDSs
23. The best way to handle workplace violence is
a. Leave the person
b. Get aggressive
c. Be calm and relaxed
d. Call the patient’s Mom
24. An airborne disease spread by droplets is –
a. Hepatitis B
b. E. coli
c. C. difficile
d. Mycobacterium tuberculosis
25. PASS reminds us of the steps for extinguishing a small fire. Those steps are:
a. Pull the pin, Aim the nozzle, Squeeze the handles, and Sweep from side to side until the fire
appears to be out
b. Put out the fire, Assemble all employees, Send a text to the fire department, and Stop traffic
c. Put “Xs” on all closed doors, Assist all people as they leave, Shut the main door, and Send
professionals in to rescue trapped individuals
d. Please a fire blanket over the fire, Alert all persons to leave, Spray the fire blanket with water, and
Send everyone home
My signature below confirms that I have been trained according to OSHA requirements, and that I understand
that failure to comply with our OSHA policies could result in disciplinary action.
Signature: _______________________________________________
Date:
Job Title: __________________________________Employer: ______________________
Trainer:
Trainer Qualifications:
American Academy of Provider Offices and Laboratories
7
OSHA Quiz Answers
1. c
2. b
3. c
4. d
5. d
6. d. all of the above
7. a
8. b
9. d
10. c.
11. a
12. d. carcinogen
13. c. explosive
14. e. flammable
15. b. irritant
16. a. corrosive
17. g. oxidizer
18. h. gases under pressure
19. f. aquatic toxicity
20. c
21. b
22. a
23. c
24. d
25. a.
American Academy of Provider Offices and Laboratories
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ANNUAL OSHA TRAINING
Practice Name: __________________________________________ Date: ________________
Instructor: ___________________________________________________________________
Instructor Qualification: ________________________________________________________
Program Description:
► OSHA Rights and Responsibilities
► Bloodborne Pathogens
► General Safety
► Emergency Evacuation
► Hazardous Chemicals
► Ergonomics
► Workplace Violence
► Tuberculosis
My signature below confirms that I have been
trained according to OSHA requirements, and
that I understand that failure to comply with our
OSHA policies could result in disciplinary
action.
ATTENDANCE RECORD
EMPLOYEE NAME
SIGNATURE
American Academy of Provider Offices and Laboratories
POSITION
9
ATTENDANCE RECORD
EMPLOYEE NAME
SIGNATURE
American Academy of Provider Offices and Laboratories
POSITION
10
INDIVIDUAL EMPLOYEE OSHA TRAINING
Practice Name: __________________________________________ Date: ___________________
Source of training: (circle)
Video
Instructor
PowerPoint
Audio
Instructor or Proctor Qualifications: _________________________________________________
Program Description:
► OSHA Rights and Responsibilities
► Bloodborne Pathogens
► General Safety
► Emergency Evacuation
► Hazardous Chemicals
► Ergonomics
► Workplace Violence
► Tuberculosis
My signature below confirms that I have been
trained according to OSHA requirements, and
that I understand that failure to comply with our
OSHA policies could result in disciplinary
action.
ATTENDANCE RECORD
This document verifies that ______________________________________, who is employed as a/an
Full name (first and last)
_______________________________ in our practice has completed the requirements for their
Current position
OSHA training.
__________________________________________
Employee Signature
______________________
For New Hire or Annual
__________________________________________
Instructor/Proctor Signature
__________________________________________
Date
American Academy of Provider Offices and Laboratories
11
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