8_safety_in_the_office_ppt_111

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The Office Environment
Lesson 1:
Safety in the Medical Office
LessonO
Objectives
LESSON
BJECTIVES
Upon completion of this lesson, students
should be able to …
 Identify general safety measures.
 Discuss disaster rules.
 Describe electrical, radiation, mechanical,
and chemical safety hazards.
 List and describe types of medical waste.
 Define OSHA Bloodborne Pathogens
Standards.
LessonO
Objectives
LESSON
BJECTIVES
 Describe
the points that must be included
in an exposure plan.
 List and discuss guidelines for using
protective measures as indicated by
OSHA.
 Discuss the importance of universal
precautions for the medical assistant.
 List and describe rules for proper body
mechanics.
© 2009 Pearson Education
OCCUPATIONAL SAFETY AND HAZARD
ADMINISTRATION (OSHA)
 Government
agency
 workplace
hazards
 safety standards
 Fines
GENERAL SAFETY GUIDELINES
 Walk,
don’t run
 Walk on the right-hand side
 Use handrails
 No uncapped syringes or sharp
objects
 Keep floors clear
 Open doors carefully
 Replace light bulbs
 Report unsafe conditions
DISASTERS IN A MEDICAL OFFICE
 Fire
 Flood
 Tornado
 Earthquake
 Explosion
 Terrorist
attack
DISASTER PLAN IN THE MEDICAL
OFFICE
written
document
All employees trained
OSHA compliant
radiation equipment
GUIDELINES FOR HANDLING A
DISASTER
 Stay
calm
 Remove individuals
 Call 911
 alert others
 Don’t use the elevator
GUIDELINES FOR FIRE SAFETY
Fire
drills
Fireproof file cabinets
Emergency phone numbers
STEPS OF A FIRE SAFETY PLAN
(RACE)
STEPS IN HANDLING A FIRE
4. Extinguish the fire if it is contained.
3. Remain calm and quickly assist patients to
the exits.
2. Activate the established mechanism for
signaling fire within the office.
1. As soon as fire is discovered, call 911 or local fire
department.
STEPS IN HANDLING A FIRE
7. Have staff and patients gather away
from the building in a pre-determined area.
6. After evacuating everyone, close the doors.
5. Ensure that all rooms are cleared.
NECESSARY ITEMS IN CASE OF A FIRE
Telephone
numbers
Fire extinguishers
Clearly marked exits
Fireproof file cabinets
P.A.S.S.
 Pull
the pin
 Aim the nozzle
 Squeeze the handle
 Sweep at the base of the fire
BIOHAZARDS IN THE MEDICAL OFFICE
Front
office
 Printer and
copier ink
Back office
 Needles
 Medical waste
MATERIAL SAFETY DATA SHEET
 Written
info. on
hazardous
chemicals
 Provides
protection info.
 Must be filed into a
HAZCOM binder
TYPES OF MEDICAL WASTE
Solid
Chemical
Radioactive
Infections
OSHA STANDARDS
 All
employees:
 Body fluids
 Saliva
 Human biopsy tissue or cells
 Urine, stool, sputum, etc.
 employer
must pay for at-risk
employees to receive the Hepatitis B
vaccine series.
PERSONAL PROTECTIVE EQUIPMENT (PPE)
 Best
way to
prevent exposure
 Includes:
 Gloves
 Mask
 Eye/face
shield
 Gowns, lab
coats
UNIVERSAL PRECAUTIONS
CDC
all
blood and
body fluids
PPE
spill kit
OSHA GUIDELINES REGARDING THE
USE OF PPE
 PPE’s
available
 PPE must be strong
 Disposable gloves never reused
 Protective eye equipment
 All PPE must be discarded
properly
WHEN TO WEAR GLOVES
 contact
with blood, infectious
material, open wounds, or broken
skin is anticipated
 Examples:






Venipuncture
Capillary stick
Wound care
Injections
Minor surgery
Cleaning contaminated equipment
WHEN TO WEAR A MASK AND
EYE/FACE SHIELD
 Mask:

eye shields
WHEN TO WEAR A GOWN AND
LAB COAT
contamination
of clothing is
anticipated
Examples:
 Minor surgery
 Laboratory procedures
ITEMS NEEDED TO CREATE
A SPILL KIT
 Plain
clay kitty
liter
 Small dust pan
 Biohazard bag
WASTE AND HAZARD CONTAINERS
HOUSEKEEPING GUIDELINES FOR
MEDICAL PERSONNEL
 PPE
 For
wet spills, use spill kit
 Immediately clean and disinfect
contaminated surfaces with 1:10
bleach/water solution
 Decontaminate all surfaces on a
regular schedule
HOUSEKEEPING GUIDELINES FOR
MEDICAL PERSONNEL (CONT.)
 Double
bag biohazard bag
HOUSEKEEPING GUIDELINES FOR
MEDICAL PERSONNEL (CONT.)
 Use
sturdy biohazard sharps
containers
 keep upright
 Replace when 2/3 full
HOUSEKEEPING GUIDELINES FOR
MEDICAL PERSONNEL (CONT.)
 broken
glass? use a dustpan and
broom to pick it up
 Never pick up broken glass with
hands
GUIDELINES FOR PROPER BODY
MECHANICS
 Do
not bend from
your back
 Stand close
 Create a base of
support
GUIDELINES FOR PROPER BODY
MECHANICS (CONT.)
 Spread
legs
 Bend knees
 Use large leg muscles
 Get help
GUIDELINES FOR PROPER BODY
MECHANICS (CONT.)
 Put
the load down by bending at
the knees
 When two or more people carry the
load, have one person give the
commands
INCIDENTS IN A MEDICAL SETTING
 Patient
falling
 Needle sticks
 wrong medication
 Patient misplacing personal property
 Syringes or needles missing
INCIDENTS IN A MEDICAL SETTING
(CONT.)
A
prescription pad is missing
 Patient is abusive and uses
vulgar language
INCIDENT REPORTS
completed
black
immediately
ink
Copy should be placed in
incident report file, patient’s
file, and employee’s record
Should contain:
 Facts
INFORMATION TO BE INCLUDED
ON THE INCIDENT REPORT (CONT.)
 Action
taken
 Action taken to prevent a
recurrence
 Signature and title
GO TO PPT #9
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