HCP-ECP online training – p. 1 of 14

HAZARD COMMUNICATION PLAN

and

BLOOD-BORNE PATHOGENS EXPOSURE CONTROL PLAN

ONLINE TRAINING

Student Health Service

MontanaStateUniversity – Bozeman

COURSEintro

The Montana State University Student Health Center (SHS) has developed this online training course to help you manage two major risks that you may encounter while working at the SHS. The first part of this course describes the Hazard Communication Plan (HCP), which provides information regarding the hazardous chemicals which you may encounter in your work area. The second part of this course describes the Blood-Borne Pathogens Exposure Control Plan (ECP) for the prevention and treatment of exposures to blood-borne pathogens.

The HCP and ECP are administered by the Infection Control Committee (ICC). Current ICC members, and the work areas they represent, are:

Dana Pray – Chair, Central Supply, Surgery

Jill Erickson – Janitorial

Bob Flaherty – Physician Advisor

Eleanor Harvey – Lab, X-ray

Gina Huffman– Dental Clinic

Kim Kotur – Acute Care

Sue Ward – Front Desk

Bonnie White – Back Hall

If you have any questions about the HCP, the ECP or this online training program, please contact the ICC representative for your work area, the ICC Chair or your supervisor.

In addition to this online training course, you are required to review and initial the HCP and ECP notebooks in your work area annually. These notebooks contained additional policies and procedures not presented in this online course.

This online training course is designed as a programmed learning activity. After you have read each screen, answer the question at the bottom of the screen. When you click on the correct answer, you will proceed to the next screen. If you click on the wrong answer, you will not proceed, and must select a different answer. You need to answer the question on every Web page to complete the course.

If you need to stop in the middle of this online training course, pookmark the Web page you are on, or record the URL address, so you can return to that page in the future and proceed from there to finish the course.

At the end of the course you will receive a certificate of completion, which you can print out and submit to Raechell Nielsen to receive credit for completing your annual HCP and ECP training.

The Hazard Communication Plan and the Blood-Borne Pathogens Plan:

a. Provide employees with information regarding the potential hazards and safe handling of chemicals used at the SHS, and prevention of exposure to serious infections

b. Aren’t particularly important to workers, except to satisfy OSHA regulations

c. Can be safely ignored

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HCPintro

The Hazard Communication Plan

The Hazard Communication Plan (HCP) provides you with information regarding the potential hazards and safe handling of chemicals used at the MSU Student Health Service (SHS).

The MSU Student Health Service (SHS) is complying with the OSHA Hazard Communication Standard (“Right To Know”), 29:1910.1200, by compiling a hazardous chemicals list, by using MSDSs, by ensuring that containers are labeled, and by providing you with this training.

This HCP applies to all work operations at the SHS where you may be exposed to hazardous chemicals under normal working conditions or during an emergency situation.

The Chair of the ICC is the HCP coordinator, acting as the representative of the SHS Director, who has overall responsibility for the HCP. The Chair of the ICC will review and update the HCP as necessary. Copies of the written HCP and the regulations governing the HCP are available in the HCP notebook in the Infection Control Coordinator’s office. The most important parts of the written HCP itself is available in the HCP notebook located in your work area. Your supervisor will show you the location of that notebook for your review.

Under this HCP, you will be informed of the contents of the Hazard Communication Standard, the hazardous properties of chemicals with which you work, safe handling procedures, and measures to take to protect yourself from these chemicals. You will also be informed of the hazards associated with non-routine tasks.

The complete written Hazard Communication Plan is located in the ICC Chair’s office. The parts of the plans that are most important to you are also located in:

a. The SHS library

b. Your work area

c. The coffee break room

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HCPlist

List of Hazardous Chemicals

The Chair of the ICC maintains a list of all hazardous chemicals used at the SHS, and will update the list as necessary. A list of all of the chemicals used in your particular work area is available in the “Hazard Communication Plan” notebook in each work area. Each list also identifies the corresponding MSDS for each chemical.

A complete list of all hazardous chemicals use at the SHS is maintained by the Chair of the ICC, and a list of chemicals used in your work area is kept in the “Hazard Communication Plan” notebook in your work area.

a. True

b. False

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HCPmsds

Material Safety Data Sheets (MSDSs)

Nearly every product used in the SHS is included on our Chemical Inventory List and has a MSDS, both of which are on file in the HCP notebook in your work area. A master list of MSDSs is included as part of the master list of hazardous materials available from the Chair of the ICC.

Although the format and appearance of a MSDS may vary, each MSDS provides important information about any hazardous components in a product. This information includes:

Chemical name

Manufacturer

Emergency contact phone numbers

Physical and chemical characteristics

Fire and explosion hazard data, including special fire fighting procedures

Reactivity data, including corrosiveness and environmental conditions to avoid

Health hazard data, including signs and symptoms of exposure and first aid measures

Precautions for safe handling and use, including spill cleanup and disposal methods

Exposure control measures, including protective clothing and equipment

Click here to see an example of a typical MSDS for isopropyl alcohol (isopropanol, rubbing alcohol).

If you order a chemical or material not previously used in the SHS, please clear the use of the new chemical with the ICC member for your work area or the ICC Chair. They can help you add the chemical to the Chemical Inventory List and place the MSDS in the HCP notebook in your work area, before using it.

Material Safety Data Sheets (MSDS)

a. List hazardous ingredients in the chemicals we use at the SHS

b.Provide information on potential hazardous effects, handling precautions and first aid measures related to chemical exposures

c. Are on file in the HCP notebook in your work area

d. All of the above

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HCPlabels

Labeling

Every container of chemicals (not pharmaceuticals) in the SHS must have a label, including water bottles. If a container contains a hazardous material it must have an original manufacturer’s label or a National Fire Protection Agency (NFPA) label that provides information about potential hazards. If you transfer a chemical from its original bottle to a new bottle, the new bottle needs a NFPA label.

The NFPA label style we currently use is shown below:

Note that the diamond symbols represent different risks, such as health, flammability, reactivity (e.g. corrosiveness) and any special risks. Written inside each of these diamond symbols should be a number describing the level of severity of each risk.

If you transfer a chemical from its original bottle into another (secondary) container, the secondary container needs

a. Only the brand name of the chemical written on it

b. To be the same shape as the original bottle

c. To have a NFPA label placed on it, indicating the hazards of the chemical and necessary safety measures

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HCPexposure

Exposure to Hazardous Materials

There are several different ways to protect yourself from exposure to hazardous chemicals.

  • Personal Protective Equipment includes gloves, glasses, gowns, masks, etc. to prevent chemicals from contacting your skin
  • Engineering controlsreduce exposure to chemicals through the use of machinery or equipment, such as tongs, and brushes and dustpans
  • Work controls involve the use of procedure-related techniques that reduce your exposure to chemicals, such as monitoring the temperature of volatile chemicals.

The MSDS will usually describe the types of protection that are required.

If you are exposed (e.g., by spill, splash, inhalation, etc.) to a hazardous chemical, immediately do the following:

  1. Cease the procedure as soon as it is safe or practical to do so.
  2. First aid:
  3. Inhalation - Get fresh air
  4. Ingestion- Rinse mouth out thoroughly
  5. Skin - Wash with soap and water
  6. Eye - Flush 15 minutes with tap water. Eye-wash stations are located in Acute Care, X-ray and the Lab.
  7. Consult the MSDS in the HCP notebook in your work area to review additional specific first-aid procedures.
  8. Report the incident immediately to your supervisor, the Medical Director or the Infection Control Coordinator.
  9. Obtain medical counseling from the Medical Director regarding lab testing and treatment.

More detailed first aid information will be found in the MSDS, as well as in the HCP notebook in your work area.

First aid for exposure to a hazardous chemical includes:

a. For inhalation - Get fresh air

b. For ingestion- Rinse mouth out thoroughly

c. For skin exposure - Wash with soap and water

d. For eye exposure - Flush 15 minutes with tap water

e. All of the above

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HCPspills

Spill Clean-up

Hazardous chemicals or blood or other potentially infectious materials may be accidentally spilled in your work area. These spills require special attention, as follows.

Spill Clean-Up Kit

Each work area has a Spill Clean-Up Kit, and a larger Spill Clean-Up Kit is available in the Janitor’s closet. Each Spill Clean-Up Kit contains the following items:

  • “Deluxe Staff Protection Kit” containing PPE (Personal Protective Equipment)
  • Gloves (heavy duty reusable kitchen-type gloves and disposable exam-type gloves)
  • Gown
  • Goggles
  • Respirator mask (surgical mask-type)
  • Sharps container
  • Ring forceps or tongs (to pick up sharp objects and contaminated material)
  • Brush and dustpan for dry particulate material, glass, etc.
  • Yellow biohazard bag for contaminated laundry
  • Red biohazard bag or clear autoclave bag for contaminated wipes, pads, etc.
  • Orange absorbent wipes marked with biohazard stickers
  • Grey, or blue and white absorbent pads marked with biohazard stickers
  • Disposable diapers
  • Hand cleaner (use when water isn’t available for hand washing)

Spill Clean-Up Procedure

These instructions are also included in each Spill Clean-Up Kit and in the HCP notebook in you work area.

  1. Immediately alert others in the area and your supervisor, and evacuate the area, if necessary.
  1. Attend to any people who may be contaminated, according to the First Aid protocols and the relevant MSDS in the “Hazard Communication Plan” binder in your work area.
  1. Isolate the spill using the materials in the Spill Clean-Up Kit. Barricade the contaminated area with chairs if necessary.
  1. For chemical spills, check the Material Safety Data Sheet in the “Hazard Communication Plan” notebook in your work area for hazard information and accidental release/spill information.
  1. Don the appropriate personal protective equipment from the spill kit, including gown, splash goggles and gloves. If respiratory protection is needed, call Safety & Risk Management at 2711.
  1. If broken glass is involved, do not pick it up with your gloved hands. Use a scoop or tongs to place it in the polyethylene hazardous waste bag, then place the bag in a strong cardboard box or plastic container.
  1. Blood/OPIM spills
  2. Absorb the spill using the large grey pad, orange pad, or blue and white pad, or use disposable diapers and/or paper towels, absorbing as much of the spill as possible before applying disinfectant. Place these in the clear “biohazard” bag.
  3. Apply disinfectant (Envirocide or 10% bleach) to the absorbent side of the pads and place them on the spill. Do not spray disinfectant directly on the spill, as this could aerosolize the spill. Do not use 10% bleach on carpeting.
  4. For carpeting, apply pressure to the plastic side of the disposable diaper to promote absorption.
  5. Leave pads in place for 10 minutes.
  6. Handle contaminated pads with the ring forceps in the Spill Clean-Up Kit.
  7. Dispose of pads in the clear “biohazard” bag.
  8. Repeat steps a) through e) as needed.
  9. Dispose of gloves and other disposable PPE in the clear “biohazard” bags.
  10. Place contaminated cloth items, such as cloth towels, washcloths, etc. into the yellow contaminated laundry bags. The yellow bags will then be placed in the autoclave room for removal and laundry.
  11. Replace any items used from the Spill Clean-Up Kit.
  1. Liquid chemical spills
  2. If flammable, turn off all sources of ignition.
  3. Absorb the liquid with the gray absorbent pad and/or the disposable diapers, and place them in the polyethylene hazardous waste bag.
  4. Handle contaminated pads with the ring forceps in the Spill Clean-Up Kit.
  5. Wipe the area down with a wet paper towel, then wash with detergent and water.
  6. Dispose of paper towels with the waste generated from the spill clean-up.
  7. Seal bag with tape and label the bag as to the chemical contents.
  8. Contact Safety & Risk Management at 2711 for advice on disposal.
  9. Replace any items used from the Spill Clean-Up Kit.
  1. Mercury
  2. Broken thermometers, sphygmomanometers or other mercury-containing materials may be placed in a plastic bag or glass or metal container, and sealed.
  3. Contact Safety & Risk Management at 2711 for advice on disposal.
  4. Replace any items used from the Spill Clean-Up Kit.
  1. Solid Material Spills
  2. Use the plastic scoop to place the spilled material into the polyethylene hazardous waste bag.
  3. Care should be taken so as not to create dust or cause the contaminated powder to become airborne.
  4. After the bulk of the material is cleaned up, wet a disposable diaper and wipe the area down, then wash with detergent and water.
  5. Dispose of paper towels with the waste generated from the spill clean-up.
  6. Seal bag with tape and label the bag as to the chemical contents.
  7. Contact Safety & Risk Management at 2711 for advice on disposal.
  8. Replace any items used from the Spill Clean-Up Kit.
  1. All re-usable tools used in the clean-up need to be decontaminated (plastic scoop, tongs, etc.).
  2. Remove all gross contamination with a wet paper towel.
  3. Dispose of the contaminated paper towels as waste.
  4. Rinse the tools off with copious amounts of water, then wash with detergent and water.
  5. Dispose of the gloves as waste.
  6. Dry the tools off and place back into the Spill Clean-Up Kit along with the splash goggles.
  7. Contact the Janitor to obtain replacement gloves and spill clean-up material.
  1. Fill out an Incident Report form and submit it to your supervisor

Wherewillyou find a Spill Clean-Up Kit?

a. The Janitor’s closet

b. In or near your work area

c. In the Janitor’s closet and in or near your work area

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ECPintro

The Blood-Borne Pathogens Exposure Control Plan (ECP)

The ECP provides you with information and policies regarding the prevention and treatment of exposures to infections carried by blood and other body fluids while working at the SHS, through compliance with 29 CFR 1910.1030. This ECP applies to all work operations at the SHS where you may be exposed to blood-borne infections under normal working conditions or during an emergency situation.

The Chair of the ICC is the ECP coordinator, acting as the representative of the SHS Director, who has overall responsibility for the ECP. The Chair of the ICC will review and update the ECP as necessary. Copies of the written ECP and the regulations governing theECP are available in the ECP notebook in the ICC Chair’s office. The most important parts of the written ECP itself are available in the ECP notebook located in your work area. Your supervisor will show you the location of that notebook for your review.

The complete writtenBlood-Borne Pathogens Exposure Control Plan (ECP)is located in the ICC Chair’s office. The parts of the plans that are most important to you are also located in:

a. The SHS library

b. Your work area