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Baker College Laboratory Safety Presentation

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Title: Baker College Laboratory Safety Presentation


1
Baker College Laboratory Safety Presentation
  • May 7, 2004

2
Presented By
  • Richard Perry
  • Marsh Risk Consulting
  • Sheree Duff
  • Director of Dental Hygiene, Baker College of Port
    Huron
  • Barbara Honhart
  • Vice President of Academics/Systems

3
Todays Agenda…
  • Overview of Baker Colleges Updated Chemical
    Hygiene Plan - R. Perry
  • Tips on Supervising Students in Labs and
    Industrial Arts Classrooms - R. Perry
  • Making Your Department MIOSHA Compliant -
    S. Duff
  • Where Do We Go From Here…? - B. Honhart

4
Laboratory Safety Issues
  • Employees - Safety governed by MIOSHAs Chemical
    Hygiene Plan requirements
  • Students - Doctrine of Reasonable Care applies

5
Chemical Hygiene Plan (CHP)
  • Purpose
  • Provide guidance and protocols for the protection
    of employees from safety and health effects of
    laboratory hazardous materials.

6
CHP General Requirements
  • Ten General Requirements
  • Must be readily available to employees
  • Must designate persons responsible for
    implementation of the CHP of each applicable
    site.
  • Must include provisions for employee information
    and training (Training must be documented)
  • Must include the criteria that the employer will
    use to determine and implement control measures
    to reduce employee exposures to hazardous
    materials

7
CHP General Requirements
  • Must include SOPs relevant to each labs safety
    and health considerations related to substances
    of moderate to high chronic toxicity or high
    acute toxicity
  • Must identify circumstances under which
    particular laboratory operations, procedures, or
    activities would require prior approval
  • Must include provisions for employee exposure
    determination when there is reason to believe
    that exposure levels routinely exceeded the
    action level (or PEL) for that substance

8
CHP General Requirements
  • Must include procedures for medical evaluation of
    employees who may have been over-exposed or who
    show signs or symptoms associated with a
    hazardous chemical found in the laboratory
  • Must include provisions for added employee
    protection for work with potentially hazardous
    substances, including
  • Select carcinogens
  • Reproductive toxins
  • Substances with a high degree of acute toxicity
  • Annual review and update of CHP required

9
Baker Colleges CHP Has Been Developed by
  • Office of Environmental Health and Safety (Flint
    Campus)
  • Kamal Osman, Ph.D. - Health Sciences Laboratory
    Coordinator
  • and
  • Chris DeVriendt, LVT - Health Sciences
    Laboratory Assistant

10
Baker College CHP Implementation Instructions
  • Generic information applicable to most laboratory
    situations on each campus plus
  • Provisions to customize the CHP to each Baker
    College campus

11
Baker College CHP Implementation Requirements
  • Each location must
  • Assign a Chemical Hygiene Officer
  • Identify all locations where laboratory hazardous
    chemicals will be kept including designated
    areas where specific classes of chemicals will
    be stored
  • Complete a hazardous chemical inventory
  • Update floor plans to assure all needed emergency
    equipment is in place and properly identified

12
Baker College CHP Implementation Requirements
  • Complete a PPE hazardous assessment
  • Conduct documented staff training on the hazards
    of the chemicals present in their work areas

13
CHP Implementation Requirements
  • Identify where MSDS are kept and how to read an
    MSDS
  • Develop local SOPs for specific chemicals and/or
    operations which require prior approval from your
    local Chemical Hygiene Officer

Complete instructions and implementation
schedules for this updated Baker College CHP will
be provided soon
14
Tips on Supervising Students Within Industrial
Arts and University Laboratories
15
  • Injuries to Students in an Industrial Arts
    Classroom or College Laboratory
  • May be a Tort for which the University is liable
  • Negligence vs. Liability
  • Guest Statute

16
  • Doctrine of Reasonable Care
  • Duty - What would a reasonable person of ordinary
    prudence do
  • Breach of Duty - Failure to conform to the legal
    duty (an act or failure to act)
  • Causation - Breach causes the injury
  • Direct act
  • Proximate Cause
  • Injury - There must be an injury

17
  • Examples of Negligence in Industrial Arts and
    Laboratory Injury Claims
  • Unclear or misunderstood instructions
  • Instructions do not clearly warn of impending
    hazards
  • Instructor not present in the laboratory at the
    time of the injury
  • Instructor preoccupied at the time of injury
  • Lack of safety equipment
  • Assigned experiment was unnecessarily dangerous
  • Instructor not adequately trained to supervise

18
  • Unclear or Misunderstood Instructions
  • I must have misunderstood…..
  • He speaks a foreign language…..
  • I didnt want to appear stupid…..
  • I dont think the instructor is good at giving
    directions…..
  • I was in a hurry to finish…..

19
  • Instructions do not clearly warn of impending
    hazards
  • If it was so dangerous, why wasnt I told…..
  • I dont remember things until I hear them
    repeated…..
  • The book is unclear…..
  • I was just trying to see what happens…..
  • No one told me that ether fumes can spread so
    far…..

20
  • Safety Training Steps
  • Identify the safety concerns
  • Restate your concerns
  • Inform student of the correct methods and
    safeguards
  • Repeat information on correct methods and
    safeguards
  • Check to make sure there is understanding
  • Emphasize the importance of safety to the student
    and to all others in the class

21
  • Instructor not present at the time of the injury
  • BYU vs. Lilliewhite Case
  • Intro to Chemistry class
  • Explosion occurred while instructor was across
    the hall meeting with another student
  • Jury found plaintiffs injury was proximately
    caused by failure of the instructor to supervise
    the experiment

22
  • Instructor preoccupied at time of the injury
  • General rules of supervision
  • Younger people need more supervision than older
    people
  • More supervision is needed when materials or
    equipment are more dangerous
  • Industrial Arts, Chemistry and Biology labs are
    inherently dangerous!!!

23
  • Lack of safety equipment
  • We dont require safety glasses all the time…..
  • We do not have the resources to purchase gloves
    for everyone…..
  • We cant make them wear lab coats…..
  • We have safety rules posted on the wall…..

24
  • Assigned experiment/procedure was unnecessarily
    dangerous
  • Weve had this experiment as part of our
    curriculum for years…..
  • We warned them…..
  • I should have practiced the demo beforehand…
  • The student was at fault…..
  • I didnt realize this could happen to my
    students…..

25
  • Instructor was not adequately trained to
    supervise
  • He/she is hard to follow and understand…..
  • I think he/she is new…..
  • Maybe its easy for him/her, but I still needed
    help…..
  • I dont think his/her warning was strong
    enough…..

26
  • Other Safety Tips for Classroom Risks
  • Consider using simulations rather than have
    students handle hazardous materials/equipment
  • Syllabus should disclose potential risks
  • Encourage students to express concerns regarding
    safety

27
  • Safety supervision involves
  • Being a good
  • Communicator
  • Role model
  • Coach
  • Trainer
  • Enforcer
  • Investigator

28
  • Safety Tips for Laboratories and Industrial
    Arts Classrooms
  • Each classroom has unique exposures that should
    be identified
  • Lab and shop safety self-inspection programs are
    helpful
  • Safety rules needed for each unique exposure area
  • Documented safety training should be held
    regularly throughout each class duration
  • Review instructions related to hazardous work to
    make sure they are thorough and understandable
  • Make sure adequate supervision is present during
    all times when hazardous activities are underway

29
Introduction/Background
  • Making your department MIOSHA compliant and safe
    for students, faculty and staff.

30
MIOSHA Compliance/Safety
  • Personnel training (faculty and staff full and
    part-time)
  • Student training
  • Documentation of training
  • Maintenance and confidentiality

31
Objective
  • To educate health care faculty, staff and
    students regarding the principles of infection
    control, identify work-related infection risks,
    institute prevention measures, and ensure proper
    exposure management and medical follow-up.

32
Department Specific Protocol
  • Clinic setting
  • Laboratory setting

33
Handbook
  • Development of the Faculty and Staff Handbook
    Specific to the Dental Hygiene Program.
  • Many items, including MIOSHA information and
    sign-off sheet.

34
Faculty/Staff Training Modules
  • 1. Infection Control Protocol
  • 2. Hazard Communication Protocol
  • 3. Medical Waste Management Protocol

35
Infection Control Protocol
  • BAKER COLLEGE DENTAL HYGIENE PROGRAM
  • PREVENTING OCCUPATIONAL EXPOSURE TO BLOOD-BORNE
    DISEASES
  • A RECORD OF EMPLOYEE INFORMATION AND TRAINING
    PROGRAM
  • On the date indicated below, dental hygiene
    faculty participated in an information and
    training session on the subject of preventing
    occupational exposure to blood-borne diseases.
  • Date of information and training
    program_______________________________
  • Training conducted by ___________________________
    __________________
  • Signature of trainer ____________________________
    ___________________
  • The following information was presented
  • What is OSHA.
  • What is the OSHA Bloodborne Pathogens Standard.
  • Exposure determination categories discussed
    recognizing tasks with a disease transmission
    hazard.
  • Modes of transmission of blood-borne diseases.
  • Risks of exposure to HIV and HBV.
  • How to apply the concept of Universal
    Precautions.
  • Requirements for Hepatitis B immunization.
  • Proper use of personal protective equipment
    including the following
  • When PPE is needed
  • What PPE is necessary

36
Infection Control Continued
  • BAKER COLLEGE DENTAL HYGIENE PROGRAM
  • INFECTION CONTROL PRODEDURES
  • A RECORD OF EMPLOYEE INFORMATION AND TRAINING
    PROGRAM
  • On the date indicated below, dental hygiene
    faculty participated in an information and
    training session on the subject of infection
    control.
  • Date of information and training
    program_______________________________
  • Training conducted by ___________________________
    __________________
  • Signature of trainer ____________________________
    ___________________
  • The following information was presented
  • How to use and care for sharp items.
  • What engineering controls this education clinic
    utilizes to reduce or eliminate employee
    exposure.
  • How and when to use the needle recapping device.
  • What work practice controls this educational
    clinic utilizes to reduce or eliminate employee
    exposure.
  • Review of information to employees who are or may
    become pregnant regarding possible risks to fetus
    from HBV/HIV and other associated infectious
    agents.
  • Review of procedures for dealing with an
    accidental exposure or puncture.
  • Information on the appropriate schedule for
    cleaning and disinfecting the various surfaces,
    equipment and other areas in the clinic (usually
    accomplished by the student).
  • Information on the types of sterilants and
    disinfectants used in the clinic.
  • Information on the types of protective coverings
    (barriers) used in the clinic.
  • Location of the information regarding the
    Infection Control Program for the clinic.

37
  • GUIDELINES FOR EXPOSURE MANAGEMENT
  • A Faculty Member Must Be Informed Immediately!
  • An exposure incident means a specific eye, mouth,
    or other mucous membrane, non-intact skin or
    parenteral contact with blood or other
  • potentially infectious materials that results
    from the performance of a dental hygiene
    student's duties. In the event that there is an
    accidental
  • exposure, the following steps should be taken
  • Immediately decontaminate the area of exposure
    by
  • 1. Washing the skin thoroughly with soap and
    water.
  • 2. Rinsing exposed mucous membranes with water.
  • 3. If the exposure is to the eye, use the
    eyewash to flush your eyes for 15 minutes.
  • 4. If blood is splashed into the mouth or nose,
    flush the area with clean, running water.
  • Hepatitis B Virus and Human Immunodeficiency
    Virus Postexposure Management
  • Once an exposure has occurred, the blood of the
    individual from whom exposure occurred should be
    test for Hepatitis B surface antigen (HbsAg)
  • and antibody to human immunodeficiency virus (HIV
    antibody). Local laws regarding consent for
    testing source individuals must be followed. All
  • post-exposure follow-up will be performed by the
    exposed individual's personal physician. If the
    student or patient doesn't have a personal
  • physician, the following options are available
  • 1. Contact the Port Huron Hospital Health Access
    Line, which is a 24 hour service. They support
    all three local hospitals and a referral to an
    appropriate physician will be made upon the
    patient/student's request. Call 1-800-228-1484.

38
  • DEPARTMENT OF CONSUMER AND INDUSTRY SERVICES
  • DIRECTOR'S OFFICE
  • Filed with the Secretary of State on June 30,
    1993 (as amended November 14, 1996)
  • These rules take effect 15 days after filing with
    the Secretary of State
  • (By authority conferred on the director of the
    department of consumer and industry services by
    section 24 of Act No. 154 of the Public Acts of
    1974, as amended, and executive reorganization
    orders nos. 1996-1 and 1996-2 being 408.1024,
    330.310 1, and 445.2001 of the Michigan Compiled
    Laws)
  • R 325.70004, R 325.70005, R 325.70007. R
    325.70008, R 325.70009, R 325.70012, R 325.70013,
    R 325.70015, and R 325.70016 of the Michigan
    Administrative Code, appearing on pages 601 to
    605, 612, and 613 of the 1993 Annual Supplement
    to the 1979 Michigan Administrative Code, are
    amended to read as follows
  • BLOODBORNE INFECTIOUS DISEASES
  • R 325.70001 Scope.
  • Rule 1. These rules apply to all employers that
    have employees with occupational exposure to
    blood and other potentially infectious material
    as defined by the provisions of R 325.70002(c),
    (n), and (r).
  • R 325.70002 Definitions.
  • Rule 2. As used in these rules
  • (a) "Act" means Act No. 154 of the Public Acts
    of 1974, as amended, being 408.1001 et seq. of
    the Michigan Compiled Laws.
  • (b) "Biologically hazardous conditions" means
    equipment, containers, rooms, materials,
    experimental animals, animals infected with HBV
    or HIV virus, or combinations thereof that
    contain or are contaminated with, blood or other
    potentially infectious material.
  • (c) "Blood" means human blood, human blood
    components, and products made from human blood
  • (d) "Bloodborne pathogens" means pathogenic
    microorganisms that are present in human blood
    and can cause disease in humans. These pathogens
    include hepatitis B virus (HBV) and human
    immunodeficiency virus (HIV).
  • (e) "Clinical laboratory" means a workplace where
    diagnostic or other screening procedures are
    performed on blood or other potentially
    infectious material
  • (f) "Contaminated- means the presence or the
    reasonably anticipated presence of blood or other
    potentially infectious material on an item or
    surface.
  • (g) "Contaminated laundry" means laundry which
    has been soiled with blood or other potentially
    infectious materials or may contain sharps.

39
Sharps Injury Log Book
40
(No Transcript)
41
Incident Report
  • SHARPS INJURY LOG
    ___________
  • BAKER COLLEGE OF PORT HURON
  • DENTAL HYGIENE PROGRAM
  • RECORD OF EMPLOYEE / STUDENT INCIDENT
  • Date of the incident_____________________________
    ____
  • Type of incident ? ?Injury ? Illness ? Other
  • Staff members (s) / student (s) involved
  • Name Social Security Number Title
  • 1_________________________________________________
    __________________________________________________
    __________________
  • 2.________________________________________________
    __________________________________________________
    __________________
  • 3.________________________________________________
    __________________________________________________
    __________________
  • 4.________________________________________________
    __________________________________________________
    __________________
  • Description of the incident
  • __________________________________________________
    __________________________________________________
    _________________
  • Location where the incident occurred
  • __________________________________________________
    __________________________________________________
    _________________
  • Was a medical referral necessary? ? Yes ? No
  • If yes, where was the patient referred for
    evaluation?

42
Hazard Communication Protocol
  • BAKER COLLEGE DENTAL HYGIENE PROGRAM
  • HAZARD COMMUNICATION
  • A RECORD OF EMPLOYEE INFORMATION AND TRAINING
    PROGRAM
  • On the date indicated below, dental hygiene
    faculty participated in an information and
    information and training session on the subject
    of hazard communication.
  • Date of information and training
    program_____________________________________
  • Training conducted by ____________________________
    _______________________
  • Signature of trainer______________________________
    ________________________
  • The following information was presented
  • Provisions of the Right to Know Law and Hazard
    Communication Standard.
  • The physical and health hazards of chemicals in
    the clinic.
  • Location of the Haz-Com program including the
    hazardous chemicals list and the Material Safety
    Data Sheets (MSDS).
  • The details of the hazard communication program,
    including an explanation of the labeling system,
    MSDS, and how to obtain and use the hazard
    information on the labels and the MSDS.
  • Information on emergency procedures for spills,
    etc.
  • Review of the Emergency Evacuation Plan.
  • Other ___________________________________________
    ______________
  • Staff Title ________________________
    Signature__________________________

43
Hazard Communication Protocol
  • HAZARD COMMUNICATION PROGRAM
  • I. Hazard Determination Baker College of Port
    Huron Dental Hygiene Clinic will be relying on
    Material Safety Data Sheets from product
    suppliers and the ADA to meet hazard
    determination requirements.
  • II. Labeling
  • A. The Program Director will be responsible for
    seeing that all containers (including portable)
    in the clinic are properly labeled. (Note
    although the Director has the final
    responsibility in this matter, this day to day
    task may be delegated to a trained work study
    student, under the direction of the Director.)
  • B. All in-coming labels will be checked for
    identity, hazard warning, name and address of
    responsible party.
  • III. Material Safety Data Sheets
  • A. The Program Director will be responsible for
    compiling the master MSDS file. It will be kept
    in the Dental Hygiene Clinic. Copies will be
    given by the
  • Director to the Campus Safety Director for the
    Campus master copy, which is available to all
    employees.
  • B. All MSDS's will be available for review by
    all employees and students.
  • C. The full-time faculty member responsible for
    ordering supplies will ensure that MSDS are
    requested with each new product order.
  • D. The required MIOSHA Right to Know Poster is
    located in the faculty lounge on the second
    floor. The Campus Safety Director is responsible
    to post new or revised MSDSs.
  • IV. Employee Information and Training
  • A. The Program Director shall coordinate and
    maintain records of all OSHA training.
  • B. Training information for new employees will
    include
  • ? chemicals and their hazards the work areas

44
Material Safety Data Sheets
  • Organization
  • Location
  • Use
  • Maintenance

45
Medical Waste Management Protocol
  • BAKER COLLEGE DENTAL HYGIENE PROGRAM
  • MEDICAL WASTE MANAGEMENT
  • A RECORD OF EMPLOYEE INFORMATION AND TRAINING
    PROGRAM
  • Date of information and training
    program______________________________
  • Training conducted by_____________________________
    ________________
  • Signature of trainer _____________________________
    __________________
  • The following information was presented
  • Which waste items need special handling as
    medical waste, and which items may be disposed of
    as a non-regulated waste.
  • The measures that should be used to minimize
    exposure to infectious agents during the handling
    and disposal of medical waste including, where
    applicable, standard operating procedures (work
    practice controls) for processing medical waste,
    the use of protective equipment and clothing, the
    use of physical containment devices and the
    prevention and control of aerosols.
  • The requirements for waste containment, including
    the workplace standard operating procedures for
    segregating and packaging each category of
    medical waste generated.
  • The meaning of the universal biohazard warning
    symbol, as well as how a container of each
    medical waste generated must be labeled.
  • The requirements for waste storage, collection
    and disposal.
  • An understanding and familiarity of the protocols
    and procedures outlined in the Student Handbook
    relating to OSHA requirements.
  • Other ___________________________________________
    ___________________
  • Staff Title ______________________
    Signature____________________________

46
Medical Waste Management
  • GUIDELINES FOR REMOVAL AND STORAGE OF MEDICAL
    WASTE
  • Guidelines regarding removal and storage of
    medical waste, including sharps will follow
    Federal, State and Local guidelines and will be
    updated as needed. Medical waste will be disposed
    of at regular intervals not to exceed 90 days.
    Waste will be collected in OSHA approved red
    containers marked medical waste. Storage of these
    bags will be in room 111A , which is a restricted
    area with limited access. They will be collected
    by the Facilities Department of Baker College,
    who are fully informed of the potential risks and
    who have been trained in Universal Precautions,
    following all the appropriate guidelines, and
    within 24 hours. At designated schedules, "Waste
    Management" company will pick up Baker College's
    BIO-waste. The dental clinic is a "small"
    generator of medical waste.
  • Stericyle
  • P.O. Box 9001588
  • Louisville, KY, 40290-1588
  • All local, state, and federal regulations for
    hauling medical waste are followed. The required
    forms and documents for transport and disposal
    are kept in the office of Ralph Jordan, Director
    of Safety/Facilities.
  • The following is a list of disposable items that
    will be placed in the student's trash bag during
    and at the completion of patient treatment
  • Face masks, cotton rolls, patient gloves,
    articulating paper, finger cots, prophy cup,
    patient big, prophy brush, prophy paste
    containers, floss/tape, dappen dishes, pit and
    fissure brushes, cotton tip applicators, saliva
    ejector, headrest cover, bitewing tabs, all
    plastic barriers, x-ray film packets, gauze
    squares.
  • All sharps (needles etc.) will be placed in the
    Sharps container located on the countertop in the
    sterilization area of the Clinic. Upon closing
    the container, it will be stored in room 111A
    until pick-up at regularly scheduled intervals.
  • Following manufacturer's instructions, the
    suction cleaner (currently Vacusol Ultra) will be
    run through the suction system daily.

47
Clinic Emergency Evacuation
  • BAKER COLLEGE OF PORT HURON
  • DENTAL HYGIENE CLINIC FIRE EVACUATION PLAN
  • FOR THE DENTAL HYGIENE STUDENTS AND FACULTY
  • A plan has been created to provide easy exit from
    the building in case of a fire. A fire drill
    will take place during the Fall quarter.
    Responsibilities have
  • been assigned to eliminate confusion in the event
    of a real fire.
  • Responsibilities of the student when an alarm
    sounds
  • 1. Things to do before you leave
  • a. Take your keys.
  • b. Take backpack and/or purse (if easily
    accessible).
  • c. Take your coat (if easily accessible).
  • d. Assist your patient and your neighboring
    student out of the building.
  • 2. Where should you go?
  • From these locations Exit to these locations

48
Clinical Quality Assurance Document
  • Quarterly Assessment of MIOSHA Guidelines and
    Safety
  • Sharps containers
  • Number of Incident Reports
  • Safety equipment eye wash station, oxygen
    tank
  • Radiographic equipment dosimetry badges
  • Hazardous Waste Management
  • Emergency drug kit
  • Autoclave maintenance/spore testing
  • Faculty credential review

49
Annual Update of Employee Training
  • BAKER COLLEGE OF PORT HURON
  • DENTAL HYGIENE PROGRAM
  • ANNUAL OSHA UPDATE
  • RECORD OF EMPLOYEE INFORMATION AND TRAINING
    PROGRAM
  • OCTOBER 10, 2002
  • As part of a faculty orientation meeting, I was
    updated on the following OSHA issues
  • Revision of the Exposure Control Plan to
    include the use of Metri-Wipes for use as a
    surface
  • disinfection. A new MSDS sheet is filed in
    the log book.
  • Maintenance of the policies for the Needle Stick
    Safety and Prevention Act which was explained at
    the Fall 2001 faculty orientation. I have been
    given the opportunity to discuss and have input
    into any recapping devices I think might be
    appropriate for the Dental Hygiene Clinic.
  • Review of Annual Training Modules
  • Infection Control Procedures
  • Waste Management
  • Hazard Communication
  • In addition, I have had the opportunity to update
    my Latex Allergy Survey to document any
    changes.
  • Faculty Signature _______________________________
    _____Date______________________
  • Trainer Sheree Duff RDH, MS

50
Faculty Folder for Credentials
  • Training upon hire
  • Annual updates and training
  • Latex Survey annually
  • Signed

51
Faculty Information and Credential Review
  • BAKER COLLEGE OF PORT HURON
  • DENTAL HYGIENE PROGRAM
  • FACULTY INFORMATION AND CREDENTIAL REVIEW
  • 2002-2003
  • Name ___________________________ Position______
    ____________________
  • Home Address___________________________ E-mail
    address_____________________
  • Home Phone ___________________________
  • Cell Phone ___________________________
  • Work Phone ___________________________
  • Immunization Hepatitis vaccine - ? Yes ?
    No Date(s)_____________________
  • CPR Certification Date issued_________ Date
    expires_____________________________
  • Licensure
  • States licensed in_______________________________
    ________________________
  • Renewal date_____________________________________
    _____________________
  • License number (s)_______________________________
    ______________________
  • Drug license number - DDS only __________________
    ________________________
  • Annual CEU documentation provided for previous
    year (2001-2002) ? Yes ? No
  • OSHA Instruction- Original Date at Baker
    College__________________________________
  • Annual OSHA Update_______________________________
    _________________________

52
Occupational Asepsis and Safety Procedures - OSAP
  • Membership www.osap.org
  • P.O. Box 6297
  • Annapolis, MD 21401

53
Student Training for MIOSHA and Safety Procedures
  • Student Handbook
  • Curriculum Content
  • Testing and Assessment
  • Weekly Grading Criteria
  • Laboratory Safety Rules for
  • Oral Anatomy
  • Dental Radiology
  • Dental Materials

54
Dental Hygiene Student Handbook
  • MIOSHA section
  • Sign-off sheet

55
Student Waiver Form for Potential Latex Allergy
  • STUDENT WAIVER FORM
  • Latex Allergy
  • The goal of Baker College is to have a latex
    safe environment. However, because latex can
    be found in a variety of products and materials
    (i.e.,
  • erasers, wallpaper, computer terminals, etc.) it
    is difficult to ensure a latex free
    environment. Therefore, the following
    information is being
  • presented to fully inform all students of the
    potential risks of this exposure to latex.
  • Students at Higher Risk previous history of
    allergies
  • numerous previous exposures to latex of any
    kind
  • health care workers
  • spina bifida patients
  • rubber plant employees
  • Methods of Exposure skin/mucosal contact, glove
    wearing, and via airborne particles in the air.
  • Symptoms From a simple runny nose to a life
    threatening anaphylactic reaction.
  • General symptoms include sneezing, coughing,
    itching, asthma, rash, headaches, shortness of
    breath.
  • Systemic reactions hives, swelling, edema,
    coughing, asthma, shock, laryngeal edema,
    cardiovascular changes and gastrointestinal
    changes.
  • Caution Students with a mild sensitivity to
    latex may, at any time, develop a serious life
    threatening reaction to latex.
  • Baker College has attempted to ensure your
    safety however, students developing serious
    reactions to latex may not be able to complete
    their
  • specific program of study at Baker College.
  • I understand the risks involved in using and
    being exposed to latex products. I understand I
    will have the opportunity to request latex free

56
Student Training
  • BAKER COLLEGE OF PORT HURON
  • DENTAL HYGIENE PROGRAM
  • Student Handbook
  • 2003-2004
  • HANDBOOK INFORMATION SIGN-OFF
  • I have received and read the information provided
    in the 2003-2004 Baker College of Port Huron
    Dental Hygienes Program Student Handbook.
  • Student name (print) _______________________
  • Student signature _______________________
  • Date___________________

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Curriculum Content
  • Videos
  • Lectures
  • Demonstrations
  • Class Handouts
  • Tests/Assessments

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Weekly Grading with Rubrics
Weekly Grading with Rubrics
  • DIGITAL CAMERA
  • PROCESS EVALUATION
  • STUDENT NAME _____________________________________
    DATE ____/____/____
  • INSTRUCTOR NAME _________________________________
    PASS REPEAT
  • STANDARDS OF CARE
  • ? Infection control
  • ? Professionalism
  • ? Time management
  • ? Patient management
  • ? D.H. Assessment / Tx. Planning
  • PROCESS
  • ? Obtain camera, retractors, and mirrors.
  • ? Inform patient about the procedure and
    rationale for use.
  • ? Describe and demonstrate the use of the
    retractors and mirrors for an anterior view, a
    buccal view, an occlusal view and a full face
    view.
  • ? Dry the teeth and/or mirror.

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Laboratory Safety Rules
  • LABORATORY SAFETY RULES
  • They will be enforced by the laboratory
    instructors. The rules are for the safety and
    follow-up care
  • for all individuals.
  • 1. Injuries
  • ? Follow emergency procedures as specified in
    the Student Handbook (p. 111-113).
  • ? Report all injuries to the instructor.
  • ? File an Incident Report (Appendix A, p.
    152-153) of the Student Handbook.
  • 2. Safety precautions
  • ? Follow universal precautions by wearing the
    appropriate personal protective
  • equipment (PPE) during procedures
  • ? Eyewear
  • ? Masks
  • ? Gloves
  • ? Clinic jacket
  • ? Clinic shoes are worn during laboratory
    periods.
  • ? All long hair must be pulled back.
  • ? Clinic scrubs or dress attire will be worn
    during laboratory periods.
  • ? Jewelry can include a wedding ring, one
    necklace tucked in laboratory coat, and one

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Laboratory Safety Rules Continued
  • 5. Model trimmers
  • ? Use safety glasses and a mask while operating
    or standing near a model trimmer.
  • ? Remove all rings and bracelets and keep hair
    tied back.
  • ? Keep knuckles, fingernails, and fingers away
    from the blade during operation.
  • ? Operate the trimmer with water.
  • ? Do not operate model trimmer if the blade is
    wobbling.
  • ? Do not try to stop the cutting wheel if it is
    still moving.
  • ? Clean and disinfect the area (countertops,
    trimmer, and shield) after usage.
  • ? If you smell a trimmer overheating, turn it
    off at once, inform instructor, and fill out
  • a maintenance report slip.
  • ? Shut off equipment after usage.
  • ? Sweep floor after usage.
  • ? Wipe any spilled water during/after usage.
  • ? Shield must be in place at all times.
  • 6. Materials used during the finishing and
    polishing of amalgams
  • ? Use safety glasses and a mask while operating
    or standing near a motor, sheath, latch
  • angle, burs, points or cups.
  • ? Insure that the latch is holding the bur,
    point, or cup before inserting into the mouth.
  • ? Clean handpiece and latch angle after use.

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Laboratory Safety Rules
  • INFECTION CONTROL IN RADIOGRAPHY LAB
  • I. Considerations
  • A. Infection control procedures must include
    guidelines for dental radiographic procedures in
    dental settings.
  • B. Thorough review of the patient's
    medical history is necessary.
  • C. All infection control protocols
    should be followed.
  • II. Procedure NOTE You must be wearing a
    mask, gloves, and safety glasses during
    disinfection.
  • A. Preparation for exposing radiographs
    in the operatory
  • 1. Disinfect anything that you will touch
    by wiping the following with Caviwipes
  • ? lead apron and thyroid shield
  • ? sink and faucet handle and knobs
  • ? viewbox
  • ? trays inside and outside of operatory
  • ? on/off switch on x-ray unit
  • ? door knob (inside and outside)
  • 2. Cover, utilizing the barrier technique,
    the following items
  • ? chair headrest cover
  • ? tubehead and cone clear plastic bag
  • ? control panel buttons (outside
    operatory) clear plastic
  • ? sensor, keyboard, and mouse (digital
    operatory)

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C. Exposure 1. Always wear
gloves and protective eyewear. 2.
Wearing a mask is optional but recommended. D.
Daylight loading procedure 1.
Take off gloves after last film is placed into
the exposed E cup. 2. Carry film
in the Ecup to the developing area and place in
the daylight loader along with a plastic baggie
to be used for disposables paper and
film packaging, gloves. 3. Record
the patients name and date on mounts and place
on top of the machine. This is important
because it indicates to others that radiographs
are being processed! 4. Turn the
processor to the Run position. 5.
Donn new powder-free gloves. 6.
Insert hands through sleeves of daylight loader.
7. Open the film packets being
careful not to touch the lead foil or film with
contaminated gloves. 8. Drop the
lead foil and film into the white container
marked Exposed films only. 9.
Place the contaminated film packets into the
plastic baggie. 10. Open all of the
film packets in this manner. 11.
After the last film packet has been opened,
remove your contaminated gloves by turning them
inside out and place them in the plastic
baggie with the film packets. 12.
Remove the exposed films (one at a time) from the
white container (with ungloved hands) and place
in the slots of the processor,
alternating the films (i.e. slot 1 slot 3, then
slot 2 and slot 4 this prevents the films from
sticking to one another) Be careful with
dual film packets! 13. After the last
film has been place into the processor, empty the
white container of the lead foils into the clear
plastic container marked Lead Foils.
14. Remove hands from the daylight
loader sleeves. 15. Open the filter
window and carefully remove the plastic baggie
containing contaminated material and dispose.
16. Return to the radiography room, wash
hands, donn nitrile gloves and begin disinfecting
procedures. 17. When processing is
complete, take films and mounts to the mounting
area and place in mounts. E. Darkroom
procedure 1. Follow the above
steps (1-3) for carrying the film to the
darkroom. 2. Enter the darkroom
only if the outside red light is NOT lit.
3. Turn on the safelight and close and lock
door. 4. Donn new gloves.
5. Follow the above steps (7-11) for opening
the film packets. 6. Place film on
a film hanger which has been labeled with the
patients name, date and number of films taken.
Be sure the films are secure on the
hanger. 7. Once all films are on the
film hanger, place the films into the developing
solution following the recommended time for the
temperature of the solution, rinse, then
place in the fixer solution for a minimum of 4
minutes. 8. Set the timer
appropriately. 9. Properly dispose
the contaminated cup and empty the lead foils
into the appropriate container. 10.
Turn off the safelight and return to the
radiography room, wash hands, donn nitrile gloves
and begin disinfecting procedures. 11.
When films are dry, take films and mounts to the
mounting area and place in mounts.
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Work-Study Students
Work Study Students
  • Must be MIOSHA Trained

66
Ongoing Assessment/Maintenance of MIOSHA
Guidelines and Safety Protocol
Ongoing Assessment/Maintenance of MIOSHA
Guidelines and Safety Protocol
  • Written training modules
  • Mandatory annual training
  • Course content
  • Policies and procedures
  • Trainers knowledge
  • Costs
  • Attitudes

67
The Future Dental Hygienist!
68
Safety and Infection Control is
  • A process
  • A mindset
  • An attitude
  • No single event or an
  • occasional decision

69
Thank-you!
70
Final Comments
Final Comments
  • Barbara Honhart - VP of Academics/System
  • Where do we go from here...?
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