2018-574-E Emergency Svc - South orange Rescue Squad operational agreement

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DocuSign Envelope ID:79C5D167-B6CA-4E59-B4AC-AA38CC1B20BD §1910.1030 29 CFR Ch. XVII (7-1-10 Edition) safer medical devices designed to elimi- (ii) Engineering controls shall be ex- nate or minimize occupational expo- amined and maintained or replaced on sure. a regular schedule to ensure their ef- (v) An employer, who is required to fectiveness. establish an Exposure Control Plan (iii) Employers shall provide shall solicit input from non-managerial handwashing facilities which are read- employees responsible for direct pa- ily accessible to employees. tient care who are potentially exposed (iv) When provision of handwashing to injuries from contaminated sharps facilities is not feasible, the employer in the identification, evaluation, and shall provide either an appropriate an- selection of effective engineering and tiseptic hand cleanser in conjunction work practice controls and shall docu- with clean cloth/paper towels or anti- ment the solicitation in the Exposure septic towelettes. When antiseptic Control Plan. hand cleansers or towelettes are used, (vi) The Exposure Control Plan shall hands shall be washed with soap and be made available to the Assistant Sec- running water as soon as feasible. retary and the Director upon request (v) Employers shall ensure that em- for examination and copying. ployees wash their hands immediately (2) Exposure determination. (i) Each or as soon as feasible after removal of employer who has an employee(s) with gloves or other personal protective occupational exposure as defined by equipment. paragraph (b) of this section shall pre- (vi) Employers shall ensure that em- pare an exposure determination. This ployees wash hands and any other skin exposure determination shall contain with soap and water, or flush mucous the following: membranes with water immediately or (A) A list of all job classifications in as soon as feasible following contact of which all employees in those job classi- such body areas with blood other po- fications have occupational exposure; tentially infectious materialiss. (vi ) Contaminated needles and other (B) A list of job classifications in contaminated sharps shall not be bent, which some employees have occupa- recapped, or removed except as noted tional exposure, and in paragraphs (d)(2)(vii)(A) and (C) A list of all tasks and procedures (d)(2)(vii)(B) below. Shearing or break- or groups of closely related task and ing of contaminated needles is prohib- procedures in which occupational expo- ited. sure occurs and that are performed by (A) Contaminated needles and other employees in job classifications listed contaminated sharps shall not be bent, in accordance with the provisions of recapped or removed unless the em- paragraph(c)(2)(i)(B) of this standard. ployer can demonstrate that no alter- (ii) This exposure determination native is feasible or that such action is shall be made without regard to the required by a specific medical or dental use of personal protective equipment. procedure. (d) Methods of compliance—(1) General. (B) Such bending, recapping or needle Universal precautions shall be observed removal must be accomplished through to prevent contact with blood or other the use of a mechanical device or a potentially infectious materials. Under one-handed technique. circumstances in which differentiation (viii) Immediately or as soon as pos- between body fluid types is difficult or sible after use, contaminated reusable impossible, all body fluids shall be con- sharps shall be placed in appropriate sidered potentially infectious mate- containers until properly reprocessed. rials. These containers shall be: (2) Engineering and work practice con- (A)Puncture resistant; trols. (i) Engineering and work practice (B) Labeled or color-coded in accord- controls shall be used to eliminate or ance with this standard; minimize employee exposure. Where (C) Leakproof on the sides and bot- occupational exposure remains after tom; and institution of these controls, personal (D) In accordance with the require- protective equipment shall also be ments set forth in paragraph used. (d)(4)(ii)(E)for reusable sharps. 268