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personal protective equiptment
- gowns
- mask or respirator
- goggles or face sheild
- gloves
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std precations for MDRO's
- wash hands after every patient
- disinfect table at start of every shift and after every patient
- pay attention to enviorment and patient
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when treating a known MDRO patient
- -wear a gown and gloves (masks only with respitory symptoms). Remove and dispose of these before leaving isolation area.
- -plan treatment in advance. Leave pens and chart outside, chart outside of treatment.
- -if possible use disposable items
- -foot pedal trash bin marked " contaminated waste" if unavailable use sharps container for small items and leave gowns in the room
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pcom exposure control plan blood spill (blood spill of any size)
- -put on utility gloves
- -absrob spill with absorbent material (paper towels)
- -dispose of absorbent material , if dripping into red biohazard bag, place in biohazard waste container for offsite disposal if not dripping, normal trashcan
- -change gloves if they become contaminated
- -clean with soap to break down protein film dispose of materials used in trashcan
- -disinfect the area
- -disinfectant solution is absorbed and placed in trashcan
- -clean and dry utility gloves after use in accepted disinfecctant 1:10 bleach solution
- -rinse disinfectant off of gloves, allow to dry
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bleach solutions
- muse be made up same day, used or discarded
- -for routine disinfecting of smooth surfaces: 1:100 concentration
- -for porous surfaces or organic material 1:10 for one hour
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pcom exposure control plan for broken glass
- -utility gloves must be worn during clean up
- -pick up with dustpan and brush or forceps (never manually)
- -dispose of broken glass in sharps container or in another puncture resistant container, that is
- clearly marked
- labeled to indicate contents
- -dispose of as biohazard
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pcom exposure control plan for unexpected event
ex: lost needle, fire in trash can, a person throws up, pregnant women's water breaks
- -contain the accident
- -do not put yourselves or others at risk
- -handle emergencies per emergency action plan
- -prevent others from entering or tracking through area
- -use forceps or other non-manual method to pick up sharps
- -absorb wet accidents with absorbent material (spill kits available)
- -if fumes present, ventilate room
- -once accident contained, danger controlled, stop and think about next step
- -notify supervisor or safety officer or dean of students who will make decision if other help is needed
- -write up incident report or near miss ( if not injuries or property damage)
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pcom blood or body fluid and needlestick exposure protocol
- -immediately clean and decontaminate affected area
- (betadine or 10% provadone-iodine_
- Time is Of the Essence (immediate medical attention within one hour of exposure)
- -immediately call appropriate number
- -immediately inform clinic supervisor, director of clinical services, or chair of dept of clinical practice
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