CPCO Chapter 7 - OSHA
What is not part of Exit Route requirements for a medical facility?
Posting evacuation routes on company web site Response Feedback: Exit route requirements do not include posting information on company web site. Exit Route requirements include Posing evacuation routes in hallways, Non-smoking building sign, Posting evacuation routes in exam rooms.
What year did OSHA publish the Bloodborne Pathogens Standard?
1991 OSHA published the Occupational Exposure to Bloodborne Pathogens standard in 1991 because of a significant health risk associated with exposure to viruses and other micro-organisms.
OSHA requires that the employer report to OSHA all in-patient hospitalizations that were work related to OSHA within ___________
24 hours Response Feedback: 24 hours. Reporting to the nearest OSHA office all work-related fatalities within 8 hours, and all work-related inpatient hospitalizations, all amputations and all losses of an eye within 24 hours.
How many percutaneous injuries involving contaminated sharps occur annually?
600,000 The Centers for Disease Control and Prevention (CDC) estimates that healthcare workers sustain nearly 600,000 percutaneous injuries annually involving contaminated sharps.
What is OSHA?
A federal agency in charge of employee safety Response Feedback: The Occupational Safety and Health Administration (OSHA) is the federal agency charged with ensuring employee safety in the workplace
What are the requirements for containers used to store waste?
Container must be color-coded Response Feedback: Containers used to store waste must be suitable and closable. If there is a leak, the container must be placed in a second container. Sharps containers must be puncture resistant. Containers must be labeled or color-coded so employees know of hazards, and must be closed before removal to prevent spillage.
Kim, Compliance Officer at Apple Rural Health Center, explains to her staff that OSHA falls under the _____________division of the government
DOL Response Feedback: DOL. OSHA is the federal agency under the U.S. Department of Labor (DOL) charged with ensuring employee safety in the workplace.
Kim, Compliance Officer at Apple Rural Health Center, explains to her staff that OSHA falls under the _____________division of the government.
DOL Response Feedback: DOL. OSHA is the federal agency under the U.S. Department of Labor (DOL) charged with ensuring employee safety in the workplace.
Kim, the Compliance Officer at Apple Rural Health Center, is asked by the HR Manager: How long must she keep the information regarding employee OSHA exposures? Kim replies:
For 30 years past the time the employee resigns / is terminated. Response Feedback: For 30 years past the time the employee resigns / is terminated. Unless otherwise stated within a particular OSHA regulation, all employee exposure and medical records must be maintained for at least the duration of the employee's employment plus 30 years. This includes such items as safety data sheets, training records and materials, injury/illness reports, and any other document/electronic file generated in response to an OSHA matter
Which of the following is considered the primary means of minimizing employee exposure? Policies and procedures Engineering controls Personal protective equipment Drills
Engineering controls Engineering controls are the primary means of eliminating or minimizing employee exposure, and include training and the use of safer medical devices, such as needleless devices, shielded needle devices, and plastic capillary tubes.
OSHA requires that the employer displays the OSHA poster in:
English Response Feedback: English. OSHA regulations do not specify or require employers to display the OSHA poster in a foreign language. However, OSHA encourages employers with Spanish-speaking workers to also display the Spanish version of the poster.
Kim, the Compliance Officer at Apple Rural Health Center, must post the OSHA incidents on Form 301 every year between the months of ________:
Feb-April 30th Response Feedback: Incidents that are recorded maintained by the employer on the OSHA 300 form and then appropriate information transferred to the OSHA 301 form for posting from February 1 to April 30, each year.
Which one of the following is NOT considered an engineering control?
Floor cleaning devices Response Feedback: Engineering controls are the primary means of eliminating or minimizing employee exposure, and include the use of safer medical devices, such as needleless devices, shielded needle devices, and plastic capillary tubes.
What does NIOSH stand for?
National Institute for Occupational Safety and Health Response Feedback: The National Institute for Occupational Safety and Health (NIOSH) is the agency that researches and recommends the standards for the workplace, and is an extension of the Department of Public Health and Department of Health and Human Services.
Training should be performed _________ the employee is exposed to any hazard.
before Response Feedback: Training should be performed BEFORE the employee is exposed to any hazard. There are timely training requirements for certain standards.
Cylinders containing flammable gases such as hydrogen or acetylene must not be stored________________________.
by aisles or walkways Response Feedback: Compressed gas cylinders must not be stored next to elevators, stairwells, or in aisles/walkways.
Primary safety concerns in the medical setting include bloodborne pathogens, radiation, bio-hazardous waste, and _______.
chemicals Key issues in a medical setting are bloodborne pathogens, radiation, chemicals, and bio-hazardous waste.
Employers with fewer than ______employees are exempt from the federal OSHA record keeping requirement.
10 Response Feedback: Employers with 10 or fewer employees at all times in the previous calendar year and employers in certain industries including: physician practices; dental practices; other healthcare practitioner offices; and, beginning Jan. 1, 2015, outpatient care centers and medical and diagnostic laboratories, are usually partially exempt from federal OSHA injury and illness record keeping and posting requirements.
Which of the following is not an example of safety measures?
A security alarm system with same access ID or everyone Response Feedback: When installing a security alarm system, it is important that everyone has a different access ID to be able to track who is entering and leaving the medical facility. Safety measures include All employees will need to be trained and educated on safety, Practice Managers and physicians should be sanctioned for safety and key role models in preventing injuries/illnesses, Maintaining a safe environment of care should be an essential part of your organizations mission and strategy.
Which of the following is an example of Personal Protective Equipment (PPE)?
All listed are considered PPE Response Feedback: Gloves, Eye protection and fluid resistant gown are all considered PPE. Personal Protective Equipment (PPE) examples are gloves, eye protection, and fluid resistant gown.
Why did OSHA publish a Bloodborne Pathogens standard?
Because of significant exposures to viruses and other microorganisms Response Feedback: OSHA published the Occupational Exposure to Bloodborne Pathogens Standard in 1991 because of a significant health risk associated with exposure to viruses and other microorganisms that cause blood borne diseases.
In what timeframe is an employer required to post the OSHA 300?
Between February 1st and April 30th Response Feedback: The OSHA 300 form must be posted between Feb. 1 and April 30th in a common area where notices to employees are usually posted.
The National Fire Protection Association (NFPA) states that products that are a physical or chemical hazard must be marked with the colors _____________:
Blue, Red, Yellow, White Response Feedback: Blue, Red, Yellow, White. All secondary containers must have labels that identify the contents, the name of the manufacturer, and the appropriate NFPA Hazard Warning labels. An OSHA Compliance Officer should ensure the labeling of products is in accordance with the NFPA color codes. They indicate the following: · Health Hazard - a blue field · Flammability Hazard - a red field · Reactivity Hazard - a yellow field · Special Information Hazards - a white field
What is not a definition of an occupational exposure?
Bruised skin Response Feedback: An occupational exposure is defined as a percutaneous injury (e.g. a needle stick or cut with a sharp object) or contact of mucous membrane or non-intact skin (e.g. exposed skin that is chapped, abraded or afflicted with dermatitis) with blood, tissue, or other body fluids that are potentially infectious.
What determines exposure?
By reviewing job classifications Response Feedback: Exposure determination shall be made without regard to use of personal protective equipment. It is made by reviewing job classifications within the work environment.
What is not included in the Hazard Communication Standard?
Employee training on evacuation routes Response Feedback: The hazard communication standard is sometimes called the "employee right-to-know" standard. It requires employee access to hazard information, which does not include evacuation routes. Hazard Communication Standard includes A copy of the Material Safety Data Sheet (MSDS) for each chemical (obtained from the manufacturer) used or stored in the office, A list of hazardous chemicals (such as alcohol, disinfectants, anesthetic agents, sterilants, and mercury) used or stored in the office, A written hazard communication program.
Employers are required to maintain an equipment injury log that includes all but_______?
Employee's name involved with the device accident Response Feedback: All information should be de-identified, which means that the employee's name would not be included on the log. Employers are required to maintain an equipment injury log that includes Description of the incident, The type and brand of device involved in an accident, Location of the incident.
What employees fall under Category III?
Employees not exposed to blood borne pathogens Response Feedback: Category III includes all employees whose tasks involve no exposure to blood/body fluids
What would require a high-level disinfection?
Endoscope Items requiring high-level disinfection are objects that come in contact with mucous membranes or skin that is non-intact such as respiratory therapy and anesthesia equipment and endoscopes.
Employees that are exposed to Blood Borne Pathogens must be offered the Hep B Vaccination:
For free. Response Feedback: Free. The following statement of declination of hepatitis B vaccination must be signed by an employee who chooses not to accept the vaccine. The statement can only be signed by the employee following appropriate training regarding hepatitis B, hepatitis B vaccination, the efficacy, safety, method of administration, and benefits of vaccination, and that the vaccine and vaccinations are provided free of charge to the employee.
What is the maximum amount of money an employer can charge for personal protective equipment?
Free of charge Personal Protective Equipment (PPE) will need to be provided to your employees at no expense to them.
Which of the following is NOT part of the annual OSHA employee training?
How to voice concerns about HIPAA Response Feedback: HIPAA and OSHA training need to be separated. Employees should receive annual refreshers on both areas of importance. Annual OSHA employee training include Information on the appropriate actions to take and persons to contact in an emergency involving blood or other potentially infectious materials, Information on the post-exposure evaluation and follow up that the employer is required to provide for the employee following an exposure incident, An explanation of the signs and labels and/or color coding.
What is a OSHA 300 form used for?
It provides a total for job-related injuries for the year Response Feedback: The OSHA 300 is a form which lists a summary of the total number of job-related injuries and illnesses that occurred during the year.
How does a GFCI function?
It will shut off in the event of a ground fault. GFCI is a fast-acting circuit breaker designed to shut off electric power in the event of a ground fault within as little as 1/40 of a second.
What federal agency is in charge of employee safety?
Occupational Safety and Health Administration The Occupational Safety and Health Administration (OSHA) is the federal agency charged with ensuring employee safety in the workplace.
What is the routine cleaning guidelines for BP cuffs?
Provide disposable cuffs to all isolation patients Response Feedback: The guideline requires that medical facilities provide disposable blood pressure cuffs to all isolation patients.
Kim, the Compliance Officer at Apple Rural Health Center, explains to the Director of Operations that the containers used to store or transport infectious material should be the color:
Red is the standard. Response Feedback: Red. Warning labels must be affixed to containers of regulated waste, refrigerators, and freezers containing blood or other potentially infectious material, and other containers used to store, transport or ship blood or other potentially infectious materials, except for the following: Red bags or red containers substituted for labels.
What information should not be included in a Hazardous Waste Policy?
Regulated waste information Response Feedback: Hazardous Materials and Waste Management Policy is created to ensure compliance with applicable laws and established procedures, including maintaining required permits, licenses and manifest, material safety data sheets, associated with hazardous materials and waste.
What employees do NOT fall under Category I?
Social Workers Response Feedback: Social Workers are not part of Category I. Category I workers are classified as being at risk due to close patient contact.
What is an example of using the process of complete elimination or destruction of all forms of microbial life? Disinfection Sterilization Cleaning Using bleach
Sterilization Sterilization eliminates all forms of microbial life and is required for any instruments or objects that enter into human tissue.
If an employee is injured at work with a "sharp" that might be contaminated with another person's blood, the minimum information needed from the injured person is:
Type and brand of device involved in the incident; location of incident; description of incident Response Feedback: Type and brand of device involved in the incident; location of incident; description of incident. Any cuts, lacerations, punctures, and scratches will only need to be documented if they are work-related and involve contamination with another person's blood or other potentially infectious material. If the cut, laceration, or scratch involves a clean object, or a contaminant other than blood or other potentially infectious material, you need to record the case only if it meets one or more of the recording criteria in § 1904.7. The minimum information required consists of: · The type and brand of device involved in the incident; · Location of incident; and · Description of incident.
A Board member of the ABC Internal Medicine Group asks John, the Compliance Officer, if they should be following the Federal OSHA Guidelines or the State Guidelines. Currently the State Guidelines are more stringent. John replies:
We must follow the most stringent, therefore the State Guidelines. Response Feedback: We must follow the most stringent, therefore the State Guidelines. When there is a state OSHA Act, the state enforces their regulations as well as any federal OSHA mandates that are not covered by state. Many states have more stringent requirements or standards that have not been addressed as standards by the federal OSHA. It is important for a Compliance Officer to become familiar with their own state's laws. As with any regulation or law, whichever is more stringent, federal or state — in this case, protects employees most — must be adhered to by the employer.
Which of the following is not a requirement for MSDS sheets?
What quantity the medical facility purchases yearly Response Feedback: There is not a quantity requirement with regards to MSDS information.
When would an employer need to complete an OSHA 300 form?
When there is a work-related contaminated needle stick or sharps injury Response Feedback: You must record all work-related needle stick injuries and cuts from sharp objects that are contaminated with another person's blood or other potentially infectious material (as defined by 29 CFR 1910.1030). You must enter the case on the OSHA 300 Log as an injury.
When wouldn't a medical facility be required to have an Ionizing Radiation policy?
When they do not have an X-ray machine Response Feedback: An Ionizing Radiation policy isn't required if the medical facility does not have any radiology equipment.
When does an employee's declination of Hepatitis B expire?
Whenever the employee decides to get the vaccine Response Feedback: At any time after signing the Hepatitis B declination form an employee change their mind and can then receive the vaccination series at no charge to them.
Larry, the Compliance Officer for Orange County Family Medical Group, explains to the workers that the company will / will not pay for non-specialty safety toe protective footwear if Orange County Medical Group allows this to be worn off the job.
Will not pay Response Feedback: Will not pay. The employer is not required to pay for non-specialty safety-toe protective footwear (including steel-toe shoes or steel-toe boots) and non-specialty prescription safety eyewear, provided that the employer permits such items to be worn off the job site.
Can an employee transfer a chemical to another container?
Yes, as long as the secondary container label is used and meets regulatory requirements. All secondary containers will need to have labels that identify the contents, the name of the manufacturer, and the appropriate NFPA hazard warning labels.
The CEO at XYZ Community Hospital discusses with Joan, the Compliance Officer, that the exit door from the hospital is allowing employees to steal during non-peak hours. He would like the door locked between 2 - 4 am. Joan explains that____:
this cannot happen because the exit door must always be kept unlocked Response Feedback: This cannot happen because the exit door must always be kept unlocked. An exit door must be unlocked. · Employees must be able to open an exit route door from the inside at all times without keys, tools, or special knowledge. A device such as a panic bar that locks only from the outside is permitted on exit discharge doors. · Exit route doors must be free of any device or alarm that could restrict emergency use of the exit route if the device or alarm fails. · An exit route door may be locked from the inside only in mental, penal, or correctional facilities and then only if supervisory personnel are continuously on duty and the employer has a plan to remove occupants from the facility during an emergency.
