Bak er Col le ge

La bo r ato r y Saf et y
Present ation

May 7, 2004
 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
 Today’s Agenda…

Overview of Baker College’s 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

 Laboratory Safety Issues

• Employees - Safety
governed by MIOSHA’s
Chemical Hygiene Plan
requirements
• Students - Doctrine of
Reasonable Care
applies
 Chemical Hygiene Plan (CHP)

Purpose
Provide guidance and
protocols for the
protection of employees
from safety and health
effects of laboratory
hazardous materials.
 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
 CHP General Requirements

• Must include SOP’s relevant to each lab’s 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
 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
Baker College’s 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
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
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
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
 CHP Implementation Requirements

• Identify where MSDS are

kept and how to read an
MSDS
• Develop local SOP’s 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
 Tips on Supervising Students
Within Industrial Arts and University Laboratories
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
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
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
Unclear or Misunderstood Instructions
“I must have misunderstood…..”
“He speaks a foreign language…..”
“I didn’t want to appear stupid…..”
“I don’t think the instructor is good at giving directions…..”
“I was in a hurry to finish…..”
Instructions do not clearly warn of impending hazards
“If it was so dangerous, why wasn’t I told…..”
“I don’t 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…..”
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
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 plaintiff’s injury was “proximately caused” by failure of the instructor
to supervise the experiment
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!!!

Lack of safety equipment
• “We don’t require safety glasses all the time…..”
• “We do not have the resources to purchase gloves for everyone…..”
• “We can’t make them wear lab coats…..”
• “We have safety rules posted on the wall…..”
Assigned experiment/procedure was unnecessarily dangerous
• “We’ve 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 didn’t realize this could happen to my students…..”
Instructor was not adequately trained to supervise
• “He/she is hard to follow and understand…..”
• “I think he/she is new…..”
• “Maybe it’s easy for him/her, but I still needed help…..”
• “I don’t think his/her warning was strong enough…..”
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
Safety supervision involves:
• Being a good:
– Communicator
– Role model
– Coach
– Trainer
– Enforcer
– Investigator
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
 Introduction/Background

• Making your department MIOSHA

compliant and safe for students,
faculty and staff.
 MIOSHA Compliance/Safety

• Personnel training
(faculty and staff; full
and part-time)
• Student training
• Documentation of
training
• Maintenance and
confidentiality
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.
Department Specific Protocol

• Clinic setting
• Laboratory setting
Handbook
• Development of the “Faculty and Staff Handbook
Specific to the Dental Hygiene Program.”

• Many items, including MIOSHA information and

sign-off sheet.
Faculty/Staff Training Modules

• 1. Infection Control Protocol

• 2. Hazard Communication Protocol

• 3. Medical Waste Management Protocol

 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
– How to properly put on, take off, and adjust PPE
– The limits of PPE
– The proper care, maintenance, useful life and disposal of PPE
• Proper hand washing techniques.
• Handling and decontamination of personal protective equipment and clothing.
• Discussion of other clinic safety equipment and demonstration
• The emergency evacuation plan.
• How to handle accidental exposure to body fluids.
• Post-exposure evaluation and follow-up.
• Other: _______________________
• Staff Title:____________________ Signature:____________________________
 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.
• Review schedule for this Infection Control Program.
• Other:_______________________________________________
• Staff Title:_____________________ Signature:_____________________
 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.
2. Contact the Occupational Health Services Department at Mercy Hospital. Baker College of Port Huron is a registered client,and
your concern will addressed immediately. Call (810) 985-1807.
3. Contact the St. Clair County Health Department. This testing is done anonymously. Call (810) 985-2150.

Please note that the cost of all medical evaluations and procedures, such as post-exposure evaluation and follow-up including prophylaxis, will be
assumed by the student/patient. After investigating as to the cause of the exposure, a plan will be put into effect to prevent reoccurrence of the
exposure and all employees/students under this plan will be informed as to the method of prevention.
The OSHA Coordinator must be informed and appropriate protocol (i.e. Incident Report) followed. In the event the OSHA Coordinator is not
physically in the building at the time of the exposure, all above protocol must be handled by a clinical faculty member with the OSHA Coordinator
informed as soon as possible.
 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.
(h) "Contaminated sharps" means any contaminated object that can penetrate the skin. including any of the following:
(i) Needles.
(ii) Scalpels.
(iii) Broken glass
(iv) Broken capillary tubes.
(v) Exposed ends of dental wires.
(i) "Decontamination" means the use of physical or chemical means to remove, inactivate, or destroy bloodborne pathogens on a surface or item to the point where
they are no longer capable of transmitting infectious particles and the surface or item is rendered safe for handling. use, or disposal.
(j) "Department" means the department of consumer and industry services
(k) "Director" means the director of the department or his or her designee.
(l) "Disinfect" means to inactivate virtually all recognized pathogenic microorganisms, but not necessarily all microbial forms on inanimate objects.
(m) "Engineering controls" means controls that isolate or remove the bloodborne pathogen hazard from the workplace.
(n) "Exposure" means reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result
from the performance of an employee's duties. This definition excludes incidental exposures that may take place on the job, and that are neither reasonably nor
routinely expected and that the worker is not required to incur in the normal course of employment
(o) “Exposure incident" means a specific eye. mouth, other mucous membrane, nonintact skin, or parenteral contact with blood or other potentially infectious material
that results from the performance of an employee's duties.
(p) "Handwashing facilities" means a facility that provides an adequate supply of running, potable water, soap, and single‑use towels or a hot air drying machine.
(q) “Licensed health care professional" means a person whose legally permitted scope of practice allows him or her to independently perform the activities required
by the provisions of R 325.70013 concerning hepatitis B vaccination and post‑exposure evaluation and follow‑up.
(r) "Other potentially infectious material“ means any of the following:
(i) Any of the following human body fluids:
(A) Semen.
 Sharps Injury Log Book
Date Type of Injury/ Location Description of Incident
Device Used Clinic/Lab/ Incident Report
Other Number

1.

2.

3.
 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?
_____________________________________________________________________________________________________________________
Evaluation of the incident:
_____________________________________________________________________________________________________________________
Corrective measures taken (if necessary)?
_____________________________________________________________________________________________________________________
Personal protective equipment worn during incident (if any):
_____________________________________________________________________________________________________________________
Signature of the individual completing this form:
_____________________________________________________________________________________________________________________
Date: ____________________
 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:__________________________
 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
• how to lessen or prevent exposure to these hazardous chemicals
• what the college has done to lessen or prevent workers' exposure to these chemicals
• procedures to follow if they are exposed to these chemicals
C. Training will occur within the first week of on the job employment.
D. Training of currently licensed and practicing dental professionals already knowledgeable in OSHA guidelines will be a review of the
Baker College training modules and a discussion on important items relevant to our specific facility.
Material Safety Data Sheets
• Organization
• Location
• Use
• Maintenance
 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:____________________________
 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.
 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
Radiography area
Locker room Northeast doors and/or windows
Clinic stations numbered 1-6
Room 110
Clinic stations numbered 7-15
Room 101 Northwest doors and/or windows
3. Once your are outside, go to the sign in the Student Parking Lot near the road. Determine if anyone is missing. If someone is still inside, notify Campus
Safety/Facilities or someone from the Emergency Medical Personnel (EMS).
4. Do not re-enter the building until directed by EMS personnel.

Responsibilities of the Faculty when the alarm sounds:

1. Things to do before you leave:
a. Assist students and patients in your area in getting outside of the building.
b. Take your keys.
c. Take backpack and/or purse (if easily accessible).
d. Take your coat (if easily accessible).
e. Turn off the MagnaClave, Validator Plus (autoclave) and radiology processor.
f. Close all doors and windows once everyone has evacuated.
2. Once your are outside, go to the sign in the Student Parking Lot near the road. Determine
if anyone is missing. If someone is still inside, notify Campus Safety/Facilities or someone
from the Emergency Medical Personnel (EMS).
3. Do not re-enter the building until directed by EMS personnel.

NOTES:
1. If you cannot get out of your area for whatever reason, close the doors and windows.
2. Do not use the elevator for any reason.
 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
 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
Faculty Folder for Credentials

• Training upon hire

• Annual updates and training
• Latex Survey annually
• Signed
 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:________________________________________________________
Attended meeting ____or Received minutes_____
Educational Methodology Instruction:  Yes  No
How met:______________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Faculty Course Evaluations for Didactic Courses: (FTF will list courses on Quarter End Report”)
Class (s):_____________________________________________________________________
Date(s) discussed ______________________________________________________________
Modifications/Changes needed: (These specific issues must be documented on the ‘Competency Evaluation Survey and End of the Quarter
Course Report.”)
 Miscellaneous Items:_________________________________________________________
Occupational Asepsis and Safety
Procedures - OSAP

• Membership: www.osap.org
P.O. Box 6297
Annapolis, MD 21401
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
Dental Hygiene Student Handbook

• MIOSHA section
• Sign-off sheet
 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
products gloves, etc.), to the extent possible from Baker College. I have the responsibility of notifying an instructor if I suspect a latex allergy
condition, as soon as the symptoms occur. Additional information regarding latex free/safe products will be available to me at my request.
Student Signature: _______________________ Name: (print)___________________________
ID Number____________________________ Date:_________________________________
 Student Training

• HANDBOOK INFORMATION
SIGN-OFF
• I have received and read the
information provided in the
2003-2004 Baker College of
BAKER COLLEGE OF PORT HURON
Port Huron Dental Hygiene’s
DENTAL HYGIENE PROGRAM
Program Student Handbook.
Student Handbook
2003-2004 • Student name (print):
_______________________
• Student signature:
_______________________
• Date:___________________
Curriculum Content

• Videos
• Lectures
• Demonstrations
• Class Handouts
• Tests/Assessments
 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.
*Remove lens cap.
Note: Do not turn the power on by setting the Mode dial until the lens cap is off!
Hold the camera firmly with both hands while keeping your elbows at your sides to prevent the camera from moving.
Note: Do not wear gloves while operating the camera.
Set Mode dial to P for full face profile or A/S/M for intraoral images. Check display for battery power.
View the image in the LCD monitor and rotate the Zoom lever toward T for a close-up picture or W for a wider view.
Note: Do not hold the camera closer than 9 inches from the subject to be photographed.
Press the shutter release button halfway to activate the focus and exposure lock then fully to take the picture.
Display the recorded pictures by setting the Mode dial to
 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
pair of small earrings.
• Do not carry any instruments in clinic coat pockets
• Follow "Work Practice Controls", (p. 128-129) in the Student Handbook.
• Follow "Work Area Restrictions", (p. 129) in the Student Handbook.
• Follow "Housekeeping regulations", (p. 129) in the Student Handbook.
• Follow "Guidelines for Instrument Sterilization", (p. 130) in the Student Handbook.
• Follow "Guidelines for Surface Disinfection", (p. 130-131) in the Student Handbook.
• Follow "College Policies", listed in the appropriate syllabus.
• Follow "Infection Control in Radiography Lab", (p. 137-139) in the Student
Handbook.
3. Heat producing devices (Vacuformer and Sterlizers)
• Exercise caution.
• Follow recommended rules and regulations according to the manufacturer.
4. Electrical devices (light curing unit, oven)
• Turn off all electrical units when not in use.
• Do not operate electrical devices when running water.
• Report electrical defects as soon as noticeable.
 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.
• Report all malfunctioning equipment (motors, latch angles, etc.) to the instructor and
fill out a maintenance report slip.
7. General considerations
• Cleanliness of work areas will be maintained by the students during and after
sessions.
• Absences will be handled according to the school policy.
• Damaged equipment due to improper handling will be the financial responsibility of
the student.
• All laboratory equipment will be returned to its proper place after usage.
I have read and will abide by these safety rules.
Signature_________________________________________Date_________________________
 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)
3. Obtain needed armamentarium using an aseptic technique.
• Use sterile cotton pliers to retrieve stabes, cotton tip applicators, and bitewing loops from containers.
• Obtain two plastic cups: label the outside of one cup "E" for exposed and one "U" for unexposed. Place the cup labeled "E"
furthest from the radiography room door and the one labeled "U" closest to the door.
• Obtain film from the radiography instructor. Place in the tray outside of the operatory.
• Obtain the Rinn XCP devices if necessary.
• Obtain two mounts. Label each with the patient's name and date.
B. Safety:
1. Always drape the patient with a lead apron and cervical collar.
2. Use yoke or back of tube head to make adjustments.
3. Close the door before activating exposure button. Be careful not to close too hard because it may jar the tubehead.
 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 “E”cup 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 patient’s 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 patient’s 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.
 “Work-Study” Students

“Work Study” Students

• Must be MIOSHA Trained

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
The Future Dental Hygienist!
 Safety and Infection Control is:

• A process
• A mindset
• An attitude

No single event or an
occasional decision
Thank-you!
 Final Comments

Final Comments
Barbara Honhart - VP of Academics/System
“Where do we go from here...?”