AEROSOLIZED MEDICATION: - CCAHN
170.1044 EXPOSURE CONTROL PLAN ADDENDUM D
DEPARTMENT BLOOD BORNE HAZARD EXPOSURE IDENTIFICATION & CONTROL PROCEDURES
RESPIRATORY THERAPY DEPARTMENT
| |
| | |REQUIRED PERSONAL PROTECTIVE | | |
| | |EQUIPMENT | | |
|EXPOSURE HAZARD |EXISTING ENGINEERING CONTROLS | |REQUIRED WORK PROCEDURES |DISPOSAL, CLEANING PROCEDURES |
|AEROSOLIZED MEDICATION: |
|saliva, sputum |disposable nebulizer |gloves, |hand washing routinely before and after |dispose in regular trash unless contamination |
| |disposable unit does medications |mask if patient coughing, | |suspected, |
| | |spattering likely | |utilize a biohazard labeled red bag to isolate|
| | | | |discarded equipment |
|ASSIST WITH BRONCHOSCOPY: |
|blood, sputum |disposable closed system specimen containers for |gloves, gowns, apron, mask |hand washing routinely before and after |dispose in regular trash unless contamination |
| |bronchial washings and secretions | | |is suspected; utilize a biohazard red bag to |
| | | | |isolate discarded equipment and personal |
| | | | |protective equipment |
|ASSIST WITH TRACHEOSTOMY: |
|blood, sputum |disposable tracheostomy tube |gloves, mask, gown, apron |hand washing routinely before and after |regular trash unless contamination is |
| | | | |suspected; if so use a biohazard labeled red |
| | | | |bag to isolate discarded equipment |
|CARDIOPULMONARY RESUSCITATION: |
|blood, saliva, sputum |bag and airway disposable manual resuscitation |gloves, gowns, mask, apron, eye|hand washing routinely before and after |dispose in regular trash unless contamination |
| | |protection | |is suspected; utilize a biohazard labeled red |
| | | | |bag to isolate discarded equipment and |
| | | | |personal protective equipment |
| | | | | |
|COUGH TRAINING/INCISIONAL SUPPORT: |
|sputum |tissues |gloves/mask if soiling or |hand washing routinely before and after |dispose gloves/mask in regular trash unless |
| | |spattering likely |procedure |contamination suspected; utilize biohazard |
| | | | |labeled red bag to isolate discarded equipment|
| | | | |and personal protective equipment |
|INSERTION OF AIRWAY: |
|saliva, sputum, blood, gastric contents |disposable artificial airway |gloves, gown, apron, protective|hand washing routinely before and after |utilize a biohazard labeled red bag to isolate|
| | |eye gear | |discarded catheter gloves and other protective|
| | | | |equipment |
|ARTIFICAL AIRWAY STABILIZATION: |
|blood, saliva, sputum, gastric contents |disposable artificial airway stabilizer or tape |gloves, mask, eye protection, |hand washing routinely before and after |personal protective equipment – dispose in |
| | |gown | |regular trash unless contamination is |
| | | | |suspected; if so, utilize a biohazard labeled |
| | | | |red bag |
|ARTIFICAL AIRWAY CUFF PRESSURE MEASUREMENT: |
|sputum |equipment designed to connect to pilot balloon of|gloves |hand washing routinely before and after |gloves, regular trash; cuff manometer hytor |
| |airway | |procedure |disinfect |
| | | | | |
| | | | | |
| | | | | |
|ARTIFICAL AIRWAY CARE: |
|saliva, sputum |disposable airway cleaning kit |gloves, mask, gown, eye |hand washing routinely before and after |regular trash unless contamination is |
| | |protection if spattering is | |suspected; if so use a biohazard labeled red |
| | |likely | |bag to isolate discarded equipment and |
| | | | |personal protective equipment |
|EQUIPMENT CLEANING: |
|blood, saliva, sputum |equipment disassembly and removal |gloves, apron, if soiling or |hand washing routinely before and after |regular trash unless contamination is |
| | |spattering likely | |suspected; if so use a biohazard labeled red |
| | | | |bag to isolate discarded equipment and |
| | | | |personal protective equipment |
|INCENTIVE SPIROMETER: |
|none |disposable incentive spirometer |none |hand washing routinely before and after |dispose in regular trash unless contamination |
| | | | |is suspected. Utilize a biohazard labeled red |
| | | | |bag to isolate discarded equipment and |
| | | | |personal protective equipment |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
|IPPB: |
|saliva, sputum |disposable circuit |gloves, mask if coughing, |hand washing routinely before and after |regular trash unless contamination suspected: |
| | |spattering likely | |utilize a biohazard labeled red bag to isolate|
| | | | |discarded equipment and personal protective |
| | | | |equipment |
|NASOTRACHEAL SUCTION: |
|saliva, sputum |catheter, glove kits |gloves, gowns, mask, apron, eye|hand washing routinely before and after |utilize a biohazard labeled red bag to isolate|
| | |protection if spattering likely| |discarded catheter gloves and other protective|
| | | | |equipment |
|OXYGEN ADMINISTRATION: |
|nasal secretion, saliva, sputum |disposable equipment |gloves |hand washing routinely before and after |dispose in regular trash unless contamination |
| |nasal cannula mask | | |suspected; if so utilize a biohazard labeled |
| | | | |red bag to isolate discarded equipment |
|PULMONARY FUNCTION TESTING: |
|saliva, sputum |equipment, disassembly to accommodate |gloves if soiling or spattering|hand washing routinely before and after |single use mouthpiece dispose in regular trash|
| |sterilization |likely | |unless contamination is suspected; utilize a |
| | | | |biohazard labeled regular bag to isolate |
| | | | |discarded equipment and personal protective |
| | | | |equipment |
|SPUTUM COLLECTION: |
|sputum |specially designed specimen containers which help|gloves, apron, mask, protective|hand washing routinely before and after |regular trash unless contamination is |
| |prevent exposure to specimen |eye covering if soiling or | |suspected; if so use a biohazard labeled red |
| | |spattering likely | |bag to isolate discarded equipment and |
| | | | |personal protective equipment |
|ASSISTING WITH INTUBATION: |
|blood, saliva, sputum |none |gloves, gown, mask, eye |hand washing routinely before and after |regular trash unless contamination suspected; |
| | |protection | |utilize a biohazard labeled red bag to isolate|
| | | | |discarded equipment and personal protective |
| | | | |equipment |
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