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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