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Each and every day there are increasingly more folks looking to get their very first mobile phone. Note: Associates and students who will perform tasks under this program shall complete medical evaluation and vaccination at their institution and provide a copy of their health care professional's written clearance to their supervisor at the start of their assignment. Note: In the event of any bloodborne pathogen exposure incident, the Office of the Chief Counsel shall be called for consultation and advice regarding content, disclosure, and release of medical records. The Ames Health Unit makes Hepatitis B vaccination available to the employee within ten working days of initial assignment, unless the employee has previously received the complete Hepatitis B three-vaccination series, or antibody testing reveals that the employee is immune, or the vaccine is contraindicated for medical reasons.
An employee who declines to accept Hepatitis B vaccination shall be required to sign a declination statement (Appendix I) as a condition of employment in a position with bloodborne pathogen exposure. Hepatitis B vaccination shall be provided to any employee who has previously declined to accept it but decides to accept vaccination while still employed and performing tasks with occupational exposure at Ames. The Ames Health Unit is the provider of required medical services to Government employees who have experienced occupational exposure, with off-hours emergency care provided by 911 call responders. An employee who is not covered by this plan but who experiences an exposure incident at Ames that is unrelated to the performance of their occupational tasks shall be provided with emergency care (not follow-up) at the Ames Health Unit. There are no civil service job classifications at Ames with all persons having reasonably anticipated exposure to bloodborne pathogens. All persons whose position description includes the following job classifications have reasonably anticipated exposure. Security officer Emergency Response whose position description includes the following job classifications have reasonably anticipated exposure, when assigned listed tasks. Universal Precautions are adopted as the primary rule to prevent exposure to potentially infectious materials. After contact with blood or other potentially infectious materials (wash all affected skin and flush affected mucous membranes).
Labeled or color-coded in accordance with this standard (an example is provided in Appendix M. If leakage is possible, placed in secondary container that is closable, labeled, and can contain all contents and prevent leakage. Not opened, emptied, or cleaned manually or in any other manner that would expose employees to the risk of percutaneous injury. Contaminated reusable sharps shall be promptly placed in appropriate containers until properly reprocessed.
These sharps shall not be stored or processed in a manner that requires employees to reach by hand into the containers where these sharps have been placed. These containers must meet the same requirements as containers for disposable sharps with the exception that they are not required to be closable and may be reused. Requirements for disposal of medical waste with bloodborne pathogens are provided (See Appendix N, and also in the Ames Environmental Management Handbook.
Equipment that may become contaminated with blood or other potentially infectious materials is examined prior to servicing or shipping and shall be decontaminated as necessary, unless the supervisor demonstrates to the Safety, Health and Medical Services Division that decontamination of such equipment or portions of such equipment is not possible. Health care workers who have exudative lesions or weeping dermatitis must refrain from all direct patient care and from handling patient-care equipment until the condition resolves. CPR training is provided at Ames to designated emergency responders as well as to volunteers who request training in order to respond as "Good Samaritans" in an emergency at home or elsewhere. NOTE: Guidelines for labels required for materials and waste at Ames are provided in Appendix M, and also in the Ames Environmental Management Handbook. The above named employee has been assigned tasks with potential bloodborne pathogens exposure.
Participation in a prescreening program is not a prerequisite for receiving Hepatitis B vaccination. HEPATITIS B: Hepatitis B is a viral infection of the liver caused by Hepatitis B virus (HBV).
OCCUPATIONAL EXPOSURE: Health care workers with direct patient contact, laboratory workers and researchers, and other employees with blood or body fluid contact are at increased risk for acquiring the Hepatitis B virus.
TREATMENT OF EXPOSURE: If the individual has received the Hepatitis B vaccine and has documented antibodies to HBV, no further treatment is necessary at the time of exposure. All work surfaces and equipment that come into contact with blood, body fluids, and any infectious agent or materials must be disinfected daily, upon completion of work, with an appropriate disinfectant.
Wearing the appropriate protective equipment (impervious gloves, lab coat, etc.), cover the spill with disposable toweling or other absorbent material. Carefully pour a freshly prepared 1-in-10 dilution of household bleach (or other suitable disinfectant prepared to manufacturer's specifications) around the edges of the spill, and work to the center.
Using paper toweling, wipe up the spill, working from the edges of the spill to the center. For large spills (over one-half cup), mop using a 1:10 bleach solution (or EPA disinfectant). NOTE: Any contaminated PPE must be bagged for disposal or commercial laundry, and shall not be sorted or rinsed at the location of use.
Note: Contact the Environmental Services Office if a combination of BIOHAZARDOUS WASTE with hazardous chemical waste is anticipated. Waste generated from operations with occupational exposure is medical waste when it contains or is visibly contaminated with human blood, fluid, or tissue, or when it contains or is contaminated with pathogenic or infectious microorganisms. The Bloodborne Pathogens definition of Regulated Waste for purposes of personnel protection differs in that it is a performance-type standard, which bases the distinction between regulated and unregulated waste on the potential to release PIM during handling. Dispose all sharps (including self-sheathing or self-curing needles) in a rigid, puncture-resistant container that is leak-resistant when sealed (red biohazard box).
Expel liquid from syringes and pipettes before disposal (perform in fume hood if aerosol may be generated). Contain in a red biohazard bag that meets specified strength test, and place in rigid, leak-resistant container with tight-fitting cover for storage, handling, or transport. Medical waste (solid or liquid) may not be treated (except as inherent in procedures) unless authorized by Environmental Services Division. Autoclaving, using bags or containers with integral sterilization indicator (requires Environmental Services Division authorization).
Chemical disinffection (with authorized tuberculocidal disinfectant) (requires Environmental Services Division authorization).
Sterilized (autoclaved) waste shall be disposed as ordinary waste, unless it is hazardous chemical waste. The manufacturer's recommendations and provisions for sanitary practices for the training mannequin should be followed. Students or instructors should not actively participate in training sessions (hands-on training with mannequins) if they have dermatologic lesions on hands or in oral or circumoral areas, if they are known to be seropositive for Hepatitis B surface antigens, if they have upper respiratory tract infections, if they have AIDS, or if the student or instructor has reason to believe that he or she has been exposed to or is in the active stage of any infectious process. Students should be told in advance that the training sessions will involve close physical contact with their fellow students. If more than one CPR mannequin is used in a particular training class, students should preferably be assigned in pairs, with each pair having contact with only one mannequin.
During the training of two-rescuer CPR, there is no opportunity to disinfect the mannequin between students when the so-called switching procedure is practiced. Training for the obstructed airway procedure involves the student using his or her finger to sweep foreign matter out of the mannequin's mouth.
Personnel conducting the mannequin disassembly and decontamination should wear protective latex gloves and wash their hands after finishing. Each time a different student uses the mannequin in a training class, the individual protective face shield, if used, should be changed. People responsible for the use and maintenance of CPR mannequins should be encouraged not to rely totally on the mere presence of a disinfectant to protect them and their students from cross-infection during training programs.
With specific regard to concerns about potential for Hepatitis B and AIDS transmission in CPR training, it has recently been shown that the Hepatitis B virus is not as resistant to disinfectant chemicals as it was once thought to be. No transmission of Hepatitis B virus infection during mouth-to-mouth resuscitation has been documented. Clear plastic facemasks with one-way valves are available for use during mouth-to-mask ventilation. Check -mobile advanced messaging action - tmonews, T-mobile recently introduced advanced messaging, a new feature that improves upon standard text messaging by utilizing the rich communications services.
7 pre-paid smartphone service, It is no secret that i despise carrier contracts and locked android devices. Official samsung support, The samsung support homepage starting point samsung products, featuring visual guides, manuals, support downloads, tech specs, troubleshooting. Within ten working days of the initial assignment, the Hepatitis B vaccination is made available to the employee after BBP training.
Include an appropriate job element in their performance plan, and ensure that designated responders receive regular annual and supplemental training as required in the Exposure Control Plan (section 32.2).
These records are provided for examination and copying to the subject employee upon request.
Following the evaluation, the Ames Health Unit forwards a copy of the Health Care Professional's Written Opinion for pre-exposure evaluation to the employee's supervisor.


Contractors who perform tasks with occupational exposure shall be covered by their employer's Bloodborne Pathogens Protection Program with exposure controls that comply, at a minimum, with the provisions of this Plan. Managers or supervisors shall develop site-specific guidelines for conducting tasks with BBP exposure. If there are no hand washing facilities, antiseptic towelettes or antiseptic hand cleanser and clean towels shall be provided. Contaminated needles and other contaminated sharps shall not be bent, recapped, or removed by hand as general practice. These include, for example, plastic equipment covers and disposable, absorbent, plastic-backed work surface covers. A readily observable label stating which portions remain contaminated is attached to the equipment. Recommendations for minimizing risk during CPR training are contained in a Sample Exposure Control Plan distributed by the American College of Occupational and Environmental Medicine (Appendix O).
PPE provides an effective barrier to the passage of potentially infectious materials to or through the employees' clothing or prevents contact with skin, eyes, mouth, or other mucous membranes, for the duration of use. The supervisor establishes and posts an appropriate written schedule for cleaning of equipment and environmental and working surfaces. In the event of an unusual or particularly large spill, involved personnel shall contact the Safety Division for assistance.
The disinfection process must be completed before the custodial staff is contacted for cleanup. Warning labels are also affixed to other containers used to store, transport, or ship blood or other potentially infectious materials. Labels include the biohazard symbol with either BIOHAZARD or, in the case of regulated waste, BIOHAZARDOUS WASTE.
An accessible copy of the regulatory text of the Bloodborne Pathogens Standard and an explanation of its contents.
An explanation of the employer's exposure control plan and the means by which the employee can obtain a copy of the written plan. An explanation of the appropriate methods for recognizing tasks and other activities that may involve exposure to blood and other potentially infectious materials. Actions to be taken by the exposed employee, the cognizant supervisor, and Ames Health Unit are described below. After hours, the employee will call 911 (or the Ames Dispatch Office) for assistance in reporting to a local hospital emergency room. The scene may be preserved, if appropriate, for accident investigation, while preventing subsequent exposure risk.
If any unaltered source material remains (for example, blood in a test tube), the supervisor shall seal, label, and deliver it to the Ames Health Unit for possible testing. It is the supervisor's responsibility to enable the employee to schedule and attend convenient appointments for consultation, treatment, and counseling. The Exposure Incident Description form is provided in Appendix F to facilitate inclusion of all required information in the report. This follow-up includes obtaining blood specimens from the employee and from the source individual, where feasible, when consent is obtained, and the maintenance of required medical records.
Confidential psychological counseling is available to Government employees, at no cost, through the Employee Assistance Program. The Ames Health Unit, as the Governments representative, shall, with consent, provide relevant records to the health care provider for any exposed individual, subject to consultation and advice by Office of the Chief Counsel regarding legal restrictions. All other findings or diagnosis shall remain confidential and shall not be included in the written report. Biological Cabinet: A device enclosed except for necessary exhaust purposes on three sides and top and bottom, designed to draw air inward by means of mechanical ventilation, operated with insertion of only the hands and arms of the user, and in which virulent pathogens are used.
Bloodborne Pathogens (BBP): Pathogenic microorganisms that are present in human blood and can cause disease in humans.
Clinical Laboratory: A workplace where diagnostic or other screening procedures are performed on blood or other potentially infectious materials.
Contaminated: The presence or the reasonably anticipated presence of blood or other potentially infectious materials on a surface or in an item. Contaminated laundry: Laundry that has been soiled with blood or other potentially infectious materials. Decontamination: 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. Exposure Incident: A specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee's duties.
Handwashing facilities: A facility that provides an adequate supply of running potable water, soap, and single-use towels or hot air-drying machines. Occupational exposure: Reasonably anticipated potential for exposure to blood or other potentially infectious materials that may result from the performance of an employee's duties. One-hand Technique: Procedure wherein the needle of a reusable syringe is capped in a sterile manner during use. Preparations that originate from body fluids, such as human serum albumin, shall also be considered potentially infectious materials, unless specifically excluded or certified pathogen-free. Parenteral: Piercing mucous membranes or the skin barrier through such events as needlesticks, human bites, cuts, and abrasions. Personal Protective Equipment (PPE): Specialized clothing or equipment worn or used by an employee for protection against a hazard. Research laboratory: A laboratory that produces or uses research-laboratory-scale amounts of HIV or HBV. Sharps: Needles, scalpels, and any other object that may produce a puncture wound that would expose employees to blood or OPIM (for example, wires, broken glass). Source individual: Any individual, living or dead, whose blood or other potentially infectious materials may be a source of occupational exposure to the employee. Sterilize: The use of a physical or chemical procedure to destroy all microbial life, including highly resistant bacterial endospores. Universal Precautions: An approach to infection control in which all human blood, and human body fluids are treated as if known to be infectious. Public Health Service at a future date, please provide such booster dose(s) to the employee. Contact Ames Legal Office; schedule consultation with employee and other involved persons regarding confidentiality of source name and test results.
If the employee does not use the Health Unit as health care provider, ensure that the employee receives the results of tests on source blood and that copies of test results are forwarded to the Health Unit.
Ensure that the employee is enabled to receive all recommended testing, prophylaxis, and treatment, at no cost and at a convenient time and place. Ensure that a consultation appointment is made with a health care professional, for the employee, at no cost to the employee and at a convenient time and place, to discuss medical status, including any reported illnesses and recommended treatment. Ensure that the employee is enabled to receive counseling, at no cost and at a convenient time, and place.
Each year approximately 300,000 new infections are reported to the Center for Disease Control. An unvaccinated individual who receives an accidental blood or body fluid exposure from an infected source has a 40 percent chance of becoming infected with Hepatitis B. The Hepatitis B vaccine, a synthetic vaccine made from a yeast base, is currently being offered to Government employees at risk at no cost to the employee. However, someone who is not protected by the vaccine and does not have antibodies to HBV needs to receive Hepatitis B Immunoglobulin (HBIG) as soon as possible after the exposure. Any broken glass should be carefully discarded into an approved sharps container using tongs, brush and pan, or other indirect means of handling.
Discarded sharps are treated as medical waste, regardless of contamination (except veterinary used sharps). Materials that are visibly contaminated with small amounts of blood or OPIM not subject to release as liquid or flakes may not be Regulated Waste but are still medical waste. Biohazard labels shall be removed or defaced, and red bags placed within opaque bags in order to eliminate any identification of the waste as biohazardous.
This approach would lessen the possible contamination of several mannequins by one individual and therefore limit possible exposure of other class members. Mannequins should be inspected routinely for signs of physical deterioration, such as cracks or tears in plastic surfaces, which makes thorough cleaning difficult, if not impossible. To limit the potential for disease transmission during this exercise, the student taking over ventilation on the mannequin should simulate ventilation instead of blowing into the mannequin. This action could contaminate the student's finger with exhaled moisture and saliva from previous students in the same class or contaminate the mannequin with material from the student's finger.
Emphasis should be placed on the necessity of thorough physical cleaning (scrubbing, wiping) as the first step in an effective decontamination protocol. Recent studies have shown that the retrovial agent that causes AIDS, human immunodeficiency virus (HIV), is comparatively delicate and is inactivated in less than 10 minutes at room temperature by a number of disinfectant chemicals, including the recommended agents, alcohol and sodium hypochlorite.


However, because of the theoretical risk of salivary transmission of HIVB during mouth-to-mouth resuscitation, special attention should be given to the use of disposable airway equipment or resuscitation bags and the wearing of gloves when in contact with blood or other body fluids.
These masks provide diversion of the victim's exhaled gas away from the rescuer and may be used by health-care providers and public safety personnel properly trained in their use during two-person rescue, in place of mouth-to-mouth ventilation. Your very first option is to get a regular cell phone and sign a contract with the cell phone provider. Any records generated for a non-NASA employee will be released to a health care provider designated by the employee. The supervisor shall modify the employee's assignment if necessary to preclude exposure prior to the evaluation. A worksheet is provided in Appendix H for documentation of the controls and PPE provided for tasks with anticipated exposure.
Operations that generate aerosols will be conducted within an exhaust or biohazard containment hood or glove box. In circumstances where these actions are necessary, a written justification is included in the worksite exposure control plan. If this option is chosen, the covering must be removed and replaced at stated minimum intervals.
These recommendations are standard practice for CPR training provided or sponsored by Ames. Individual containers that are placed in a labeled container during storage, transport, shipment, or disposal do not require warning labels.
If the source individual is known or can be identified, it is appropriate for the supervisor to suggest that the individual report to the Ames Health Unit for consultation, without discussion of blood testing. However, confidential information, including medical diagnosis and test results, may not be revealed. 199.21 specifically prohibits the disclosure of results of an HIV test in a manner that identifies or provides identifying characteristics of the person to whom the test results apply, except pursuant to written authorization, or when another statute expressly provides an exemption. These pathogens include hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV), and any pathogenic microorganism that is present in human blood and can infect and cause disease in persons who are exposed to blood containing the pathogen.
The technique employed shall require the use of only the hand holding the syringe so that the free hand is not exposed to the uncapped needle. Coverage under this definition also extends to blood and tissues of animals that are deliberately infected with HIV or HBV. General work clothes (for example, uniforms, pants, shirts, or blouses) not intended to function as protection against a hazard are not considered to be personal protective equipment.
Regulated Waste includes "medical waste" regulated by California Health and Safety Code 117600; Medical Waste Management Act. Sterilization includes procedures regulated by California Health and Safety Code Section 118215.
Universal precautions do not apply to feces, nasal secretions, sputum, saliva, sweat, tears, urine, and vomitus, unless they contain visible blood.
Most people who become infected with Hepatitis B recover completely, but 5 to 10 percent will become chronic carriers of the virus.
Full immunization requires completion of a series of three vaccinations given over a six-month period.
Work surfaces should be covered with plastic-backed absorbent toweling to facilitate cleanup and reduce production of aerosols that may result from a spill. Before the second bag is closed, all personal protective equipment should be removed and placed into the bag. This recommendation is consistent with current training recommendations of the American Red Cross and the American Heart Association. When practicing this procedure, the finger sweep should be either simulated or done on a mannequin whose airway was decontaminated before the procedure and will be decontaminated after the procedure. The surfaces should remain wet for at least 30 seconds before they are wiped dry with a second piece of clean, absorbent material. Microbial contamination is easily removed from smooth, nonporous surfaces by using disposable cleaning cloths moistened with a detergent solution, and there is no evidence that a soaking procedure alone in a liquid is as effective as the same procedure accompanied by vigorous scrubbing.
Coupled with scrubbing and rinsing with soap and water, the sodium hypochlorite dilution will ensure that HIV, as well as a wide variety of other infectious agents with potential for contaminating mannequin surfaces, will be killed. Resuscitation equipment and devices known or suspected to be contaminated with blood or other body fluids should be used once and disposed of or be thoroughly cleaned and disinfected after each use. The need for and effectiveness of this adjunct in preventing transmission of an infectious disease during mouth-to-mouth ventilation are unknown. With regards to your second option you will find that you can either invest in minutes for a pre paid phone or get a pre-paid monthly service.
Such actions may be accomplished only through the use of a mechanical device or a one-handed technique. For example, as soon as is feasible following overt contamination or at the end of a shift if the cover becomes contaminated during the shift. A supply of the designated PPE (in the appropriate size, where applicable, for each involved employee) is maintained in each workplace where potentially infectious materials may be present. However, any such container that has the potential to become separated from its labeled outer container shall be labeled. Supervisors are advised to consult with the Office of the Chief Counsel before submission of the final mishap report. Laboratories that conduct research unrelated to HIV or HBV on blood and other body fluids, or that use unconcentrated blood or blood components as the source of HIV or HBV, are not considered research laboratories for the purpose of the standard. Although many chronic carriers do not have symptoms of the disease, they are capable of transmitting the virus to other persons, primarily through blood exposures or sexual contact. Eighty to 90 percent of healthy people who receive the vaccine develop antibodies that protect them from getting Hepatitis B. In fact, if the steps in recommendation 8, above, are consistently followed, the students of each class should be presented with mannequins having a sanitary quality equal to or better than eating utensils in a properly operated restaurant.
If this type of device is to be used as reassurance to the rescuer that a potential risk might be minimized, the rescuer must be adequately trained in its use, especially with respect to making an adequate seal on the face and maintaining a patent airway. In case you are searching for a cell phone but don't want to wind up signing a contract you will find that the LG Thrive Pre-paid Android GoPhone with AT&T is actually a good option.One thing you are going to find if you haven't had a mobile phone before is that if you end up signing a contract with a company, they may also require a deposit. Such test results can be revealed, however, with the express, written consent of the source individual. Each year 4000 to 5000 persons die from Hepatitis B induced liver disease, cirrhosis, or liver cancer. Housekeeping staff is not authorized to clean up spills of potentially infectious material.
Nonetheless, in the context of vigorous cleaning with alcohol and absorbent material, little viable microbial contamination is likely after the cleaning procedure.
A higher level of surface disinfection is not warranted, and the recommended disinfectant chemicals (alcohol and household bleach) are safe, effective, inexpensive, easily obtained, and well tolerated by students, instructors, and mannequin surfaces when properly used. Such a device requires two hands to secure a proper face seal and to maintain an open airway.
You might also realize that the deposit that these businesses may ask for can be up to $250 or even more. At this time, no one knows how long the immunity produced by the vaccine will last, and the need for additional vaccinations has not been determined.
As an additional precaution, the rescuer may elect to wear latex gloves because saliva or blood on the victim's mouth or face may be transferred to the rescuer's hands.
The other thing about signing up for a contract is that if you find that the service you are using does not give you coverage where you need it, you will not have the ability to switch services for up to 2 years, unless you want to pay a cancellation fee. Health care workers who are immunocompromised or on dialysis might require increased doses of the vaccine in order to convert to positive antibodies. Mainly because of these things you'll find people do not want to sign a contract and they're trying to find pre-paid services.And simply because you don't need to sign a contract you will see that the LG Thrive Prepaid Android GoPhone with AT&T is among the better options you have. All you need to do to keep your phone working is to add a pay as you go card for your cell phone. With regards to the amount of minutes you purchase you are going to realize that your phone will be activated for anywhere from 30 days to a year, and the minute cards range between $15 to $100.You will find that not only will this phone incorporate the android operating system, but it is a very good quality phone. The android operating system is a thing that most people are actually trying to find in a phone. The phone also is included with a 3.2 inch full touch screen, and with the qwerty keyboard you will find that texting with this phone is one of the simplest things in the world to do.
And if you are looking to browse the web, you will recognize that this touch screen keyboard will also make this simple and easy. If you want to see all of the features that are available with this phone, you ought to go to Amazon and look into the product description page where you'll find all of the features listed.One thing you are going to find is that you can pick this up for just $150, if you opt to pick this up from Amazon, and that is actually 25% off the suggested retail price.



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