power point lab safety program

Hazardous dent waste

mercury and silver residue from amalgam

lead found in lead-foil packet and lead shield

silver found in x-ray fixer solution

chromium used in many x-ray cleaners

chemical waste such as formaldehyde, acetones, and ketone

safeguarding health and safety

adherence to bloodborne pathogens standard

adherence to hazardous communication standard

adherence to state, college, and department policies

also referred to as HAZMAT standards

agencies involved in compliance

OSHA- occupational and safety and health administration

CDC- center for disease control

EPA- environmental protection agency

FDA- food and drug administration

ADA- American dental association

RIDH- Ri department of health

DEM- department of environmental management

agency roles

OSHA- safeguard employee health

CDC- issue infection control guidelines

EPA- safeguard public environment

FDA- approve medical and dental materials and devices

ADA- Promote quality in the dental practice

RIDH- Safeguard public health in RI

DEM- safeguard public environment in RI

PPE

Must wear regulation uniform and lab coat

safety glasses with side shields

tinted safety glasses while using a curing light

mask that filters to the 5 micron lvl or below

mask must be changed for each new patient or when wet

non latex, non-powdered gloves must be worn

heavy nitrile glove worn when cleaning, disinfecting, sterilizing

heavy nitrile worn when disposing hazardous material and lab cleanup

nitrile gloves must be autoclaved after each lab session and discarded at end of month

Handwashing

hand washed upon entering dent mat lab and before leaving lab

must wash hand before donning gloves and removing gloves

hand wash if glove integrity is compromised

hazard communication standard

inform employees of identity and hazard of chemical use

written program

identify by name all employees who are exposed to hazardous chemicals

describe how chemical are handled, and include description of safety measure

must describe how to respond to a chemical emergency

chemical inverntory

new sds must be included and added to sds files

SDS- safety data sheet

comprehensive information about chemical

manufacture must provide an SDS for every chemical shipped

Osha Pel and TLV

because harm can occur at different doses and in different time period

PEL- Permissible exposure limit - max amount of a chemical to which a person can legally be expose in a give time period

TLV= threshold limit value- it is the amount of the chemical you can get before you get damage from it

Osha and the Globally harmonized system

effort to establish a universal system of communicating information about chemicals and material used world wide

Labels

labels can vary but all product need

chemical name

code number

batch number

labels- signal words

danger- more serious (category 1)

Warning- less serious (category 2)

some many not warrant a word

Hazardous material outcome

poisonous, cancer causing, sensitive to skin, eye, and mucous membrane, flammable. reactive alone or w/ other chemical

chemical harm

acute exposure - expose to large amount in short time- symptoms appear quickly

Chronic exposure- exposed to small amount over time - symptoms require time to appear

chemical degradation

Occur from : heat, cold, light, storage beyond expected shelf life

Combat by: storing in cool, dry area, FIFO storage, Monitoring expiration date, purchasing reasonable amount

Chemical exposure

May occur from: Inhalation, ingestion, absorption through skin or across the mucous membrane

May enter body by: preferred route, or any several routes

May target: Specific body organ, Several body organ

Waste disposal method

Determined by type. 3 type of waste

Regulated- Biohazardous; Infectious material that would release blood if compressed.( blood soaked gauze, contaminated needle, extracted teeth)

Non-regulated- General waste

Hazardous- Hazardous and toxic chemical and materials.(X-ray fixer and cleaner, lead foils, and amalgam wastes.

must follow federal, state, and local regulation

hazardous waste must be disposed of within 90 days from date of accumulation

Sharp disposal

consist of contaminated needle, anesthetic carpules, scalpel blades, wires, anything sharp tbh

place in a covered puncture- resistance, fluid-impervious, red sharp container labeled biohazardous

Record keeping

Responsibility of facility generating the hazardous waste material to ensure acceptable methos of waste disposal

dent office will be responsible for illegal dumping of hazardous material

legal responsibility which lies withing dent office is know as the “ cradle to grave liability”

Waste hauler

established credential

EPA approval

identifying contractor number

provide office w/ receipt of shipment upon waste removal

send a manifest to the office

Organization of record

record include How, When. Where, of the disposal

must include name, address and EPA generator ID number of agent

date of shipment

signature of waste transporter

hazardous waste disposal documentation must be maintained for min of 3 years