Safety Resources and Documentation

  • Safety procedures (decontamination, equipment instructions, etc.) printed and stored in an accessible area of the office

  • Training certificates and records retained (electronically or paper)

  • Building-specific Emergency Action Plan present and accessible

  • Safety Data Sheets (SDS) for each chemical present

  • Required OSHA postings are in place: "Job Safety and Health: It's the Law"

  • All employees report exposure incidents, exposures are documented, and office evaluates employee safety after each incident

Safety Trainings

  • Documented clinical safety training completed (includes decontamination procedures, infection control, sharps handling, etc.)

  • Documented equipment safety training completed (includes autoclaves, centrifuges, radiation producing equipment)

  • Biological Shipping training has been completed in the last 2 years (if applicable ) / Respiratory Protection training and fit testing completed (if applicable ) Annual Bloodborne Pathogens training has been completed

Bloodborne Pathogens

  • All personnel have been offered Hepatitis B vaccination

  • NSU Exposure Protocol Packets posted and personnel knowledgeable of their location

  • Engineering and work practice controls are used to reduce the risk of exposure (e.g. safer sharps devices)

Chemical Safety

  • Volume of flammable solvents on countertop less than 10 gallons/ Flammable storage cabinets have less than 30 gallons

  • Chemicals segregated by classification and stored compatibly Compressed gas cylinders labeled and stored properly

  • No mercury-containing thermometers or equipment

  • Chemical (primary and secondary) containers properly labeled DEA controlled substances stored properly

  • DEA log book present, up-to-date, and available

Facilities

  • Exam Rooms have a stocked sink for hand washing and/or a station for hand sanitizer

  • Rooms containing biological materials or patients are designed so that they can be easily cleaned and disinfected (i.e. no carpet, sealed floors, etc.)

  • Furniture is impervious to water and disinfectant use

  • Housekeeping is appropriate and rooms are maintained in a clean/sanitary condition

  • Aisles unobstructed to allow easy access/exit

  • Any trip hazards addressed

  • Room windows do not open to the outside

  • Areas with hazardous materials (such as drug sample storage, cabinets with chemicals or sharps containers) are secured in order to not allow unauthorized access

  • Chemical decontamination procedures are conducted in a well-ventilated area on non- porous surfaces

  • Space void of electrical hazards

  • ABC fire extinguisher present, accessible, adequately charged and monitored monthly

  • Exit signs installed and adequately illuminated

  • No pest control problems (insects, rodents, etc.) are observed

  • Eyewash station is readily available and location clearly identified

  • Room and exam lights functional

PPE & Equipment

  • Appropriate attire (scrubs, pants, closed toe shoes) worn in all clinical areas

  • Protective clothing (i.e. lab coat, scrubs) worn to prevent contamination of personal clothing and laundered appropriately

  • PPE (coats/gowns, gloves, eye protection, respirators) readily available

  • Nitrile or latex gloves worn and changed often

  • Protective eyewear is worn when there is the potential to create splashes

  • Appropriate N95s and respirators (as designated by fit test) on-site and stored properly

  • Eyewash stations are routinely flushed and inspected; eyewash bottles are not expired and exchanged when needed & documentation reviewed during inspection

  • Appropriate warning signs and labels are posted on rooms and equipment (biohazard sticker, radioactive sources door sign, etc.)

  • Radiation producing equipment or materials information sent to EHS

  • "No Food or Drink" labels displayed on clinical refrigerators, freezers, and microwaves

  • Monthly validation testing (i.e. spore vials) is conducted on all in-service autoclaves & documentation reviewed during inspection

  • Equipment (autoclaves, centrifuges, etc.) routinely inspected and certified

  • Cold storage equipment in good condition and appropriately monitored

Standard Procedures

  • Decontamination solution present and within expiration date

  • Work surfaces are decontaminated after completion of work or after any spill

  • Needles are never bent, broken, recapped or reused before disposal in a sharps container

  • Sharps containers disposed of before 3⁄4 full

  • Sharps containers secured before disposal

  • Access to clinical areas are limited to authorized staff

  • No plants or animals are allowed, with the exception of service animals

  • Eating, drinking, smoking and applying cosmetics are prohibited in clinical areas

  • PPE removed before leaving the room and placed into medical waste containers

Waste Management

  • Employees trained on what should/should not be disposed in medical waste containers

  • Chemical waste segregated from general trash and properly disposed

  • DEA controlled substances disposed of properly

  • Medical waste containers properly sealed and stored for pick-up

  • Medical waste properly disposed.

  • Appropriate biohazard waste containers present and properly labeled in each clinical room

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