Transcript Safety Presentation to SPO Cluster Meetings

MCPS Systemwide Safety Programs
Department of Facilities Management
SPO Cluster Meetings
October 31, 2014
Systemwide Safety Programs
Staff
Peter Park, Team Leader
[email protected]
Laurie Lyons, Program Technician
[email protected]
Office: 240-314-1070
Emergencies: 301-370-2141
www.montgomeryschoolsmd.org/departments/facilities/safety/
Topics for Today
Infection prevention

◦
Diseases of recent concern (Ebola, Enterovirus D68,
Pertussis)
◦
Daily building cleaning and sanitizing
◦
Universal precautions (bloodborne pathogens)

Chemical safety

Online training requirements
Infection Prevention

Personal hygiene

Daily building cleaning, sanitizing

Universal precautions
Diseases of Recent Concern – EV-D68
Enterovirus D68 (EV-D68)

◦
Virus that can cause mild to severe respiratory illness
◦
1,105 people in 47 states and the District of Columbia
◦
Spread by airborne droplets (coughing, sneezing),
touching contaminated surfaces
◦
Prevent through good hygiene
◦
Prevent through facility cleaning, sanitizing
Diseases of Recent Concern - Pertussis
Pertussis (whooping cough)

◦
Highly contagious respiratory disease, bacterial
◦
Several confirmed cases at MCPS schools
◦
Spread by coughing, sneezing; touching contaminated
surfaces
◦
Treat with antibiotics
◦
Prevent through vaccination (all 7th graders)
◦
Prevent through good hygiene
◦
Prevent through facility cleaning, sanitizing
Diseases of Recent Concern - Ebola
Ebola (EVD)

◦
Rare, deadly viral disease
◦
Spread through direct contact with blood or body fluids
and broken skin, mucous membranes
◦
2 – 21 days incubation, usually 8-10 days
◦
Not spread by air, water, food (in U.S.)
◦
Not contagious until after symptoms appear
◦
No cases originating in Maryland
Diseases of Recent Concern - Ebola
Ebola (EVD)

◦
Symptoms

Fever (100.4° F or higher)

Severe headache

Muscle pain

Weakness

Diarrhea

Vomiting

Abdominal (stomach) pain

Unexplained hemorrhage (bleeding or bruising)
Diseases of Recent Concern - Ebola
Additional Information
1. Centers for Disease Control and Prevention (CDC)
http://www.cdc.gov/vhf/ebola/index.html
2. MD Dept. of Health and Mental Hygiene (DHMH)
http://phpa.dhmh.maryland.gov/OIDEOR/SIPOR/Site
Pages/ebola.aspx
3. Montgomery County Dept. of Health and Human
Services (MCDHHS)
http://www.montgomerycountymd.gov/HHS/LeftNav/Ebol
a.html
Diseases of Recent Concern - Ebola
Additional Information (MCPS)
1. MCPS Ebola information web page
http://www.montgomeryschoolsmd.org/info/ebola/
2. Online webinar (recorded)
https://mcps.webex.com/mcps/lsr.php?RCID=30b140
b69b2da6230319f96fb0447ef6
3. Staff Ebola letter
Emailed to all staff Oct. 28
 Translated letters sent to directors Oct. 30 (6 languages)

Personal Hygiene
Hand washing


◦
Wash frequently with soap and water, 20 seconds
◦
Better than hand sanitizer
Cover nose, mouth with tissue or sleeve when
coughing, sneezing

Minimize touching eyes, nose, mouth

Minimize contact with sick people

Stay home when sick

Flu shot
Daily Building Cleaning, Sanitizing
Use only approved disinfectant products


◦
3M #5L Quat
◦
Virex II 256
◦
10% bleach (1 part bleach to 9 parts water)
Use PPE (at least gloves and goggles) to prevent
exposure (eye, skin, inhalation)

Use adequate ventilation

Keep hand soap and paper towel dispensers full
Daily Building Cleaning, Sanitizing
Sanitize touch points daily

◦
Door handles, push bars
◦
Light switches
◦
Stair railings
◦
Phones
◦
Water fountains
◦
Faucets
◦
Elevator buttons
◦
Desktops
◦
Vending machine
◦
Some countertops
buttons
Daily Building Cleaning, Sanitizing

Sanitize gym, APR floors daily

Sanitize bathrooms, toilets daily

Sanitize locations assoc. with infections

Sanitize health room surfaces daily

Sanitize locker, weight training, and team rooms
daily (secondary schools)

Ensure weight rooms have germicidal wipes
(secondary schools)
Universal Precautions
Universal Precautions is an approach to
infection control. According to the concept of
Universal Precautions, all human blood and
certain human body fluids are treated as if
known to be infectious for HIV, HBV, and other
bloodborne pathogens.
Universal Precautions
Assume infectious:

Blood

Other potentially infectious materials (OPIM)
◦
Semen, vaginal secretions, cerebrospinal fluid, synovial fluid,
pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid,
saliva in dental procedures, any body fluid visibly contaminated
with blood
◦
When differentiation between body fluids is difficult or
impossible, consider potentially infectious
Universal Precautions

Personal protective equipment (PPE)

Cleaning procedures

Post-exposure evaluation, follow-up
Universal Precautions - PPE
Gloves

◦
Nitrile gloves

Goggles

Face mask, face
shield

Gown, shoe covers
Universal Precautions – Removing Gloves

Point hand downward and peel
off, starting at the wrist

Turn glove inside out as you peel
away from you

Avoid splashes

Avoid contact with exposed skin

Hold glove in gloved hand
Universal Precautions – Removing Gloves

Slide ungloved finger under wrist
of remaining glove

Peel glove off from inside,
enclosing first glove

Discard gloves

Wash hands
Universal Precautions – Cleaning Procedures
Use approved disinfectant products


◦
Follow directions from MSDS, label
◦
Dilute properly
Wear nitrile gloves, goggles, face mask, face
shield

Wear additional PPE, as needed

Disposable tools better than gloved hands

Keep others away
Universal Precautions – Cleaning Procedures

Use paper towels to wipe, disinfect

Cover large spills with paper towels or
absorbent and pour disinfectant on
Contact times – keep wet with disinfectant


◦
10% bleach – 30 minutes
◦
3M #5L Quat, Virex – 10 minutes
Clean with general purpose cleaner, if needed
Universal Precautions – Cleaning Procedures

Secure waste and dispose
properly

Blood, OPIM waste in
biohazard box (health room)

Discard porous materials that
cannot be laundered

Wash hands
Universal Precautions – Post-Exposure

Free medical evaluation, follow-up for any
employee with blood-exposure incident

A blood exposure incident is a specific eye, nose,
mouth, other mucous membrane, non-intact
skin, or parenteral (piercing) contact with blood
or other potentially infectious materials resulting
from the performance of an employee's duties
Universal Precautions – Post-Exposure
What do you do after an exposure incident?

Notify supervisor immediately

Supervisor calls CorVel (1-888-606-2562) within
24 hours

Supervisor calls Systemwide Safety Programs
(SSP), if help needed (240-314-1070)
Universal Precautions – Post-Exposure
Contact MCPS-contracted clinic within 24 hours

to schedule evaluation
◦
Medical Access, 19504 Amaranth Drive, Germantown,
Maryland 20874, 301-428-1070
◦
Secure Medical Care, 803 Russell Avenue,
Gaithersburg, Maryland 20879, 301-869-070
Universal Precautions – Post-Exposure
Complete MCPS Form 230-33: Bloodborne

Pathogens Post-Exposure Report, ASAP
Provide copies to:

◦
Examining physician
◦
Employee and Retiree Service Center (ERSC) – within 5
days
◦
Systemwide Safety Programs – within 5 days
Universal Precautions – Post-Exposure

Provide MCPS Form 230-34: Health Care
Professional's Written Opinion Form to physician

Physician completes form, sends to SSP

SSP retains form, as required by MOSH
Hazardous Chemicals
What makes chemicals “hazardous”?
The chemical is a:

Physical hazard (gasoline, hand sanitizer)

Health hazard (bleach, cleaning chemicals, wood dust)

Simple asphyxiant (refrigerants)

Combustible dust (wood dust)

Pyrophoric gas, or hazard not otherwise classified
Hazardous Chemicals
Approved Chemicals, MSDS
Hazardous Chemicals
Hazardous Chemicals
Hazardous Chemicals
Hazardous Chemicals
Tips
1. Complete required safety training
2. Only use MCPS-approved products
3. Keep MSDSs at the school
4. Follow directions on labels and MSDSs – Do not use
chemicals in ways they are not intended to be used
5. Never mix chemicals!
6. Use proper procedures, equipment, PPE
7. Ask for help, give help
Online Safety Training
Required training for building services (upon hire):

Bloodborne Pathogen – Full Course

Ladder Safety

Personal Protective Equipment (PPE)

Hazard Communication: Right to Understand

Safety Data Sheets: Globally Harmonized System (GHS)
Required training for building services (annually):

Bloodborne Pathogen – Annual Refresher
Demonstration, handout*
*Downloadable at:
http://www.montgomeryschoolsmd.org/uploadedFiles/departments/facilities/safety/Online
%20Safety%20Training%20Tutorial.pdf
Questions?