Baker College Laboratory Safety Presentation

1. Baker CollegeLaboratory Safety Presentation May 7, 2004

2. Presented By: Richard Perry Marsh Risk Consulting Sheree Duff Director of Dental Hygiene, Baker College of Port Huron Barbara Honhart Vice President of Academics/Systems

3. Today’s Agenda… Overview of Baker College’s Updated Chemical Hygiene Plan - R. Perry Tips on Supervising Students in Labs and Industrial Arts Classrooms - R. Perry Making Your Department MIOSHA Compliant - S. Duff Where Do We Go From Here…? - B. Honhart

4. Laboratory Safety Issues Employees - Safety governed by MIOSHA’s Chemical Hygiene Plan requirements Students - Doctrine of Reasonable Care applies

5. Chemical Hygiene Plan (CHP) Purpose Provide guidance and protocols for the protection of employees from safety and health effects of laboratory hazardous materials.

6. CHP General Requirements Ten General Requirements: Must be readily available to employees Must designate persons responsible for implementation of the CHP of each applicable site. Must include provisions for employee information and training (Training must be documented) Must include the criteria that the employer will use to determine and implement control measures to reduce employee exposures to hazardous materials

7. CHP General Requirements Must include SOP’s relevant to each lab’s safety and health considerations related to substances of moderate to high chronic toxicity or high acute toxicity Must identify circumstances under which particular laboratory operations, procedures, or activities would require prior approval Must include provisions for employee exposure determination when there is reason to believe that exposure levels routinely exceeded the action level (or PEL) for that substance

8. CHP General Requirements Must include procedures for medical evaluation of employees who may have been over-exposed or who show signs or symptoms associated with a hazardous chemical found in the laboratory Must include provisions for added employee protection for work with potentially hazardous substances, including: “Select carcinogens” Reproductive toxins Substances with a high degree of acute toxicity Annual review and update of CHP required

9. Baker College’s CHP Has Been Developed by: Office of Environmental Health and Safety (Flint Campus) Kamal Osman, Ph.D. - Health Sciences Laboratory Coordinator and Chris DeVriendt, LVT - Health Sciences Laboratory Assistant

10. Baker College CHP Implementation Instructions Generic information applicable to most laboratory situations on each campus; plus Provisions to “customize” the CHP to each Baker College campus

11. Each location must: Assign a Chemical Hygiene Officer Identify all locations where laboratory hazardous chemicals will be kept including “designated areas” where specific classes of chemicals will be stored Complete a hazardous chemical inventory Update floor plans to assure all needed emergency equipment is in place and properly identified Baker College CHP Implementation Requirements

12. Complete a PPE hazardous assessment Conduct documented staff training on the hazards of the chemicals present in their work areas Baker College CHP Implementation Requirements

13. CHP Implementation Requirements Identify where MSDS are kept and how to read an MSDS Develop local SOP’s for specific chemicals and/or operations which require prior approval from your local Chemical Hygiene Officer

15. Injuries to Students in an Industrial Arts Classroom or College Laboratory May be a Tort for which the University is liable Negligence vs. Liability Guest Statute

16. Doctrine of Reasonable Care Duty - What would a reasonable person of ordinary prudence do Breach of Duty - Failure to conform to the legal duty (an act or failure to act) Causation - Breach causes the injury Direct act Proximate Cause Injury - There must be an injury

17. Examples of “Negligence” in Industrial Arts and Laboratory Injury Claims Unclear or misunderstood instructions Instructions do not clearly warn of impending hazards Instructor not present in the laboratory at the time of the injury Instructor preoccupied at the time of injury Lack of safety equipment Assigned experiment was unnecessarily dangerous Instructor not adequately trained to supervise

18. Unclear or Misunderstood Instructions “I must have misunderstood…..” “He speaks a foreign language…..” “I didn’t want to appear stupid…..” “I don’t think the instructor is good at giving directions…..” “I was in a hurry to finish…..”

19. Instructions do not clearly warn of impending hazards “If it was so dangerous, why wasn’t I told…..” “I don’t remember things until I hear them repeated…..” “The book is unclear…..” “I was just trying to see what happens…..” “No one told me that ether fumes can spread so far…..”

20. Safety Training Steps Identify the safety concerns Restate your concerns Inform student of the correct methods and safeguards Repeat information on correct methods and safeguards Check to make sure there is understanding Emphasize the importance of safety to the student and to all others in the class

21. Instructor not present at the time of the injury BYU vs. Lilliewhite Case Intro to Chemistry class Explosion occurred while instructor was across the hall meeting with another student Jury found plaintiff’s injury was “proximately caused” by failure of the instructor to supervise the experiment

22. Instructor preoccupied at time of the injury General rules of supervision Younger people need more supervision than older people More supervision is needed when materials or equipment are more dangerous Industrial Arts, Chemistry and Biology labs are inherently dangerous!!!

23. Lack of safety equipment “We don’t require safety glasses all the time…..” “We do not have the resources to purchase gloves for everyone…..” “We can’t make them wear lab coats…..” “We have safety rules posted on the wall…..”

24. Assigned experiment/procedure was unnecessarily dangerous “We’ve had this experiment as part of our curriculum for years…..” “We warned them…..” “I should have practiced the demo beforehand…” “The student was at fault…..” “I didn’t realize this could happen to my students…..”

25. Instructor was not adequately trained to supervise “He/she is hard to follow and understand…..” “I think he/she is new…..” “Maybe it’s easy for him/her, but I still needed help…..” “I don’t think his/her warning was strong enough…..”

26. Other Safety Tips for Classroom Risks Consider using “simulations” rather than have students handle hazardous materials/equipment Syllabus should disclose potential risks Encourage students to express concerns regarding safety

27. Safety supervision involves: Being a good: Communicator Role model Coach Trainer Enforcer Investigator

28. Safety “Tips” for Laboratories and Industrial Arts Classrooms: Each classroom has unique exposures that should be identified Lab and shop safety self-inspection programs are helpful Safety rules needed for each unique exposure area Documented safety training should be held regularly throughout each class duration Review instructions related to hazardous work to make sure they are thorough and understandable Make sure adequate supervision is present during all times when hazardous activities are underway

29. Making your department MIOSHA compliant and safe for students, faculty and staff.

30. Personnel training (faculty and staff; full and part-time) Student training Documentation of training Maintenance and confidentiality

31. To educate health care faculty, staff and students regarding the principles of infection control, identify work-related infection risks, institute prevention measures, and ensure proper exposure management and medical follow-up.

32. Clinic setting Laboratory setting

33. Development of the “Faculty and Staff Handbook Specific to the Dental Hygiene Program.” Many items, including MIOSHA information and sign-off sheet.

34. 1. Infection Control Protocol 2. Hazard Communication Protocol 3. Medical Waste Management Protocol

35. BAKER COLLEGE DENTAL HYGIENE PROGRAM PREVENTING OCCUPATIONAL EXPOSURE TO BLOOD-BORNE DISEASES A RECORD OF EMPLOYEE INFORMATION AND TRAINING PROGRAM On the date indicated below, dental hygiene faculty participated in an information and training session on the subject of preventing occupational exposure to blood-borne diseases. Date of information and training program:_______________________________ Training conducted by: _____________________________________________ Signature of trainer: _______________________________________________ The following information was presented: What is OSHA. What is the OSHA Bloodborne Pathogens Standard. Exposure determination; categories discussed; recognizing tasks with a disease transmission hazard. Modes of transmission of blood-borne diseases. Risks of exposure to HIV and HBV. How to apply the concept of Universal Precautions. Requirements for Hepatitis B immunization. Proper use of personal protective equipment including the following: When PPE is needed What PPE is necessary How to properly put on, take off, and adjust PPE The limits of PPE The proper care, maintenance, useful life and disposal of PPE Proper hand washing techniques. Handling and decontamination of personal protective equipment and clothing. Discussion of other clinic safety equipment and demonstration The emergency evacuation plan. How to handle accidental exposure to body fluids. Post-exposure evaluation and follow-up. Other: _______________________ Staff Title:____________________ Signature:____________________________

36. BAKER COLLEGE DENTAL HYGIENE PROGRAM INFECTION CONTROL PRODEDURES A RECORD OF EMPLOYEE INFORMATION AND TRAINING PROGRAM On the date indicated below, dental hygiene faculty participated in an information and training session on the subject of infection control. Date of information and training program_______________________________ Training conducted by: _____________________________________________ Signature of trainer: _______________________________________________ The following information was presented: How to use and care for “sharp” items. What “engineering controls” this education clinic utilizes to reduce or eliminate employee exposure. How and when to use the needle recapping device. What “work practice” controls this educational clinic utilizes to reduce or eliminate employee exposure. Review of information to employees who are or may become pregnant regarding possible risks to fetus from HBV/HIV and other associated infectious agents. Review of procedures for dealing with an accidental exposure or puncture. Information on the appropriate schedule for cleaning and disinfecting the various surfaces, equipment and other areas in the clinic (usually accomplished by the student). Information on the types of sterilants and disinfectants used in the clinic. Information on the types of protective coverings (barriers) used in the clinic. Location of the information regarding the Infection Control Program for the clinic. Review schedule for this Infection Control Program. Other:_______________________________________________ Staff Title:_____________________ Signature:_____________________

37. GUIDELINES FOR EXPOSURE MANAGEMENT A Faculty Member Must Be Informed Immediately! An exposure incident means a specific eye, mouth, or other mucous membrane, non-intact skin or parenteral contact with blood or other potentially infectious materials that results from the performance of a dental hygiene student's duties. In the event that there is an accidental exposure, the following steps should be taken: Immediately decontaminate the area of exposure by: 1. Washing the skin thoroughly with soap and water. 2. Rinsing exposed mucous membranes with water. 3. If the exposure is to the eye, use the eyewash to flush your eyes for 15 minutes. 4. If blood is splashed into the mouth or nose, flush the area with clean, running water. Hepatitis B Virus and Human Immunodeficiency Virus Postexposure Management: Once an exposure has occurred, the blood of the individual from whom exposure occurred should be test for Hepatitis B surface antigen (HbsAg) and antibody to human immunodeficiency virus (HIV antibody). Local laws regarding consent for testing source individuals must be followed. All post-exposure follow-up will be performed by the exposed individual's personal physician. If the student or patient doesn't have a personal physician, the following options are available: 1. Contact the Port Huron Hospital Health Access Line, which is a 24 hour service. They support all three local hospitals and a referral to an appropriate physician will be made upon the patient/student's request. Call 1-800-228-1484. 2. Contact the Occupational Health Services Department at Mercy Hospital. Baker College of Port Huron is a registered client,and your concern will addressed immediately. Call (810) 985-1807. 3. Contact the St. Clair County Health Department. This testing is done anonymously. Call (810) 985-2150. Please note that the cost of all medical evaluations and procedures, such as post-exposure evaluation and follow-up including prophylaxis, will be assumed by the student/patient. After investigating as to the cause of the exposure, a plan will be put into effect to prevent reoccurrence of the exposure and all employees/students under this plan will be informed as to the method of prevention. The OSHA Coordinator must be informed and appropriate protocol (i.e. Incident Report) followed. In the event the OSHA Coordinator is not physically in the building at the time of the exposure, all above protocol must be handled by a clinical faculty member with the OSHA Coordinator informed as soon as possible.

38. DEPARTMENT OF CONSUMER AND INDUSTRY SERVICES DIRECTOR'S OFFICE Filed with the Secretary of State on June 30, 1993 (as amended November 14, 1996) These rules take effect 15 days after filing with the Secretary of State (By authority conferred on the director of the department of consumer and industry services by section 24 of Act No. 154 of the Public Acts of 1974, as amended, and executive reorganization orders nos. 1996-1 and 1996-2 being §§408.1024, 330.310 1, and 445.2001 of the Michigan Compiled Laws) R 325.70004, R 325.70005, R 325.70007. R 325.70008, R 325.70009, R 325.70012, R 325.70013, R 325.70015, and R 325.70016 of the Michigan Administrative Code, appearing on pages 601 to 605, 612, and 613 of the 1993 Annual Supplement to the 1979 Michigan Administrative Code, are amended to read as follows: BLOODBORNE INFECTIOUS DISEASES R 325.70001 Scope. Rule 1. These rules apply to all employers that have employees with occupational exposure to blood and other potentially infectious material as defined by the provisions of R 325.70002(c), (n), and (r). R 325.70002 Definitions. Rule 2. As used in these rules: (a) "Act" means Act No. 154 of the Public Acts of 1974, as amended, being §408.1001 et seq. of the Michigan Compiled Laws. (b) "Biologically hazardous conditions" means equipment, containers, rooms, materials, experimental animals, animals infected with HBV or HIV virus, or combinations thereof that contain or are contaminated with, blood or other potentially infectious material. (c) "Blood" means human blood, human blood components, and products made from human blood­ (d) "Bloodborne pathogens" means pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include hepatitis B virus (HBV) and human immunodeficiency virus (HIV). (e) "Clinical laboratory" means a workplace where diagnostic or other screening procedures are performed on blood or other potentially infectious material (f) "Contaminated”- means the presence or the reasonably anticipated presence of blood or other potentially infectious material on an item or surface. (g) "Contaminated laundry" means laundry which has been soiled with blood or other potentially infectious materials or may contain sharps. (h) "Contaminated sharps" means any contaminated object that can penetrate the skin. including any of the following: (i) Needles. (ii) Scalpels. (iii) Broken glass (iv) Broken capillary tubes. (v) Exposed ends of dental wires. (i) "Decontamination" means 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. (j) "Department" means the department of consumer and industry services (k) "Director" means the director of the department or his or her designee. (l) "Disinfect" means to inactivate virtually all recognized pathogenic microorganisms, but not necessarily all microbial forms on inanimate objects. (m) "Engineering controls" means controls that isolate or remove the bloodborne pathogen hazard from the workplace. (n) "Exposure" means reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee's duties. This definition excludes incidental exposures that may take place on the job, and that are neither reasonably nor routinely expected and that the worker is not required to incur in the normal course of employment (o) “Exposure incident" means a specific eye. mouth, other mucous membrane, nonintact skin, or parenteral contact with blood or other potentially infectious material that results from the performance of an employee's duties. (p) "Handwashing facilities" means a facility that provides an adequate supply of running, potable water, soap, and single-use towels or a hot air drying machine. (q) “Licensed health care professional" means a person whose legally permitted scope of practice allows him or her to independently perform the activities required by the provisions of R 325.70013 concerning hepatitis B vaccination and post-exposure evaluation and follow-up. (r) "Other potentially infectious material“ means any of the following: (i) Any of the following human body fluids: (A) Semen.

41. SHARPS INJURY LOG # ___________ BAKER COLLEGE OF PORT HURON DENTAL HYGIENE PROGRAM RECORD OF EMPLOYEE / STUDENT INCIDENT Date of the incident:_________________________________ Type of incident: ? ?Injury ? Illness ? Other Staff members (s) / student (s) involved: Name Social Security Number Title 1_____________________________________________________________________________________________________________________ 2.____________________________________________________________________________________________________________________ 3.____________________________________________________________________________________________________________________ 4.____________________________________________________________________________________________________________________ Description of the incident: _____________________________________________________________________________________________________________________ Location where the incident occurred: _____________________________________________________________________________________________________________________ Was a medical referral necessary? ? Yes ? No If yes, where was the patient referred for evaluation? _____________________________________________________________________________________________________________________ Evaluation of the incident: _____________________________________________________________________________________________________________________ Corrective measures taken (if necessary)? _____________________________________________________________________________________________________________________ Personal protective equipment worn during incident (if any): _____________________________________________________________________________________________________________________ Signature of the individual completing this form: _____________________________________________________________________________________________________________________ Date: ____________________ 

42. BAKER COLLEGE DENTAL HYGIENE PROGRAM HAZARD COMMUNICATION A RECORD OF EMPLOYEE INFORMATION AND TRAINING PROGRAM On the date indicated below, dental hygiene faculty participated in an information and information and training session on the subject of hazard communication. Date of information and training program_____________________________________ Training conducted by ___________________________________________________ Signature of trainer______________________________________________________ The following information was presented: Provisions of the Right to Know Law and Hazard Communication Standard. The physical and health hazards of chemicals in the clinic. Location of the “Haz-Com” program including the hazardous chemicals list and the Material Safety Data Sheets (MSDS). The details of the hazard communication program, including an explanation of the labeling system, MSDS, and how to obtain and use the hazard information on the labels and the MSDS. Information on emergency procedures for spills, etc. Review of the Emergency Evacuation Plan. Other: _________________________________________________________ Staff Title: ________________________ Signature:__________________________

43. HAZARD COMMUNICATION PROGRAM I. Hazard Determination: Baker College of Port Huron Dental Hygiene Clinic will be relying on Material Safety Data Sheets from product suppliers and the ADA to meet hazard determination requirements. II. Labeling: A. The Program Director will be responsible for seeing that all containers (including portable) in the clinic are properly labeled. (Note: although the Director has the final responsibility in this matter, this day to day task may be delegated to a trained work study student, under the direction of the Director.) B. All in-coming labels will be checked for: identity, hazard warning, name and address of responsible party. III. Material Safety Data Sheets: A. The Program Director will be responsible for compiling the master MSDS file. It will be kept in the Dental Hygiene Clinic. Copies will be given by the Director to the Campus Safety Director for the Campus master copy, which is available to all employees. B. All MSDS's will be available for review by all employees and students. C. The full-time faculty member responsible for ordering supplies will ensure that MSDS are requested with each new product order. D. The required MIOSHA Right to Know Poster is located in the faculty lounge on the second floor. The Campus Safety Director is responsible to post new or revised MSDSs. IV. Employee Information and Training: A. The Program Director shall coordinate and maintain records of all OSHA training. B. Training information for new employees will include: ? chemicals and their hazards the work areas ? how to lessen or prevent exposure to these hazardous chemicals ? what the college has done to lessen or prevent workers' exposure to these chemicals ? procedures to follow if they are exposed to these chemicals C. Training will occur within the first week of on the job employment. D. Training of currently licensed and practicing dental professionals already knowledgeable in OSHA guidelines will be a review of the Baker College training modules and a discussion on important items relevant to our specific facility.

44. Organization Location Use Maintenance

45. BAKER COLLEGE DENTAL HYGIENE PROGRAM MEDICAL WASTE MANAGEMENT A RECORD OF EMPLOYEE INFORMATION AND TRAINING PROGRAM Date of information and training program______________________________ Training conducted by_____________________________________________ Signature of trainer _______________________________________________ The following information was presented: Which waste items need special handling as medical waste, and which items may be disposed of as a non-regulated waste. The measures that should be used to minimize exposure to infectious agents during the handling and disposal of medical waste including, where applicable, standard operating procedures (work practice controls) for processing medical waste, the use of protective equipment and clothing, the use of physical containment devices and the prevention and control of aerosols. The requirements for waste containment, including the workplace standard operating procedures for segregating and packaging each category of medical waste generated. The meaning of the universal biohazard warning symbol, as well as how a container of each medical waste generated must be labeled. The requirements for waste storage, collection and disposal. An understanding and familiarity of the protocols and procedures outlined in the Student Handbook relating to OSHA requirements. Other: ______________________________________________________________ Staff Title: ______________________ Signature:____________________________

46. GUIDELINES FOR REMOVAL AND STORAGE OF MEDICAL WASTE Guidelines regarding removal and storage of medical waste, including sharps will follow Federal, State and Local guidelines and will be updated as needed. Medical waste will be disposed of at regular intervals not to exceed 90 days. Waste will be collected in OSHA approved red containers marked medical waste. Storage of these bags will be in room 111A , which is a restricted area with limited access. They will be collected by the Facilities Department of Baker College, who are fully informed of the potential risks and who have been trained in Universal Precautions, following all the appropriate guidelines, and within 24 hours. At designated schedules, "Waste Management" company will pick up Baker College's BIO-waste. The dental clinic is a "small" generator of medical waste. Stericyle P.O. Box 9001588 Louisville, KY, 40290-1588 All local, state, and federal regulations for hauling medical waste are followed. The required forms and documents for transport and disposal are kept in the office of Ralph Jordan, Director of Safety/Facilities. The following is a list of disposable items that will be placed in the student's trash bag during and at the completion of patient treatment: Face masks, cotton rolls, patient gloves, articulating paper, finger cots, prophy cup, patient big, prophy brush, prophy paste containers, floss/tape, dappen dishes, pit and fissure brushes, cotton tip applicators, saliva ejector, headrest cover, bitewing tabs, all plastic barriers, x-ray film packets, gauze squares. All sharps (needles etc.) will be placed in the Sharps container located on the countertop in the sterilization area of the Clinic. Upon closing the container, it will be stored in room 111A until pick-up at regularly scheduled intervals. Following manufacturer's instructions, the suction cleaner (currently Vacusol Ultra) will be run through the suction system daily.

47. BAKER COLLEGE OF PORT HURON DENTAL HYGIENE CLINIC FIRE EVACUATION PLAN FOR THE DENTAL HYGIENE STUDENTS AND FACULTY A plan has been created to provide easy exit from the building in case of a fire. A fire drill will take place during the Fall quarter. Responsibilities have been assigned to eliminate confusion in the event of a real fire. Responsibilities of the student when an alarm sounds: 1. Things to do before you leave: a. Take your keys. b. Take backpack and/or purse (if easily accessible). c. Take your coat (if easily accessible). d. Assist your patient and your neighboring student out of the building. 2. Where should you go? From these locations Exit to these locations Radiography area Locker room Northeast doors and/or windows Clinic stations numbered 1-6 Room 110 Clinic stations numbered 7-15 Room 101 Northwest doors and/or windows 3. Once your are outside, go to the sign in the Student Parking Lot near the road. Determine if anyone is missing. If someone is still inside, notify Campus Safety/Facilities or someone from the Emergency Medical Personnel (EMS). 4. Do not re-enter the building until directed by EMS personnel. Responsibilities of the Faculty when the alarm sounds: 1. Things to do before you leave: a. Assist students and patients in your area in getting outside of the building. b. Take your keys. c. Take backpack and/or purse (if easily accessible). d. Take your coat (if easily accessible). e. Turn off the MagnaClave, Validator Plus (autoclave) and radiology processor. f. Close all doors and windows once everyone has evacuated. 2. Once your are outside, go to the sign in the Student Parking Lot near the road. Determine if anyone is missing. If someone is still inside, notify Campus Safety/Facilities or someone from the Emergency Medical Personnel (EMS). 3. Do not re-enter the building until directed by EMS personnel. NOTES: 1. If you cannot get out of your area for whatever reason, close the doors and windows. 2. Do not use the elevator for any reason.

48. Quarterly Assessment of MIOSHA Guidelines and Safety Sharps containers Number of “Incident Reports” Safety equipment: eye wash station, oxygen tank Radiographic equipment: dosimetry badges Hazardous Waste Management Emergency drug kit Autoclave maintenance/spore testing Faculty credential review

49. BAKER COLLEGE OF PORT HURON DENTAL HYGIENE PROGRAM ANNUAL OSHA UPDATE RECORD OF EMPLOYEE INFORMATION AND TRAINING PROGRAM OCTOBER 10, 2002 As part of a faculty orientation meeting, I was updated on the following OSHA issues: Revision of the “Exposure Control Plan” to include the use of “Metri-Wipes” for use as a surface disinfection. A new MSDS sheet is filed in the log book. Maintenance of the policies for the “Needle Stick Safety and Prevention Act” which was explained at the Fall 2001 faculty orientation. I have been given the opportunity to discuss and have input into any recapping devices I think might be appropriate for the Dental Hygiene Clinic. Review of Annual Training Modules: Infection Control Procedures Waste Management Hazard Communication In addition, I have had the opportunity to update my “Latex Allergy Survey” to document any changes. Faculty Signature: ____________________________________Date:______________________ Trainer: Sheree Duff RDH, MS

50. Training upon hire Annual updates and training Latex Survey annually Signed

51. BAKER COLLEGE OF PORT HURON DENTAL HYGIENE PROGRAM FACULTY INFORMATION AND CREDENTIAL REVIEW 2002-2003 Name: ___________________________ Position:__________________________ Home Address:___________________________ E-mail address:_____________________ Home Phone: ___________________________ Cell Phone: ___________________________ Work Phone: ___________________________ Immunization: Hepatitis vaccine - ? Yes ? No Date(s):_____________________ CPR Certification: Date issued:_________ Date expires:_____________________________ Licensure: States licensed in:_______________________________________________________ Renewal date:__________________________________________________________ License number (s):_____________________________________________________ Drug license number - DDS only :__________________________________________ Annual CEU documentation provided for previous year (2001-2002) ? Yes ? No OSHA Instruction- Original Date at Baker College:__________________________________ Annual OSHA Update:________________________________________________________ Attended meeting ____or Received minutes_____ Educational Methodology Instruction: ? Yes ? No How met:______________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Faculty Course Evaluations for Didactic Courses: (FTF will list courses on Quarter End Report”) Class (s):_____________________________________________________________________ Date(s) discussed ______________________________________________________________ Modifications/Changes needed: (These specific issues must be documented on the ‘Competency Evaluation Survey and End of the Quarter Course Report.”) ? Miscellaneous Items:_________________________________________________________

52. Membership: www.osap.org P.O. Box 6297 Annapolis, MD 21401

53. Student Handbook Curriculum Content Testing and Assessment Weekly Grading Criteria Laboratory Safety Rules for: Oral Anatomy Dental Radiology Dental Materials

54. MIOSHA section Sign-off sheet

55. STUDENT WAIVER FORM Latex Allergy The goal of Baker College is to have a latex “safe” environment. However, because latex can be found in a variety of products and materials (i.e., erasers, wallpaper, computer terminals, etc.) it is difficult to ensure a latex “free” environment. Therefore, the following information is being presented to fully inform all students of the potential risks of this exposure to latex. Students at Higher Risk: previous history of allergies numerous previous exposures to latex of any kind health care workers spina bifida patients rubber plant employees Methods of Exposure: skin/mucosal contact, glove wearing, and via airborne particles in the air. Symptoms: From a simple runny nose to a life threatening anaphylactic reaction. General symptoms include: sneezing, coughing, itching, asthma, rash, headaches, shortness of breath. Systemic reactions: hives, swelling, edema, coughing, asthma, shock, laryngeal edema, cardiovascular changes and gastrointestinal changes. Caution: Students with a mild sensitivity to latex may, at any time, develop a serious life threatening reaction to latex. Baker College has attempted to ensure your safety; however, students developing serious reactions to latex may not be able to complete their specific program of study at Baker College. I understand the risks involved in using and being exposed to latex products. I understand I will have the opportunity to request latex free products gloves, etc.), to the extent possible from Baker College. I have the responsibility of notifying an instructor if I suspect a latex allergy condition, as soon as the symptoms occur. Additional information regarding latex free/safe products will be available to me at my request. Student Signature: _______________________ Name: (print)___________________________ ID Number____________________________ Date:_________________________________

56. BAKER COLLEGE OF PORT HURON DENTAL HYGIENE PROGRAM Student Handbook 2003-2004 HANDBOOK INFORMATION SIGN-OFF I have received and read the information provided in the 2003-2004 Baker College of Port Huron Dental Hygiene’s Program Student Handbook. Student name (print): _______________________ Student signature: _______________________ Date:___________________

57. Videos Lectures Demonstrations Class Handouts Tests/Assessments

59. Weekly Grading with Rubrics DIGITAL CAMERA PROCESS EVALUATION STUDENT NAME _____________________________________ DATE ____/____/____ INSTRUCTOR NAME _________________________________ PASS REPEAT STANDARDS OF CARE ? *Infection control ? Professionalism ? Time management ? Patient management ? *D.H. Assessment / Tx. Planning PROCESS ? Obtain camera, retractors, and mirrors. ? Inform patient about the procedure and rationale for use. ? Describe and demonstrate the use of the retractors and mirrors for an anterior view, a buccal view, an occlusal view and a full face view. ? Dry the teeth and/or mirror. ? *Remove lens cap. Note: Do not turn the power on by setting the Mode dial until the lens cap is off! ? Hold the camera firmly with both hands while keeping your elbows at your sides to prevent the camera from moving. Note: Do not wear gloves while operating the camera. ? Set Mode dial to P for full face profile or A/S/M for intraoral images. Check display for battery power. ? View the image in the LCD monitor and rotate the Zoom lever toward T for a close-up picture or W for a wider view. Note: Do not hold the camera closer than 9 inches from the subject to be photographed. ? Press the shutter release button halfway to activate the focus and exposure lock then fully to take the picture. ? Display the recorded pictures by setting the Mode dial to

60. LABORATORY SAFETY RULES They will be enforced by the laboratory instructors. The rules are for the safety and follow-up care for all individuals. 1. Injuries ? Follow emergency procedures as specified in the Student Handbook (p. 111-113). ? Report all injuries to the instructor. ? File an Incident Report (Appendix A, p. 152-153) of the Student Handbook. 2. Safety precautions ? Follow universal precautions by wearing the appropriate personal protective equipment (PPE) during procedures: ? Eyewear ? Masks ? Gloves ? Clinic jacket ? Clinic shoes are worn during laboratory periods. ? All long hair must be pulled back. ? Clinic scrubs or dress attire will be worn during laboratory periods. ? Jewelry can include a wedding ring, one necklace tucked in laboratory coat, and one pair of small earrings. ? Do not carry any instruments in clinic coat pockets ? Follow "Work Practice Controls", (p. 128-129) in the Student Handbook. ? Follow "Work Area Restrictions", (p. 129) in the Student Handbook. ? Follow "Housekeeping regulations", (p. 129) in the Student Handbook. ? Follow "Guidelines for Instrument Sterilization", (p. 130) in the Student Handbook. ? Follow "Guidelines for Surface Disinfection", (p. 130-131) in the Student Handbook. ? Follow "College Policies", listed in the appropriate syllabus. ? Follow "Infection Control in Radiography Lab", (p. 137-139) in the Student Handbook. 3. Heat producing devices (Vacuformer and Sterlizers) ? Exercise caution. ? Follow recommended rules and regulations according to the manufacturer. 4. Electrical devices (light curing unit, oven) ? Turn off all electrical units when not in use. ? Do not operate electrical devices when running water. ? Report electrical defects as soon as noticeable.

61. 5. Model trimmers ? Use safety glasses and a mask while operating or standing near a model trimmer. ? Remove all rings and bracelets and keep hair tied back. ? Keep knuckles, fingernails, and fingers away from the blade during operation. ? Operate the trimmer with water. ? Do not operate model trimmer if the blade is wobbling. ? Do not try to stop the cutting wheel if it is still moving. ? Clean and disinfect the area (countertops, trimmer, and shield) after usage. ? If you smell a trimmer overheating, turn it off at once, inform instructor, and fill out a maintenance report slip. ? Shut off equipment after usage. ? Sweep floor after usage. ? Wipe any spilled water during/after usage. ? Shield must be in place at all times. 6. Materials used during the finishing and polishing of amalgams ? Use safety glasses and a mask while operating or standing near a motor, sheath, latch angle, burs, points or cups. ? Insure that the latch is holding the bur, point, or cup before inserting into the mouth. ? Clean handpiece and latch angle after use. ? Report all malfunctioning equipment (motors, latch angles, etc.) to the instructor and fill out a maintenance report slip. 7. General considerations ? Cleanliness of work areas will be maintained by the students during and after sessions. ? Absences will be handled according to the school policy. ? Damaged equipment due to improper handling will be the financial responsibility of the student. ? All laboratory equipment will be returned to its proper place after usage. I have read and will abide by these safety rules. Signature_________________________________________Date_________________________

62. INFECTION CONTROL IN RADIOGRAPHY LAB I. Considerations: A. Infection control procedures must include guidelines for dental radiographic procedures in dental settings. B. Thorough review of the patient's medical history is necessary. C. All infection control protocols should be followed. II. Procedure: NOTE: You must be wearing a mask, gloves, and safety glasses during disinfection. A. Preparation for exposing radiographs in the operatory: 1. Disinfect anything that you will touch by wiping the following with Caviwipes: ? lead apron and thyroid shield ? sink and faucet handle and knobs ? viewbox ? trays inside and outside of operatory ? on/off switch on x-ray unit ? door knob (inside and outside) 2. Cover, utilizing the barrier technique, the following items: ? chair: headrest cover ? tubehead and cone: clear plastic bag ? control panel buttons (outside operatory): clear plastic ? sensor, keyboard, and mouse (digital operatory) 3. Obtain needed armamentarium using an aseptic technique. ? Use sterile cotton pliers to retrieve stabes, cotton tip applicators, and bitewing loops from containers. ? Obtain two plastic cups: label the outside of one cup "E" for exposed and one "U" for unexposed. Place the cup labeled "E" furthest from the radiography room door and the one labeled "U" closest to the door. ? Obtain film from the radiography instructor. Place in the tray outside of the operatory. ? Obtain the Rinn XCP devices if necessary. ? Obtain two mounts. Label each with the patient's name and date. B. Safety: 1. Always drape the patient with a lead apron and cervical collar. 2. Use yoke or back of tube head to make adjustments. 3. Close the door before activating exposure button. Be careful not to close too hard because it may jar the tubehead.

65. “Work-Study” Students Must be MIOSHA Trained

66. Ongoing Assessment/Maintenance of MIOSHA Guidelines and Safety Protocol Written training modules Mandatory annual training Course content Policies and procedures Trainers knowledge Costs Attitudes

68. A process A mindset An attitude No single event or an occasional decision

70. Final Comments Barbara Honhart - VP of Academics/System “Where do we go from here...?”