It’s Your Call March 2019
OSHA: What is the name of the Hepatitis B 2-dose vaccine? What is the time frame for the doses to be administered? The 2-dose vaccine for Hepatitis B is called Heplisav-B (HepB-CpG). The doses should be administered 4 weeks apart followed by a titer 1-2 months after the second dose. Pregnant women should continue to […]
It’s Your Call February 2019
It’s your call OSHA: We recently hired a new clinical worker who received a 2-dose series for Hepatitis B and titer. Is there really a 2-dose series? Yes. Early in 2018, the Advisory Committee on Immunization Practices (ACIP) recommended Heplisav-B (HepB-CpG) for vaccination against Hepatitis B for those who are ≥ 18 years. The doses […]
It’s Your Call January 2019
OSHA: Does our office have to keep the 300 Workplace Injury and Illness Log? OSHA uses the data from these logs to assess and remove safety and health hazards. Establishments that have 250 or more employees and high risk industries with 20-249 employees must electronically submit the form. The list of high risk industries can […]
It’s Your Call December 2018
OSHA: We have a broken fluorescent light bulb. I’ve heard this is an issue, but why? Fluorescent light bulbs may emit a small amount of mercury vapor when the bulb is broken. To minimize risks, the EPA describes several cleanup and disposal steps at https://www.epa.gov/cfl/cleaning-broken-cfl#instructions. LED lightbulbs are an alternative to fluorescent lightbulbs. They do […]
It’s Your Call November 2018
OSHA: Our office hired a clinical worker who does not have proof of Hepatitis B 3-shot series. Can we just provide a pre-employment titer? No. If an employee does not have proof, offer a 3-dose series of hepatitis B vaccine, test for anti-HBs in 1–2 months, and document the result in the employee’s health record. […]
It’s Your Call October 2018
OSHA: When using a disinfectant wipe, what type of gloves should you use? The gloves types will vary based upon the disinfectant type, Safety Data Sheet (SDS) recommendations, and instructions for use. The SDS for Caviwipes, for example, recommends impervious gloves such as butyl rubber or nitrile for operations which may result in prolonged or […]
It’s Your Call September 2018
OSHA: What is the importance of a housekeeping schedule? Exposure to bloodborne pathogens are ever present in clinical settings, and employees must be protected from contaminated surfaces such as cabinets, patient beds, floors, equipment, walls, light handles, etc. OSHA regulation 1910.1030(d)(4)(ii) states: All equipment and environmental and working surfaces shall be cleaned and decontaminated after […]
It’s Your Call August 2018
OSHA: The transport container is contaminated with blood and other potentially infectious material (OPIM) from our instruments. How should we clean these reusable, transport containers? OSHA regulation 1910.1030(d)(4)(ii)(C) states: All bins, pails, cans, and similar receptacles intended for reuse which have a reasonable likelihood for becoming contaminated with blood or other potentially infectious materials shall […]
It’s Your Call July 2018
OSHA: One of our exit doors locks from the outside. What are the OSHA guidelines for exit doors that are locked inside? According to standard 1910.36(d), An exit door must be unlocked. Employees must be able to open an exit route door from the inside at all times without keys, tools, or special knowledge. A […]
It’s your Call June 2018
OSHA: Our office automatically provides a Hepatitis B titer for all new hires. Is this acceptable? No. The CDC recommends a titer only if there is documented proof of the vaccination series. If the employee cannot provide documentation of such, then the Hepatitis B series and titer should be offered at the employer’s cost. Alternatively, […]