MCPS Systemwide Safety Programs Department of Facilities Management SPO Cluster Meetings October 31,...

MCPS Systemwide Safety ProgramsMCPS Systemwide Safety ProgramsDepartment of Facilities ManagementDepartment of Facilities Management

SPO Cluster Meetings

October 31, 2014

Systemwide Safety ProgramsSystemwide Safety ProgramsStaffStaff

Peter Park, Team [email protected]

Laurie Lyons, Program [email protected]

Office: 240-314-1070Emergencies: 301-370-2141

www.montgomeryschoolsmd.org/departments/facilities/safety/

Topics for TodayTopics 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 PreventionInfection Prevention

Personal hygiene

Daily building cleaning, sanitizing

Universal precautions

Diseases of Recent Concern – EV-Diseases of Recent Concern – EV-D68D68

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 - Diseases of Recent Concern - PertussisPertussis

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 - EbolaDiseases 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 - EbolaDiseases 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 - Diseases of Recent Concern - EbolaEbola

Additional InformationAdditional Information1. 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/SitePages/ebola.aspx

3. Montgomery County Dept. of Health and Human Services (MCDHHS)http://www.montgomerycountymd.gov/HHS/LeftNav/Ebola.html

Diseases of Recent Concern - Diseases of Recent Concern - EbolaEbola

Additional Information (MCPS)Additional Information (MCPS)1. MCPS Ebola information web pagehttp://www.montgomeryschoolsmd.org/info/ebola/

2. Online webinar (recorded)https://mcps.webex.com/mcps/lsr.php?RCID=30b140b69b2da6230319f96fb0447ef6

3. Staff Ebola letterEmailed to all staff Oct. 28Translated letters sent to directors Oct. 30 (6 languages)

Personal HygienePersonal 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, SanitizingDaily 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


Sanitize touch points daily


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 PrecautionsUniversal 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.


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


Personal protective equipment (PPE)

Cleaning procedures

Post-exposure evaluation, follow-up

Universal Precautions - PPEUniversal Precautions - PPE

Gloves

◦ Nitrile gloves

Goggles

Face mask, face

shield

Gown, shoe covers

Universal Precautions – Removing Universal Precautions – Removing GlovesGloves

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 Universal Precautions – Removing GlovesGloves

Slide ungloved finger under wrist

of remaining glove

Peel glove off from inside,

enclosing first glove

Discard gloves

Wash hands

Universal Precautions – Cleaning Universal Precautions – Cleaning ProceduresProcedures

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


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


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-Universal Precautions – Post-ExposureExposure

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


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)


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


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


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 ChemicalsHazardous ChemicalsWhat makes chemicals What makes chemicals

“hazardous”?“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 ChemicalsHazardous ChemicalsApproved Chemicals, MSDSApproved Chemicals, MSDS

Hazardous ChemicalsHazardous Chemicals

Hazardous ChemicalsHazardous ChemicalsTipsTips

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 TrainingOnline Safety TrainingRequired 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?Questions?

MCPS Systemwide Safety Programs Department of Facilities Management SPO Cluster Meetings October 31,...

Documents

Transcript of MCPS Systemwide Safety Programs Department of Facilities Management SPO Cluster Meetings October 31,...