Crime Scene Cleanup >> Crime Scene Cleaning Training Schools In Texas

"HBV" means hepatitis B virus. "HIV" means human immunodeficiency virus. "Licensed Healthcare Professional" means a person whose legally permitted scope of practice allows him or her to independently perform the activities required by paragraph (f) Hepatitis B Vaccination and Crime Scene Cleaning Training Schools In Texas Post-exposure Follow-up. 

Paragraph (f)(1)(ii)(C) requires that medical evaluations and procedures including the hepatitis B vaccine Crime Scene Cleaning Training Schools In Texas and post-exposure prophylaxis and follow-up are performed by or under the supervision of an appropriately trained and licensed healthcare professional. 

A definition for licensed healthcare professional has been added to the final standard because this term was not used in the proposed standard. Crime Scene Cleaning Training Schools In Texas The definition reads "a person whose legally permitted scope of practice allows him or her to independently perform the activities required by paragraph (f) Hepatitis B Vaccination and Post-exposure Evaluation and Follow-up." 

Several commenters noted that a variety of healthcare professionals are capable of and, in fact, Crime Scene Cleaning Training Schools In Texas currently are administering the hepatitis B vaccine and post-exposure evaluation and follow-up to employees as required in the standard (e.g., Tr. 9/20/89, pp. 29,31; Ex. 20-1222; Ex. 20-141). 

The final standard requires that the persons delivering care to employees are appropriately trained and licensed to carry out the activities required by section (f) of the standard. Crime Scene Cleaning Training Schools In Texas These services include activities such as providing Hepatitis B vaccine, ordering appropriate laboratory tests, determining contraindications to vaccination, providing post-exposure prophylaxis and counseling. 

The legal scope of practice for this professional must allow the independent performance of all the procedures described in paragraph (f) hepatitis B vaccination and post-exposure evaluation and follow-up. Crime Scene Cleaning Training Schools In Texas A variety of healthcare professionals may perform these functions. 

For example, in addition to licensed physicians, the majority of states have laws that enable advanced practitioners in nursing to provide medical services independently. Crime Scene Cleaning Training Schools In Texas Nurse Practitioners and clinical nurse specialists are registered nurses prepared through a formal, organized education program and certified for an advanced practice role. 

This group of registered nurses provides primary healthcare that includes traditional medical services as well as nursing care. Crime Scene Cleaning Training Schools In Texas A more complete discussion of this portion of the standard can be found in the Summary and Explanation of paragraph (f)(1)(ii)(C). "Occupational Exposure" is one of the key terms upon which the standard rests. 

It contains the criteria which trigger application of the final standard. Crime Scene Cleaning Training Schools In Texas The definition reads: 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. Actual contact would be expected during an autopsy or surgery. 

In these cases, blood or other potentially infectious materials come in direct contact with the employee's gloves or other protective clothing. Crime Scene Cleaning Training Schools In Texas In other cases, contact may not occur each time the task or procedure is performed, but when blood or other potentially infectious materials are an integral part of the activity, it is reasonable to anticipate that contact may result. 

Examples of such tasks are phlebotomy and changing a surgical dressing. The occupational exposure must be reasonably anticipated. Crime Scene Cleaning Training Schools In Texas For example, the employer would reasonably anticipate that contact with blood or other potentially infectious materials would occur when an employee is performing certain surgical, medical, dental, or laboratory procedures.

On the other hand, the employer would not reasonably anticipate that contact with blood and other potentially infectious materials would occur when an employee is driving a bus down the highway or is processing insurance claims in an office setting. Crime Scene Cleaning Training Schools In Texas In addition to being reasonably anticipated, the contact must result from the performance of an employee's duties. 

An example of a contact with blood and other potentially infectious materials that would not be considered to be an "occupational exposure" would be a "Good Samaritan" act. Crime Scene Cleaning Training Schools In Texas For example, one employee may assist another employee who has a nosebleed or who is bleeding as the result of a fall. 

This would not be considered an occupational exposure unless the employee who provides assistance is a member of a first aid team or is otherwise expected to render medical assistance as one of his or her duties. Crime Scene Cleaning Training Schools In Texas One commenter questioned whether "Good Samaritan" acts should be excluded from the standard.

Listed a number of reasons why one worker might come to the aid of another even though it was not part of their duty to do so (Ms. Ruth Christos, S. C. Dept. of Health and Environmental Control, Ex. 20-1160). Crime Scene Cleaning Training Schools In Texas Since accidents and unexpected illness can occur in any workplace, exposure to blood is a theoretical possibility in all working environments. 

Many worksites have employees whose duty is to provide first aid or medical assistance, and employers must provide them with the protection of the standard. Crime Scene Cleaning Training Schools In Texas However, OSHA has concluded that it would be needlessly burdensome to require that all employers.

Including those where none of the employees have duties that can reasonably be expected to result in contact with blood and other potentially infectious materials, Crime Scene Cleaning Training Schools In Texas implement the provisions of the standard based on the chance that an employee will have contact with blood and other potentially infectious materials while performing a task that he or she is not required to do. 

The definition of "occupational exposure" that appeared in the proposed standard included a second sentence: Crime Scene Cleaning Training Schools In Texas The 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 (54 FR 23134).

A number of commenters found this second sentence confusing, Crime Scene Cleaning Training Schools In Texas contradictory or redundant. (Mr. V.J. Vincent, Boeing Support Services, Ex. 20-1150; Grady Memorial Hospital (Ohio), Ex. 20-834; Mrs. Ann Marie Witherow, Clearfield Hospital, Ex. 20-960; Dr. Carol Rice, MidWest Consortium for Hazardous Waste Worker Training, Ex. 20-892; AFSCME, Ex. 297). 

The terms "incidental exposure", "reasonably [expected]" and "routinely expected" were not defined. Crime Scene Cleaning Training Schools In Texas For instance, it was not clear whether the Agency intended to cover exposures that were not routine in nature. In addition, there was no guidance as to what constituted an incidental exposure or as to who would determine when one had occurred. 

"Incidental" can mean likely to happen or incurred casually in addition to the normal amount. For example, the State of Maryland Division of Labor and Industry submitted information indicating that certain funeral home operators among other employers believed that their exposures were incidental and therefore would not be covered by the standard. Crime Scene Cleaning Training Schools In Texas As discussed in "Scope," some funeral home employees can be expected to have occupational exposure.

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