SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Venipuncture

Type of Hazard: Needle stick. Exposure to blood or body fluid.

Person Performing Procedure: doctor / nurse / medical assistant / lab technician / phlebotomist

Person Assisting Procedure: N/A - unless patient needs to be restrained

Personal Protective Equipment Used:

gloves are mandatory

buttoned lab coat, goggles, masks - available if sprays, splashing or splatter is expected

Proper Techniques for Safety:

observe universal precautions / do not recap needle / wear gloves / change gloves between patients / wash hands after removing gloves / use holder with mechanical /safety device to remove needle or discard needle with holder / use needles with safety device

What is done with used materials and soiled instruments?

needle and holder is disposed in sharps container / unused contaminated blood vials are disposed of in sharps container / gloves can be disposed of in regular trash unless visible soiled with blood (abide by State medical waste laws)

What Chemical Products are Involved?

alcohol / betadine / iodine / anticoagulants in collection tubes

Additional Risks of Procedure?

Additional Comments:

Specimens should be placed in a safe area / if specimens are to be stored in a refrigerator for pick up or batch testing - refrigerator will be marked biohazard. No food including "glucose drink" will be kept in refrigerator that stores specimens.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Stool for Occult Blood

Type of Hazard: Exposure to Feces and/or Blood

Person Performing Procedure: Doctor / nurse practitioner / physician assistant

Person Assisting Procedure: nurse / medical assistant (if needed)

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

Observe Universal Precautions / wear gloves when performing test / wash hands after removing gloves

What is done with used materials and soiled instruments?

Gloves can be discarded into regular trash (if State regulations allow). Negative hemoccult cards can be put into regular trash. Positive cards should be put in over-classified (infectious) waste or red bagged.

What Chemical Products are Involved?

hemoccult developer

Additional Risks of Procedure?

Additional Comments: Always check expiration dates for cards and developer. Discard if expired. Change developer when new lot number of cards are started.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Inoculations (live vaccines)

Type of Hazard: Needle stick injury / exposure to blood

Person Performing Procedure: doctor / nurse

Person Assisting Procedure: none needed unless patient needs to be restrained

Personal Protective Equipment Used:

gloves required if injection is a live vaccine / gloves optional if it is not a live vaccine

Proper Techniques for Safety:

Observe universal precautions / wash hands before and after procedure / do not recap contaminated needles / use safety needles

What is done with used materials and soiled instruments?

Needles are placed into sharps container.

Live vaccine vials are class 1 medical waste and will be placed in a sharps container when discarded.

What Chemical Products are Involved?

alcohol / vaccine

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Performing laboratory tests (list tests performed under comments)

Type of Hazard: Exposure to blood and/or body fluids

Person Performing Procedure: lab tech. / medical assistant / nurse / physician

Person Assisting Procedure: N/A unless patient needs to be restrained

Personal Protective Equipment Used:

gloves - required

fully buttoned lab coat - optional - available if splashing, sprays or splatters are expected

goggles or face shield - optional - available if splashing, sprays or splatters are expected

Proper Techniques for Safety:

observe universal and standard precautions / wear gloves / use safety needles (if applicable) / wash hands after removing gloves / wear goggles or face protection if splashing, sprays or splatter is expected / cover blood vial corks with gauze and hold away from face when opening (if applicable) / wear lab coat is splashing sprays or splattering is expected

What is done with used materials and soiled instruments?

dispose of blood vials and glass culture tubes in sharps container / body fluids in glass containers will be disposed of in a sharps container / petri dishes can be disposed of in red bagged / urine may be poured down drain (if State waste laws allow) / gloves can be discarded in regular trash (if State regulations allow) or infectious waste

What Chemical Products are Involved?

testing reagents, alcohol, betadine

Additional Risks of Procedure?

Additional Comments:

Test(s) performed:

Prepared By: POC Consultants, LLC Date: _______________________

Approved By: _______________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Minor Surgical Procedures (listed under comments)

Type of Hazard: Exposure to blood and/or potentially infectious body fluids

Sharps injury

Person Performing Procedure: Physician

Person Assisting Procedure: Nurse / Medical Assistant - if needed

Personal Protective Equipment Used:

Gloves (Gown/Face Mask/ Goggles if splashing is expected)

Proper Techniques for Safety:

Observe universal precautions, wear PPE, wash hands after removing gloves, disinfect work area, keep surgical instruments in sterile area while performing procedure

What is done with used materials and soiled instruments?

Needles and other sharps are disposed of in sharps container. Re-usable surgical instruments are cleaned then cold disinfected or autoclaved. Gloves are disposed of in regular (if State regulations allow) or infectious (over-classified) waste.

What Chemical Products are Involved?

Betadine, hydrogen peroxide, alcohol, xylocaine, 10% formalin if biopsy is taken

Additional Risks of Procedure?

Additional Comments: Name of procedure(s) ___________________________________

___________________________________

Cold disinfectant must be used according to manufacturer instructions and changed and quality controlled as recommended.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Sigmoidoscope

Type of Hazard: Exposure to feces and/or body fluid

Person Performing Procedure: Doctor

Person Assisting Procedure: Nurse / Medical Assistant

Personal Protective Equipment Used:

Gloves. Eye protection and gowns (if splashing is anticipated)

Proper Techniques for Safety:

Observe Universal Precautions. Disinfect the work surfaces and exam table after procedure if soiled. Keep procedure instruments on tray.

What is done with used materials and soiled instruments?

Disposable components of the flexible sigmoidoscope should be discarded in biohazard waste. Reusable components should be rinsed, disinfected and cold sterilized or autoclaved (if instrument can be autoclaved). Gloves can be discarded in regular (if State regulations allow) or over-classified waste.

What Chemical Products are Involved?

K-Y jelly, cold disinfecting solution

Additional Risks of Procedure?

Additional Comments: Cold disinfecting solution must be used according to manufacturer instructions. Document when solution is made. Use controls if recommended by manufacturer.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Vaginal Exam / PAP Smear / KOH or Saline prep

Type of Hazard: Exposure to vaginal secretions

Person Performing Procedure: Doctor

Person Assisting Procedure: Nurse / Medical Assistant

Personal Protective Equipment Used:

Gloves. Eye protection, mask, gown (only if splashing is expected)

Proper Techniques for Safety:

Observe Universal Precautions. Place PAP slides directly into cardboard transport container. Place KOH slides into slide tray or on a paper towel and tray to transport to lab area. Disinfect the exam table and counter if any soiling has occurred. Keep all procedure instruments on a tray.

What is done with used materials and soiled instruments?

Gloves may be discarded in regular waste or over-classified (infectious) waste (in accordance with State regulations). Disposable speculums are discarded in over-classified (infectious) waste (or in accordance with State regulations). Non-disposable speculums are rinsed, disinfected and sterilized. Cyto sticks and brushes are disposed of in a sharps container.

What Chemical Products are Involved?

Cytology fixative / K-Y jelly . KOH / Saline (if slide prep is taken)

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Surgical Procedures (listed under comments)

Type of Hazard: Exposure to blood and other potentially infectious body fluids

Person Performing Procedure: Doctor

Person Assisting Procedure: Nurse / Medical Assistant

Personal Protective Equipment Used:

sterile gloves / safety goggles & mask / gown / shoe & hair cover (if applicable)

Proper Techniques for Safety:

Observe Universal and Standard Precautions. Wear PPE. Keep all instruments in sterile environment. Scrub hands with antibacterial soap before downing gloves. Disinfect all work areas after procedure.

What is done with used materials and soiled instruments?

Needles and other sharps are discarded in sharps container. Re-usable instruments will be disinfected and autoclaved (if applicable). Disinfect instrument trays. Dispose of soiled materials in red bag biohazard waste. Gloves can be discarded in regular trash (if State regulations allow) or in biohazardous waste if very soiled.

What Chemical Products are Involved?

Betadine, peroxide, normal saline, sterile water, alcohol swabs, 10% formalin if biopsy is taken, anti-bacterial soap

Additional Risks of Procedure?

Needle/sharps stick, splashing to mucus membranes

Additional Comments:

Procedures performed:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Injections (non-live vaccine)

Type of Hazard: Needle stick injury / exposure to blood

Person Performing Procedure: doctor / nurse

Person Assisting Procedure: none needed unless patient needs to be restrained

Personal Protective Equipment Used:

gloves recommended but optional

Proper Techniques for Safety:

Observe universal precautions / wash hands before and after procedure / use safety needles / do not recap needles

What is done with used materials and soiled instruments?

Needles are place into sharps container.

Gloves can be put in regular waste (if State regulations allow)

What Chemical Products are Involved?

alcohol / betadine / medication

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Biopsies

Type of Hazard: Exposure to blood and/or potentially infectious body fluids

Sharps injury

Person Performing Procedure: Physician

Person Assisting Procedure: Nurse / Medical Assistant - if needed

Personal Protective Equipment Used:

Gloves (Gown/Face Mask/ Goggles if splashing is expected)

Proper Techniques for Safety:

Observe universal precautions, wear PPE, wash hands after removing gloves, disinfect work area, keep surgical instruments in sterile area while performing procedure

What is done with used materials and soiled instruments?

Needles and other sharps are disposed of in sharps container. Re-usable surgical instruments are cleaned then cold disinfected or autoclaved. Gloves are disposed of in regular (if State regulations allow) or infectious (over-classified) waste.

What Chemical Products are Involved?

Betadine, hydrogen peroxide, alcohol, xylocaine, 10% formalin

Additional Risks of Procedure?

Additional Comments:

Type of biopsies:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Needle Aspiration of Breast Cyst

Type of Hazard: Exposure to blood and/or potentially infectious body fluids

Sharps injury

Person Performing Procedure: Physician

Person Assisting Procedure: Nurse / Medical Assistant - if needed

Personal Protective Equipment Used:

Gloves / Gown / Face Mask & Goggles (if splashing is expected)

Proper Techniques for Safety:

Observe universal precautions, wear PPE, wash hands after removing gloves, disinfect work area if soiled, do not re-cap needles, use safety needle

What is done with used materials and soiled instruments?

Needles are disposed of in sharps container. Gloves are disposed of in regular waste (if State regulations allow) or infectious (over-classified) waste. Contaminated gauze should be red bagged if saturated.

What Chemical Products are Involved?

Betadine, hydrogen peroxide, alcohol, xylocaine, 10% formalin if biopsy is taken

Additional Risks of Procedure?

Additional Comments:

Any specimen should be placed in the appropriate transport container, container should be bagged and specimen stored according to reference lab guidelines.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Needle Aspiration (general)

Type of Hazard: Exposure to blood and/or potentially infectious body fluids

Needle stick injury

Person Performing Procedure: Physician

Person Assisting Procedure: Nurse / Medical Assistant - if needed

Personal Protective Equipment Used:

Gloves. Gown / Face Mask & Goggles (if splashing is expected)

Proper Techniques for Safety:

Observe universal precautions, wear PPE, wash hands after removing gloves, disinfect work area if soiled, do not re-cap needles, use safety needle

What is done with used materials and soiled instruments?

Needles and aspiration fluid are disposed of in sharps container. Gloves are disposed of in regular (if State regulations allow) or infectious (over-classified) waste (according to state regulations). Contaminated gauze should be red bagged if saturated.

What Chemical Products are Involved?

Betadine, hydrogen peroxide, alcohol, ethyl chloride, xylocaine

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Paracentesis

Type of Hazard: Exposure to blood and/or potentially infectious body fluids

Needle stick injury

Person Performing Procedure: Physician

Person Assisting Procedure: Nurse / Medical Assistant - if needed

Personal Protective Equipment Used:

Gloves / Gown / Face Mask & Goggles (if splashing is expected)

Proper Techniques for Safety:

Observe universal precautions, wear PPE, wash hands after removing gloves, disinfect work area if soiled, do not re-cap needles, keep all instruments in sterile area

What is done with used materials and soiled instruments?

Needles and attached tubing are disposed of in sharps container. Containers with body fluids will be placed in puncture proof medical waste container. Gloves are disposed of in regular or infectious (over-classified) waste (according to state regulations). Contaminated gauze should be red bagged if saturated.

What Chemical Products are Involved?

Betadine, hydrogen peroxide, alcohol, xylocaine

Additional Risks of Procedure?

Additional Comments:

Any specimen should be placed in the appropriate transport container, container should be bagged and specimen stored according to reference lab guidelines.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Lumbar Puncture

Type of Hazard: Exposure to potentially infectious body fluids

Needle stick injury

Person Performing Procedure: Physician

Person Assisting Procedure: Nurse / Medical Assistant - if needed

Personal Protective Equipment Used:

Gloves (Gown/Face Mask/ Goggles if splashing is expected)

Proper Techniques for Safety:

Observe universal precautions, wear PPE, wash hands after removing gloves, use safety needle if available, disinfect work area, keep surgical instruments in sterile area while performing procedure

What is done with used materials and soiled instruments?

Needles and other sharps are disposed of in sharps container. Gloves are disposed of in regular or infectious (over-classified) waste (in accordance with state regulations). Contaminated gauze will be placed in infectious waste.

What Chemical Products are Involved?

Betadine, hydrogen peroxide, alcohol, xylocaine 10%

Additional Risks of Procedure?

Additional Comments:

If specimen is to be tested, it will be placed in the correct transport container and taken to the laboratory. If it is to be sent to a reference lab it will be bagged and stored according to reference lab recommendations.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Vasectomy

Type of Hazard: Exposure to blood and other potentially infectious body fluids

Person Performing Procedure: Doctor

Person Assisting Procedure: Nurse / Medical Assistant

Personal Protective Equipment Used:

sterile gloves / safety goggles & mask / gown / shoe & hair cover (if applicable)

Proper Techniques for Safety:

Observe Universal Precautions. Wear PPE. Keep all instruments in sterile environment. Scrub hands with antibacterial soap before downing gloves. Disinfect all work areas after procedure.

What is done with used materials and soiled instruments?

Needles and other sharps are discarded in sharps container. Re-usable instruments will be disinfected and autoclaved (if applicable). Disinfect instrument trays. Dispose of soiled materials in red bag biohazard waste. Gloves can be disposed of in regular or over-classified waste (according to State regulations)

What Chemical Products are Involved?

Betadine, peroxide, normal saline, anti-bacterial soap

Additional Risks of Procedure?

Needle/sharps stick, splashing to mucus membranes

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Cystoscopy

Type of Hazard: Exposure to potentially infectious body fluids

Person Performing Procedure: Doctor

Person Assisting Procedure: Nurse / Medical Assistant

Personal Protective Equipment Used:

sterile gloves / safety goggles & mask / gown / shoe & hair cover (if applicable)

Proper Techniques for Safety:

Observe Universal Precautions. Wear PPE. Keep all instruments in sterile environment. Scrub hands with antibacterial soap before downing gloves. Disinfect all work areas after procedure.

What is done with used materials and soiled instruments?

Scope is soaked in cold disinfectant. Re-usable instruments will be disinfected and autoclaved. Disinfect instrument trays. Dispose of soiled materials in red bag biohazard waste. Gloves can be disposed of in regular or over-classified waste (according to State regulations).

What Chemical Products are Involved?

Betadine, anti-bacterial prep soap

Additional Risks of Procedure?

splashing to mucus membranes

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Wound Care & Dressing Change

Type of Hazard: Exposure to blood and/or potentially infectious body fluids

Person Performing Procedure: Physician, nurse, nurse practitioner, physician assistant

Person Assisting Procedure: Nurse / Medical Assistant - if needed

Personal Protective Equipment Used:

Gloves

Proper Techniques for Safety:

Observe universal precautions, wear gloves, wash hands after removing gloves, disinfect work area if soiled

What is done with used materials and soiled instruments?

Gloves are disposed of in regular or infectious (over-classified) waste (according to State regulations). Contaminated gauze and bandage should be red bagged if saturated.

What Chemical Products are Involved?

Betadine, hydrogen peroxide, alcohol, normal saline, antibiotic suave

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Lesion Excision / Abscess Incision

Type of Hazard: Exposure to blood and/or potentially infectious body fluids

Sharps injury

Person Performing Procedure: Physician, nurse practitioner, physician assistant

Person Assisting Procedure: Nurse / Medical Assistant - if needed

Personal Protective Equipment Used:

Gloves. Goggles, mask and gown (if splashing is expected)

Proper Techniques for Safety:

Observe universal precautions, wear gloves, wash hands after removing gloves, disinfect work area if soiled, keep all instruments on tray and sterile while performing procedure

What is done with used materials and soiled instruments?

Gloves are disposed of in regular or infectious (over-classified) waste (according to State regulations. Contaminated gauze and bandage should be red bagged if saturated. All re-usable instruments will be disinfected and sterilized. Sharps and disposable instruments will be put in sharps container.

What Chemical Products are Involved?

Betadine, hydrogen peroxide, alcohol, normal saline.

10% formalin or culture media - if sample is sent to reference lab.

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: I V Set Ups

Type of Hazard: Needle stick injury / exposure to blood

Person Performing Procedure: doctor / nurse

Person Assisting Procedure: none needed unless patient needs to be restrained

Personal Protective Equipment Used:

gloves

goggles, mask, gown (if splashing is expected)

Proper Techniques for Safety:

Observe universal precautions / wash hands before and after procedure / use safety needle/ do not recap needles

What is done with used materials and soiled instruments?

Needles and attached tubing are place into sharps container.

IV Bags can be discarded into medical (red bag) waste or over-classified waste (only if State law allows). IV bottles can go into regular waste (check with State regulations). Gloves can be discarded in regular or over-classified waste ( in accordance with State regulations)

What Chemical Products are Involved?

alcohol / Betadine / I V solution / medications (if applicable)

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Administering Chemotherapy

Type of Hazard: Needle stick injury / exposure to blood / exposure to chemotherapy medications

Person Performing Procedure: doctor / nurse

Person Assisting Procedure: none needed unless patient needs to be restrained

Personal Protective Equipment Used:

gloves - required

goggles, mask, gown (if splashing is expected or recommended by pharmaceutical company)

Category II biohazard hood to draw up medications (if required or recommended by pharmaceutical company)

Proper Techniques for Safety:

Observe universal and standard precautions / wash hands before putting on gloves and after removing gloves / use safety needle / do not recap needles / draw up medication according to pharmaceutical company recommendations for safety when handling product

What is done with used materials and soiled instruments?

Needles and syringes discarded in sharps container. If syringes is separated from needle it may be discarded in biohazard red-bag.

If IV Bags are used they will be discarded into medical (red bag) waste or over-classified waste (only if State law allows). IV needles and attached tubing go into sharps container. IV bottles (glass) can go into medical waste or regular waste (according to State regulations). Gloves can be discarded in regular or over-classified waste (in accordance with State regulations). Empty chemo vials will be discarded in chemotherapy waste container or according to State regulations.

What Chemical Products are Involved?

alcohol / Betadine / chemotherapy medications / I V solution

continued next page

Administering Chemotherapy - pg. 2

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Bone Marrow Aspiration

Type of Hazard: Exposure to blood and bone marrow

Sharps injury

Person Performing Procedure: Physician

Person Assisting Procedure: Nurse / Medical Assistant

Personal Protective Equipment Used:

Sterile Gloves

Gown / Face Mask & Goggles (if splashing is expected)

Proper Techniques for Safety:

Observe universal precautions, wear PPE, wash hands after removing gloves, disinfect work area if soiled, do not re-cap needles

Keep all needles in a sterile area until use. Place slides into cardboard transport holder or on paper towel until dry. Disinfect potentially contaminated work areas after procedure.

What is done with used materials and soiled instruments?

Needles are disposed of in sharps container. Gloves are disposed of in regular or infectious (over-classified) waste. Contaminated gauze should be red bagged if saturated.

What Chemical Products are Involved?

Betadine, hydrogen peroxide, alcohol, xylocaine

10% formalin if biopsy is taken

Stains - if slides are stained in office

Additional Risks of Procedure?

continued next page

Bone Marrow - pg. 2

Additional Comments:

Any specimen should be placed in the appropriate transport container, container should be bagged and specimen stored according to reference lab guidelines.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________


SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Amniocentesis

Type of Hazard: Exposure to blood and/or potentially infectious body fluids

Person Performing Procedure: Physician

Person Assisting Procedure: Nurse / Medical Assistant

Personal Protective Equipment Used:

Gloves / Gown.

Face Mask & Goggles (if splashing is expected)

Proper Techniques for Safety:

Observe universal precautions, use aseptic technique, wear PPE, wash hands after removing gloves, use safety needle, disinfect work area if soiled

What is done with used materials and soiled instruments?

Needles and sharps are disposed of in sharps container. Gloves are disposed of in regular or infectious (over-classified) waste. Contaminated gauze and paper products are red bagged or discarded in over-classified waste (in accordance with state regulations).

What Chemical Products are Involved?

Betadine

Additional Risks of Procedure?

Additional Comments:

Amniotic fluid is placed in sterile test tubes and placed in plastic zip-lock bag marked with biohazard label and stored in accordance with reference or hospital laboratory guidelines.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Suture Removal

Type of Hazard: Exposure to blood and/or potentially infectious body fluids

Sharps injury

Person Performing Procedure: Physician, nurse, nurse practitioner, physician assistant

Person Assisting Procedure: Nurse / Medical Assistant - if needed

Personal Protective Equipment Used:

Gloves

Proper Techniques for Safety:

Observe universal precautions, wear PPE, wash hands after removing gloves, disinfect work area, keep instruments in sterile area while performing procedure, place threads on gauze or paper towel after removing

What is done with used materials and soiled instruments?

Needles and disposable instruments are disposed of in sharps container. Re-usable instruments are cleaned then cold disinfected or autoclaved. Gloves are disposed of in regular or infectious (over-classified) waste. Stitches are disposed of in over-classified (infectious) waste or red bagged ( in accordance with state law).

What Chemical Products are Involved?

Betadine, hydrogen peroxide, alcohol

Additional Risks of Procedure?

Additional Comments: Cold disinfectant must be used according to manufacturer instructions and changed and controlled as recommended.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Insertion of IUD's & Pessaries

Type of Hazard: Exposure to vaginal secretions

Person Performing Procedure: Doctor

Person Assisting Procedure: Nurse / Medical Assistant

Personal Protective Equipment Used:

Gloves - sterile

Eye protection, mask, gown (only if splashing is expected)

Proper Techniques for Safety:

Observe Universal Precautions. Keep IUD in sterile area until insertion. Disinfect all potentially contaminated work areas after procedure.

What is done with used materials and soiled instruments?

Gloves may be discarded in regular waste or over-classified (infectious) waste (in accordance with State regulations). Disposable speculums are discarded in over-classified (infectious) waste (or in accordance with State regulations). Non-disposable speculums are rinsed, disinfected and sterilized.

What Chemical Products are Involved?

K-Y jelly

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Performing Hysteroscopy/ Hysterosalpingogram

Type of Hazard: Exposure to vaginal secretions and coloscopy

Person Performing Procedure: Doctor

Person Assisting Procedure: Nurse / Medical Assistant

Personal Protective Equipment Used:

Gloves. Eye protection, mask, gown (only if splashing is expected)

Proper Techniques for Safety:

Observe Universal Precautions. Disinfect the exam table and counter if any soiling has occurred. Keep all procedure instruments on a tray.

What is done with used materials and soiled instruments?

Gloves may be discarded in regular waste or over-classified (infectious) waste (in accordance with State regulations). Disposable speculums are discarded in over-classified (infectious) waste (or in accordance with State regulations). Non-disposable speculums are rinsed, disinfected and sterilized.

What Chemical Products are Involved?

K-Y jelly

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Artificial Insemination

Type of Hazard: Exposure to vaginal secretions and semen

Person Performing Procedure: Doctor

Person Assisting Procedure: Nurse / Medical Assistant

Personal Protective Equipment Used:

Gloves. Eye protection, mask, gown (only if splashing is expected)

Proper Techniques for Safety:

Observe Universal Precautions. Disinfect the exam table and counter if any soiling has occurred. Keep all procedure instruments on a tray.

What is done with used materials and soiled instruments?

Gloves may be discarded in regular waste or over-classified (infectious) waste (in accordance with State regulations). Disposable speculums are discarded in over-classified (infectious) waste (or in accordance with State regulations). Non-disposable speculums are rinsed, disinfected and sterilized.

What Chemical Products are Involved?

K-Y jelly

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Endoscopy (general - list type below)

Type of Hazard: Exposure to blood and other potentially infectious body fluids

Person Performing Procedure: Doctor

Person Assisting Procedure: Nurse / Medical Assistant

Personal Protective Equipment Used:

gloves

gown or lab coat (if splashing or contamination of clothing is expected)

Proper Techniques for Safety:

Observe Universal Precautions. Wear PPE. Keep all instruments on covered instrument tray. Disinfect all work areas after procedure.

What is done with used materials and soiled instruments?

Flexible endoscope is washed then cold disinfected. Ridged endoscope is washed and autoclaved. Disinfect instrument trays. Dispose of gloves in regular or over-classified waste (according to local and State regulations). Any saturated gauze will be discarded in regulated (red bag) waste.

What Chemical Products are Involved?

"Surgi-lube" (or equivalent), Lidocaine jelly

Additional Risks of Procedure?

Additional Comments:

Type of endoscope procedure:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Nuclear Stress Testing

Type of Hazard: Exposure to blood, needle stick injury, radiation exposure

Person Performing Procedure: Nuclear Medicine Technologist

Person Assisting Procedure: Nurse (if needed)

Personal Protective Equipment Used:

gloves, lab coat, lead apron

Proper Techniques for Safety:

Observe Universal Precautions. Wear gloves. Wear radiation badge. Close door to procedure room.

What is done with used materials and soiled instruments?

Needle and guide are disposed of in sharps container. IV bag and tubing are disposed of in separate sharps box which is then placed in a lead box until background has reached a safe level and then can be disposed of with regular (Biohazard) regulated waste. Isotope syringes come from company (ready to use) in lead syringe container - after use - empty syringe is put back into lead container and container is returned to the company.

What Chemical Products are Involved?

Alcohol, saline, Technetium

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: ________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Suturing

Type of Hazard: Exposure to blood and/or potentially infectious body fluids

Sharps injury

Person Performing Procedure: Physician / nurse practitioner / physician assistant

Person Assisting Procedure: Nurse / Medical Assistant - if needed

Personal Protective Equipment Used:

Sterile Gloves

Gown / goggles / face mask - if splashing or spattering is expected

Proper Techniques for Safety:

Observe universal precautions, wear PPE, wash hands after removing gloves, disinfect work area, keep instruments in sterile area while performing procedure

What is done with used materials and soiled instruments?

Needles and disposable instruments are disposed of in sharps container. Re-usable instruments are cleaned then cold disinfected or autoclaved. Gloves are disposed of in regular or infectious (over-classified) waste unless caked with blood. Contaminated gauze (not saturated) are disposed of in over-classified (infectious) waste or red bagged if saturated (in accordance with state law).

What Chemical Products are Involved?

Betadine, hydrogen peroxide, alcohol, saline, xylocaine (or equivalent)

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Allergy Testing - Intradermal

Type of Hazard: Needle stick injury / exposure to blood

Person Performing Procedure: doctor / nurse

medical assistant / medical technician (if state law allows)

Person Assisting Procedure: none needed unless patient needs to be restrained

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

Observe universal precautions / wash hands before and after procedure / use safety needles if available / do not recap needles

What is done with used materials and soiled instruments?

Needles and syringes are place into sharps container.

What Chemical Products are Involved?

alcohol / allergy injectables

Additional Risks of Procedure?

Due to the possibility of an allergic reaction the office must have an emergency protocol such as epinephrin or crash kit.

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Finger or Heel Stick

Type of Hazard: Lancet stick. Exposure to blood.

Person Performing Procedure: doctor / nurse / medical assistant / lab technician / phlebotomist

Person Assisting Procedure: N/A - unless patient needs to be restrained

Personal Protective Equipment Used:

gloves, (buttoned lab coat, goggles, mask - if splashing is expected)

Proper Techniques for Safety:

observe universal precautions / wear gloves / change gloves between patients / wash hands after removing gloves / use safety lancets

What is done with used materials and soiled instruments?

lancets are disposed in sharps container / gauze with small amounts of blood can be discarded in regular or over-classified waste (according to State medical waste regulations) / if gauze is saturated it will be discarded in red bag / gloves can be disposed of in regular trash unless visible soiled with blood (according to State medical waste laws)

What Chemical Products are Involved?

alcohol / betadine / iodine

Additional Risks of Procedure?

Be aware that upon applying pressure to the site, the blood has the potential to "spout". Keep a safe distance while applying pressure or wear goggles and face mask.

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: ________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Thoracentesis

Type of Hazard: Exposure to blood and/or potentially infectious body fluids

Needle stick injury

Person Performing Procedure: Physician

Person Assisting Procedure: Nurse / Medical Assistant - if needed

Personal Protective Equipment Used:

Gloves / Gown / Face Mask & Goggles (if splashing is expected)

Proper Techniques for Safety:

Observe universal precautions, wear PPE, wash hands after removing gloves, disinfect work area if soiled, do not re-cap needles, keep all instruments in sterile area

What is done with used materials and soiled instruments?

Needles and attached tubing are disposed of in sharps container. Containers with body fluids will be placed in puncture proof medical waste container. Gloves are disposed of in regular or infectious (over-classified) waste (according to state regulations). Contaminated gauze should be red bagged if saturated.

What Chemical Products are Involved?

Betadine, hydrogen peroxide, alcohol, xylocaine

Additional Risks of Procedure?

Additional Comments:

Any specimen should be placed in the appropriate transport container, container should be bagged and specimen stored according to reference lab guidelines.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Spirometry

Type of Hazard: Potential exposure to saliva and sputum

Person Performing Procedure: nurse / lab tech / medical assistant

Person Assisting Procedure: N/A

Personal Protective Equipment Used:

gloves optional for procedure and mandatory for cleaning instrument

Proper Techniques for Safety:

use a paper towel to hold mouthpiece during connecting and removing from instrument

What is done with used materials and soiled instruments?

Mouthpiece is disposable and can be discarded in regular or over-classified waste (according to state medical waste law)

Connecting tube is rinsed then disinfected with a hospital grade cold disinfectant

What Chemical Products are Involved?

Disinfectant for cleaning connecting tubing

Additional Risks of Procedure?

Additional Comments: Cold disinfectant must be used according to manufacturer instructions and changed and quality controlled as recommended.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Electromyograph (EMG)

Type of Hazard: Needle stick injury

Person Performing Procedure: doctor

Person Assisting Procedure: medical assistant (optional)

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

Observe Universal Precautions

Do not recap needles

What is done with used materials and soiled instruments?

Needles are put into sharps container

If gauze is saturated with blood it will be put in biohazard waste. If gauze is not saturated it may go in regular or over-classified waste.

What Chemical Products are Involved?

Alcohol / Betadine

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Intramuscular Injections

Type of Hazard: Needle stick injury / exposure to blood

Person Performing Procedure: doctor / nurse

Person Assisting Procedure: none needed unless patient needs to be restrained

Personal Protective Equipment Used:

gloves recommended but optional

Proper Techniques for Safety:

Observe universal precautions / wash hands before and after procedure / use safety needle / do not recap needles

What is done with used materials and soiled instruments?

Needles are place into sharps container.

Gloves can be put in regular waste (if State regulations allow)

What Chemical Products are Involved?

alcohol / betadine / medication

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Trigger Point Injections

Type of Hazard: Needle stick injury / exposure to blood

Person Performing Procedure: doctor / nurse

Person Assisting Procedure: none needed unless patient needs to be restrained

Personal Protective Equipment Used:

gloves recommended but optional

Proper Techniques for Safety:

Observe universal precautions / wash hands before and after procedure / use safety needle / do not recap needles

What is done with used materials and soiled instruments?

Needles are place into sharps container.

Gloves can be put in regular waste (if State regulations allow)

What Chemical Products are Involved?

alcohol / betadine / medication

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Medical Waste - Transporting sharps container or red bag medical waste from one facility to another facility location for pick up

Type of Hazard: Medical waste spill in car, medical waste contamination exposure, injury from sharps

Person Performing Procedure: doctor or nurse

Person Assisting Procedure: N/A

Personal Protective Equipment Used: gloves

Proper Techniques for Safety:

wear gloves when handling medical waste / if medical waste is in red bag, close top with "garbage bag tie" / if medical waste is in a sharps container, close lid / place bag or sharps container into a cardboard box that is lined with a red biohazard bag and has a lid that is marked with a biohazard label / close box / tape shut. Box should be transported in trunk of car to other location. Waste should be transported directly from one location to the other - unnecessary stops or delays should be avoided

What is done with used materials and soiled instruments?

at final location, the box containing sharps container or red bagged waste will be placed in the large cardboard bio-bin until the regular pick up by medical waste company

Additional Risks of Procedure?

Spillage in trunk of car and potential contamination.

Additional Comments:

Facility should check with the State department that over-see’s medical waste laws (eg. Department of Health, Department of Environmental Protection) for record keeping required for this transport.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Freezing with Nitrogen

Type of Hazard: burns from exposure to liquid nitrogen

Person Performing Procedure: doctor

Person Assisting Procedure: nurse, medical assistant

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe Universal Precautions, wear gloves, nitrogen must be stored in appropriate container at all times

What is done with used materials and soiled instruments?

cotton swab with nitrogen can be thrown in regular trash

What Chemical Products are Involved?

liquid nitrogen

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Laser (general - list procedure below under comments)

Type of Hazard: burns, smoke inhalation, eye damage from exposure to light

Person Performing Procedure: doctor

Person Assisting Procedure: nurse, medical assistant

Personal Protective Equipment Used:

laser goggles, gloves, approved laser respirator mask

Proper Techniques for Safety:

observe Universal Precautions / wear laser goggles / wear gloves / make sure smoke evacuator is turned on is turned on

What is done with used materials and soiled instruments?

gauze and gloves can be discarded in regular trash

goggles should be cleaned according to manufacturer directions

What Chemical Products are Involved?

CO2 / Erbium / Yag Other: _____________________

Additional Risks of Procedure?

smoke inhalation

Additional Comments: List procedures performed:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Chemical Peels using trichloracetic acid

Type of Hazard: minor burns from skin contact / eye damage from splashing

Person Performing Procedure: doctor

Person Assisting Procedure: nurse, medical assistant

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal precautions / wear gloves / wear eye protection if splashing is anticipated What is done with used materials and soiled instruments?

all swabs, gauze and gloves can be discarded in regular trash

What Chemical Products are Involved?

tri-chloracetic acid

Additional Risks of Procedure?

Additional Comments:

cover patients clothes / cover patients eyes with gauze / have water (tap) near to stop reaction

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Removal of Nasal Packing

Type of Hazard: Potential exposure to blood and body fluids

Person Performing Procedure: Doctor or Nurse

Person Assisting Procedure: N/A or medical assistant

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

Observe Universal Precautions / wear gloves

What is done with used materials and soiled instruments?

Packing gauze:

(1) if not saturated may be disposed of in regular or "over-classified" waste

(2) if gauze is saturated, dispose of in red bag (biohazard).

What Chemical Products are Involved?

Level 2 disinfectant to clean instruments

Additional Risks of Procedure?

Additional Comments: Cold disinfectant must be used according to manufacturer instructions and changed and quality controlled as recommended.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Shaving Body Hair

Type of Hazard: Potential exposure to blood / razor cut

Person Performing Procedure: technician, medical assistant, nurse, doctor

Person Assisting Procedure: N/A

Personal Protective Equipment Used:

gloves, disposable safety razor

Proper Techniques for Safety:

Observe universal precautions, wear gloves, do not re-cover razor,. dispose of razor into sharps container

What is done with used materials and soiled instruments?

Razor goes into sharps container. Hair gloves, gauze can be disposed of into regular trash unless contaminated with blood. Gauze with small amounts of blood can be discarded into regular or over-classifies waste. If gauze is saturated with blood, discard into regulated medical waste.

What Chemical Products are Involved?

alcohol, soap, shaving cream

Additional Risks of Procedure?

Possibility of cut to patient or person performing procedure

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: ___________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Debridement

Type of Hazard: Exposure to skin scrapings, blood, serous fluid / cut from sharps

Person Performing Procedure: Physician, nurse practitioner, physician assistant

Person Assisting Procedure: Nurse, Medical Assistant

Personal Protective Equipment Used:

gloves. goggles and masks available if desired or aerosols are expected

Proper Techniques for Safety:

Observe Universal/Standard precautions, disinfect instruments and work area after completing procedure

What is done with used materials and soiled instruments?

Scalpel with blades are discarded after use in sharps container.

Soiled gauze are put in red bag, facility policy or disposed of according to state regulated medical waste laws.

Hemostat and scissor are disinfected in germicide then autoclaved.

What Chemical Products are Involved?

germicide for disinfecting instruments

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Staple Removal

Type of Hazard: Exposure to blood

Person Performing Procedure: Physician, nurse practitioner, physician assistant

Person Assisting Procedure: Nurse, medical assistant

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

Observe Universal/ Standard precautions

Disinfect work area when procedure is finished

What is done with used materials and soiled instruments?

Staple remover (if disposable) and staples are put in sharps container

What Chemical Products are Involved?

Antiseptic to clean area before and after removal

Additional Risks of Procedure?

Additional Comments: If staple remover is not disposable cold disinfect. Cold disinfectant must be used according to manufacturer instructions and changed and quality controlled as recommended.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Cast Removal

Type of Hazard: Exposure to gauze dressings that may be contaminated with body fluids

Person Performing Procedure: Doctor

Person Assisting Procedure: Nurse, X-ray technician, Medical Assistant

Personal Protective Equipment Used:

Gloves, goggles are available if desired Mask - is aerosols are expected.

Proper Techniques for Safety:

Observe Universal/Standard precautions.

Disinfect work area after procedure

Make sure vacuum is on

What is done with used materials and soiled instruments?

Cast may be discarded in regular trash. Gauze will be discarded in red bag or according to facility policy or state medical waste regulations.

What Chemical Products are Involved?

None unless wound need to be cleaned with antiseptic before bandaging

Additional Risks of Procedure?

If vacuum is not functioning properly, cast dust can get in eyes and inhaled

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Chemical Peels using glycolic acid

Type of Hazard: minor burns from skin contact / eye damage from splashing

Person Performing Procedure: doctor / nurse

Person Assisting Procedure: nurse / medical assistant

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal precautions / wear gloves / wear eye protection if splashing is anticipated

What is done with used materials and soiled instruments?

all swabs, gauze and gloves can be discarded in regular trash

What Chemical Products are Involved?

glycolic acid _______% (fill in strength of solution used)

Additional Risks of Procedure?

Additional Comments:

Cover patients clothing when performing procedure

Cover patients eyes with gauze

Have water near to stop reaction

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Laser hair removal

Type of Hazard: eye damage from exposure to light

Person Performing Procedure: doctor, technician

Person Assisting Procedure: technician, medical assistant

Personal Protective Equipment Used:

laser goggles and gloves

Proper Techniques for Safety:

observe universal/standard precautions / wear goggles and gloves

turn on smoke evacuator if applicable

What is done with used materials and soiled instruments?

gauze and gloves can be discarded in regular trash

goggles should be cleaned and stored

What Chemical Products are Involved?

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Terminations (pregnancy)

Type of Hazard: exposure to blood and vaginal secretion

Person Performing Procedure: doctor

Person Assisting Procedure: medical assistant, nurse

Personal Protective Equipment Used:

doctor: gloves, apron/gown/lab coat

face shield /mask (optional) - if splashing is expected

MA/nurse: gloves

face shield/mask and clothing cover (optional)

Proper Techniques for Safety:

observe universal/standard precautions

clean any soiled surfaces with hospital grade disinfectant

What is done with used materials and soiled instruments?

discard needles in sharps container

tubing for suction is cleaned with a cold hospital grade disinfectant

vaginal speculum is sterilized (if a disposable speculum is used it will be discarded in biohazard red bag, over-classified waste or according to medical waste policy)

What Chemical Products are Involved?

2% Nescaine (or equivalent), Madacide (or equivalent cold disinfectant)

Additional Risks of Procedure?

Additional Comments: Cold disinfectant must be used according to manufacturer instructions and changed and quality controlled as recommended.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Leep

Type of Hazard: exposure to blood and vaginal secretion

electrocution / electrical shock

Person Performing Procedure: doctor

Person Assisting Procedure: medical assistant, nurse

Personal Protective Equipment Used:

doctor: gloves, apron/gown/lab coat, face shield (optional) - if splashing is expected, mask for fumes

MA/nurse: gloves, clothing cover and face shield (optional), mask for fumes

Proper Techniques for Safety:

observe universal/standard precautions

ground patient / remove all jewelry

clean any soiled surfaces with hospital grade disinfectant

What is done with used materials and soiled instruments?

discard needles and suture needle (if used) in sharps container

vaginal speculum is sterilized, (if a disposable speculum is used it will be discarded in biohazard red bag, over-classified waste or according to medical waste policy)

What Chemical Products are Involved?

Lugol Solution / Lidocaine (or equivalent)

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Cryosurgery - vaginal

Type of Hazard: exposure to vaginal secretion

Person Performing Procedure: doctor

Person Assisting Procedure: medical assistant, nurse

Personal Protective Equipment Used:

gloves - required

face shield and clothing cover (optional)

Proper Techniques for Safety:

observe universal/standard precautions

follow OSHA regulations for gas tank safety

soiled surfaces are cleaned with hospital grade disinfectant

What is done with used materials and soiled instruments?

probe is cleaned with Transeptic spray (or equivalent)

vaginal speculum is sterilized (if a disposable speculum is used it will be discarded in biohazard red bag, over-classified waste or according to medical waste policy)

What Chemical Products are Involved?

Transeptic Spray (or equivalent) / Nitrous oxide gas

Additional Risks of Procedure?

Additional Comments: Cold disinfectant must be used according to manufacturer instructions and changed and quality controlled as recommended.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Colposcopy

Type of Hazard: exposure to blood and vaginal secretion

Person Performing Procedure: doctor

Person Assisting Procedure: medical assistant, nurse

Personal Protective Equipment Used:

gloves - required

face shield and clothing cover (optional)

Proper Techniques for Safety:

observe universal/standard precautions

clean any soiled surfaces with hospital grade disinfectant

What is done with used materials and soiled instruments?

discard needles in sharps container

vaginal speculum is sterilized (if a disposable speculum is used it will be discarded in biohazard red bag, over-classified waste or according to medical waste policy)

What Chemical Products are Involved?

acetic acid

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Endometrial Biopsy

Type of Hazard: exposure to blood and vaginal secretion

Person Performing Procedure: doctor

Person Assisting Procedure: medical assistant, nurse

Personal Protective Equipment Used:

doctor: gloves - required

apron/gown/lab coat/face shield (optional)

MA/nurse: gloves

face shield and clothing cover (optional)

Proper Techniques for Safety:

observe universal/standard precautions

clean any soiled surfaces with hospital grade disinfectant

What is done with used materials and soiled instruments?

discard needles in sharps container

vaginal speculum is sterilized (if a disposable speculum is used it will be discarded in biohazard red bag, over-classified waste or according to medical waste policy)

curette and plastic pipet is discarded in biohazard waste

What Chemical Products are Involved?

betadine

Additional Risks of Procedure?

Additional Comments: Cold disinfectant must be used according to manufacturer instructions and changed and quality controlled as recommended.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Dilatation & Curettage (D & C)

Type of Hazard: exposure to blood and vaginal secretion

Person Performing Procedure: doctor

Person Assisting Procedure: medical assistant, nurse

Personal Protective Equipment Used:

doctor: sterile gloves, apron/gown/lab coat

face shield (optional) - if splashing is expected

MA/nurse: gloves

face shield and clothing cover (optional)

Proper Techniques for Safety:

observe universal/standard precautions

clean any soiled surfaces with hospital grade disinfectant

keep a sterile field for instruments

What is done with used materials and soiled instruments?

Discard needles and disposable surgical instruments in sharps container

If instruments are re-usable - clean with a hospital grade disinfectant then sterilize

Tubing for suction is cleaned with a cold hospital grade disinfectant

Vaginal speculum is sterilized (if a disposable speculum is used it will be discarded in biohazard red bag, over-classified waste or according to medical waste policy)

What Chemical Products are Involved?

2% Lidocaine (or equivalent), hospital grade instrument disinfectant

Additional Risks of Procedure?

Additional Comments: Cold disinfectant must be used according to manufacturer instructions and changed and quality controlled as recommended.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Circumcision

Type of Hazard: Exposure to blood

Person Performing Procedure: Doctor

Person Assisting Procedure: Medical Assistant or Nurse

Personal Protective Equipment Used:

sterile gloves

clothing covering and/or goggles - if splashing is expected

Proper Techniques for Safety:

observe universal precautions

keep scalpel and instruments in a sterile field

What is done with used materials and soiled instruments?

Disposable surgical instruments will be put into a sharps container

Reusable surgical instruments will be cleaned with a hospital grade disinfectant then sterilized

What Chemical Products are Involved?

topical antiseptic

Additional Risks of Procedure?

Additional Comments: Cold disinfectant must be used according to manufacturer instructions and changed and quality controlled as recommended.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Probe Tip Cleaning - audiology

Type of Hazard: potential contamination from ear fluid

Person Performing Procedure: audiology tech

Person Assisting Procedure: n/a

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal/standard precautions

What is done with used materials and soiled instruments?

probe tips are soaked in hospital grade detergent (ie. Burnshine)

place probes in sonic cleaner

rinse with water - let dry - tips are re-used

What Chemical Products are Involved?

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Blepharoplasty

Type of Hazard: exposure to blood, potential for sharps injury

Person Performing Procedure: doctor

Person Assisting Procedure: medical assistant or nurse

Personal Protective Equipment Used:

sterile gloves, optional goggles & gown (clothing cover)

Proper Techniques for Safety:

observe universal/standard precautions

keep instruments in sterile field

drape patient

What is done with used materials and soiled instruments?

needles, scalpel and suture needle are disposed of in sharps container

contaminated gauze and Q-tips disposed of in red biohazard bag

What Chemical Products are Involved?

alcohol, Betadine, xylocaine (or equivalent), eye drops and cream medications

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Myringotomy

Type of Hazard: potential sharps injury, exposure to ear wax and possible ear fluids

Person Performing Procedure: doctor

Person Assisting Procedure: medical assistant / nurse

Personal Protective Equipment Used:

gloves, optional goggles

Proper Techniques for Safety:

observe universal/standard precautions

keep instruments in sterile field

What is done with used materials and soiled instruments?

myringotomy blades (disposable) are disposed of in sharps container - if not disposable they will be sterilized

contaminated gauze will be put in red biohazard bag

What Chemical Products are Involved?

phenol

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Myringotomy with insertion of tubes

Type of Hazard: potential sharps injury, exposure to ear wax and possible ear fluids

Person Performing Procedure: doctor

Person Assisting Procedure: medical assistant / nurse

Personal Protective Equipment Used:

gloves, optional goggles

Proper Techniques for Safety:

observe universal/standard precautions

keep instruments in sterile field

What is done with used materials and soiled instruments?

myringotomy blades (disposable) are disposed of in sharps container - if not disposable they will be autoclaved

instruments on tube tray are autoclaved

contaminated gauze are put in red biohazard bag

What Chemical Products are Involved?

phenol

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Somnus

Type of Hazard: potential sharps injury, exposure to blood and mucus

Person Performing Procedure: doctor

Person Assisting Procedure: medical assistant / nurse

Personal Protective Equipment Used:

gloves, optional goggles and clothing cover recommended

Proper Techniques for Safety:

observe universal/standard precautions

keep instruments in sterile field

What is done with used materials and soiled instruments?

needles and blades (disposable) are disposed of in sharps container - if not disposable they will be autoclaved

surgical instrument are autoclaved

contaminated gauze are put in red biohazard bag

What Chemical Products are Involved?

xylocaine (or equivalent)

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Cleaning the suction machine (general)

Type of Hazard: potential contamination from body fluids (throat and nasal)

Person Performing Procedure: medical assistant

Person Assisting Procedure: n/a

Personal Protective Equipment Used:

gloves

optional goggles and clothing cover

Proper Techniques for Safety:

observe universal/standard precautions

How is tubing cleaned?

after use the tubing is flushed with cold water, then it is flushed with soapy water

once for week (at minimum) the tubing is flushed with a 10% bleach solutions

What Chemical Products are Involved?

detergent, bleach

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Acupuncture

Type of Hazard: Needle stick injury / body fluid exposure

Person Performing Procedure: Physician

Person Assisting Procedure: Medical Assistant

Personal Protective Equipment Used:

physician: optional - gloves when performing procedure

gloves required if removing needles

medical assistant: gloves required when removing needles

Proper Techniques for Safety:

observe universal/standard precautions

place needles in "safe" place or directly into sharps container when removing

What is done with used materials and soiled instruments?

needles are disposed of in sharps container

Gauze pads may be disposed of in regular or "over-classified' waste container unless soaked with blood. If soaked with blood, gauze pads will be disposed of in red biohazard bag.

What Chemical Products are Involved?

alcohol

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Squaric Acid Immunotherapy

Type of Hazard: Exposure to Squaric Acid

Person Performing Procedure: Physician

Person Assisting Procedure: optional - medical assistant

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal/standard precautions

What is done with used materials and soiled instruments?

N/A

What Chemical Products are Involved?

Squaric acid

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Cantharidin for lesion destruction

Type of Hazard: Exposure to cantharidin

Person Performing Procedure: Physician / nurse / medical assistant

Person Assisting Procedure: optional - medical assistant

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal/standard precautions

What is done with used materials and soiled instruments?

N/A

What Chemical Products are Involved?

cantharidin

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Wart destruction by electrodesiccation

Type of Hazard: inhalation of viral smoke plume

Person Performing Procedure: Physician

Person Assisting Procedure: medical assistant

Personal Protective Equipment Used:

gloves

optional - goggles

Proper Techniques for Safety:

observe universal/standard precautions

use vacuum

What is done with used materials and soiled instruments?

used filter can be discarded in regular or "over-classified" waste

What Chemical Products are Involved?

none

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Genital Wart Removal

Type of Hazard: Chemical exposure

Person Performing Procedure: Physician

Person Assisting Procedure: Clinical Staff (if needed)

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

take care when handling acid

observe universal/standard precautions

What is done with used materials and soiled instruments?

Q-tip with acid may be discarded in regular trash

What Chemical Products are Involved?

podophyllin / trichloracetic acid

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Probe tip cleaning (used for ear or nose examination)

Type of Hazard: Possible exposure to infectious ear or nose fluids

Person Performing Procedure: Physician

Person Assisting Procedure: Medical Staff (if needed)

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal/standard precautions

place tips on paper towel after use or place directly into disinfecting solution

What is done with used materials and soiled instruments?

Reusable tips will be soaked in a hospital grade disinfectant (e.g. Cetylcide, Metrex, Cidex, Coldspor) for manufacturer recommended time. Tips may be autoclaved if manufacturer states they can withstand heat. Disposable tips may be discarded in regular or over-classified waste.

What Chemical Products are Involved?

Hospital grade disinfectant

Additional Risks of Procedure?

Additional Comments: Cold disinfectant must be used according to manufacturer instructions and changed and quality controlled as recommended.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Catheterization

Type of Hazard: Exposure to urine

Person Performing Procedure: Physician or clinical staff trained in procedure

Person Assisting Procedure: Clinical staff - if needed

Personal Protective Equipment Used:

sterile gloves

Proper Techniques for Safety:

observe universal/standard precautions

keep catheterization kit sterile once opened

What is done with used materials and soiled instruments?

catheterization tubing (drained) may be discarded in regular or over-classified trash

What Chemical Products are Involved?

antiseptic towelettes / surgi-lube

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Ultrasound of Pelvis and Transvaginal Ultrasound

Type of Hazard: vaginal secretions - transvaginal only

Person Performing Procedure: ultrasound technician

Person Assisting Procedure: not needed

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal/standard precautions

What is done with used materials and soiled instruments?

probe cover will be discarded in over-classified biohazard waste or regular waste (if in accordance with state regulations)

transvaginal probe is soaked in hospital grade disinfectant

What Chemical Products are Involved?

water gel / hospital grade disinfectant

Additional Risks of Procedure?

Additional Comments: Cold disinfectant must be used according to manufacturer instructions and changed and quality controlled as recommended.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Cryotherapy of the Eye

Type of Hazard: exposure to tears

Person Performing Procedure: Physician

Person Assisting Procedure: technician - if needed

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal/standard precautions

What is done with used materials and soiled instruments?

Q-tips discarded in red bag or over-classified waste (in accordance with state regulations)

Instruments (disposable) used are put into sharps container

What Chemical Products are Involved?

nitrogen

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Retrobulbar Injection

Type of Hazard: Needle stick

Person Performing Procedure: Physician

Person Assisting Procedure: none needed

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal/standard precautions

What is done with used materials and soiled instruments?

needle goes into sharps container

gauze is put in red bag or over classified waste (in accordance with state regulations)

What Chemical Products are Involved?

Kenalog (or equivalent)

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Hair Restoration Surgery

Type of Hazard: Exposure to blood. Potential needle or sharps injury.

Person Performing Procedure: Physician

Person Assisting Procedure: Technician(s) / nurse / medical assistant

Personal Protective Equipment Used:

sterile gloves / clothing cover (gown) / goggles (if desired)

Proper Techniques for Safety:

observe universal/standard precautions

keep all instruments and gauze on procedure tray during and after use until the procedure is finished

What is done with used materials and soiled instruments?

all needles and blades are placed into a sharps container

all blood soaked gauze will be placed into a red biohazard bag

all reusable surgical instruments will be cleaned with a hospital grade disinfectant and autoclaved

What Chemical Products are Involved?

saline / lidocaine (or equivalent)

Additional Risks of Procedure?

Additional Comments:

Technicians must be well trained on assisting this procedure. Technicians must be trained on the Bloodborne Pathogen Standard.

Cold disinfectant must be used according to manufacturer instructions and changed and quality controlled as recommended.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Pin Prick Sensation

Type of Hazard: needle stick / exposure to blood

Person Performing Procedure: Physician

Person Assisting Procedure: N/A - medical assistant if desired

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal/standard precautions

What is done with used materials and soiled instruments?

lancets used for pin prick test are disposed of in sharps container

What Chemical Products are Involved?

alcohol

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Nasal Endoscopy

Type of Hazard: Exposure to nasal mucus or blood

Person Performing Procedure: Physician

Person Assisting Procedure: Medical assistant - if desired

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal/standard precautions

sterilize rigid endoscope prior to use - keep in sterile field until use

if using a flexible laryngoscope - handle carefully to avoid contamination

What is done with used materials and soiled instruments?

endoscope is washed then sterilized

contaminated gauze will be put in biohazard waste or disposed of according to OSHA and state medical waste laws

What Chemical Products are Involved?

Cidex or equivalent hospital grade disinfectant for cold sterilizing

Additional Risks of Procedure?

Additional Comments: Cold disinfectant must be used according to manufacturer instructions and changed and quality controlled as recommended.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Cryosurgery of skin

Type of Hazard: Exposure to liquid nitrogen

Person Performing Procedure: Physician

Person Assisting Procedure: None needed - medical assistant if desired

Personal Protective Equipment Used:

gloves - optional

Proper Techniques for Safety:

care must be taken when handling liquid nitrogen

What is done with used materials and soiled instruments?

there are no contaminated materials or soiled instruments in this procedure

What Chemical Products are Involved?

liquid nitrogen

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Ultra Sound - general - non invasive

Type of Hazard: Minimal with potential of secondary or cross contamination

Person Performing Procedure: Ultra sound technician

Person Assisting Procedure: None

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal/standard precautions

What is done with used materials and soiled instruments?

probe is cleaned with alcohol then soaked in a hospital grade disinfectant

What Chemical Products are Involved?

alcohol

hospital level disinfectant

Additional Risks of Procedure?

None

Additional Comments: Cold disinfectant must be used according to manufacturer instructions and changed and quality controlled as recommended.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Chemical Peels using salicylic acid

Type of Hazard: minor burns from skin contact / eye damage from splashing

Person Performing Procedure: doctor / nurse

Person Assisting Procedure: nurse / medical assistant

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal precautions / wear gloves / wear eye protection if splashing is anticipated

What is done with used materials and soiled instruments?

all swabs, gauze and gloves can be discarded in regular trash

What Chemical Products are Involved?

salicylic ______% (fill in strength of solution used)

Additional Risks of Procedure?

Additional Comments:

Cover patients clothing when performing procedure

Cover patients eyes with gauze

Have water near to stop reaction

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Botox Cosmetic Injection

Type of Hazard: Needle stick injury / exposure to blood

Person Performing Procedure: doctor

Person Assisting Procedure: nurse / medical assistant

Personal Protective Equipment Used:

gloves required / clothing cover optional

Proper Techniques for Safety:

Observe universal and standard precautions / wash hands before and after procedure / use safety needles (if available) / do not recap needles

What is done with used materials and soiled instruments?

Needles and syringes are discarded immediately into sharps container

Empty Botox vials will be discarded into a sharps container (according to OSHA or State medical waste regulations)

Gloves can be discarded in regular waste (according to State medical waste regulations) or discarded in red bag

What Chemical Products are Involved?

Botox cosmetic / alcohol

Additional Risks of Procedure?

Additional Comments:

Botox is stored in freezer. Freezer must be marked with biohazard label. After reconstitution, it is stored in the refrigerator. Refrigerator must be marked biohazard. No food or drink may be kept in refrigerator storing Botox.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Therapeutic Botox Injection

Type of Hazard: Needle stick injury / exposure to blood

Person Performing Procedure: doctor

Person Assisting Procedure: nurse / medical assistant

Personal Protective Equipment Used:

gloves required / clothing cover optional

Proper Techniques for Safety:

Observe universal and standard precautions / wash hands before and after procedure / use safety needles (if available) / do not recap needles

What is done with used materials and soiled instruments?

Needles and syringes are discarded immediately into sharps container

Empty Botox vials will be discarded into a sharps container (according to OSHA or State medical waste regulations)

Gloves can be discarded in regular waste (according to State medical waste regulations) or discarded in red bag

What Chemical Products are Involved?

Botox cosmetic / alcohol

Additional Risks of Procedure?

Additional Comments:

Botox is stored in freezer. Freezer must be marked with biohazard label. After reconstitution, it is stored in the refrigerator. Refrigerator must be marked biohazard. No food or drink may be kept in refrigerator storing Botox.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Tympanogram

Type of Hazard: potential contamination from infected ear fluid or wax

Person Performing Procedure: physician / medical assistant (trained on procedure) or audiology technician

Person Assisting Procedure: N/A - unless pediatric patient needs to be restrained

Personal Protective Equipment Used:

gloves recommended but optional

Proper Techniques for Safety:

observe universal/standard precautions

What is done with used materials and soiled instruments?

tips are soaked in disinfectant or detergent recommended by manufacturer

Enter Product used here: ____________________________________

What Chemical Products are Involved?

cleaning disinfectant

Additional Risks of Procedure?

N/A

Additional Comments: Cold disinfectant must be used according to manufacturer instructions and changed and quality controlled as recommended.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Audiometry

Type of Hazard: very low risk - potential contamination from infected ear fluid or wax

Person Performing Procedure: physician / medical assistant (trained on procedure) or audiology tech

Person Assisting Procedure: N/A - unless pediatric patient needs to be restrained

Personal Protective Equipment Used:

gloves recommended but optional

Proper Techniques for Safety:

observe universal/standard precautions

What is done with used materials and soiled instruments?

wipe ear pieces with alcohol between patients or product recommended by manufacturer

Enter Product used here: _______________________________________________

What Chemical Products are Involved?

cleaning product

Additional Risks of Procedure?

N/A

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Subcutaneous Injections

Type of Hazard: Needle stick injury / exposure to blood

Person Performing Procedure: doctor / nurse

Person Assisting Procedure: none needed unless patient needs to be restrained

Personal Protective Equipment Used:

gloves recommended but optional

Proper Techniques for Safety:

Observe universal precautions / wash hands before and after procedure / use safety needle / do not recap needles

What is done with used materials and soiled instruments?

Needles are place into sharps container.

Gloves can be put in regular waste (if State regulations allow)

What Chemical Products are Involved?

alcohol / betadine / medication

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: IPL - Facial Rejuvenation and Veins - laser

Type of Hazard: eye damage from exposure to light

Person Performing Procedure: doctor

Person Assisting Procedure: technician, medical assistant

Personal Protective Equipment Used:

laser goggles and gloves

Proper Techniques for Safety:

observe universal/standard precautions / wear goggles and gloves

What is done with used materials and soiled instruments?

gauze and gloves can be discarded in regular trash

goggles should be cleaned and stored

What Chemical Products are Involved?

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Echo Cardiogram - Ultra Sound

Type of Hazard: Minimal with potential of secondary or cross contamination

Person Performing Procedure: Ultra sound technician

Person Assisting Procedure: None

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal/standard precautions

What is done with used materials and soiled instruments?

probe is cleaned with alcohol then Signa Spray (or equivalent hospital grade disinfectant)

What Chemical Products are Involved?

alcohol

Signa spray or equivalent hospital level disinfectant

Additional Risks of Procedure?

None

Additional Comments: Disinfectant must be used according to manufacturer instructions.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Micro Derm Abrasion

Type of Hazard: exposure to silicone crystals and possible skin flakes

Person Performing Procedure: physician

Person Assisting Procedure: none needed

Personal Protective Equipment Used:

gloves

mask and goggles - optional - if aerosols are expected

Proper Techniques for Safety:

observe universal/standard precautions

extra care to be taken to avoid inhalation or exposure when using positive pressure

What is done with used materials and soiled instruments?

Tip of instrument is sterilized

What Chemical Products are Involved?

Pre-peal cleanser

alcohol

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Transporting of Laboratory Specimens (not requiring mail service)

Type of Hazard: Potential exposure to body fluid if specimen breaks in transport

Person Performing Procedure: Staff member of facility

Person Assisting Procedure: N/A

Personal Protective Equipment Used: gloves when preparing specimens for transport and when removing specimens from transport container

Proper Techniques for Safety:

observe universal/standard precautions

always wear gloves when preparing specimens for transport, when removing specimens from transport container and when disinfecting transport container

triple bag specimens that may break in transport.

transport specimens in a red and white cooler, marked with a biohazard label

What is done with used materials and soiled instruments?

Disinfect transport container regularly to avoid the potential of contamination

What Chemical Products are Involved?

“Sani-cloths”, hospital grade disinfectant or 10% bleach to disinfect transport container

Additional Comments:

Staff member who has been assigned the task of transporting specimens will be trained on infection control, personal protection to wear, how to decontaminate transport container and how to safely clean up a body fluid spill.

Driver should put container on floor of car or in trunk. Driver should not make any unnecessary stops.

Cooler packs will be used to keep specimens cool and specimens uncompromised.

Follow DOT rules for transport of hazardous materials - infectious substances

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Transporting of Laboratory Specimens (not requiring mail service)

Type of Hazard to Personnel: Potential exposure to body fluid if specimen breaks in transport

Type of Hazard to Specimen: Specimen can be compromised by incorrect temperature and handling

Person Performing Transport: Staff member of facility

Person Assisting Procedure: N/A

Personal Protective Equipment Used: gloves when preparing specimens for transport and when removing specimens from transport container

Proper Techniques for Safety:

Observe universal/standard precautions when handling specimens

Always wear gloves when preparing specimens for transport and when removing specimens from transport container

All specimens will be double bagged and marked bio-hazard

Specimens will have a detailed test order

Specimens will be properly labeled (minimum first and last name and unique ID #)

Laboratory director will confirm proper storage temperature and storage time for all tests being transported

Location where specimens are collected will be given instructions on test storage prior to pick up

Specimens will be transported in a red and white cooler with bio-hazard sign visible

Container will contain ice pack and thermometer

Thermometer reading will be recorded upon leaving the home laboratory and when returning with specimens

Cooler will be restrained in transport vehicle

Time of pick up and arrival should be documented

Cooler will be disinfecting with hospital grade wipe after each use

Transport of Specimens - continued

What is done with used materials and soiled instruments?

Disinfect transport container regularly to avoid the potential of contamination

Spill kit will be available if specimen breaks

What Chemical Products are Involved?

Hospital grade disinfectant or 10% bleach to disinfect transport container

Additional Comments:

Staff member who has been assigned the task of transporting specimens will be trained on infection control, personal protection to wear, how to decontaminate transport container and how to safely clean up a body fluid spill.

Driver should not make any unnecessary stops.

Follow DOT rules for transport of hazardous materials - infectious substances .

Check with State laws - if applicable.

Prepared By: POC Consultants, LLC

Approved By: _______________________________________

Date: _______________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Sclerotherapy

Type of Hazard: Exposure to needles and blood

Person Performing Procedure: Physician

Person Assisting Procedure: Nurse, Medical Assistant

Personal Protective Equipment Used: Gloves

Clothing cover / goggles - if desired

Proper Techniques for Safety:

Observe universal/standard precautions. Use safety needles - if available

What is done with used materials and soiled instruments?

All needles will be immediately discarded into a sharps container

What Chemical Products are Involved?

Saline

Antiseptic

Additional Risks of Procedure?

None

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Probe tip cleaning (general)

Type of Hazard: Possible exposure to body fluids

Person Performing Procedure: Physician

Person Assisting Procedure: Medical Staff (if needed)

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal/standard precautions

wear gloves when handling

place tips on paper towel after use or place directly into disinfecting solution

What is done with used materials and soiled instruments?

Reusable tips will be soaked in a hospital grade disinfectant (e.g. Cetylcide, Metrex, Cidex, Coldspor) for manufacturer recommended time. Tips may be autoclaved if manufacturer states they can withstand heat.

Disposable tips may be discarded in regular or over-classified waste.

What Chemical Products are Involved?

Hospital grade disinfectant

Additional Risks of Procedure?

Additional Comments: Cold disinfectant must be used according to manufacturer instructions and changed and quality controlled as recommended.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Electrocardiogram (ECG)

Type of Hazard: Sharps injury (if patient needs to be shaved)

Person Performing Procedure: medical assistant, nurse, technician, doctor

Person Assisting Procedure: optional

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

Observe Universal Precautions

Do not replace protective cap on razor - if used

What is done with used materials and soiled instruments?

Razors are put into sharps container

What Chemical Products are Involved?

ECG gel (various brands) or pre-moistened pads

Additional Risks of Procedure?

When patient needs to be shaved to apply electrodes. Care must be taken when using razors.

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Restylane Filler Injection

Type of Hazard: Needle stick injury / exposure to blood

Person Performing Procedure: doctor

Person Assisting Procedure: nurse / medical assistant

Personal Protective Equipment Used:

gloves required / clothing cover optional

Proper Techniques for Safety:

Observe universal and standard precautions / wash hands before and after procedure / use safety needles (if available) / do not recap needles

What is done with used materials and soiled instruments?

Needles and syringes are discarded immediately into sharps container

Empty vials will be discarded according to OSHA or State medical waste regulations

Gloves can be discarded in regular waste (according to State medical waste regulations) or discarded in red bag

What Chemical Products are Involved?

Restylane / alcohol

Additional Risks of Procedure?

Additional Comments:

.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Mesotherapy

Type of Hazard: Needle stick injury / exposure to blood

Person Performing Procedure: doctor

Person Assisting Procedure: nurse / medical assistant

Personal Protective Equipment Used:

gloves required / clothing cover optional

Proper Techniques for Safety:

Observe universal and standard precautions / wash hands before and after procedure / do not recap needles after use, careful loading and unloading of mesotherapy gun

What is done with used materials and soiled instruments?

Needles and syringes are discarded immediately into sharps container

Empty treatment vials will be discarded according to OSHA or State medical waste regulations

Gloves can be discarded in regular waste (according to State medical waste regulations) or discarded in red bag

What Chemical Products are Involved?

Mesotherapy nutrients, vitamins and or minerals (formula varies per patient)

alcohol

Additional Risks of Procedure?

Additional Comments:

The mesotherapy gun cannot be used with a safety needle. Extra care must be taken when loading and unloading the syringe from the mesotherapy gun.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Juvederm Jel Injection

Type of Hazard: Needle stick injury / exposure to blood

Person Performing Procedure: physician

Person Assisting Procedure: nurse / medical assistant

Personal Protective Equipment Used:

gloves required

clothing cover optional

Proper Techniques for Safety:

Observe universal and standard precautions / wash hands before putting on gloves and after removing gloves / use safety needles (if available) / do not recap needles

What is done with used materials and soiled instruments?

Needles and syringes are discarded immediately into sharps container

Empty vials will be discarded according to OSHA or State medical waste regulations

Gloves can be discarded in regular waste or discarded in red bag (according to State medical waste regulations)

What Chemical Products are Involved?

Juvederm / alcohol

Additional Risks of Procedure?

Additional Comments:

.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Wart destruction using Candin

Type of Hazard: Exposure to needle, blood and Candin

Person Performing Procedure: Physician

Person Assisting Procedure: optional - nurse or medical assistant

Personal Protective Equipment Used:

gloves - required

clothing and eye cover - optional

Proper Techniques for Safety:

Observe universal and standard precautions / wash hands before putting on gloves and after removing gloves / use safety needles (if available) / do not recap needles

What is done with used materials and soiled instruments?

N/A

What Chemical Products are Involved?

Candin , Alcohol

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: MOHS Procedure

Type of Hazard: Exposure to blood and/or potentially infectious body fluids

Sharps injury

Person Performing Procedure: Physician

Person Assisting Procedure: Nurse or Medical Assistant

Personal Protective Equipment Used:

Gloves, Goggles, Gowns, Face mask

Proper Techniques for Safety:

Observe Universal and Standard precautions, wear PPE, wash hands after removing gloves, disinfect work area, keep surgical instruments in a sterile area while performing procedure

What is done with used materials and soiled instruments?

Needles and other sharps are disposed of in sharps container. Reusable instruments are cleaned with a hospital grade disinfectant then autoclaved. Gloves and gowns are disposed of in regular or infectious waste bags (according to State law). Goggles are cleaned with a hospital grade disinfectant and re-used.

What Chemical Products are Involved?

Alcohol, xylocaine

Additional Risks of Procedure?

___________________________________________________________________________________________________________________________________________________________

Additional Comments:

________________________________________________________________________________________________________________________________________________________

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Bone Density

Type of Hazard: Minimal Radiation

Person Performing Procedure: Physician Assistant or Physician

Person Assisting Procedure: N/A

Personal Protective Equipment Used:

gloves - optional

Proper Techniques for Safety:

Run an instrument self test weekly. Wear a dosimeter.

What is done with used materials and soiled instruments?

N/A

What Chemical Products are Involved?

N/A

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Needle Aspiration of Synovial Fluid

Type of Hazard: Exposure to synovial fluid and blood.

Needle stick injury

Person Performing Procedure: Physician

Person Assisting Procedure: Nurse / Medical Assistant - if needed

Personal Protective Equipment Used:

Gloves. Gown / Face Mask & Goggles (if splashing is expected)

Proper Techniques for Safety:

Observe universal precautions, wear PPE, wash hands after removing gloves, disinfect work area if soiled, do not re-cap needles, use safety needle

What is done with used materials and soiled instruments?

Needles and aspiration fluid are disposed of in sharps container. Gloves are disposed of in regular (if State regulations allow) or infectious (over-classified) waste (according to state regulations). Contaminated gauze should be red bagged if saturated.

What Chemical Products are Involved?

Betadine, hydrogen peroxide, alcohol, ethyl chloride, xylocaine

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Ultrasound Guided Injections

Type of Hazard: Exposure to blood.

Needle stick injury

Person Performing Procedure: Physician or ultrasound technician

Person Assisting Procedure: not needed

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal/standard precautions, do not re-cap used needles, use safety needles (if available), wash hands after removing gloves, disinfect work area if soiled

What is done with used materials and soiled instruments?

Probe cover will be discarded in over-classified biohazard waste or regular waste (if in accordance with state regulations). Needles are disposed of in sharps container.

What Chemical Products are Involved?

Ultra sound gel / hospital grade disinfectant

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Wart destruction using Hystofreeze

Type of Hazard: Exposure to Hystofreeze chemical

Person Performing Procedure: Physician, nurse practitioner, physician assistant

Person Assisting Procedure: optional - nurse or medical assistant

Personal Protective Equipment Used:

gloves - required

Proper Techniques for Safety:

Observe universal and standard precautions / put on gloves and wash hands after removing gloves

What is done with used materials and soiled instruments?

N/A

What Chemical Products are Involved?

Hystofreeze chemical product , Alcohol

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Dermal Filler Injection

Type of Hazard: Needle stick injury / exposure to blood

Person Performing Procedure: physician, physician assistant, nurse practitioner

Person Assisting Procedure: nurse / medical assistant - if needed

Personal Protective Equipment Used:

gloves required

clothing cover optional

Proper Techniques for Safety:

Observe universal and standard precautions / wash hands before putting on gloves and after removing gloves / use safety needles (if available) / do not recap needles

What is done with used materials and soiled instruments?

Needles and syringes are discarded immediately into sharps container

Empty vials will be discarded according to OSHA or State medical waste regulations

Gloves can be discarded in regular waste or discarded in red bag (according to State medical waste regulations)

What Chemical Products are Involved?

Dermal filler (e.g. Juvederm, Perlane, Restylane) / alcohol / xylocane (numbing agent)

Additional Risks of Procedure?

Additional Comments:

.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Removal of Skin Tags

Type of Hazard: Exposure to blood and/or potentially infectious body fluids

Sharps injury

Person Performing Procedure: Physician

Person Assisting Procedure: Nurse / Medical Assistant - if needed

Personal Protective Equipment Used:

Gloves (Gown/Face Mask/ Goggles if splashing is expected)

Proper Techniques for Safety:

Observe universal precautions, wear PPE, wash hands after removing gloves, disinfect work area, keep surgical instruments in sterile area while performing procedure

What is done with used materials and soiled instruments?

Needles and other sharps are disposed of in sharps container. Re-usable surgical instruments (if applicable) are cleaned then cold disinfected or autoclaved. Gloves are disposed of in regular (if State regulations allow) or infectious (over-classified) waste.

What Chemical Products are Involved?

Betadine, hydrogen peroxide, alcohol, xylocaine, 10% formalin (if specimen is sent out)

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Vaginal Exam

Type of Hazard: Exposure to vaginal secretions

Person Performing Procedure: Doctor

Person Assisting Procedure: Nurse / Medical Assistant

Personal Protective Equipment Used:

Gloves. Eye protection, mask, gown (only if splashing is expected)

Proper Techniques for Safety:

Observe Universal Precautions. Wear gloves. Disinfect all work area’s with a hospital grade disinfectant. Keep all procedure instruments on a tray when possible. Use disposable speculum. If non-disposable speculum is used clean and sterilize.

What is done with used materials and soiled instruments?

Gloves may be discarded in regular waste or over-classified (infectious) waste (in accordance with State regulations). Disposable speculums are discarded in over-classified (infectious) waste (or in accordance with State regulations). Non-disposable speculums are rinsed, disinfected and sterilized

What Chemical Products are Involved?

K-Y jelly or comparable product

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC.

Approved By: _________________________________________

Date: _________________________________________


SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Rectal Exam

Type of Hazard: Exposure to Feces and/or Blood

Person Performing Procedure: Doctor / nurse practitioner / physician assistant

Person Assisting Procedure: nurse / medical assistant (if needed)

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

Observe Universal Precautions / wear gloves when performing test / wash hands after removing gloves

What is done with used materials and soiled instruments?

Gloves can be discarded into regular trash (if State regulations allow)

What Chemical Products are Involved?

Lubricant product

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Laser Liposuction

Type of Hazard: Eye damage from exposure to laser

Exposure to blood and body fluids such as fat

Person Performing Procedure: physician

Person Assisting Procedure: nurse, technician, medical assistant

Personal Protective Equipment Used:

laser goggles, sterile gloves, mask, sterile gown

Proper Techniques for Safety:

observe universal/standard precautions / wear goggles and sterile gloves and gowns

room is kept sterile

turn on smoke evacuator (if applicable)

What is done with used materials and soiled instruments?

gauze and gloves can be discarded in regular trash

goggles should be cleaned and stored

needles, punch biopsy and suture needle go into sharps containers

cannulas are cleaned, disinfected and re-sterilized in autoclave

What Chemical Products are Involved?

Lidocaine, Betadine, alcohol, epinephrin, hospital grade disinfectant

Additional Risks of Procedure?

Additional Comments: office staff disinfects and room prior to cleaning service

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Blue Light with Levulan

Type of Hazard: Eye damage from blue light, eye contact with levulan stick

Person Performing Procedure: nurses

Person Assisting Procedure: n/a

Personal Protective Equipment Used:

gloves, eye protection

Proper Techniques for Safety:

observe universal/standard precautions, wear goggles

What is done with used materials and soiled instruments?

Clean goggles with alcohol, gloves can go into regular trash

What Chemical Products are Involved?

Levulan, acetone

Additional Risks of Procedure?

none

Additional Comments:

Prepared By: POC Consultants, LLC.

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Granuloma Tissue destruction by electrocaudery

Type of Hazard: sharps injury, inhalation of viral smoke plume

Person Performing Procedure: Physician

Person Assisting Procedure: medical assistant

Personal Protective Equipment Used:

gloves

masks

optional - goggles

Proper Techniques for Safety:

observe universal/standard precautions, wear gloves and masks, wash hands

What is done with used materials and soiled instruments?

Gloves can be discarded in regular or infectious waste (according to state regulations)

Dispose of electrocutery tip in sharps container

What Chemical Products are Involved?

Bactracin, Betadine, local anesthesia

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Ligation of Umbilical Granuloma’s & Extra Digits Without Bone

Type of Hazard: Exposure to blood and/or potentially infectious body fluids

Sharps injury

Person Performing Procedure: Physician

Person Assisting Procedure: Nurse / Medical Assistant - if needed

Personal Protective Equipment Used:

Gloves. Goggles (if desired)

Proper Techniques for Safety:

Observe universal precautions, wear gloves, wash hands after removing gloves, disinfect work area if soiled, keep all instruments on tray and sterile while performing procedure

What is done with used materials and soiled instruments?

Gloves are disposed of in regular or infectious (over-classified) waste (according to State regulations. Contaminated gauze and bandage should be red bagged if saturated. All re-usable instruments will be disinfected and sterilized. Sharps and disposable instruments will be put in sharps container.

What Chemical Products are Involved?

Betadine, Ethyl Chloride, Bacitracin

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Safety for: Multi-Dose Vials - Needle and Syringe Usage

Definition: A multi-dose/use vial is a liquid medication intended for parenteral administration (injection of infusion) that contains more than one dose of medication. Multi-dose vials are labeled as such by the manufacturer and typically have an antimicrobial preservative.

Type of Hazard: Transmission of potentially infectious Bloodborne diseasesto staff and/or patient. Contamination of injectable.

Person Performing Procedure: Physician, nurse, medical assistant, laboratory technician

Personal Protective Equipment Used:

gloves - optional but recommended (if it is a live vaccine gloves will be used)

Engineering Controls used: needles with safety device

sharps container

Proper Techniques for Safety (taken from OSHA and CDC documents):

} observe universal/standard precautions

} practice aseptic techniques when administering injectable

} extreme caution shall be used when handling needles and syringes

} needle shall not be bent, sheared, replaced in the sheath or removed from the syringe following use

} needles with safety devices will be used when available

} safety devices will be activated immediately following use

} needle and syringe will be promptly placed in sharps container

} the reuse of syringes or needles on multiple patients is not permissible

Additional Safety Precautions:

} use “fixed” needles that can not be removed from the syringe

} use “auto destruct” syringes that can only be used once

} use syringes with a “safety plunger” that breaks off after a single use

* See attached document: “Needle and Syringe Reuse = Infection Control” for additional policies

Additional Comments:

  • Needles and syringes are prepackaged sterile and intended only for singe use.
  • Never use a single-dose vial multiple times.

· ALL hypodermic needles, as well as lumens of syringes used to administer parenteral substances should be sterile.

Multi-Dose Vial Safety - page 2

· Visual inspection alone cannot guarantee absence of blood contamination in a needle or syringe.

· Needles and syringes manufactured for single use should not be reprocessed.

· Keep sharps container close to the area where needle and syringe is used.

  • Do not fill sharps container beyond 2/3 full.
  • Teach the staff sharps safety as part of requiredOSHA “ Bloodborne” and the “ 2000 Needlestick Safety and Prevention Act” training.

page 2 - Multi-Dose Vials - Needle and Syringe Usage

Multi-dose Vial Safety:

· When possible use single dose medication vials. After first use date and label a multi use vial. This label should contain the following information: date first used, if reconstituted - the type of diluent used, volume added and concentration, nurse or health care professional who opened, storage (e.g. refrigerate).

  • Wash hands before handling vial or wear gloves.

· Gloves are not mandatory but recommended when administering medications. When drawing up live vaccines they should be used.

· Cleanse the access diaphragm of multi-dose vials with 70% alcohol before inserting any device into the vial. Allow to dry (30 seconds).

· Mix medication well by gently rocking (if applicable) - do not shake.

· Never use injectable if it is cloudy or has visible evidence of contamination.

  • Date pharmaceutical vial/container the first day of use.
  • Discard used vial within 28 days* of first use or as specified by the manufacturer. Write the end use date on the vial/container. Medication will not be used after end date.
  • Discard unused pharmaceuticals upon manufacturers expiration date.
  • Store according to manufacturers recommendation.
  • Use only sterile needles.

· Never aspirate vaccine from a multi-dose vial with a previously used needle or syringe.

  • Never leave a needle in the septum of the vial.

· Discard multi-use vials if there is any chance that its sterility is compromised.

· A needle or syringe that has been used to inoculate a patient is considered contaminated and should not be used to aspirate medication or vaccine from multi-dose vials if any of the contents of the vial will subsequently be administered to another patient.

  • Dispose of any “live vaccine” vials in a sharps container.

* United States Pharmacopieia, chaper 797)

Comment: Although SDS information is not required for non-hazardous medications - it is helpful if the facility compiles a notebook or file with the manufacturer’s packaging information on all injectables as a reference. A log can be used to keep documentation of lot numbers, expiration dates and (if appliable) modified end of use date.

Multi-Dose Vial Safety - page 3

Prepared By: POC Consultant, LLC

Approved By: _________________________________________

Date: _________________________________________

References:

CDC, Questions about Multi-dose vials, February 9, 2011 (document follows)

Bloodborne Pathogen Standard, FR 1910.1030, 1992.

Occupational Exposure to Bloodborne Pathogens; Needlesticks and Other Sharps Injuries, FR 29 - part 1910.

Coffey, Thorpe, Bogovic. Clinical Guidelines - Multi Dose Vials, July 29, 2005.

CNA Allert Bulletin, Needle and Syringe Reuse - Infection Risk, August 2006.

Lester, Rodney. Syringe Reuse Transmits Infection, November 2007.

MMWR. Improper infection-control practices during employee vaccination

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Catherization of Umbilical Granulomas

Type of Hazard: Low risk of superficial chemical burns/transient staining of skin

Person Performing Procedure: Physician

Person Assisting Procedure: N/A (Nurse / Medical Assistant - if needed)

Personal Protective Equipment Used:

Gloves recommended (optional)

Proper Techniques for Safety:

Wash hands

Apply silver nitrate directly on umbilical granuloma, avoiding surrounding skin area. If chemical gets of skin wash off immediately with wet compress.

What is done with used materials and soiled instruments?

N/A

What Chemical Products are Involved?

Silver nitrate sticks (75% silver nitrate & 25% potassium nitrate)

Additional Risks of Procedure?

Additional Comments:

Prepared By: Dr. S. Kushner for POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Sub-dermal injections (non-live vaccine)

Type of Hazard: Needle stick injury

Person Performing Procedure: doctor / nurse

Person Assisting Procedure: none needed unless patient needs to be restrained

Personal Protective Equipment Used:

gloves recommended but optional

Proper Techniques for Safety:

Observe universal precautions / wash hands before and after procedure / use safety needles (if applicable) / do not recap needles

What is done with used materials and soiled instruments?

Needles are place into sharps container.

Gloves can be put in regular waste (if State regulations allow)

What Chemical Products are Involved?

alcohol / betadine / injection medication

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure:

Type of Hazard:

Person Performing Procedure:

Person Assisting Procedure:

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal/standard precautions

What is done with used materials and soiled instruments?

What Chemical Products are Involved?

Additional Risks of Procedure?

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Vein Ablation

Type of Hazard: Needle stick, exposure to blood

Person Performing Procedure: Physician

Person Assisting Procedure: RN, RVT

Personal Protective Equipment Used:

gloves, clothing protection, eye protection for laser

Proper Techniques for Safety:

observe universal/standard precautions / wear protective equipment

What is done with used materials and soiled instruments?

Needles are put into sharps container, gloves are discarded in regular trash unless this is unacceptable by State medical waste laws

What Chemical Products are Involved?

Lydocaine, antiseptic prep for leg

Additional Risks of Procedure?

Follow laser safety precautions

Additional Comments:

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Chemical Peels using glycolic acid

Type of Hazard: minor burns from skin contact / eye damage from splashing

Person Performing Procedure: doctor

Person Assisting Procedure: nurse / medical assistant

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal precautions / wear gloves / wear eye protection if splashing is anticipated

What is done with used materials and soiled instruments?

all swabs, gauze and gloves can be discarded in regular trash

What Chemical Products are Involved?

glycolic acid 30%, 50% and/or 70 %

glycolic acid neutralizing solution

pre-cleaning pads contain alcohol and acetone

Additional Risks of Procedure?

Additional Comments:

Cover patients clothing when performing procedure

Optional - Cover patients eyes with gauze (gauze could possible hazard of solutions “wicking” into eyes)

glycolic acid neutralizing solution - store in refrigerator

Have water near to stop reaction

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Chemical Peels using ViPeel

Type of Hazard: minor burns from skin contact / eye damage from splashing

Person Performing Procedure: doctor / nurse

Person Assisting Procedure: nurse / medical assistant

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal precautions / wear gloves / wear eye protection if splashing is anticipated

What is done with used materials and soiled instruments?

all swabs, gauze and gloves can be discarded in regular trash

What Chemical Products are Involved?

ViPeel contains trichloroacetic acid, salicylic acid, phenol, retinoic acid vitamins and microelements

ViPeel wipes - acetone

glycolic acid neutralizing solution

Additional Risks of Procedure?

Additional Comments:

Cover patients clothing when performing procedure

Protect corners of patients eyes and mouth with petroleum jelly

If solution gets in eyes - flush with saline

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Type of Hazard: minor burns from skin contact / eye damage from splashing

Person Performing Procedure: doctor

Person Assisting Procedure: nurse / medical assistant

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal precautions / wear gloves / wear eye protection if splashing is anticipated

What is done with used materials and soiled instruments?

all swabs, gauze and gloves can be discarded in regular trash

What Chemical Products are Involved?

Blue Peel Radiance Prep Solution

Blue peel Radiance - contains alcohol, salicylic acid, ethoxydiglycol, lactic acid, glycolic acid, licorice root extract, willow bark extract, witch hazed, glycerin, propylene glycol, butylene glycol, phenoxyethanol, blue 1 and red 33.

Nu-Derm Gentle Cleanser

Additional Risks of Procedure?

Additional Comments:

Cover patients clothing when performing procedure

Cover corners of lips and eyes with petroleum jelly

Recommended: Eyes should be covered with a piece of gauze

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES PERFORMED

PROCEDURE : Urodynamics procedure for testing function of bladder, urethra and sphincter

Type of Hazard : Exposure to urine

Person Performing Procedure : Physician

Persons Assisting Procedure : Physician assistant, nurse, medical assistant

Personal Protective Equipment Used : Gloves

Proper Techniques for Safety : Observe Universal and Standard Precautions when inserting and removing catheter and while measuring or otherwise handling urine specimens. Wear PPE, wash hands after removing gloves, disinfect work area, and keep catheters in sterile area while performing procedure.

What is done with used material and soiled instruments?

Urine - soiled gowns, drapes and table paper may be placed in “over-classified” waste receptacle. Paper products that contain blood should be disposed of in the hazardous waste receptacle. Gloves are disposed of in regular (if State regulations allow) or infectious (over-classified) waste.

What chemicals are Involved?

Reusable instruments should be soaked in a gluteraldehyde solution. All work surfaces should be wiped down with a hospital-grade disinfectant. Antiseptic towelettes, surgi-lube used in the procedure.

Additional Risks of Procedure : Splash to mucous membranes when catheter is removed. Exposure to radioactivity

Additional Comments:


Prepared By: Date:

Approved By: Date:

P.O.C. Consultants L.LC, 2 Russ Farm Way, Delanco, New Jersey 08075, (856) 824-0800


SAFETY FOR OFFICE PROCEDURES PERFORMED

PROCEDURE : Hysterography

Type of Hazard : Exposure to radioactive contrast medium

Person Performing Procedure: Nuclear Medical Technologist

Person Assisting Procedure : Nurse (if needed)

Personal Protective Equipment Used :

Gloves, lab coat, lead apron, radiation badge

Proper Techniques for Safety: Observe Universal Precautions. Wear gloves. Wear radiation badge. Close door to procedure room.

What is done with used materials and soiled Instruments? Gloves may be discarded in regular waste or over-classified waste (in accordance with State regulations). Disposable speculums are discarded in over-classified (infectious) waste (in accordance with State regulations). Non-disposable speculums are rinsed, disinfected and sterilized. Needles or other medical appliance containing radioactivity should be sealed in lead box for three days until half-life has been achieved, then removed from office according to state regulations.

What Chemical Products are Involved? Contrast medium, K-Y Jelly.

Additional Risks of Procedure: Exposure to radiation, exposure to X-rays

Additional Comments:

Facility should check with the State department that oversees radiation waste for record keeping required for this transport.

Prepared By: Date:

Approved By: Date:

P.O.C. Consultants L.LC, 2 Russ Farm Way, Delanco, New Jersey 08075, (856) 824-0800

SAFETY FOR OFFICE PROCEDURES PERFORMED

PROCEDURE : Fallopian tube barriers insertion for birth control

Type of Hazard : Exposure to vaginal secretions

Person Performing Procedure: Doctor

Person Assisting Procedure : Nurse or Medical Assistant

Personal Protective Equipment Used :

Sterile gloves; gown and eye protection if splashing is expected

Proper Techniques for Safety: Observe Universal Precautions. Wear gloves. Keep devices in sterile location until insertion. Disinfect all potentially contaminated work areas after procedure

What is done with used materials and soiled Instruments? Gloves may be discarded in regular waste or over-classified waste (in accordance with State regulations). Disposable speculums are discarded in over-classified (infectious) waste (in accordance with State regulations). Non-disposable speculums are rinsed, disinfected and sterilized.

What Chemical Products are Involved? K-Y Jelly.

Additional Risks of Procedure:

Additional Comments:

Prepared By: Date:

Approved By: Date:

P.O.C. Consultants L.LC, 2 Russ Farm Way, Delanco, New Jersey 08075, (856) 824-0800

SAFETY FOR OFFICE PROCEDURES PERFORMED

PROCEDURE : Venous Ablation

Type of Hazard : Exposure to blood and laser

Person Performing Procedure: Doctor

Person Assisting Procedure : Nurse or Medical Assistant

Personal Protective Equipment Used :

Sterile gloves; gown and eye protection if splashing is expected

Proper Techniques for Safety: Observe Universal Precautions. Wear gloves. Keep devices in sterile location until insertion. Disinfect all potentially contaminated work areas after procedure

What is done with used materials and soiled Instruments? Gloves may be discarded in regular waste or over-classified waste (in accordance with State regulations). Disposable speculums are discarded in over-classified (infectious) waste (in accordance with State regulations). Non-disposable speculums are rinsed, disinfected and sterilized.

What Chemical Products are Involved?

Additional Risks of Procedure:

Additional Comments:

Prepared By: Date:

Approved By: Date:

SAFETY FOR OFFICE PROCEDURES PERFORMED

PROCEDURE : Drain Removal from breast or under arm

Type of Hazard : Exposure to blood and potentially infectious body fluid

Person Performing Procedure: Doctor / Nurse Practitioner

Person Assisting Procedure : Nurse or Medical Assistant

Personal Protective Equipment Used : Sterile gloves

Proper Techniques for Safety: Observe Universal Precautions. Sterile field will be kept. Wear sterile gloves. Keep equipment and gauze in sterile location until procedure is completed. Disinfect all potentially contaminated work areas with hospital grade disinfectant after procedure

What is done with used materials and soiled Instruments? Gloves may be discarded in regular waste or over-classified waste (in accordance with State regulations). Soiled gauze will be discarded in red bag biohazard waste.

What Chemical Products are Involved? Lidocaine

Betadine

Additional Risks of Procedure:

Additional Comments:

Prepared By: Date:

Approved By: Date:

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Chemical Peels using Beta Lift

Type of Hazard: minor burns from skin contact / eye damage from splashing

Person Performing Procedure: doctor / nurse

Person Assisting Procedure: nurse / medical assistant if needed

Personal Protective Equipment Used:

gloves

Proper Techniques for Safety:

observe universal precautions / wear gloves / wear eye protection if splashing is anticipated

What is done with used materials and soiled instruments?

all swabs, gauze and gloves can be discarded in regular trash

What Chemical Products are Involved?

Beta Lift contains 20-30% salicylic acid / alcohol cleanse pads / Hydrolotion

Additional Risks of Procedure?

Additional Comments:

Cover patients clothing when performing procedure

Protect corners of patients eyes and mouth

If solution gets in eyes - flush with saline

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR OFFICE PROCEDURES PERFORMED

PROCEDURE : Venous Ablation

Type of Hazard : Exposure to blood and laser

Person Performing Procedure: Doctor

Person Assisting Procedure : Nurse or Medical Assistant

Personal Protective Equipment Used :

Sterile gloves; gown and eye protection if splashing is expected

Proper Techniques for Safety: Observe Universal Precautions. Wear gloves. Keep devices in sterile location until insertion. Disinfect all potentially contaminated work areas after procedure

What is done with used materials and soiled Instruments? Gloves may be discarded in regular waste or over-classified waste (in accordance with State regulations). Disposable speculums are discarded in over-classified (infectious) waste (in accordance with State regulations). Non-disposable speculums are rinsed, disinfected and sterilized.

What Chemical Products are Involved?

Additional Risks of Procedure:

Additional Comments:

Prepared By: Date:

Approved By: Date:

SAFETY FOR OFFICE PROCEDURES PERFORMED

PROCEDURE : miraDry procedure

Type of Hazard : Minimal exposure to sweat.

Person Performing Procedure: Doctor / Nurse Practitioner

Person Assisting Procedure : Optional - Medical Assistant

Personal Protective Equipment Used : gloves

Proper Techniques for Safety: Observe Universal Precautions

Disinfect potentially contaminated work areas with hospital grade disinfectant after procedure

What is done with used materials and soiled Instruments? Gloves may be discarded in regular waste or over-classified waste (in accordance with State regulations).

What Chemical Products are Involved? Lidocaine

Alcohol

Additional Risks of Procedure:

Additional Comments:

Prepared By: Date:

Approved By: Date:

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Phlebotomy (removing a unit of blood)

Type of Hazard: Needle stick. Exposure to blood or body fluid.

Person Performing Procedure: doctor / nurse / medical assistant / lab technician / phlebotomist

Person Assisting Procedure: N/A - unless patient needs to be restrained

Personal Protective Equipment Used:

gloves / buttoned lab coat and goggles if splashing is expected

Proper Techniques for Safety:

observe universal precautions / do not recap needle / wear gloves / wash hands after removing gloves / use needles with safety device / disinfect work area after procedure

What is done with used materials and soiled instruments?

needle is disposed in sharps container /blood collection container (glass) will disposed of in sharps container /blood collection container (plastic bag) will disposed of in red bag/ tubing if removed from the needle may be disposed of in a red bag/ gloves can be disposed of in regular trash unless visible soiled with blood (abide by State medical waste laws)

What Chemical Products are Involved?

alcohol / betadine / iodine

Additional Risks of Procedure?

Additional Comments:

If juice drink if given to patient after procedure it will be kept in refrigerator that stores food and not lab specimens.

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________

SAFETY FOR PROCEDURES

(standard operating procedures)

Procedure: Intradermal injection

Type of Hazard: Needle stick injury / exposure to blood

Person Performing Procedure: doctor / nurse

medical assistant / medical technician (if state law allows)

Person Assisting Procedure: none needed unless patient needs to be restrained

Personal Protective Equipment Used:

gloves recommended

Proper Techniques for Safety:

Observe universal precautions / wash hands before and after procedure / use safety needles if available / do not recap needles

What is done with used materials and soiled instruments?

Needles and syringes are place into sharps container. Gloves if worn can be discarded in regular trash or according to state/local medical waste laws.

What Chemical Products are Involved?

alcohol / injectable (list under additional comments)

Additional Risks of Procedure?

Due to the possibility of an allergic reaction the office must have an emergency protocol such as epinephrin or crash kit.

Additional Comments:

Injectable(s) being used: _______________________________

_______________________________

_______________________________

Prepared By: POC Consultants, LLC

Approved By: _________________________________________

Date: _________________________________________