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OSHA Compliance Testing
    1) Which agencies do we have to mostly be concerned with in an inspection?
      a) OSHA, federally
      b) Florida Department of Health, locally
    2) Transportation, handling and storage of biomedical waste is regulated by what agency?
      a) Florida Department of Health, locally
    3) What is PPE?
      a) Personal Protective Equipment
    4) Should PPE be worn when leaving the office?
      a) No
    5) How do I, according to OSHA, remove contaminated PPE and how do I properly dispose of it?
      a) Not exposing any of your mucous membranes to the potentially hazardous wastes.
      b) Away from yourself.
      c) Placing the PPE in our "OSHA Hamper" and tie it off.
    6) Regarding sharps containers:
      a) When must they be labeled?
        i) When any absorbent material is first placed into it.
      b) How often must I change the container out?
        i) Thirty days after any absorbent material is placed into it.
        ii) When it is three-quarters full with non-absorbent waste, i.e.: needles.
    7) Regarding Red Bags:
      a) Which ones must be labeled?
        i) The large 30 gallon ones.
      b) What information is required on the label?
        i) The name and date.
    8) According to the law, what weekly or monthly logs must we record in our office?
      a) Eye wash station.
      b) Sharps container.
    9) Regarding MSDS (Material Safety Data Sheets):
      a) Why are they important to employees?
        i) They should provide a quick easy reference to employees of exactly which chemicals they may or may not be exposed to during the course of their work. This would be especially useful to find out in the case of allergies.
      b) Explain the colors on the MSDS chart and what the colors represent?
        i) Blue Triangle: Health
        ii) Red Triangle: Flammable
        iii) Yellow Triangle: Reactivity
        iv) White Triangle: Special Warnings
    10) Regarding Eyewash Stations:
      a) When must they be checked?
        i) Once a week
      b) When must they be cleaned?
        i) Once a month
    11) Concerning blood borne pathogen spills (lab accidents):
      a) What is considered a minimal blood borne pathogen spill?
        i) A very small amount; i.e.: one drop of blood that is very easy to clean up.
      b) Where are our spill kits?
        i) One on the sink and a second one under the sink in the lab.
    12) What is the terminology defined as "engineering and work practice controls" that is meant to eliminate and/or minimize employee exposure?
      a) Sharps Containers, Hand Washing, and Specimen Collection Protocols
    13) Examples of Engineering and Work Practice Controls include:
      a) Sharps containers
      b) Hand Washing
      c) Specimen Collection Protocols
    14) What does OSHA's blood borne ruling specifically state regarding Saliva?
      a) In a dental Office, it is considered hazardous waste.
      b) In other offices, it depends on the pre-test probability of infectiousness.
    15) If I am at risk of significant exposure, my employer will provide the Hepatitis B Vaccine to me free of charge.
    16) Name three symptoms of HIV?
      a) Unexplained weight loss
      b) Unexplained hair loss
      c) Diarrhea
    17) Regarding Viral Hepatitis:
      a) What are the main hepatitis viruses that we have to be concerned with in our workplace?
        i) Hepatitis B & C.
      b) How are they transmitted?
        i) Blood and body fluids.
        ii) Close physical contact (Sex) with someone infectious.
        iii) Needle stick injuries.
        iv) Other Lab accidents.
    18) Why must you report an exposure incident?
      a) To track the event, follow up progress, and hopefully prevent a similar occurrence.
    19) What are my employee rights for Post Exposure Follow-Up?
      a) Free medical care follow-up until it is no longer required.
    20) What words define the statement: "All human blood and certain human body fluids are treated as if they were known to be infectious for HIV, HBV and/or other contagious blood borne pathogens?"
      a) UNIVERSAL PRECAUTIONS.
    21) What is the NSPA (Needlestick Safety and Prevention Act)?
      a) A decree that came down from OSHA proclaiming that we will review on a yearly basis the type and brand of needles and other blood drawing equipment. It is the goal to use the safest equipment on the market. It is the ultimate goal to eventually go needleless someday in the future.
    22) Who regulates the NSPA?
      a) OSHA
    23) What is an NPD?
      a) Needlestick Prevention Device
    24) What recording log(s) is necessary for the NSPA?
      a) Tracking all injuries in the workplace.
    25) What annual requirements must we comply with for the NSPA?
      a) Yearly review of our equipment and tools used to draw blood along with attempts to go needleless.
    26) The law concerning an employee's exposure during a procedure is written by what agency?
      a) OSHA
    27) What is your office policy on TB patients?
      a) Isolate them in an isolation room.
      b) Educate the receptionist along with everyone on the early warning signs of TB and to notify the MD should they become suspicious.
      c) Offer PPD tests yearly to all employees free of charge and use that time to discuss the underlying pathophysiology of the disease.
    28) When must an eye wash station be checked and cleaned?
      a) Checked weekly and cleaned monthly by running water of 1.5-3.0 minutes and performing the "bump" test daily.
    29) What items are required by law to complete a blood borne pathogen spill kit?
      a) Drape, absorbant material, 10% bleach, gloves, eyewear, red bag, PPE, shovels, spill kit, stuff to make liquid spills turn into solid. Also, wash hands, guard, isolate and secure area. Clean up spill into that area; do not carry to another area.
    Sincerely:

    Joseph Saponaro, MD, DABIM, FACP, CPI, CCI, CCRI, CCRC, CCRP
    Board Certified Internist, JPMC
    Principal Investigator, DSI
    Diplomat American Board of Internal Medicine
    Fellow American College of Physicians
    Certified Physician Investigator by the AAPP
    Certified Clinical Investigator by the DIA
    Certified Clinical Research Investigator by the ACRP
    Certified Clinical Research Coordinator by the ACRP
    Certified Clinical Research Professional by SoCRA
    Member: The American College of Preventive Medicine