• EMERGENCY HEALTH CARE

          The school district shall be responsible for providing first aid or emergency treatment for students or members of the professional and/or support staff in cases of sudden illness or injury.  Further medical attention to students in case of emergency is the responsibility of the student(s) or their designee.

     

     

    Emergency Card

          All students at Cass Career Center will complete an emergency procedure card to be on file in the front office.  This card will include names of persons to be contacted in case of emergency, spouse’s name (if applicable), and name of doctor.  In addition, the student will indicate their wish to be taken to the nearest hospital emergency room in case of serious injury, and permission from the student for the school to contact their doctor.  Medical care received from a hospital or physician is at the expense of the student.

     

    ACCIDENT POLICY 

    Emergency Card

          All students at Cass Career Center will complete an emergency procedure card to be on file in the front office.  This card will include names of persons to be contacted in case of emergency, spouse’s name (if applicable), and name of doctor.  In addition, the student will indicate their wish to be taken to the nearest hospital emergency room in case of serious injury, and permission from the student for the school to contact their doctor.  Medical care received from a hospital or physician is at the expense of the student.

    Accident Reports

          In order that proper measures may be taken to avoid recurrence of accidents, written reports will be prepared on all accidents occurring on school premises or at school-sponsored activities of the school district.

    Faculty -Injuries occurring to faculty members should be reported to the office. If the injury happened while in the line of duty, a complete report describing the place, time and nature of injury should be made to the board of Education when it requires medical attention.

    Student-Injuries occurring to students on campus or under the supervision of school personnel and requiring medical treatment or causing loss of school time should be reported to the office immediately. You will give the following information on forms provided: 

    Injured person’s name

    Nature of injury

    When, where, and how it happened. Procedure you followed in attending to the injured person

     

         If the injury requires the attention of a doctor, notify the parents and get approval (emergency excepted). When the nature of injury will permit, we suggest that you notify office personnel, who will call the school nurse to diagnose the injury and recommend the procedure to follow. Whenever you are in doubt, contact the office.

     

         The PN faculty and coordinator will evaluate the events leading up and related to the accident to identify whether the accident might have been prevented. If it is determined that the accident may have been prevented, measures will be taken to prevent future accidents.

     

    BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN

    The Cass Career Center Practical Nurse Program is committed to providing a safe and healthful work environment for our entire staff. In pursuit of this goal, the following exposure control plan (ECP) is provided to eliminate or minimize occupational exposure to bloodborne pathogens in accordance with OSHA standard 29 CFR 1910.1030, “Occupational Exposure to Bloodborne Pathogens.”

    The ECP is a key document to assist our organization in implementing and ensuring compliance with the standard, thereby protecting our employees. This ECP includes:

    ■ Determination of employee exposure

    ■ Implementation of various methods of exposure control,

    including:

    Universal precautions

    Engineering and work practice controls

    Personal protective equipment

    Housekeeping

    ■ Hepatitis B vaccination

    ■ Post-exposure evaluation and follow-up

    ■ Communication of hazards to employees and training

    ■ Recordkeeping

    ■ Procedures for evaluating circumstances surrounding exposure incidents

    Implementation methods for these elements of the standard are discussed in the subsequent pages of this ECP.

    PROGRAM ADMINISTRATION

    ■ PN Program Coordinator is responsible for implementation of the ECP. PN Program Coordinator will maintain, review, and update the ECP at least annually, and whenever necessary to include new or modified tasks and procedures. Contact location/phone number: Coordinator’s office 816-380-3253 Ext. 7816 .

    ■ Those employees who are determined to have occupational exposure to blood or other potentially infectious materials (OPIM) must comply with the procedures and work practices outlined in this ECP.

     

    ■ PN Program Coordinator will provide and maintain all necessary personal protective equipment (PPE), engineering controls (e.g., sharps containers), labels, and red bags

    as required by the standard. Cass Career Center PN Program Coordinator will ensure that adequate supplies of the aforementioned equipment are available in the appropriate sizes. Contact: Coordinator’s Office 816-380-3253 Ext. 7816.

    ■ PN Coordinator will be responsible for ensuring that all medical actions required by the standard are performed and that appropriate employee health and OSHA records are maintained. Contact: Coordinator’s Office 816-380-3253 Ext. 7816 .

    ■ PN Coordinator will be responsible for training, documentation of training, and making the written ECP available to employees, OSHA, and NIOSH representatives. Contact: Coordinator’s Office 816-380-3253 Ext. 7816 .

    At this time, the only positions that are at risk on the premises for a needle stick injury, creating risk for exposure is the Practical Nurse student during an injection lab.

    ■ Sharps disposal containers are inspected and maintained or replaced by PN Coordinator whenever necessary to prevent overfilling.

    PPE is located  in the nursing lab and may be obtained through PN Coordinator, if unavailable in the lab.

    All employees using PPE must observe the following precautions:

    ■ Wash hands immediately or as soon as feasible after removing gloves or other PPE.

    ■ Remove PPE after it becomes contaminated and before leaving the work area.

    ■ Used PPE may be disposed of in trash cans. Sharps must go in sharps containers

    ■ Wear appropriate gloves when it is reasonably anticipated that there may be hand contact with blood and replace gloves if torn, punctured or contaminated, or if their ability to function as a barrier is compromised.

    ■ Never wash or decontaminate disposable gloves for reuse.

    ■ Remove immediately or as soon as feasible any garment contaminated by blood or OPIM, in such a way as to avoid contact with the outer surface.

    Housekeeping

    Regulated waste is placed in containers which are closable, constructed to contain all contents and prevent leakage, appropriately labeled or color-coded (see the following section “Labels”), and closed prior to removal to prevent spillage or protrusion of contents during handling.

     

    The procedure for handling sharps disposal containers is:

    When they are full, PN faculty will seal them and transport them to the hospital, who will dispose of them for Cass Career Center.

    Contaminated sharps are discarded immediately or as soon as possible in containers that are closable, puncture-resistant, leak proof on sides and bottoms, and appropriately labeled or colorcoded. Sharps disposal containers are available at (must be easily accessible and as close as feasible to the immediate area where sharps are used).

    HEPATITIS B VACCINATION

    PN Coordinator will provide training to employees on hepatitis B vaccinations, addressing safety, benefits, efficacy, methods of administration, and availability. The hepatitis B vaccination series is highly recommended prior to admission at Cass Career Center’s PN program, however, it is not mandated. Vaccination is encouraged unless: 1) documentation exists that the employee has previously received the series; 2) antibody testing reveals that the employee is immune; or 3) medical evaluation shows that vaccination is contraindicated. However, if an employee declines the vaccination, the employee must sign a declination form. Documentation of refusal of the vaccination is kept in active student file.

    POST-EXPOSURE EVALUATION AND FOLLOW-UP

    -Should an exposure incident occur, contact PN Coordinator at the following number 816-380-3253 Ext. 7816.

    An immediately available confidential medical evaluation and follow-up will be conducted by Cass Regional Medical Center, at the student’s expense.

    Following initial first aid (clean the wound, flush eyes or other mucous membrane, etc.), the following activities will be performed:

    ■ Document the routes of exposure and how the exposure occurred.

    ■ Identify and document the source individual (unless the employer can establish that identification is infeasible or prohibited by state or local law).

    ■ Obtain consent and make arrangements to have the source individual tested as soon as possible to determine HIV, HCV, and HBV infectivity; document that the source individual’s test results were conveyed to the employee’s health care provider.

    ■ If the source individual is already known to be HIV, HCV and/or HBV positive, new testing need not be performed.

    ■ Assure that the exposed employee is provided with the source individual’s test results and with information about applicable disclosure laws and regulations concerning the identity and infectious status of the source individual (e.g., laws protecting confidentiality).

    ■ After obtaining consent, collect exposed employee’s blood as soon as feasible after exposure incident, and test blood for HBV and HIV serological status

    ■ If the employee does not give consent for HIV serological testing during collection of blood for baseline testing, preserve the baseline blood sample for at least 90 days; if the exposed employee elects to have the baseline sample tested during this waiting period, perform testing as soon as feasible.

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    ADMINISTRATION OF POST-EXPOSURE EVALUATION AND FOLLOW-UP

    PN Coordinator ensures that health care professional(s) responsible for employee’s hepatitis B vaccination and post-exposure evaluation and follow-up are given a copy of OSHA’s bloodborne pathogens standard.

    PN Coordinator ensures that the health care professional evaluating an employee after an exposure

    incident receives the following:

    ■ route(s) of exposure

    ■ circumstances of exposure

    ■ if possible, results of the source individual’s blood test

    ■ relevant employee medical records, including vaccination status (Name of responsible person or department) provides the employee with a copy of the evaluating health care professional’s written opinion within 15 days after completion of the evaluation.

    PROCEDURES FOR EVALUATING THE CIRCUMSTANCES SURROUNDING AN EXPOSURE INCIDENT

     PN Coordinator will review the circumstances of all exposure incidents to determine:

    ■ engineering controls in use at the time

    ■ work practices followed

    ■ a description of the device being used (including type and brand)

    ■ protective equipment or clothing that was used at the time of the exposure incident (gloves, eye shields, etc.)

    ■ location of the incident (student laboratory)

    ■ procedure being performed when the incident occurred

    ■ employee’s training

    PN Coordinator will record all percutaneous injuries from contaminated sharps in a Sharps Injury Log. If revisions to this ECP are necessary PN Coordinator will ensure that appropriate changes are made. (Changes may include an evaluation of safer devices, adding employees to the exposure determination list, etc.)

    EMPLOYEE TRAINING

    All employees who have occupational exposure to bloodborne pathogens receive initial and annual training conducted by PN Program prior to skills lab.

    All employees who have occupational exposure to bloodborne pathogens receive training on the epidemiology, symptoms, and transmission of bloodborne pathogen diseases. In addition, the training program covers, at a minimum, the following elements:

    ■ a copy and explanation of the OSHA bloodborne pathogen standard

    ■ an explanation of our ECP and how to obtain a copy

    ■ an explanation of methods to recognize tasks and other activities that may involve exposure to blood, including what constitutes an exposure incident

    ■ an explanation of the use and limitations of engineering controls, work practices, and PPE

    ■ an explanation of the types, uses, location, removal, handling, decontamination, and disposal of PPE

    ■ an explanation of the basis for PPE selection

    ■ information on the hepatitis B vaccine, including information on its efficacy, safety, method of administration, and the benefits of being vaccinated.

    ■ information on the appropriate actions to take and persons to contact in an emergency            involving blood

    ■ an explanation of the procedure to follow if an exposure incident occurs, including the method of reporting the incident and the medical follow-up that will be made available

    ■ an opportunity for interactive questions and answers with the person conducting the training session.

     

    Sharps Injury Log

    All percutaneous injuries from contaminated sharps are recorded in a Sharps Injury Log. All incidences must include at least:

    ■ date of the injury

    ■ type and brand of the device involved (syringe, suture needle)

    ■ department or work area where the incident occurred

    ■ explanation of how the incident occurred.

    This log is reviewed as part of the annual program evaluation and maintained for at least five years following the end of the calendar year covered. If a copy is requested by anyone, it must have any personal identifiers removed from the report.

    HEPATITIS B VACCINE DECLINATION (MANDATORY)

    Hepatitis B virus infection is the major infectious occupational hazard for healthcare workers who are in contact with blood.  The consequences of hepatitis can be severe, including acute hospitalization, chronic infection, and even death.  Because of this, hepatitis B vaccination has been an increasingly important component of employee health programs.

     

    Although the vehicles for transmission of the virus are often blood and blood products. Viral antigen has also been found in: tears, saliva, breast milk, urine, semen and vaginal secretions.  Hepatitis B virus is capable of surviving for days on environmental surfaces exposed to body fluids containing hepatitis B virus.  Infection may occur when Hepatitis B virus, transmitted by infected body fluids, is implanted via mucous surfaces or percutaneously introduced through accidental or deliberate breaks in the skin.

     

    At this time, the hepatitis B vaccine is not mandatory.  Discuss this with your physician. 

     

    ______                Understanding the risk of Hepatitis infection, and having discussed this with my physician, I decline any vaccination.

     

    Signed: (Employee Name)________________ Date:________________