Healthcare Wide Hazards
(Lack of) Personal Protective Equipment
Employee exposure to hazardous processes or infectious materials or chemicals due to inappropriate or lack of
General PPE: Protective equipment, including personal protective equipment for eyes, face, head, and extremities, protective
clothing, respiratory devices, and protective shields and barriers, shall be provided, used, and maintained in a sanitary and reliable
condition wherever it is necessary by reason of hazards of processes or environment, chemical hazards, radiological
hazards, or mechanical irritants encountered in a manner capable of causing injury or impairment in the function of any part of
the body through absorption, inhalation or physical contact
[29 CFR 1910.132(a)].
PPE and the Bloodborne Pathogens Standard:
- Provide PPE
[29 CFR 1910.132(a)] (e.g., gloves,
goggles, and splash aprons) as appropriate when exposed to hazards such as cleaning detergents, chemicals, and hazardous drugs.
- Medical Services and First Aid
[29 CFR 1910.151(c)] Where the eyes or body of any person may be exposed to injurious corrosive materials, suitable facilities for quick drenching or
flushing of the eyes and body shall be provided within the work area for immediate emergency use.
- Hand Protections [29 CFR 1910.138(a)] General requirements. Employers shall select and require employees to use appropriate hand protection when employees' hands are
exposed to hazards such as those from skin absorption of harmful substances; severe cuts or lacerations; severe abrasions; punctures;
chemical burns; thermal burns; and harmful temperature extremes.
PPE is required by the Bloodborne Pathogens Standard if exposure to blood and other
potentially infectious materials (OPIM) is anticipated and where occupational exposure remains, after institution of engineering
and work practice controls [29 CFR 1910.1030(d)(2)(i)]. PPE can provide some protection from infectious materials as a barrier to protect skin and mucus membranes from contact with blood
and other potentially infectious materials.
Disposal of Protective
Clothing: as required by the Bloodborne Pathogens Standard:
- Appropriate PPE, addressed in 29 CFR 1910.1030(d)(3)(i),
must be provided by the employer, cleaned and laundered and disposed of, at no cost to the employee, in appropriate sizes and used by
personnel if blood exposure is anticipated. PPE includes gloves, gowns, laboratory coats, masks, face shields,
eye protection, mouthpieces, resuscitation bags, pocket masks, or other ventilation devices.
- Employees must wear gloves when hand contact with blood, mucous membranes, OPIM, or non-intact skin is anticipated, and when
performing vascular access procedures, or when handling contaminated items or surfaces
[29 CFR 1910.1030(d)(3)(ix)].
- Employees must wash hands immediately or as soon as feasible after removing gloves or other PPE
- The employer shall ensure that employees who have contact with contaminated laundry wear protective gloves and other appropriate personal
protective equipment [29 CFR 1910.1030(d)(4)(iv)(B)].
- PPE: will be considered "appropriate" only if it does not permit blood or
other potentially infectious materials to pass through to or reach the employee's work clothes, street clothes, undergarments, skin,
eyes, mouth, or other mucous membranes under normal conditions of use and for the duration of time which the protective equipment
will be used. [29 CFR 1910.1030(d)(3)(i)].
Some general PPE Guidelines include:
- Employees must remove protective clothing before leaving the room;
and dispose of it in an appropriately designated area or container for storage, washing, decontamination, or disposal
[29 CFR 1910.1030(d)(3)(viii)].
- Employees must provide information the types, proper use, location, removal, handling, decontamination, and disposal of personal
protective equipment [29 CFR 1910.1030(g)(2)(vii)(G)].
- Wear gloves, when handling chemicals and/or body fluids.
- Wear safety shoes/boots/covers if hazardous substance is likely to splash.
- Wear an apron/gown/coveralls- if hazardous substance is likely to splash.
- Use a respirator: when hazardous substance is airborne such as tuberculosis.
- Wear hearing protection: for loud noises such as from equipment.
- Remove PPE carefully to avoid contaminating yourself.
- Dispose of PPE in designated containers before leaving area.
Respirator Training Videos
- OSHA Respiratory Protection Videos. OSHA, (2012, January).
- Respiratory Protection for Healthcare Workers. US Department of Labor Video, (2011, January 12).
- The Difference Between Respirators and Surgical Masks. US Department of Labor Video, (2009, December 16).
- Respirator Safety. Donning (Putting on) and Doffing (Taking off) and User Seal Checks. US Department of Labor Video, (2009, December 16).
**These videos may be downloaded by right-clicking on the link and selecting Save Target As or Save Link As.
Accessibility Assistance: Contact the OSHA Directorate of Technical Support and Emergency Management at (202) 693-2300 for assistance accessing Video materials.
*These files are provided for downloading.