1. OSHA inspectors will not only review your OSHA exposure control plan for completeness, but will conduct employee interviews to assess their understanding of your plan.

Circle One: True --- False


2. Employers may permit employees to use their healthcare insurance to pay for the Hepatitis B vaccine or post exposure followup.

Circle One: True --- False


3. OSHA approves over 300 safety devices for use in medical facilities.

Circle One: True --- False


4. Gloves are usually not necessary when administering intramuscular or subcutaneous injections as long as bleeding that could result in hand contact with blood is not anticipated.

Circle One: True --- False


5. Employers may be cited if employees are not wearing the correct protective clothing (e.g., lab coat instead of a rubber apron) or if protective clothing does not fit correctly (e.g., loose-fitting gloves).

Circle One: True --- False


6. If an employee is allergic to a particular brand of glove, the employer must provide an alternative.

Circle One: True --- False


7. Employees who are allergic to latex may be provided with plastic film (food-handling or cafeteria-style) gloves.

Circle One: True --- False


8. Lab bench surfaces must be decontaminated after each run and when an employee leaves the work station.

Circle One: True --- False


9. Employers are required to document only the route(s) of exposure and the circumstances under which a needlestick occurs.

Circle One: True --- False


10. Keep all MSDS for 30 years, or keep a list of all chemicals or agents and where or when used, for 30 years.

Circle One: True --- False


11. Employee training records must include the training date, program content, trainer's name and qualifications, and names and job titles of all persons trained.

Circle One: True --- False


12. You do not need to give OSHA inspectors access to employee medical records.

Circle One: True --- False


13. An injury for bloodborne pathogens standard purposes includes needlesticks, splashes to non-intact skin, and lacerations.

Circle One: True --- False


14. You do not need to keep the medical records of an employee who remained in your employ less than one year if you turn them over to the worker at departure time.

Circle One: True --- False


15. Each year, exposure control plans must be updated and this activity must be documented.

Circle One: True --- False


16. Employees must have access to their own medical records and may give written permission for others to see them.

Circle One: True --- False


17.
Employees obtained temporarily from a personnel service must be offered the hepatitis B vaccine and post exposure evaluation and follow-up at the facility's expense.

Circle One: True --- False


18. The most common chronic bloodborne pathogen in the United States is hepatitis B

Circle One: True --- False


19. Laboratories that use glass capillary tubes could be cited under the bloodborne pathogens standard.

Circle One: True --- False


20. An exposure control plan may be maintained on a computer, but a hard copy must be made available within 5 working days to employees who request it.

Circle One: True --- False


21. Regularly scheduled inspections of engineering controls are required to confirm that they function as expected.

Circle One: True --- False


22. Employers must test employees for Ab to HBsAg within one to two months after the completion of the 3-dose vaccination series.

Circle One: True --- False


23. After receiving the hepatitis B vaccine series, employees are considered responders if they achieve anti-HBs >= 10 mIU/mL); inadequate response to vaccination is serum anti-HBs <10 mIU/mL.

Circle One: True --- False


24. Pre-vaccination screening for antibody status may be made available to employees at no charge. Employees may decline this screening, and employers must still make the hepatitis B vaccination available to them at no charge.

Circle One: True --- False


25. After ten years post-vaccination, employees must receive boosters for hepatitis B.

Circle One: True --- False


26. You may not test post exposure employee blood samples in your facility.

Circle One: True --- False


27. Safety devices such as syringes, scalpels, and phlebotomy equipment must be evaluated and implemented as they become commercially available. Written evaluations must be maintained in your Circle

One: True --- False

28. During annual OSHA training sessions, employees must have access to a qualified individual to answer their questions, either directly or through a telephone hotline.

Circle One: True --- False


29. The treatment for an exposed employee who was previously vaccinated against hepatitis B and is a known responder is hepatitis B immune globulin.

Circle One: True --- False


30. Hepatitis B immune globulin is the treatment of choice for an unvaccinated employee who is exposed to a source patient whose hepatitis B status is unknown.

Circle One: True --- False

Answers:

1. True
2. True - But only if employers cover the cost of insurance plus any copays or deductibles. No out of pocket expenses may be incurred by employees.

3. False - OSHA does not approve, endorse, register or certify medical devices.
4. True
5. True
6. True
7. False - These gloves are not considered appropriate for bloodborne exposure-related tasks.
8. True
9.
True
10. True
11. True
12. False - OSHA inspectors may review these records on site. If requested, this review may occur under the observation of the medical record holder (or other employer-designated healthcare professional). The OSHA inspector may not record or take offsite any information from the medical record other than documentation of the fact of compliance or noncompliance.
13. True
14. True
15. True
16. True
17. False - While your facility exercises day-to-day supervision over personnel service workers, they are the employees of both the facility and the personnel service, and thus the facility must comply with all of the provisions of the bloodborne pathogens standard with respect to these workers. With respect to hepatitis B vaccination and post exposure evaluation and followup, your facility should take reasonable measures to ensure that the personnel service firm has complied with these provisions.
18. False - According to the Centers for Disease Control and Prevention (CDC), hepatitis C virus (HCV) is the most common chronic bloodborne infection in the US.
19. True
20. False - A copy must be made available within 15 working days of the employee's request.
21. True - Regularly scheduled inspections are required to confirm, for instance, that engineering controls such as safer devices continue to function effectively, that protective shields have not been removed or broken, and that physical, mechanical or replacement-dependent controls are functioning as needed.
22. True - The hepatitis B vaccination must be given in the standard dose and through the standard route of administration as recommended by the United States Public Health Services and CDC guidelines. The most current CDC recommendation recommends employees post-vaccination testing for hepatitis B surface antigen and re-vaccinating non-responders with a second 3-dose vaccine series followed again by post vaccine testing for HBsAg.
23. True
24. True
25. False - The provision of boosters for the hepatitis B vaccine is under assessment by USPHS, but at this time is not recommended.
26. False - As long as the requirements for consent and confidentiality have been followed, the employer's facility may be used for testing employees post-exposure samples.
27. True - Your facility must have the most effective engineering controls in use.
28. True
29. False - No treatment is required in this instance.
30. False - The hepatitis B vaccine series is the preferred treatment.

 

 

Dr. Sheila Dunn is president and CEO of Quality America, Inc., a health care consulting firm through which she publishes instructional materials on OSHA and CLIA compliance and develops specialized sales, marketing, and training programs for major medical manufacturers and distributors. With a doctoral degree in medical laboratory education, Dr. Dunn is a widely respected lecturer and author of more than 200 articles on practice management and regulatory compliance issues for the primary care medical market. She is the editor of the subscription newsletter, OSHA Watch, and serves as an advisor to numerous national health care companies.

1-800-946-9956 -- www.quality-america.com

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