Page 9 - OOHNA Spring-Summer 2017
P. 9
Occupational Health Services: Communicable Disease Prevention and Management n Practice



applied to hospitals (PHac 2002) or substituting a lower concentra- NEEdlE SaFEtY). Safety features
Prevention and control of occu- tion of cleaning agent that is still can be user activated (sliding plas-
pational infections in Health care effective for the task. tic sheath) or automatic (retractable
(under review) and other PHac needle), activated prior to disposal.
guidance documents. Elimination Engineering Controls Point of care (Poc) alcohol-based
and substitution are the pre- hand rub and Poc sharps contain-
Engineering controls isolate the
ferred levels of control, followed worker from the hazard and pre- ers are other examples.
by engineering and administrative vent exposure to or transmission
Administrative Controls
controls. Personal protective con- of the infectious agent, at the
trols (equipment) are used when source or along the path of the administrative controls do not
other controls cannot prevent
hazard. Negative pressure rooms remove the hazard but provide
exposure to the hazard, and are assist to prevent exposure to air- the policies, procedures, signage,
the last control between the worker borne infectious particles. BScs education and training required to
and the hazard.
are designed to use directional prevent or minimize exposure to
Elimination and Substitution airflow and high efficiency particu- an infectious agent.
late air (HEPa) filters to minimize administrative controls are not
Elimination and Substitution are exposure to infectious agents. only important for day-to-day work;
the highest levels of control and Engineering controls are often they provide credible direction and
costly but significantly reduce the guidance for safe work practices
often the most challenging to
achieve. alternative products may risk of exposure, illness and inju- with an emerging infectious dis-
not be effective or available. Elimi- ry. a common engineering control ease. When the severity of infec-
nation examples include removal widely used in hospitals is safety- tion is high and there is no effective
of latex gloves and reusable blood engineered hollow-bore needles, vaccine, treatment or PEP, anxi-
collection equipment. Substitu- legislated in ontario hospitals since ety is high. one of many lessons
tion examples include changing 2008 (https://www.ontario.ca/laws/ learned with EVd is the importance
hand soap to one without irritants regulation/070474o. reg. 474/07: of credible risk communication.










www.MRIappointments.com
EXPEDITING MRI SCANS ACROSS CANADA
Assisting Occupational Health Professionals to
Obtain Timely Diagnostic Imaging for WSIB,
Employment and Disability Insurance Situations

1-866-899-4674
(Intake Form: www.MRIappointments.com)

We offer a Wide Range Medical Imaging Assessments
MRI – MRI ARTHROGRAM – MRA – ULTRASOUND – EMG – EEG
CT – CARDIAC CT - MIBI - BONE SCAN – MRI and SPECT SCAN (for mTBI)
Featuring extra-wide MRI & Standing Open MRI
Since 1999

Ontario, BC, AB, Sask., QC, NB, NS

We Make a Difference




OOHNA JOURNAL n spRiNg/sUmmeR 2017 7
   4   5   6   7   8   9   10   11   12   13   14