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Tornado Utility Interruptions Fire Ergonomics Workplace Violence Reproductive Hazards Security/Emergency MSDS Chemical Spills Disaster/Emergency . Communications Tuberculosis Code Pink Accident/Emergency Bloodborne Pathogens Medical Equipment Standard Precautions.

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University of iowa health care safety training


Utility Interruptions



Workplace Violence

Reproductive Hazards



Chemical Spills




Code Pink


Bloodborne Pathogens

Medical Equipment

Standard Precautions

University of Iowa Health Care Safety Training

Tornado safety

Tornado Safety

Tornado Watch

Tornado watch means conditions are right for a tornado. Staff should be alert to weather conditions.

Tornado Warning

Tornado warning means a tornado has been sighted.

Tornado safety1
Tornado Safety

An announcement will be made over the CDD public address system advising staff, patients, families and visitors of the tornado warning.

Tornado safety2

Tornado Safety

Areas Of Safety

Areas of safety include rooms and corridors without windows, especially rooms and corridors that do not border an outside wall. Crouch near the floor or under heavy, well supported objects and cover your head.

Areas to Avoid

Stay clear of all windows, corridors with windows, or large, free-standing expanses.

Tornado safety3
Tornado Safety

General Guidelines

  • Remain calm, avoid panic, offer

    reassurance to patients.

  • Transfer all ambulatory patients to areas of


    - Patients who cannot be moved should be covered with pillows, blankets, mattresses.

    - Close all doors, including corridor doors, so that they latch.

    - Close all drapes, curtains, or blinds as time permits.

    - Do not attempt to utilize elevators due to the possibility of power failure.

Tornado safety4
Tornado Safety

CDD room N181 (staff lounge) has been equipped as a storm shelter. This room contains a gray back-up telephone, red emergency outlets and other emergency supplies.

Tornado safety5

Tornado Safety

A notification stating, “The Tornado Warning time has expired. The Tornado Warning is no longer in effect,” will be sent out when it is safe for staff members to return to their work areas.

End of Topic

Utility interruptions electrical

Utility Interruptions: Electrical

Loss of NormalPower

- Generator produced emergency power will be available to red outlets at CDD within ten seconds.

- Only critical patient support equipment should be plugged in to red emergency electrical outlets.

- Elevator A is tied into CDD’s emergency power system and will operate normally during a power outage.

Utility interruptions electrical1

Utility Interruptions: Electrical

Staff should report the loss of power to Safety & Security (6-2658 or 195 for emergencies).

Staff in patient care areas should ensure there are flashlights and extra batteries at the work area.

Utility interruptions medical gases including oxygen air and vacuum
Utility Interruptions: Medical Gases (including oxygen, air and vacuum)

  • Check status of all patients on medical gases.

  • Ensure life support equipment is maintained.

  • Dial Safety and Security (6-2658 or 195 for emergencies) to report loss of medical gases.

  • Only patient care staff in the affected area have the authority to shut off medical gases.

Utility interruptions medical gases

Utility Interruptions:Medical Gases

Oxygen is not affected by electrical power outage. In the event of low oxygen gas pressure (displayed by the medical gas alarm panel), oxygen cylinders will be delivered to patient areas.

Medical air compressors will be maintained by emergency power generators.

Code f fire
Code “F” (Fire)

In the event of a fire alarm, check the CDD fire annunciator panel located near elevator A on first floor.

Code f fire1

Code “F” (Fire)

If the annunciator panel does not indicate an alarm condition in your immediate area, resume normal activities, but remain alert for signs of smoke and fire.

Code f fire2

Code “F” (Fire)

If the annunciator panel indicates an alarm condition in your area, proceed to the area indicated and follow the RACE procedure:

Rescue /remove the patient

Activate the fire alarm, pull the nearest pull

station and dial 195 (outside UIHC dial 911)

Confine the fire, close the door

Evacuate patients if necessary; extinguish

the fire if possible to do so safely 

Code f fire3
Code “F” (Fire)

Patient Evacuation

-Evacuate horizontally, if possible, through at least one set of smoke/fire doors.

-If not possible to evacuate horizontally, evacuate vertically using fire safe stairwells (do not use elevators).

-Evacuation routes are identified by the red exit lights.

Code f fire4

Code “F” (Fire)

Types of Fire Extinguishers:

Type A - Pressurized water in silver cylinders. Use on materials such as wood, paper, and cloth. Do not use on flammable liquids or electrical equipment.

Type BC - Carbon dioxide (CO2) in red cylinder. Use on flammable liquids and electrical fires.

Type ABC – Multi-use dry chemical extinguisher in red cylinder, found primarily in equipment and mechanical rooms.

University of iowa health care safety training

Code “F” (Fire)

Fire extinguishers are located throughout the Center for Disabilities and Development. Learn the locations of extinguishers closest to your work area(s).

Extinguish the fire with a fire extinguisher only if you are confident you can do so safely.

Ergonomic risk factors

Ergonomic Risk Factors


Ergonomics is the science of fitting the workplace conditions to the job demands of the worker.

Ergonomic awareness1

Ergonomic Awareness

Examples of Ergonomic Injuries

-Back Disorders (most back injuries result from lifting patients or objects without adequate assistance)

-Cumulative Trauma Disorders (CTD)

-Carpal Tunnel Syndrome (CTS)


Ergonomic awareness2

Ergonomic Awareness

Work Practice Controls

Ergonomic risk factors can be minimized or eliminated by

-Incorporating proper body mechanics and

neutral postures; and/or

-Managing work time at a job task by using

job rotation or breaks.

- Using engineering controls (such as patient lift equipment).

Ergonomic awareness3
Ergonomic Awareness

Ergonomic Injuries

Employees shall report all injuries including ergonomic injuries to their supervisor and complete the ‘Workers’ Compensation—First Report of Injury or Illness’ form. Additionally, the employee shall complete a ‘UIHC Unusual Incident & Accident / Staff, Visitor, and Equipment Report’ form.

Ergonomic awareness4

Ergonomic Awareness


If you have a question or concern regarding The University of Iowa’s Ergonomics Program or any topic covered in this guide, contact David Hackbarth, Safety Engineer, Health Protection Office, at 335-9547 or e-mail: of Topic

Security and emergency
Security and Emergency

Combative Patients/Code Green

A Code Green violent patient management team is available to respond to potentially violent patient situations. Any staff member may declare a Code Green by dialing 192 if out-of-control patients pose a threat. When calling the Code Green number:

- identify that you need the Code Green team

- identify yourself

- identify the unit, building and room number

Security and emergency1

Security and Emergency

Disruptive, Hostile, Threatening Visitor, Family or Staff

-Staff shall report incidents of violence directed at themselves, other staff, students or patients to their supervisor, Hospital Human Resources or Safety & Security (dial 6-2658 or 195 for emergencies). Safety & Security will work with Hospital Administration and local law enforcement agencies to control these situations.

Security and emergency2

Security and Emergency

Violent Occurrences

- Be prepared to provide as much information as possible.

- location

- who is involved

- what is happening

- type of weapon, if any

Security and emergency3

Security and Emergency

Possession of Deadly Weapons by Patients, Visitors, and Staff

When it is known or suspected that a person is in possession of a weapon, contact Safety & Security (195 for emergencies) for assistance.

Security and emergency4
Security and Emergency

Bomb Threat

- Remain calm.

- Try to keep the caller on the line.

- Pay attention to background noises and distinctive sounds:

- caller’s voice (ethnicity, level of education)

- traffic or machine sounds, other voices.

- Try to obtain information on location of bomb, time of detonation and type of detonator.

- Call Safety and Security (195 for emergencies) as soon as possible.

Security and emergency5

Security and Emergency

Missing Patients

Call Safety & Security (dial 6-2658 or 195 for emergency) for assistance in locating the patient. Also contact CDD Administration.

Security and emergency6

Security and Emergency

Personal Safety

- Notify Safety & Security (dial 6-2658) to report activities involving harassing or obscene telephone calls or mail, threats, confrontations.

- If you are working in an area by yourself during evenings, nights or weekend hours, notify another staff member or Safety & Security.

Security and emergency7

Security and Emergency

Avoid dark, isolated areas. Be aware of your surroundings and of other people who might approach you. Proceed to your destination quickly and confidently.

Do not enter or remain in an elevator if individuals make you feel uncomfortable. Elevators at UIHC have a red button that when pressed will connect you with Safety and Security.

Security and emergency8

Security and Emergency

Staff Escorts

Staff concerned about their personal safety may request rides from UIHC to UI parking areas.

- Weekdays 7:00 p.m. - 1:00 a.m., Driver is located at the main entrance.

- Weekdays 1:00 a.m. – dawn, Call Safety & Security (6-2658).

- Weekends 7:00 p.m. – dawn, Call Safety & Security (6-2658).

End of Topic

Workplace violence
Workplace Violence

Domestic Violence Concerns

It is not uncommon for domestic violence issues

to be carried over into the workplace.

Staff who have concerns about domestic violence should notify their supervisor and Safety and Security (6-2658). Such reports will remain confidential.

Staff who are aware of domestic violence issues involving patients should report the information to their supervisor, CDD Social Services, and CDD Administration.

Workplace violence warning signs

Workplace Violence Warning Signs

Single characteristics do not serve as an indicator, but combinations of characteristics could indicate an increased likelihood of violence.

Use of alcohol or drugs

Expressing anger regularly in the workplace

Loud and aggressive nature

Change in mood

Personal hardships

Mental health issues

Negative behavior

Verbal threats

History of violence

Workplace violence response
Workplace Violence Response

In most cases it is best to avoid challenging the aggressive person. Try to show empathy and understanding.

It is almost always better to let a person “vent.” Respond in a soft voice. This may cause the person to stop yelling in order to hear what you are saying.

In some cases, setting acceptable limits with the individual may be effective, e.g., “I’m sorry, I can’t talk to you when you are yelling at me; please stop yelling so we can talk.”

Workplace violence response1

Workplace Violence Response

Staff should be certain they are at least one body length away from an aggressive person. Position yourself so you can step back or exit the area quickly.

Staff who are facing a potentially violent situation should attempt to leave and report the incident to their supervisor or Safety & Security (195 for emergencies).

Reproductive hazards
Reproductive Hazards

A reproductive hazard is any biological, chemical, or physical stressor that has the potential to adversely affect the human reproductive process. These effects may occur through either parent’s reproductive cells, prior to conception or during the development of the fetus.

Reproductive hazards1

Reproductive Hazards

Each year some 14 million workers are exposed to conditions that may impair their reproductive systems or unborn children. The University of Iowa Hospitals and Clinics is committed to a safe and healthy workplace, and reproductive health is one aspect of that program.

Reproductive hazards2

Reproductive Hazards

The following table lists examples of some common reproductive hazards that you may encounter here at the hospital and in everyday life.

This list is by no means exhaustive. You should consult your Department’s Hazard Communication plan and review all chemical MSDSs that you work with for a complete listing.

Reproductive hazards3
Reproductive Hazards

Examplesof Reproductive Hazards Found at Work

Reproductive hazards4

Reproductive Hazards

Employees shall report reproductive hazard concerns to their supervisor as soon as possible.

If you have a question or concern regarding reproductive hazards, contact the University Employee Health Clinic at 356-3631 or the UIHC Safety Manager at 384-5208.

End of Topic

Material safety data sheet msds information
Material Safety Data Sheet (MSDS) Information

All staff have the right to know what hazards are present when working with chemicals.

Each department shall maintain an inventory of all chemicals used in an area along with MSDSs for those chemicals. MSDSs will be available to all staff during work hours.

In addition to the MSDS, other sources of information regarding chemicals in your work area include container labels and the INFORMM system

Material safety data sheet

Material Safety Data Sheet

The sections of an MSDS include:

Chemical Identity

Hazardous Ingredients

Physical and Chemical Characteristics

Reactivity Data

Fire and Explosion Data

Health Hazards (including exposure hazards and symptoms)

Precautions for Safe Handling and Use

Control Measures (including spill clean up)

Material safety data sheet1

Material Safety Data Sheet

READ LABELS! Labels will identify health and physical hazards. All hazardous product labels must include the name of the chemical, the nature of their hazards, and what precautions should be taken. If a secondary container is used, the name of the chemical and the hazards must be transferred to the new container. End of Topic

Hazardous chemical spill response

Hazardous Chemical Spill Response

Before cleaning up a spill, staff need to know what chemicals are involved.

Use the MSDS to find out what kind of precautions and procedures to take in cleaning up the spill.

Hazardous chemical spill response1

Hazardous Chemical Spill Response

Spills should be contained so that they do not get into drains and sewers.

Report all hazardous chemical spills using a Staff/Equipment Unusual Incident & Accident Report, Form 261.

Hazardous chemical spill response2
Hazardous Chemical Spill Response

Unmanageable Chemical Spill

If any of the following conditions apply, immediately call Safety & Security (195 for emergencies):

- the chemical is unknown

- there is an immediate danger to life or health

- there is a combustible or explosive hazard

- there is a threat to the environment

- staff have no knowledge of the material

or cleaning process

Disaster emergency preparedness and response

Disaster/Emergency Preparedness and Response

Disaster Preparedness

Every CDD staff member must be familiar with the role of their department within the CDD Disaster Plan.

Disaster emergency preparedness response

Disaster/Emergency Preparedness & Response

Unless patient care duties or facility conditions dictate otherwise, report to your supervisor or CDD Administration for further instructions upon learning that a disaster response situation is in effect.

Disaster emergency preparedness response1

Disaster/Emergency Preparedness & Response

Staff responsible for patient care should continue their normal activities, but remain alert for further instructions and information. Be prepared to assist CDD patients, families and visitors to exit the facility.

Disaster emergency preparedness response2

Disaster/EmergencyPreparedness & Response

Do not leave your area of assignment until released by your supervisor or CDD Administration.

When off duty, remain at home and await telephone, radio, or television notification before reporting to CDD or other areas of University of Iowa Hospitals and Clinics.

Disaster emergency preparedness response3

Disaster/EmergencyPreparedness & Response

Refrain from using telephones, overhead public address system, paging system, or other communication systems except for reasons required for patient care obligations or priority activities related to the disaster.

University of iowa health care safety training

Disaster and Emergency Preparedness Plans are available at CDD in Administration, the Environmental Services Office, the Healy Clinic and on The Point under the Safety and Security Department site.

Communications systems failures
Communications Systems Failures

In case of telephone outage, grayback-up telephones will be activated. Locations and telephone numbers for gray back-up telephones are available in the UIHC Disaster and Emergency Preparedness Plan.

Communication systems failures

Communication Systems Failures

Emergency outgoing calls shouldbe placed through the hospital operator by dialing “0.”

Public pay phones may or may not be operational during loss of UIHC Telephone System.

Cell phones should not be used (or turned on) in close proximity (within 3 feet or less) to patient care equipment.

Communication systems failures1

Communication Systems Failures

If staff are unable to access the“131” UIHC Paging System through gray backup phones, emergency paging requests should be directed to the UIHC operators by dialing "0." Emergency requests for overhead pages should also be directed to the operators.

End of Topic

Tuberculosis information

Tuberculosis Information

Transmission of TB

TB is transmitted by the airborne route. The organism, Mycobacterium tuberculosis, becomes airborne on droplet nuclei that are produced when a person with active disease talks, sings, coughs or sneezes.

Tuberculosis information1

Tuberculosis Information

TB infection versus active disease

A susceptible person becomes infected when they inhale droplet nuclei that contain M. tuberculosis. In most people who are infected, the immune system effectively contains the organism. The tuberculin skin test becomes positive, but the person has a normal chest x-ray and does not have symptoms. Therefore, this person is not contagious.

Tuberculosis information2

Tuberculosis Information

About 10% of persons infected with M. tuberculosis will develop active disease. The interval between TB infection and active disease may be weeks or years. The person with active disease has an abnormal chest x-ray and develops symptoms. The person with active disease IS contagious, should be placed on airborne precautions and begin treatment.

Tuberculosis information3
Tuberculosis Information

Symptoms of Active TB

Symptoms include fever, weight loss, cough (lasting longer than 3 weeks) fatigue, night sweats, loss of appetite, and blood in the sputum.

Tuberculosis information4

Tuberculosis Information

Work Practice Controls/ Personal Protective Equipment (PPE):

- Identify patients or health care workers with active disease early.

- Place patients with known or suspected active TB on airborne precautions and post sign.

- Wear a TB mask when providing care to patients with known or suspected active TB.

Tuberculosis information5
Tuberculosis Information

Tuberculin Skin Testing Program

- Staff at UIHC have annual tuberculin skin test (TST) unless known to be TST positive.

- Staff exposed to a patient with active TB should notify their supervisor and report to the University Employee Health Clinic (UEHC).

End of Topic

Code pink infant or pediatric abduction

Code Pink/Infant or Pediatric Abduction

When Safety and Security is notified of an infant or pediatric abduction, telecommunications will initiate an overhead page announcement of a “Code Pink” and the age of the abducted infant or child.

Code pink infant or pediatric abduction1
Code Pink/Infant or Pediatric Abduction

Once a Code Pink has been announced, all staff have the authority to question a person who is acting in a suspicious manner and request to inspect any bags. (It is not uncommon for abductors to place infants

in duffel bags, gym bags or a backpacks.)

Code pink infant or pediatric abduction2

Code Pink/Infant or Pediatric Abduction

Approach the suspicious person in a non-threatening manner, facing the person at a safe distance.

Instruct the nearest coworker or bystander to immediately contact Safety and Security (dial 195) for assistance.

Code pink infant or pediatric abduction3

Code Pink/Infant or Pediatric Abduction

Speak using a calm, steady voice, explaining that the hospital is on alert for

a possible infant abduction.

Attempt to delay the person by keeping him or her in front of you—even walk backwards slowly if necessary.

Code pink infant or pediatric abduction4

Code Pink/Infant or Pediatric Abduction

In the absence of a Code Pink announcement, staff who observe a suspicious/potential abduction situation should:

Advise Safety & Security (dial 195) or request another staff member to do so.

Try to keep the people under observation as long as possible.

Note physical descriptions of those involved as well as vehicles and license plates.

End of Topic

Accident and emergency response

Accident and Emergency Response

Code Blue

Code Blue (dial 199) is activated

when a person is in respiratory or cardiopulmonary arrest.

Accident and emergency response1
Accident and Emergency Response

  • Report a Code Blue by dialing “199”

  • Access building paging system by dialing “858”

  • Announce Code Blue

  • Give the floor and room numbers

  • Repeat the announcement three times

Accident and emergency response2
Accident and Emergency Response

  • Then dial 9-911 to request ambulance service

  • Explain the emergency

  • Direct the ambulance to go to the first-floor CDD main entrance.

University of iowa health care safety training

Accident and Emergency Response

Dispatch runners to the third-floor courtyard entrance to meet the Code Team and to the first-floor main entrance to meet the ambulance.

University of iowa health care safety training

Accident and Emergency Response

  • A crash cart and defibrillator must be brought to the code blue location.

  • A pediatric/adult crash cart is located on each floor in rooms 149, N220 and 337.

Bloodborne pathogens
Bloodborne Pathogens

Bloodborne Pathogen Exposures

Exposures to blood and body fluids consist of:

  • Needle sticks or cuts from sharp instruments contaminated with blood or Other Potentially Infectious Material (OPIM).

  • Contact of the eye, nose, mouth, or non-intact skin with blood or OPIM.

  • Human bite that breaks the skin.

Bloodborne pathogens1
Bloodborne Pathogens

If exposure occurs, wash and flush the affected area and report immediately to the University Employee Health Clinic (UEHC) from 7:30 a.m. - 4:30 p.m. Monday thru Friday. After hours and weekends, report to the Emergency Treatment Center (ETC).

  • Do not delay – Prophylaxis if warranted, should be started as soon as possible after exposure.

Bloodborne pathogens2
Bloodborne Pathogens

Standard Precautions

Standard precautions are designed to reduce the risk of transmission of bloodborne pathogens and applies to ALL patients regardless of their diagnosis or presumed infection status.

Contaminated surfaces need to be properly disinfected with a hospital-approved disinfectant. Disinfectant solutions need to remain on contaminated surfaces for a minimum of 10 minutes to ensure disinfection. Hepatitis B virus has been demonstrated to survive in dried blood at room temperature on environmental surfaces for at least 1 week.

Bloodborne pathogens3

Bloodborne Pathogens

Use of Safety Engineering Controls, Work Practice Controls and Personal Protective Equipment is Required. OSHA regulations as well as UIHC policies and procedures require that identified Engineered Safety Devices (such as sharps containers) Safe Work Practice Controls (such as hand hygiene) and Personal Protective Equipment (gloves, masks, gowns) be used by all staff. The use of these controls and devices is not optional.

Bloodborne pathogens4

Bloodborne Pathogens

Blood and blood-tainted body fluids

pose a risk for the transmission of HIV

and Hepatitis. Signs and Symptoms:

HIV – Incubation period is variable. Most HIV infected persons sero convert 6-12 weeks after exposure. Initially, flu-like symptoms may develop; may also develop fatigue, fever and weight loss.

Hepatitis B – Incubation period is 30-180 days. 30% of persons have no signs or symptoms. Slow onset (without symptoms in the majority of patients for the first 20+ years after infected). Symptoms include loss of appetite, abdominal discomfort, nausea, vomiting, malaise.

Hepatitis C – Incubation varies; range is 2 weeks to 6 months. 80% of persons infected have no sings or symptoms. Onset is slow. 10-25% of persons develop nonspecific or gastrointestinal symptoms or jaundice. Chronic infection develops in 75-85% of infected persons.

Bloodborne pathogens5

Bloodborne Pathogens

Hepatitis B Vaccine

The vaccine is available to any staff member free of charge through UEHC. Staff are encouraged to accept the vaccine, as it has been shown to be a safe and effective preventive measure. Staff will be asked to document whether they accept or decline the vaccine.

Bloodborne pathogens6
Bloodborne Pathogens

Sharps Containers

All needles and other sharps must be disposed of by placing into identified sharps containers. Do not recap used needles. If recapping is necessary, use a one-handed scooping method. Replace sharps containers when they are 2/3 to 3/4 full.

Bloodborne pathogens7
Bloodborne Pathogens

Regulated Waste

Place all regulated waste (potentially infectious waste) in a red plastic bag or in a containerwith a biohazard label on the outside. Regulated waste containers that may leak must be placed in a secondary, leak-proof plastic bag or container that is either red in color or displays the biohazard symbol.

Bloodborne pathogens8

Bloodborne Pathogens

Direct questions to the Program of Hospital

Epidemiology at 6-1606.

End of Topic

Medical equipment incidents
Medical Equipment Incidents

In the event of a medical equipment

Incident involving a patient:

  • Maintain patient life support.

  • Isolate, impound, and label the device .

    and all associated disposable parts.

  • Complete a UIHC Computerized Incident Report (CIR).

  • Contact appropriate technical support.

Medical equipment at cdd
Medical Equipment at CDD

All electrical patient-care equipment

used in CDD will be evaluated by

the UIHC Bioengineering Department

before use.

Standard precautions

Standard Precautions

Standard precautions (formerly knownas universal precautions) reduce the risk of transmission of microorganisms from both recognized and unrecognized sources of infection in hospitals and applies to all patients regardless of their diagnosis or presumed infections status.

Standard precautions1

Standard Precautions

Standard precautions apply to

Human blood

Any body fluids (except sweat)

Secretions, and excretions regardless of whether or not they contain visible blood

Non-intact skin, (includes rashes and lesions)

Mucous membranes

Equipment or surfaces that may have come in contact with these substances

Standard precautions2

Standard Precautions

Hand Hygiene

Hand Washing should be performed:

- If hands are visibly dirty or contaminated with blood and/or body fluids or visibly soiled.

- If exposure to spores is suspected or proven

- Before eating and after using the restroom

Hand Hygiene should be performed with an alcohol based hand rub (Avagard D): - Before having direct contact with patients

- Before donning sterile gloves

- After contact with a patient’s intact skin

- After contact with body fluids or excretions, mucous membranes, non-intact skin and wound dressing.

- If moving from a contaminated body site to a clean body site during patient care

- After contact with inanimate objects (including equipment) in the immediate vicinity of the patient

- After removing gloves

Standard precautions3

Standard Precautions


- Wear gloves when touching blood, body fluids, secretions, excretions, non-intact skin and contaminated items.

- Gloves should be removed after use, before touching another patient, before touching non-contaminated items and environmental surfaces.

- Gloves should be changed between patients, between tasks and procedures on the same patient and after touching material that may contain high concentrations of microorganisms.

- Perform hand hygiene immediately after removing gloves as hands can be contaminated.

Standard precautions4

Standard Precautions

Mask, Eye Protection Face Shield

- Wear mask and eye protection or a face shield to protect mucous membranes of the eyes, nose and mouth during procedures and activities that generate splashes, sprays, splatters, droplets or aerosols of blood or other potentially infectious material.

Standard precautions5

Standard Precautions


- Wear a non-sterile gown to protect skin and to prevent soiling of clothing during procedures and activities that generate splashes or sprays of blood or body fluids.

- Remove a soiled gown as promptly as possible and wash hands to avoid transfer of microorganisms to other patients or environments.

Standard precautions6

Standard Precautions

Patient Care Equipment

- Handle used patient care equipment that

has been soiled with blood, or body fluids, in a manner that prevents skin and mucous membrane exposures, or contamination of clothing.

- Send reusable equipment to Central Sterilizing Services for processing or clean and disinfect with a hospital-approved disinfectant.

-Discard single use items in designated receptacles.

Standard precautions7
Standard Precautions


- Bag and close linen at the point of generation.

- Place soiled linen directly into white plastic bags.

- Place linen that is dripping into a white plastic bag and then place the first bag into a second white plastic bag to contain the moisture.

- Do not pre-rinse soiled items.

Personal protective equipment

Personal Protective Equipment

Personal Protective Equipment (PPE) is specialized clothing or equipment worn by an employee for protection against infectious materials.

Use of identified PPE is not optional and must be used by staff.

Types of ppe used in healthcare settings
Types of PPE Used in HealthcareSettings

  • Gloves – protect hands

  • Gowns/aprons – protect skin and/or clothing

  • Masks and respirators– protect mouth/nose/respiratory track

  • Goggles – protect eyes

  • Face shields – protect face, mouth, nose, and eyes

Sequence for donning ppe
Sequence* for Donning PPE

  • Put on before contact with the patient, generally before entering the room in the following sequence:

  • Gown

  • Mask or respirator

  • Goggles or face shield

  • Gloves

    *Combination of PPE will affect sequence – be practical

Sequence for removing ppe
Sequence for Removing PPE

Remove and discard PPE carefully, in the following sequence, either at the doorway or immediately outside patient room:

  • Gloves

  • Face shield or goggles

  • Gown

  • Mask or respirator (Remove respirator outside room, after door has been closed)*

Personal protective equipment use

Personal Protective Equipment Use

Direct questions to the Program of Hospital Epidemiology at 6-1606.

End of Topic


Infection Control Manual

  • Located on IPR Browser,

  • UIHC Policies/Procedures on The Point,

  • Manual located in CDD Administration Office

University of iowa health care safety training

Safety Manuals

(large green notebooks)

are available for review on The Point under the Safety and Security Department Site and at CDD in the following locations:


Environmental Services

Safety reference cards

Safety Reference Cards

are located in each CDD office and are also available on The Point under the Safety and Security Department site and in and IPR under

“UIHC Policies and Procedures”.

University of iowa health care safety training






If you have any questions

regarding the

safety information covered

in this program,



contact your supervisor,

or contact

Judy Stephenson,

221, CDD, 6-1452

University of iowa health care safety training

End of Training ProgramTo view the Power Point program and take the quiz through ICON please follow these instructions:Open ICON courseware by clicking on the ICON on your desktop (black circle outlined in green with a green arrow pointing up) or go to: opening ICON, log on using your HawkID and password.In the middle of the screen locate the blue bar labeled My ICON courses. If no courses are listed, click on “ongoing” to expand the selection.Click on the Center for Disabilities and Development course selection. Under CDD Safety and Security, click on View the CDD Safety and Security Training and review the information on the Power Point program.After viewing the program, return to the Center for Disabilities and Development course listing and click on Take the UIHC Safety and Security quiz. Take the quiz, remembering to click on save following each question and again at the conclusion of the test to record your answers and then press submit to electronically record your test.After this final step you are done for another year! Please contact Mary Irey, Jessica Perry or myself if you have any questions about these instructions.