4112 St Elizabeth Health Care Cidex OPA Handling
4/1/12 St Elizabeth Health Care Cidex® OPA Handling Safety Guidelines 2012 Tia Gonnella 2012
4/1/12 This module is applicable to managers/supervisors, Cidex OPA® users, and any employee in the work area of area that may see, be exposed or encounter a Cidex OPA® spill Tia Gonnella 2012
4/1/12 Uses of Cidex® OPA A high-level disinfectant To high level disinfect endoscopic instruments and endocavity ultrasound probes, thermometers, rubber or plastic equipment which cannot be heat sterilized Tia Gonnella 2012
4/1/12 Chemical Description Synonyms– OPA, orthophthalaldehyde Clear, pale blue liquid Chemical similarity to gluteraldehyde Lower inhalation/exposure risk than Cidex® Plus Contains only. 55% of active ingredient (compared to Cidex® Plus at 3. 2% gluteraldehyde) Less time to decontaminate (12 minutes vs. 20 minutes for Cidex® Plus) Tia Gonnella 2012
4/1/12 Hazardous Component The active ingredient is orthophthalaldehyde Mild irritant Can produce asthma-like symptoms with heavy inhalation exposure Active ingredient interacts with proteins and can stain mucous membranes Excessive soak times can damage instrument and increase potential for staining Tia Gonnella 2012
4/1/12 Hazard information Target organ effects: None Reproductive Not a reproductive effector. Mutagenic Not effects: mutagenic in the Ames assay. Sensitization: May cause sensitization. Tia Gonnella 2012
4/1/12 Routes of Exposure Oral: Not anticipated to be a significant route of occupational exposure. Eye contact: May cause eye irritation and redness. Skin contact: May cause skin irritation. Repeated exposure may cause skin dryness or cracking. Exposure to skin may cause temporary staining. Ingestion: Ingestion may cause gastrointestinal irritation, nausea, vomiting and diarrhea. Exposure can irritate and discolor the tissues of the mouth, esophagus and other tissues of the digestive tract OSHA 2012 retrieved 7/26/2012 from http: //www. osha. gov/Publications/glutaraldehyde. pdf Tia Gonnella 2012
4/1/12 How employees can reduce exposure Use local exhaust ventilation GUS STATION Keep Cidex® OPA solution containers under GUS hood AND keep cap/cover on container Use only enough OPA to perform the required disinfecting procedure Avoid skin contact: use PPE Advanced sterilization products (2012) retrieved 7/26/2012 from http: //www. aspjj. com/us/products/cidexopa/features-and-benefits Tia Gonnella 2012
4/1/12 How employees can reduce exposure (cont. ) Wash gloved hands after handling Cidex® OPA Wear goggles and face shields when handling orthophthalaldehyde Cover all containers holding ortho-phthalaldehyde solutions Attend training classes in safety awareness about use of and exposure to ortho-phthalaldehyde Tia Gonnella 2012
4/1/12 Protective Work Clothing and Equipment Non-latex gloves (or doubled up latex) Splash-proof safety goggles Impervious Gown Mask Will stain clothing/shoes Advanced sterilization products (2012) retrieved 7/26/2012 from http: //www. aspjj. com/us/products/cidex -opa/features-and-benefits Tia Gonnella 2012
4/1/12 Cidex OPA®Stain This type of stain can occur on any contact surface including probes, skin, hair, nails, and clothing. PPE protects against staining. Tia Gonnella 2012
4/1/12 Cidex OPA®Stain This type of stain can occur on any contact surface including probes, skin, hair, nails, and clothing. PPE protects against staining. Tia Gonnella 2012
4/1/12 Spills and Leaks Follow SPIL procedure: SECURE area: stop the spill with absorbent material PROTECT yourself and others from the spilled material INFORM security and your supervisor of spill LEAVE clean-up for trained personnel (that will be you) Tia Gonnella 2012
4/1/12 Spills and Leaks Locate the Spill Kit Put on PPE Gown, Gloves, Mask, Eye Protection Apply Glute-Out® to spill Start at edges of spill and work inward Wait Five Minutes for Cidex® OPA to be neutralized Advanced sterilization products (2012) retrieved 7/26/2012 from http: //www. aspjj. com/us/products/cidex-opa/featuresand-benefits Tia Gonnella 2012
4/1/12 Spills and Leaks (cont. ) Flush down drain and run water Sweep up any remaining glute-out crystals into container, tie top and place in trash container Wipe down all areas with soap and water/general cleaner Tia Gonnella 2012
4/1/12 Contact with Cidex® OPA If skin contact has occurred Immediately wash area of contact with soap and water Hold affected area under running water for 15 minutes Seek medical advice through employee health (ER after hours) Tia Gonnella 2012
4/1/12 Contact with Cidex® OPA If eye contact has occurred Eye wash station: wash Allow Seek eyes under running water to run for 15 minutes medical advice through employee health Tia Gonnella 2012
4/1/12 Contact with Cidex® OPA If contact with clothing occurs remove clothing Wash affected area with soap and water Allow water to run over area for 15 minutes Place in air tight bag for washing later Seek medical advice through employee health Tia Gonnella 2012
4/1/12 Contact/Exposure Cidex® OPA If direct inhalation occurs go If to well ventilated area immediately discomfort or breathing difficulty occurs, seek medical advice through employee health Tia Gonnella 2012
4/1/12 Contact/Exposure Ingestion: Do not induce vomiting. Rinse mouth followed by drinking a large quantity of water Seek medical advice through employee health OSHA 2012 retrieved 7/26/2012 from http: //www. osha. gov/Publications/glutaraldehyde. pdf Tia Gonnella 2012
4/1/12 Contact with Cidex® OPA If you have questions or concerns about Cidex OPA® Contact your supervisor or the Safety Director If you have concerns about exposure to Cidex OPA® Contact Employee Health Refer to MSDS on intranet/compliance 360 Tia Gonnella 2012
4/1/12 Storage Keep original bottle tightly closed Store unused Cidex® OPA in a secure area –outside of patient care areas Place soak stations in low traffic areas, keep it secured, and cap containers that are not in use Store at room temperature between 59 -86 o. F Do not store in original bottle past expiration date of 75 days (or original date, whichever is earlier) Advanced sterilization products (2012) retrieved 7/26/2012 from http: //www. aspjj. com/us/products/cidex-opa/features-and-benefits Tia Gonnella 2012
4/1/12 Secondary Containers Recognizing Cidex® OPA in the workplace Labels: The name of the chemical (without abbreviations or symbols) The activation date The expiration date The hazard class Warning OSHA 2012 retrieved 7/26/2012 from http: //www. osha. gov/Publications/glutaraldehyde. p df Warning: High Level Disinfectant Tia Gonnella 2012
4/1/12 Disposal Unused Cidex® OPA can be poured down drain without neutralization Cidex® OPA spills -after neutralizing all contact surfaces with Glute-Out® sweep into receptacle and place in bag, tie top prior to placing in trash can. Tia Gonnella 2012
4/1/12 Safety tips Become familiar with and be able to recognize sources of ortho-phthalaldehyde exposure In case of skin or eye contact, wash with water at eye station immediately and contact employee health or ER Clean up spills immediately, use PPE, Follow REST plan Refer to MSDS for more information OSHA 2012 retrieved 7/26/2012 from http: //www. osha. gov/Publications/glutaraldehyde. pdf Tia Gonnella 2012
4/1/12 References OSHA (2006) Best Practices for the Safe Use of Glutaraldehyde in Health Care. Retrieved from www. osha. gov/Publications/glutaraldehyde. pdf Tia Gonnella 2012
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