Cidex OPA Handling Safety Guidelines 2012 4112 Tia Gonnella 2012 4112 Tia Gonnella 2012 This module is applicable to managerssupervisors Cidex OPA users and any employee in the work area of area that may see be exposed or encounter a ID: 706715
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Slide1
St Elizabeth Health Care
Cidex® OPA Handling Safety Guidelines
2012
4/1/12
Tia
Gonnella
2012 Slide2
4/1/12Tia Gonnella 2012 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 Slide3
Uses of Cidex® OPAA high-level disinfectant
To high level disinfect endoscopic instruments and endocavity
ultrasound probes, thermometers, rubber or plastic equipment which cannot be heat sterilized
4/1/12
Tia Gonnella 2012 Slide4
Chemical Description Synonyms– OPA, orthophthalaldehyde Clear, pale blue liquid
Chemical similarity to gluteraldehydeLower inhalation/exposure risk than Cidex® PlusContains 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)4/1/12
Tia Gonnella 2012 Slide5
Hazardous ComponentThe active ingredient is ortho-phthalaldehydeMild irritant Can produce asthma-like symptoms with heavy inhalation exposure
Active ingredient interacts with proteins and can stain mucous membranesExcessive soak times can damage instrument and increase potential for staining
4/1/12Tia Gonnella 2012 Slide6
Hazard information Target organ effects: None Reproductive effects:
Not a reproductive effector. Mutagenic effects: Not mutagenic in the Ames assay. Sensitization: May cause sensitization.
4/1/12Tia Gonnella 2012 Slide7
Routes of ExposureOral: 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
4/1/12
Tia Gonnella 2012 Slide8
How employees can reduce exposureUse local exhaust ventilation GUS STATIONKeep
Cidex® OPA solution containers under GUS hood AND keep cap/cover on containerUse 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/cidex-opa/features-and-benefits
4/1/12
Tia Gonnella 2012 Slide9
How employees can reduce exposure (cont.)Wash gloved hands after handling Cidex
® OPAWear goggles and face shields when handling ortho-phthalaldehydeCover all containers holding
ortho-phthalaldehyde solutions Attend training classes in safety awareness about use of and exposure to
ortho-phthalaldehyde
4/1/12
Tia Gonnella 2012 Slide10
Protective Work Clothing and Equipment
Non-latex gloves (or doubled up latex)Splash-proof safety goggles Impervious GownMask
Will stain clothing/shoes
Advanced
sterilization products (2012) retrieved 7/26/2012 from http://www.aspjj.com/us/products/cidex-opa/features-and-benefits
4/1/12
Tia Gonnella 2012 Slide11
Cidex OPA®Stain
This type of stain can occur on any contact surface including probes, skin, hair, nails, and clothing. PPE protects against staining.4/1/12Tia Gonnella 2012 Slide12
Cidex OPA®Stain
This type of stain can occur on any contact surface including probes, skin, hair, nails, and clothing. PPE protects against staining.4/1/12
Tia Gonnella 2012 Slide13
Spills and LeaksFollow SPIL procedure:SECURE area: stop the spill with absorbent material
PROTECT yourself and others from the spilled materialINFORM security and your supervisor of spillLEAVE clean-up for trained personnel (that will be you)
4/1/12
Tia Gonnella 2012 Slide14
Spills and LeaksLocate the
Spill KitPut on PPEGown, Gloves, Mask, Eye ProtectionApply 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/features-and-benefits
4/1/12
Tia Gonnella 2012 Slide15
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 cleaner4/1/12
Tia Gonnella 2012 Slide16
Contact with Cidex® OPAIf skin contact has occurred Immediately wash area of contact with soap and water
Hold affected area under running water for 15 minutesSeek medical advice through employee health (ER after hours)4/1/12
Tia Gonnella 2012 Slide17
Contact with Cidex® OPAIf eye contact has occurredEye wash station:
wash eyes under running waterAllow water to run for 15 minutesSeek medical advice through employee health
4/1/12Tia Gonnella 2012 Slide18
Contact with Cidex® OPAIf contact with clothing occurs remove clothing
Wash affected area with soap and waterAllow water to run over area for 15 minutesPlace in air tight bag for washing laterSeek medical advice through employee health
4/1/12
Tia Gonnella 2012 Slide19
Contact/Exposure Cidex® OPAIf direct inhalation occurs go to well ventilated area immediately
If discomfort or breathing difficulty occurs, seek medical advice through employee health4/1/12
Tia Gonnella 2012 Slide20
Contact/ExposureIngestion: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
4/1/12
Tia Gonnella 2012 Slide21
Contact with Cidex® OPAIf you have questions or concerns about Cidex OPA®
Contact your supervisor or the Safety DirectorIf you have concerns about exposure to Cidex OPA®Contact Employee
HealthRefer to MSDS on intranet/compliance 360
4/1/12
Tia Gonnella 2012 Slide22
StorageKeep original bottle tightly closed Store unused
Cidex® OPA in a secure area –outside of patient care areasPlace soak stations in low traffic areas, keep it secured, and cap containers that are not in use Store at room temperature between 59-86
oFDo 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
4/1/12
Tia Gonnella 2012 Slide23
Secondary
ContainersRecognizing Cidex® OPA in the workplace
Labels: The name of the chemical (without abbreviations or symbols)
The activation dateThe expiration date
The hazard class
Warning
OSHA 2012 retrieved 7/26/2012 from http://www.osha.gov/Publications/glutaraldehyde.pdf
Warning:
High Level Disinfectant
4/1/12
Tia Gonnella 2012 Slide24
DisposalUnused Cidex® OPA can be poured down drain without neutralizationCidex® 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.4/1/12
Tia Gonnella 2012 Slide25
Safety tipsBecome 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 ERClean up spills immediately, use PPE, Follow REST planRefer to MSDS for more information
OSHA 2012 retrieved 7/26/2012 from http://www.osha.gov/Publications/glutaraldehyde.pdf
4/1/12
Tia Gonnella 2012 Slide26
ReferencesOSHA (2006) Best Practices for the Safe Use of Glutaraldehyde in Health Care. Retrieved from www.
osha.gov/Publications/glutaraldehyde.pdf4/1/12Tia Gonnella 2012