Appendix_O_8.23.13

Appendix O - Page 12

Appendix O:

Occupational Exposures Determined by Survey Questionnaire Responses and Job-Exposure Matrix

Table 1: Occupational exposures determined by responses on survey questionnaire*

Exposure Class	Questionnaire items	Responses
Cleaning and disinfecting surfaces, equipment, and instruments Chemicals used: Acids Alcohol Ammonia Bleach or chlorine Detergents Enzymatic cleaners Floor wax strippers Glass cleaners Phenolics Quaternary ammonium compounds
	51.1	Yes/no/don’t know
		Days per week
Tasks performed: Wipe down beds, furniture, etc. Cleanup spills or blood Manually mix, refill, empty products Clean bathrooms Spray then wipe glass Polish wood furniture Polish stainless steel surfaces Spray deodorant/disinfectant Mop floors Clean equipment Conduct terminal cleaning of patient rooms Clean or disinfect for drug resistant bacteria in patient rooms Clean operating rooms at end of shift Strip, scrape, buff, wax floors	51.5 & 51.6.1	Yes/no/don’t know
		Days per week
		Times per day
		Duration of task
Sterilizing or high-level disinfecting medical instruments Chemicals used: Acetic acid Alcohol Bleach or chlorine Enzymatic cleaners Ethylene oxide Formaldehyde Glutaraldehyde Hydrogen Peroxide Hypochlorite or hypochlorous acid Ortho-phthalaldehydes Peracetic acid
	50.1	Yes/no/don’t know
		Days per week
Tasks performed by hand: Remove gross contaminants and waste from scopes and instruments Refill or change sterilization solutions Manually sterilize medical instruments	50.4 - 50.6.2.1	Yes/no/don’t know
		Days per week
		Times per day
		Duration of task
Tasks performed using automated sterilizing systems: Sterilize medical instruments Operate Ethylene oxide sterilizer Operate plasma hydrogen peroxide Sterad® system Operate Steris® system Conduct maintenance on systems	50.7.1	Yes/no/don’t know Days per week Times per day Duration of task
Tasks performed and chemicals used in medical or clinical laboratories	52.1	Yes/no/don’t know Days per week Times per day Duration of task
Use formalin to fix gross tissue and autopsy specimens Use stains and dyes such as hematoxylin and eosin stains Use solvents such as xylene and toluene to fix tissue specimens and rinse stains
Tasks performed and chemicals used on patients	53.1	Yes/no/don’t know Days per week Times per day Duration of task
Disinfect skin areas on patients with antiseptics such as alcohols, iodine, acetic acid Clean and disinfect wounds using antiseptics such as silver compounds, chlorhexidine, or povidone iodine Apply wound dressing such as polyurethane based hydrogel, hydrocolloid, or hydrocellular foam Use adhesives for surgery, skin closure, bone repair, ostomy bags, and other applications Use adhesive removing solvents such as alcohols, acetone with wipes, gauze or swabs Apply synthetic fiberglass casts
Administer aerosolized medicines to patients	54.1	Yes/no/don’t know Days per week Times per day Duration of task
Use a small volume nebulizer (SVN) Use continuous aerosol delivery system Use a metered-dose inhaler (MDI) Use a dry powder inhaler (DPI)
Tasks performed and chemicals used by dental assistants	55.1	Yes/no/don’t know Days per week Times per day Duration of task
Adjust, polish or repair dentures or use compunds such as methyl methacrylates, other acrylates, and epoxys Prepare amalgams such as Vertex Soft®, Villacryl Soft®, Molloplast B®,and Mollosil® Develop x-rays using film developing solutions Use adhesives to place dentures or attach braces

* Questionnaire available in Appendix K

Table 2: Occupational chemical exposures measured during field surveys and estimated for survey participants using job-exposure matrix*

Ethanol

Acetone

2-propanol

Methylene chloride

Hexane

Chloroform

Benzene

Methyl methacrylate

Toluene

Ethylbenzene

m,p-xylene

o-xylene

α-pinene

d-limonene

Total volatile organic compounds (TVOC)

* Average exposures will be reported for all individual chemicals measured, while peak and average exposures will be reported for TVOC