Casketing and viewing Avoid unnecessary manipulation of the body that would force purging of body fluids and risk opening of incision sites. If warranted, the casket can be lined with a leak proof sheet. An open casket for viewing should not be prohibited. However, Terminal disinfection and waste removal According to the World Health Organization Infection Control Guidelines for Transmissible Spongiform Encephalopathies, (CDC, 2015), all collected fluids should be disinfected by adding 40 grams of sodium hydroxide pellets per liter of collected fluid. The mixture should be stirred after a few minutes, and care should be taken to avoid spillage, as the fluid will be hot. It should then be left undisturbed for at least one hour, after which it can be disposed of like other mortuary waste. Plastic sheets and other disposable items that have been exposed to bodily fluids should be incinerated. Mortuary working surfaces that have accidentally become contaminated should be flooded with sodium hydroxide or bleach, left undisturbed for at least one hour, Final disposition: Cremation and burial There are no special interment, entombment, inurnment, or cremation requirements for patients with CJD. Interment of bodies in closed caskets does not present a significant risk of environmental contamination. Cremated remains can be
if an autopsy has been performed, family members of CJD patients should be advised to avoid superficial contact with the body, such as touching or kissing the patient’s face (CDC, 2015). then, using gloves, mopped up with absorbent disposable rags and surface swabbed with water sufficient to remove any residual disinfectant solution (CDC, 2015). Work surfaces can be disinfected by flooding with undiluted bleach. Although the use of disposable instruments is preferred, reusable instruments and tools can be cleaned and disinfected by using CJD sterilization protocols recommended by the CDC. All contaminated solid materials should be disposed of as hazardous waste. Disposing of body fluids, tissues, and hazardous chemicals should be handled in accordance with funeral home policy and state and federal regulations. considered sterile, as the infectious agent does not survive incineration-range temperatures (CDC, 2015). The CDC provides guidance for mortuaries in the handling of the remains of Ebola patients at http://www.cdc.gov/vhf/ ebola/healthcare-us/hospitals/handling-human-remains.html
13:36-10.3: MINIMUM CREDIT HOURS FOR BIENNIAL LICENSE RENEWAL (NEW JERSEY DIVISION OF CONSUMER AFFAIRS, 2016)
4) A licensee shall receive training in applicable Occupational Safety and Health Administration (OSHA) laws and regulations as required by OSHA. Licensees OSHA’s Bloodborne Pathogens Standard OSHA’s Bloodborne Pathogens Standard requires employers to provide information and training to workers. Employers must ensure that their workers receive regular training on all elements of the standard, including, but not limited to information on bloodborne pathogens and diseases, methods to control occupational exposure, hepatitis B vaccinations, and medical evaluation, including postexposure follow-up procedures. The employer shall train each employee with occupational exposure in accordance with OSHA requirements. Training must be provided at no cost to the employee and during working hours. The employer shall institute a training program and ensure employee participation in the program. Employers must offer this training on initial assignment, at least annually thereafter, and when new or modified tasks or procedures affect a worker’s risk of occupational exposure. The training program shall contain at a minimum the following elements: ● Training at an educational level in a language that workers understand. ● The opportunity to ask questions. ● A copy of the regulatory text of this standard and an explanation of its contents. ● An explanation of the epidemiology and symptoms of bloodborne diseases.
who seek continuing education credit for such training must attend a course or program approved by the Board.
● An explanation of transmission of bloodborne pathogens. ● An explanation of the exposure control plan and how the employee can obtain a copy of the plan. ● An explanation of tasks and other activities that may involve exposure. ● An explanation of the use and limitations of methods that will prevent or reduce exposure. ● Information on the types, proper use, location, removal, handling, decontamination, and disposal of personal protective equipment. ● An explanation for the selection of personal protective equipment. ● Information on the hepatitis B vaccine, its efficacy, safety, method of administration, benefits of being vaccinated, and that vaccination will be offered free of charge. ● Information on actions to take and persons to contact in an emergency involving blood or other infectious materials. ● An explanation of the procedure to follow if an exposure occurs including the method of reporting the incident and the medical follow-up that will be made available. ● Information on the post-exposure evaluation and follow- up that the employer is required to provide for the employee following an exposure incident. ● An explanation of the signs and labels or color coding.
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Book Code: FNJ0524
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