● Select, provide, and maintain appropriate personal protective equipment (PPE). Ensure that workers use PPE, such as impervious clothing, gloves, aprons, and chemical splash goggles to prevent skin and eye contact with formaldehyde. ● Provide showers and eyewash stations if splashing is likely. ● Provide medical surveillance for all workers exposed to formaldehyde at concentrations at or above the action level or exceeding the STEL, for those who develop signs and symptoms of overexposure, and for all workers exposed to formaldehyde in emergencies.
below the PELs, employers must provide workers with respirators. ● Label all mixtures or solutions composed of greater than 0.1% formaldehyde and materials capable of releasing formaldehyde into the air at concentrations reaching or exceeding 0.1 ppm. For all materials capable of releasing formaldehyde at levels above 0.5 ppm during normal use, the label must contain the words “potential cancer hazard.” ● Train all workers exposed to formaldehyde concentrations of 0.1 ppm or greater at the time of initial job assignment and whenever a new exposure to formaldehyde is introduced into the work area. Repeat training annually. Recordkeeping requirements Employers are required to do the following regarding worker formaldehyde exposure records: ● Retain exposure records for 30 years. ● Retain medical records for 30 years after employment ends. a) Every person, while engaged in the actual embalming of a human body, shall be attired in a clean and sanitary smock or gown, which does not permit blood or other potentially infectious materials to pass through to or reach the employee’s work clothes, street clothes, Isolation gowns II.E.2.: Isolation gowns are used as specified by CDC Standard and Transmission-Based Precautions to protect the HCW’s arms and exposed body areas and prevent contamination of clothing with blood, body fluids, and other potentially infectious material. The need for and type of isolation gown selected is based on the nature of the interaction, including the anticipated degree of contact with infectious material and potential for blood and body fluid penetration of the barrier. The OSHA Bloodborne Pathogens Standard mandates the wearing of isolation gowns and other protective apparel (Siegel et al., 2007). ● Clinical and laboratory coats or jackets worn over personal clothing are not PPE. ● An isolation gown is worn only if contact with blood or body fluid is anticipated. ● The donning of both gown and gloves upon room entry is indicated to address unintentional contact with contaminated environmental surfaces.
● Allow access to medical and exposure records to current and former workers or their designated representatives upon request.
13:36-6.2: DRESS REQUIREMENT FOR EMBALMING (NEW JERSEY DIVISION OF CONSUMER AFFAIRS, 2016)
undergarments, skin, eyes, mouth or other mucous membranes, and shall while so engaged wear protective apparel in compliance with OSHA regulations set forth at 29 CFR 1910.1030, incorporated herein by reference (OSHA, 2012). ● Isolation gowns are always worn in combination with gloves and with other PPE when indicated. Gowns are usually the first piece of PPE donned. ● Full coverage of the arms and body front from neck to the midthigh or below will ensure that clothing and exposed upper body areas are protected. ● Several gown sizes should be available in a health care facility to ensure appropriate coverage for staff members. ● Isolation gowns should be removed before leaving the work area to prevent possible contamination of the environment outside the room. ● Isolation gowns should be removed in a manner that prevents contamination of clothing or skin. ● The outer contaminated side of the gown is turned inward and rolled into a bundle and then discarded into a designated container for waste or linen to contain contamination.
13:36-6.4: DISPOSAL OF BLOOD AND EXCRETION
due care to prevent any spread of infection in the handling of a dead human body during transportation, in preparing and during embalming, and after contact with such body, and shall also include the disinfecting of hands and the removal of any soiled clothing (New Jersey Division of Consumer Affairs, 2016). (OPIM); contaminated items that would release blood or OPIM in a liquid or semiliquid state if compressed; items caked with dried blood or OPIM and are capable of releasing these materials during handling; contaminated sharps; and pathological and microbiological wastes containing blood or OPIM (OSHA, 2012). In general, regulated wastes, other than contaminated sharps, must be placed in containers that are:
All blood and excretions of a body shall be disposed of in a sanitary manner. Licensees shall comply with OSHA regulations set forth at 29 CFR 1910.1030 in the operation of a licensed funeral establishment and shall use Universal Precautions according to the Centers for Disease Control recommendations. These precautions shall include taking Applicable OSHA bloodborne pathogen guidelines The disposal of regulated waste must be in accordance with applicable regulations of the United States, states and territories, and political subdivisions of states and territories. This section applies to all occupational exposure to blood or other potentially infectious materials (OSHA, 2012). OSHA’s Bloodborne Pathogens Standard provides for the protection of employees during the containment, storage, and transport of regulated waste other than contaminated sharps. The standard defines regulated waste as liquid or semiliquid blood or other potentially infectious material
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