COSHH for Optical Support Staff

Safe use, storage, control and response for hazardous substances in optical practice

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Spillages, exposure incidents and first response

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Optical support staff must be able to respond when a substance is spilled, leaked, splashed or found where it should not be. The goal is not for everyone to clean every incident but to protect people, identify the hazard where it is safe to do so, follow local procedure, escalate and report.

Safe Management of Blood and Body Fluid Spillages HD

Video: 5m 31s · Creator: TheNHSEducation Supportweb. YouTube Standard Licence.

This NHS Education for Scotland animation explains how to manage blood and body-fluid spillages in acute, community, care home and residential settings. It states that blood, faeces, vomit, sputum and other body fluids can carry blood-borne viruses and other microorganisms, so spillages should be cleaned and contaminated surfaces disinfected promptly.

The animation gives five steps: cordon off the spillage, assess the type of spillage, collect the correct equipment, protect yourself, and disinfect and clean. It also shows that the correct response depends on the fluid, the surface and the risk of splashing.

For optical practice, the main points are to stop exposure, keep people away from the hazard, identify what has been spilled, use the correct procedure and avoid improvising with unsuitable products or PPE.

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Immediate priorities

  • Protect people first: move patients, customers, children and staff away if needed.
  • Do not rush in: identify the substance and check the local procedure where it is safe to do so.
  • Use correct equipment: spill kit, PPE, ventilation, cleaning method and waste route must match the hazard.
  • Escalate early: especially for unknown substances, strong fumes, eye or skin exposure, large spills or symptoms.
  • Record and report: spills, near misses, missing labels, exposure and symptoms should be reported clearly.

Exposure incidents

If a substance gets in the eye, contacts skin, is swallowed, is breathed in, or enters broken skin, follow the local first-aid and exposure procedure immediately. Start any immediate first-aid action required by the label or local procedure, such as rinsing exposed skin or eyes, and do not delay urgent help while paperwork is found. Check the label, SDS or local COSHH file where possible. Seek urgent help if there are symptoms, eye exposure, breathing difficulty or uncertainty.

Scenario

A bottle of contact-lens peroxide solution leaks in a storage drawer. A staff member gets liquid on their hand and almost rubs their eye before noticing the leak.

What should happen?

 

In a COSHH incident, protect people first, then follow the product and local procedure. Do not improvise around unknown exposure.

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