Affirmative Action Necessary or Unnecessary Essay

Affirmative Action was centered around 1961 because women and minorities were being discriminated against. By definition, affirmative action is â€Å"the encouragement of increased representation of women and minority-group members, especially in employment† (Dictionary.com). The main controversy of affirmative action is whether or not it is still necessary, and if it should be abolished all together. It was originally intended to benefit cultural groups that were thought to suffer from discrimination in the past, however, now some people believe that those cultural groups are already being represented to the fullest extent, and that affirmative action is no longer necessary. On the other hand, other people believe that affirmative action†¦show more content†¦However, what they want people to know is that African Americans are helped by fourteen percent due to affirmative action (Figure 1). People are split over whether affirmative action reduces the effects of the past discrimination, or if it does not do anything at all, and just aggravates people; Americans are bringing up new aspects of the effects of affirmative action. Affirmative action may not have helped African Americans quite as much as women. â€Å"Blacks continue to have twice the unemployment rate of whites† (Pritchett), and â€Å"only thirty-five percent of all African Americans high school graduates attend college versus the fifty percent of white students† (Pritchett). Others believe this means affirmative action is not helping the African Americans, and is still causing discrimination. â€Å"During the time of slavery, African Americans were not given an equal opportunity to establish jobs or a good education, setting them back in the modern market† (SocialistWorker.org). Another common concern with lots of controversy is the effects of affirmative action on reverse racism. Caucasian students have been complaining for years because they believe th ey were cheated out of a fair chance to have aShow MoreRelatedAda and Affirmative Action Essay1000 Words   |  4 PagesADA and Affirmative Action The United States of America is a culturally diverse place. There are people from all over the world living in here. There are people from different cultures, people with different religious and moral standards and beliefs, and people from different races and of different ethnicities. There are also people living amongst us that face special circumstances such as being physically or mentally disabled, challenged by a chronic illness or even sexual orientation. ThroughoutRead MoreWhy We Still Need Affirmitive Action1493 Words   |  6 PagesWhy we still need affirmative action Because of the complex nature of the discussion on affirmative action and the controversies and the emotion surrounding it, it is imperative to first recap on the causes of race and inequality in the United States of America. The policies on affirmative action were proposed as a fractional remedy for the socio-economic impacts of past and present disadvantage faced by certain groups in the population, especially with regard to biases on gender and race. Such disadvantagesRead MoreAffirmative Action Is Important For Society1649 Words   |  7 Pages Affirmative action Affirmative action is an attempt to address past discriminatory injustices which may be based on gender, race or ethnicity. Affirmative action may take the form of policies and programs which are mostly mandated by governments and designed to bring changes in organizations, companies and educational institutions. Affirmative action is a vital tool which provides qualified people with equal access to educational or professional opportunities that they would otherwise have beenRead MoreAffirmative Action And Its Effects On Affirmative1263 Words   |  6 PagesThroughout America there are many different views on the effects of affirmative action. Many see it as a negative policy which gives an unnecessary advantage to minorities in America. In a 2009 Pew Poll, â€Å"58% of African Americans agree† and only â€Å"22% whites agree† that there should be â€Å"preferential treatment to improve the position of blacks and other minorities† (Public Backs Affirmative Actio n†). Today affirmative action and other racial injustices tend to be in the spotlight quite often, suchRead MoreAffirmative Action: Social Policy1348 Words   |  6 PagesAffirmative Action Affirmative action is a social policy created to promote the welfare of minorities by supporting the idea that individuals are all created equal and should not be judged by race or gender. Therefore, in situations like job and university applications, we should consider minorities to be as feasible a choice for hire as a white male candidate, taking into consideration their background. In short, it tries to give minorities that have been at a disadvantage their whole life, anRead More Affirmative Action Is Not the Solution Essay1340 Words   |  6 Pagesnbsp;nbsp;nbsp;nbsp;nbsp;Affirmative action is a social policy created to promote the welfare of minorities by supporting the idea that individuals are all created equal and should not be judged by race or gender. Therefore, in situations like job and university applications, we should consider minorities to be as feasible a choice for hire as a white male candidate, taking into consideration their background. In short, it tries to give minorities that have been at a disadvantage their wholeRead MoreEssay on History and Opinions on the Policy of Affirmative Action1725 Words   |  7 Pages is Affirmative Action. The basic goal of these policies is to increase opportunities for minorities in the United States job market and educational system. Yet one might also question if these policies actually decrease discrimination or increase the inequality gap between the dominate white group and the minority African American group? What benefits do we really gain from Affirmative Action? In order to answer these and other questions, we must first fully understand what Affirmative ActionRead More Its Time to Put and End to Affirmative Action Essay1586 Words   |  7 Pages Affirmative action should be changed or ended altogether In the late Sixties, Martin Luther King Jr. fought hard for equal rights. Before he was assassinated in 1968, he made a speech about his vision of human equality. â€Å"I have a dream that my four children will one day live in a nation where they will not be judged by the color of their skin but by the content of their character.† (King) The Sixties were a turning point for racial equality. Because of leaders like King, many blacks and minorityRead More1. The two major Supreme Court decisions need to be identified, which are related to student to1300 Words   |  6 Pagesclarify whether the standards set in Gebser apply to harassment cases regarding student to student harassment. The court ruled that the standards which Gebser set do apply to student harassment by another student. Davis does expand the criteria necessary to hold an institution liable for harassment. Gebser set the following criteria: 1. An official must have had â€Å"actual knowledge† of the harassment and the official must have the authority to enforce corrective measures to halt the harassmentRead MoreAffirmative Action Should Be Changed or Ended All Together1605 Words   |  7 PagesAffirmative action should be changed or ended altogether In the late Sixties, Martin Luther King Jr. fought hard for equal rights. Before he was assassinated in 1968, he made a speech about his vision of human equality. I have a dream that my four children will one day live in a nation where they will not be judged by the color of their skin but by the content of their character. (King) The Sixties were a turning point for racial equality. Because of leaders like King, many blacks and minority

Gilbert Ryles The Concept of Mind Essay - 2412 Words

Gilbert Ryles The Concept of Mind In The Concept of Mind Gilbert Ryle attempts, in his own words, to explode the myth of Cartesian dualism. His primary method in this endeavour is to explain why it is a logical error to describe minds and bodies with semantically similar language; while secondarily, he proposes that even to speak of minds as a second-order ontology is to take the first step in the wrong direction towards intellectual clarity. Thus, with the desire to arrive at this hypothetical locale, the following peripatetic discussion will set out with Ryle at his point of departure, viz. Descartes Myth; it will then survey the lay-of-the-land at Ryles mapped out midway point, viz. Self-Knowledge; and from there, judge†¦show more content†¦The category-mistake is precisely the error that Ryle accuses philosophers to have made when describing minds, and also, when describing bodies; for these thinkers have clumsily referred to these things as minds and bodies; i.e. things of the same logical type. The res ult of this mistake, according to Ryle, is a conflation of causal ideas. Therefore, because physical events can be described as adhering to physical laws, theorists have assumed that mental events must adhere to mental laws. And just as physical phenomena occur outside the mind and are publicly witnessable, so too, following the mistaken logic, must mental phenomena occur inside the mind. Further proof of this conflation of concepts is found by looking at how the Mind has been described, i.e. as a private theatre attended by one alone. Following The Myth then, there must be two different types of existence -- one having physical status, the other having mental status: somewhat as the faces of coins are either heads or tails...so it is supposed, some existing is physical existing, other existing is mental existing.3 Thus the physical, as matter existing in time and space, is subject to mechanical laws; whereas the mental, as consciousness existing only in time, is subject to para-mechanical laws. According to Ryle it is this type of reasoning that is responsible for the familiar philosophical embarrassment, namely: how is it possibleShow MoreRelatedEssay on Gilbert Ryle’s The Concept of Mind1107 Words   |  5 PagesGilbert Ryle’s The Concept of Mind Gilbert Ryle’s The Concept of Mind (1949) is a critique of the notion that the mind is distinct from the body, and is a rejection of the philosophical theory that mental states are distinct from physical states. Ryle argues that the traditional approach to the relation of mind and body (i.e., the approach which is taken by the philosophy of Descartes) assumes that there is a basic distinction between Mind and Matter. According to Ryle, this assumption is aRead MoreEssay on Cartesian Dualism and Gilbert Ryle1899 Words   |  8 Pages Gilbert Ryle is well known in the philosophical world specifically as a behaviorist. According to Internet Encyclopedia of Philosophy behaviorist are â€Å"followers in the ‘ordinary language’ tradition of analytic philosophy, while, for the most part, regarding behavioral scientific hopes as vain, hold views that are, in other respects, strongly behaviorists†(Hauser 1). In the middle of the twentieth century the ordinary lang uage behaviorist movement was strongly covered by Ryle and Wittgenstein. TheseRead More The Concept of Intelligence Essay3428 Words   |  14 PagesThe Concept of Intelligence ABSTRACT: Gilbert Ryle’s dispositional analysis of the concept of intelligence makes the error of assimilating intelligence to the category of dispositional or semi-dispositional concepts. Far from being a dispositional concept, intelligence is an episodic concept that refers neither to dispositions nor to ‘knowing how,’ but to a fashion or style of proceeding whose significance is adverbial. Being derivative from the function of the adverb ‘intelligently,’ the conceptRead MoreThe Theory Of The Mind Body Dualism1232 Words   |  5 Pagesscholastic Aristotelianism and created the first version of the modern mind-body dualism or emotion† (Encyclopedia Britannica). Born on March 31, 1596, he was dubbed as the Father of Modern Philosophy. His theory on the mind-body dualism, also known as Cartesian Dualism, created a stem of the modern problem of the relationship between the mind and body. He created the early version to further explain the interac tion of the mind and body, to create a firm foundation that can be explained through scienceRead MoreDescartes Teachings On Dualism977 Words   |  4 PagesDescartes sees the mind as an immaterial, non-physical soul. He believes that his thoughts can be altered but he can never be tricked into the thinking that he is thinking when he is not. While he has complete faith in the existence of his mind, he doubts the existence of his body and the existence of other people s minds. The reason for his doubt in his body is that he believes he can be tricked into perceiving himself as having a body when he in fact does not. Descartes sees the mind as separate fromRead MoreEssay on The Philosophy of Cognitive Science2158 Words   |  9 PagesThe Philosophy of Cognitive Science Psychophysical dualism — the distinction between mind and body — is the counterposition between essentially irreducible elements: the mind and body. Such a dualism implies the main ontological problem of the philosophy of cognitive science and philosophy of mind: the mind-body problem (MBP). The dualism and the referred-to problem has been insistently discussed in the philosophical tradition and several solutions have been proposed. Such solutions are properlyRead MoreCartesian Dualism vs Logical Behaviorism Essay1483 Words   |  6 PagesAre minds physical things, or are they nonmaterial? If your beliefs and desires are caused by physical events outside of yourself, how can it be true that you act the way you do of your own free will? Are people genuinely moved by the welfare of others, or is all behavior, in reality, selfish? (Sober 203). These are questions relevant to philosophy of the mind and discussed through a variety of arguments. Two of the most important arg uments with this discussion are Cartesian dualism and logical behaviorismRead MoreThe Mind Body Problem, By Rene Descartes Essay1331 Words   |  6 Pages Mind-Body Problem Oluwadamilola Kamson Philosophy 101: Introduction to Philosophy November 2016 INTRODUCTION The Mind-body problem dates back to Plato and was well received by the scholastic philosophers. However, it was Rene Descartes the famous French philosopher, mathematician, and scientist. The mind-body problem is not, of course, a single problem at all, but a large collection of problems which focuses upon the fundamental issue of reality and knowledge in so far as such analysisRead MoreThe Cartesian Theory Of Mind1648 Words   |  7 Pagesphilosopher responsible for many ideas and theories still used in the philosophical world today. He earned the nickname â€Å"Father of modern philosophy† for his work. One of his most in depth and lasting legacies is his â€Å"mind-body dualism† thesis also known as the Cartesian theory of mind. The Cartesian theory states that there are two different types of existence, physical and mental. Whatever exists must fall into only one of these existences and they cannot be both. This could be compared to theRead MoreThe Nature Of Mind By David Armstrong Essay1772 Words   |  8 PagesIn David Armstrong’s thought-provoking work titled, The Nature of Mind, he explains that the most convincing way to make sense of the mind-body problem is to approach it in a materialistic way. Specifically, Armstrong shows that the science of physico-chemical processes of the brain is the best way to explain the nature of our mind. He goes on to explain traditional and dispositional behaviorism, and states his own materialistic take on behaviorism. His arguments throughout his paper are very logical

Object and Data Modeling Business Development and Business Strategies

Question: Discuss about theObject and Data Modelingfor Business Development and Business Strategies. Answer: Introduction The report depicts the importance of implementing cloud computing technology solution for the development of business and its overall strategies. The taken case study to prepare this report is Evaluating Cloud Technology Solutions for Business Development and Business Strategies. The advanced business functionalities will help different business organizations to gain competitive advances from the competitive marketplace. Cloud computing acts as a tool and it provide mobility to the businesses. In addition to this, the report will illustrate the resources that are required to collect data for the business development. Though, technology gives extreme commercial benefit to organizations but at the same time it put certain negative impact to the businesses also (Julfathna, Babu Jayakameswaraiah 2014). After complementary study of the business it will analyze different business risks that might hamper the system. The outcome of the business processes will be elaborated at the end of the report. Business Case The cloud computing technology, gives many possible advantages to the organization. It helps an organization to build a flexible virtual office that can connect the business to other technical advances. The technology gives effective business environment in terms of digital devices and due to this adaptation the users can access data from wherever and whenever they want (Paroutis, Bennett Heracleous, 2014). However, all time it will not help to scale up the business rater sometimes, lack of management system it might scale down the business growth. Cloud computing technology provides positive ambiance in terms of backup resilience, disaster recovery. It means once the data get stored in the database of an organization it cannot be deleted automatic, because cloud possesses a vast storage. If any information regarding previous applications is required, then due to the backup resilience one can fetch information from the storage easily (Ward Peppard, 2016). Moreover, it can be said t hat, cloud computing gives wide range of economical profit as it is capable to acquire different IT based capacities. Cloud computing can be acquired as a service model, that provides shared and configurable resources. Analysis of the Business Functionalities The business case has much functionality that is associated to cloud computing technologies. In order to instantiate advanced, flexible and scalable business model cloud computing technology is required to be adopted (Oliveira, Thomas Espadanal, 2014). Cloud computing serves various functions that are beneficial from the business perspectives. Some features of cloud computing, help to enhance the business ability of an organization. The functions are as follows: Infrastructure as a service (IaaS): In order to increase the business abilities most of the businesses from medium to large are eager to adopt IaaS platform (Paroutis, Bennett Heracleous, 2014). This is referred to an obvious choice as it is cot saving and it helps to develop and deploy the platform application. Private and hybrid cloud: The business organizations those want to host large IT infrastructures, can adopt hybrids cloud where they will be getting large storage capacity. Again the public cloud will help to protect information from different external attacks (Julfathna, Babu Jayakameswaraiah 2014). This particular case study implies that, more than 763 Billion cumulative finance supports can be achieved between the time periods of 2010 to 2012by adopting the hybrid, public and private cloud technology. Testing and development: This is one of the best possible scenarios provided by cloud computing technology needed to develop the business models (Gupta, Seetharaman Raj, 2013). With the help of secured budget estimation, manpower support and physical assets a specific environment can be created for the business. A business model supported by cloud service does not have any particular boundary rather; it often helps to combine the real and virtual world together. Big data analytics: Big data acts as a vital part of computing technology. It is referred to as an analytical tool, and helps to take important decision for business organizations. In order to develop the quantity and quality of the business infrastructure big data analytics is found to be very helpful (Ward Peppard, 2016). Information System is a combination of different business functionalities, and act in an integrated manner that includes customer relationship management and supply chain management also. On the other hand, backup and disaster recovery are the other functionalities associated to cloud computing. Required Resources In order to create a supportive set up for cloud computing in business model development the main required resources are computing resources that include- network, servers, storage, application and different services (Khanagha, Volberda Oshri, 2014). Most of the computing resources based on the service level agreement require datacenter resources with different cloud components. The resources are selected and monitored by the organizational business managers. The IT resources are also needed to develop the business model and business strategy at the same time. Broad Feasibility of the Project Cloud computing solution helps to create innovative business models. The development team of the business focuses on the infrastructure management system which is based on innovation (Oliveira, Thomas Espadanal, 2014). The main businesses professionals are focused on the cost benefit analysis program. The main aim is to evaluate a successful and cloud based collaborative platform that might reduce the pre-estimated cost. As cloud does not need to depend on any particular software and hardware even, no regular update policy is associated to it (DaSilva et al., 2013). Thus, they need to balance the production and delivery system. In online processing, the production is customer focused, and the regulatory management is focused on the prevention and promotion of the products. The project is enough feasible. Risk Analysis In this case study the most critical and highlighted issue is referred to as the data security. Most of the consumers were avoiding net banking as they felt that the system is not at all safe and secured. The basic key components oriented to risk analysis include availability, confidentiality, traceability and integrity (Repschlaeger et al., 2012). Other kinds of risks are associated to authentication. Unauthorized users might hack confidential data from the storage and misuse those is another issue. Outcome of the Business Project After analysis of the complete business model it has been found that, after adaptation of cloud computing solution, one traditional model can become more innovative and advantageous in nature. The business model will give competitive advantages to the consumers (Paroutis, Bennett Heracleous, 2014). The business project gave innovative business strategies in terms of application and actions. Conclusion From the overall discussion it can be concluded that the Information System gives effective profit to the consumers and to the organization as well. The report has mentioned the business background including the business functionalities. The cloud computing solution gave effective outcome. Currently, most of the organizations are providing strict attention to new technological advances such as cloud computing, digital platform and big data. The report analyzed the business case including its functionalities. The required resources are also discussed in this report. At the same time, many business risks are also associated to it those are also analyzed. References DaSilva, C. M., Trkman, P., Desouza, K., Lindi?, J. (2013). Disruptive technologies: a business model perspective on cloud computing.Technology Analysis Strategic Management,25(10), 1161-1173. Gupta, P., Seetharaman, A., Raj, J. R. (2013). The usage and adoption of cloud computing by small and medium businesses.International Journal of Information Management,33(5), 861-874. Julfathna, N., Babu, G. A., Jayakameswaraiah, M. (2014). Evaluating Cloud Technology Solutions for Business Development and Business Strategies.International Journal of Scientific and Research Publications, 49. Khanagha, S., Volberda, H., Oshri, I. (2014). Business model renewal and ambidexterity: structural alteration and strategy formation process during transition to a Cloud business model.RD Management,44(3), 322-340. Oliveira, T., Thomas, M., Espadanal, M. (2014). Assessing the determinants of cloud computing adoption: An analysis of the manufacturing and services sectors.Information Management,51(5), 497-510. Paroutis, S., Bennett, M., Heracleous, L. (2014). A strategic view on smart city technology: The case of IBM Smarter Cities during a recession.Technological Forecasting and Social Change,89, 262-272. Repschlaeger, J., Zarnekow, R., Wind, S., Turowski, K. (2012). Cloud Requirement Framework: Requirements and Evaluation Criteria to Adopt Cloud solutions. InECIS(p. 42). Ward, J., Peppard, J. (2016).The Strategic Management of Information Systems: Building a Digital Strategy. John Wiley Sons.

The Bad Seed Essay Example

The Bad Seed Paper There were many scenes in the movie The Bad Seed where it showed visual examples supporting the Freudian theories. It especially shined on the character Rhoda’s motives for her behaviors. According to Freud’s theory, ego is when you are out of your childhood level and actually take in consideration for other people more than yourself. However, Rhoda does not display any ego in herself as she does not give any consideration for other people in reality. The Freud’s theory also states that ID is when you are at a baby’s level and don’t know anything of what’s going on in reality and just whine for what you want. Rhoda’s behavior strongly amplifies ID because she is extremely childlike and spoiled. She is also self-serving and wants everything at that moment while taking no considerations for other people around her. Trying to be perfect is defined as superego according to the Freudian theory and this also has no part when describing Rhoda. It’s because she is not even trying to be a perfect self which equals a weak superego. We will write a custom essay sample on The Bad Seed specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on The Bad Seed specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on The Bad Seed specifically for you FOR ONLY $16.38 $13.9/page Hire Writer On the other hand, Rhoda’s mother Christine is more on the superego side because of her thought of having a perfect family but ended up realizing that she herself is not a perfect woman. She notices this during her unconscious stage. According to the Freudian theory that was studied, Rhoda’s ID overpowering her ego and superego is what’s wrong with her. Also, she obviously cares more about herself than others in reality. In the Maslow’s Hierarchy of Needs, most of Rhoda’s basic needs are actually met. Rhoda definitely does not meet the level of self-actualization because she has no desire for self-fulfillment and growth. She also meets the level of esteem and belonging because every adult sees her as a perfect little girl on the outside and all of her family members love her. Safety is probably the need that is met at the highest quality because Rhoda lives in a nice and peaceful neighborhood while having a father that is a colonel in the national military. Her physiological or basic needs are met helped by her family’s fortune and being spoiled herself. Rhoda’s behavior disproves Maslow’s theories about humankind’s essential nature because this particular theory is more to healthy people rather than someone who is mentally ill. There are many arguments going on about whether evil comes from hereditary or genetic mind rather than from the environment that one lives in. According to the movie â€Å"The Bad Seed†, evil can come from both genetic mind and the environment. For example, it is revealed that Christine actually came from parents that were murders and was adopted by normal parents at a young age. Christine eventually grows up to an adult that is very mature and kind who would never have a single thought about killing anyone for any purpose. If evil was to be based on only genetics, wouldn’t Christine have ended up becoming a dangerous killer following her parent’s footsteps? Instead because Christine lived in a safe and benevolent environment that she is the complete opposite to her parents. However, even though Rhoda lived in a perfectly nice environment she still ended up becoming mentally ill. This could have been a genetic problem as Rhoda’s grandmother was a dangerous killer and could have passed on the heredity to Rhoda reason being her so vicious to others. The ideas presented in â€Å"The Bad Seed† were seen shocking to audiences in the 1950’s because people obviously think that a criminal mind is from their environment instead of genetics or heredity. However, the movie provided some evidence that criminal minds could actually develop genetically as Rhoda was to her grandmother. This possible proof shocked the audience because most probably believed the idea wasn’t even thought of during the time.

Free Essays on Le Corbusier

Le L’Esprit Nouveau Le Corbusier is without doubt the most influential, most admired, and most maligned architect of the twentieth century. Through his writing and his buildings, he is the main player in the Modernist story, his visions of homes and cities as innovative as they are influential. Many of his ideas on urban living became the blueprint for post-war reconstruction, and the many failures of his would-be imitators led to Le Corbusier being blamed for the problems of western cities in the 1960s and 1970s. Like Ludwig Mies Van Der Rohe, and other architects of his generation, Le Corbusier had little architectural training. But he did have a strong conviction that the twentieth century would be an age of progress: an age when engineering and technological advances, and new ways of living, would change the world for good. Only architecture was failing to embrace the future, as new buildings continued to ape various historical styles. In 1908, Le Corbusier went to work with Auguste Perret, the French architect who had pioneered the use of reinforced concrete, and then Peter Behrens, the German exponent of ‘industrial design’. Behrens admired the engineer’s ethic of mass production, logical design, and function over style, and Corbusier brought two of these early influences together in his ‘Maison Dom-Ino’ plan of 1915. This house would be made of reinforced concrete and was intended for mass production, but was also flexible: none of the walls were load-bearing and so the interior could be re-arranged as the occupant wished. A House Is A Machine For Living In By 1918, Corbusier’s ideas on how architecture should meet the demands of the machine age led him to develop, in collaboration with the artist Amà ©dà ©e Ozenfant, a new theory: Purism. Purist rules would lead the architect always to refine and simplify design, dispensing with ornamentation. Architecture would be as efficient as a factory... Free Essays on Le Corbusier Free Essays on Le Corbusier Le L’Esprit Nouveau Le Corbusier is without doubt the most influential, most admired, and most maligned architect of the twentieth century. Through his writing and his buildings, he is the main player in the Modernist story, his visions of homes and cities as innovative as they are influential. Many of his ideas on urban living became the blueprint for post-war reconstruction, and the many failures of his would-be imitators led to Le Corbusier being blamed for the problems of western cities in the 1960s and 1970s. Like Ludwig Mies Van Der Rohe, and other architects of his generation, Le Corbusier had little architectural training. But he did have a strong conviction that the twentieth century would be an age of progress: an age when engineering and technological advances, and new ways of living, would change the world for good. Only architecture was failing to embrace the future, as new buildings continued to ape various historical styles. In 1908, Le Corbusier went to work with Auguste Perret, the French architect who had pioneered the use of reinforced concrete, and then Peter Behrens, the German exponent of ‘industrial design’. Behrens admired the engineer’s ethic of mass production, logical design, and function over style, and Corbusier brought two of these early influences together in his ‘Maison Dom-Ino’ plan of 1915. This house would be made of reinforced concrete and was intended for mass production, but was also flexible: none of the walls were load-bearing and so the interior could be re-arranged as the occupant wished. A House Is A Machine For Living In By 1918, Corbusier’s ideas on how architecture should meet the demands of the machine age led him to develop, in collaboration with the artist Amà ©dà ©e Ozenfant, a new theory: Purism. Purist rules would lead the architect always to refine and simplify design, dispensing with ornamentation. Architecture would be as efficient as a factory...

Nuclear Isomer Definition and Examples

Nuclear Isomer Definition and Examples Nuclear Isomer Definition Nuclear isomers are atoms with the same mass number and atomic number, but with different states of excitation in the atomic nucleus. The higher or more excited state is called a metastable state, while the stable, unexcited state is called the ground state. How They Work Most people are aware electrons can change energy levels and be found in excited states. An analogous process occurs in the atomic nucleus when protons or neutrons (the nucleons) become excited. The excited nucleon occupies a higher energy nuclear orbital. Most of the time, the excited nucleons return immediately to the ground state, but if the excited state has a half-life longer than 100 to 1000 times that of normal excited states, it is considered a metastable state. In other words, the half-life of an excited state is usually on the order of 10-12 seconds, while a metastable state has a half-life of 10-9 seconds or longer. Some sources define a metastable state as having a half-life greater than 5 x 10-9 seconds to avoid confusion with the half-life of gamma emission. While most metastable states decay quickly, some last for minutes, hours, years, or much longer. The reason metastable states form is because a larger nuclear spin change is needed in order for them to return to the ground state. High spin change makes the decays forbidden transitions and delays them. Decay half-life is also affected by how much decay energy is available. Most nuclear isomers return to the ground state via gamma decay. Sometimes gamma decay from a metastable state is named isomeric transition, but its essentially the same as normal short-lived gamma decay. In contrast, most excited atomic states (electrons) return to the ground state via fluorescence. Another way metastable isomers can decay is by internal conversion. In internal conversion, the energy that is released by the decay accelerates an inner electron, causing it to exit the atom with considerable energy and speed. Other decay modes exist for highly unstable nuclear isomers. Metastable and Ground State Notation The ground state is indicated using the symbol g (when any notation is used). The excited states are denoted using the symbols m, n, o, etc. The first metastable state is indicated by the letter m. If a specific isotope has multiple metastable states, the isomers are designated m1, m2, m3, etc. The designation is listed after the mass number (e.g., cobalt 58m or 58m27Co, hafnium-178m2 or 178m272Hf). The symbol sf may be added to indicate isomers capable of spontaneous fission. This symbol is used in the Karlsruhe Nuclide Chart. Metastable State Examples Otto Hahn discovered the first nuclear isomer in 1921. This was Pa-234m, which decays in Pa-234. The longest-lived metastable state is that of 180m73 Ta. This metastable state of tantalum has not been seen to decay and appears to last at least 1015 years (longer than the age of the universe). Because the metastable state endures so long, the nuclear isomer is essentially stable. Tantalum-180m is found in nature at an abundance of about 1 per 8300 atoms. Its thought perhaps the nuclear isomer was made in supernovae. How They Are Made Metastable nuclear isomers occur via nuclear reactions and can be produced using nuclear fusion. They occur both naturally and artificially. Fission Isomers and Shape Isomers A specific type of nuclear isomer is the fission isomer or shape isomer. Fission isomers are indicated using either a postscript or superscript f instead of m (e.g., plutonium-240f or 240f94Pu). The term shape isomer refers to the shape of the atomic nucleus. While the atomic nucleus tends to be depicted as a sphere, some nuclei, such as those of most actinides, are prolate spheres (football-shaped). Because of quantum mechanical effects, de-excitation of excited states to the ground state is hindered, so the excited states tend to undergo spontaneous fission or else return to the ground state with a half-life of nanoseconds or microseconds. The protons and neutrons of a shape isomer may be even further from a spherical distribution than the nucleons on the ground state. Uses of Nuclear Isomers Nuclear isomers may be used as gamma sources for medical procedures, nuclear batteries, for research into gamma ray stimulated emission, and for gamma ray lasers.

Global Human Resource Managemenet Stratgy Assignment

Global Human Resource Managemenet Stratgy - Assignment Example The report ends with the recommendations that are very important for the new venture to incorporate in its work plan. The report aims at delivering a recommendation report to Human Resource director of Hilton Hotels Corporation. It highlights the internal evaluation of strategies adopted by Hilton Hotels Corporation and examines requirements of a new joint venture that is planned in China. In China, Hilton Group has already established their hotels as Hilton China, but they have concentrated in entering into a joint venture with Swire Hotels in Mainland China. Thus, the report elaborates human resource requirements for the new joint venture in China. Hospitality industry includes wide range of services like event planning, lodging, transportation and hotels. The growth in revenue in this particular sector depends on the availability of the disposable income and leisure time of the individuals. The global hospitality industry has encountered growth for the last five years due to the increase in demand for different services. The following graph indicates the trend of demand and supply in this particular industry for the last five years. From the above figure it can be depicted that the demand for the hospitality services were much less than that of the supply of the same. The reason behind this difference in demand and supply can be stated as the decrease in disposable income of the individual globally. Disposable income is the main driver to boost revenue in this industry. The leisure time also plays an important role for governing the increase or decrease in demand for services in this sector; as with the increase in competition worldwide people have become more conscious regarding their job and thus they do not get much time to spend with their family. For example, if the hotel sector is taken into account it can be stated that with the rise in price of the hotel rooms the demand

Case Essay Example | Topics and Well Written Essays - 500 words - 9

Case - Essay Example Moore Tires offered Jonathan, who was an employee and owner of Morecedes Tires an employment opportunity that he agreed to. While conducting his routine responsibilities within the new job, the claimant was an employee of Moore Tires and not Morecedes tires, where he had previously worked. While undertaking his duties there, the claimant was injured and sustained significant injuries to his body. As Jonathan was unhooking a trailer, a jack handle from the trailer struck him. He suffered from various broken bones on his face as well as a detached retina. Despite having sustained injuries while undertaking his routine activities, Jonathan was not compensated by Moore tires for these injuries. To determine the status of employment of the claimant to the organisation (Moore Tires), during the time when he sustained injuries, and whether he was undertaking the job that he was supposed to be doing within the company. The kind of claim that Jonathan is seeking can only be made to individuals who are employees of the company and this can be proved. The form of agreement that the claimant had with Moore Tires has not been clearly defined as a formal agreement or an informal agreement. As the proprietor of Morecedes Tires, the claimant had been undertaking other duties assigned by Moore Tires and was paid through Morecedes, which was an independent company. The activities that he was undertaking when he sustained the injuries could similarly be on the same capacity and this has not been defined. The employment contract must be produced to show evidence that the claimant was actually an employee of Moore Tires and not an independent contractor. There is also need to determine the employer’s right of control in the work relationship that existed between the claimant and the employer (Miller, 2012). If the control of the employment terms and condition of work lies within the employer, then the claims that are being made by

The oldest and strongest emotion of mankind is fear Essay Example for Free

The oldest and strongest emotion of mankind is fear Essay â€Å"The oldest and strongest emotion of mankind is fear.† I bet no person will disagree to this statement. We all have fears. Some would admit it, most prefer hiding it. The fears we have inside serve as our weakness in our times of strong points. Facing and conquering these fears is the ultimate key to eradicate these frightening feelings inside us. To start with, what is fear? According to Encarta 2008, â€Å"fear is an unpleasant feeling of anxiety or apprehension caused by the presence or anticipation of danger†. When an individual felt a threat, he/she is having fear towards that object or situation. I remember my first conscious encounter with â€Å"fear.† it happened during my first audition in a declamation contest. I prepared for it for two weeks. I made sure that I had memorized every line and word and its corresponding actions. On the actual contest, I was the third to present and I readied myself. After the second declaimer was called to the stage, I experienced something different. I noticed that my heart beat faster than the usual. My hands were fidgeting and sweating. I felt my stomach turning and had the feeling of throwing up. When I was called, all I did was stood, looked at the audience and judges, and stared my piece. Sad to say, I was not able to finish my piece because I forgot most of the lines and my whole body was trembling. After the contest, my mother told me that I looked very â€Å"fearful† in the stage. I admitted it to my mother, of course. The signs and symptoms I experienced are some indicators that fear is already happening inside you. When a person feels fearful, he/she is feeling anxious. Anxiety is an â€Å"emotional  state  in  which people feel uneasy, apprehensive, or fearful† based on Encarta Encyclopedia 2008. Usually, people are aware of what causes their fear. For example, I would feel different whenever I came close to a high place. Some interchange the word fear and anxiety but they describe the same thing. However, fear emphasizes the want of a person to escape the situation that entails danger. When people feel threaten by a specific object or event, it became a phobia. Phobia is defined in Encarta Encyclopedia as an â€Å"intense and persistent fear of a specific object, situation, or activity.† Phobias are further divided into three categories: simple, agoraphobia, and social phobia. Simple phobia refers to fears of specific things or situations. I have a fear of cockroaches. I screech and run away whenever I see them on streets or at home. I recalled the moments when I and cockroaches are still â€Å"friends† (you read it right). When we were still living in an apartment, a lot of cockroaches lived with us. They even crawled on my legs but I just let them do it because it felt good and ticklish. When we moved into our new home, my mom told me that cockroaches are dirty creatures that transmit diseases. She said I should exterminate them if ever I see one. From that moment, I became scared of my â€Å"ex-friends† and tried to avoid them as much as possible. I cannot kill them using my footwear because its germs will just transfer to me and that would worsen everything! Another simple phobia I have is of heights. A third floor of any building could make my legs and shoulders tremble. This was formed when I we went to a swimming reunion. I was suddenly thrown into the pool and almost drowned because it was 6 feet high! Ever since, heights are a no-no for me. The second kind of phobia is agoraphobia, fear of open, public places and situations. These include being in crowded places or public vehicles. I also have this. I rarely went to any huge gatherings like concerts or assembly because I feel so inferior and vulnerable. People made me consider that escaping will be very difficult. Social phobia is the third kind and usually happens to teenagers. It is when you feel foolish during social events. I have a great fear of rejection from other people. This is the reason why I am a shy person. I do not like meeting up and chatting with people personally. Once when I was in grade school, my classmates would laugh at me when I was introducing myself to class. Ever since, I dislike and fear present myself to a crowd of people. I felt that they would stare at me and laugh at the same time. These fears greatly affected how I manage my life as a person right now. I prefer to be alone of the most of the time. I faced my problems alone and rarely asking for help. This could be a result of having a fear to socialize to other. Then, I realized that when I kept in living inside my own shell, I will not appreciate the individuals surrounding me. They might actually help me solve my conflicts and guide me to become a better person. Trust is what I have learned by facing and conquering my fears. I never took risks in my life because I fear that I would fail and become a loser all my life. However, there are individuals who assisted me to come out of my shell and conquer my fears. I am grateful of them. Fears made individuals imperfect. It shows the limitations of the human race. We should learn from Viktor’s story that running away from our fear would not make our lives better. The courage to confront it is an approach we can use to fight our fears. Remember, there is nothing to fear but fear itself. Courage is not the lack of fear, but the ability to face it. Works Cited Bufka, Lynn F., and Barlow, David H. Anxiety. Microsoft ® Encarta ® 2009 [DVD]. Redmond,   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   WA: Microsoft Corporation, 2008.

The Line between Democracy and Totalitarianism in Lord of the Flies Ess

Golding immediately shows how voting procedures of a democratic society can help stop evil from taking over. During the first encounter between Jack and his choirboys and Ralph and his group, it becomes clear the differences in between both groups. Jack, during the first meeting, yells at the boys to â€Å"Stand Still!†(Golding 20) and even when â€Å"one of the boys flopped on his face in the sand† he makes the others choirboys move â€Å"the fallen boy to the platform and let him lie† (Golding 20). With this brief peek into the leadership of Jack, it is evident that Jack has no concern for the common men in his choir, furthering the illusion of his dictatorial skills. The theme of leaving the masses of common citizens uncared for, while the elites are given exclusive powers is a major notion of the totalitarian government. When these boys see how mistreated Jack’s choirboys are, the vote for chief is affected. When Ralph asks, â€Å"Who wants Jack for chief?† the choirboys â€Å"With dreary obedience [they] raised their hands†(Golding 23). Then, when Ralph asked, â€Å"Who wants me? Every hand outside the choir except Piggy’s was raised immediately. Then Piggy, too, raised his hand†(Golding 23). Evident here is how the public and Golding perceive the two contradicting types of government. This tiny glimpse shows that even when a dictator has all the power over his citizens, he cannot beat a democratically elected leader in an election. The undertone of this situation shows that citizens prefer a democratic leader that they elect than somebody who attempts to usurp the throne. While this was only the first time the two sides meet, the two sides only become more distanced by every time they meet. Furthermore, Golding uses frequent meetings to further es... ... until â€Å"the prodding became rhythmic†(Golding 182). Then, â€Å"Roger advanced upon them as one wielding a nameless authority† (Golding 182). Samneric, in this situation, are illusions to the political opposition that are present in most totalitarian societies. Samneric are treated as political prisoners and bullied into keeping their mouths shut about their views and into accepting the new leader’s way of ruling, which is with an iron, unyielding fist. Golding, in this situation, tries to show the reader how a totalitarian government does not allow any opposition to the official government’s idea. If a person disagrees with the government, then it is better to keep that opinion to their self or face severe backlash from the government. All in all, Jack’s newly increased tribe only happened due to Jack using fear and brutality as a means to keep his tribe in line.

Attributes of Allah

Allah is the proper name of God, however, we know Him generally through His attributes. These attributes describe how Allah manifests Himself to us. God's attributes are innumerable since human intellect cannot possibly comprehend every aspect of the Supreme Being. A Hadith of the Holy Prophet (peace be on him) makes mention of Ninety Nine names of Allah commonly known as al- Asmaul Husna, the Most Names. In the Holy Quran we read: â€Å"And to Allah alone belong all perfect attributes. So call Him by these. And leave alone those who deviate from the right way with respect to His Attributes. † (7:181). â€Å"Allah – there is no God but He, the Living, the Self-Subsisting and All-Sustaining. Slumber seizes Him not, nor sleep. To Him belongs whatsoever is in the heavens and whatsoever is in the earth. Who is he that will intercede with Him except by His permission? He knows what is before them and what is behind them; and they encompass nothing of His knowledge except what He pleases. His knowledge extends over the heavens and the earth; and the care of them burdens Him not;and He is the High, the Great. † (2:256) Allah is the Light of the heavens and the earth. The similitude of His light is a lustrous niche, wherein is a lamp. The lamp is in a glass. The glass is as it were a glittering star. It is lit from blessed tree – an olive – neither of the east nor of the west, whose oil would well-nigh glow forth even though fire touched it not. Light upon light! Allah guides to His light whomsoever He will. And Allah sets forth parables to men, and Allah know all things full well. This light is now lit in houses with regard to which Allah has ordained that they be exalted and that His name be remembered in them, Therein is He glorified in the mornings and the evenings (24:36-37) â€Å"He is Allah, and there is no God beside Him, the Knower of the unseen and the seen. He is Gracious, the Merciful. He is Allah, and there is no God beside Him, the Sovereign, the Holy One, the Source of Peace, the Bestower of Security, the Protector, the Mighty, the Subduer, the Exalted. Holy is Allah far above that which they associate with Him. He is Allah, the Creator, the Maker, the Fashioner. His are the most Beautiful Names. All that is in the heavens and the earth glorifies Him, and He is the Mighty the Wise. (59: 23-25) Abu Huraira (may Allah be pleased with him) narrated: The Holy Prophet (Peace and Blessings of Allah be upon him) said, â€Å"Allah has ninety nine Names, one hundred less one; and who memorized them all by heart will enter Paradise. † (Bukhari, The Book of Tauhid.

Safety Training

OSHAcademy Course 755 Study Guide Copyright 2011 Geigle Communications LLC OSHAcademy Course 755 Study Guide OSHAcademy Course 755 Study Guide BLOODBORNE PATHOGENS Copyright (c) 2000-2011 Geigle Communications, LLC. No portion of this text may be reprinted for other than personal use. Any commercial use of this document is strictly forbidden. Contact the author to arrange for use as a training document. This study guide is designed to be reviewed off-line as a tool for preparation to successfully complete OSHAcademy Online Course 724. which will contain the correct answers to the questions. The final exam will contain questions taken from each module quiz. I hope you enjoy the course and if you have any questions, feel free to email or call: Read each module, answer the quiz questions, and return online to submit the quiz. Print the quiz response screen Steven Geigle, M. A. , CET, CSHM Geigle Safety Group Inc. 515 NW Saltzman Road #767 Portland, Oregon 97229 www. oshatrain. org www. cshmprep. com [email  protected] net 503. 292. 0654 Copyright 2011 Geigle Communications LLC OSHAcademy Course 755 Study Guide Course Introduction Why do I need to learn about the risk of occupational exposure to bloodborne pathogens? OSHA estimates more than 5. 6 million workers are at risk of occupational exposure to bloodborne pathogens. All occupational exposure to blood or other potentially infectious materials (OPIM) place workers at risk for infection with bloodborne pathogens. Workers in many different occupations are at risk of exposure to bloodborne pathogens, including Hepatitis B, Hepatitis C, and HIV/AIDS. First aid team members, housekeeping personnel in some settings, nurses and other healthcare providers are examples of workers who may be at risk of exposure. Copyright 2011 Geigle Safety Group Inc. 1 OSHAcademy Course 755 Study Guide MODULE 1: WHAT ARE BLOODBORNE PATHOGENS? What are bloodborne pathogens? Bloodborne pathogens are infectious materials in blood that can cause disease when transmitted from an infected individual to another individual through blood and certain body fluids. Bloodborne pathogens are capable of causing serious illness and death. The most common illness caused by bloodborne pathogens are hepatitis B (HBV), hepatitis C (HCV, and acquired immunodeficiency syndrom (AIDS) from HIV, or human immunodeficiency virus. Who is covered by OSHA's Bloodborne Pathogens standard? The standard applies to all employees who have occupational exposure to blood or other potentially infectious materials (OPIM). ? Occupational exposure is defined as â€Å"reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or OPIM that may result from the performance of the employee's duties. † ? Blood is defined as human blood, human blood components, and products made from human blood. ? Other potentially infectious materials (OPIM) means: a. The following human body fluids: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids; b. Any unfixed tissue or organ (other than intact skin) from a human (living or dead); and Copyright 2011 Geigle Safety Group Inc. 2 OSHAcademy Course 755 Study Guide c. HIV-containing cell or tissue cultures, organ cultures, and HIV- or HBV-containing culture medium or other solutions; and blood, organs, or other tissues from experimental animals infected with HIV or HBV. The following references aid in recognizing workplace hazards associated with bloodborne pathogens. What is the purpose of OSHA's Bloodborne Pathogens standard? The purpose of the standard is to minimize or eliminate occupational exposure to disease-carrying microorganisms or â€Å"pathogens† that can be found in human blood and body fluids. Who must be trained under OSHA's Bloodborne Pathogens standard? OSHA has mandated annual training is required for all employees with potential occupational exposure. This means if there is a reasonable possibility an employee might be exposed to blood or other potentially infectious bodily fluids, they must receive training to minimize or eliminate their risk to potential exposure. What are the primary bloodborne pathogens? The primary bloodborne pathogens are: ? ? ? Hepatitis B Virus (HBV) Hepatitis C Virus (HCV) Human Immunodeficiency Virus (HIV) Other commonly recognized pathogens transmitted by body fluids include: ? ? ? West Nile Virus Malaria Syphilis OSHA has determined employers can minimize or even eliminate occupational bloodborne hazards by developing and enforcing a combination of exposure control strategies which work for all bloodborne diseases. It is not enough for an employer to provide bloodborne pathogens training; they must also have a formal exposure control plan documented and implemented. Training Is Not Enough; An Employer Must Implement A Formal Exposure Control Plan Copyright 2011 Geigle Safety Group Inc. 3 OSHAcademy Course 755 Study Guide Scenario Stanley is an employee for a small manufacturing company. One of Stanley's job responsibilities is to respond to medical emergencies that might happen in the warehouse. Stanley has worked for his employer for five years and has never had to respond to an emergency. Does Stanley still need to receive annual bloodborne pathogens training? Yes! The frequency in which an employee is exposed to potential bloodborne pathogens is not the standard used to determine the need for training. Because there is a reasonable possibility that Stanley might be exposed to bloodborne pathogens as an employee, he must receive annual training. Neither Stanley nor his employer can predict when he might need to provide emergency medical care. Copyright 2011 Geigle Safety Group Inc. 4 OSHAcademy Course 755 Study Guide MODULE 1 QUIZ 1. As part of Kevin's job he is required to provide emergency first aid to employees that become injured or ill while at work. What are the three primary bloodborne pathogens Kevin must be aware of due to occupational exposure? a. West Nile Virus, Influenza, and MalariaUrgent and immediate lifesaving and other measures, which can be performed for injured or ill persons by nonmedical personnel when medical personnel are not immediately available. . Hepatitis B, Syphilis, and Malaria c. Hepatitis B, Hepatitis C, and Human Immunodeficiency Virus d. Human Immunodeficiency Virus, Influenza, and Small Pox 2. Samantha is an employee covered by the OSHA Bloodborne Pathogens Standard 29 CFR 1910. 1030. How often must she complete bloodborne pathogen training? a. once b. annually c. every 2 years d. every 4 years 3. What is the purpose of OSHA's Bloodborne Pathogens standard? a. To ensure that companies don't unnecessarily train employees about bloodborne pathogens. b. To minimize or eliminate occupational exposure to pathogens that can be found in inorganic matter. c. To minimize or eliminate occupational exposure to disease-carrying microorganisms or â€Å"pathogens† that can be found in human blood and body fluids. d. To increase the likelihood that employees are exposed to bloodborne pathogens. Copyright 2011 Geigle Safety Group Inc. 5 OSHAcademy Course 755 Study Guide 4. Who is covered by OSHA's Bloodborne Pathogens standard? a. Only public employees b. Only EMT's, Nurses, and Doctors. c. Employees who DO NOT have occupational exposure to blood or other potentially infectious materials (OPIM). d. All employees who have occupational exposure to blood or other potentially infectious materials (OPIM). . In regards to OSHA's Bloodborne Pathogens Standard, occupational exposure is defined as: _______. a. reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or OPIM that may result from the performance of the employee's duties b. reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or OPIM while at home c. exposing your employer to legal liability d. skin contact with chemical solutions while in the performance of the employee's duties Copyright 2011 Geigle Safety Group Inc. 6 OSHAcademy Course 755 Study Guide MODULE 2: SPECIFIC BLOODBORNE PATHOGENS Hepatitis B Virus (HBV) The Hepatitis B virus (HBV) is one of the primary causes of Hepatitis, an infection which causes inflammation of the liver. Complications of Hepatitis include cirrhosis of the liver, liver cancer, and liver failure. There is no known cure for the Hepatitis B virus. In the United States, approximately 15 to 25 percent of people infected with HBV will die because of the illness. Hepatitis B can be either acute or chronic. ? Acute Hepatitis B virus infection is a short-term illness that occurs within the first 6 months after someone is exposed to the Hepatitis B virus. Acute infection can, but does not always, lead to chronic infection. Chronic Hepatitis B virus infection is a long-term illness that occurs when the Hepatitis B virus remains in a person's body. Chronic Hepatitis B is a serious disease that can result in longterm health problems, and even death. Symptoms of HBV Symptoms of HBV infection include, but are not limited to: ? ? ? ? ? ? Loss of appetite Fatigue Fever Nausea, vo miting and/or abdominal pain Joint pain Jaundice seen in the eyes Jaundice, a symptom of hepatitis B, often first appears in the eyes Jaundice, also called icterusis, is a yellowing of the skin or eyes and occurs in the more serious phase of Hepatitis B virus. Hepatitis B can damage the liver, resulting in decreased liver function. As the Copyright 2011 Geigle Safety Group Inc. 7 OSHAcademy Course 755 Study Guide liver's ability to filter waste from the blood decreases, the concentration of waste in the blood increases. Only about 50 to 60 percent of individuals infected with Hepatitis B virus show symptoms. It is important to understand even without symptoms, HBV-infected individuals are still infectious to others. Exposure An exposure that might place a worker at risk for HBV, HCV, or HIV infection is defined as: 1. a percutaneous injury (e. . , a needlestick or cut with a sharp object); or 2. contact of mucous membrane or nonintact skin (e. g. , exposed skin that is chapped, abraded, or afflicted with dermatitis) with blood, tissue, or other body fluids that are potentially infectious. Indirect exposure from contaminated objects is a risk, because Hepatitis B virus can remain infectious on environmental surfaces for up to a week (7 days ) in the form of dried blood. This means you must always treat blood, wet or dry, as infectious! Vaccination A vaccination to prevent Hepatitis B virus infection is available. The Hepatitis B vaccine series is a sequence of three shots, typically given one month apart, that stimulate a person's natural immune system to protect against the virus. After the vaccine is given, the body makes antibodies to protect a person against the virus. Antibodies are specialized proteins found in the blood that produce an immune response to a virus invading the body. These antibodies are stored in the body to guard against future infections. They will fight off an infection if a person is exposed to the Hepatitis B virus in the future. Copyright 2011 Geigle Safety Group Inc. OSHAcademy Course 755 Study Guide Scenario Michelle is a custodian in a public elementary school. At the end of each school day, she cleans and vacuums the building, including the schools health room. While cleaning the health room she notices some dried blood on the floor. Should Michelle be concerned about exposure to Hepatitis B virus? Yes. Any blood, wet or dry, has the potential to carry infectio us Hepatitis B virus. As a result, Michelle must take precautions to prevent potential exposure to bloodborne pathogens, including Hepatitis B virus. Hepatitis C Virus (HCV) The Hepatitis C virus (HCV) is also a significant cause of severe liver damage and death. Although only 849 cases of confirmed acute Hepatitis C were reported in the United States in 2007, Center for Disease Control (CDC) estimates approximately 17,000 new Hepatitis C virus infections occurred that year, after adjusting for asymptomatic infection and underreporting. Persons newly infected with Hepatitis C virus are usually asymptomatic, so acute Hepatitis C is rarely identified or reported. Approximately 3. 2 million persons in the United States have chronic Hepatitis C virus infection. Chronic Hepatitis C virus infection accounts for an estimated 8,000-10,000 deaths each year in the United States. Approximately 5% of people infected with Hepatitis C virus die as a result of the long term damage caused to the liver and body. Approximately 70%-80% of people with acute Hepatitis C do not have any symptoms. Some people, however, can have mild to severe symptoms soon after being infected, including: ? ? ? ? Fever Fatigue Loss of appetite Nausea Copyright 2011 Geigle Safety Group Inc. 9 OSHAcademy Course 755 Study Guide ? ? ? ? ? ? Vomiting Abdominal pain Dark urine Clay-colored bowel movements Joint pain Jaundice (yellow color in the skin or eyes) If symptoms occur, the average time is 6-7 weeks after exposure, but this can range from 2 weeks to 6 months. However, many people infected with the Hepatitis C virus do not develop symptoms. Hepatitis C virus-infected individuals are infectious to other people, whether they show symptoms or not. Interestingly, Hepatitis C virus is strictly a human disease. It is not known to cause disease in any animals. Blood testing for Hepatitis C virus was not available until 1992. As a result, blood donation agencies did not screen for Hepatitis C virus. Many Hepatitis C virus infections occurred as a result of receiving blood products from infected individuals. Today, testing for Hepatitis C is common place and should occur after any exposure to potential bloodborne pathogens has occurred. There is no vaccine for Hepatitis C. Scenario Manuel is a nurse working nights in the local hospital. During a shift in the emergency department he is stuck with a used needle that punctures his skin and draws blood. Is Manuel at risk for contracting Hepatitis C? Yes. After a needlestick or sharps exposure to Hepatitis C-positive blood, the risk of infection is approximately 1. 8%. Manuel should immediately report the potential exposure and follow his employer's exposure control plan to ensure he receives proper medical treatment and testing. Copyright 2011 Geigle Safety Group Inc. 10 OSHAcademy Course 755 Study Guide There are approximately 200 million people worldwide infected with the Hepatitis C virus. Hepatitis C infections are treated with antiviral drugs, such as interferon. As of 2004, approximately 63% of Hepatitis C virus patients could expect to be cured of the virus. Any blood spills – including dried blood, which can still be infectious – should be cleaned using a dilution of one part household bleach to 10 parts water. Gloves should be worn when cleaning up blood spills. Human Immunodeficiency Virus (HIV) The Human Immunodeficiency Virus (HIV) is the virus responsible for causing Acquired Immunodeficiency Syndrome (AIDS). The HIV virus was originally identified on December 1st, 1981. At the end of 2006, an estimated 1. 1 million persons in the United States were living with diagnosed or undiagnosed HIV/AIDS. In 2007, 42,655 new cases of HIV/AIDS in adults, adolescents, and children were diagnosed. Almost 5,500 people die every day due to AIDS. AIDS caused 2 million deaths in 2008. An estimated 25 million people have died from HIV-related causes since the beginning of the pandemic. The Human Immunodeficiency Virus attacks and suppresses the immune system, reducing a person's ability to fight infection. The virus specifically targets the cells crucial for fighting infection from pathogens. This allows diseases and infections to progress without resistance. Within a few weeks of being infected with HIV, some people develop flu-like symptoms that last for a week or two, but others have no symptoms at all. People living with HIV may appear and feel healthy for several years. However, even if they feel healthy, HIV is still affecting their bodies. Untreated early HIV infection is also associated with many diseases including cardiovascular disease, kidney disease, liver disease, and cancer. Copyright 2011 Geigle Safety Group Inc. 11 OSHAcademy Course 755 Study Guide Scenario Stacy is a police officer employed by the city of Denver, Colorado. She is regularly required to respond to emergency medical situations, often arriving before the local ambulance company. As a result, Stacy is frequently exposed to human blood. Is Stacy likely to contract HIV from exposure to infected blood? No. As long as Stacy follows universal precautions she is not likely to contract HIV. Universal precautions involve the use of protective barriers such as gloves, gowns, aprons, masks, or protective eyewear, which can reduce the risk of exposure of the first aid provider's skin or mucous membranes to potentially infective materials. It can take many years before an HIV-infected person displays symptoms of the disease. Symptoms include: ? ? ? ? ? ? ? Enlarged lymph nodes Fatigue Frequent fevers Persistent or frequent yeast infections of the mouth or vagina Persistent or frequent skin rashes Short-term memory loss Weight loss Enlarged liver and spleen As with Hepatitis B virus and Hepatitis C virus, it is important to understand that individuals with HIV are potentially infectious to others, even though they may have no observable symptoms. Presently, there is no kn own cure for HIV. Although the life expectancy for HIV-infected individuals has increased due to recent advances in treatment, the end result of HIV/AIDS is premature death. Copyright 2011 Geigle Safety Group Inc. 12 OSHAcademy Course 755 Study Guide HIV cannot reproduce outside the human body. It is not spread by: ? ? ? ? ? Air or water. Insects, including mosquitoes. Studies conducted by CDC researchers and others have shown no evidence of HIV transmission from insects. Saliva, tears, or sweat. There is no documented case of HIV being transmitted by spitting. Casual contact like shaking hands or sharing dishes. Closed-mouth or â€Å"social† kissing. All reported cases suggesting new or potentially unknown routes of transmission are thoroughly investigated by state and local health departments with assistance, guidance, and laboratory support from CDC. Disease Comparison Of the three major bloodborne pathogens, Hepatitis B virus is the most contagious. Approximately 33% of individuals exposed to Hepatitis B virus will become infected. Of those individuals exposed to Hepatitis C virus, only about 2% will become infected. Comparatively, Human Immunodeficiency Virus is much less contagious than either form of hepatitis. About 0. 33%, or 1 in 300, people exposed to HIV will become infected with the virus. Despite these statistics, every exposure has the potential to transmit bloodborne pathogens and must be considered significant. Copyright 2011 Geigle Safety Group Inc. 3 OSHAcademy Course 755 Study Guide MODULE 2 QUIZ 1. The Hepatitis B virus (HBV) may remain infectious on contaminated objects or surfaces for up to: _______. a. b. c. d. 3 hours 24 hours 3 days 7 days 2. What percentage of individuals infected with Hepatitis B virus display symptoms? a. b. c. d. 10-15% 25-35% 50-60% 80-90% 3. There are approximately __________ people w orldwide infected with the Hepatitis C virus. a. b. c. d. 5 million 75 million 200 million 1 billion 4. Which of the three major bloodborne pathogens is the most contagious, with 33% of those exposed becoming infected? a. b. c. d. Hepatitis B virus (HBV) Hepatitis C virus (HCV) Human Immunodeficiency Virus (HIV) H1N1 Influenza (Swine Flu) 5. HIV is not spread by: _______. a. b. c. d. saliva, tears, or sweat casual contact like shaking hands or sharing dishes closed-mouth or â€Å"social† kissing all of the above Copyright 2011 Geigle Safety Group Inc. 14 OSHAcademy Course 755 Study Guide MODULE 3: Transmitting Bloodborne Pathogens Fluids that Spread Bloodborne Pathogens The transmission of bloodborne pathogens from one person to another occurs through the transfer of infected body fluids. Common body fluids which can transmit pathogens include† ? ? ? blood cerebral spinal fluid semen vaginal secretions Semen and vaginal secretions can transmit bloodborne pathogens, but only during sexual contact. Wearing disposable gloves can help protect you from accidental exposure to bloodborne pathogens. Fluids that Do Not Spread Bloodborne Pathogens Some body fluids have no documented risk of transmitting pat hogens, including: ? ? ? ? sweat saliva urine feces Although the risk of contracting a pathogen from these bodily fluids might be low, you may not always be able to tell which fluids you are handling, or whether injury has mixed them with blood. For example, a severe abdominal injury could cause blood to be present in urine or feces. Therefore, it is best to protect yourself from ALL bodily fluids. Copyright 2011 Geigle Safety Group Inc. 15 OSHAcademy Course 755 Study Guide How Bloodborne Pathogens are Transmitted Non-occupational bloodborne pathogens are most commonly transmitted through: ? ? sexual contact; or sharing hypodermic needles. Occupational bloodborne pathogens are most commonly transmitted through: ? ? puncture wounds from a sharp or contaminated object, such as broken glass; or from a splash of blood to the mucous membranes of the eyes, nose, or mouth. Protect Yourself from All Bodily Fluids It's important to remember the Hepatitis B virus can remain infectious outside of the body for up to 7 days. For this reason, it is essential that cleanup and decontamination of contaminated objects and surfaces be performed as soon as possible. This will reduce the risk of indirect contact resulting in a bloodborne exposure incident. Understanding how bloodborne pathogens are transmitted will help reduce your risk of exposure and infection. Casual social contact, such as shaking hands, hugging, or sharing a telephone or tool, does not transmit bloodborne pathogens. Direct contact with blood or other potentially infectious bodily fluid can cause an exposure incident. Indirect contact with a contaminated object, such as a countertop, bedding, or clothing, can also cause an exposure incident. Copyright 2011 Geigle Safety Group Inc. 16 OSHAcademy Course 755 Study Guide Scenario Jasmine is a daycare worker taking care of children between the ages of 6 months and 12 years. Kevin is a 3 year old child at the daycare center and has been complaining of a stomachache. Suddenly Kevin begins to vomit unexpectedly. After Kevin's parents have been called to pick him up, Jasmine is asked to clean up the mess. Should Jasmine be concerned about bloodborne pathogens? Yes! Although vomit is not documented as a risk for transmitting bloodborne pathogens, it is often impossible to determine if there is blood mixed in with the vomit. Even a very small amount of blood has the potential to transmit disease. You should always prevent contact with bodily fluids, regardless of whether blood is visible in the fluids. Copyright 2011 Geigle Safety Group Inc. 17 OSHAcademy Course 755 Study Guide MODULE 3: REVIEW QUIZ 1. Trent is an employee for a local ambulance company. As part of his job he is routinely exposed to blood and other bodily fluids. Which of the following could potentially transmit a bloodborne pathogen to Trent? a. b. c. d. Having blood splashed into his eyes Shaking a patient's hand Using the telephone at the hospital Pushing a wheelchair 2. Common body fluids which can transmit pathogens include: _______. a. b. c. d. blood and cerebral spinal fluid sweat and saliva semen and vaginal secretions both a and c 3. Some body fluids have NO documented risk of transmitting pathogens, including: _______. a. b. c. d. lood and cerebral fluid sweat, saliva, urine, and feces semen and vaginal secretions all of the above 4. Bloodborne pathogens are commonly transmitted through: _______. a. b. c. d. puncture wounds from sharp, contaminated objects. shaking hands hugging sharing a telephone 5. It is essential that cleanup and decontamination of contaminated objects and surfaces be performed as soon as possible. a. true b. false Copyright 2011 Geigle Safety Group Inc. 18 OSHAcademy Course 755 Study Guide MODULE 4: The Exposure Control Plan The Exposure Control Plan An employer exposure control plan (ECP) is a requirement of 29 CFR 1910. 030(c) of the Bloodborne Pathogens Standard established by the Occupational Safety and Health Administration (OSHA). The purpose of the ECP is to establish procedures to eliminate or minimize employee exposure to bloodborne pathogens. Does your employer have an ECP? A written ECP outlines the strategies necessary to eliminate or minimize employee occupational exposure to bloodborne pathogens. This site-specific plan identifies all employee classifications which have occupational exposure to bloodborne pathogens and other potentially infectious materials (OPIM). Additional components of an ECP are: ? ? ? ? Engineering and work practice controls Personal protective equipment (PPE) Housekeeping Containment and labeling of potentially infectious materials Site-Specific Methods Another key component of the ECP includes listing the site-specific methods by which the facility will reduce the employee risk. These methods include appropriate training, the communication of hazards, hepatitis B vaccinations for any employee who has occupational risk of exposure, methods for postexposure evaluation and follow-up, proper recordkeeping, and a sharps injury log. The final part of the plan describes the procedure for the investigation and evaluation of circumstances surrounding exposure incidents in order to quickly provide effective follow-up care to exposed employees. This investigation will also help each site team learn from accidents and establish new measures to prevent them from happening again. Copyright 2011 Geigle Safety Group Inc. 19 OSHAcademy Course 755 Study Guide Employees Must Have Access To Their Employer's Exposure Control Plan (ECP) The written exposure control plan must be accessible to all employees. It must be reviewed and updated annually or when alterations in procedures create the possibility of new occupational exposures. Additionally, non-managerial employees who provide direct patient care must be asked to provide input in the identification, evaluation, and selection of effective controls to isolate or remove bloodborne pathogens from the workplace. Scenario Steven is a new employee for AAA Manufacturing. He has been hired as a supervisor to oversee line production on the swing-shift. As a supervisor, he is expected to provide emergency medical care if an employee becomes injured or sick. Should Steven's position be classified as having occupational exposure to bloodborne pathogens? Yes. Although providing emergency medical care is not Steven's primary responsibility, it is part of his job classification. As a result, Steven does have the potential for occupational exposure to bloodborne pathogens. Steven's employer must ensure he has the proper training and equipment to provide medical care safely and with minimal risk of occupational exposure. Copyright 2011 Geigle Safety Group Inc. 20 OSHAcademy Course 755 Study Guide MODULE 4: REVIEW QUIZ 1. An exposure control plan must: _______. a. . c. d. be unique to each location or job site define the employees covered by the Bloodborne Pathogens Standard provide procedures for investigating and evaluating an exposure all of the above 2. The purpose of the Exposure Control Plan (ECP) is: _______. a. b. c. to establish procedures to create or increase employee exposure to bloodborne pathogens to help employees after they've b een exposed to blood borne pathogens to establish procedures to eliminate or minimize employee exposure to bloodborne pathogens to reduce the employers legal liability after an employee is exposed to blood borne pathogens . 3. The following is a component of an Exposure Control Plan (ECP): _______. a. b. c. d. the release of potentially infectious materials personal protective equipment (PPE) monetary controls purchasing controls 4. Employees must have access To their employer's exposure control plan (ECP). a. b. true false 5. When must an Exposure Control Plan (ECP) be reviewed and updated? a. Semi-annually and when alterations in procedures create the possibility of fewer occupational exposures. Annually or when alterations in procedures create the possibility of new occupational exposures. Every two years Every four years b. c. d. Copyright 2011 Geigle Safety Group Inc. 21 OSHAcademy Course 755 Study Guide MODULE 5: Recognize the Potential for Exposure Employer Responsibilities to Identify Jobs at Risk Employers must identify job classifications in which employees have occupational exposure, as well as the associated tasks and procedures in which there is a potential of exposure to blood or other infectious materials. Employers must review job classifications annually to ensure proper procedures and training is established. What jobs are most at risk of exposure? Occupations with a likely chance of occupational exposure include: ? ? ? ? ? ? ? ? ? first aid providers teachers daycare workers housekeepers lab workers firefighters Emergency Medical Technicians (EMTs) and paramedics law enforcement agents medical and dental personnel An employer must review every job classification and make a determination of the potential occupational exposure for that position. Failure to properly identify potential occupational exposure can result in warnings or fines issued by OSHA. If an occupational exposure does occur, it is important for you to follow the employer's written procedures for handling medical self-care and evaluation, as well as documenting the circumstances of the exposure. Copyright 2011 Geigle Safety Group Inc. 22 OSHAcademy Course 755 Study Guide Scenario Maria is an employee for a local hospital and works in their housekeeping department. Is it Maria's responsibility to know what her occupational exposure is? No. It is the employer's responsibility to ensure each employee is properly trained and understands their potential occupational exposure. Further, the employer is responsible for documenting the training and maintaining all associated records. Maria has the responsibility to follow the established procedures identified in her employer's exposure control plan and ask questions if needed. It is important to know if your job classification puts you at risk for occupational exposure. If your job classification does put you at risk, be aware that specific tasks or procedures in your job may still have the potential for exposure. Copyright 2011 Geigle Safety Group Inc. 23 OSHAcademy Course 755 Study Guide MODULE 5: REVIEW QUIZ 1. Sarah has just been assigned new job responsibilities after receiving a promotion at work. Where should Sarah look to determine if her new responsibilities create an occupational exposure to bloodborne pathogens? a. b. c. d. an employer provided list of job classifications job applications standard operating procedure employee handbook 2. How often must employers review job classifications to ensure proper procedures and training are established? a. b. c. d. every two years whenever the employer feels like it semi-annually annually 3. Occupations with a likely chance of occupational exposure include: _______. . b. c. d. first aid providers, teachers, and daycare workers housekeepers, lab workers, and fire fighters EMT's/paramedics, law enforcement agents, and medical/dental personnel all of the above 4. An employer must review every job classification and make a determination of the potential occupational exposure for that position. a. b. true false 5. Failure of an employer to prope rly identify potential occupational exposure can result in warnings or fines issued by OSHA. a. b. true false Copyright 2011 Geigle Safety Group Inc. 24 OSHAcademy Course 755 Study Guide MODULE 6: Exposure Control Methods Methods To Control The Risk Of Exposure The recommended infection-control concept called â€Å"Universal Precautions† advocates everyone's blood and body fluids be considered potentially infectious. This eliminates the difficulty in determining risk individually. Remember, although some bodily fluids have not been documented to transmit pathogens, it is sometimes impossible to tell if blood or another potentially infectious fluid is present. The two essential control strategies employees use to eliminate or minimize the transmission of bloodborne diseases in the workplace are: ? engineering controls, and work practice controls. Engineering Controls Engineering controls minimize exposure in the workplace either by removing or isolating the hazard, such as providing a sharps container for needles, splash guards, and mechanical pipetting devices. Engineering controls is all about the equipment used to minimize exposure. The Sharps container for needles is a good example of an eng ineering control. Employers will examine and maintain or replace engineering controls on a regularly scheduled basis. Work Practice Controls Work practice controls focus on the manner in which tasks are performed. For example, using disposable gloves when performing emergency care is considered a work practice control. Another example of work practice controls is to perform all actions involving potentially infectious material in such a way as to minimize splattering, splashing, and spraying. Proper handling and disposal of needles or sharps, contaminated bandages, gauze, or linens is also essential. Work practice controls is all about how tasks are performed to minimize exposure. Safe work practices include eliminating eating, drinking, smoking, applying make-up or lip balm, or handling contact lenses in locations with potentially infectious material. In healthcare facilities, Copyright 2011 Geigle Safety Group Inc. 25 OSHAcademy Course 755 Study Guide employees are prohibited from wearing artificial nails. Food and drink must not be kept in a refrigerator, freezer, shelf, or in the general area of where blood or other potentially infectious material are kept. Wash your hands! Hand washing after an exposure can reduce your risk of infection Your employer must provide readily accessible hand-washing facilities or antiseptic hand cleanser or wipes if hand-washing facilities are not available. Perform hand washing immediately after any exposure, even if you were wearing gloves. Vigorous scrubbing with soap or alcohol-based foam or gel and warm water is considered the most effective technique. This will further reduce your risk of infection resulting from an exposure. Practices that are completely prohibited in the workplace include: bending, recapping, and removing contaminated needles, shearing or breaking needles, and mouth pipetting or suctioning of potentially infectious material. Antiseptic hand cleaner in conjunction with clean cloth/paper towels or antiseptic towelettes are examples of acceptable alternatives to running water. However, when these types of alternatives are used, employees must wash their hands (or other affected areas) with soap and running water as soon as feasible. This alternative would only be acceptable at worksites where soap and running water are not feasible. Copyright 2011 Geigle Safety Group Inc. 26 OSHAcademy Course 755 Study Guide Scenario Dr. Kramer owns and operates a small dental clinic in San Francisco, CA. As part of her exposure control plan, she requires her employees to wash their hands before and after working with any patients. She also requires new gloves be used with every patient. Is this an example of engineering controls or work practice controls? Work practice controls Dr. Kramer is requiring her employees to do something to reduce the risk of occupational exposure. Work practice controls focus on the actions taken to minimize exposure. Copyright 2011 Geigle Safety Group Inc. 27 OSHAcademy Course 755 Study Guide MODULE 6: REVIEW QUIZ 1. The recommended infection-control concept called â€Å"Universal Precautions† advocates everyone's blood and body fluids be considered: _______. a. b. c. d. potentially non-infectious not harmful not infectious potentially infectious 2. The two essential control strategies employees use to eliminate or minimize the transmission of bloodborne diseases in the workplace are: _______. a. b. c. d. elimination and administrative controls substitution and elimination controls administrative and substitution controls engineering and work practice controls 3. Which of the following are work practice controls? a. b. c. d. Adding a sharps container to the bathroom. Using disposable gloves when performing emergency care. Adding a splash gaurd into an operating room. Both a and c. 4. Perform _______ immediately after any exposure, even if you were wearing gloves. . b. c. d. hand washing work practice controls engineering controls eye flushing 5. When exposed to bloodborne pathogens, antiseptic hand cleaner in conjunction with clean cloth/paper towels is only an acceptable alternative to washing your hands when soap and running water are not feasible. a. b. true false Copyright 2011 Geigle Safety Group Inc. 28 OSHAcademy Course 7 55 Study Guide MODULE 7: Personal Protective Equipment Using Personal Protective Equipment (PPE) Personal Protective Equipment (PPE) is specialized clothing or equipment that protects you from exposure to blood or other potentially infectious material. Personal protective equipment is designed to keep blood and other potentially infectious material away from your skin, eyes, and mouth Examples of PPE include: disposable gloves, gowns, laboratory coats, protective face shields, resuscitation masks or shields, and mouth pieces. Any equipment necessary to prevent exposure to blood or other potentially infectious material is considered PPE. Effective personal protective equipment must not allow potentially infectious materials to pass through or reach your skin, eyes, mouth, or clothes under normal conditions of use. General work clothes, such as uniforms, pants, shirts, or blouses, which are not intended to function as a protective barrier against hazards, are not considered to be PPE. Employer responsibilities An employer must ensure employees use appropriate personal protective equipment. Your employer must make PPE available to you in the appropriate size and at no cost. Nonlatex alternatives will also be made available to employees who have allergic sensitivity to latex. Employers must also properly clean, launder, repair, replace, or dispose of contaminated PPE as needed at no cost to the employee. Disposable Gloves Disposable gloves should be a standard component of emergency response and first aid equipment and should be worn by anyone initiating emergency care. It is best to always wear disposable gloves when providing first aid care. Copyright 2011 Geigle Safety Group Inc. 29 OSHAcademy Course 755 Study Guide Replace your gloves as soon as possible if they are torn, punctured, contaminated, or if their ability to function as a barrier is compromised. Remove contaminated gloves by turning them inside out. Be careful to prevent any splashing or spraying of potentially infectious material. You should always wash your hands after removing your gloves, even if you don't think they were contaminated. Pocket CPR Mask and Gloves Wear face shields when splashes, sprays, spatters, or droplets of infectious material pose a hazard to your eyes, nose, or mouth. It is always better to be prepared and wear a face shield if there is any chance of potential exposure to your eyes, nose, or mouth. Use a disposable ventilation mask or shield with a one-way valve to prevent an exposure when performing rescue ventilations during CPR. It is common for patients to vomit during CPR due to excess air in the stomach. Place contaminated protective equipment in appropriately designed areas or containers for cleaning or disposal. These areas or containers should be properly labeled and identified in your employer's exposure control plan. Scenario Sarah is a medical laboratory technician. As part of her job duties she analyzes blood and body fluid samples. Sarah was recently reprimanded for not wearing disposable gloves to perform her work duties. She tells her supervisor the gloves make it hard for her to handle the collection containers and that she would like to not be required to wear gloves. What should Sarah's supervisor tell her? Sarah's supervisor must tell her the use of personal protective equipment is not optional. She must wear the gloves. The supervisor should also ask Sarah if the gloves are the correct size and fit for her hands. If the gloves are not the correct size, then this issue must be resolved as well. Only under very rare circumstances can an employee decline the use of personal protective equipment. Copyright 2011 Geigle Safety Group Inc. 30 OSHAcademy Course 755 Study Guide MODULE 7: REVIEW QUIZ 1. Is it acceptable for an employee to take contaminated clothing home to be washed? a. b. c. yes no maybe . All of these are examples of personal protective equipment, EXCEPT: _______. a. b. c. d. disposable gloves laboratory coat thermometer safety glasses 3. When performing CPR, it is always best to: _______. a. b. c. d. wear disposable gloves use a ventilation mask or shield with a one-way valve be prepared for the patient to vomit all of the above 4. Remove contaminated gloves by: _______. a. b . c. d. cutting them off ripping them off turning them inside out pulling them off and spraying infectious material across the room 5. Place contaminated protective equipment in: _______. a. b. c. d. garbage bag laying on the floor a stainless steel garbage can with no garbage bag appropriately designed areas or containers for cleaning or disposal a plastic basket labeled â€Å"reuse† Copyright 2011 Geigle Safety Group Inc. 31 OSHAcademy Course 755 Study Guide MODULE 8: Hepatitis B (HBV) Immunization Getting vaccinated The best way to prevent Hepatitis B is by getting vaccinated. The Hepatitis B vaccine is considered one of the safest and most effective vaccines ever made. Numerous studies looking at the vaccine's safety have been conducted by the Centers for Disease Control and World Health Organization. Your employer must offer you a Hepatitis B vaccination series if you have a risk of occupational exposure to blood or other potentially infectious materials. Your employer must pay for the cost of the vaccination series. You must be offered the vaccination before you undertake tasks that expose you to potentially infectious materials, and at a reasonable time and location. Three shots! The Hepatitis B immunization series requires three separate injections The Hepatitis B vaccine is very effective in protecting against the Hepatitis B virus. Approximately 97 percent of people who receive the vaccine will become fully immune to the virus. It is given in a series of three shots. The entire series of shots is required to provide full immunity. The vaccine is safe with very few adverse reactions. Typical Vaccination Schedule: The first injection can be administered at any given time. The second injection must be given at least one month after the first, and the third injection must be given six months after the first. A licensed physician or other healthcare professional will perform or supervise the vaccinations. Your employer does not have to offer you the vaccination series if you have previously received the complete series or have tested as immune to HBV. Copyright 2011 Geigle Safety Group Inc. 32 OSHAcademy Course 755 Study Guide You can decline the vaccination for Hepatitis B after being informed of the risks and benefits. To do this, you must sign a declination form. If you initially decline the vaccination for Hepatitis B, you can later request it from your employer at no charge. There are currently two vaccines used to prevent Hepatitis B infection in the United States. Neither vaccine contains blood products. You cannot get Hepatitis B from these vaccines. Scenario Tony has just been accepted to a local paramedic training program. Before beginning the program, the school requires students to receive the Hepatitis B vaccination and pay for it themselves. Is the school required to pay for the vaccination? No. Typically only employers are required to pay for the Hepatitis B vaccination series. Postsecondary schools can require the vaccination series as an admissions requirement, and require the applicant to pay for the cost. There have been instances where public school districts (K-12) have been required to pay for the vaccination series if there is a potential for the student to be exposed to bloodborne pathogens as part of their coursework. Copyright 2011 Geigle Safety Group Inc. 33 OSHAcademy Course 755 Study Guide MODULE 8: REVIEW QUIZ 1. Kristina has just been hired for a position which is classified as having occupational exposure. Kristina's employer offers to pay for the Hepatitis B vaccination series. Can Kristina decline the vaccination series? a. yes b. c. no maybe 2. What percentage of people receiving the Hepatitis B vaccine will become fully immune? a. b. c. d. 17% 35% 75% 97% 3. The Hepatitis B vaccine is considered one of the safest and most effective vaccines ever made. a. b. true false 4. Your employer does not have to offer you the vaccination series if: _______. a. b. c. d. you have previously received the complete series or have tested as immune to HBV you have tested immune to HCV you have tested immune to HIV you have previously received one shot of the vaccination series 5. You cannot get Hepatitis B from either of the Hepatitis B vaccines that are available. . true b. false Copyright 2011 Geigle Safety Group Inc. 34 OSHAcademy Course 755 Study Guide MODULE 9: When an Exposure Occurs What to do When You are Exposed When an exposure occurs, immediate self-care is the highest priority. Flush potentially contaminated materials from the mucous membranes of the eyes, nose, and mouth with large amounts of running water. Allow a puncture wou nd from a potentially contaminated sharp object to bleed. Wash the wound with soap and water. Wash potentially contaminated material off your skin with soap and water as quickly as possible after an exposure. Washing is especially important when you have cuts, rashes, or scrapes on your skin. When available, use a face and eye wash station to flush the eyes, nose, or mouth if they are exposed to blood or bodily fluids. What do you do next? After self-care, report the exposure incident without delay. This allows for timely testing of the source individual and, if necessary, the employee. You will be directed to a healthcare professional for medical evaluation as soon as possible after receiving the source individual's test results. The evaluation will document the route of exposure and how the exposure occurred. There is no cost to you for this evaluation. Post-Exposure Therapy If you are exposed to HIV-infected blood, most medical facilities offer short-term therapy called Post-Exposure Prophylaxis (PEP). This therapy must begin as soon as possible after the exposure. PEP can reduce the risk of getting HIV by as much as 80 percent. Copyright 2011 Geigle Safety Group Inc. 35 OSHAcademy Course 755 Study Guide The evaluation will also include counseling and education regarding the testing process and the ramifications of the exposure. This includes sexual practices information for the six month post-exposure evaluation period. The result of testing is confidential and will be reported only to you and your company's exposure control plan. No other person will be notified of the results. Scenario Patrick is a nurse working in the emergency department of the local hospital. During one of his shifts he is accidentally jabbed by a used needle. The needle punctures his skin and draws blood. What should Patrick do? Immediate self care is Patrick's first priority. He needs to allow the puncture wound to bleed, hopefully flushing any contaminates out of his body. Next, he should wash the affected area thoroughly with soap and water. Next, Patrick needs to report the incident to his direct supervisor so a injury report can be completed. Patrick will then be seen by a health care professional to determine the best course of treatment for him. Sometimes it is possible to test for various diseases if the exposure source can be identified. This is not always possible. Copyright 2011 Geigle Safety Group Inc. 36 OSHAcademy Course 755 Study Guide MODULE 9: REVIEW QUIZ 1. While providing first aid treatment to a fellow employee, Maria had blood sprayed into her eyes. What should Maria do first? a. Provide immediate self care. . Report the incident to her supervisor. c. Go to a hospital. d. Continue working. 2. If your eyes, nose, or mouth are exposed to blood or bodily fluids you should: _______. a. use a washcloth to wipe your face off b. flush the eyes, nose, and mouth with large amounts of running water c. take a shower within 24 hours of exposure d. apply baking soda to the eyes, nose, and mouth to absorb any contami nated materials from the mucus membranes 3. If you have potentially contaminated material on your skin the first thing you should do is: _______. a. lay down and elevate the contaminated area b. eek medical attention c. apply ice d. wash with soap and water as quickly as possible 4. You are exposed to contaminated material and finish immediate self-care. What do you do next? a. Go home and try to forget about the exposure. b. Catch a movie to take your mind off of the exposure. c. Report the exposure incident without delay. d. you Write about the exposure incident in your personal journal. 5. If you are exposed to HIV-infected blood, most medical facilities offer short-term therapy called Post- Exposure Prophylaxis (PEP). a. true b. false Copyright 2011 Geigle Safety Group Inc. 7 OSHAcademy Course 755 Study Guide MODULE 10: Housekeeping What is housekeeping? â€Å"Housekeeping† refers to ensuring a worksite is maintained in a clean and sanitary condition. An employer must imp lement an appropriate written schedule for cleaning, and determine the best method to decontaminate each location within a facility. There are four types of regulated waste that require special handling: 1. Liquid or semi-liquid blood or potentially infectious materials 2. Contaminated items that could release potentially infectious material in a liquid or semi-liquid state 3. Items caked (solid or dry) with potentially infectious materials that are capable of releasing these materials during handling 4. Contaminated sharp objects It is of the utmost importance that infectious waste be safely contained. ? Infectious waste should be placed in specially designed containers constructed to contain the contents. ? The containers need to be leak-proof, labeled or color coded, and closed prior to removal to prevent spills. ? If a container is leaking, place it in a secondary leak-proof container. Copyright 2011 Geigle Safety Group Inc. 38 OSHAcademy Course 755 Study Guide Contaminated Laundry Contaminated laundry† refers to laundry that is soiled with potential infectious material or that may contain sharp objects, such as needles. ? ? Contaminated laundry should be handled as little as possible. Wear gloves when handling contaminated laundry, and place it in labeled, leak-proof bags or containers before transporting it. ? Never take contaminated protective clothing home for laundering, even if it is personal clothing. ? Pick up potentially contaminated broken glassware using mechanical means only, such as tongs, forceps, or brush and dustpan. ? Never use your hands, even if you are wearing gloves. Contaminated items should not be stored or processed in a way that requires you to reach into containers. Work practice controls should be established to prevent you from reaching into a container to remove potentially contaminated items, such as glassware or needles. All equipment and work surfaces that could become contaminated should be cleaned and decontaminated routinely using an appropriate disinfectant while wearing PPE. All pails, bins, and similar reusable receptacles should be decontaminated on a regular basis and as soon as possible after visible contamination is noticed. Copyright 2011 Geigle Safety Group Inc. 39 OSHAcademy Course 755 Study Guide Scenario Kevin is a custodial engineer for a local middle school. As part of his job duties, he is required to clean the health room daily. It is common for students to have minor injuries or ailments, such as nose bleeds or a skinned knee, during the school day. What housekeeping issues does Kevin face? It is important all contaminated materials, such as bloody gauze, is contained, labeled, and disposed of properly. Kevin should wear PPE, such as gloves, when performing this task. Kevin should decontaminate the health room surfaces daily using an approved method and appropriate disinfectant. If visible blood or body fluids are present on a surface, the fluid should be cleaned and the surface decontaminated immediately. Copyright 2011 Geigle Safety Group Inc. 40 OSHAcademy Course 755 Study Guide MODULE 10: REVIEW QUIZ 1. Is it acceptable for an employee to take contaminated clothing home to be washed? a. yes b. no c. maybe 2. One of the four types of regulated waste that requires special handling is: _______. a. b. c. d. ater with a concentration of bleach that is 5% or greater liquid or semi-liquid blood or potentially infectious materials cigarette butts food wrappers or cups that have been used by persons with HIV 3. In regards to bloodborne pathogens and contaminated materials, what is â€Å"housekeeping†? a. An employer managing their financial books appropriately. b. When an employer lays off employees that cause trouble, especially employees that expose themselves to bloodborne pathogens. c. Employees cleaning and maintaining their own homes. d. An employer ensuring a worksite is maintained in a clean and sanitary condition. . Infectious waste should be: _______. a. b. c. d. placed in specially designed containers constructed to contain the contents placed in any available garbage can thrown out with all of the other garbage both b and c 5. Pick up potentially contaminated broken glassware using: _______. a. your bare hands b. mechanical means only, such as tongs, forceps, or brush and dustpan c. your hands while wearing gloves d. both a and c Copyright 2011 Geigle Safety Group Inc. 41 OSHAcademy Course 755 Study Guide 6. Contaminated items should not be stored or processed in a way that requires you to reach into containers. . true b. false Copyright 2011 Geigle Safety Group Inc. 42 OSHAcademy Course 755 Study Guide MODULE 11: Communicating a Hazard in the Workplace Primary methods of communicating: Signs and Labels Signs a nd labels that alert you to the presence of potentially infectious material and the risk of exposure are vital to a workplace with occupational exposure to potentially infectious materials. Be sure you are aware of and abide by all signs and labels signaling hazards and hazardous material. Signs should have a fluorescent orange or orange-red background with a black â€Å"biohazard† symbol in the foreground. Labels must contain the biohazard symbol and must have the word â€Å"Biohazard† written on them. A biohazard label or sign should be attached to each object or container of contaminated material by string, wire, adhesive, or another method that prevents loss or unintentional removal of the label or sign. When red bags or containers with the biohazard symbol on them are used, a sign or label is not necessary. Also, when medical laboratory personnel are drawing and testing blood samples, the individual containers housing potentially infectious materials do not need to be labeled. Properly indicating contaminated material using labels and signs will greatly reduce the risk of accidental exposure to the contaminated material. It is important to maintain appropriate container labeling at all times. Annual training must be conducted for all employees with occupational exposure. Copyright 2011 Geigle Safety Group Inc. 43 OSHAcademy Course 755 Study Guide Information and Training All employees (including part-time and temporary employees) with occupational exposure in the organization should participate in a training program that is provided at no cost during working hours. The training materials used should be appropriate in content and vocabulary to the educational and literacy levels and are conveyed in the language of the employees. The training materials should clearly state the objectives of the training. Trainers should be knowledgeable in the subject matter covered by the training program as it relates to the workplace. All employees should have an opportunity for interactive questions and answers with the person(s) conducting the training. If computer or online training is used, it should provide an opportunity for a person knowledgeable about the training material to be available to answer questions. Training Program Elements The Bloodborne Pathogens training program should include information and explanations of at least the following: ? ? ? ? Epidemiology, symptoms, and modes of transmission of bloodborne diseases the Exposure control plan that has been implemented and how to obtain a copy of the written plan Appropriate methods for recognizing tasks and activities that may involve exposure to blood or OPIM Use and limitations of methods that will prevent or reduce exposures, including appropriate engineering, administrative or work practice controls, and personal protective equipment (PPE) Information and Training ? ? The basis for selection of PPE Types, proper use, location, removal, handling, decontamination, and disposal of PPE Hepatitis B vaccination series, including its efficacy, safety, method of administration, benefits, and the fact that the vaccination will be offered to employees free of charge ? ? Appropriate actions to take and persons to contact in an emergency involving blood or OPIM Procedure to follow if an exposure incident occurs, including the: 44 Copyright 2011 Geigle Safety Group Inc. OSHAcademy Course 755 Study Guide o o o ? Method of reporting the incident Medical follow-up that will be made available Procedure for recording the incident in the sharps injury log Post-exposure evaluation and follow-up that will be made available to employees Signs, labels, and/or color codings that are used Frequency of Training Training should be provided at the time of employees' initial assignment (to tasks in which occupational exposure may occur) and at least annually thereafter (i. e. , within one year of their previous training). Additional training, limited to addressing the new exposures created, is provided to the employee whose occupational exposure is affected by: ? ? ? Introduction of new engineering, administrative, or work practice controls Changes or modifications in existing tasks or procedures Institution of new tasks or procedures Copyright 2011 Geigle Safety Group Inc. 45 OSHAcademy Course 755 Study Guide Scenario Jennifer works for a computer parts manufacturer. One of her job duties is to perform housekeeping tasks for her section of the warehouse. During her last shift an employee was injured and required first aid treatment, producing contaminated clothing and personal protective equipment. This contaminated material needs to be labeled and disposed of. How should Jennifer dispose of this contaminated material? Jennifer needs to use appropriate personal protective equipment while working with the contaminated materials. She must also place the contaminated material in a leakproof bag that is labeled with the symbol and word â€Å"Biohazard†. Jennifer should then dispose of the bag based on her employer's exposure control plan. What's missing on the bag of contaminated clothing to the right? Copyright 2011 Geigle Safety Group Inc. 46 OSHAcademy Course 755 Study Guide MODULE 11: REVIEW QUIZ 1. Signs should have a: _______. a. fluorescent yellow background with a black â€Å"lightning bolt† symbol in the foreground b. fluorescent red background with a black â€Å"radioactivity† symbol in the foreground c. fluorescent orange or orange-red background with a black â€Å"biohazard† symbol in the foreground d. red background with a black â€Å"skull† symbol in the foreground 2. A biohazard label or sign should: _______. a. be attached to each object or container of contaminated material b. be posted, at eye level, at the entrance of any room that contains biohazard material c. not be necessary if the biohazard container is made of a clear material and has no indicators that contaminated material is inside d. contain the contaminated materials symbol and the words â€Å"contaminated materials† written on it 3. All employees (including part-time and temporary employees) with occupational exposure in the rganization should participate in a training program that is provided at no cost during working hours. a. true b. false 4. The Bloodborne Pathogens training program should include: _______. a. The Exposure control plan that has been implemented and how to obtain a copy of the written plan. b. Appropriate methods for recognizing tasks and activities that may involve exposure to blood or OPIM. c. Types, proper use, location, removal, handling, decontamina tion, and disposal of PPE. d. All of the above. Copyright 2011 Geigle Safety Group Inc. 47 OSHAcademy Course 755 Study Guide 5. Training should be provided at the time of employees' initial assignment (to tasks in which occupational exposure may occur) and at least: _______. a. semi-annually thereafter (i. e. , within six months of their previous training) b. annually thereafter (i. e. , within one year of their previous training) c. every 2 years thereafter (i. e. , within two years of their previous training) d. every 3 years thereafter (i. e. , within three years of their previous training) Copyright 2011 Geigle Safety Group Inc. 48