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APPENDIX F: OSHA - Continued <br />Protective Measures (Cont.) <br />c. Employers shall not wash or disinfect surgical or <br />examination gloves for reuse. <br />d. General purpose utility (rubber) gloves are worn by <br />maintenance, housekeeping, laundry or other non medical <br />personnel and may be decontaminated and reused. <br />e. No gloves shall be used if they are peeling, cracked, or <br />discolored, or if they have punctures, tears, or other <br />evidence of deterioration. <br />2. Gowns - The use of gowns, aprons, or lab coats is required <br />when splashes to skin or clothing with body fluids are <br />likely to occur. Gowns, including surgical gowns, shall be <br />made of, or lined with, fluid -proof or fluid -resistant <br />material and shall protect all areas of exposed skin. <br />3. Masks and Eye Protectors - The use of masks and protective <br />eyewear or face shields is required when contamination of <br />mucosal membranes, eyes, mouth or nose with body fluids <br />such as splashes or aerosolization of such material (e.g., <br />during surgical or dental procedures), is likely to occur. <br />They are not required for routine care. <br />4. Resuscitation Equipment - Pocket masks, resuscitation bags, <br />or other ventilation devices shall be provided in strategic <br />location as well as to key personnel (e.g., paramedics) <br />where the need for resuscitation is likely. This will <br />minimize the need for emergency mouth to mouth <br />resuscitation. <br />5. Invasive Procedures - Personal protective equipment as <br />described above shall be used when performing invasive <br />procedures to avoid exposure. When a health care worker's <br />skin or mucous membranes may come in contact with body <br />fluids, gowns, masks, and eye protection shall be worn, as <br />noted above, <br />6. Phlebotomy - Gloves shall generally be provided to and used <br />by phlebotomist. Employers who do not make them available <br />shall be cited for failure to provide. However, no <br />citation for failure to use shall be issued where the <br />phlebotomist voluntarily and without the encouragement of <br />an employee fails to use gloves. <br />-218- <br />