St Elizabeth Health Care Cidex® OPA Handling Safety Guidelines

2012

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This module is applicable to managers/supervisors, Cidex OPA® users, and any

employee in the work area of area that may see, be exposed or encounter a Cidex OPA® spill

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Uses of Cidex® OPA

A high-level disinfectant

To high level disinfect endoscopic instruments and endocavity ultrasound probes, thermometers, rubber or plastic equipment which cannot be heat sterilized

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Chemical Description Synonyms– OPA, orthophthalaldehyde Clear, pale blue liquid Chemical similarity to gluteraldehyde Lower inhalation/exposure risk than Cidex®

Plus Contains only .55% of active ingredient

(compared to Cidex® Plus at 3.2% gluteraldehyde)

Less time to decontaminate (12 minutes vs. 20 minutes for Cidex® Plus)

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Hazardous ComponentThe active ingredient is ortho-

phthalaldehydeMild irritant

Can produce asthma-like symptoms with heavy inhalation exposure

Active ingredient interacts with proteins and can stain mucous membranes

Excessive soak times can damage instrument and increase potential for staining

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Hazard information

Target organ effects: None

Reproductive effects: Not a reproductive effector.

Mutagenic effects: Not mutagenic in the Ames assay.

Sensitization: May cause sensitization.

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Routes of Exposure Oral:

Not anticipated to be a significant route of occupational exposure. Eye contact:

May cause eye irritation and redness. Skin contact:

May cause skin irritation. Repeated exposure may cause skin dryness or cracking. Exposure to skin may cause temporary staining.

Ingestion: Ingestion may cause gastrointestinal irritation, nausea, vomiting

and diarrhea. Exposure can irritate and discolor the tissues of the mouth, esophagus and other tissues of the digestive tract

OSHA 2012 retrieved 7/26/2012 from http://www.osha.gov/Publications/glutaraldehyde.pdf

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How employees can reduce exposure

Use local exhaust ventilation GUS STATION

Keep Cidex® OPA solution containers under GUS

hood AND keep cap/cover on container

Use only enough OPA to perform the required

disinfecting procedure

Avoid skin contact: use PPEAdvanced sterilization products (2012) retrieved 7/26/2012 from http://www.aspjj.com/us/products/cidex-opa/features-and-benefits

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How employees can reduce exposure (cont.)

Wash gloved hands after handling Cidex® OPA

Wear goggles and face shields when handling ortho-

phthalaldehyde

Cover all containers holding ortho-phthalaldehyde solutions

Attend training classes in safety awareness about use of

and exposure to ortho-phthalaldehyde

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Protective Work Clothing and Equipment

Non-latex gloves (or doubled up latex)

Splash-proof safety goggles

Impervious Gown

Mask

Will stain clothing/shoes

Advanced sterilization products (2012) retrieved 7/26/2012 from http://www.aspjj.com/us/products/cidex-opa/features-and-benefits

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Cidex OPA®StainThis type of stain can occur on any contact surface including probes, skin, hair, nails, and clothing. PPE protects against staining.

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Cidex OPA®StainThis type of stain can occur on any contact surface including probes, skin, hair, nails, and clothing. PPE protects against staining.

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Spills and Leaks Follow SPIL procedure:

SECURE area: stop the spill with absorbent material

PROTECT yourself and others from the spilled material

INFORM security and your supervisor of spill LEAVE clean-up for trained personnel (that

will be you)

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Spills and Leaks Locate the Spill Kit Put on PPE

Gown, Gloves, Mask, Eye Protection Apply Glute-Out® to spill Start at edges of spill and work inward Wait Five Minutes for Cidex® OPA to be

neutralized

Advanced sterilization products (2012) retrieved 7/26/2012 from http://www.aspjj.com/us/products/cidex-opa/features-and-benefits

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Spills and Leaks (cont.)

Flush down drain and run water

Sweep up any remaining glute-out crystals into

container, tie top and place in trash container

Wipe down all areas with soap and water/general

cleaner

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Contact with Cidex® OPA If skin contact has occurred

Immediately wash area of contact with soap

and water

Hold affected area under running water for

15 minutes

Seek medical advice through employee

health (ER after hours)

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Contact with Cidex® OPA

If eye contact has occurred

Eye wash station:

wash eyes under running water

Allow water to run for 15 minutes

Seek medical advice through employee

health

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Contact with Cidex® OPA If contact with clothing occurs

remove clothing

Wash affected area with soap and water

Allow water to run over area for 15 minutes

Place in air tight bag for washing later

Seek medical advice through employee

health

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Contact/Exposure Cidex® OPA

If direct inhalation occurs

go to well ventilated area immediately

If discomfort or breathing difficulty occurs,

seek medical advice through employee

health

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Contact/ExposureIngestion:

Do not induce vomiting. Rinse mouth followed by drinking a large quantity of water

Seek medical advice through employee health

OSHA 2012 retrieved 7/26/2012 from http://www.osha.gov/Publications/glutaraldehyde.pdf

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Contact with Cidex® OPA If you have questions or concerns about Cidex

OPA®

Contact your supervisor or the Safety Director

If you have concerns about exposure to Cidex

OPA®

Contact Employee Health

Refer to MSDS on intranet/compliance 360

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Storage Keep original bottle tightly closed

Store unused Cidex® OPA in a secure area –outside of patient care areas

Place soak stations in low traffic areas, keep it secured, and cap containers that are not in use

Store at room temperature between 59-86oF Do not store in original bottle past expiration date of 75 days

(or original date, whichever is earlier)Advanced sterilization products (2012) retrieved 7/26/2012 from http://www.aspjj.com/us/products/cidex-opa/features-and-benefits

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Secondary ContainersRecognizing Cidex® OPA in the workplace Labels:

The name of the chemical (without abbreviations or symbols)

The activation date

The expiration date

The hazard class

Warning 

OSHA 2012 retrieved 7/26/2012 from

http://www.osha.gov/Publications/glutaraldehyde.p

df

Warning:High Level Disinfectan

t

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Disposal

Unused Cidex® OPA can be poured down drain

without neutralization

Cidex® OPA spills -after neutralizing all contact

surfaces with Glute-Out® sweep into receptacle

and place in bag, tie top prior to placing in trash

can.

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Safety tips Become familiar with and be able to recognize sources of

ortho-phthalaldehyde exposure

In case of skin or eye contact, wash with water at eye station immediately and contact employee health or ER

Clean up spills immediately, use PPE, Follow REST plan

Refer to MSDS for more information OSHA 2012 retrieved 7/26/2012 from http://www.osha.gov/Publications/glutaraldehyde.pdf

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ReferencesOSHA (2006) Best Practices for the Safe Use of Glutaraldehyde in Health Care. Retrieved from www.osha.gov/Publications/glutaraldehyde.pdf

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