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dhally  
#1 Posted : 14 September 2016 18:34:44(UTC)
Rank: Forum user
dhally

Hi,Im writing this for a friend whom needs advice on this matter.Is it ok to incorperate a COSHH policy onto and infection control policy? or do we need to have seperate policies for a medical GP practice?
Roundtuit  
#2 Posted : 14 September 2016 19:05:04(UTC)
Rank: Super forum user
Roundtuit

Sorry really don't see the relationship between controlling the unknown pathogen / outcome (infection control) and the known (COSHH) used material / exposure minimisation. If you take COSHH to the level of controlling for example ebola which a patient could present with ?
Roundtuit  
#3 Posted : 14 September 2016 19:05:04(UTC)
Rank: Super forum user
Roundtuit

Sorry really don't see the relationship between controlling the unknown pathogen / outcome (infection control) and the known (COSHH) used material / exposure minimisation. If you take COSHH to the level of controlling for example ebola which a patient could present with ?
O'Donnell54548  
#4 Posted : 14 September 2016 19:49:25(UTC)
Rank: Forum user
O'Donnell54548

Surely COSHH will cover any hazardous substance connected with work activities, and in a medical practice this would include possible infections.
Roundtuit  
#5 Posted : 14 September 2016 21:13:13(UTC)
Rank: Super forum user
Roundtuit

How many COSHH policies actually include body fluid kits etc. from First Aid activity. How many organisations have truly adequate arrangements for the disposal of contaminated body fluid kits (rather than throwing them in the bin or letting the sanitary towel collector take them), How many in education don't dump "the pink stuff" after use in the general waste. Agree with the concept of COSHH but taking the execution in to areas where the employer does not deliberately introduce a known means all employers would be expected to address too many unknowns in their plans. From personal experience my GP introduced touch screen appointment attendance and provided a sanitiser which over time ran out and it appeared to be no one's duty to check and re-fill. Not wishing to touch a potentially contaminated surface I remain stubbornly old fashioned and speak to the receptionist potentially exposing them to airborne transmittable illness. Is the practice as employer in breach of the COSHH Regulations in such a scenario? Their infection control policy is certainly wanting given the touch screen was introduced as a control to protect the receptionist.
Roundtuit  
#6 Posted : 14 September 2016 21:13:13(UTC)
Rank: Super forum user
Roundtuit

How many COSHH policies actually include body fluid kits etc. from First Aid activity. How many organisations have truly adequate arrangements for the disposal of contaminated body fluid kits (rather than throwing them in the bin or letting the sanitary towel collector take them), How many in education don't dump "the pink stuff" after use in the general waste. Agree with the concept of COSHH but taking the execution in to areas where the employer does not deliberately introduce a known means all employers would be expected to address too many unknowns in their plans. From personal experience my GP introduced touch screen appointment attendance and provided a sanitiser which over time ran out and it appeared to be no one's duty to check and re-fill. Not wishing to touch a potentially contaminated surface I remain stubbornly old fashioned and speak to the receptionist potentially exposing them to airborne transmittable illness. Is the practice as employer in breach of the COSHH Regulations in such a scenario? Their infection control policy is certainly wanting given the touch screen was introduced as a control to protect the receptionist.
Invictus  
#7 Posted : 15 September 2016 07:48:32(UTC)
Rank: Super forum user
Invictus

Mine links to, infectious disease policy so I have two serparate policies but I suppose it depends on the area of work.
stevedm  
#8 Posted : 15 September 2016 11:38:08(UTC)
Rank: Super forum user
stevedm

Mine to..separate policies but linked.,
O'Donnell54548  
#9 Posted : 15 September 2016 11:55:23(UTC)
Rank: Forum user
O'Donnell54548

My point was that the COSHH regulations cover hazardous substances including biological agents (pathogenic micro-organisms) and they contain a schedule of special provisions relating to biological agents. COSHH, together with the associated Approved Codes of Practice (ACOPs), require employers to assess the risks of exposure to biological agents (micro-organisms) and either prevent exposure (where reasonably practicable) or control it adequately (HSE web page). Roundtuit; if your GP identified a risk and a suitable control measure, and then failed to maintain that control measure that is a different subject altogether.
HSSnail  
#10 Posted : 15 September 2016 12:11:54(UTC)
Rank: Super forum user
HSSnail

i suppose you could link the two but I am not sure what benefit it would have. COSHH should be about known hazards, know exposure and precise controls. So if working with a known agent in a lab could defiantly use COSHH. For me an infection control policy is much more general - so we might get a person coming into the surgery with an unknown blood infection so these are the precautions we take- such as gloves and sharps boxes. A patient vomit in the surgery and we know there are lots of airborne virus that can cause this so this is how we limit potential spread. Classic example most people will be aware of if your child suffers from vomiting a school will exclude them for two days - they have no idea what caused the "illness" but they know it could be Norwalks or similar virus and don't want it spread around the school. You are infectious for up to 2 days after symptoms stop, so the infection control policy excludes them to try and stop it spreading. Hope that makes a little sence.
A Kurdziel  
#11 Posted : 15 September 2016 12:16:54(UTC)
Rank: Super forum user
A Kurdziel

There is this notion that as COSHH is its own set of regulations you always need a separate COSHH risk assessment. In fact for most circumstances you don’t. So for example I can’t see the point of filling in a COSHH form just because your office happens to use correction fluid; you can just include that hazard as part of the general office risk assessment. If of course the hazard is particularly significant for example in a lab working with Anthrax let’s say then I would expect have a separate assessment dealing with that risk rather than have it included in something dealing primarily with general workplace issues. Remember the risk assessment has to be suitable and sufficient An infection control policy should be based on a risk assessment which is suitable and sufficient. It does not matter where it is called a COSHH assessment or not. That only becomes relevant when it goes wrong and they (HSE?) decide to prosecute under COSHH rather than some other legislation.
dhally  
#12 Posted : 15 September 2016 12:47:50(UTC)
Rank: Forum user
dhally

Thanks for the posts guys
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