| 
 
 Position DescriptionJob Codes: 2FB
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
   | Park
 Nicollet Health Services
 
 | PositionTitle:
 2FB,N2FB
 Speech and Language Pathologist Patient Care
 2BEBSpeech and Language Pathologist Development
 2DCSpeech and Language Pathologist Sr
 2BEHSpeech and Language Pathologist Development
 Certified
 
 |  
   | 
 
 | Location: ParkNicollet Health Services
 
 | Department: SpeechPathology
 
 |  
   | Writtenby:
 N.Speier, Director
 
 | Supervisor'sTitle:
 Supervisoror Manager, Speech and Language Pathology
 
 |  
   | FinalApproval (Dir. or VP Level):
 N.Speier, Director of Rehab -PNHS
 
 | DateApproved:
 January2003
 
 | DateRevised:
 January2020, Sept 2020
 
 
 |  
 
 Statement ofEmployee Conduct:
 Asa team member, you will support the mission, vision, and values of
 Park Nicollet Health Services and will be familiar with and abide by
 all PNHS policies and procedures. You will also be expected to
 comply with job-specific standards and embody the competencies of
 Head + Heart, Together which include; 1) achieving positive outcomes
 and goals; 2) demonstrating care for others and having their
 well-being at heart; and 3) succeeding through partnerships and as a
 member of a team
 HealthPartnersand its related organizations are committed to fulfilling their
 mission, vision and values in an environment that promotes the
 highest organizational and personal integrity and reinforces public
 trust. In order to accomplish these goals, HealthPartners must
 maintain an effective program of compliance and ethics that has been
 developed with input from, and is championed at, the highest levels
 of the organization.
 PositionSummary:
 TheSpeech Pathologist is responsible for assuring that the PNHS values
 of Head + Heart, Together, are achieved through daily departmental
 operations. This includes, but is not limited to, direct patient
 care, professional growth and development, outcome/competency
 assessment, compliance with regulatory standards (JCAHO, OSHA,
 professional organizations, and other regulatory agencies); and
 participating in process improvements to advance patient care
 outcomes and satisfaction.
 TheRehabilitation Services Speech Pathologist will communicate timely,
 clearly and in a professional manner with staff, patients, patient
 family members, physicians and other internal/external customers.
 The staff member will demonstrate skills in listening, conflict
 management, system problem solving, decision-making and process
 improvement. Therapists will practice in compliance with
 professional standards and professional code of ethics.
 Therapistsin the development track will partner with their leader(s) to discuss
 ways in which the therapist can improve departmental performance
 through activities involving community events, presentations, and
 program/department improvement initiatives.
 The therapist will be given protected time to execute these
 activities.
 Positionsmay require some weekend and holiday shifts as determined.
 Tasksand Responsibilities:
 
 
 
 
 Usesand applies current information and technical knowledge in providing
 high quality direct and indirect patient care, including: evaluation
 and treatment of patients, development and implementation of care
 plans, and outcome reporting.
 
Workswith team members to support a holistic approach to treatment
 techniques, goals and discharge planning
 
Ispersonally committed to and actively works to improve professionally
 and personally by pursuing a professional development plan.
 
Maintainsproficiency with job related tasks, including but not limited to,
 use of equipment and tools, accurate and timely documentation of
 clinically appropriate and fiscally responsible treatment plan and
 completion of billing requirements
 
Consistentlyworks in a safe manner, in compliance with infection control
 policies, maintaining awareness of potential dangers and works to
 reduce risks on the job.
 
Maintainscompliance with regulatory agencies and immediately implements
 corrective action when deficiencies are noted.
 
Participatesin scheduling for optimal client service, safety, access and
 productivity; meets designated production expectations.
 
Participatesin peer reviews of patient care and documentation to meet standards
 of care
 
Participatesin basic department development expectations: a volunteer event, a
 local level presentation and program, project or committee
 participation
 
Utilizesprotected time and advanced certifications (if applicable) to assist
 department and organization in meeting strategic initiatives and
 operational goals
 
 
 
 Scopeof Responsibility:
 TheSpeech Pathologist is expected to be involved in direct and indirect
 patient care related activities as directed by their leader. The
 therapist will practice in compliance with professional standards and
 ethics, Park Nicollet Health Services policies and state and federal
 regulatory agencies. Departments that offer rehab services include
 Methodist Hospital, Outpatient Clinics, Struthers Parkinson's
 Center, and the Alexander Center.
 Supervision/WorkDirection:
 TheSpeech Pathologist makes clinical decisions regarding the appropriate
 management of patients under his/her care. He/she delegates
 appropriate portions of patient treatment to therapy assistants and
 or aides and is responsible for supervising assistants, aides,
 volunteers and students.
 Internal/ExternalContacts:
 Customersinclude patients and their family members/ caregivers, physicians,
 health insurance representatives and other health care professionals.
 
 
 
 
 Education/Experience: 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
   | SpeechPathologist,
 
 Patient Care
 
 | SpeechPathologist,
 
 Development
 
 | SpeechPathologist
 
 Development
 Certification 
 
 |  
   | ,Master's, or Doctorate degree Speech Language Pathology
 (Communication Disorders)
 Recommendexperience as a Speech Pathologist preferably in a medical
 setting.
 
 | Master's,or Doctorate degree Speech Language Pathology (Communication
 Disorders)
 Recommendexperience as a Speech Pathologist preferably in a medical
 setting.
 
 
 | Master's,or Doctorate degree Speech Language Pathology (Communication
 Disorders)
 Emphasisin a specific area of clinical expertise.
 
 |  
 
 SpecialKnowledge/Skills/Certification/Licenses:
 
 
 
 
 Licensedwith the Minnesota Department of Health
 
Requiredmembership in professional organization American
 Speech-Language-Hearing Association (ASHA) and recommended
 membership in state organization Minnesota Speech and Hearing
 Association (MSHA) or nine months to require from date of hire.
 
Individualsare responsible for the travel arrangements required to meet the
 expectations of the position.
 
Forthe Development and Development Certification tracks individuals
 will exhibit leadership qualities and serve as a professional role
 model within the clinic demonstrating excellent communication
 skills, strong drive for results, motivation of others and a high
 degree of integrity and trust.
 
Fordevelopment certification individuals must meet the components under
 option B:
 
 
 OptionA:
 
 
 OptionB:
 
 
 
 Certification requires a professionaldegree. If non-professionals are allowed to achieve the
 certification, there must be sufficient evidence of additional
 training required before being able to achieve the certification.
 
Minimum of 100 total CE course hoursto achieve the certification. May include multiple courses if
 required for that certification.
 
Includes a written exam which must bescored in a pass/fail manner.
 
Minimum of 100 self-study hours withdocumentation of how those study hours were completed.
 
Evidence of a minimum of 2000 hoursof clinical practice in the specialty area, 25% of which must have
 occurred within the last 3 years.
 
Re-certification exam requirement tomaintain certification.
 
 
 Ifno re-certification exam available, but re-certification requirements
 exist, these must be submitted to the Rehab Leadership team for
 approval.
 Ifno re-certification exam or re-certification requirements exist, the
 following requirements must be met to remain in the Certification Job
 Family (specific activities must be submitted to the Rehab Leadership
 team for pre-approval):
 
 
 
 
 
 
 
 Machines/Equipment/SoftwareUtilized:
 Proficientwith communication and data processing equipment. Proficient in
 clinical apparatus related to area of expertise. Proficient in
 organization electronic medical record software.
 CriticalJob Demands
 Section1: Place an "X' next to
 ONE
 of the terms that best describes the frequency for each of the
 Critical Demands.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
   | CriticalDemands
 
 | N/A 0% 
 
 | Rare 1-5% (Upto
 a1/2 hour)
 
 | Occa 6-33% (1/2hour
 to 3hours)
 
 | Freq 34-66% (3to
 5hours)
 
 | Cont 67-100% (5to
 8hours)
 
 |  
   | Standing- Remaining on one's feet in an upright position at a work station
 without moving about.
 
 
 | 
 | 
 | 
 X 
 | 
 | 
 |  
   | Walking- Moving
 about on foot.
 
 
 | 
 | 
 | 
 X 
 | 
 
 | 
 |  
   | Sitting- Remaining in a seated position.
 
 
 | 
 | 
 | 
 
 | 
 
 | 
 X 
 |  
   | Squatting- Assuming or maintaining a crouching position with the knees
 bent.
 
 | 
 | 
 X 
 | 
 | 
 | 
 |  
   | Reaching- Stretching out or extending to touch or grasp.
 
 | 
 | 
 | 
 X 
 | 
 | 
 |  
   | Lifting- Raising or lowering an object from one level to another
 (includes upward pulling).
 
 
 | 
 | 
 | 
 X 
 | 
 | 
 |  
   | Carrying- Transporting an object, usually holding it in the hands or arms,
 or on the shoulder.
 
 
 | 
 | 
 | 
 X 
 | 
 | 
 |  
   | Pushing/Pulling- Exerting force upon an object so that the object moves
 away/towards from the force.
 
 | 
 | 
 | 
 X 
 | 
 | 
 |  
   | Handling/Fingering- (includes
 typing, computer work, gripping, grasping, and pinching)
 
 | 
 | 
 | 
 | 
 X 
 | 
 |  
 
 Section2: Place an "X" next to
 ONE
 of the terms that best describes the Strength
 Rating for this job
 classification which is
 expressed by one of five terms: Sedentary,
 Light, Medium, Heavy, and Very Heavy.
  SedentaryWork
 - Exerting up to 10 pounds of force occasionally (Occasionally:
 activity or condition exists up to 1/3 of the time) and/or a
 negligible amount of force frequently (Frequently: activity or
 condition exists from 1/3 to 2/3 of the time) to lift, carry, push,
 pull, or otherwise move objects, including the human body. Sedentary
 work involves sitting most of the time, but may involve walking or
 standing for brief periods of time. Jobs are sedentary if walking and
 standing are required only occasionally and all other sedentary
 criteria are met.
  LightWork
 - Exerting up to 20 pounds of force occasionally, and/or up to 10
 pounds of force frequently, and/or a negligible amount of force
 constantly (Constantly: activity or condition exists 2/3 or more of
 the time) to move objects. Physical demand requirements are in excess
 of those for Sedentary Work. Even though the weight lifted may be
 only a negligible amount, a job should be rated Light Work: (1) when
 it requires walking or standing to a significant degree; or (2) when
 it requires sitting most of the time but entails pushing and/or
 pulling of arm or leg controls; and/or (3) when the job requires
 working at a production rate pace entailing the constant pushing
 and/or pulling of materials even though the weight of those materials
 is negligible. NOTE: The constant stress and strain of maintaining a
 production rate pace, especially in an industrial setting, can be and
 is physically demanding of a worker even though the amount of force
 exerted is negligible.
  XMedium Work
 - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25
 pounds of force frequently, and/or greater than negligible up to 10
 pounds of force constantly to move objects. Physical Demand
 requirements are in excess of those for Light Work.
  HeavyWork
 - Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50
 pounds of force frequently, and/or 10 to 20 pounds of force
 constantly to move objects. Physical Demand requirements are in
 excess of those for Medium Work.
  VeryHeavy Work
 - Exerting in excess of 100 pounds of force occasionally, and/or in
 excess of 50 pounds of force frequently, and/or in excess of 20
 pounds of force constantly to move objects. Physical Demand
 requirements are in excess of those for Heavy Work.
 Note:During any patient handling task, if any caregiver is required to
 lift more than 35 lbs. of a patient's weight, assistive transfer
 devices should be used for the transfer.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
   | HAZARD
 ASSESSMENT FOR PERSONAL PROTECTIVE EQUIPMENT (PPE)
 
 |  
   | JobCode (Required): 2FB
 
 | JobDescription: Speech and Language Pathologist Patient Care
 
 |  
   | I certify that I performed this
 assessment for the job listed above based on the hazards present
 on this date.
 
 Name:Nancy SpeierDate: 1/26/2012
 
 |  
   | Annually
 review form and revise as appropriate. Reviewed
 on:
 
 |  
   | RELATED
 TO: Hazardous Substances and Harmful Physical Agents
 
 |  
   | Yes
 
 | No
 
 | TaskDescription
 
 | Potential Hazard 
 | Hazardcontrol
 
 | PPERequired
 (Doubleclick on box to check)
 
 |  
   | 
 X 
 | 
 | Workingwith box cutters, knives or other sharp cutting devices such as
 cast cutters.
 
 | Penetration 
 | 
 
 | 
 
 | Safetyknife or safety box cutter
 Cutresistant gloves
 Other___________________
 
 |  
   | 
 
 X 
 | 
 | Workingwith liquid chemicals, acids, or caustics (Examples: reprocessing,
 cleaners, disinfectants,).
 See
 Park Nicollet MSDS online database for chemical list
 
 | Chemicals Flammables ToxicGases
 Corrosives 
 | 
 
     Useonly PNHS approved products.
 
Useappropriate soaking containers with labels.
 
Understandhazards of chemicals you use (read MSDS).
 
 
 | 
 
 | Gogglesif splash risk
 Chemicalface shield as appropriate
 Chemicalresistant gloves
 Closedtoe shoes
 Chemicalresistant aprons
 LabCoat
 PoweredAir Purifying Respirator
 Other___________________
 
 |  
   | 
 
 X 
 | 
 | Exposedto extreme heat (Examples: Hot packs, OT Oven, Blanket warmers,)
 or cold (Winter temperatures for Home Care or Home Evaluations).
 
 | Heat ColdStress, Burns, Frostbite
 
 | 
 
 
 | 
 
 | Heatresistant gloves or use tongs
 Cryogenic(cold resistant) gloves
 Goggles
 Faceshield
 Other___________________
 
 |  
   | 
 
 X 
 | 
 | Drivingor riding in motorized vehicle equipment as part of the job for
 Home Care/ Home Evaluations.
 
 | Vehiclecrash, Impact
 
 | 
 
 | 
 
 | Seatbelt
 Other___________________
 
 |  
   | 
 | 
 
 X 
 | Workingin extremely wet or slippery conditions or working in 24/7
 operations where floors are wet from mopping.
 
 | Slip,Trip, or Fall
 
 | 
 
 | 
 
 | Slipresistant shoes
 Rubberboots
 Other___________________
 
 |  
   | 
 | 
 
 X 
 | Preparingor handling hazardous drugs (Examples: cytotoxic drugs,
 chemotherapy agents).
 
 | Chemical Geneticdamage
 Tumors 
 | 
 
     Receivetraining
 
PPE 
Useof biological cabinet
 
Spillprocedures
 
Wastedisposal SOP
 
 
 | 
 
 | Glovesappropriate for chemical
 Disposablebarrier gown
 Goggles N95/PAPR(spill cleanup)
 VentilationHood
 Other___________________
 
 |  
   | 
 | 
 
 X 
 | Medical/surgicalprocedures involving heat generating tools or equipment (Examples:
 cautery/ lasers).
 
 | Lightradiation, burns to self or patient, smoke inhalation
 
 | 
 
 | 
 
 | Specializedlaser safety glasses
 Other___________________
 
 |  
   | 
 
 X 
 | 
 | Workingwith or near ionizing Radiation Hazards (Examples: Radioactive
 sources, X-Rays for Speech Video-swallows)
 
 | Overexposure, Genetic damage
 
 | 
 
 | 
 
 | LeadAprons
 Other-RADBadge
 
 |  
   | 
 | X
 
 | Workingnear MRI.
 
 | Traumaresulting from missile effect
 
 | 
 
     Restrictaccess
 
Screening 
Signage 
 
 | 
 | 
 |  
   | 
 X 
 | 
 | Movingequipment/supplies and patients.
 
 | Strain,Sprain
 
 | 
 
 | 
 
 | Usetools or proper equipment specific to task (transfer belt, lift
 equipment)
 
 |  
   | 
 X 
 | 
 | Dealingwith agitated persons or disturbances.
 
 | Workplaceviolence, bodily injury, body fluid exposure
 
 | 
 
 | 
 
 | Gloves(Clean)
 BarrierGown or fluid resistant Lab Coat
 
 |  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
   | HAZARD
 ASSESSMENT FOR PERSONAL PROTECTIVE EQUIPMENT (PPE)
 
 
 
 |  
   | Yes
 
 | No
 
 | TaskDescription
 
 | PotentialHazard
 
 | Hazardcontrol
 
 | PPERequired
 (Doubleclick on box to check)
 
 |  
   | RELATED TO: Maintenance or Engineering Type Activities
 
 |  
   | 
 
 | 
 X 
 | Tasksinvolving common electrical equipment.
 
 | Burns,electric shock
 
 | 
 
 | 
 | 
 |  
   | 
 | 
 X 
 | Workingon or near energized parts/wires or on electrical circuits.
 
 | ElectricalShock
 
 | 
 
     Training 
PPE 
Guardsin place
 
 
 
 | 
 
 | Electricalprotective equipment
 Insulatingblankets, matting or covers
 HardHat
 Insulatedgloves
 Rubbersleeves
 
 |  
   | 
 | 
 X 
 | Welding,brazing, or soldering.
 
 | Lightradiation, Burns,
 Inhalation-hazardous byproducts
 
 | 
 
     Training 
PPE 
Guardsin place
 
 
 
 | 
 
 | Localventilation
 Weldershelmet
 Safetyglasses w/ side shields
 Hand/skin/bodyprotection
 Footprotection
 Other___________________
 
 |  
   | 
 | 
 X 
 | Cuttingor grinding.
 
 | Impact 
 | 
 
     Training 
PPE 
Guardsin place
 
 
 | 
 
 | Safetyglasses with side shields
 Faceshield
 Gloves Other___________________
 
 |  
   | 
 | 
 X 
 | Sheetrocking or painting.
 
 | Chemical Dust 
 | 
 
 
 | 
 
 | Goggles Halfmask respirator (only fit tested employees to wear a respirator.
 Contact EOHS if need fit testing)
 Gloves 
 |  
   | 
 | 
 X 
 | Workingin construction areas or material handling jobs where there could
 be falling objects.
 
 | Impact 
 | 
 
 
 | 
 
 | Headprotection
 Steeltoed shoes
 Other___________________
 
 |  
   | 
 | 
 X 
 | Workingat elevated levels (Examples: Ladders, man lift, scaffolding,
 catwalks).
 
 | Fall 
 | 
 
 
 | 
 
 | Fallarrest system
 HardHat
 Other___________________
 
 |  
   | 
 | 
 X 
 | Workingwith liquid chemicals, acids or caustic liquids (Examples: battery
 servicing, boiler treatments, and pesticide applications).
 
 | Chemical 
 | 
 
 
 | 
 
 | Goggles Chemicalface shield
 Glovesappropriate for Chemical Apron
 Other___________________
 
 |  
   | 
 | 
 X 
 | Workingwith power equipment like lawn mowers or chain saws.
 
 | Compression Noise Cuts 
 | 
 
 | 
 
 | Safetyglasses w/ side shields
 Hearingprotection
 Other___________________
 
 |  
   | 
 | 
 X 
 | Exposureto noise hazards (Examples: Boiler Room, Lawn Mowing, Chainsaw).
 
 | Noise 
 | 
 
     Training 
PPE 
Audiometrictesting
 
 
 | 
 
 | Hearingprotections. (See PNHS Hearing Conservation program for more
 details)
 
 |  
   | 
 | 
 X 
 | Tasksinvolving confined space.
 
 | Entrapment,exposure to gases, asphyxiation, collapse
 
 | 
 
 | 
 
 | HardHat
 Other___________________
 
 |  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
   | HAZARD
 ASSESSMENT FOR PERSONAL PROTECTIVE EQUIPMENT (PPE) RELATED TO:
 
 INFECTIOUSAGENTS
 
 
 |  
   | Yes
 
 | No
 
 | Description 
 | PotentialHazard
 
 | Hazardcontrol
 
 | PPERequired
 
 
 |  
   | 
 | 
 | PERFORMINGOR ASSISTING WITH THESE TASKS:
 
 | 
 | 
 | 
 | 
 |  
   | 
 
 X 
 | 
 | Potentialfor splash of blood/body fluid to face: examples but not all
 inclusive: suctioning, wound irrigation, eye & ear irrigation,
 close contact (within 3 ft.) of patient with frequent, productive
 cough.
 
 
 | Exposure to
 Infectious Agents
 
 | 
 
 
 | 
 
 | Facialprotection (mask plus goggles OR
 face shield)
 Gloves(Clean)
 BarrierGown if anticipate splash
 
 |  
   | 
 X 
 | 
 | Potentialfor splash of blood/body fluid to the face & clothing,
 examples, but not all inclusive: pulsed lavage wound care
 
 | Exposure to
 Infectious Agents
 
 | 
 
 
 | 
 
 | Facialprotection (mask plus goggles OR
 face shield
 Gloves(Clean)
 BarrierGown if anticipate splash
 Splashguard shield for pulsed lavage
 
 
 |  
   | 
 X 
 | 
 | Activitythat requires touching patient's non-intact skin or mucous
 membranes. (Examples, but not all inclusive Strobes, handling
 trachs, treatment of swallowing disorders)
 
 
 | Exposure to
 Infectious Agents
 
 | 
 
 | 
 
 | Gloves(Clean)
 BarrierGown if anticipate contact
 Facialprotection if anticipate splash
 
 |  
   | 
 X 
 | 
 | Activitythat includes touching patient's blood/body fluid or
 contaminated items or environment, examples, but not all
 inclusive: disposal of urine, blood canisters, wound dressings,
 removal of drains or packing, CPR.
 
 | Exposure to
 Infectious Agents
 
 | 
 
 | 
 
 | Facialprotection (mask plus goggles OR
 face shield) if anticipate splash
 Gloves(Clean)
 BarrierGown if anticipate splash
 ResuscitationMask
 
 |  
   | 
 X 
 | 
 | Performingduties with sharp devices that could result in exposure to blood
 or body fluids (examples include blood glucose testing, wound
 debridement)
 
 | Exposure to
 Infectious Agent/sharp injury
 
 | 
 
     Useof sharps safety devices
 
Properdisposal of sharps at point of care
 
Useneutral zone for passing sharps
 
PPE 
Avoidre-capping needles
 
 
 
 | 
 
 | Facialprotection (mask plus goggles OR
 face shield) if anticipate splash
 Gloves(Clean vs. Sterile depends on the procedure)
 
 
 |  
   | 
 X 
 | 
 | Enteringrooms where patients with airborne diseases are treated.
 (Therapists, Care Techs only)
 
 | Exposureto Infectious Agent/inhalation
 
 | 
 
 
 | 
 
 | Follow Communicable Disease
 Guidelines and Tuberculosis Control Plan to determine if N95
 respirator, PAPR, or surgical mask is needed
 
 |  
   | 
 | 
 X 
 | Workwith specimens from patients with airborne diseases.
 
 | Exposure to
 Infectious Agent/inhalation
 
 
 | 
 
 | 
 
 | N95respirator or PAPR
 
 |  
   | 
 | 
 | PERFORMINGOR ASSISTING WITH THESE PROCEDURES:
 
 | 
 | 
 | 
 | 
 |  
   | 
 
 X 
 | 
 | 1.Procedures
 that enter deep tissue or body fluid, including but not limited
 to:
 Woundcare debridement by therapists and nurse practitioner, injections
 by nurse/ nurse practitioner
 
 
 | Exposure to
 infectious agents
 
 | 
 
 
 | 
 
 | Facialprotection (mask plus eye protection or face shield plus mask
 required during these procedures as needed)
 Gloves(clean)
 
 BarrierGown as needed
 
 
 |  
   | 
 X 
 | 
 | 2.a. Procedures
 that enter
 subcutaneoustissue or are located
 inthe skin structure
 such wound debridement
 
 
 | Exposure to
 infectious agents
 
 | 
 
 
 | 
 
 | Facialprotection (mask and eye protection required during these
 procedures if anticipate splash)
 Gloves(clean)
 BarrierGown if anticipate splash
 
 |  
   | 
 
 X 
 | 
 | 2.b. Additional
 Procedures
 
 
 
 | Exposureto infectious agents
 
 | 
 
 
 | 
 
 | Facialprotection (mask and eye protection required during these
 procedures if anticipate splash)
 Gloves(Clean)
 BarrierGown if anticipate splash
 
 |  
   | 
 | 
 X 
 | 3.Handling Lab specimens in a laboratory
 
 
 | Exposureto infectious agents
 
 | 
 
 | 
 
 | LabCoat ( fluid resistant)
 Gloves(Clean)
 
 |  
   | 
 |  
   | Othertasks with identified safety, health or infectious hazards
 requiring PPE?
 
 |  
   | Yes
 
 | No
 
 | Task Description
 
 | Hazard 
 | Hazardcontrol
 
 | ListPPE required
 
 |  
   | 
 
 | 
 | 
 | 
 
 | 
 | 
 | 
 |  
   | 
 | 
 | 
 
 | 
 | 
 | 
 | 
 |  
 
 
 
 |