LOS ANGELES UNIFIED SCHOOL DISTRICT DIVISION OF ADULT AND CAREER EDUCATION SAFETY TEST FOR HOSPITAL MAINTENANCE PROGRAM School: Industry Sector: Health Science & Medical Tech. Class: Date: Teacher: Room: (Please Print) Your Name: Phone: (Last) (First) Date of Birth: Age: Email: Address: (Street) (City) (Zip) In Case of Accident, Notify: Phone: To the Student: These instructions are an important part of training in the Hospital Maintenance program. All members of the class must observe safety rules and precautions. Habits of carelessness or of failure to follow these rules are sufficient cause for dismissal from the class. All students are required to learn these safety rules as part of the Hospital Maintenance program. Additional specific safety instructions are taught in the classroom about the various operation of machines and other workplace equipment. All students will be required to pass this safety examination with 100% accuracy and to sign the back page of this examination indicating that you have received these instructions. This test must be on file in the school records for 5 years. Directions: Mark T for true if the following statements are completely true or F for false if any part of the statement is untrue. The first statement will serve as an example: 0. Most accidents in the classroom are due to unsafe acts by people. T 1. All classroom injuries and accidents must be reported to the teacher immediately. 2. The school elevator may be used during an emergency such as fire or earthquake. 3. It is permissible to store heavy items on top of file cabinets and bookcases as long as nothing is stored within 18 of the sprinkler system. 4. Objects or materials must be passed carefully to or at another student. 5. You may lift or carry heavy boxes or equipment in school less than 25 lbs. using proper lifting techniques. 6. Any frayed cord or even the slightest shock or spark from electrical wire or connections must be reported to the instructor immediately. Page 1 THINK SAFETY - REPORT ALL INCIDENTS TO YOUR INSTRUCTOR Revised 2/2017
7. When broken tools or an unsafe classroom condition are found, or a machine needs repair, it is permissible to make the needed repair and then report the condition to the instructor. 8. Smoking on school campus is a violation of District rules and the Health Code. 9. Hands must be dry when handling any electrical equipment. 10. All four legs/wheels of the chair must be on the floor. Tilting back can cause the loss of balance. 11 It costs a lot of money to dispose of a lot of trash. 12. Trash does not harm the environment. It helps it. 13. Pharmaceuticals are not chemical wastes. 14. It s okay to pour chemicals down a drain. 15. It s okay not to know what chemicals and hazards exist in your work place. 16. Radioactive waste can be both, solid or chemical. 17. Do not transport waste uncovered. 18. You can pile trash above the top of the cart if needed. 19. Always push waste down with your hands or feet to make room for more trash. 20. Do not sort through waste at any time. 21. Sharps containers are puncture proof. 22. CDC recommends a N93 respirator mask. 23. The microorganism is transmitted through something as a harmless as a handshake. 24. You can always reuse disposable gloves. 25. You can use gloves in the corridor. 26. Treat all used sharps as deadly sharps. 27. TB is a serious disease that is sexually transmitted. 28. People with weak immune systems are at lower risk at becoming infected with TB. 29. MRSA is resistant to most antibiotics. 30. MRSA is not found in healthcare facilities. 31. Report damaged mattresses to your supervisor. 32. MRSA spreads through the air. 33. It s okay to high dust over patients. 34. Custodians should wash acoustic tile once a week. 35. Each new mattress shouldn t be damp washed with germicide solution before being placed on the bed. 36. Always clean rolling stock after removing from patient room. Page 2 THINK SAFETY - REPORT ALL INCIDENTS TO YOUR INSTRUCTOR Revised 2/2017
37. You should never wipe ledges, you cannot see, with your hands. 38. Wall washing solution may damage finish on the floor. 39. Never clean mirrors using glass cleaner. 40. Floor finish on stainless steel can be removed with floor stripper. 41. Be sure to not shake a dust mop, especially in public areas or patient rooms. Directions: Choose the best answer from the (a), (b), (c), or (d) choices to complete each statement. Write the letter of your choice on the line provided in the right margin. 42. Where should Bio-Hazard waste be placed? a. In a red bag b. In a blue bag c. In a black bag d. In a yellow bag 43. What are Technicians required to wear? a. Pants b. Shirts c. Gloves d. Socks 44. What should you wear when dispensing chemicals? a. Gloves b. Safety googles c. Jeans d. Shoes 45. What should never be bagged or placed in barrels inside cage? a. Blood b. Water c. Needles d. Chemo therapy 46. What can medical waste do to you? (CHOSE ALL THAT APPLY) a. It could kill you b. It could harm your family c. It could annihilate you 47. What can create serious risk? (CHOSE ALL THAT APPLY) a. Misusing chemicals b. Mishandling medical waste c. Dropping chemicals on the floor Page 3 THINK SAFETY - REPORT ALL INCIDENTS TO YOUR INSTRUCTOR Revised 2/2017
48. What does M.S.D.S. stand for? a. Medical Staff Drug Standards b. Medical Safety Data Sheet c. Material Safety Data Sheet d. Material Safety Drug Standards 49. What should you do when you spill chemicals? a. Don t do anything b. Barricade and isolate all chemical spills c. Clean them up d. Call your supervisor 50. What are some examples of Radioactive Waste? (CIRCLE ALL THAT APPLY) a. Thallium 187 b. Iodine 123 c. Iodine 131 d. Thallium 201 51. What are the departments that generate Radioactive Waste responsible for? a. Responsible for Labeling, Storing and Disposing b. Responsible for nothing at all c. Responsible for cleaning Radioactive Waste d. None of the above 52. How much does it cost to dispose of a red bag waste? (per pound) a. 25 cents b. 50 cents c. 75 cents d. 1 dollar 53. What should you do if you discover that a hazardous material has been placed into a regular trash liner? a. Nothing at all, it doesn t matter what container it goes into b. Call your supervisor to report that someone has disobeyed the rules of conduct c. Remove the liner and place in an appropriate hazard liner or container d. None of the above 54. What do Standard Precautions provide protection from? (CHOSE ALL THAT APPLY) a. HIV b. TB c. VRE d. MRSA Page 4 THINK SAFETY - REPORT ALL INCIDENTS TO YOUR INSTRUCTOR Revised 2/2017
55. What are some blood borne diseases? a. HIV b. Chickenpox c. TB d. MRSA 56. What does HBV cause? a. Kidney damage b. Heart damage c. Liver damage d. Lung damage 57. What is the difference between HBV and HVC? a. HBV is deadlier b. HCV is deadlier c. HBC is more common than HCV d. HCV is less common than HBV 58. What does HIV cause? a. AIDS b. STD c. TB d. MRSA 59. What can cause you to become infected with HIV in your work place? a. Sharp objects puncturing your skin b. Touching hazardous chemicals c. Ingesting chemicals d. Inhaling fumes 60. What is the most common work place accident? a. Slipping and falling b. Needle sticks c. Burning yourself 61. A sharp can: a. Cut b. Pierce c. Breath d. Both a and b Page 5 THINK SAFETY - REPORT ALL INCIDENTS TO YOUR INSTRUCTOR Revised 2/2017
62. Needles contain: a. Blood and body fluids b. Dirt and rocks c. Hair and skin 63. What are the two types of TB? a. TB1 and TB2 b. TBA and TBB c. Active TB and Latent TB d. Non-active TB and Patent TB 64. What does MRSA stand for? a. Main Rehabilitate Standard Action b. Methicillin Resistant Staphylococcus Aureus c. Mental Resistant Staphylogous Aureus d. Medical Rabidity Sulfurous Aureus 65. Associates should leave no more than plastic liners in the bottom of waste receptacle. a. 2 b. 3 c. 4 d. 5 66. Trash container should be hosed down daily and disinfected with: a. Plain water b. Vinegar c. Alcohol d. Germicidal solution 67. How should you use the high duster? a. Counter-clockwise direction b. Clockwise direction c. Frontward direction d. Backward direction 68. How many cloths should be used in each patient room? a. 1 b. 2 c. 3 d. 4 Page 6 THINK SAFETY - REPORT ALL INCIDENTS TO YOUR INSTRUCTOR Revised 2/2017
69. What kind of water should be used with a Germicide? a. Hot water b. Cold water c. Warm water 70. Replace _ immediately after surface has been sanitized. a. Small objects b. Large objects c. Expensive objects d. All objects 71. Spray shower with _ cleaner from bottom up. a. All purpose b. Anti-oxidant c. Anti-fungal d. All surface Student THIS IS TO CERTIFY that I have received instructions on safety precautions in my Hospital Maintenance class. The teacher demonstrated to me how to use tools, equipment and chemicals safely and correctly. I will observe all safety precautions. If ever in doubt regarding any operations, I will obtain the necessary information from my teacher. THIS IS TO CERTIFY that Instructor (name of student) has been given safety instructions in my class. I demonstrated the proper use of tools, equipment and chemicals in the class and this student passed this written safety test with 100% accuracy. (Student Signature) (Date) (Teacher Signature) (Date) Page 7 THINK SAFETY - REPORT ALL INCIDENTS TO YOUR INSTRUCTOR Revised 2/2017