Date: Mon, 28 Mar 2011 14:18:03 -0400
Reply-To: DCHAS-L Discussion List <DCHAS-L**At_Symbol_Here**LIST.UVM.EDU>
Sender: DCHAS-L Discussion List <DCHAS-L**At_Symbol_Here**LIST.UVM.EDU>
From: Ralph B Stuart <rstuart**At_Symbol_Here**CORNELL.EDU>
Subject: 8 Re: [DCHAS-L] Broken Foot and Open-toed Shoes

From: "Richa rdson, Nancy A" <narichardso n**At_Symbol_Here**>
Date: March 28, 2011 11:41:57 AM EDT

I had a stude nt with this exact same situation a couple of years ago and we had the stud ent wear a plastic bag.  It seemed to work fine.



From: "D onna L. Wilson" <dlwcihcsp**At_Symbol_Here**hotm>
Date: March 28, 2011 11:52:26 AM EDT
Subject: RE: [DCHAS-L] Broken Foot and Open-toed Shoes< /font>


Depending on the type of protection you need, here are some idea s.

Call your local medical supply co mpany.  The kind that is open to the public to by wound dressings and crutches.  There are a variety of toe covers available that cover the toes and/or keep out water.  You may need both, the soft kind that are designed to keep the toes warm with the waterproof cover to provide protec tion from spills.

You may also con sider toe caps, if falling objects are the issue.  They come in steel toe protection or just simple plastic.  They strap onto the existing s hoe, in this case boot, using a strap or rubber band.  Because of the boot, you may need the biggest size.   If you get your safety sup plies from a general (not medical) supplier, they will probably have them o r know where to get them.

If a rubbe r boot or shoe cover will do, you can get them from a safety supply house.  The employee can cover the bare toes with a sock and then the rubber boot goes over that.  Many of these come in big sizes and some are ver y elastic so you can get them over the bottom of the boot. Be sure that you get something with some gripping power on the bottom to prevent slips and falls.  


Donna L. Wilson, CIH-CSP
IH Res ources
dlwcih csp**At_Symbol_Here**

From: Ray Cook <ra ycook**At_Symbol_Here**>
Date: March 28, 2011 10:50:2 5 AM EDT

It is my experience that the requirement for not having open toed shoes in a lab is to prevent a chemical exposure.  That being the case, I believe that a boot cover that is designed to prevent chemical exposure and is of a compo sition that is impermeable to the chemicals in use would be an acceptable a lternative.  If total impermeability is not possible, double layers (b oot covers) might be required.  Just my two cents worth.
< div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin -left: 0px; font: normal normal normal 12px/normal Helvetica; min-height: 1 4px; ">

Ray Cook, CIH, CSP

I Cor 1:18
< div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin -left: 0px; ">Sent from my iPhone

== =
From: "Floyd, Karon" <Karon.Floyd**At_Symbol_Here**>
Date: March 28, 2011 10:41:27 AM EDT

I agree wit h Judy. We don't allow open toes in any of our laboratories. The concern is , in addition to infectious agents, chemical and physical injury to the foo t. To protect the worker and the organization, this person would have to ad just duties and be restricted to administrative or other duties outside the laboratory.

Karon L. Floyd,< /div>
Center Safety Officer
Plum Island Anim al Disease Center
Direct: (631) 323-3332
Fax: (631) 323-3097
Email: karon.floyd**At_Symbol_Here**dhs.go v

Never esteem anything as of ad vantage to you that will make you break your word or lose your self-respect . -Marcus Aurelius Antoninus

< font face="Helvetica" size="3" style="font: 12.0px Helvetica">== =
From: bill parks <misterbill21225**At_Symbol_Here**>
Date : March 28, 2011 10:45:28 AM EDT

C athy,


The other problem is absorbancy. Most casts are made of materials that absorb liquids. Not good. Homemade protective devices are probably wo rse in that they would likely not meet safety codes. 


If there is an office type temporary positio n available, that might be more comfortable on the foot.  

There is an OSHA-compliant device that fits ove r street shoes and adjusts by 2 large rubber-like straps. These may not be good on the broken foot.


Bill Parks

From: Neil Edwards <neil.edwards**At_Symbol_Here**>
Date: March 28, 2011 1:21:00 PM EDT
To: DCHAS-L Disc ussion List <DCHAS-L**At_Symbol_Here**list.uvm.ed u>
Subject: Re: [DCHAS-L] Broken Foot and Open- toed Shoes

< font face="Helvetica" size="3" style="font: 12.0px Helvetica">How abo ut wrapping and taping a nitrile glove around the exposed area to protect i t from any chemical splash? It can then be easily removed at the end of the lab session.

Neil Edwards
Dept. of Chemistry
Long Island University< /font>
C. W. Post Campus
720 Northern Bl vd
Brookville, NY 11548

< /div>
From: bill parks <misterbill21225**At_Symbol_Here**>
Date: March 28, 2011 10:49:12 AM EDT



There is a covering for stree t shoes. Fits over the toe and heel, and adjusts by 2 large rubber-like str aps. OSHA-compliant, but may not feel very good on a broken foot.

The other problem is absorbancy. Most foot ca sts would hold liquids - Not good. Homemade covers would likely not be comp liant.


If there is an office type temporary position available, that mig ht be more comfortable on the foot.  


Bill Parks< /font>
CHEMP now LinkedIn


F rom: Alan Hall <ahalltoxic**At_Symbol_Here** >
Date: March 28, 2011 12:08:51 PM EDT



Which chemica ls might she be working with?  How likely is exposure?  I assume that she does not need steel-toed shoes/boots for foot protection from  ;lift truck or other physical hazards?


If that is so, use any of the comm on protective suits/gloves selection guides, find an appropriate mater ial for the chemicals involved, and modify say a glove, or detached le g/sleeve, or a booty and cover the part of the foot in question.  Duct tape would work fine to hold the protective material in place over the boo t.  Should some type of exposure occur, such could readily be stripped off and proper decontamination measures initiated.  An overboot of th e proper material would also be an obvious option.  Slip and fall prot ection might be an issue, so look at the walking/standing surface as well i n case some modifications would be in order.  Also, check to see that the student can adequately reach a safety shower/eye wash within the recomm ended 10 seconds (ANSI/ISEA Z358.1-2009 Standard).  Naturally, documen t everything.


Alan H. Hall, M.D.
Laramie, WY
C olorado School of Public Health
Denver, CO

< /div>

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