compliance OSHA HIPAA Training America to Work Safely Now featuring Products

OSHA HIPAA I N F E C T I O N C O N T R O L compliance OSHA / HIPAA / INFECTION CONTROL COMPLIANCE TRAINING, SAFETY AND INFECTION CONTROL PRODUCTS Now featuring Products TM Training America to Work Safely TM

TABLE OF CONTENTS COMPLIANCE MANUALS 6-8 AND DOCUMENTS Dental and Medical HIPAA Compliance Program OSHA and HIPAA Upgrades POSTERS 9-11 Hazardous Material Wall Chart Bloodborne Compliance Wall Chart HIPAA Compliance Wall Chart Wall Chart Combo Labor Law Poster Fire Safety Wall Poster First Aid Response Poster GHS Wall Chart LABELS / SIGNS 12-17 Biohazard Warning Labels Radiation Caution Labels Chemical Product Labels Waterproof Labels OSHA Compliance Label Kit Variety Label Pack Universal Precautions Stop! Wash Hands Handwashing Technique (English/Bilingual) Laser Warning Sign Biohazard Storage Medical Alert Labels HIPAA Patient Consent Forms Variety Pack of Infection Control Labels Allergic To Labels HIPAA Alert Labels Emergency Signs Glow - In - The - Dark GHS Labels SPILL KITS & UTILITY GLOVES 18-20 Master Spill Kit Nitrile Utility Gloves Mercury Spill Kit Biological Spill Kit Chemical Spill Kit Chemo Spill kit ONLINE TRAINING PROGRAMS 21-23 OSHA Compliance and Infection Control Staff Training HIPAA Compliance Made Easy Staff Training Encrypted Email Service Fire Safety & Disaster TM Training America to Work Safely TM 3

TABLE OF CONTENTS MONITORING PROGRAMS 24-25 Aquasafe Water Test Kit Nitrous Oxide Monitor X-Ray Monitoring Service SAFETY/INFECTION CONTROL 28-39 PRODUCTS Safety Glasses, Shields, & Goggles Disposable Ear Plugs Lasershields Protective Eyewear Eyewash Adapters Emergency Eyewash Stations Eyewash Caps Eyewash Signs & Labels Eliminator Valve Adapter CPR Pocket Microshield New Single Handed Needle Recapper Scalpel Blade Remover Fire Extinguisher First-Aid Safety Kit Laundry Bag & Stand Infectious Waste Bags Handcare Products from Clorox Healthcare Surface Disinfectants from Clorox Healthcare GENERAL INFORMATION Frequently Asked Questions 40 Ordering Information 41 Product Compliance Checklist 46 TM 4 Visit our website at HPTCinc.com, for new product announcements and online ordering. Training America to Work Safely TM

GHS COMPLIANCE THE GLOBALLY HARMONIZED SYSTEM FOR HAZARD COMMUNICATION The Occupational Safety and Health Administration (OSHA) has decided to adopt the Globally Harmonized System for Hazard Communication (GHS) in the United States. The GHS, as the name implies, is a way of communicating chemical safety hazards in a consistent manner throughout the world. This new system utilizes Safety Data Sheets (SDS) and labelling that will be identical for the same chemical no matter if it was manufactured in Europe, Asia or North America. This will not only enhance the protection of both people and the environment, but will facilitate international trade. For example---in the dental industry, many products come from the United States, Japan and Germany. Once GHS is fully enacted, health care workers will see the same type of product labels and SDS on all of the products they purchase no matter what the country of origin. OSHA has decided to do a gradual phase-in, which will make implementation of these new regulations much easier. The compliance dates are as follows: 1. Employers/End Users Currently Train employees on new labels and SDS June 1, 2016 Update labels, complete training and update hazcom program 2. Chemical Manufacturers, distributors and importers June 1, 2015 Must comply with all provisions of the final rule but can still ship remaining inventory under the old system December 1, 2015 All products must be shipped following GHS protocol Compliance Training Partners has developed several products that will assist healthcare facilities in achieving compliance with these new regulations. They include: OSHA Compliance and Infection Control Program - See page 6 GHS OSHA Manual Upgrade Program - See page 8 GHS Laminated Wall Chart - See page 9 GHS Chemical Product Labels - See page 12 Online GHS Training - See page 22 5

COMPLIANCE PROGRAMS 6 OSHA COMPLIANCE AND INFECTION CONTROL PROGRAM The comprehensive OSHA Compliance and Infection Control Program covers all aspects of the Occupational Safety and Health Act as well as the CDC Infection Control Guidelines. Complete Program includes: Complete written training manual with required documents CD of all applicable OSHA regulations and CDC infection control guidelines Complete Infection Control Program as outlined by the CDC TB Compliance Program Workplace Violence Program Family and Medical Leave Act Compliance Sexual Harassment Policy requirements Exposure control plan Hazardous Materials Wall Chart Comprehensive online training program for doctor and staff Compliance labelling package Chemical MSDS Implementation instructions Updated GHS labels and wall chart 6 CEUs for 3 individuals after exam completion (dental clients only) * For three individuals (dental clients only). DCPE Dental MCPE Medical $ 499.00 DCPE-S Dental Spanish MCPE-S Medical Spanish $ 499.00 Undergoing an OSHA Audit? Ask us about our emergency assistance. 1.888.388.4782 Includes NEW OSHA Mandated Globally Harmonized System (GHS) Training! Now Available with Online Training in SPANISH!

WWW.HPTCINC.COM / 1.888.388.4782 HIPAA COMPLIANCE PROGRAM Includes the NEW HIPAA Omnibus Rule Requirements The Health Insurance Portability and Accountability Act (HIPAA), passed by the United States Congress in 1996, requires that all healthcare providers adhere to a specific set of electronic transactions, security and privacy standards. Our HIPAA Compliance System provides everything your office needs so that your employees can carry out the law s mandates. Complete Program includes: A comprehensive compliance manual Online staff training program Required documents and forms Online self evaluation exam 6 Continuing Education Units for 3 individuals after exam completion (Dental Personnel Only) Toll free technical support Laminated Wall Chart Upgrade service (1 year) CD of all HIPAA regulations Now Available with Online Training in SPANISH! HIP HIPAA Compliance System (Dental) $ 469.95 HIP-M HIPAA Compliance System (Medical) $ 469.95 HIP-S HIPAA Compliance System (Dental) Spanish $ 469.95 HIP-MS HIPAA Compliance System (Medical) Spanish $ 469.95 7

UPGRADES OSHA AND HIPAA Special Programs Special Upgrade Offer- For offices that do not require the entire OSHA Compliance System, the HIPAA Compliance System, or that have outdated manuals or systems other than CTP, a MANUAL ONLY option is available. It includes the manual with a one (1) or two (2) years of upgrade service. DCM1 - Dental OSHA Manual/1 yr Upgrade Service $ 299.50 MCM1 - Medical OSHA Manual/1 yr Upgrade Service $ 299.50 DCM2 - Dental OSHA Manual/2 yr Upgrade Service $ 349.00 MCM2 - Medical OSHA Manual/2 yr Upgrade Service $ 349.00 HCM1 - Dental HIPPA Manual/1 yr Upgrade Service $ 299.50 HCM2 - Dental HIPAA Manual/2 yr Upgrade Service $ 349.00 GHS OSHA Manual Upgrade Program It is now required to upgrade your OSHA compliance system to include the new Globally Harmonized System for Hazard Communication. The included insert packet is designed to be placed into the OSHA compliance manual you already use. This program has everything needed to update your present system. Included with the system: GHS insert packet designed to be placed into your current manual Online GHS staff training Includes 1 CEU for three individuals (dental clients only) GHS labelling instructions Water resistant GHS labels Laminated 17 by 35 GHS Display Wall Chart CD of all current regulations Toll-free technical support GHU $ 179.50 8

POSTERS HAZARDOUS MATERIALS WALL CHART This chart was designed to assist employees in evaluating chemical hazards and identifying protective needs when working with hazardous materials. Chemical and product labels are easily interpreted by use of rating codes and pictorials. Essential for every health facility, this chart is available in two sizes to allow for posting in a variety of places. HMWS 9 x 17 wall chart $ 39.95 HMWL 17 x 31 wall chart $ 49.50 GHS HAZARDOUS MATERIALS WALL CHART This chart complies with the new Globally Harmonized System for Hazard Communication and was designed to assist employees in evaluating chemical hazards and identifying protective needs when working with hazardous materials. Chemical and product labels are easily interpreted by use of rating codes and pictorials. Essential for every health facility, this chart is available in two sizes to allow for posting in a variety of places. GHSWS 9 x 25 poster $ 39.99 GHSWL 17 x 35 poster $ 49.99 BLOODBORNE COMPLIANCE WALL CHART Designed to educate and encourage employee compliance with OSHA s Bloodborne Disease Standard, this chart employs pictorials and written text in a clear and concise format. This laminated poster should be displayed in all workplaces to detail measures taken to protect your employees. BCWC 17 x 28 poster $ 39.95 HIPAA COMPLIANCE WALL CHART This comprehensive HIPAA Wall Chart is a great way to keep your office staff aware of the most important aspects of the HIPAA regulations at a glance. It is 17 x 23, laminated, and divided into sections in accordance with the regulations. A must for every office! HWC $ 43.95 9

POSTERS WALL CHART COMBO No office should be without these wall charts, which all employers agree make the job of training simpler and faster. This product includes our three most popular wall charts: Hazardous Materials Wall chart 17 X 31 HIPAA Compliance Wall chart 17 X 23 Bloodborne Compliance Wall chart 17 X 28 WC3 $ 99.95 LABOR LAW POSTER Federal law mandates that the Labor Law Poster must be displayed in the workplace in view of all employees. Employee information notices required are: Fair Labor Standard Act Employee Polygraph Protection Family Medical Leave Act OSHA Form 3165 Equal Employment Opportunity Act USERRA This comprehensive all-in-one laminated poster includes all required information. LLP 15 x 31 poster $ 44.95 10

WWW.HPTCINC.COM / 1.888.388.4782 FSP - FIRE SAFETY WALL POSTER This high quality laminated poster serves as a reminder for all employees of how to properly respond to a fire in the workplace as well as proper use of a fire extinguisher. FSP 11 x 17 poster $ 35.99 FAR - FIRST AID RESPONSE POSTER This large colorful poster describes proper first aid response in the work place. The poster is carefully organized by type of emergency medical situation and will serve as a valuable reference for all employees. FAR 22 x 26 poster $ 36.95 11

LABELS / SIGNS BIOHAZARD WARNING LABELS The Bloodborne Pathogens Standard requires the use of these labels. BWL2 2 x 2 labels 25 pack $ 13.95 BWL21 2 x 2 labels 100 pack $ 14.95 BWL4 4 x 4 labels 25 pack $ 13.95 BWL41 4 x 4 labels 100 pack $ 21.95 BWL4W 4 x 4 labels (waterproof) 25 pack $ 13.95 RADIATION CAUTION LABELS All radiographic equipment must be identified with this label. RCL 1.5 x 4 labels 5 pack $ 10.95 CHEMICAL PRODUCT LABELS The required target organ and routes of entry information is displayed on each label with color coded NFPA identification symbols. CPL2 2 x 2 labels 25 pack $ 16.95 CPL21 2 x 2 labels 100 pack $ 42.95 CPL4 4 x 4 labels 25 pack $ 19.95 CPL41 4 x 4 labels 100 pack $ 52.95 Waterproof labels Our detailed chemical product labels are also available with waterproof coating, in a variety of sizes. WL22 2 x 2 labels 25 pack $ 21.95 WL25 2 x 2 labels 50 pack $ 30.75 WL21 2 x 2 labels 100 pack $ 41.99 WL42 4 x 4 labels 25 pack $ 41.95 GHS CHEMICAL PRODUCT LABELS These water resistant GHS chemical labels are color coded and allow for compliance with the new Globally Harmonized System for Hazard Communication. 12 GHSC 2.5 x 2.5 labels 25 pack $ 18.95 GHSC100 2.5 x 2.5 labels 100 pack $ 49.95 GHCL 4 x 4 labels 25 pack $ 25.95 GHCL100 4 x 4 labels 100 pack $ 69.95

WWW.HPTCINC.COM / 1.888.388.4782 OSHA COMPLIANCE LABELING KIT Various sized biohazard and radiation caution labels are combined with a hazardous materials wall chart (described on page 7), and labeling instructions to assist your office in OSHA requirements for labeling. Toll free technical hot line service included. 1 1 32 6 20 4 15 5 5 9 x 17 Hazardous Materials Wall Chart 9 x 25 GHS Hazardous Materials Wall Chart 2.5 x 2.5 GHS labels 4 x 4 GHS labels 2 x 2 Hazard Class labels 4 x 4 Hazard Class labels 2 x 2 Biohazard labels 4 x 4 Biohazard labels 1.5 x 4 Radiation labels CLK $ 129.95 VARIETY PACK OF LABELS The variety pack offers various sizes of our chemical, biohazard and radiation labels. This packet contains 85 of our most popular labels, at a great value price. 32 2.5 x 2.5 GHS labels 6 4 x 4 GHS labels 20 2 x 2 Hazard Class labels 4 4 x 4 Hazard Class labels 15 2 x 2 Biohazard labels 5 4 x 4 Biohazard labels 5 1.5 x 4 Radiation labels V180 $ 59.95 13

LABELS / SIGNS UNIVERSAL PRECAUTIONS Designed to protect you and your employees, these bright, adhesive backed labels should be displayed in all treatment areas. They will reinforce the most important part of your exposure control plan. UPL 5 1 2 x 8 labels 5 pack $ 13.95 STOP! WASH HANDS These adhesive backed labels should be displayed throughout your office. Attractive Black/Red/White design. SWHL 5 1 2 x 8 labels 5 pack $ 24.95 HANDWASHING TECHNIQUE These adhesive backed labels should be displayed throughout your office. Attractive Black/Red/White design. HWTL 2 3/4 x 4 labels 5 pack $ 13.95 HANDWASHING TECHNIQUE - BILINGUAL (Spanish/ English) The Centers for Disease Control states that handwashing is one of the most important ways to prevent the spread of disease. These bilingual labels will serve as a reminder to staff members. HWTL-B 6 x 6 labels (Bilingual) 2 pack $ 14.95 14

WWW.HPTCINC.COM / 1.888.388.4782 LASER WARNING SIGN Many offices utilize a laser for various surgical procedures in the office. It is required that you place a laser in use warning sign in each room that the device is used in. This durable acrylic sign meets all requirements. LWS 10 x 7 sign 1 per pack $ 28.95 EMERGENCY SIGNS GLOW IN THE - DARK OSHA requires that all emergency exits, exits, and non-exits be marked with clear, visible, illuminated signs. These light weight signs glow in the dark for up to 8 hours and are 10 x 7 The easy mount fire extinguisher sign measures 4 x 18. All signs meet OSHA & NFPA requirements. EOS Emergency Exit Only $ 53.95 EXS Exit $ 53.95 NXS Not an Exit $ 53.95 FES Fire Extinguisher $ 59.95 15

LABELS / SIGNS BIOHAZARD STORAGE These magnetic labels allow you to designate refrigerators for biohazard (red) or food (green) storage. Specify red or green. BSLM 4 x 4 magnet 1 pack $ 24.95 These labels are perfect for placement on cupboard doors, refrigerators or freezers which contain potential biohazards. BSLA 4 1/2 x 4 1/2 adhesive 5 pack $ 14.95 MEDICAL ALERT LABELS Available in two sizes, these red and white pressure sensitive labels are designed for labeling charts, x-rays and treatment correspondence. MALL 6 1/2 x 1 50 per roll $ 18.95 MALS 1 1/2 x 7/8 100 per roll $ 16.95 16

WWW.HPTCINC.COM / 1.888.388.4782 VARIETY PACK OF INFECTION CONTROL LABELS Our five most popular infection control labels are included in this pack. Adhesive backed, durable and water resistant. VPL5 5 pack $ 30.75 ALLERGIC TO LABELS These labels track allergies and other alert conditions. They are pressure sensitive and the fluorescent chartreuse color attracts attention. ATL 2 X 3 100 pack $ 20.99 HIPAA ALERT LABELS These colorful attention-getting adhesive backed labels are a constant reminder of HIPAA regulations. We recommend placing a label on each patient chart as well as in key points in the office, to alert staff of the requirements under HIPAA to keep files secure and protect patient health information. HAL50 4 x 4 Labels 50 pack $ 15.95 HAL10 4 x 4 Labels 100 pack $ 26.95 HIPAA PATIENT CONSENT FORMS Refill pad of patient consent forms. PCF Pad of 50 $ 9.95 17

SPILL KITS MASTER SPILL KIT This all-purpose kit combines absorbents for all of the most common spills that occur in a healthcare facility. Contents include: Biological spill powder 1 pair nitrile gloves MercSorb Biohazard disposal bags ChemSorb Biohazard labels 1 Mercury scrubber 1 Scooper & pan 1 Mercury magnet 1 pair safety goggles MSK $ 136.95 SPR Scooper & pan refill $ 15.95 MSR Mercury magnet & scrubber $ 8.50 Helps meet OSHA requirements Designed to pick up chemical, biological or mercury spills 18

WWW.HPTCINC.COM / 1.888.388.4782 MERCURY SPILL KIT Mercury hazards are eliminated with the proper use of this kit. The kit contains an absorbent powder (MercSorb 350 grams) that amalgamates the mercury with a ferrous metal for easy pick up with a mercury magnet. In addition to the powder and magnet, the kit contains: 1 scrubber; 1 pair of goggles; 1 pair of nitrile gloves; disposal bags and biohazard warning labels. MESK $ 85.50 MER MercSorb refill (350 grams) $ 43.95 BIOLOGICAL SPILL KIT Eliminates the hazards of blood and other body fluid spills. The biological spill powder contained in this kit (6 oz. shaker) solidifies the spill making clean-up quick and easy. Also included: 1 pair goggles;1 pair nitrile gloves; 1 scooper and pan; disposal bags and biohazard warning labels. BISK $ 58.95 BIOR BioSorb refill (6 oz.shaker) $ 27.95 CHEMICAL SPILL KIT To handle spills of potentially hazardous liquids (disinfectants, acids, developer, fixer, etc.), this kit is a must for every workplace. This kit contains everything you will need for a chemical spill: ChemSorb (16 oz); 1 pair goggles; 1 scooper and pan; 1 pair nitrile gloves; biohazard labels and disposal bags. CHSK $ 62.95 CEMR ChemSorb refill (16 oz.) $ 16.00 CHEMO SPILL KIT This kit contains neutralizing powder to manage chemotherapy medication spills. Also included: 3 gowns, 3 pais of shoe covers, 3 masks, 6 yellow bags, 6 pairs of chemo gloves, 3 absorb pads, 1 scooper and pan. KESK $ 89.95 CSP ChemoSorb refill (16 oz.) $ 27.95 19

UTILITY GLOVES AND AMALGAM RECYCLING NITRILE UTILITY GLOVES When cleaning instruments or working with chemicals such as acids or corrosives (disinfectants/solvents/fixer), OSHA regulations require the use of gloves. These nitrile gloves will keep your office in compliance. Specify size, available in sizes XS (6) to XL (10) Actual sizes are slightly larger than normal. NUG1XS 1 pair pack $ 8.25 NUG1S 1 pair pack $ 8.25 NUG1M 1 pair pack $ 8.25 NUG1L 1 pair pack $ 8.25 NUG1XL 1 pair pack $ 8.25 NUG12 12 pair pack $ 41.50 ELBOW LENGTH - Available in M or L NUGE1M 1 pair pack $ 22.25 NUGE1L 1 pair pack $ 22.25 DISPOSE-ALLOY AMALGAM RECYCLING PROGRAM HPTC provides a complete solution to comply with federal, state and local laws regarding amalgam recycling. Your amalgam waste is recycled at a US EPA certified facility and our certification program provides required *annual proof of compliance for amalgam recycling. Choose a 2.5 or 5 Gallon Storage/Shipping Container Return Shipping Carton FREE On-Demand Pickup and Pre-Paid Shipping Waste recycled at a US EPA Certified Facility Compliance Certification Plus a FREE Online Infection Control/Waste Management Course (1 CEU) A $100 Value ARPS 2.5 Gallon Package $ 299.00 ARPL 5 Gallon Package $ 399.00 20 *Compliance for Amalgam Recycling varies from state to state. Most states recommend following The ADA s Best Practices for Amalgam Recycling. This service complies with these guidelines.

ENCRYPTED EMAIL AND ONLINE TRAINING HIPAA Regulations Require Encrypted Email NEW! ENCRYPTED EMAIL SERVICE Encrypted email from CTP provides a comprehensive encryption solution to help you ensure your confidential communications are safe, secure, and comply with HIPAA regulations. In addition, all data resides in the United States, a statement that most competitors cannot make. WHO SHOULD ENCRYPT EMAIL? Health care organizations have ethical, fiduciary, and regulatory duties to ensure that their patient s personal information remains confidential. Encrypted Email from CTP provides the solution. HOW DOES IT WORK? All email content and attachments automatically scanned to detect whether message warrants encryption before being sent, Examples include:»» Emails with social security numbers»» Emails with credit card numbers»» Emails with patient information»» Emails with legal case information Policies can be configured to encrypt and send, return to sender, or delete messages with non-secure content Reduces human error, minimizing the risk of security breaches No additional software or plug-ins required Includes full incoming and outgoing archiving (683-0112) $ 429.99 12 month subscription with automatic renewal *Cancellations require 30 day notice. HPTC client will be billed for the next month after receiving notice of cancellation. FIRE SAFETY & DISASTER TRAINING 2 CEU OSHA requires emergency training and evacuation procedures for all offices. This program provides training on these important issues, to assure workplace compliance and safety. Completion of training exam yields 2 CEU s for 6 individuals.* FSD/VP Online Training Program, 6 Viewings $ 73.50 * CEUs available for Dental personnel only 21

ONLINE TRAINING PROGRAMS Now Available in SPANISH! Includes NEW OSHA Mandated Globally Harmonized System (GHS) Training! OSHA COMPLIANCE AND INFECTION CONTROL ONLINE STAFF TRAINING PROGRAM This training program has been redesigned and includes the new Globally Harmonized System for Hazard Communication (GHS). All offices must receive GHS training immediately. The program also includes training on CDC infection control guidelines, the Bloodborne Disease Pathogens Standard and all applicable subparts of the OSHA regulations. The program is designed to fulfill OSHA s annual training requirements and allows all trainees to take a post-training online evaluation and print a certificate of completion. A training certificate designed for display in the office may also be printed. Programs are per individual and include: Office certificate of training Training log and training contract Toll-free technical support STR/VP1D Dental $ 45.00 STR/VP1D-S Dental Spanish $ 45.00 (1 view, 3 CEUs for 1 person and 1 certificate of completion) STR/VP6D Dental $ 239.99 STR/VP6D-S Dental Spanish $ 239.99 (6 views, 3 CEUs for 6 people and 6 certificates of completion) STR/VP10D Dental $ 299.99 STR/VP10D-S Dental Spanish $ 299.99 (10 views, 3 CEUs for 10 people and 10 certificates of completion) STR/VP1M Medical (1 view) $ 45.00 STR/VP1M-S Medical Spanish (1 view) $ 45.00 STR/VP6M Medical (6 views) $ 239.99 STR/VP6M-S Medical Spanish (6 views) $ 239.99 STR/VP10M Medical (10 views) $ 299.99 STR/VP10M-S Medical Spanish (10 views) $ 299.99 STR/VP25M Medical (25 views) $ 675.00 STR/VP25M-S Medical Spanish (25 views) $ 675.00 STR/VP50M Medical (50 views) $1250.00 STR/VP50M-S Medical Spanish (50 views) $1250.00 STR/VP100M Medical (100 views) $2200.00 STR/VP100M-S Medical Spanish (100 views) $2200.00 22

WWW.HPTCINC.COM / 1.888.388.4782 Now Available in SPANISH! Includes NEW HIPAA Omnibus Rule HIPAA COMPLIANCE MADE EASY ONLINE STAFF TRAINING PROGRAM This program is designed to train all staff members on the requirements of HIPAA regulations including: Privacy, Security, Electronic Transactions, Protected Health Information, HITECH Regulations, HIPAA 5010, HIPAA Omnibus Rule, Breach Notification, Record Keeping, Required Documents, Software Requirements, Delegation/Assignment of Duties, Enforcement And Penalties. Complete Program includes: Office training certificate Training Log & Training Contract Toll-free Technical Support HIP1AVD Dental $ 45.00 HIP1AVD-S Dental Spanish $ 45.00 (1 view, 2 CEUs for 1 person and 1 certificate of completion) HIP6AVD Dental $ 229.99 HIP6AVD-S Dental Spanish $ 229.99 (6 views, 2 CEUs for 6 people and 6 certificates of completion) HIP10AVD Dental $ 289.99 HIP10AVD-S Dental Spanish $ 289.99 (10 views, 2 CEUs for 10 people and 10 certificates of completion) HIP1AVM Medical (1 view) $ 45.00 HIP1AVM-S Medical Spanish (1 views) $ 45.00 HIP6AVM Medical (6 views) $ 239.99 HIP6AVM-S Medical Spanish (6 views) $ 239.99 HIP10AVM Medical (10 views) $ 299.99 HIP10AVM-S Medical Spanish (10 views) $ 299.99 HIP25AVM Medical (25 views) $ 665.00 HIP25AVM-S Medical Spanish (25 views) $ 665.00 HIP50AVM Medical (50 views) $1225.00 HIP50AVM-S Medical Spanish (25 views) $1225.00 HIP100AVM Medical (100 views) $2150.00 HIP100AVM-S Medical Spanish (100 views) $2150.00 23

MONITORING PROGRAMS X-RAY MONITORING SERVICE Experts agree that there is no safe level of radiation. Even the smallest dose may cause cancer and genetic damage. Any healthcare facility may be exposing staff to unsafe levels of radiation. That s why accurately measuring and recording radiation exposure over the long term is important for your people and your practice. The Landauer Luxel Plus with state-of-the-art Optically Stimulated Luminescence (OSL) technology, has the highest sensitivity available today 10 times the sensitivity of film badges! Features include: Fastest reporting in the industry five day average turnaround A lifetime exposure record is archived for safekeeping Personalized badges Web-based reporting Automatic renewal program XXMBM Monthly Badge Service $ 159.99 XXMBQ Quarterly Badge Service $ 99.99 XMBF Fetal badge Service (7 months) $ 125.99 The most accurate badge on the market today Provides protection and peace of mind for your employees 24

MONITORING PROGRAMS AQUASAFE WATER TEST KIT Centers for Disease Control and Prevention recommends that all dental unit water be below 500 colony forming units per cc of water. This easy-to use kit provides in-office results and describes how to resolve a poor reading. In addition, the kit provides assistance with establishing protocol for continued compliance. Features include: In-office reporting Helps to meet CDC Guidelines Protects patients WTK-A 1 unit $ 24.95 WTK-B 4 units $ 89.95 WTK-C 8 units $ 159.95 WTK-D 12 units $ 199.95 NITROUS OXIDE MONITOR Nitrous oxide levels should be maintained below a time weighted average (TWA) of 25 ppm in operating rooms and a TWA of 50 ppm in dental treatment areas, according to OSHA regulations. Monitoring is recommended at least quarterly. This service provides accurate and affordable results. Mail-in envelopes and results analysis are included. NOM1 1 unit $ 92.50 NOM2 2 units $ 169.95 NOM3 3 units $ 239.95 NOM4 4 units $ 299.95 25

Reduction of Aerosolized Bacteria 77% reduction vs. no rinse Feres M, Figueriredo LC, Faveri M. J Am Dent Assoc. 2010;141(4):415-422 26

Help Shield Your Practice with Colgate Total Mouthwash Features 0.075 Cetylpyridinium chloride (CPC) Multiple Benefits Provides 12 hours of antibacterial protection, even after eating and drinking 1 Helps reduce plaque & gingivitis 2,3^ Kills 99% of Bacteria on contact 4 Pre Procedural Rinse in Dental Office reduces cross-contamination * 1 from aerosolized bacteria by 77% >5 Reduces aerosolized oral bacteria, equally as effectively as a CHX rinse 5 Alcohol-free formula Patient acceptance great taste ^With twice-daily continued use. * When used as a pre-procedural patient oral antibacterial rinse, Colgate Total Advanced Pro-Shield Mouthwash will reduce cross-contamination defined as the transmission of potential oral pathogens or microorganisms from aerosols released during dental procedures using an ultrasonic scaler. In a randomized, double-blind, placebo-controlled clinical trial, 60 participants were randomly sorted into one of four groups to test cross-contamination during oral procedures. Participants were instructed to rinse for one minute with either Cetylpyridinium (CPC) rinse, Chlorhexidine (CHX) rinse, water, or were instructed not to rinse. Participants were brought into an unoccupied dental office where blood agar plates were placed on a support board, the participants chests, and the examiners foreheads to measure dental aerosols. After an oral prophylaxis of the full mouth using an ultrasonic scaler, the plates were sent to a microbiology laboratory to detect the amount of dental aerosols measured in microbial colony-forming units. CPC and CHX equally decreased splatter microorganisms vs rinsing with water and no rinsing. CPC rinse used is a bioequivalent to Colgate Total Advanced Pro-Shield Mouthwash formula. >versus no rinsing References: 1. Data on file. Colgate-Palmolive Company. June 2013; 2. Data on file. Colgate-Palmolive Company. Results of a 6-Week Plaque and Gingivitis Clinical Study in Puerto Rico. December 2012; 3. Data on file. Colgate-Palmolive Company. Results of a 6-Week Plaque and Gingivitis Clinical Study in Dominican Republic. December 2012; 4. Data on file. Colgate-Palmolive Co., April 2014; 5. Faveri M. J Am Dent Assoc. 2010;141(4):415-422. 27

SAFETY/INFECTION CONTROL PRODUCTS ADJUSTABLE ARM SAFETY GLASSES Offering a nice snug fit, these lightweight,durable fog-free safety glasses are designed for comfort, safety and style. Made of poly-acrylic safety glass, with adjustable arms and a durable hi-tech design. SPECIFY: Red, Black, or Blue. ASG 1 pair $ 9.95 ea. FOG FREE SAFETY GLASSES These durable hi-tech design glasses insure comfort and styling, with adjustable arms for a precise fit. They are made of lightweight poly - acrylic safety glass, with fog-free, anti-scratch, anti-static lenses and stylish multi-colored frames. FSG $ 11.95 SIDE SHIELDS These durable side shields slip on to your glasses, providing the protection required by the Bloodborne Disease Pathogens Standard. SS1 1 pair pack $ 7.95 SS12 12 pair pack $ 19.99 VENTED SAFETY GOGGLES These plastic goggles are designed to fit over most personal eyewear. They are vented for free air flow, fog free, and provide protection against spray, splash or projectile injury. VSG $ 10.95 DISPOSABLE EAR PLUGS When noise levels in the workplace reach or exceed 85 decibels, for 8 hours or more, a Hearing Conservation Program is required by OSHA. These comfortable foam latex-free ear plugs help meet this requirement and protect all day long. DEP24 24 pair $ 30.50 28

SAFETY/INFECTION CONTROL PRODUCTS LaserShields PROTECTIVE EYEWEAR The human eye can be permanently injured from exposure to laser energy. Retinal damage occurs from exposure to 400-1400 nm, while corneal or lens damage occurs from 190 nm-400 nm and 1400-1000 nm. For this reason, OSHA requires the use of laser protective eyewear for all employees exposed to laser energy. LaserShields safety eyewear is designed to absorb the specific energy found in dental and medical lasers including Nd:YAG, CO2, erbium, and diode. LaserShields provide industry defining protection with an eye on comfort and meet US and international laser safety standards including ANSI Z136.1, EN207/EN208/EN60825, and Z87.1 for impact. All LaserShields are made in the USA and come with a lifetime warranty. LaserShield UNIVERSAL This attractive design provides a universal fit that is comfortable worn alone or over prescription glasses. Available in black only. LPE 1 1 pair $ 229.99 LaserShield MAGNIFICATION For many laser procedures, clinician s desire increased magnification. The LPE 2 features not only an attractive and comfortable design, but is fitted with a 2.5X magnifying insert. LPE 2 1 pair $ 299.95 29

SAFETY/INFECTION CONTROL PRODUCTS EYEWASH ADAPTERS These adapters allow attachment of the HPTC eyewash to almost any faucet. Call our technical services department for assistance in choosing the correct adapter. Size must be specified. Please contact customer service. EA 1 pair $ 19.95 ea. EMERGENCY EYEWASH STATION ANGLED This unit features an automatic shut off valve and easily adapts to any faucet with a removable aerator. The unit meets OSHA requirements and was designed for use on goose-necked faucets. EESA Emergency Eyewash Station Angled $ 139.00 EESEA EESA w/eliminator valve $ 179.95 EYEWASH CAPS These caps are designed to replace broken or lost caps on the HPTC eyewash. EESAC red 1 $ 10.95 EESC green 3/4 $ 10.95 30

WWW.HPTCINC.COM / 1.888.388.4782 EMERGENCY EYEWASH STATION This unit fits any faucet equipped with a removable aerator, and features an automatic shut-off valve. EES $ 99.99 EESE w/eliminator valve $ 116.95 EYEWASH SIGN This large (11 x 7 ) durable plastic sign draws attention to the location of your eyewash station and meets all OSHA requirements for eyewash signage. ESP $ 27.95 EYEWASH LABEL This adhesive backed label mounts securely to walls or cabinets, and meets OSHA requirements for eyewash signage. Label measures 3 1 2 x 4. ESL $ 9.95 31

SAFETY/INFECTION CONTROL PRODUCTS WALL MOUNTED EYEWASH STATION This durable unit is designed to function as a stand-alone unit and must be plumbed to a dedicated cold water line. WMEU $ 299.50 ELIMINATOR VALVE ADAPTER Upon publishing a temperature limitation on eye or face wash stations, OSHA has given its inspectors the authority to cite and fine workplaces where the possibility of scalding exists. If your eyewash unit is connected to a sink with both hot & cold running water, you must install a device to regulate the water temperature. This Eliminator Valve complies with OSHA requirements when attached to a conventional eyewash station. EVA $ 45.95 32

WWW.HPTCINC.COM / 1.888.388.4782 CPR POCKET MICROSHIELD This latex-free CPR Microshield meets today s health concerns. The soft barrier membrane conforms to the face and has a unique anti-flex one way valve to prevent contact with oral secretions. The bite block valve allows a positive airway in the head-tilt/chin-lift CPR technique. The kit also includes safety gloves and antiseptic towelettes. CPM $ 21.95 NEW SINGLE HANDED NEEDLE RECAPPER Our needle recapper is designed to minimize risk of accidental needle sticks. This tool will not wear out and is autoclavable. The design adapts to any needle type, useful in every operatory. Will never wear out High tech design for ease of use Adapts to any type needle Autoclavable SHR1 1 Unit $ 39.95 SHR6 6 Units $ 179.95 SCALPEL BLADE REMOVER This Blade Mate remover is designed to eliminate scalpel blade cuts. The blades drop safely into the sealed reservoir (stores 15-20 blades). The reservoir acts as an autoclavable sharps container. SBR1 1 Unit $ 9.95 SBR6 6 Units $ 32.95 SBR12 12 Units $ 49.95 33

SAFETY/INFECTION CONTROL PRODUCTS FIRE EXTINGUISHER - A B C RATED This commercial device is designed for use in areas of up to 3,000 square feet and meets all requirements for any allied health facility. It can be used for paper, gas, wood, flammable liquid or electrical fires. RFE $ 99.95 FIRST-AID SAFETY KIT All basic first-aid supplies required for the workplace are included in this durable kit. FASK $ 89.95 34

WWW.HPTCINC.COM / 1.888.388.4782 LAUNDRY BAG & STAND OSHA s Bloodborne Pathogens Standard mandates - contaminated laundry be placed in bags that are marked with a Biohazard symbol. This sturdy fluid resistant bag features a nylon draw cord and attached handles. Imprinted with the Biohazard symbol, this durable washable bag is constructed with a seamless bottom for maximum strength. LB Laundry Bag $ 41.95 LBS Laundry Bag Stand $ 31.50 LBC Bag & Stand Combo $ 64.95 INFECTIOUS WASTE BAGS These high quality red bags are imprinted with the universal Biohazard symbol. Sturdy construction (43 mm plastic) make these bags safe for hazardous waste disposal. Available in three sizes. CERTIFIED FOR FLORIDA DISPOSAL REQUIREMENTS. IWB4 4 gal. 25 per roll $ 14.95 IWB10 10 gal. 25 per roll $ 15.95 IWB30 30 gal. 20 per roll $ 18.95 35

SAFETY/INFECTION CONTROL PRODUCTS HEALTHLINK CLOROX HAND CARE PRODUCTS Specially created for people in healthcare, HealthLink Hand Care products all contain aloe vera. It moisturizes and prevents drying bringing relief to hands that are washed all day long AloeGuard Antimicrobial Soap: Gentle formula washes away germs leaving hands clean but not dry. GBG Foaming Instant Hand Sanitizer: Foaming formula softens hands without tacky residue. GBG AloeGel Instant Hand Sanitizer: Kills 99.9% of germs without sticky residue. Aloe Soothe Moisturizing Lotion: Emollients moisturize skin. Contains no petroleum. Compatible with latex gloves. 36

WWW.HPTCINC.COM / 1.888.388.4782 ALOEGUARD ANTIMICROBIAL SOAP Kills pathogenic microorganisms on hands Reduces risk of cross-contamination Moisturizes and softens skin with aloe vera Gentle, soothing formula Pleasant fragrance Available in 4 oz. flip-top bottle, 18 oz. pump, 800 ml bag-inbox, wall dispenser and 1 gallon refill GBG ALOEGEL INSTANT HAND SANITIZER Kills 99.9% of harmful microorganisms in 15 seconds Contains moisturizers and skin conditioners, including vitamin E and aloe vera No sticky residue Available in 4 oz. flip-top bottle, 18 oz. pump, 800 ml bag-inbox, wall dispenser and stand dispenser GBG FOAMING INSTANT HAND SANITIZER Kills 99.9% of harmful microorganisms in 15 seconds Unique foaming formula helps soften hands without sticky residue Contains aloe Pleasant, fresh scent Available in 7 oz. can. Wall bracket available. ALOE SOOTHE MOISTURIZING LOTION Unique blend of ingredients helps soothe and moisturize skin No petroleum products added, so it s latex friendly Available in 18 oz. pump 37

SAFETY/INFECTION CONTROL PRODUCTS HEALTHLINK CLOROX SURFACE DISINFECTANTS One of your highest priorities is the health of your patients and staff. A critical part of that is stopping the spread of illness-causing germs in offices. Solutions trusted and proven in hospitals are now available for dental and medical offices. Clorox Healthcare Hydrogen Peroxide Cleaner Disinfectant Wipes and Sprays: EPA-registered to kill 42 microorganisms in as little as 30 seconds the fastest non-bleach contact times available* EZ-Kill Disinfecting Cleaning Wipes: EPA-registered to kill most bacteria and viruses in under 2 minutes** * Based on 30-second non-tb bacteria and virus contact times for general disinfecting on Federal Master Labels as of 3/2015 ** See product label for specific kill claims 38

WWW.HPTCINC.COM / 1.888.388.4782 CLOROX HEALTHCARE HYDROGEN PEROXIDE CLEANER DISINFECTANT WIPES Proprietary and patented hydrogen peroxide technology EPA-registered to kill 42 microorganisms in as little as 30 seconds* High-quality tear-resistant wipes for greater durability No harsh chemical odor or fumes Noncorrosive, nonflammable Available in 95- and 155-count wipes canisters, 185-count bucket (and refill) CLOROX HEALTHCARE HYDROGEN PEROXIDE CLEANER DISINFECTANT Proprietary and patented hydrogen peroxide technology EPA-registered to kill 42 microorganisms in as little as 30 seconds* Kills bacteria on soft surfaces in 30 seconds and approved for use on upholstered furniture, cushions, curtains and more No harsh chemical odor or fumes Noncorrosive, nonflammable Available in 32 oz. spray and 1 gallon spray refill EZ-KILL DISINFECTING CLEANING WIPES Cleans, disinfects and deodorizes Contains a stable quaternary ammonium formula Nonwoven disposable cloth EPA-registered to kill most bacteria and viruses in under 2 minutes** Effective against a broad range of microorganisms, including MRSA, VRE, Influenza A, TB, HBV, HCV and HIV-1 Available in 65- and 160-count canisters 39

FREQUENTLY ASKED QUESTIONS What is the best way to bring our office into compliance? The comprehensive CTP OSHA Compliance Program is simple to follow and covers all aspects of the OSHA Act as well as CDC Infection Control Guidelines. The HIPAA Compliance Program will allow you to quickly achieve compliance in this important area. We have implemented the CTP Compliance Program in our office. What other training programs are available? CTP offers a variety of online training programs addressing such issues as annual staff training, infection control, needlestick exposure protocol, the Bloodborne Pathogen Standard and recordkeeping requirements. Continuing education units (CEU s) are available for most programs. Where do we find safety products that meet OSHA requirements? CTP offers a full line of safety products which will allow you to comply with OSHA regulations. These include: eyewash stations; spill kits; fire extinguishers; safety glasses; nitrile gloves; signs; and various monitoring badges. What about infection control products? We strive to bring you the best infection control products so that you can provide the safest environment possible for your patients and staff. What do we do when OSHA or HIPAA regulations change? At CTP, we constantly monitor OSHA, HIPAA and infection control regulations. We strongly recommend our upgrade subscription service, which will keep you informed of any changes or additions to these regulations. What is your return policy? If a product does not meet your needs, simply call within 30 days for a return authorization number. This number must be clearly written on the outside of the return box. Shipping and handling charges are not refundable, and a restocking fee may apply. Copyright training materials are not returnable if opened. 40

HOW TO ORDER Our Products are available from most quality Dental and Medical Distributors. To order, contact your Distributor, or Compliance Training Partners by phone or fax. Phone: 888.388.4782 Fax: 248.919.5528 Delivery Terms: All orders are subject to a shipping and handling charge. Orders are shipped UPS ground. Price Policy: While every effort has been made to provide you with the lowest possible prices, occasionally unanticipated manufacturer increases make it necessary to change the prices listed in this catalog. We regret that price increases must sometimes occur. Backorders: Occasionally because of increased demand or vendor delays, it is necessary to backorder an item. You will be notified of any such delays along with an anticipated ship date. Returns and Exchanges: Please inspect your shipment upon arrival. If you need to return an item, please call our Customer Service representative to obtain a return authorization number. Returned products must have been purchased within the previous 30 days. We ask that all goods be in resalable condition to receive full credit. Also, any copyrighted material including software and video materials must be returned unopened to receive credit. Mailing Address 20793 Farmington Road, Suite LL Farmington Hills, Michigan 48336 41

Training America to Work Safely OSHA COMPLIANCE A U D I T C H E C K L I S T Y N TRAINING Are employees provided annual training on all applicable OSHA regulations including Hazard Communications, Bloodborne Pathogens, and TB? Are new employees provided training before performing duties? Are training records kept for a minimum of 3 years? Are all safety practices and procedures updated annually? HAZARD COMMUNICATION Do you have a written program customized, reviewed and updated annually? Are MSDS Sheets on File with an Inventory Control List? Do you have a MSDS list including those you no longer use? Are all hazardous products labeled properly? Do all employees understand the emergency spill procedures? Is there a spill kit available? Do all employees know how to use the eyewash station? Is the eyewash station labeled and functioning properly? Are employees trained on Globally Harmonized System (GHS)? BLOODBORNE PATHOGENS Are waste containers in operatory or treatment room labeled with biohazard label? Are waste containers covered or have a drop through opening? Are employees offered the Hepatitis B vaccination free and within 10 days of task assignment? Does a written exposure control plan exist? Is there a written exposure control plan accessible to all employees? Is the plan reviewed and updated at least annually? GENERAL HOUSEKEEPING, STORAGE, WALKING SURFACES, MEANS OF EGRESS Are all areas of the office clean, uncluttered, and sanitary? Are all passageways and aisles marked and free from obstruction? Are lighted or glow in the dark exit signs in place? Are there at least 2 means of egress (exits)? ELECTRICAL Are all the electrical devices properly grounded (3 prong plug)? Are all electrical outlets on a Ground Fault Interrupter (GFI) circuit? Have you checked that extension cords are not in use? Are all cords and plugs free of visible wear? MEDICAL EMERGENCIES, SAFETY & FIRST AID Is at least one person on each shift trained in First Aid and Cardiopulmonary Resuscitation? Do all staff members know the proper post exposure procedure? Is there an accident report file established and maintained? Are monthly inspections of the facility being conducted? (first aid kit, fire extinguisher and eye wash station) Is there an eyewash station within 25 feet or 15 seconds of hazardous chemicals? 42

Y N GRINDING EQUIPMENT & COMPRESSED GASES Is grinding equipment in good and safe condition with guards and shields? Are the gas cylinders (nitrous oxide/oxygen) properly chained or cabled to a wall? Are gas cylinders properly labeled? Are employees trained on compressed gas safety? EMPLOYEE FILES / RECORD KEEPING Contain medical reports of workplace accidents or injuries? Contain vaccination history? Contain hepatitis B vaccination record or declination form? PERSONAL PROTECTIVE EQUIPMENT (PPE) Is proper personal protective equipment provided and maintained by the employer? Are gloves and masks changed after each patient? Are employees properly donning and removing PPE? Are protective eyewear/shields worn? Are lab coats and/or gowns worn and changed when visibly soiled and at the end of the day? Are nitrile or synthetic gloves provided to those who have sensitivity to Latex? POSTERS AND SIGNS PROPERLY DISPLAYED Federal Minimum Wage Poster? OSHA 3165? If lasers are used is there a warning sign posted? Equal Opportunity Employer? Family and Medical Leave Act? Emergency Evacuation plan? Employee Polygraph Protection Act? USERRA? State Specific Posters where required? Housekeeping schedule posted? LAUNDRY Cleaned by a professional service or cleaned in office? Is soiled laundry placed in marked bags or containers labeled with the biohazard symbol? SHARPS Is there a sharps log available for documenting exposure incidents? Are sharps containers readily accessible in the area of use? Filled containers transported by licensed recycler every 90 days? NON-SHARP REGULATED WASTE Is saturated gauze, cotton and other absorbent waste placed in a red bag? Is human tissue placed in a red bag? Is regulated waste placed in closable, leak proof biohazard labeled containers for pick up? DENTAL WATER QUALITY (Dental facilities only) Are self-contained water bottle systems maintained properly? Is water in each operatory tested to ensure < 500 CFUs of bacteria per ml? Are sterile water and sterile waterlines used for surgical procedures? MONITORING Are exposed employees wearing radiation dosimeters? If nitrous oxide is used, are nitrous monitors used quarterly? Does the office have air quality control? (HVAC, proper ventilation, filter changes) Are spore tests completed weekly on all autoclaves? 43

Training America to Work Safely HIPAA COMPLIANCE A U D I T C H E C K L I S T Y N GENERAL The Practice Executive has been appointed. This individual oversees the entire application of the HIPAA regulations and assigns responsibilities of team members. The HIPAA Coordinator has been appointed. This individual answers to the Practice Executive and oversees the efforts of other team members. The Transaction Compliance Officer has been appointed. This person serves as the primary expert on all areas of electronic data transaction and reports to the HIPAA Coordinator. The Privacy Officer has been appointed. This individual serves as the primary expert on all privacy matters and reports to the HIPAA Coordinator. The Security Officer has been appointed. This person serves as the primary expert on all security matters and reports to the HIPAA Coordinator. A Gap Assessment/Risk Analysis has been conducted to identify all areas of compliance or non-compliance. A written training program has been developed for the annual training of all employees. Training logs/contracts have been developed to document that training has occurred. PRIVACY Privacy training has been provided for all new employees. Privacy training is provided annually for all employees. Privacy training has been documented. A written Privacy Plan exists and is reviewed/updated annually A Notice Of Privacy Policy is offered to all patients. A written Notice of Privacy Policy is posted where all patients may view it. All patients have signed a Consent Form acknowledging they have been offered a copy of the Notice of Privacy Policy. Reasonable Accommodations for privacy have been made for discussions of treatment or payment with patients. Business Associate Agreements have been signed by all business associates as defined by HIPAA law. Business Associates and their subcontractors (should they utilize them) are aware of their downstream responsibility. Written Authorizations have been obtained from patients for the use of Protected Health Information (PHI) when used for other than Treatment, Payment or running of Operations. Written Authorizations are obtained from patients if they wish for their PHI to be discussed with family members or responsible parties. The Employee Manual includes a Confidentiality Agreement/Statement. A policy exists for Breach Notification of the patient, should a breach of their PHI occur. 44

Y N SECURITY Security training has been provided for all new employees. Security training is provided annually for all employees. Security training has been documented. A written Security Plan exists and is reviewed/updated annually. A Security Risk Assessment has been performed, a Gap Assessment completed, and security risks addressed. A HIPAA compliant software system is in use. Copy and fax machines settings are adjusted to not store data on their internal hard drives. Off-site, encrypted backups are performed regularly. Password protection is used on all computers that access Protected Health Information (PHI). Password testing is conducted periodically. Business class HIPAA compliant firewalls are installed and functioning properly. User Access Controls (UAC) have been turned on and are operating correctly. The network is scanned for ports that should be blocked. If a wireless system is used, it is business class and encrypted. Server data is encrypted. The email system is secure and encrypted. The operating system software is tested annually. Anti-virus, anti-spam and anti-malware protection software is installed and updated regularly Virus scans are performed on a regular basis. 45