OSHA Bloodborne Pathogen

OSHA Bloodborne Pathogen
OSHA
Bloodborne
Pathogen
Training Library
Workbook
For More Information, Contact:
©2009 Betco Corporation
All Rights Reserved.
1001 Brown Avenue
Toledo, Ohio 43607-0127
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Item #90875-92
Contents
1.
Introduction to OSHA Bloodborne Pathogen
2.
What are Bloodborne Pathogens?
3.
Who is Covered?
4.
What is Exposure?
5.
Universal Precautions
6.
Protective Practices
7.
What if Exposure Occurs?
8.
HBV Symptoms
9.
HIV Symptoms
10. Employer Responsibility
11. Summary
12. Healthcare Employees
13. Certification Exam
Appendix
Glossary
Sample Written Exposure Plan
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Section 1.
Introduction to OSHA Bloodborne Pathogen
There is a lot of talk these days about HIV and AIDs, HBV
or hepatitis B virus and the dangers of getting infected by
coming into contact with someone else’s blood.
In your profession, you may face many situations that
could potentially cause you to come into contact with
blood or body fluids from other individuals. Whether it’s
removing trash that contains a used syringe, handling
laundry soiled with blood or simply cleaning up after a sick
child, the precautions you follow for handling these
procedures could mean preventing serious illness or even
death.
That’s why OSHA, the Occupational Safety and Health
Administration, has developed the Bloodborne Pathogen
Standard…to provide guidelines that will help you eliminate, or at least reduce, your exposure to HBV, HIV and
other bloodborne pathogens while in the workplace.
This training module, which is one in the Betco Resource &
Process Management™ (RPM) Library Series, focuses on
OSHA’s Bloodborne Pathogen Standard for the workplace.
The module will cover:
• What are Bloodborne Pathogens
• Who is covered by the OSHA Bloodborne Pathogen
Standard
• What is Exposure
• Following Universal Precautions
• Protective Practices
• What if Exposure Occurs
• HBV Symptoms
• HIV Symptoms and
• Employer Responsibilities
Betco has over 300 specialty, cleaning products and a full
line of equipment and accessories. The following products will be utilized in this training module:
• Winning Hands® Premium Antibacterial Hand Cleaner
• Quat Stat™ broad spectrum disinfectant is excellent for
meeting the OSHA Bloodborne Pathogen Standard
• TB Plus Phenolic disinfectant, cleaner and deodorant
also excellent for OSHA Bloodborne Pathogen Standard
Prior to using any cleaning chemical, be sure that you read
the label and consult the Material Safety Data Sheet for
that product.
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Section 2.
What are Bloodborne Pathogens?
Bloodborne pathogens are pathogenic microorganisms
that are present in human blood and can cause disease in
humans. These pathogens include, but are not limited to,
Hepatitis B Virus (HBV) and Human Immunodeficiency
Virus (HIV) (associated with AIDS).
Section 3.
Who is Covered?
OSHA originally developed the Bloodborne Standard for
health care and hospital employees, but it has been
expanded to include any occupation in which reasonably
anticipated contact with blood or other potentially infectious materials may occur, including someone who may
be responsible for the clean-up of blood or body fluids and
even those who remove trash or handle laundry. Within
these settings there may be potentially infectious materials
and how you take care of them can literally make the
difference between life and death.
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Section 4.
What is Exposure?
Most occupational exposure to bloodborne pathogens
occurs when the pathogen comes in contact with the
employee’s mucous membranes, like the nose or mouth,
or breaks in the skin, like needlesticks, human bites, cuts
or abrasions.
Body fluids such as blood, vomit and in some instances
saliva can potentially contain bloodborne pathogens.
Although you can easily protect yourself from coming into
contact with the fluids by following Universal Precautions.
Section 5.
Universal Precautions
The Centers for Disease Control and Prevention established the “Universal Precaution” approach, recommending that blood and certain body fluids from ALL patients
be considered potentially infectious and that infection
control precautions be taken to minimize the risk of
exposure. This is the approach taken by OSHA in the
Bloodborne Standard.
The best defense is a thorough offense…always follow
Universal Precautions, as well as your facility’s exposure
control plan, when handling contaminated materials.
This means that at all times assume that all blood and
most body fluids are contaminated with bloodborne
pathogens and that you should follow proper protective
practices when handling a clean up or an exposure.
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Section 6.
Protective Practices
Take measures to increase safety through protective
practices. Always, wear the right protective equipment for
the job.
Routinely check to see that whatever protective equipment you need is readily available and in good condition
— not damaged or torn.
Proper personal protective equipment most often includes,
disposable latex or vinyl gloves, and eye protection.
Always wear these when there is a chance you could come
into contact with blood or other potentially infectious
materials. Other protective equipment may include masks
and gowns.
If you don’t have the equipment you need, bring it to your
supervisor’s attention. If there is any equipment that you
are unsure how to use or when to use it, ask for help.
There are many principles to follow when doing daily
cleaning tasks that will increase your safety. Remember
the following safe practices:
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•
Never eat, drink, smoke or apply lip balm in areas
where there is a possibility that you could be exposed
to blood or other body fluids.
•
When removing trash never compress bags in case
sharp objects or needles may be hidden inside.
•
When cleaning a spill, carefully clean up and dispose
of the fluids or contaminates in a way that won’t cause
splashing or spattering. Never re-use the sponge or
towel that was used for infectious cleanup.
•
Use tongs or other mechanical means to pick up sharp
objects that may be contaminated with bloodborne
pathogens or could puncture your skin.
•
Often, facilities have absorbents or spill kits that can
be used for clean up of body fluids. Use these whenever possible.
•
Handle contaminated laundry as little as possible with
a minimum of agitation. Bag the laundry at the
location where it was used but do not sort or rinse it
there. Transport contaminated laundry in bags or
containers, which are labeled or color-coded.
Alternative color-coding or labeling of laundry is acceptable if all of the soiled laundry is handled using Universal
Precautions and the labeling or color-coding is sufficient
to let all employees know that compliance with Universal
Precautions is required.
If laundry is shipped to a location that does not use
Universal Precautions, the bags or containers must be
properly labeled and color-coded red or orange.
•
Remember that needles or other sharp objects may
be hidden within the laundry. Wear personal protective gear if you are responsible for handling contaminated laundry.
•
Besides protecting yourself, you are responsible for
containing the bloodborne pathogens and decontaminating the area so someone else isn’t exposed. It is
crucial to clean and disinfect the area with the appropriate disinfectant cleaner, such as Betco’s TB Plus,
Quat Stat, or a bleach solution.
•
After a clean-up procedure, always remove and
dispose of your gloves and other equipment in a
properly labeled container, or a red or orange infectious waste bag.
•
Thoroughly wash your hands with a hand cleaner
such as Betco’s Winning Hands Premium Antibacterial Hand Cleaner immediately after you remove the
gloves, goggles or other personal protective equipment. Good hand washing helps reduce the spread of
infection and disease.
•
All containers and cleaning equipment such as mop
buckets and tongs used during decontamination,
must be disinfected following use.
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Section 7.
What if Exposure Occurs?
If there is any chance that you have been exposed to
bloodborne pathogens, contact your supervisor immediately for specific instructions on exposure protocol. Also,
notify your physician. Once an exposure occurs be sure to
pay attention to your health and watch for any symptoms
that are related to HIV or HBV.
Section 8.
HBV Symptoms
Hepatitis B or HBV is a type of liver disease that inflames
the liver and leads to liver damage and sometimes even
liver cancer. HBV has the following symptoms:
•
•
•
•
•
•
•
•
•
Fatigue
Abdominal pain
Loss of appetite
Nausea
Jaundice
Vomiting
Diarrhea
Light colored stools
Dark urine
HBV symptoms may not appear for some time after initial
exposure. Notify your health care provider immediately if
you think you may be at risk for HBV.
Hepatitis B vaccinations must be made available at no
cost to all employees who have occupational exposure.
Vaccinations must be provided after initial bloodborne
pathogen training and within ten working days of any
assignment, which could result in occupational exposure.
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Section 9.
HIV Symptoms
If someone does contract HIV, they may develop AIDs or Acquired Immune Deficiency Syndrome.
Symptoms of HIV infection could include:
•
•
•
•
•
•
•
Constant fatigue
Sore throat
Persistent fever
Persistent rash of unknown origin
Night sweats
Persistent swollen glands
Mild to severe flu like symptoms
Just like HBV, HIV symptoms may not appear for many years after the exposure. If you think you
may be at risk for HIV, contact your health care provider immediately.
Section 10.
Employer Responsibilities
OSHA requires that each job site in which there is a
reasonable likelihood of bloodborne pathogen exposure
have a written Exposure Control Plan…and it must be kept
updated.
Reviewing the plan at least annually is an important part
of knowing how to protect yourself. Your supervisor
should provide a copy upon request.
OSHA requires specific documentation from your employer
when an exposure occurs.
Your employer must maintain certain records for three
years after the exposure.
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Section 11.
Summary
Now that you understand OSHA’s concern for your
health and safety, take time to see how your employer has responded to the challenge.
You may want to read your facility’s written exposure plan.
Always take universal precautions when there is a
chance you could be exposed to Bloodborne
Pathogens.
Remember these protective practices when you are
facing bloodborne pathogen concerns:
•
•
•
•
•
•
•
•
•
•
•
•
Always wear personal protective equipment
Never eat, drink, smoke or apply lip balm in
areas in which there is a possibility of
bloodborne pathogen exposure.
Never manually compress trash
Avoid splashing or spattering when cleaning up
Never re-use towels or sponges
Use spatulas, absorbents, or tongs for cleanup
when possible
Handle contaminated laundry cautiously
Use properly labeled or color-coded containers
and bags when disposing of or transporting
materials contaminated with bloodborne
pathogens. This includes gloves, laundry and
equipment.
Always de-contaminate surfaces and or areas
with Betco Quat Stat or TB Plus, or other
appropriate disinfectants.
Always wash your hands with hand soap such
as Betco’s Winning Hands
Disinfect equipment and materials used for
clean-up.
If you think you may have been exposed to a
bloodborne pathogen contact your supervisor
and physician immediately.
If you need more information, ask your supervisor,
or check out the OSHA website at www.osha.gov.
You can also contact your regional OSHA office.
Remember, you play an important role in preventing
or reducing contact with bloodborne pathogens to
others as well as your self. Be proud that you and
your employer have taken the time to learn more
about the OSHA Bloodborne Standard and use your
knowledge to make a difference in creating a safe,
clean and healthy environment.
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Section 12.
Healthcare Employees
The following section is a listing of additional guidelines
for employees in a health care setting.
Employees in a healthcare setting have an even greater
risk of exposure to bloodborne pathogens. Here are some
additional guidelines developed for your protection:
• Do not bend, recap or remove contaminated needles
and other contaminated sharps.
• Put contaminated reusable sharps in designated
containers until they can be properly reprocessed.
These containers must be:
• Puncture resistant
• Labeled or color coded
• Leak proof on the sides and bottom
• Regularly inspect and decontaminate all bins, pails,
and other containers that may have come into contact
with infectious waste such as needle bins or trash
receptacles.
Of course follow Universal Precautions and dispose of all
regulated waste according to all applicable local, state and
federal regulations for infectious waste disposal.
Again, if you need more information, ask your supervisor,
or check out the OSHA website at www.osha.gov.
This training is intended for housekeeping and support staff in institutions where occupational exposure
to Bloodborne Pathogens may occur. This training is
not intended to cover all issues related to bloodborne
pathogen exposure for physicians, clinicians, nurses,
laboratorians, emergency medical personnel, or
researchers/handlers in primate research facilities.
These individuals should consult their facility designated bloodborne pathogen coordinator for specific
training and instructions.
For more information contact Betco Corporation at
1-888-GO-BETCO, or visit our web site at www.betco.com
OSHA Information and credits.
© 2001 Betco Corporation
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11
Section 13.
Certification Exam
The following exam will certify you as an official Betco Bloodborne Pathogen Specialist.
Please take the time to complete the exam. Fax or mail completed exam to:
Betco Corporation
P.O. Box 3127
Toledo, OH 43607
Fax # 419-321-1954
Attn: Marketing
Exams that are returned to Betco with a grade of 80% or better will receive a certificate of
completion. Exams can also be taken online at www.betco.com.
To earn .20 continuing education credits (CEU), please mark the box on the information
form. Exams will then be forwarded to IEHA for accreditation. IEHA will send certificates
directly to the contact.
Please fill out the following information and return it with your completed exams:
Your Name: ___________________________________________________________________
Company Name: ______________________________________________________________
Address: _____________________________________________________________________
City ____________________________
State ___________
Zip Code _______________
Phone: _______________________________________________________________________
E-mail address: _______________________________________________________________
Signature: x _________________________________________________________________________
Please forward my exam scores to IEHA for continuing education credits.
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Section 13.
Certification Exam
BLOODBORNE PATHOGEN IEHA Course Number: 010110x Credit Hours: .20 CEU’s
1.
OSHA stands for:
Occupational Status & Handling Association
Occupational Safety & Health Administration
Organizational Standards for Healthcare Associates
2. Before using any cleaning chemicals be sure to:
Read the label and consult the Material Safety Data Sheet
3.
A pathogenic microorganism that is present in human
blood and can cause disease in humans is called:
Lice
Bloodborne Pathogen
Carcinogen
Germicidal
4.
Which of the following does not cause concern for
bloodborne pathogen exposure?
Blood
Hair
Vomit
Saliva in dental procedures
5.
Bloodborne pathogen exposure can occur when the
pathogen comes into contact with a person’s:
Mucous membrane
Mouth
Breaks in the skin
All of the above
6.
The OSHA Bloodborne Standard was developed for?
Manufacturers of chemicals
Supervisors and healthcare workers
Any occupation in which there is a reasonable
likelihood that contact with potentially infectious
materials may occur.
7.
Assuming that all blood and most body fluids are
contaminated with bloodborne pathogens and that
one should follow proper protective practices when
having to handle a clean up is referred to as?
Personal Protective Practice
Disease Control Prevention
Universal Precautions
8.
When handling a bloodborne pathogen cleanup
always...
Wear the right personal protective equipment
Pour a bucket of disinfectant all over the area
Call the Centers for Disease Control
9.
Decontamination means?
The use of physical or chemical means to remove,
inactivate, or destroy bloodborne pathogens on a
surface or item to the point where they are no longer
capable of transmitting infectious particles and the
surface or item is rendered safe for handling, use or
disposal.
Means a specific eye, mouth, other mucous membrane, non-intact skin or parental contact with blood
or other potentially infectious materials that result
from the performance of an employee’s duties.
Means controls that isolate or remove the bloodborne
pathogen’s hazard from the workplace.
10. When working in an area where bloodborne pathogen
exposure could occur you should never eat, drink,
smoke or apply lip balm?
Test it on a small area to see how it reacts
Smell it to be sure it is fresh
Ask your supervisor where to find it
True
False
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BLOODBORNE PATHOGEN (con’t) IEHA Course Number: 010110x Credit Hours: .20 CEU’s
14
11. A good way to pick up sharp objects is to use tongs
or other mechanical means.
True
False
12. When disposing of waste that may contain
bloodborne pathogens, which must you do first?
Wash your hands
Place it in a properly labeled or color-coded
hazardous waste container or bag.
Disinfect the mop bucket
13. It is crucial to clean and disinfect the contaminated
area with the appropriate disinfectant cleaner.
True
False
14. Which type of product would you most likely use to
clean a bloodborne pathogen spill?
Disinfectant cleaner
Glass and surface cleaner
Odor counteractant
All of the above
15. All containers and cleaning equipment that are used
during a blood borne pathogen clean up require only
a rinse with warm water.
True
False
16. If there is any chance that you have been exposed to
bloodborne pathogens you should first...
Take a hot shower
Change your clothes
Contact your supervisor immediately
Call 911
17. HBV or Hepatitis B Virus is a type of?
Pathogen that causes a severe cold
Pathogen that causes liver disease
Motion sickness
18. If someone contracts HIV they may develop?
A bad taste in their mouth
Acquired Immune Deficiency Syndrome
Brain damage
19. What should your employer have on site to ensure
that there is a set protocol for handling bloodborne
pathogen exposure?
MSDS Station
Disinfectant procedure manual
Exposure Control Plan
20. After learning more about Bloodborne Pathogens you
should be:
More knowledgeable
Proud
Helpful in creating a safe and healthy work environment
All of the above
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Appendix
Glossary of Common Terms Associated with
Bloodborne Pathogen Training
“Assistant Secretary” means the Assistant Secretary of Labor for Occupational Safety and Health, or
designated representative.
“Blood” means human blood, human blood components, and products made from human blood.
“Bloodborne Pathogens” means pathogenic microorganisms that are present in human blood and can
cause disease in humans. These pathogens include, but are not limited to, hepatitis B virus (HBV) and human
immunodeficiency virus (HIV).
“Clinical Laboratory” means a workplace where diagnostic or other screening procedures are performed on
blood or other potentially infectious materials.
“Contaminated” means the presence or the reasonably anticipated presence of blood or other potentially
infectious materials on an item or surface.
“Contaminated Laundry” means laundry which has been soiled with blood or other potentially infectious
materials or may contain sharps.
“Contaminated Sharps” means any contaminated object that can penetrate the skin including, but not
limited to, needles, scalpels, broken glass, broken capillary tubes, and exposed ends of dental wires.
“Decontamination” means the use of physical or chemical means to remove, inactivate, or destroy
bloodborne pathogens on a surface or item to the point where they are no longer capable of transmitting
infectious particles and the surface or item is rendered safe for handling, use, or disposal.
“Engineering Controls” means controls (e.g., sharps disposal containers, self-sheathing needles) that
isolate or remove the bloodborne pathogens hazard from the workplace.
“Exposure Incident” means a specific eye, mouth, other mucous membrane, non-intact skin, or parenteral
contact with blood or other potentially infectious materials that results from the performance of an employee’s
duties..
“HBV” means hepatitis B virus.
“HIV” means human immunodeficiency virus.
“Occupational Exposure” means reasonably anticipated skin, eye, mucous membrane, or parenteral contact
with blood or other potentially infectious materials that may result from the performance of an employee’s
duties.
“Other Potentially Infectious Materials” means (1) The following human body fluids: semen, vaginal
secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid,
saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in
situations where it is difficult or impossible to differentiate between body fluids; (2) Any unfixed tissue or
organ (other than intact skin) from a human (living or dead); and (3) HIV-containing cell or tissue cultures,
organ cultures, and HIV- or HBV-containing culture medium or other solutions; and blood, organs, or other
tissues from experimental animals infected with HIV or HBV.
“Parenteral” means piercing mucous membranes or the skin barrier through such events as needlesticks,
human bites, cuts, and abrasions.
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Appendix
Glossary of Common Terms Associated with
Bloodborne Pathogen Training (con’t)
“Personal Protective Equipment” is specialized clothing or equipment worn by an employee for protection
against a hazard. General work clothes (e.g., uniforms, pants, shirts or blouses) not intended to function as
protection against a hazard are not considered to be personal protective equipment.
“Regulated Waste” means liquid or semi-liquid blood or other potentially infectious materials; contaminated
items that would release blood or other potentially infectious materials in a liquid or semi-liquid state if
compressed; items that are caked with dried blood or other potentially infectious materials and are capable
of releasing these materials during handling; contaminated sharps; and pathological and microbiological
wastes containing blood or other potentially infectious materials.
“Research Laboratory” means a laboratory producing or using research-laboratory-scale amounts of HIV
or HBV. Research laboratories may produce high concentrations of HIV or HBV but not in the volume found in
production facilities.
“Source Individual” means any individual, living or dead, whose blood or other potentially infectious
materials may be a source of occupational exposure to the employee. Examples include, but are not limited
to, hospital and clinic patients; clients in institutions for the developmentally disabled; trauma victims; clients
of drug and alcohol treatment facilities; residents of hospices and nursing homes; human remains; and
individuals who donate or sell blood or blood components.
“Sterilize” means the use of a physical or chemical procedure to destroy all microbial life including highly
resistant bacterial endospores.
“Universal Precautions” is an approach to infection control. According to the concept of Universal Precautions, all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV,
and other bloodborne pathogens.
“Work Practice Controls” means controls that reduce the likelihood of exposure by altering the manner in
which a task is performed (e.g., prohibiting recapping of needles by a two-handed technique).
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Appendix 2.
Sample of Written Exposure Plan
Bloodborne Pathogen Exposure Control Plan for
_________________________________
Company Name
Plan Date___________
(As required under 29 CFR 1910. 1030 this plan will be updated annually. The update will
reflect any changes in job classifications, job descriptions, engineering controls, etc.)
I.
Exposure Determination
A. List of job classifications in which all employees in those job classifications have occupational exposure
1. _____________________________________________
2. _____________________________________________
3. _____________________________________________
4. _____________________________________________
5. _____________________________________________
B.
A list of job classifications in which some employees have occupational exposure
1. _____________________________________________
2. _____________________________________________
3. _____________________________________________
4. _____________________________________________
5. _____________________________________________
C.
A list of all tasks and procedures in which occupational exposure occurs and that are performed by
employees listed in the job classifications listed above.
** Exposure Determination shall be made without regard to the use of personal protective equipment.
II.
Schedule of Implementation
A.
Methods of Compliance
1. Universal Precautions shall be observed to prevent contact with blood or other potentially
infectious materials. Under circumstances in which differentiation between body fluid types is
difficult or impossible, all body fluids shall be considered potentially infectious materials.
2. Engineering and work practice controls shall be used to minimize employee exposure.
a. Engineering Controls
_____________________________
_____________________________
_____________________________
Replacement/ Maintenance Date
______________________________
______________________________
______________________________
b. Hands shall be washed as soon as feasible following exposure. If hand washing facilities
are not available, employees may use an appropriate *antiseptic hand cleanser in conjunction with clean cloth/ paper towels or antiseptic towelettes.
c. List of antiseptic hand cleansers or antiseptic towelettes to be used:
_______________________________
_______________________________
_______________________________
*If antiseptic cleansers or towelettes are used hands shall be washed with soap and running
water as soon as possible.
d. Employees shall wash their hands immediately or as soon as possible after removal of
gloves or other personal protective equipment.
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III.
Contaminated Needles and other contaminated sharps shall not be bent, recapped or removed.
A. Immediately as soon as possible after use, contaminated reusable sharps shall be placed in appropriate
containers until properly reprocessed.
1. These containers shall be:
a.
Puncture Resistant
b.
Labeled or color coded
c.
Leak proof on the sides and bottom
IV.
Eating, drinking, smoking, applying cosmetics or lip balm, and handling contact lenses are PROHIBITED in
areas where there is a reasonable likelihood for exposure.
A. Food and Drink shall not be kept in areas where potentially infectious materials are present.
B. All procedures involving blood or other potentially infectious materials shall be performed in such a manner
as to minimize splashing, spraying, spattering, and generation of droplets in these substances.
C. Mouth pipetting / suctioning of blood or other potentially infectious materials is prohibited.
D. Specimens containing infectious materials shall be placed in leak proof containers during handling, transport,
storage, or shipment.
E. Labeling of specimens is required. If using Universal precautions in the handling of all specimens, specific
labeling is not required.
V.
Personal Protective Equipment
A. All employees shall wear appropriate personal protective equipment in the proper size. Hypoallergenic
gloves, powderless gloves, or glove liners may be worn if employee is allergic to those gloves normally
provided.
1.
2.
3.
4.
5.
6.
7.
8.
9.
VI.
Cleaning, Laundering and disposal of personal protective equipment is the responsibility of the employer.
Employer shall replace or repair equipment at no cost to the employee
If blood or other potentially infectious materials penetrate garment, the garments shall be removed
immediately or as soon as feasible.
All PPE shall be removed prior to leaving the work area
The PPE shall be placed in appropriately labeled areas or containers for storage, washing, decontamination or disposal.
Disposable gloves shall be replaced immediately when contaminated or when the barrier is compromised
Disposable gloves shall not be decontaminated or washed for reuse.
Eye Protection such as goggles or glasses with side shields shall be worn when ever splashes, spray,
spatter, or droplets of blood or other potentially infectious materials may be generated and contamination is anticipated
Gowns, aprons and other protective clothing shall be worn if situation warrants (see supervisor for
specific types)
Housekeeping
A.
Cleaning and Decontamination schedule
Area
Type of Soil
Cleaning Schedule
____________________
_______________
__________________________
____________________
_______________
__________________________
____________________
_______________
__________________________
____________________
_______________
__________________________
____________________
_______________
__________________________
1.
2.
3.
4.
18
All equipment shall be cleaned and decontaminated after contact with blood or other potentially
infectious materials.
Contaminated work surfaces should be decontaminated with an appropriate disinfectant after
completion of procedures, immediately or as soon as feasible if the work surface has become
overtly contaminated or after any spill of potentially infectious material, and at the end of a work
shift if the surface may have become contaminated since the last cleaning.
Protective coverings shall be removed and replaced as soon as feasible when become overtly
contaminated, or at the end of the shift if the they may have become contaminated during the shift.
All bins, pails, and other containers shall be inspected and decontaminated regularly and decontaminated immediately or as soon as feasible upon visible contamination.
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B.
Broken glassware, which may be contaminated shall not be picked up directly with the hands, but cleaned
up using a brush and dustpan, tongs, forceps, or other mechanical means.
1.
2.
3.
4.
C.
VI.
All contaminated waste shall be placed in appropriately labeled or color coded containers or bags
(red or orange)
Containers must be closed prior to removal to prevent spillage or protrusion of contents during
handling, storage, transport or shipping.
If outside contamination of the waste container occurs, it shall be placed in a second container.
a. The second container shall prevent be labeled or color-coded and prevent the leakage of
fluids.
Disposal of all regulated waste shall be in accordance with all applicable local, state, and federal
regulations.
Contaminated Laundry shall be handled as little as possible with a minimum of agitation.
1. Contaminated laundry shall be bagged or containerized at the location where it was used and shall
not be sorted or rinsed in the location of use.
2. Contaminated laundry shall be placed and transported in bags or containers, which are labeled or
color-coded.
a. Alternative color coding or labeling of laundry is acceptable if all soiled laundry is handled
using Universal Precautions and the labeling or color- coding is sufficient enough to notify all
employees that compliance with Universal Precautions is required.
b. If laundry is shipped of site to a location that does not use Universal Precautions, the bags
and or containers must be properly labeled and./ or color coded red or orange.
3. If contaminated laundry is wet and presents a likelihood of soak -through or leakage through the
bag, the laundry shall be transported in bags or containers, which prevent soak through to the
exterior.
4. All employees who have contact with contaminated laundry shall be required to wear gloves and
other personal protective equipment as appropriate.
Training Requirements
A.
Hepatitis B vaccinations shall be made available at not cost to the employee to all employees who have
occupational exposure. Vaccinations shall be provided after training and within 10 working days of assignment, which could result in occupational exposure.
1. Post exposure and follow up shall be provided to all to all employees who have had an exposure
incident at no cost to the employee.
a. Must be provided at a reasonable time and place
b. Performed or under supervision of a licensed physician
c. Laboratory tests shall be conducted at no cost to the employee
2. A prescreening program shall not be a prerequisite for receiving a hepatitis B vaccination
a. The employee may accept the vaccination at a later date if declined at initial offering (due to
medical testing revealing that the employee is immune, or the vaccination is contraindicated
for medical reasons) at no cost to the employee while still covered under the standard.
b. If declining to take the vaccine offered, the employee must sign a statement to this effect.
The required language can be found in 29 CFR 1910.1030 Appendix A.
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