Transcript OSHA Bloodborne Pathogen Standard New Employee Orientation

OSHA
Universal Precautions
Refresher Training
Environmental Health and Safety
Biosafety
Tufts University School of Medicine
Posner Hall
200 Harrison Avenue
Universal Precautions
• Approach to Infection Control
• All human blood and certain human body
fluids are treated as infectious for HIV,
HBV and other bloodborne pathogens
Bloodborne Pathogens
• Carried, replicated, and/or transmitted in blood
or blood products
• Capable of causing disease.
• All human blood and other potentially infectious
material (OPIM) should be considered infectious
infectious.
Primary Categories of
Protection
• Engineering Controls
• Work Place Practices
• Personal Protective Equipment
Compliance
• Goal is to prevent contact with blood or
other potentially infectious material.
• All bodily fluids should be considered
infectious.
Engineering Controls
• Isolate or Remove the Hazard:
– Sharps disposal containers
– Self-sheathing needles
– Sharps with sharp injury protection
– Needleless systems
– Hand washing sinks readily available
• Alternative:
– Appropriate antiseptic hand cleaner/towlettes
– Nearby sink for hand washing
Work Practice Controls
• Wash hands immediately or as soon as
feasible after removing gloves or other
Personal Protective Equipment (PPE).
Work Practice Controls
• Sharps should not be bent, recapped,
sheared or broken.
– Unless employer demonstrates no feasible
alternative
– Must be accomplished through the use of a
mechanical device or one handed technique
Needle Safety
• Prohibited: bending, shearing, breaking
– separation of needles and syringes
• Alternative Work Practice Controls
– one handed technique
– needle recapping devices
Work Practice Controls
• Sharps Disposal
– Immediately after use
– Disposed of in appropriate sharps containers:
• Puncture resistant
• Leak proof
• Labeled with the Universal Biohazard Symbol
Communication
Sharps Containers
• Needles and syringes:
– Do not recap
– Place in sharps
container after use
• Contaminated glass
• Contaminated plastic
pipets or pipet tips
• Razor blades, scalpels
• Broken glass
• Put in Enviroclean box
when 2/3 full
Examples
Examples
Work Practice Controls
• No eating, drinking, applying cosmetics,
handling contacts
• No storage of food/drink for human
consumption in same areas as storage for
human specimens
Work Practice Controls
• Minimize procedures that create aerosols,
splashing, spraying, droplets
• Specimens for transport must be in
sealed, secondary containment, labeled
with the Universal Biohazard Symbol or
other facility recognized Biohazard
Transport container
Personal Protection Equipment
PPE
• Cover all areas of your body to prevent contact with
potentially contaminated blood or body fluids.
• Use of Personal Protective Equipment (PPE)
– Lab Coat / Disposable Gown
– Safety Glasses
– Face Shield
– Gloves
– Disposable Booties
– Surgical Mask versus N-95 Respirator
All contaminated PPE must be removed prior to leaving
work area!!
Universal Precautions Review
Certification
This is a required component of your application to the TUSM Visiting Student Program.
I certify that I have reviewed the TUSM OSHA Universal Precautions Guidelines.
Printed Name:_____________________________________
Signature:_______________________________________Date:____________
Print ONLY this page of this document and mail along with your application and other
supporting materials to:
TUSM Visiting Student Program
Registrar’s Office
145 Harrison Ave.
Boston, MA 02111