Transcript Blood Borne Pathogen Presentation

Bloodborne Pathogens
1
Standards
•29 CFR 1910.1030 (Federal)
•Part 554 Bloodborne Infectious Disease
(Michigan)
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Scope
•To protect workers against possible
contamination from a Bloodborne
Infectious Disease.
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When to comply?
•If there is an actual or reasonable
anticipated risk of an exposure to blood
or OPIM during routine tasks.
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Definitions
• Bloodborne pathogen
HIV - the virus that causes the autoimmune
deficiency syndrome (AIDS) (1-10+ years)
Hepatitis B (HBV) - acute or chronic infection of
the liver (incubation 2-3 months)
Hepatitis C (HCV) (incubation 6-9 weeks)
Syphilis (incubation 3 weeks)
Others
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Definitions
Other Potentially Infectious Material
(OPIM) (State Rule 325.7002(s))
• Semen
• Vaginal secretions
• Amniotic fluid
• Cerebrospinal fluid
• Perioneal fluid
• Pleural fluid
• Pericardial fluid
• Synovial fluid
• Saliva in dental
procedures
• Any bodily fluid that is
visibly contaminated
with blood.
• Any body fluid that
you cannot recognize
if there is blood in it.
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Definitions
•Sharps - Any item that has a potential to
cut or puncture skin. (broken glass,
needles, lancets, etc.)
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Exposure
Determination/Categories
•Category A
Reasonable exposure
Non-routine tasks as a condition of
employment.
•Category B
No anticipated exposure
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Exposure Control Plan
•Exposure determination
•Implementation of the “rules”
•Training outline
•Incident reporting and evaluation
•SOPs
•Annual review
•Available to employees
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Methods of Compliance
•Universal Precautions
•Engineering and Work Practice Controls
•Personal protective equipment
•Housekeeping
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Universal Precautions
•Blood and OPIM treated as Infectious
Material.
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Engineering Controls
•Reduce exposure by design
•Self sheathing needles
•Sharp containers
•Sinks
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Engineering Controls
• On January 18, 2001 OSHA Standard 29
CFR 1910.1030, Bloodborne Pathogens was
revised.
• The major emphasis was "engineering"
controls.
Methods to reduce exposure
Built-in safety devices
Annual review
Sharps injury log
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Engineering and Work Practice
Controls: 1910.1030(d)
Employers must select and
implement appropriate
engineering controls to reduce
or eliminate employee
exposure.
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Engineering and Work
Practice Controls
•The employer must:
Train employees to use new devices
and/or procedures
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Sharps Container
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“SESIP”
New Definition
Non-needle sharp or a needle with a builtin safety feature or mechanism that
effectively reduces the risk of an exposure
incident.
•Sharps with Engineered Sharps Injury
Protections
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Hypodermic syringes with
“Self-Sheathing” safety feature
Self-sheathed protected position
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Hypodermic syringes with
“Retractable Technology” safety
feature
Retracted protected position
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Phlebotomy needle with
“Self-Blunting” safety feature
Blunted protected position
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“Add-on” safety feature
Attached to syringe needle
Attached to blood tube holder
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Retracting lancets with safety features
Before
Before During
During
After
After
In use
After use
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Disposable scalpels with safety
features
Retracted position
Protracted position
Protracted position
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Work Practices
•Reduce exposure by work habits
•Wearing gloves
•Washing hands
•Using sharp containers
•NO food, etc.
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Work Practice
SOPs
•Standard Operating Procedure
•Each task should have a written
procedure to reduce risk of exposure.
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Personal Protective
Equipment (PPE)
•Choose the correct ones for the task
Gloves, Protective Eyewear, Face Shield,
etc.
•DON & DOFF
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Housekeeping
•PPE
•Recordkeeping
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Regulated Waste
•Determination of Regulated Waste
•Michigan Law
 Medical Waste Regulatory Act - Part 138
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Laundry
•Employer’s responsibility
•Personal Procedures (CDC Guidelines)
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Vaccination
•When
•Cost - Employer’s Expense
•Time
•Waiver
What does it really mean?
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Vaccination
•Efficacy, safety, benefits, administration
•Availability & Cost
•Timing
•Responsibility
•Waiver
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Waiver
•What is it?
•What does it really mean?
•Employee has the right not to receive
the HBV vaccine: however, must sign a
waiver. The employee does have the
right to request a HBV vaccine at a later
date, at the employer’s expense.
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Post Exposure
•Determination
•Procedure
prophylaxis
•Confidentiality
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Labels and Warnings
•Labels
•Colors
•Symbols
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Recordkeeping
•Training
•Post exposure
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Recordkeeping: 1910.1030(h)
•Sharps Injury Log
Only mandatory for those keeping records
under 29 CFR 1904
Confidentiality
Maintained independently
from OSHA 300 log
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Sharps Injury Log
At a minimum, the log must contain, for
each incident:
•Type and brand of device involved
•Department or area of incident
•Description of incident
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Engineering and Work
Practice Controls (con’t)
•The employer must:
Train employees to use new devices
and/or procedures
Document in ECP
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Training
•Outline
•Qualifications
•Law
•Access to Plan
•Annual retraining
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