Transcript BBP Powerpoint

Bloodborne Pathogen Standards
• 29 CFR 1910.1030 (Federal)
• Part 554 Bloodborne Infectious Disease (Michigan)
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What are BBP Standards?
•To protect workers against possible
contamination from a Bloodborne Infectious
Disease
2
When to comply?
•If there is a reasonable anticipated
risk of exposure to blood or OPIM
during routine tasks
3
Definitions
• Bloodborne pathogens - pathogenic
microorganisms transmitted via human blood
and cause disease in humans
HIV - virus that causes AIDS (incubation 1-10+ years)
Hepatitis B (HBV) - acute or chronic infection of liver
(incubation 2-3 months)
Hepatitis C (HCV) – also infects liver (incubation 6-9
weeks)
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Other Potentially Infectious Material
(OPIM) (State Rule 325.7002(s))
• Semen
• Vaginal secretions
• Amniotic fluid
• Cerebrospinal fluid
• Peritoneal fluid
• Pleural fluid
• Pericardial fluid
• Synovial fluid
• Saliva in dental procedures
• Any bodily fluid that is
visibly contaminated with
blood
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Sharps
•Any item that has a potential to cut or
puncture skin. (broken glass, needles,
lancets, etc.)
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Universal Precautions
•ALL blood and OPIM treated as
infectious
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Standard Operating
Procedures (SOPs)
•Each task should have a written
procedure to reduce risk of exposure
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Engineering Controls
•Products that reduce exposure by design
•Examples: self sheathing needles, sharp
containers, sinks
9
“
SESIP”
Sharps with Engineered Sharps
Injury Protections
Non-needle sharp or a needle with a builtin safety feature or mechanism that
effectively reduces the risk of an exposure
incident.
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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 Practice Controls
•Reduce exposure by work habits
•Examples: wearing gloves, washing
hands, using sharp containers, no food,
etc. while working
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Personal Protective Equipment (PPE)
•Specialized clothing/equipment worn for
protection against hazards
•Choose correct ones for task
Gloves, Protective Eyewear, Face Shield, etc.
•DON & DOFF
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Regulated Waste
Determination of Regulated Waste - Michigan Law
 Medical Waste Regulatory Act - Part 138
Law determines where it is sent and how much it
cost (incineration, public sewage, radioactive,
how it is packaged, segregated, labeled, etc.)
Use of red biohazard containers
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Laundry
•Employer’s responsibility to launder the
reusable required PPE
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Vaccination
•Employer must provide Hep B vaccination
to employee
•Cost - Employer’s Expense
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Waiver
•Employee has the right to decline HBV
vaccine
•Must sign a waiver
•
•Employee has right to request a HBV
vaccine at later date, at employer’s expense
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Post Exposure
•Determination – what was BBP exposure?
•Procedure – report, go to ER, document
incident, test patient
Prophylaxis
•Confidentiality
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Biohazard
Labels and Warnings
•Labels
•Colors – blaze orange/red
•Symbols – 3 sided
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Recordkeeping
•1. A Sharps Injury Log is filled out in addition
to OSHA 300 log (confidentiality maintained)
•2. BBP training is also documented
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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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BBP Training
It is the Law
Also known as Exposure Control Plan
Newly hired and Annual retraining
Also, training on new devices and procedures
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