Transcript Components of the Program

Bloodborne Pathogens Training
OSHA
29 CFR 1910.1030
Prepared by
Terry Richardson
Environmental Health & Safety
Agenda Topics
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What is a bloodborne pathogen?
How can you be exposed to BBPs?
How can you protect yourself?
What should you do if you are exposed?
OSHA Regulations
Questions & Answers
What is a Bloodborne Pathogen?
• Any disease causing organism that is present
in human blood or other potentially infectious
material that can infect & cause disease in
persons exposed to fluids containing that
organism.
Examples:
• HIV, Hepatitis B & C, Malaria, Syphilis,
Brucellosis, Viral Hemorrhagic fever
What is a Bloodborne Pathogen?
Hepatitis:
• Causes an inflammation of the
liver.
• HBV can survive outside the body
for 7 days and still be infectious
HIV:
• Disables the immune system and
causes AIDS.
• Will only survive outside the body
for a few minutes
What fluids transmit BBPs?
• Fluids directly linked to
transmission
– blood, blood products
– semen & vaginal
secretions
– internal body fluids
– cultures containing
bloodborne pathogens
What fluids transmit BBPs?
• ONLY when containing visible blood:
– feces
– nasal secretions
– spit/mucous
– sweat
– tears
– urine
– vomit
Why is this Important?
There is no cure for
most of the following:
• HIV
• Hepatitis B
• Most of the remaining
BBPs
How can you be exposed to BBPs?
• Contact with blood or infectious body
fluids through:
– Broken skin
– Mucous membranes (eyes, nose, mouth)
– Saliva injected from a bite can also transmit
HBV
– Needle sticks
How can you Protect Yourself?
• Follow General Safety Practices
• Use Equipment Properly
• Use Personal Protective equipment (PPE)
such as gloves, goggles, coveralls, etc.
• Use Universal Precautions
• Vaccinate against HBV
Universal Precautions
• Treat all blood, bodily fluids, excretions,
etc. as if they were infectious.
• Always wear gloves when handling any
material and use other PPE as needed.
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Universal Precautions includes:
Hand Washing
Environmental Control
PPE
Disinfection
Spill Clean-Up : Basic Procedures
• Restrict access to the space
• Contact supervisor or emergency
responders, if necessary
• Locate spill kit or cleaning supplies
• Put on PPE
• Spray spill with disinfectant
– Envirox Product 117
– Wipe-up most of the spill
• Spray the spill area with disinfectant
Spill Clean-Up : Basic Procedures
• Leave disinfectant on the spill at least 10
minutes
• Clean from outside of spill towards center
of spill
• Dispose of soiled materials in Biohazard
bag
– Material used for cleanup is infectious waste
• Remove contaminated PPE, gloves last.
• Wash hands after removing gloves
If You Become Exposed
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Exposure through broken skin or needle
stick: immediately wash the exposed
area with soap and water
• Exposure through eyes, nose, mouth:
flush exposed area quickly and
thoroughly with water
• Then:
– Report exposure to your supervisor
– Inform Human Resources to document
exposure and to obtain a list of approved
medical providers
– Seek medical attention
OSHA BBP Rule
Required Elements:
• Exposure determination
– Which employees have occupational exposure?
• Control methods
– Universal precautions
– Engineering controls
– Work practice controls
• Personal protective equipment
OSHA BBP Rule
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HBV vaccination
Post-exposure evaluation and follow-up
Infectious waste disposal
Tags, labels, and bags
Housekeeping Practices
Laundry practices
Training and education of employees
Recordkeeping
Written Program
• Fort Lewis College has
a written program
• Copy available online
or in the EH&S office
• Must be Updated
Annually with
Documentation
– Exposure
Determination
– Input by NonManagement
Employees with
Potential BBP Exposure
Control Methods:
Engineering Controls
•Controls that isolate or remove the BBP
hazard from the workplace
•Preferred method
• Examples:
– Puncture-resistant sharps
containers
– Splash guards
Control Methods:
Work Practice Controls
• Controls that reduce the likelihood of
exposure by altering the means in
which a task is performed
• Examples:
– Hand Washing
– Remove PPE When Leaving the Work Area
– Proper PPE Storage, Decontamination and
Disposal
– Minimize Splashing and Spraying
Control Methods:
Personal Protective
Equipment
• Specialized clothing or equipment worn by
an employee for protection against a hazard
– Employers shall provide and ensure employee
use
– Variety of sizes
– Readily accessible
– No cost to employees
Control Methods:
Personal Protective Equipment
– The department provides cleaning,
laundering, or disposal of PPE
– Repair or replace as required
– Examples:
• gloves, aprons, and head and foot coverings
• face shields and eye protection
– PPE selected for each task
• Allergies must be considered
• EHS can assist with this process
Control Methods:
Housekeeping Practices
– Employer must ensure worksite is clean &
sanitary
– Clean-up and disinfection practices
– Contaminated equipment
– Specific Laundry Practices
– Hand washing sinks are
readily available as are
emergency showers
Infectious Waste
Disposal
• Applicable federal, state, and local
regulations
• Infectious Waste Management Program
– Storage location in Student Health Center
– Process is managed by the Student Health
Center
Infectious Waste Disposal
• Place waste in sealed, leakproof containers or bags
• Double bag if necessary
• Containers must be color-coded red,
labeled or tagged
• Waste for pick-up must be placed in a
container provided by Stericycle.
• Never place red bags in the trash!
Communication of Hazards
• Biohazard symbol
• Labels and tags
• Biohazard bags
Training and Education of
Employees
• Required initially
– annually thereafter
• Cover required
topics
– General training
– Site-specific training
• Q&A
• Keep records
Recordkeeping
• Medical records kept for duration of
employment plus 30 years
– May include:
• Sharps injuries
• HBV and HIV illnesses from an exposure incident
• Post exposure follow up medical opinions
• Training Records (kept 3 years)
• Annual program review (including new device
evaluations)
HBV
Vaccination
• HBV vaccination offered at no cost to all
employees who are at risk for exposure to
blood borne pathogens
– Safe and effective
– Training first, before vaccination decisions
• Documenting refusals
– Declination Form
HBV Vaccine
• Three injections in arm over a six month
basis
• More than 90% of those vaccinated will
develop immunity
• There is an antibody test for existing
immunity
• More details from the occupational health
nurse
Declination Statement
I understand that due to my occupational exposure
to blood or other potentially infectious materials I
may be at risk of acquiring hepatitis B virus (HBV)
infection. I have been given the opportunity to be
vaccinated with hepatitis B vaccine, at no charge
to myself. However, I decline hepatitis B
vaccination at this time. I understand that by
declining this vaccine, I continue to be at risk of
acquiring hepatitis B, a serious disease. If in the
future I continue to have occupational exposure to
blood or other potentially infectious materials and
I want to be vaccinated with hepatitis B vaccine, I
can receive the vaccination series at no charge to
me.
Post-Exposure Evaluation and
Follow-up
• Exposure Incident
– means a specific eye, mouth, other
mucous membrane, non-intact skin, or
skin-puncture contact with blood or
other potentially infectious materials that
results from the performance of an
employee's duties
Post-Exposure Evaluation and
Follow-up
Employees experiencing a possible
exposure should wash the exposed
area first.
Report the exposure to your immediate
supervisor and then,
Call Human Resources to document
the exposure and select one of our
approved physicians to schedule an
appointment.
Post-Exposure Medical Follow-up
• Confidential Medical Evaluation
– Document route of exposure, circumstances
– Status of source patient
• Their blood tested if possible
– Exposed worker blood tested, usually:
• Immediately
• Six-weeks post-exposure
• Periodic basis thereafter
(12-weeks, and 6 months after exposure)
– Receives any necessary medical treatment
– Counseling
– Personal physician will treat our
Information to Healthcare Provider
• Employer must give to the healthcare
provider:
– A copy of the BBP Standard
– Employee’s job duties and circumstances of
exposure
– Any blood results known
– Any relevant medical information or
vaccination status known
Healthcare Provider’s Response
• Written opinion within 15 days
– Vaccination status and recommendations
– That appropriate care is being received
– The employee has been informed of findings
and follow-up
• All other findings and medical information
are confidential
Questions?
Contact:
Connie Kane RN
Student Health Center
247-7355
Terry Richardson
Environmental Health & Safety
Berndt Hall 290
247-7272
www.fortlewis.edu/ehs