BLOODBORNE PATHOGENS - Bwc.ohio.gov
Bloodborne PathogensDivision of Safety & HygieneBLOODBORNE PATHOGENS
Table of ContentsTAB 1: COURSE INFORMATIONObjectives1-1Agenda1-2Outline (Copies of Overhead Transparencies)1-3TAB 2: OSHA STANDARD 29 CFR 1910.103029 CFR 1910.1030. Bloodborne pathogens2-17/6/92 News Release: Hepatitis B Vaccine upon Exposure2-17TAB 3: TERMINOLOGY3-1TAB 4: SAMPLE PLAN4-1TAB 5: OHIO EPAGuidance Document for Small Generators of Infectious Waste5-1Ohio EPA District Offices5-7Comparison of OSHA and Ohio EPA Regulations5-8Questions and Answers for Small Generators of Infectious Waste5-10TAB 6: OSHA FACT SHEETS AND MAPBloodborne Facts: Personal Protective Equipment Cuts Risk6-1Bloodborne Facts: Hepatitis B Vaccination--Protection for You6-2Bloodborne Facts: Protect Yourself When Handling Sharps6-3Bloodborne Facts: Reporting Exposure Incidents6-4Bloodborne Facts: Holding the Line on Contamination6-5
TAB 7: RESOURCESSignificant Phone Numbers7-1Material Available from Ohio Dept. of Health7-2Videos Available from the Division of Safety & Hygiene Library7-3TAB 8: Train the Trainer ResourceTAB 9: Follow-up ActivitiesRevised: July 20048-1
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OBJECTIVESUpon completion of the course, students will be able to: Differentiate between Private and Public OSHA programs, List three bloodborne pathogens, their signs and symptoms, and how they are transmitted, Understand the purpose for the OSHA standard, Identify key elements of a Bloodborne Pathogen Exposure Control Plan, Recognize methods of control and their application, Determine criteria for occupational exposure, and Cite two examples of resources available.1-1
AGENDA8:30 AMIntroduction8:45 AMBloodborne PathogensTerminologySigns and SymptomsDiseases and how they are transmittedComparative Degree of Risk9:45 AMBREAK10:00 AMExposure ControlRationale for OSHA StandardKey elements for an Exposure Control Plan11:00 AMBREAK11:10 AMExposure Control, continuedEmployer Responsibility for Employees’ HealthHousekeeping and Maintenance IssuesEmployee TrainingResourcesCourse Evaluation12:30 PMDISMISS1-2
Bloodborne PathogensDivision of Safety & HygieneBLOODBORNE PATHOGENSBloodborne PathogensDivision of Safety & HygieneObjectivesUpon completion of the course, students will be able to: Differentiate between Private and Public OSHA programs List three bloodborne pathogens, their signs andsymptoms, and how they are transmitted Understand the purpose for the OSHA standard Identify key elements of a Bloodborne Pathogen ExposureControl Plan Recognize methods of control and their application Determine criteria for occupational exposure Cite two examples of resources available1-3
Bloodborne PathogensDivision of Safety & HygieneBloodborne PathogensPathologic organisms present in humanblood that can cause disease in humansBloodborne PathogensDivision of Safety & HygieneMeans of Transmission Unsafe sexual practices Sharing of needles Skin punctures or contact with non-intact skin Exposure to eyes, mouth or nose Mother to infant Blood transfusion1-4
Bloodborne PathogensDivision of Safety & HygieneDiseases and how theyare transmitted Hepatitis B Hepatitis C HIV Malaria HIV-2Bloodborne PathogensDivision of Safety & HygieneSigns and Symptoms: Nausea Lack of appetite Fatigue Joint pain Dark urine Jaundice Fever1-5
Bloodborne PathogensDivision of Safety & HygieneHepatitis A Not bloodborne Severity of disease Poor sanitation Raw seafood Daycare centers VaccineBloodborne PathogensDivision of Safety & HygieneHepatitis B Most common occupationally-acquired infection Current number of cases Type of workers affected Vaccine available Outcomes1-6
Bloodborne PathogensDivision of Safety & HygieneHepatitis BFound in: Blood Vaginal Secretions Semen SalivaBloodborne PathogensDivision of Safety & HygieneHepatitis C Previous name Blood tests Degree of risk Current trends for workers No vaccine available1-7
Bloodborne PathogensDivision of Safety & HygieneHIV History Statistics Positive HIV No vaccine, no cure Degree of risk Health care workers1-8
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HIV/AIDS EPIDEMIOLOGY HIGHLIGHTAPRIL, 1997OCCUPATIONAL EXPOSURE TO HIV/AIDSIntroductionPersons working in a health care setting are at a potential risk for occupational exposure to HIVwhen they sustain an injury involving blood or other potentially infectious materials. It is estimated thatnationally there are 500,000 to 1,000,000 needlestick injuries each year, and that the source patient in1% of these injuries may be HIV-infected.Risk for HIV Infection after Occupational Exposure to HIV Infected BloodTo determine the risk for HIV infection after occupational exposure to HIV infected blood,many studies are being conducted worldwide. The Centers for Disease Control and Prevention (CDC)in Atlanta began a national surveillance project in 1983 to assess the risk for HIV infection afteroccupational exposure to HIV infected blood (1). Health care workers at participating facilities whohave a single exposure to HIV infected blood through either a needlestick, a cut from a sharp object,contamination of mucous membranes, or contamination of nonintact skin are voluntarily enrolled in thestudy. Extensive or prolonged blood contact with intact skin may be considered as an occupationalexposure, but intact skin exposures are not enrolled in this study. This study has bound the risk of HIVinfection after percutaneous exposure (e.g. needlestick, cut from sharp object) to HIV infected blood isapproximately 0.3%.Another study was conducted that examined 23 longitudinal studies that were performedworldwide measuring the magnitude of risk for occupational transmission of HIV-1 (2). All of thestudies followed health care workers who reported percutaneous exposures to blood or body fluidsfrom patients know to have HIV-1 infection. These studies included a total of 4867 percutaneousexposures, of which 15 exposures resulted in occupational transmission of HIV infection.These combined studies found the risk of HIV infection after percutaneous exposureto HIV infected blood is approximately 0.3%. For every 1,000 persons with percutaneousexposures to HIV infected blood, 3 are likely to develop HIV infection.To identify factors associated with increased risk for HIV transmission after exposure to HIVinfected blood, a retrospective case-control study of health care workers was conducted using datareported to national surveillance systems in France, the United Kingdom, and the United States. This case-control study found that the risk for HIV infection following percutaneous exposures to HIVinfected blood is increased when the exposure involves a larger quantity of blood such as when thedevice is visibly contaminated with the patient’s blood, the device was placed directly in the sourcepatient’s vein or artery, or a deep injury was sustained by the health care worker. A second factorassociated with an increased risk for occupational transmission of HIV involved exposures to bloodfrom a source patient who died as a result of AIDS within 60 days of the worker being exposed, andtherefore potentially had a higher titer of HIV.1-10
Reduction of Occupational transmission of HIV with Postexposure ProphylaxisThe transmission of HIV infection to a health care worker after an occupational exposure toHIV-infected blood or body fluids can be reduced by as much as 79% with prophylaxis treatment ofzidovudine (ZDV) and other antiretroviral drugs (3). These findings are based upon the retrospectivecase-control study of health care workers who were exposed to HIV infected blood identified throughnational surveillance systems in France, the United Kingdom, and the United States.Since zidovudine postexposure prophylaxis was found to reduce the rate of HIV transmissionafter occupational exposure to HIV infected blood, a Public Health Service interagency working groupissued provisional recommendations for the use of ZDV (4). These recommendations state thatchemoprophylaxis should be recommended to exposed workers following an exposure associated withthe highest risk for HIV transmission. For exposures associated with a lower, but non-negligible risk,post exposure prophylaxis should be offered. Postexposure prophylaxis is not recommended when theexposure has negligible risk, because of the toxicity associated with the treatment.For a copy of the “Provisional Public Health Service Recommendations for ChemoprophylaxisAfter Occupational Exposure to HIV” please call the CDC National AIDS Clearinghouse at (800)458-5231.Reported Cases of Occupationally Transmitted AIDS and HIV Infection in the United StatesIn the United States 52 cases of AIDS/HIV infection have been documented as attributed tooccupational transmission, and an additional 111 cases are suspected of being related to occupationaltransmission (5). For cases to be counted a s a documented occupational transmission of HIV, theremust be documented evidence of HIV seroconversion or other laboratory evidence of occupationalinfection. For evidence of seroconversion, the health care worker must test negative for HIV at the timeof exposure to the HIV infected body fluids and subsequently test positive. Cases classified as possibleoccupational transmission did not have documented evidence of seroconversion following theoccupational exposure, but have been investigated and no behavioral or transfusion risks wereidentified. None of the U S. documented possible occupational transmissions are among Ohioans.There have been cases of HIV/AIDS in Ohio with potential occupational exposure who have been orare under investigation to determine if they became HIV infected through occupational transmission, butto date no cases have been confirmed as documented or possible occupational transmissions.However, there are HIV positive health care workers in Ohio who became infected through nonoccupational routes.Of the 52 documented occupational transmission cases in the U.S., 45 had a percutaneousexposure, 5 had a mucotaneous exposure, one had both percutaneous and mucotaneous exposures,and one had an unknown route of exposure. Forty-seven of the exposures where to blood from anHIV-infected person, one exposure was laboratory. Twenty four of these health care workers havedeveloped AIDS.Workers in Health Care Setting with Documented and Possible Occupationally AcquiredAIDS/HIV Infection, by OccupationReported through December 31, 1996, United States1-11
OccupationDental worker, including dentistEmbalmer/morgue technicianEmergency medicaltechnician/paramedicHealth aide/attendantHousekeeper/maintenance workerLaboratory technician, clinicalLaboratory technician, nonclinicalNursePhysician, nonsurgicalPhysician, surgicalRespiratory therapistTechnician, dialysisTechnician, surgicalTechnician/therapist, other than thoselisted aboveOther health care 2716-281162215521111DiscussionAdherence to universal precautions minimizes occupational contact with HIV. Research showsthat when occupational exposure occurs, transmission of HIV is low, and this risk can be furtherreduced with postexposure prophylaxis treatment. Response to occupational exposures may includeassessing the source patient’s HIV status, testing the worker for HIV at baseline, and treating theworker with postexposure prophylaxis.If you have any questions on the data presented in this report, please call the Ohio Departmentof HIV/AIDS Surveillance at (614) 466-1388 or if you have any questions about occupational issues,please call the Occupational Health Program at (614) 466-4183.References1. Tokars, JI, Marcus R, Culver DH, et al. Surveillance of HIV infection and Zidovudine use amonghealth care workers after occupational exposure to HIV-infected blood. Ann Intern Med1993;118:913-9.2. Henderson DK. HIV-1 in the health care setting. In: Principles and practice of infectious diseases.4th ed. Mandel G:, Bennett JE, Dolan R, eds. New York: Churchill Livingstone, 1995:2632-56.3. CDC. Case-control study of HIV seroconversion in health-careworkers after percutaneousexposure to HIV-infected blood - France, United Kingdom, and United States, January 1988August 1994. MMWR 1995;44:929-33.1-12
4. CDC. Update: Provisional Public Health Service Recommendations for Chemoprophylaxis afteroccupational exposure to HIV. MMWR 1996;45:468-72.5.5. CDC. HIV/AIDS Surveillance Report. December 1996;8:211-13
Bloodborne PathogensDivision of Safety & HygieneHIV Signs & Symptoms(many have all, none, or some) Night sweats Swollen glands Fever, chills Flu-like Joint Pain Fatigue Rash1-14
Bloodborne PathogensDivision of Safety & HygieneExposure ControlBloodborne PathogensConsultingAgenciesDivision ofSafety & HygieneOhio Departmentof HealthDivision of Safety & HygieneEnforcement AgenciesPublicPrivatePERRPOSHA city business county manufacturing state most hospitals schools parks1-15
Bloodborne PathogensDivision of Safety & HygieneKey elements for anExposure Control PlanBloodborne PathogensDivision of Safety & HygieneEmployees at Risk Employees whose duties put them at risk Employers responsible for deciding1-16
Bloodborne PathogensDivision of Safety & HygieneOccupational ExposureReasonably anticipated skin, eye, mucousmembrane or parenteral contact with blood orother potentially infectious materials that mayresult from the performance of an employee’sduties.Bloodborne PathogensDivision of Safety & HygieneOther PotentiallyInfectious MaterialsSemenVaginal SecretionsSterile body fluids“Visibly” soiledDOES NOT INCLUDE:- Sputum- Sweat, Tears, Urine/Feces- Vomitus- Nasal Secretions1-17
Bloodborne PathogensDivision of Safety & HygieneCollateral DutiesFirst Aid Providers Federal CoverageExposure State CoverageExposure IncidentBloodborne PathogensDivision of Safety & HygieneHierarchy of Control Engineering controls Work Practice controls Personal Protective Equipment1-18
Bloodborne PathogensDivision of Safety & HygieneMethods of Control(1) Engineering controlsBloodborne PathogensDivision of Safety & HygieneMethods of Control(Cont.)(2) Work Practice Controls Hand-washing soap selection alternatives Universal Precautions1-19
Bloodborne PathogensDivision of Safety & HygieneUniversal PrecautionsAn approach to infection control. Allhuman blood and certain body fluids aretreated as if known to be infectious.Bloodborne PathogensDivision of Safety & HygieneMethods of Control(cont.)(3) Personal Protective Equipment Selection Adequate fit Maintenance Latex sensitivity1-20
Bloodborne PathogensDivision of Safety & HygieneGloves Disposable - not reused Change if torn or punctured Awareness of latex allergic reactions Use of utility gloves1-21
Bloodborne PathogensDivision of Safety & HygieneEmployerResponsibility forEmployees’ HealthBloodborne PathogensDivision of Safety & HygieneHepatitis B Vaccine Background Series of shots Employees affected Refusal form Side effects Counterindications How to access medical services1-22
U.S. Department of LaborOccupational Safety & Health Administrationwww.osha.govSearchAdvanced Search A-Z Index[Text Only]Regulations (Standards - 29 CFR)Hepatitis B Vaccine Declination (Mandatory) - 1910.1030 App ARegulations (Standards - 29 CFR) - Table of Contents Part Number: Part Title: Subpart: Subpart Title: Standard Number: Title:1910Occupational Safety and Health StandardsZToxic and Hazardous Substances1910.1030 App AHepatitis B Vaccine Declination (Mandatory)I understand that due to my occupational exposure to blood or other potentially infectiousmaterials I may be at risk of acquiring hepatitis B virus (HBV) infection. I have been given theopportunity to be vaccinated with hepatitis B vaccine, at no charge to myself. However, Idecline hepatitis B vaccination at this time. I understand that by declining this vaccine, Icontinue to be at risk of acquiring hepatitis B, a serious disease. If in the future I continue tohave occupational exposure to blood or other potentially infectious materials and I want to bevaccinated with hepatitis B vaccine, I can receive the vaccination series at no charge to me.[56 FR 64004, Dec. 06, 1991, as amended at 57 FR 12717, April 13, 1992; 57 FR 29206, July1, 1992; 61 FR 5507, Feb. 13, 1996]Next Standard (1910.1043)Regulations (Standards - 29 CFR) - Table of ContentsBack to Topwww.osha.govContact Us Freedom of Information Act Customer SurveyPrivacy and Security Statement DisclaimersOccupational Safety & Health Administration200 Constitution Avenue, NWWashington, DC 202101-23
Bloodborne PathogensDivision of Safety & HygienePost-exposure follow-up Definition of “exposure” Selecting medical service Informing the employee Recordkeeping Confidentiality of resultsBloodborne PathogensDivision of Safety & HygieneExposure IncidentA specific eye, mouth, or othermucous membrane, non-intact skinor parenteral contact with blood orother potentially infectious materialthat results from the performance ofan employee’s duties.1-24
Bloodborne PathogensDivision of Safety & HygieneHousekeeping andMaintenance Issues Labeling Laundry Wastes- Concerns of EPA and OSHA- Packaging and labeling- Large versus small generatorBloodborne PathogensDivision of Safety & HygieneBlood spill clean-up Educating employees Equipment used Analyzing your needs Purchasing appropriately Approved disinfectants1-25
Bloodborne PathogensDivision of Safety & HygieneEmployee Training Who needs it Timely delivery Annual updates Convenient for employee Evaluating your audienceBloodborne PathogensDivision of Safety & HygieneTraining ProgramRequirements Copy of standard Signs and symptoms of BBP Mode of transmission Presenting the exposure control planHow to identify workers at riskEngineering controlsWork Practice controls1-26
Bloodborne PathogensDivision of Safety & HygieneTraining Program Requirements(cont.) PPE Universal precautions Hepatitis B vaccine Post-exposure follow-up Labeling Housekeeping and maintenance Interactive delivery by knowledgeable instructorBloodborne PathogensDivision of Safety & HygieneTeaching Considerations Field experience increases credibility Research time involved Adult has about a 23-minute attention span Audience participation helps Know your audience1-27
Bloodborne PathogensDivision of Safety & HygieneRemember .OSHA does not approve or endorse anyproducts, training programs, or forms.Bloodborne PathogensDivision of Safety & HygieneResources National State Local- Hospitals- Health Departments Media available (books, videos, pamphlets) Resource Centers Division of Safety & Hygiene consultants1-28
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Bloodborne pathogens. - 1910.1030Page 1 of 36Regulations (Standards - 29CFR)Bloodborne pathogens. - 1910.1030OSHA Regulations (Standards - 29 CFR) - Table of ContentsllllStandard Number: 1910.1030Standard Title: Bloodborne pathogens.SubPart Number: ZSubPart Title: Toxic and Hazardous SubstancesInterpretation(s)(a)Scope and Application. This section applies to all occupationalexposure to blood or other potentially infectious materials asdefined by paragraph (b) of this section.(b)Definitions. For purposes of this section, the following shall apply:Assistant Secretary means the Assistant Secretary of Labor forOccupational Safety and Health, or designated representative.Blood means human blood, human blood components, andproducts made from human blood.Bloodborne Pathogens means pathogenic microorganisms thatare 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 otherscreening procedures are performed on blood or other potentiallyinfectious materials.Contaminated means the presence or the reasonably anticipatedpresence of blood or other potentially infectious materials on anhttp://www.osha-slc.gov/OshStd data/1910 1030.html07/12/2001
Bloodborne pathogens. - 1910.1030Page 2 of 36item or surface.Contaminated Laundry means laundry which has been soiledwith blood or other potentially infectious materials or may containsharps.Contaminated Sharps means any contaminated object that canpenetrate the skin including, but not limited to, needles, scalpels,broken glass, broken capillary tubes, and exposed ends of dentalwires.Decontamination means the use of physical or chemical means toremove, inactivate, or destroy bloodborne pathogens on a surfaceor item to the point where they are no longer capable oftransmitting infectious particles and the surface or item is renderedsafe for handling, use, or disposal.Director means the Director of the National Institute forOccupational Safety and Health, U.S. Department of Health andHuman Services, or designated representative.Engineering Controls means controls (e.g., sharps disposalcontainers, self-sheathing needles, safer medical devices, such assharps with engineered sharps injury protections and needlelesssystems) that isolate or remove the bloodborne pathogens hazardfrom the workplace.Exposure Incident means a specific eye, mouth, other mucousmembrane, non-intact skin, or parenteral contact with blood orother potentially infectious materials that results from theperformance of an employee's duties.Handwashing Facilities means a facility providing an adequatesupply of running potable water, soap and single use towels or hotair drying machines.Licensed Healthcare Professional is a person whose legallypermitted scope of practice allows him or her to independentlyperform the activities required by paragraph (f) Hepatitis BVaccination and Post-exposure Evaluation and Follow-up.HBV means hepatitis B virus.HIV means human immunodeficiency virus.Needleless systems means a device that does not use needlesfor:(1) The collection of bodily fluids or withdrawal of body fluids afterinitial venous or arterial access is established; (2) Theadministration of medication or fluids; or (3) Any other procedurehttp://www.osha-slc.gov/OshStd data/1910 1030.html07/12/2001
Bloodborne pathogens. - 1910.1030Page 3 of 36involving the potential for occupational exposure to bloodbornepathogens due to percutaneous injuries from contaminated sharps.Occupational Exposure means reasonably anticipated skin, eye,mucous membrane, or parenteral contact with blood or otherpotentially infectious materials that may result from theperformance of an employee's duties.Other Potentially Infectious Materials means (1) The followinghuman 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 isvisibly contaminated with blood, and all body fluids in situationswhere it is difficult or impossible to differentiate between bodyfluids; (2) Any unfixed tissue or organ (other than intact skin) froma human (living or dead); and (3) HIV-containing cell or tissuecultures, organ cultures, and HIV- or HBV-containing culturemedium or other solutions; and blood, organs, or other tissuesfrom experimental animals infected with HIV or HBV.Parenteral means piercing mucous membranes or the skin barrierthrough such events as needlesticks, human bites, cuts, andabrasions.Personal Protective Equipment is specialized clothing orequipment worn by an employee for protection against a hazard.General work clothes (e.g., uniforms, pants, shirts or blouses) notintended to function as protection against a hazard are notconsidered to be personal protective equipment.Production Facility means a facility engaged in industrial-scale,large-volume or high concentration production of HIV or HBV.Regulated Waste means liquid or semi-liquid blood or otherpotentially infectious materials; contaminated items that wouldrelease blood or other potentially infectious materials in a liquid orsemi-liquid state if compressed; items that are caked with driedblood or other potentially infectious materials and are capable ofreleasing these materials during handling; contaminated sharps;and pathological and microbiological wastes containing blood orother potentially infectious materials.Research Laboratory means a laboratory producing or usingresearch-laboratory-scale amounts of HIV or HBV. Researchlaboratories may produce high concentrations of HIV or HBV butnot in the volume found in production facilities.Sharps with engineered sharps injury protections means anonneedle sharp or a needle device used for withdrawing bodyhttp://www.osha-slc.gov/OshStd data/1910 1030.html07/12/2001
Bloodborne pathogens. - 1910.1030Page 4 of 36fluids, accessing a vein or artery, or administering medications orother fluids, with a built-in safety feature or mechanism thateffectively reduces the risk of an exposure incident.Source Individual means any individual, living or dead, whoseblood or other potentially infectious materials may be a source ofoccupational exposure to the employee. Examples include, but arenot limited to, hospital and clinic patients; clients in institutions forthe developmentally disabled; trauma victims; clients of drug andalcohol treatment facilities; residents of hospices and nursinghomes; human remains; and individuals who donate or sell bloodor blood components.Sterilize means the use of a physical or chemical procedure todestroy all microbial life including highly resistant bacterialendospores.Universal Precautions is an approach to infection control.According to the concept of Universal Precautions, all human bloodand certain human body fluids are treated as if known to beinfectious for HIV, HBV, and other bloodborne pathogens.Work Practice Controls means controls that reduce the likelihoodof exposure by altering the manner in which a task is performed(e.g., prohibiting recapping of needles by a two-handed technique).(c)Exposure Control -(c)(1)Exposure Control Plan.(c)(1)(i)Each employer having an employee(s) with occupational exposureas defined by paragraph (b) of this section shall establish a writtenExposure Control Plan designed to eliminate or minimize employeeexposure.(c)(1)(ii)The Exposure Control Plan shall contain at least the followingelements:(c)(1)(ii)(A)The exposure determination required by paragraph gov/OshStd data/1910 1030.html07/12/2001
Bloodborne pathogens. - 1910.1030Page 5 of 36(c)(1)(ii)(B)The schedule and method of implementation for paragraphs (d)Methods of Compliance, (e) HIV and HBV Research Laboratoriesand Production Facilities, (f) Hepatitis B Vaccination and PostExposure Evaluation and Follow-up, (g) Communication of Hazardsto Employees, and (h) Recordkeeping, of this standard, and(c)(1)(ii)(C)The procedure for the evaluation of circumstances surroundingexposure incidents as required by paragraph (f)(3)(i) of thisstandard.(c)(1)(iii)Each employer shall ensure that a copy of the Exposure ControlPlan is accessible to employees in accordance with 29 CFR1910.1020(e).(c)(1)(iv)The Exposure Control Plan shall be reviewed and updated at leastannually and whenever necessary to reflect new or modified tasksand procedures which affect occupational exposure and to reflectnew or revised employee positions with occupational exposure. Thereview and update of such plans shall also:(c)(1)(iv)(A)Reflect changes in technology that eliminate or reduce exposure tobloodborne pathogens; and(c)(1)(iv)(B)Document annually consideration and implementation ofappropriate commercially available and effective safer medicaldevices designed to eliminate or minimize occupational exposure.(c)(1)(v)An employer, who is required to establish an Exposure Control Planshall solicit input from non-managerial employees responsible fordirect patient care who are potentially exposed to injuries fromcontaminated sharps in the identification, evaluation, and selectionof effective engineering and work practice controls and shalldocument the solicitation in the Exposure Control Plan.(c)(2)Exposure Std data/1910 1030.html07/12/2001
Bloodborne pathogens. - 1910.1030Page 6 of 36Each employer who has an employee(s) with occupational exposureas defined by paragraph (b) of this section shall prepare anexposure determination. This exposure determination shall containthe following:(c)(2)(i)(A)A list of all job classifications in which all employees in those jobclassifications have occupational exposure;.1910.1030(c)(2)(i)(B)(c)(2)(i)(B)A list of job classifications in which some employees haveoccupational exposure, and(c)(2)(i)(C)A list of all tasks and procedures or groups of closely related taskand procedures in which occupational exposure occurs and that areperformed by employees in job classifications listed in accordancewith the provisions of paragraph (c)(2)(i)(B) of this standard.(c)(2)(ii)This exposure determination shall be made without regard to theuse of personal protective equipment.(d)Methods of Compliance -(d)(1)General. Universal precautions shall be observed to preventcontact with blood or other potentially infectious materials. Undercircumstances in which differentiation between body fluid types isdifficult or impossible, all body fluids shall be considered potentiallyinfectious materials.(d)(2)Engineering and Work Practice Controls.(d)(2)(i)Engineering and work practice controls shall be used to eliminate orminimize employee exposure. Where occupational exposureremains after institution of these controls, personal protectiveequipment shall also be used.http://www.osha-slc.gov/OshStd data/1910 1030.html07/12/2001
Bloodborne pathogens. - 1910.1030Page 7 of 36.1910.1030(d)(2)(ii)(d)(2)(ii)Engineering controls shall be examined and maintained or replacedon a regular schedule to ensure their effectiveness.(d)(2)(iii)Employers shal
TAB 5: OHIO EPA Guidance Document for Small Generators of Infectious Waste 5-1 Ohio EPA District Offices 5-7 Comparison of OSHA and Ohio EPA Regulations 5-8 Questions and Answers for Small Generators of Infectious Waste 5-10 TAB 6: OSHA FACT SHEETS AND MAP Bloodborne Facts: Personal Protective Equipment Cuts Risk 6-1
PowerPoint Training Program – Bloodborne Pathogens For employees exposed to bloodborne pathogens at work Instructor’s Guide Purpose of This Training Module You may use this slide presentation to comply with the training requirements of the WISHA bloodborne pathogens regulations (WAC 296-823). You can read the trainingFile Size: 415KB
Bloodborne Pathogens Training for School Personnel ISD 318 Angela Elhard, PHN, LSN, ISD 318 District Nurse. MANDATORY ANNUAL BLOODBORNE PATHOGENS TRAINING Reviewing this PowerPoint presentation will meet the bloodborne pathogens annual training requirement for ISD 318. When you have reviewed the material, take the
Bloodborne Pathogens #1 Bloodborne pathogens are microorganisms such as viruses or bacteria that are carried in blood and can cause disease in people. There are many different bloodborne pathogens including malaria, syphilis, brucellosis, Hepatitis, and HIV. 19
OSHA Bloodborne Pathogens Standard On December 6, 1991, the Occupational Safety and Health Administration (OSHA) published the Bloodborne Pathogens (BBP) Standard (29 CFR 1910.1030) to keep workers with BBP risk safe. The standard requires the employer to provide annual training regarding the occupational hazards of Bloodborne Pathogens.
Bloodborne Pathogens Safety Program Planner (Manual) Coastal Training Technologies Corp, (2000). Bloodborne Pathogens (Brochure) Virginia Beach, VA East Carolina University Infection Control (Date not available) OSHA Bloodborne Pathogen and Tuberculosis Training (Powerpoint). Greenville, NC: Maxine Edwards. www.osha.gov
These pathogens include, but are not limited to, HBV, HCV, and HIV. OSHA estimates 5.6 million workers in health care and other facilities are at risk of exposure to bloodborne pathogens, such as HIV and HBV. Bloodborne pathogens can be transmitted through blood or 'other potentially infectious material' (OPIM), such as?
What exactly is a Bloodborne Pathogen? Bloodborne transmitted by blood or other body fluids Pathogen microorganism capable of causing a disease Bloodborne Pathogens are present in: Blood Semen Vaginal Secretions Torn or Loose Skin Other body fluids: from the eyes, nose especially if blood tinged.
Pipe Size ASTM Designation (in) (mm) (D2310) (D2996) 2 - 6 50 - 150 RTRP 11FX RTRP 11FX-5430 8 - 16 200 - 400 RTRP 11FX RTRP 11FX-3210 Fittings 2 to 6-inch Compression-molded fiberglass reinforced epoxy elbows and tees Filament-wound and/or mitered crosses, wyes, laterals and reducers 8 to 16-inch Filament-wound fiberglass reinforced epoxy elbows Filament-wound and/or mitered crosses, wyes .
