1 Compliance Training Corporate Billing Address: 2912 Filbert Avenue Reading, PA Phone: Fax: Site Address/Training: 3839 Perkiomen Avenue Rear Reading, PA Phone: Fax: Website: OSHA Bloodborne Pathogens & Needlestick 29 CFR All rights reserved. Neither the power point nor any part thereof may be reproduced in any manner without written permission of the publisher. Due to the constantly changing nature of governmental regulations, it is impossible to guarantee absolute accuracy of the training material contained within this module. So the publishers cannot assume any responsibility for omissions, errors, misprinting, or ambiguity contained within this module and shall not be held liable in any degree for any loss or injury caused by such as listed above. Sioux Services ComplianceTraining
2 Background Approximately 5.6 million workers in health care and other facilities are at risk of exposure to bloodborne pathogens such as human immunodeficiency virus (HIV the virus that causes AIDS), the hepatitis B virus (HBV), and the hepatitis C virus (HCV). OSHA s Bloodborne Pathogens standard prescribes safeguards to protect workers against the health hazards from exposure to blood and other potentially infectious materials, and to reduce their risk from this exposure.
3 Definitions This program requires and understanding of the definitions related to the standard. A complete listing of the applicable terms is located in this training module. Take a few moments to locate and review these definitions and then use them for reference as you progress through the training.
4 Employee Training The BBP Standard requires employers to provide training to their employees who may be exposed to Bloodborne Pathogens. Training is mandatory: Yearly. For new hires within 90 days or prior to their initial assignments. When new chemicals are introduced into the workplace. Or any major change at your facility or any regulations change.
5 Bloodborne Pathogen 29 CFR Bloodborne pathogens means pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include among others hepatitis B virus (HBV), which causes hepatitis B; human immunodeficiency virus (HIV), which causes AIDS; hepatitis C virus and other pathogens, such as those that cause malaria.
6 Other Potentially Infectious Materials Other potentially infectious materials means: 1. The following human 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 is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between bodily fluids; 2. Any unfixed tissue or organ (other than intact skin) from a human (living or dead); and 3. HIV-containing cell or tissue cultures, organ cultures, and HIV- or HBV-containing culture medium or other solutions; and blood, organs, or other tissues from experimental animals infected with HIV or HBV.
7 Reasonably Anticipated The term reasonably anticipated contact means potential contact as well as actual contact with blood or other potentially infectious materials.
8 Who is covered by the standard? All employees who could be reasonably anticipated as the result of performing their job duties to face contact with blood and other potentially infectious materials. Good Samaritan acts such as assisting a coworker with a nosebleed would not be considered occupational exposure.
9 Some Workers Who are at Risk Physicians, nurses and emergency room personnel Orderlies, housekeeping personnel, and laundry workers Dentists and other dental workers Laboratory and blood bank technologists and technicians Medical Examiners Morticians Law Enforcement personnel Firefighters Paramedics and emergency medical technicians Anyone providing first-response medical care Medical waste treatment employees Home Healthcare workers
10 How does exposure occur? Most common: needlesticks Cuts from other contaminated sharps (scalpels, broken glass, etc.) Contact of mucous membranes (for example, the eye, nose, mouth) or broken (cut or abraded) skin with contaminated blood.
11 Exposure Control Plan Identifies jobs and tasks where occupational exposure to blood or other potentially infectious material occurs Describes how the employer will: Use engineering and work practice controls Ensure use of personal protective equipment Provide training Provide medical surveillance Provide hepatitis B vaccinations Use signs and labels
12 Exposure Control Plan Written plan required Plan must be reviewed at least annually to reflect changes in: tasks, procedures, or assignments which affect exposure, and technology that will eliminate or reduce exposure Annual review must document employer s consideration and implementation of safer medical devices Must solicit input from potentially exposed employees in the identification, evaluation and selection of engineering and work practice controls. Plan must be accessible to employees For an example of an Exposure Control Plan go to:
13 Universal Precautions Treat all human blood and certain body fluids as if they are infectious Must be observed in all situations where there is a potential for contact with blood or other potentially infectious materials
14 Engineering and Work Practice Controls These are the primary methods used to control the transmission of HBV and HIV When occupational exposure remains after engineering and work practice controls are put in place, personal protective equipment (PPE) must be used
15 Engineering Controls These controls reduce employee exposure by either removing the hazard or isolating the worker. Examples: Sharps disposal containers Self-sheathing needles Safer medical devices Needleless systems Sharps with engineered sharps injury protections
16 Safer Medical Devices Needless Systems: a device that does not use needles for the collection or withdrawal of body fluids, or for the administration of medication or fluids Sharps with Engineered Sharps Injury Protections: a non-needle sharp or a needle device used for withdrawing body fluids, accessing a vein or artery, or administering medications or other fluids, with a builtin safety feature or mechanism that effectively reduces the risk of an exposure incident
17 These controls reduce the likelihood of exposure by altering how a task is performed. Examples: Work Practice Controls Wash hands after removing gloves and as soon as possible after exposure Do not bend or break sharps No food or smoking in work areas
18 Personal Protective Equipment Specialized clothing or equipment worn by an employee for protection against infectious materials Must be properly cleaned, laundered, repaired, and disposed of Must be removed when leaving area or upon contamination
19 PPE Rules to Remember Always check PPE for defects or tears before using If PPE becomes torn or defective remove and get new Remove PPE before leaving a contaminated area Do not reuse disposable equipment
20 Examples of PPE Gloves Gowns Face shields Eye protection Mouthpieces and resuscitation devices The employer must ensure that appropriate PPE in the appropriate sizes is readily accessible at the worksite or is issued to employees. Hypoallergenic gloves, glove liners, powderless gloves, or other similar alternatives must be readily accessible to those employees who are allergic to the gloves normally provided.
21 Must develop a written schedule for cleaning and decontamination at the work site based on the: Location within the facility Type of surface to be cleaned Type of soil present Housekeeping Tasks or procedures being performed
22 Housekeeping continued Work surfaces must be decontaminated with an appropriate disinfectant: After completion of procedures, When surfaces are contaminated, and at the end of the work shift
23 Regulated Waste Must be placed in closeable, leak-proof containers built to contain all contents during handling, storing, transporting or shipping and be appropriately labeled or color-coded.
24 Laundry Handle contaminated laundry as little as possible and use PPE Must be bagged or containerized at location where used No sorting or rinsing at location where used Must be placed and transported in labeled or color-coded containers
25 Hepatitis B Vaccination Strongly endorsed by medical communities Usually Offered to all potentially exposed employees Declination form
26 Potentially Infectious Bodily Fluids Skin tissue, cell cultures Chewing tobacco juice Any other bodily fluid Blood Saliva Vomit Urine Semen or vaginal secretions
27 Hepatitis C (HCV) Hepatitis C is the most common chronic bloodborne infection in the United States Symptoms include: jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea, vomiting May lead to chronic liver disease and death
28 Hepatitis B (HBV) million Americans are chronically infected Symptoms include: jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea, vomiting May lead to chronic liver disease, liver cancer, and death Vaccination available since 1982 HBV can survive for at least one week in dried blood Symptoms can occur 1-9 months after exposure
29 Human Immunodeficiency Virus (HIV) HIV is the virus that leads to AIDS HIV depletes the immune system HIV does not survive well outside the body No threat on contracting HIV through casual contact
30 Common BB Pathogen Diseases Malaria Brucellosis Syphilis Hepatitis B(HBV) Hepatitis C(HCV) Human Immunodeficiency Virus (HIV)
31 What to do if an exposure occurs? Wash exposed area with soap and water Flush splashes to nose, mouth, or skin with water Irrigate eyes with water or saline Report the exposure Direct the worker to a healthcare professional Treatment should begin as soon as possible after exposure, preferably within 24 hours, and no later than 7 days.
32 Post-Exposure Follow-Up Document routes of exposure and how exposure occurred Record injuries from contaminated sharps in a sharps injury log, if required Obtain consent from the source individual and the exposed employee and test blood as soon as possible after the exposure incident Provide risk counseling and offer post-exposure protective treatment for disease when medically indicated in accordance with current U.S. Public Health Service guidelines Provide written opinion of findings to employer and copy to employee within 15 days of the evaluation
33 Biohazard Warning Labels Warning labels required on: Containers of regulated waste Refrigerators and freezers containing blood and other potentially infectious materials Other containers used to store, transport, or ship blood or other potentially infectious materials Red bags or containers may be substituted for labels
34 Training Requirements Provide at no cost to employees during working hours Provide at time of initial assignment to a job with occupational exposure and at least annually thereafter Additional training needed when existing tasks are modified or new tasks are required which affect the worker s occupational exposure Maintain training records for 3 years
35 Medical Recordkeeping Requirements Employee s name and social security number Employee s hepatitis B vaccination status Results of examinations, medical testing, and post-exposure evaluation and follow-up procedures Health care professional s written opinion Information provided to the health care professional Employee medical records must be kept confidential and not disclosed or reported without the employee s written consent (unless required by law) Medical records must be maintained for duration of employment plus 30 years according to OSHA s rule governing access to employee exposure and medical records
36 Sharps Injury Log Employers must maintain a sharps injury log for the recording of injuries from contaminated sharps The log must be maintained in a way that ensures employee privacy and must contain, at a minimum: Type and brand of device involved in the incident Location of the incident Description of the incident
42 Related Injuries and Illnesses For more information and copies of the Forms for Recording Work-Related Injuries and illnesses go to: OSHA Forms for Recording Work-
43 Summary OSHA s Bloodborne Pathogens standard prescribes safeguards to protect workers against the health hazards from exposure to blood and other potentially infectious materials, and to reduce their risk from this exposure. Implementation of this standard not only will prevent hepatitis B cases, but also will significantly reduce the risk of workers contracting AIDS, Hepatitis C, or other bloodborne diseases For more information on Bloodborne Pathogens, see OSHA s web site at:
44 Employee Exam Bloodborne Pathogens (please take test, print name, sign name, date and to for correction and certificate) Name: Date: Topic: Bloodborne Pathogens General 1. The Bloodborne Pathogen Standard is enforced by what federal government agency: Central Intelligence Agency (CIA). Environmental Protection Agency (EPA). Occupational Safety and Health Administration (OSHA). Both a and c. The Correct answer is: 2. Potentially Infectious materials include: Anything that may be present in a first aid emergency. Only body fluid that contains blood. Any body fluid you cannot identify. All of the above. The correct answer is: 3. What are Bloodborne Pathogens? Material present during emergencies that are potentially infectious. A cut or abrasion that pierces mucous membranes. Microorganisms present in blood that could cause disease. A program designed to stop the spread of disease and infection. The correct answer is: 4. Using universal precautions means: Treating all blood and certain body fluids as though they were infectious. That all workers who are exposed to Bloodborne Pathogens follow the same set of work procedures. Using gloves and masks whenever you touch a co-worker. Careful hand washing. The correct answer is: Test Page 1 of 3
45 5. Who should know about the Bloodborne Pathogen standard? First responders on the emergency response team. Patient care providers. People involved in work that could potentially expose them to Bloodborne Pathogens. All of the above. The Correct answer is: 6. Personal protective equipment must be used: When the possibility of exposure to blood or body fluids exists. At all times. At the worker s discretion. Whenever certain substances are present. The correct answer is: 7. Hepatitis B vaccination must be available to a worker: Once a year. If he/she has an occupational exposure risk. Every month. It is not necessary to have a vaccination. The correct answer is: 8. An exposure incident is defined as: No anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials. Specific skin, eye, mouth, mucous membrane, or parenteral skin contact with blood or potentially infected body fluids that result from doing one s job. Specific skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials at one s home. A piercing of the ears at the local mall. The correct answer is: 9. Medical records must be maintained on all employees with occupational exposure for the following length of time: Thirty (30) years. Length of employment plus 30 years. Until a person leaves their place of employment. Length of employment plus 20 years. The correct answer is: Test Page 2 of 3
46 10. Warning labels must: Bear the biohazard symbol and be printed in fluorescent yellow. Bear the biohazard symbol and be printed in fluorescent green. Bear the biohazard symbol and be printed in fluorescent orange or orange-red. Be printed in black or white. The correct answer is: 11. Under Universal Precautions, all human blood and certain body fluids are treated as if they were known to be infectious for HIV, HBV, or other Bloodborne Pathogens: True or False? The correct answer is: 12. Good housekeeping techniques minimize the risk of occupational exposure to potentially infectious materials: True or false? The correct answer is: Test Page 3 of 3