Grinnell College Revised September 2013

Transcription

1 FACILITIES MANAGEMENT BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN Grinnell College Revised September 2013

2 I. INTRODUCTION Bloodborne pathogens are microorganisms such as viruses that are present in human blood which can cause disease in humans. The most common pathogens identified in human blood are HEPATITIES b virus (HBV) and Human Immunodeficiency Virus (HIV), which can cause the "AIDS" condition. Other bloodborne pathogens include malaria, syphilis, brucellosis, and hepatitis. These diseases can be contracted as a result of eye, mouth, other mucous membranes, and/or non-intact skin (open wound) contacting infectious blood or infectious body fluids. The bloodborne pathogen exposure control plan of Grinnell College is designed to limit or control exposure by employees to bloodborne pathogens. Employees who have the potential to be exposed (also designated as "First Aiders") to blood or other potentially infectious materials will be trained in the concept of "Universal Precautions". That concept is that blood and certain human body fluids are considered to be potentially infectious and certain precautions must be adhered to at all times to reduce risk. Included within the concept is the provision of proper medical care and screening for any employee who is involved in an incident involving blood or other potentially infectious material. II. DEFINITIONS For purposes of the Exposure Control Plan the following definitions will apply. Blood means human blood components, and products made from human blood. Bloodborne Pathogens means pathogenic microorganisms that are 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). Contaminated means laundry which has been soiled with blood or other potentially infectious materials on an item or surface. Contaminated sharps means any contaminated object that can penetrate the skin including, but not limited to, needles, scalpels, broken glass, broken capillary tubes, shards of metal, and exposed ends of wires. Decontamination means the use of physical or chemical means to remove, inactivate, or destroy bloodborne pathogens on a surface or item to the point where they are no longer capable of transmitting infectious particles and the surface or item is rendered safe for handling, use, or disposal. Engineering controls means controls (e.g. sharps disposal containers, self-sheathing needles) that isolate or remove the bloodborne pathogens hazard from the workplace Exposure incident means a specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee's duties. First aider means a person who is occupationally exposed by being available and participating in providing first aid to an injured person. Hand washing facilities means a facility providing an adequate supply of running potable water, soap and single use towels or hot air drying machines. Licensed healthcare professional includes persons whose legally permitted scope of practice allows them to independently perform the activities of examination, preliminary diagnosis, diagnosis, triage, medication administration, and injection. HBV means hepatitis B virus. HIV means immunodeficiency virus. Occupational Exposure means reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee's duties. 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 body fluids; (2) any unfixed tissue or organ (other than intact skin) from a human (living or dead); and (3) HIV-

3 contaminated 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. Parenteral means piercing mucous membranes or the skin barrier through such events as needle sticks, human bites, cuts, sticks by sharps, and abrasions. Personal Protective Equipment is specialized clothing or equipment worn by an employee for protection against a hazard. General work clothes (e.g., uniform, pants, shirts or blouses) not intended to function as protection against a hazard are not considered to be personal protective equipment. Regulated Waste means liquid or semi-liquid blood or other potentially infectious materials; contaminated items that would release blood or other potentially infectious materials in a liquid or semi-liquid state if compressed; items that are caked with dried blood or other potentially infectious materials and are capable of releasing these materials during handling; contaminated sharps; and pathological and microbiological wastes containing blood or other potentially infectious materials. Source individual means any individual, living or dead, whose blood or other potentially infectious materials may be a source of occupational exposure to the employee. Examples include, but are not limited to, hospital and clinic patients; clients in institutions for the developmentally disabled, trauma victims; clients of drug and alcohol treatment facilities; residents of hospices, nursing, and retirement homes; human remains; and individuals who donate or sell blood or blood components. Sterilize means the use of a physical or chemical procedure to destroy all microbial life including highly resistant bacterial endospores. Universal precautions is an approach to infection control. According to the concept of Universal Precautions, all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV, and other bloodborne pathogens. Work practice controls means controls that reduce the likelihood of exposure by altering the manner in which a task is performed. III. EXPOSURE DETERMINATION The following job classifications and/or individuals at Grinnell College may have a potential occupational exposure to bloodborne pathogens (a reasonably anticipated contact with blood or other potentially infectious materials which may result from the performance of an employee's duties). Faculty/Staff Administration/Support Staff Art - 5 fac., 1 staff Biology - 11 fac., 3 staff Chemistry - 9 fac., 1 staff Bookstore - 4 staff Computer Services - 5 staff Dean of Students - 11 staff Language Lab - 1 staff Dean of the College - 1 Library - 25 Physical Education - 18 Physics - 8 fac., 1 staff Psychology - 1 Psychology Pre-school - 1 Theatre - 3 fac., 1 staff Emeritus/Retired - 1 Dining Services - 41 staff Facilities Man staff Health Services - 6 staff Human Resources - 1 staff Mail Service - 2 staff Music - 1 staff President - 1 staff Service Bureau - 2 staff These persons, for their job classifications, will have available to them the Hepatitis B vaccination series at no cost to them. Those persons who decline the vaccination series will be required to sign a waiver of vaccine declination. IV. EXPOSURE INCIDENT

4 A. All exposure incidents-a specific eye, mouth, other mucous membrane, cut (non-intact skin) or parenteral contact (needle or other sharp instrument puncture)-with blood or other potentially infectious materials (or suspected exposure incidents) must be reported to their supervisor immediately or as soon as practicable. The Office of Human Resources shall also be notified as soon as practicable. B. Exposure incidents and suspected incidents will be investigated immediately by the Office of Human Resources. The investigator shall: Identify the source individual. Identify all employees who were and/or may have been exposed to bloodborne pathogens. Document the route and circumstance of exposure. C. Employees involved in an exposure incident or suspected incident will be provided post-exposure health evaluation and follow-up if directed by physician, at no cost to the employee. The program may include the following: With the consent of the injured person (source Individual), their blood shall be tested for HBV and HIV. Results of the test will be given to all exposed persons. Exposed persons may be required to obey legally imposed rules regarding confidentiality concerning the source individual. When consent by the injured person is not obtained the College shall document that legally required consent could not be obtained. With the consent of the exposed employee, their blood shall be collected as soon as feasible and tested. Blood samples should be held for 90 days if the employee does not consent to HIV serologic testing. The amount and type of post-exposure medical follow-up will be directed by the local treating physician, in consultation with the exposed person. V. WORK PRACTICES See Appendix A. for cleanup procedures VI. HEALTH CARE PROFESSIONALS The administration of the health care and exposure evaluation and follow-up involving exposure to bloodborne pathogens is not a workers' compensation issue until actual disease is detected and diagnosed; as a result, Grinnell College will select the health care professional for the administration of all vaccinations and all post-exposure evaluations and follow-up. A. The physician involved in the administration of the exposure incident follow-up shall be provided the following information: Copies of the OSHA standard. Any and all information developed or discovered regarding the exposure incident, including the description of the incident, possible route of exposure, and if available, results or the source individual's blood testing. All medical records relevant to the appropriate treatment of the employee including vaccination status. B. Results of any testing and medical follow-up shall be kept confidential. Exposed persons shall be provided a written report within 15 days of the completed evaluation. The report should be limited to the following: A written opinion whether Hepatitis B vaccination is indicated for the exposed person, and if the exposed person has received such vaccination. A statement that the exposed person has been informed of the results of the evaluation and he/she has been told about any medical conditions resulting from exposure to blood or other infectious materials which require further evaluation or treatment. VII. RECORD KEEPING All written documents and information, i.e., investigation results, doctor opinions, records of vaccinations, shall be kept indefinitely by the College. VIII. TRAINING

5 The College will provide yearly training regarding bloodborne pathogens to occupationally exposed persons in the job classifications noted under Section III, above.

6 Appendix A. (Please keep a copy of these procedures in your custodial closet) Bodily Fluids Cleanup Procedures When cleaning up bodily fluids please follow the procedures below. Please note that all bodily fluids have the potential to be hazardous and require the appropriate precautions. The main difference between cleaning up bodily fluids that are/or contain blood is in the disposal process. If you have any questions please call Chris Bair at xt Is the fluid blood or does it contain blood? No (vomit, feces, sputum, nasal secretions, urine ) 1) Always wear gloves 2) Spray fluid with Sterephene to disinfect 3) Wait 10 minutes for disinfectant to kill pathogens 4) Clean-up mess, when mopping use Super HDQ solution 5) Place mess, paper towels, gloves, etc. in a regular trash bag, seal bag and remove to dispose in regular trash 6) Disinfect area again 7) Wash Hands 8) Send reusable towels and mopheads in for cleaning Yes (blood or bodily fluid containing blood) 1) Always wear gloves 2) Absorb fluids and discard 3) Spray area with Sterephene to disinfect 4) Wait 10 minutes for disinfectant to kill pathogens 5) Clean-up mess, when mopping use Super HDQ solution 6) Place all contaminated materials (i.e. gloves, towels, paper towels, mop heads) in red biohazard bag. 7) Wash Hands 8) Seal bag, place behind locked door (i.e. custodial closet) 9) Disinfect area again 10) Call Bonita or FM for pickup 11) Fill out a Blood Borne Pathogen report form