# Presentation: 804056

## Richard J. Green, MScSafety Training ManagerOffice of Health and SafetyCenters for Disease Control and Prevention

**Richard J. Green, MSc*****Safety Training Manager******Office of Health and Safety******Centers for Disease Control ******and Prevention***

## Slide 2

## 29 CFR 1910.1030                             “Occupational Exposure to Bloodborne Pathogens”

**Effective:**** March, 1992**
**Revisions:**
***November, 1999: Compliance Directive***
***April, 2001: Needlestick Prevention Act***
**Scope**
***ALL occupational exposure to blood and other potentially infectious material (OPIM)***

## Major Provisions by Paragraph

***(b)******	******Definitions***
***(c)******	******Exposure Control Plan (ECP)***
***(d)******	******Engineering and Work Practice Controls***
***(e)******	******HIV and HBV Research Labs***
***(f)******	******Vaccination, Post-Exposure Follow-up***
***(g)******	******Labeling and Training***
***(h)******	******Record keeping***

## Definitions

**Bloodborne Pathogen**
**	*****“******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).”***

## Definitions

**Bloodborne Pathogen**
**	*****“******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).”***

## (b) Definitions

**Occupational Exposure**
***	******“******Reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employees duties.”***

## (b) Definitions

**Occupational Exposure**
***	******“******Reasonably anticipated****** skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the performance of an ******employees duties******.”***

## Exposure Control Plan (ECP)

**Provides employees with work practices, procedures, and policies designed to minimize or eliminate employee exposure.**
**Includes current safety technologies, documentation of safer device implementation, and input from non-managerial workers.**

## Exposure Control Plan (ECP)

**Provides employees with ****work practices****, procedures, and ****policies**** designed to minimize or eliminate employee exposure.**
**Includes ****current**** safety technologies, documentation of safer device implementation, and ****input from non-managerial workers****.**

## (c) Exposure Control Plan (ECP)

**Exposure Determination:**
***Identify worker exposures to blood or OPIM***
***Review all processes and procedures with exposure potential***
***Re-evaluate when new processes or procedures are used***

## (c)	Exposure Control Plan (ECP)

**Exposure Determination:**
***Identify****** worker exposures to blood or OPIM***
***Review****** all processes and procedures with exposure potential***
***Re-evaluate****** when new processes or procedures are used***

## Universal/Standard Precautions:

***Treat all human blood and body fluids as if they were infected.***
***Treat all HIV/HBV/HCV containing cell or tissue culture, culture medium, solutions or tissues from experimental animals infected with HIV/HBV/HCV as infected.***
***Utilize:**** ****Handwashing, Sharps Precautions, Barrier Protections***

## Universal/Standard Precautions:

***Treat ******all human blood and body****** ******fluids****** as if they were infected.***
***Treat all HIV/HBV/HCV containing cell or tissue culture, culture medium, solutions or ******tissues from experimental animals****** infected with HIV/HBV/HCV as infected.***
***Utilize:**** ****Handwashing, Sharps Precautions, Barrier Protections***

## (d) Engineering and Work Practice Controls

**Employers must select,  implement , and document appropriate engineering controls (e.g. sharps disposal containers, sharps with engineered sharps injury protections {SESIP},  needleless systems, directional airflow) that isolate or remove the bloodborne pathogens hazard from the workplace and reduce or eliminate employee exposure.**

## (d) Engineering and Work Practice Controls

**Employers must select,  implement , and document ****appropriate**** engineering controls (e.g. sharps disposal containers, sharps with engineered sharps injury protections {SESIP},  needleless systems, directional airflow) that isolate or remove the bloodborne pathogens hazard from the workplace and reduce or eliminate employee exposure.**

## (d) Engineering and Work Practice Controls

**Selection of engineering and work practice controls is dependent on the employer’s exposure determination. **

## (d) Engineering and Work Practice Controls

**Selection of engineering and work practice controls is dependent on the employer’s ****exposure determination****. **

## (d) Engineering and Work Practice Controls

**Personal Protective Equipment:**
***Specialized clothing or equipment.***
***Selection based on quantity and type of exposure expected.***
***Ex: aerosol production = face protection***

## (d) Engineering and Work Practice Controls

**Work Practices:**
***Hand washing***
***Personal hygiene***
***Personal attire***
***Not wearing personal protective equipment (PPE) out of the work area***
***Changing PPE when contaminated***
***Decontaminating/cleaning regularly & after spills***
***...***

## (d) Engineering and Work Practice Controls

**Housekeeping:**
***Written schedule for cleaning and decontaminating***
***Documented eye wash checks***
***Material decontamination before exit from lab***
***Removal of PPE from lab is prohibited***
***Home laundering of PPE is prohibited***
***Segregated waste***
***...***

## (d) Engineering and Work Practice Controls

**Housekeeping:**
***Written schedule****** for cleaning and decontaminating***
***Documented eye wash checks***
***Material decontamination before exit from lab***
***Removal of PPE from lab is prohibited***
***Home laundering of PPE is prohibited***
***Segregated waste***
***...***

## (e) HIV/HBV Research Labs and Production

**      ****Facilities**
**BSL 3 practices and procedures**
***Separated work areas***
***Sealed surfaces***
***Waste incineration/autoclaving***
***BSC usage***
***Directional airflow***

## (f) Vaccination, Post-Exposure Follow-up

**Hepatitis B vaccine made available to all workers with potential risk of exposure **
***Offered within 10 days of employment***
***No cost to worker***
***“******Declination” signed if employee declines vaccine; may accept at a later date***

## (f) Vaccination, Post-Exposure Follow-up

**Hepatitis B vaccine made available to all workers with potential risk of exposure **
**Offered within ****10 days**** of employment**
**No cost to worker**
**“****Declination”**** signed if employee declines vaccine; may accept at a later date**

## (f) Vaccination, Post-Exposure Follow-up

**Report the incident immediately**
***Inform supervisor***
***Go to clinic/medical services provider ***
***Confidential medical evaluation***
***Route of exposure***
***Circumstances of the incident***
***Source known***
**Important to start drug therapy within 2 hours**
**Testing of victim/source only with consent (baseline blood stored for 90 days)**

## (f) Vaccination, Post-Exposure Follow-up

**Report**** the incident immediately**
***Inform supervisor***
***Go to clinic/medical services provider ***
***Confidential****** medical evaluation***
***Route of exposure***
***Circumstances of the incident***
***Source known***
**Important to start drug therapy within 2 hours**
**Testing of victim/source only with ****consent**** (baseline blood stored for 90 days)**

## Labeling and Training

**Labels must include universal biohazard symbol and the term “Biohazard”**
***Wherever BBP or OPIM are***
***Fluorescent orange-red***
***Secured with: string, tape, wire, adhesive***
**Exceptions: Blood products for clinical use, blood samples in containers, blood drawing tubes**

## Labeling and Training

**Labels must include universal biohazard symbol and the term “Biohazard”**
***Wherever BBP or OPIM are***
***Fluorescent orange-red***
***Secured with: string, tape, wire, adhesive***
**Exceptions:**** Blood products for clinical use, blood samples in containers, blood drawing tubes**

## Labeling and Training

**Signs posted at all work area entrances:**
***Biohazard symbol***
***Infectious agent***
***Entry requirements***
***Name & telephone # of responsible person***

## Record Keeping

**Occupational exposure/sharps injury record**
***Confidential***
***Kept for duration of employment,      + 30 years***
**Includes:**
***Name & social security number***
***Vaccination status***
***Examination results***

## Record Keeping

**Occupational exposure/sharps injury record**
***Confidential***
***Kept for duration of ******employment,      + 30 years***
**Includes:**
***Name & social security number***
***Vaccination status***
***Examination results***

## Record Keeping

**Sharps Injury Log (each incident)**
***Type and brand of device involved ***
***Department or area of incident***
***Description of incident***

## Record Keeping

**Sharps Injury Log (****each incident****)**
***Type and brand of device involved ***
***Department or area of incident***
***Description of incident***

## Record Keeping

**Training records**
***Kept for 3 years***
***Dates***
***Contents ***
***Names & qualifications of instructors***
***Names & job titles of students***
***Annual documentation***

## Record Keeping

**Training records**
***Kept for ******3 years***
***Dates***
***Contents ***
***Names & qualifications of instructors***
***Names & job titles of students***
***Annual documentation***

## Summary

**Exposure Control Plan**
***Jobs***
***Tasks***
**Compliance Methods**
***Engineering Controls***
***Workplace Practices***
***PPE***
**HBV Vaccination/Post-Exposure Follow-up**
**Records Management**
***Medical***
***Sharps Injury Log***
***Training***

**Summary**

## Slide 38