3 Scope To protect workers against possible contamination from a Bloodborne Infectious Disease.
4 When to comply? If there is an actual or reasonable anticipated risk of an exposure to blood or OPIM during routine tasks.
5 Definitions Bloodborne pathogen HIV - the virus that causes the autoimmune deficiency syndrome (AIDS) (1-10+ years) Hepatitis B (HBV) - acute or chronic infection of the liver (incubation 2-3 months) Hepatitis C (HCV) (incubation 6-9 weeks) Syphilis (incubation 3 weeks) Others
6 Definitions Semen Vaginal secretions Amniotic fluid Cerebrospinal fluid Perioneal fluid Pleural fluid Pericardial fluid Synovial fluid Saliva in dental procedures Any bodily fluid that is visibly contaminated with blood. Any body fluid that you cannot recognize if there is blood in it. Other Potentially Infectious Material (OPIM) (State Rule 325.7002(s))
7 Definitions Sharps - Any item that has a potential to cut or puncture skin. (broken glass, needles, lancets, etc.)
8 Exposure Determination/Categories Category A Reasonable exposure Non-routine tasks as a condition of employment. Category B No anticipated exposure
9 Exposure Control Plan Exposure determination Implementation of the “rules” Training outline Incident reporting and evaluation SOPs Annual review Available to employees
10 Methods of Compliance Universal Precautions Engineering and Work Practice Controls Personal protective equipment Housekeeping
11 Universal Precautions Blood and OPIM treated as Infectious Material.
17 “SESIP” New Definition Non-needle sharp or a needle with a built- in safety feature or mechanism that effectively reduces the risk of an exposure incident. Sharps with Engineered Sharps Injury Protections
18 Hypodermic syringes with “Self-Sheathing” safety feature Self-sheathed protected position
19 Hypodermic syringes with “Retractable Technology” safety feature Retracted protected position
20 Phlebotomy needle with “Self-Blunting” safety feature Blunted protected position
21 “Add-on” safety feature Attached to syringe needle Attached to blood tube holder
22 Retracting lancets with safety features Before During After In use After use
23 Disposable scalpels with safety features Retracted position Protracted position
24 Work Practices Reduce exposure by work habits Wearing gloves Washing hands Using sharp containers NO food, etc.
25 Work Practice SOPs Standard Operating Procedure Each task should have a written procedure to reduce risk of exposure.
26 Personal Protective Equipment (PPE) Choose the correct ones for the task Gloves, Protective Eyewear, Face Shield, etc. DON & DOFF
32 Waiver What is it? What does it really mean? Employee has the right not to receive the HBV vaccine: however, must sign a waiver. The employee does have the right to request a HBV vaccine at a later date, at the employer’s expense.
33 Post Exposure Determination Procedure prophylaxis Confidentiality
34 Labels and Warnings Labels Colors Symbols