1. Bloodborne Pathogen OSHA Standards Training
Timisha Neal
Chastity Smith
Whitney Schwope

2. What constitutes a bloodborne pathogen?
According to OSHA: bloodborne pathogens are infectious microorganisms present in blood that can cause disease in humans
Examples of pathogens: Hepatitis B virus, Hepatitis C virus, HIV, species of plasmodium that cause malaria, etc.
Such pathogens put workers at risk for serious or life threatening illnesses
Exposure incident: a specific eye, mouth or other mucous membrane, non-intact skin, or parenteral contact with blood or OPIM
Needle stick injuries are the most common cause of exposure

3. Did you know? One outbreak can affect THOUSANDS of people.
94% of healthcare-associated outbreaks occurred in NONHOSPITAL settings.
MORE THAN HALF of all nurses will experience at least one needlestick during his/her career.

4. It is vital to be trained and aware of how bloodborne pathogens are transmitted, who can infect along with who can get infected. Proper handling and disposal is also essential
“Over 6 million workers in the health care industry and related occupations are at risk of Bloodborne Pathogens and more than a million Americans are infected with HIV.”
-OSHA Statistics

5. Who needs Training?
As a result of different injuries, especially by contaminated sharps and needle sticks, bloodborne pathogens continue to be a serious and significant public health concern.

6. Who needs Training?
Training is intended for those working with blood or materials that have been exposed to bloodborne pathogens.
Examples of jobs that may be exposed to bloodborne pathogens or materials that may have come into contact of bloodborne pathogens:
Health care workers: Physicians, Doctors, Nurses, Dentist, Rescue personnel (Firefighters, Police Officers), Laboratory workers
Non-health care workers: Housekeeping personnel, Janitorial staff, Craftsmen, and even Tattoo artists.

7. Since we are small clinic with employees, it is unnecessary to hire an onsite trainer. Bloodborne Pathogens training can be taken 100% online at any time of day.

8. OSHA Regulations that apply:
OSHA's Bloodborne Pathogens standard, including its 2001 revisions, applies to all employers who have an employee(s) with occupational exposure (i.e., reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or OPIM) that may result from the performance of the employee's duties. These employers must implement the requirements set forth in the standard.
Bloodborne Pathogens Standard: 29 CFR
States what employers must do to protect all occupational exposure to bloodborne pathogens and OPIMs (other potential infections materials)
Needlestick Safety and Prevention Act (2001 revisions)

9. Bloodborne Pathogens Standard: 29 CFR 1910.1030
(a) Scope and Application. This section applies to all occupational exposure to blood or other potentially infectious materials as defined by paragraph (b) in the proceeding slide.

10. Bloodborne Pathogens Standard: 29 CFR 1910.1030 (cont’d)
(b)-definitions
Contaminated means the presence or the reasonably anticipated presence of blood or other potentially infectious materials on an item or surface.  Contaminated Laundry means laundry which has been soiled with blood or other potentially infectious materials or may contain sharps.  Contaminated Sharps means any contaminated object that can penetrate the skin including, but not limited to, needles, scalpels, broken glass, broken capillary tubes, and exposed ends of dental 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. 

11. Bloodborne Pathogens Standard: 29 CFR 1910.1030 (cont’d)
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-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. 

12. Bloodborne Pathogens Standard: 29 CFR 1910.1030 (cont’d)
(c)(1)(v)
An employer, who is required to establish an Exposure Control Plan shall solicit input from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation, and selection of effective engineering and work practice controls and shall document the solicitation in the Exposure Control Plan.
(d)(1)
General. Universal precautions shall be observed to prevent contact with blood or other potentially infectious materials. Under circumstances in which differentiation between body fluid types is difficult or impossible, all body fluids shall be considered potentially infectious materials.
(g)(2)(i)
The employer shall train each employee with occupational exposure in accordance with the requirements of this section. Such training must be provided at no cost to the employee and during working hours. The employer shall institute a training program and ensure employee participation in the program.

13. As a small clinic we are required by OSHA to:
Establish an Exposure Control Plan
Update said plan annually
Use labels and warning signs to communicate hazards
Provide training and information to workers
Implement use of universal precautions
Identify and use engineering controls
Identify and ensure the use of work practice controls
Provide PPE (gloves, gowns, eye protection and masks)
Hepatitis B vaccinations made available to employees
Post-exposure evaluations for employees who experience an exposure incident
Maintain worker medical and training records

14. Other requirements under the BBP Standard:
Employers shall provide hand washing facilities that are readily available to employees (d)(2)(iii)
When provision of hand washing facilities is not feasible, the employer shall provide appropriate antiseptic cleanser with clean cloth/paper towels
Employers ensure that employees wash their hands ASAP after removal of PPE
Eating, drinking, smoking, applying cosmetics or lip balm, and handling contanct lenses are prohibited in work areas with a reasonable likelihood of occupational exposure
Contaminated reusable sharps shall be placed in containers until reprocessed ASAP. Containers must be:
Puncture resistant
Labeled or color-coded according to the standard
Leak proof
In accordance with the requirements set forth in paragraph (d)(4)(ii)(E) for reusable sharps
Employer must provide PPE at no cost to the employee
All PPE must be removed and placed in an appropriate designated area before leaving the work area
Employer is responsible for scheduled cleaning/decontamination of the facility

15. Costs Associated with Bloodborne Pathogens Standard Compliance
10 hour training: must be provided on initial hire and updated at least annually or when new procedures affect exposure
ECP understanding/training in house
Hepatitis B Vaccination: required for employees that have gone through proper training within 10 days of initial assignment to a job with occupational exposure
Post-exposure evaluation & follow-up: must be available at no cost to workers
Labels and warning signs
PPE: personal protection equipment

16. Costs of in-house training vs. outsourced training
Trainer requirements:
must have 5 years general industry safety experience; college degree in occupational safety and health, a Certified Safety Professional (CSP), or Certified Industrial Hygienist (CIH) designation may be substituted for 2 years of experience
Completion of OSHA course #511 (26 hrs, $650)
Completion of OSHA course #501 ($650)
Authorized for 4 years, must complete course #503 ($450) to maintain authorized trainer status
Bloodborne Pathogen Exposure Control for Healthcare Facilities (OSHA course #7200)
8hr, $275
No prerequisites
Target audience: program administrator, or person designated to create and implement ECP

17. ECP: Exposure Control Plan
Written plan to eliminate or minimize occupational exposures to blood borne pathogens by employees
ECP Applies to:
Doctors, nurses, nurse practitioners, receptionists, janitors, lab technicians
Examples of tasks/procedures: blood draw, transport and cleanup of sharps/other materials that may have come in contact with blood
ECP is required to be updated annually to reflect changes in procedures, new/available effective safer medical devices and input from frontline workers on engineering and work practice controls

18. ECP Must Include: Exposure determination that includes lists of:
Job classifications in which all/some workers have exposure
Tasks and procedures performed by those workers that result in their exposure
Procedures for evaluating circumstances surrounding exposure incidents
Schedule of how other provisions of the standard are implemented including:
Methods of compliance include:
Universal precautions
Engineering & work practice controls (e.g. use of safer medical devices)
PPE
Housekeeping; including decontamination procedures and removal of regulated waste
HIV and HBV research labs and production facility requirements
Hepatitis B vaccination and post-exposure evaluation/follow up
Communication of hazards to employees
Recordkeeping
Documentation of:
Annual consideration/implementation of effective/available safer medical devices
Solicitation of non-managerial healthcare workers (who are directly responsible for patient care) in the identification, evaluation and selection of effective engineering and work practice controls

19. Why do we need training over BBP…..?
OSHA defines an occupational exposure as "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.”
OSHA's definition of occupational exposure excludes exposures that are not reasonably expected. It also excludes exposures that are not a required part of your normal job.
If you are unsure about whether an activity may involve exposure to blood or other potentially infectious materials, ask your supervisor. This is why at risk employees must have training in order to know what to do….

20. Why do we need training continued……
It is not possible to recognize all persons infected with HIV, or to know if blood or other materials are actually infectious. The use of universal precautions is therefore mandatory.
According to the concept of universal precautions, all human blood and other potentially infectious materials are treated as if known to be infectious for HBV, HIV, and other bloodborne pathogens.

21. Where can I get BBP Training…..
There are two options to getting Blood Borne Pathogen Training…
IN-CLASSROOM TRAINING for TRAINER
Bloodborne Pathogens Train-the-Trainer
8 Hours
Course Description:
This 8-hour course includes a review of OSHA Standard 29 CFR on Occupational Exposure to Bloodborne Pathogens. It is designed for those workers responsible for training employees covered under this standard. A generic written program along with a course manual will be provided.
ONLINE TRAINING (40min. Training)
-Various recognized sites - - -

22. Bloodborne Pathogens Training Course Description
The Federal OSHA Bloodborne Pathogens “Standard” was first published in It was designed to decrease and minimize the potential for occupational exposure to the HIV (Human Immunodeficiency Virus), or more commonly referred to HIV, the Hepatitis B Virus (HBV) and other human Bloodborne pathogens.
Bloodborne Pathogen Training informs you about the precautions you must take to eliminate the risk of infectious diseases that can be contracted through exposure and the proper methods of handling potential contaminants. A quiz, consisting of simple, multiple choice questions will follow in order to ensure that you have achieved the basic knowledge need to properly
handle potential exposures.

23. What The Online Bloodborne Pathogens Training Covers:
Introduction to Bloodborne Pathogens Training
What Training is Required According to the "OSHA Standard”
What Are Bloodborne Pathogens?
How Are Bloodborne Pathogens Transmitted?
Preventing Infection From Bloodborne Pathogens
Hepatitis B
Hepatitis C
HIV & AIDS
Personal Protective Equipment
Universal Precautions
Emergency Procedures for an Unexpected Exposure Incident

24. AFTER TRAINING CERTIFICATION
Certificates – example of online certification…
Immediately after completion of our Bloodborne Pathogens Training, you are able to download and/or print your Bloodborne Pathogens Certificate which completely meets OSHA requirements and is accepted by every healthcare and similar institutions.
We offer full size and wallet card size certificates valid for 1 year.
With bloodbornepathogensonline.com you have unlimited access to your training as well as to your Bloodborne Pathogens OSHA certificate. Published by OSHA standard (29 CFR ).
Example of Certificate through online training…..
Includes:
1 Year Certification.
1 year access to the course material.
Temporary certificate and wallet card immediately
after passing the exam.
Permanent certification card mailed the following
business day.

25. OSHA Inspection info:
OSHA inspections occur at random and without prior notice
Inspection priorities (in order):
Imminent danger situations- could cause death/physical harm
Fatalities and catastrophes- incidents involving the death of 3+ employees
Complaints
Referrals
Follow-ups
Planned or programmed investigations- applies to specific high-hazard industries

26. Consequences of Noncompliance
Citations:
Describe the OSHA requirements violated
List any proposed penalties
Give a deadline for correcting the alleged hazards
Penalties may range up to:
$7,000 for each serious violation
$70,000 for each willful/repeated violation
Penalty reduction: based on employer’s good faith, inspection history and size of business
No good faith adjustment will be made for alleged willful violations

27. Importance of Training..
Bloodborne Pathogen training is EXTREMELY vital!
It is important to understand the hazards of bloodborne pathogens, along with methods/measures you can take to protect yourself and other from exposure to potential pathogens.

28. https://www. osha. gov/SLTC/bloodbornepathogens/bloodborne_quickref
References