Bloodborne Pathogens Bloodborne Pathogens Standard Unit 3

Lesson 1: Overview of the Standard Objectives: In this lesson, you will: Identify regulations included in the Bloodborne Pathogens Standard. List the regulations related to the Needlestick Safety and Prevention Act.

Bloodborne Pathogens Standard Set of guidelines to avoid spreading bloodborne diseases like Hepatitis B & C and HIV Created by the Occupational Safety and Health Administration (OSHA) in 1991 Must be followed by healthcare facilities and employees or risk penalties

Exposure control plan Identify at-risk employees Hepatitis B vaccine Personal protective equipment Hand washing stations Clean work environment Signs and color-coded containers to mark biohazardous areas Procedure for handling exposures Employee training on bloodborne pathogen safety Provisions of the Standard

Needlestick Safety and Prevention Act Passed by Congress in 2001 Focused on safer medical devices and methods of recordkeeping – Identifying and using safer medical devices to avoid accidents – Getting input from employees who work directly with patients – Maintaining a log of injuries related to sharps

Lesson 1: Overview of the Standard Summary: In this lesson, you have: Identified regulations included in the Bloodborne Pathogens Standard. Listed the regulations related to the Needlestick Safety and Prevention Act.

Lesson 2: Exposure Control Plan Objectives: In this lesson, you will: Discover the contents of an exposure control plan. Identify employees who are at increased risk of exposure.

Exposure Control Plan List of employees who might be exposed Guidelines to prevent exposure Training about bloodborne pathogens and the exposure control plan Methods used to maintain records Exposure procedure

At-Risk Employees Listed in the exposure determination section of the plan Any employee whose job requires them to come into contact with blood or other possibly infectious bodily fluids

Hepatitis B Vaccination At-risk employees are eligible for this free vaccine Available at no cost within 10 days of employment Not required and can be received for free at any time

Lesson 2: Exposure Control Plan Summary: In this lesson, you have: Discovered the contents of an exposure control plan. Identified employees who are at increased risk of exposure.

Lesson 3: Workplace Control Practices Objectives: In this lesson, you will: Discover a variety of ways that facilities can reduce the risk of exposure. Identify safety devices. Document work practice controls in an exposure control plan.

Disinfecting Employees must clean surfaces and equipment immediately after spill or use. A bleach solution with 1 part bleach and 10 parts water should be used as a disinfectant.

Disposing of Waste Infectious waste should immediately be sorted into the appropriate container. Red or orange coloring, along with the biohazardous waste symbol, must be used to mark biohazardous waste containers.

Safer Medical Devices Required part of the exposure control plan Evaluated by a safety committee that uses employee input One example is self- sheathing syringes

Lesson 3: Workplace Control Practices Summary: In this lesson, you have: Discovered a variety of ways that facilities can reduce the risk of exposure. Identified safety devices. Documented work practice controls in an exposure control plan.

Lesson 4: Training and Recordkeeping Objectives: In this lesson, you will: Explore the training requirements of the Bloodborne Pathogens Standard. Identify the records that must be kept according to the Standard.

Bloodborne Pathogens Training Must be completed: When employment begins As needed as policies change Each year

Medical Records Kept for all employees with occupational exposure Kept for at least 30 years after employment ends Include: – Name & social security number – Hepatitis B vaccination status – Report of exposure – Evaluator’s written opinion

Sharps Injury Log Kept for at least five years Reviewed each year as part of the safer devices evaluation Includes: – The date of the injury – The type and brand of the sharps device involved – Where the incident occurred – How the incident occurred

Training Records Kept for 3 years Include: – Date of training – Trainer’s name – Attendees’ names – Summary of material covered

Lesson 4: Training and Recordkeeping Summary: In this lesson, you have: Explored the training requirements of the Bloodborne Pathogens Standard. Identified the records that must be kept according to the Standard.

Lesson 5: Exposure Reporting Objectives: In this lesson, you will: Explore post-exposure procedures. Learn about the recordkeeping involved with exposure incidents.

Immediately After Exposure Wash the area with soap and water. Tell the doctor in charge and the office manager what has happened.

Post-Exposure Procedures Create a medical record with information about the exposure incident Can also include: – Lab testing to see if infection has occurred – Antiviral medication to help prevent infection

Creating an Exposure Record Information about the event and test results are recorded. The employee’s family doctor gives a written opinion. Everything in the record is considered confidential.

Lesson 5: Exposure Reporting Summary: In this lesson, you have: Explored post-exposure procedures. Learned about the recordkeeping involved with exposure incidents.