osha bloodborne pathogens standard training

8/8/2019 OSHA Bloodborne Pathogens Standard Training

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Safety TrainingSafety Training

OSHABloodborne Pathogens Standard

2006 - 2007



© 2006 The Compliance Store, LLC 22

What You Should LearnWhat You Should Learn

From This Training ProgramFrom This Training Program

Upon completion of this training program, you should be

able to:

± Describe at least four (4) components of our Exposure

Control Plan;

± Understand terms related to Bloodborne Pathogens;

± Identify our Engineering and Work Practice Controls;

± Understand the types and concepts of using Personal

Protective Equipment (PPE);

± Understand the concepts of reporting exposure incidents;

± Understand our Hepatitis B Vaccination program;

± Identify our warning labels and signs; and

± Review and obtain copies of our Exposure Control Plan and

OSHA¶s Bloodborne Pathogens Standard.




What is anWhat is an

Exposure Control Plan?Exposure Control Plan?

Our company¶s Exposure Control Plan is a writtendocument that outlines how we eliminate or

minimize an occupational exposure to blood, bodyfluids, and/or other potentially infectious materialsat work.

There are many components to our ExposureControl Plan. Each will be reviewed during this

training program.

Be sure to ask your instructor to explain any areasthat you do not understand.




What do you mean byWhat do you mean by

Occupational Exposure? Occupational Exposure?

³Occupational Exposure´ means reasonably

anticipated skin, eye, mucous membrane, non-

intact skin, or parenteral contact with blood or other potentially infectious materials that may

result from the performance of your duties.

This definition also includes the ³potential´ for

contact as well as ³actual´ contact with blood

or other potentially infectious materials.




What is Other PotentiallyWhat is Other Potentially

Infectious Materials?Infectious Materials?

³OPIM´, as it is sometimes referred to, arematerials in addition to human blood that may be

capable of transmitting bloodborne pathogens.These include:

Semen, Vaginal Secretions, Cerebrospinal Fluid,Synovial Fluid, Pleural Fluid, Pericardial Fluid,Amniotic Fluid, and Saliva in Dental Settings.

It also includes any body fluid that is visiblycontaminated with blood, and all body fluids insituations where it is difficult or impossible todifferentiate between body fluids.




What is Other PotentiallyWhat is Other Potentially

Infectious Materials?Infectious Materials?

OPIM also includes:

Any unfixed tissue or organ (other than intact skin)from a human (living or dead);

HIV-containing cell or tissue cultures, organ cultures,

and HIV or HBV-containing culture media or other

solutions as well as human cell / tissue / organ

cultures not shown to be free of bloodbornepathogens.

Blood, organs, or other tissues from experimental

animals infected with human bloodborne pathogens.




Are There Other Terms I Are There Other Terms I

Need to Know?Need to Know?

Other terms that may be helpful to you include:

Blood -

± Means human blood, human blood components, and

products made from human blood.

Contaminated -

± Means the presence or the reasonably anticipated

presence of blood or other potentially infectious

materials on an item or surface.




More Helpful TermsMore Helpful Terms

Contaminated Laundry -

±

Means laundry which has been soiled with blood or other potentially infectious materials (OPIM) or may

contain sharps.

Contaminated Sharps -

±Means any contaminated object that can penetratethe skin including, but not limited to, needles,

scalpels, broken glass, broken capillary tubes, and

exposed ends of dental wires.




And More Helpful Terms And More Helpful Terms

Decontamination -

±

Means the use of physical or chemical means toremove, 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.

HBV -

± Means Hepatitis B Virus.





HIV -

± Means Human Immunodeficiency Virus.

Exposure Incident -

± Means a specific eye, mouth, other mucous

membrane, non-intact skin, or parenteral contact

with blood or other potentially infectious materials(OPIM) that results from the performance of an

employee¶s duties.





Parenteral -

± Means piercing mucous membranes or the skin

barrier through such events as needlesticks, humanbites, cuts, and abrasions.

Personal Protective Equipment -

± Means specialized clothing or equipment worn by an

employee for protection against a hazard. Generalwork clothes (e.g., uniforms, pants, shirts or blouses) not intended to function as protectionagainst a hazard is not considered personalprotective equipment.





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.

Universal/Standard Precautions -

±Means an approach to infection control. According tothe concepts of Universal/Standard Precautions, all

human blood and certain human body fluids are

treated as if known to be infectious for HIV, HBV, and

other bloodborne pathogens.




What Kind Of Information Is InWhat Kind Of Information Is InOur Exposure Control Plan?Our Exposure Control Plan?

Our Exposure Control Plan is separated intothe following components:

Exposure Determinations;

Engineering and Work Practice Controls;

Personal Protective Equipment;

Housekeeping Procedures;

Hepatitis B Vaccination;




And MORE Components of our And MORE Components of ourExposure Control PlanExposure Control Plan

Post-Exposure Follow-Up;

Labels and Signs;

Information and Training; and

Recordkeeping.

Each of these components will be

reviewed during this program.




Our Company andOur Company and

Exposure DeterminationsExposure Determinations

We have identified all the job classificationsand the tasks and procedures in which our

employees perform that may have anactual/potential for exposure to blood or OPIM.

We have committees and other individuals whoconduct, evaluate, and periodically review

exposure determinations. We conduct exposure determinations without

regard to the use of personal protectiveequipment.




Our Company andOur Company and

Exposure DeterminationsExposure Determinations

Because our profession has constant changes in the

method(s) in which we perform certain tasks and

procedures, exposure determination is a company-wide process.

You are encouraged to help us in this evaluation by

reporting the types of tasks or procedures you

perform in which exposure to blood or OPIM

occurred.

Your supervisor will review your job description with

you and will review tasks and procedures in which

actual/potential for exposure to blood or OPIM exits.




Engineering ControlsEngineering Controls

One of the most effective methods we use in protecting you

from potential exposure to blood or OPIM, is the use of

engineering controls. These controls include:

Handwashing Facilities:

± Handwashing facilities are provided throughout our

building and are easily accessible.

± Should a situation arise where running water is not

readily available to you, waterless antiseptic hand

cleaners or antiseptic towelettes must be used.

± When waterless antiseptic hand cleansers or antiseptic

towelettes are used, you must wash your hands with

soap and water as soon as can.




More Engineering ControlsMore Engineering Controls

Safe Sharps Devices:

± To aid in preventing needlestick injuries, we use avariety of safe sharps devices to include:

Self-sheathing needles / syringes.

Hypodermic syringes with ³RetractableTechnology´ safety feature.

Phlebotomy needles with ³self-blunting´ safety

feature. Retracting lancets with safety features.

Disposable scalpels with shield and other safetyfeatures.





Biohazardous Sharps Containers:

We us biohazardous containers to properly storeand dispose of contaminated sharps.

Our disposable biohazardous sharps containersare designed to isolate the cut or puncturehazard associated with handling sharp items

such as needles, scalpels, etc. We also use similar types of containers for our

reusable contaminated sharps.





Our Biohazardous Sharps Containers are:

± Puncture-resistant;

± Red in color (or labeled with a biohazard warninglabel);

± Leak-proof on the sides and bottom; and

± Closable.

Should you observe a problem with our sharpscontainers, promptly report it to your supervisor.





Storage and Transport Containers:

± Should it become necessary to store or transport potentially infectious waste, our company will use containers designedspecifically for transporting or long-termstorage.

Should you have questions concerning our engineering control practices, please ask your supervisor.




Work PracticesWork Practices

In order to provide you with a safe and healthful workenvironment, we have implemented work practicesthat all employees must follow.

Prior to your being assigned tasks or procedures thatmay involve an actual/potential for exposure to bloodor OPIM, you will be trained on how to safely performsuch tasks or procedures.

As a part of your responsibilities, you will be requiredto follow our company¶s established policies and

procedures as well as safety measures outlined in our exposure control plan.

If you are uncertain about a task, procedure, or other work practice, be sure to ask your supervisor for clarification before performing the task or procedure.




Work PracticesWork Practices(Handwashing)(Handwashing)

Handwashing must be performed:

± After removal of gloves or other personal protectiveequipment;

±When visible contamination with blood, body fluids, or other potentially infectious materials is present;

± Before leaving treatment or exam rooms;

± Before and after contact with patients;

± Before eating, drinking, smoking, applying makeup, and

changing contact lenses. ± After going to the restroom;

± Before leaving the premises; and/or

± Other times when dictated by policy or when handsbecome soiled.




Work PracticesWork Practices(Contaminated Needles/Sharps)(Contaminated Needles/Sharps)

Contaminated needles and other contaminatedsharps must not be bent, recapped, or removedunless it can be demonstrated that there is no

feasible alternative.

In this event, such bending, recapping or needle removal must be accomplished throughthe use of a mechanical device or one-handedtechnique.

Be sure that you contact your supervisor before performing any task or procedure thatmay involve the bending, recapping or needleremoval.




Work PracticesWork Practices(Contaminated(Contaminated ReusableReusable Sharps)Sharps)

Immediately or as soon as possible after use,contaminated reusable sharps must be placed inappropriate containers until they can be properlyreprocessed.

Our containers are:


± Labeled with the biohazard symbol or color-

coded in red; ± Leak-proof on the sides and bottom; and

± Designed in such a manner that you will NOThave to reach by hand into the container.




Work PracticesWork Practices((DisposableDisposable Contaminated Sharps)Contaminated Sharps)

You must place disposable contaminatedsharps into designated containers immediately,or as soon as possible, after use.

Our containers are:

± Closable;


±Labeled with the biohazard symbol or color-coded in red;

± Leak-proof on the sides and bottom; and




Work PracticesWork Practices(Personal Protective Equipment)(Personal Protective Equipment)

Personal Protective Equipment (PPE) is available toyou at no cost.

Available PPE items include--

±Gloves; -- Gowns;

± Masks; -- Face Shields;

± Lab Coats; -- Safety Glasses;

± Goggles; -- Mouthpieces;

±Caps; -- Shoe Coverings.

All PPE items are easily accessible and of theappropriate type and size to safely perform the task or procedure.





When using PPE, you must:

± Inspect PPE prior to use to verify that it is in goodcondition;

± Remove and discard all PPE before leaving the workarea;

± Wear gloves when²

Hand contact with potentially infectious materialsis anticipated.

Handling or touching contaminated items or surfaces.

Whenever in doubt.





Other important issues relative to PPE are:

± Replace disposable gloves as soon as possible after contamination or immediately when torn, punctured

or otherwise rendered unable to function as anexposure barrier.

± Report ANY adverse reactions to glove material, or any known latex allergy to your supervisor so thatappropriate alternative protective devices can beprovided to you.

±Decontaminate reusable gloves (e.g., heavy gaugenitrile or vinyl) before reuse.

± If utility gloves are cracked, peeling, torn or exhibitother sign of deterioration, they must be discarded.





More important issues relative to PPE are:

± Wear eye protection and masks whenever thereis a chance that a splash or spray may generate

droplets of infectious materials.

± Wear protective clothing (e.g., lab coat)whenever splashes or aerosols of human bloodor OPIM are anticipated.

± Remove and replace compromised or

moderately contaminated PPE as soon asfeasible.

± Wash hands after removal of PersonalProtective Equipment (PPE).




Work PracticesWork Practices(Housekeeping)(Housekeeping)

Established housekeeping guidelines must be followedto aid in minimizing potential exposure incidents:

± All surfaces and equipment must be cleaned anddecontaminated after contact with blood or other OPIM.

± Visible contamination must be removed beforeapplying disinfectants to surfaces.

± Inspect and clean all pails, bins, cans and other receptacles weekly. Clean and disinfect these items

when visibly soiled. ± Never pick up broken glassware with your hands.

Use tongs, dustpan and brush, etc.

± Immediately clean up spills of blood, body fluids, or OPIM.




Hepatitis B VaccinationHepatitis B Vaccination

If your job position involves an actual/potential exposureto blood, body fluids, or other potentially infectiousmaterials, you will be offered the Hepatitis B Vaccine andvaccination series.

This vaccination will be:

± Made available to you at no cost;

± Made available at a reasonable time and place;

± Provided by a licensed healthcare professional; and

±Provided according to current recommendations of the U. S. Public Health Service.

If you decline this vaccination, you must sign amandatory declination statement.




PostPost--Exposure EvaluationExposure Evaluationand Followand Follow--UpUp

You must report any exposure incident to blood, bodyfluids, or OPIM to your supervisor promptly.

You will be provided with a confidential medical

evaluation and follow-up.

Certain information will be obtained and provided toyour physician or healthcare professional. Thisinformation is confidential and may not be disclosed toothers without your written consent.

Information concerning Post-Exposure Evaluation andFollow-Up are outlined in our established policies andprocedures.

Copies of this information is available to you. Pleasedirect your inquiries to your supervisor.




WarningWarningLabels and SignsLabels and Signs

We use the biohazard warning labels and red-bags tohelp you quickly identify potential hazardous areas or items.

The biohazard warning label is affixed to all containers inwhich we store regulated waste such as needles,contaminated specimens, etc.

Labels and signs are positioned on or near contaminateditems. Should you discover that labels and signs aremissing, you must promptly report this to your supervisor.

Contaminated items not stored in regulated wastecontainers are placed in RED BAGS.

Your supervisor will provide further training on our warning labels and signs.




Information and TrainingInformation and Training

If your position involves an actual/potential exposure toblood or OPIM, you are required to complete certaintraining requirements before performing such tasks or procedures.

Your training will be provided:

± At no cost to you.

± At or before initial assignment to tasks where occupationalexposure may take place;

± When new or modified procedures are introduced into our

work place. ± During work hours.

In addition to the above training requirements, you mustundergo a training refresher course annually.




Content of TrainingContent of TrainingProgramProgram

Your training program will contain at least thefollowing information:

± OSHA¶s Bloodborne Pathogens Standard and its

availability to you; ± A general explanation of the epidemiology and

symptoms of bloodborne diseases;

± An explanation of the modes of transmission of bloodborne diseases;

±Information relative to our Exposure Control Planand its availability to you.

± Methods for recognizing tasks and other activitiesthat may involve exposure to blood and OPIM.




Content of TrainingContent of TrainingProgramProgram (continued)(continued)

± Review of our established engineering and workpractice controls and personal protective equipment(PPE);

± Proper selection and use of PPE;

± Warning labels and signs;

± Acceptance or Decline of the Hepatitis B Vaccine andVaccination series;

± Incident Reporting; and

±Post-Exposure Evaluations and Follow-Up

In addition, training will be provided relative to our company¶s established policies and proceduresgoverning our Safety Program.




RecordkeepingRecordkeeping(Training Records)(Training Records)

A record of training will be maintained which include:

± The dates of each training session;

± The contents or a summary of each training

session;

± The names and qualifications of personsconducting each training session; and

± The names and job positions for all personsattending the training session.

Records will be maintained for three years from thedate of the training session.

Copies of your training records are available to youupon your written request.




RecordkeepingRecordkeeping(Medical Records)(Medical Records)

We are required to establish and maintain records of employees with an occupational exposure to blood,body fluids, or OPIM.

This record includes:

±Your name and Social Security Number;

± A copy of your Hepatitis B Vaccination Status includingthe dates of all Hepatitis B vaccinations and anymedical records relative to your ability to receive thevaccination.

± A copy of all results, examinations, medical testing, andfollow-up procedures;

± A copy of the healthcare professional¶s written opinion;

± A copy of information we provided to the healthcareprofessional.




RecordkeepingRecordkeeping(Medical Records)(Medical Records)

All medical records will be kept confidential.

Medical records will not be disclosed or reportedWITHOUT your written consent except as

required by law.

We will maintain your medical recordsthroughout your employment with us PLUS thirty(30) years.

Copies of your medical records are available toyou upon your written request.

Please direct questions regarding your trainingand medical records to your supervisor.




Wrap UpWrap Up

Your responsibilities to our company and to our Exposure Control Plan include:

±Following our established policies andprocedures;

± Reporting exposure incidents;

± Attending and completing training programs;

±

Performing all tasks and procedures safely; and ± Making suggestions and recommendations that

will be beneficial in providing a safe andhealthful working environment.




Wrap UpWrap Up

Our Exposure Control Plan is available to you for your review.

Currently a copy of our Plan is located in the

business office.

Please inform your supervisor if you wish to obtaina copy of our plan. It will be provided to you within15 days of your request.

We review and update our plan at least annually.

You will be required to attend an annual trainingprogram that will provide you with a review of our Plan and any changes or revisions.




Wrap UpWrap Up

Should you have any questions concerning

this training session, please ask your

instructor now.

Be sure that you sign and date the

recordkeeping forms provided by your

instructor.

End of Training Program

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