osha’s bloodborne pathogens standard richard j. green, msc safety training manager office of...

OSHA’s Bloodborne Pathogens StandardOSHA’s Bloodborne Pathogens Standard

Richard J. Green, MSc

Safety Training ManagerOffice of Health and Safety

Centers for Disease Control and Prevention

Richard J. Green, MSc

Safety Training ManagerOffice of Health and Safety

Centers for Disease Control and Prevention

OverviewOverview

ComplianceCompliance

ComponentsComponents

SummarySummary

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)

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)

OverviewOverview

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

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


(b) 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 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.”


(c) 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) 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 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 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

(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)


(g) 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

(g) 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


(g) Labeling and Training Signs posted at all work area entrances:

Biohazard symbol Infectious agent Entry requirements Name & telephone # of responsible

person

(g) Labeling and Training Signs posted at all work area entrances:

Biohazard symbol Infectious agent Entry requirements Name & telephone # of responsible

person


(h) Record Keeping Occupational exposure/sharps injury

record Confidential Kept for duration of employment,

+ 30 years Includes:

Name & social security number Vaccination status Examination results

(h) Record Keeping Occupational exposure/sharps injury

record Confidential Kept for duration of employment,

+ 30 years Includes:

Name & social security number Vaccination status Examination results


(h) Record Keeping Sharps Injury Log (each incident)

Type and brand of device involved Department or area of incident Description of incident

(h) Record Keeping Sharps Injury Log (each incident)

Type and brand of device involved Department or area of incident Description of incident


(h) Record Keeping Training records

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

(h) Record Keeping Training records

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


Inspection Items 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

Inspection Items 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

SummarySummary

More InformationMore Information

U.S. Department of Labor, OSHA

200 Constitution Avenue NW, Room N-3603

Washington, DC 20210

(202) 693-2190

Or contact your Regional, Area, or State-Plan Office

U.S. Department of Labor, OSHA

200 Constitution Avenue NW, Room N-3603

Washington, DC 20210

(202) 693-2190

Or contact your Regional, Area, or State-Plan Office

osha’s bloodborne pathogens standard richard j. green, msc safety training manager office of...

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