BLOOD BORNE PATHOGENS Flashcards | Quizlet you have around a 1.8% chance of catching it. Used PPE may be disposed of in (List appropriate containers for storage, laundering, decontamination, or disposal.). You know a thing or two about BBP exposure control in the workplace. Urgent Care Facilities for injuries requiring a doctors attention during working hours: Renown Health Urgent Care - Ryland (preferred)975 Ryland St.Reno, NV 89502(775) 982-5000 Monday-Friday, 8 a.m.-5 p.m. Concentra Medical Centers 6410 South Virginia Street Reno, NV 89511 (775) 322-5757 Hours: Monday-Friday, 8 a.m.-6 p.m. ARC Health & Wellness Centers 2205 Glendale Avenue Suite 131 Sparks, NV 89431 (775) 331-3361 Hours: Monday-Friday, 8 a.m.-5 p.m. Nevada Occupational Health Clinic 3488 Goni Road Suite 141 Carson City, NV 89706 (775) 887-5030 Hours: Monday-Friday 7:30 a.m.-5 p.m. The vaccination shall be offered to employees at a reasonable time and place. Additional protective equipment, including respirators may be required based on the Department/Lab-specific exposure determination. Contaminated laundry shall be handled as little as possible and with a minimum of agitation. The exposed employees supervisor will obtain a written notice from the healthcare professional and provide a copy to the employee following completion of the medical evaluation. Use of needles and syringes should be limited to situations in which there is no alternative, and the recommendations for preventing injuries with needles outlined in the universal precautions section should be followed. The healthcare professional responsible for evaluating the exposed employee will obtain as part of the evaluation: A copy of the OSHA Bloodborne Pathogen Standard, 29 CFR 1910.1030, A description of the employee's duties related to the incident, Documentation of the route of entry and exposure circumstances, A copy of, or information regarding, all available medical records relevant to the treatment of the employee, including vaccination status which are the employers responsibility to maintain. OSHA expects training for anyone who has a high likelihood of exposure to blood or other potentially infectious materials (OPIM). You can download a copy of the exposure control plan here. But how you do it matters. The following model for an Exposure Control Plan includes all elements required by the OSHA bloodborne pathogens standard (29 CFR 1910.1030). It outlines how to contain exposure and reduce risk to others in the workplace. weekly), Protective coverings, such as imperviously backed absorbent paper, will be removed and replaced when overtly contaminated or at the end of the work shift, All equipment and reusable containers shall be inspected and decontaminated on a scheduled basis or when visibly contaminated. Hold that dirty glove in the palm of your gloved hand. 0000055436 00000 n Identify and document the source individual (unless the employer can establish that identification is infeasible or prohibited by state or local law). Getting your employees trained can avoid possible OSHA violations and liability. Spicemas Launch 28th April, 2023 - Facebook Use your ungloved hand to grab the wrist of the final glove and pull it toward your fingers with the first glove inside. (Name of responsible person and/or position) will verify that all containers received for use will be clearly labeled as to the contents, note the appropriate hazard warning, and list the manufacturers name and address. d. Wash your hands with gloves on and then take them off. All employees using PPE must observe the following precautions: The procedure for handling used PPE is as follows: ______(may refer to specific procedure by title or number and last date of review; include how and where to decontaminate face shields, eye protection, resuscitation equipment)___________________________________________________________________________. This test provides your doctor with a baseline. ), Location of the incident (O.R., E.R., patient room, etc. For reusable syringes, a recapping method that prevents accidental needlesticks shall be used (e.g., mechanical device or one-handed technique). The results of the medical evaluation are to be strictly confidential between the healthcare professional and employee. Hep B is a virus that causes acute and chronic liver disease and failure. Reason : Biomedical waste containers when emptied , they are lined with a bag in s . Additional useful information, such as the manufacturers telephone number, an emergency number, scientific name, CAS number, the associated task, etc., can be included. The following laundering requirements must be met: The following labeling methods are used in this facility: Equipment to be Labeled Label Type (size, color), (specimens, contaminated laundry, etc.) 0000008024 00000 n Epidemiology is the scientific study of what makes people sick, how disease spreads, and how to control the disease. (Name of responsible person or department) is responsible for ensuring that warning labels are affixed or red bags are used as required if regulated waste or contaminated equipment is brought into the facility. This committee must include input from employees who handle the sharps devices directly. Randomized trials have shown that hands-only CPR can be even more effective than regular CPR in an out-of-hospital setting (NIH.gov). Hep C is a virus that causes severe liver inflammation, which can cause irreversible liver damage. a. After obtaining consent, collect exposed employees blood as soon as feasible after exposure incident, and test blood for HBV and HIV serological status. But there is variation among diseases. Lab coats, face shields, gowns, aprons, and other protective garments may be required based upon the task and the degree of exposure anticipated. Mechanical pipetting devices should be used for manipulating all liquids in the laboratory. All incidences must include at least: This log is reviewed as part of the annual program evaluation and maintained for at least five years following the end of the calendar year covered. The Occupational Safety and Health Administration (OSHA) enacted the Bloodborne Pathogens Standard in 1991. These methods are: Under normal circumstances, an individual does not know if a patient or a laboratory sample contains a bloodborne pathogen. Lab coats and other laundry should not be laundered at home but should be laundered using a designated University washing machine or commercial laundry service. 0000007269 00000 n Symptoms of contracting a bloodborne infection, c. The science of tracking and controlling diseases, a. Although saliva has not been implicated in HIV transmission, to minimize the need for emergency mouth-to-mouth resuscitation, mouthpieces, resuscitation bags, or other ventilation devices should be available for use in areas in which the need for resuscitation is predictable. Use a pipet bulb or aspirator for pipetting, NEVER pipet by mouth. Hands and other skin surfaces should be washed immediately and thoroughly if contaminated with blood or OPIM. Training must be given upon initial assignment, and on an annual basis thereafter, or whenever modification of an existing job description may affect the employees potential for occupational exposure. %PDF-1.3 % ), the following activities will be performed: ADMINISTRATION OF POST-EXPOSURE EVALUATION AND FOLLOW-UP. The following is a list of all job classifications at our establishment in which all employees have occupational exposure: Job Title Department/Location (Example: Phlebotomists)______________________________ (Clinical Lab)____________________, Job Title Department/Location (Example: Phlebotomists)______________________________ (Clinical Lab)____________________. 0000016008 00000 n Contaminated materials used in laboratory tests should be decontaminated before reprocessing or placed in bags and disposed of in accordance with the. 0000002883 00000 n In order for bloodborne pathogens to spread, blood or, in some cases, bodily fluids must enter the bloodstream of another person. Responsible/Supervisory personnel are obligated to maintain the work-site in a clean and sanitary condition. Required PPE can be modified following an assessment of the risk of any specific procedure. The hepatitis B vaccination series is available at no cost after initial employee training and within 10 days of initial assignment to all employees identified in the exposure determination section of this plan. a, b, & c. b - Use appropriate personal protective equipment (PPE) a & c. True. We all saw the trouble people had in 2020 (and beyond) learning to wear a mask correctly (over their noses, multiple layers, the right material, etc.). All potentially contaminated equipment and areas must be labeled with the Universal Biohazard Symbol. The training format will be as follows: (Describe training format, such as audiovisuals, interactive computer programs, classroom instruction, etc.). Vaccination will be provided by (List health care professional responsible for this part of the plan) at (location). Other employers and contractors will be provided with MSDSs for hazardous chemicals generated by this companys operations in the following manner: In addition to providing a copy of an MSDS to other employers, other employers will be informed of necessary precautionary measures to protect employees exposed to operations performed by this company. 0000049885 00000 n 0000007056 00000 n In addition, the training program covers, at a minimum, the following elements: Training materials for this facility are available at (name location). Large-bore reusable needles should be placed in a puncture-resistant container for transport to the reprocessing area. Employees, whose job tasks involve contact with blood or OPIM, who decline to accept the vaccination, shall sign a statement declaring their refusal (see Appendix D. Should an employee later change his or her mind, the vaccination shall be made available to him or her under the above detailed conditions. Emergency Rooms for life threatening injuries or treatment outside of Urgent Care facility business hours: St. Marys Hospital 235 West Sixth St Reno, NV 89503 (775) 770-3000. Contact location/phone number: ______________________________________________________, Contact location/phone number: _____________________________________________, Contact location/phone number: ______________________________________________. c. Ask a co-worker to remove your gloves. It offers practical and effective methods to deal with exposure control in various workplace settings. (Name of responsible person and/or position) is the program coordinator, with overall responsibility for the program, including reviewing and updating this plan as necessary. The specific requirements for each, along with record keeping requirements, are outlined in the Plan. Go to Solid Waste Management. Section 080, Biohazardous Waste, is applicable to management of waste that contains, or is contaminated with, bloodborne pathogens. The regulations in their entirety may be obtained from the: Washoe County Health District 1001 East Ninth Street Post Office Box 11130 Reno, Nevada 89520-0027 (775) 328-2434 (775) 328-6176 (Fax). 0000004357 00000 n 0000000016 00000 n Medical evaluation shows that vaccination is contraindicated. Healthcare workers should change gloves after contact with each patient. He/she will see that any new information is communicated to affected employees. Document the routes of exposure and how the exposure occurred. (Name of responsible person or department will ensure that adequate supplies of the aforementioned equipment are available in the appropriate sizes. Such a training program will require demonstrating proficiency prior to advancement to the next level. However, if an employee declines the vaccination, the employee must sign a declination form. True. 0000221224 00000 n Periodically, employees are required to perform non-routine tasks that are hazardous. Under this program, you will be informed of the contents of the OSHA Hazard Communications standard, the hazardous properties of chemicals with which you work, safe handling procedures and measures to take to protect yourself from these chemicals. District Board of Health Regulations Governing Solid Waste Management Regulations, Amended, Washoe County District Board of Health: October 27, 2011. (Changes may include an evaluation of safer devices, adding employees to the exposure determination list, etc. Cutaneous exposure involving large amounts of, or prolonged contact with, blood or OPIM especially when the exposed skin is chapped, abraded, or afflicted with dermatitis (1) Wash, the affected area with soap and running water, Use disinfectant on the affected area if available, After first aid treatment, the employee shall report the incident to his/her supervisor. To prevent needlestick injuries, needles should NOT be recapped, purposely bent or broken by hand, removed from disposable syringes, or otherwise manipulated by hand. Training must include a comprehensive discussion of this standard, including epidemiology, symptoms and transmission of bloodborne diseases; the Exposure Control Plan; the uses, limitations of, and procedures for using Personal Protective Equipment (PPE); a discussion of the HBV vaccination (including the benefits of vaccination and efficacy of the vaccine in preventing disease); emergency procedures involving blood exposure or contamination and post-exposure follow- up procedures; hazard communication; and a question-and-answer discussion opportunity. Additionally, job classifications in which some workers may have a potential for occupational exposure include Principal Investigators, Research Assistants, Laboratory technicians, Public Safety Officers, Custodians, Emergency Responders, and Plumbers. Laboratories that use human blood or OPIM, or bloodborne pathogens such as HIV and HBV shall post signs with the following: Universal biohazard symbol with the word "biohazard" above or below it, Biosafety level and type of material worked with, Special requirements for entering the area, The name and telephone number of the lab director or other responsible person. For additional information on other blood borne pathogens, employees should consult the Boston University Biosafety Manual, their Principal Investigator, Supervisor, or Research Occupational Health on either campus where informationis available upon request. Option C - Environmental and sanitation worker managing biomedical waste. 0000221860 00000 n If symbolic or numerical labeling systems are used, the other employees will be provided with information to understand the labels used for hazardous chemicals for which their employees may have exposure. 0000220929 00000 n You should put on your PPE. A list of Workers Compensation authorized urgent care and clinics is available on the BCN Workers Compensation Office website. Regulated waste is placed in containers which are closable, constructed to contain all contents and prevent leakage, appropriately labeled or color-coded (see the following section Labels), and closed prior to removal to prevent spillage or protrusion of contents during handling. Bloodborne pathogens can be transmitted: Transmission occurs by all means stated. Remove immediately or as soon as feasible any garment contaminated by blood or OPIM, in such a way as to avoid contact with the outer surface. All employees, students and declared volunteers on the BBP Program should routinely use appropriate barrier precautions to prevent skin and mucous-membrane exposure when contact with blood or OPIM is anticipated. The supervisor must conduct employee PPE assessments and implement these assessments in the workplace standard operating procedures (SOPs). a. 0000003427 00000 n Employee medical records are provided upon request of the employee or to anyone having written consent of the employee within 15 working days. These tests can confirm if the person has HIV/AIDS, Hep B or Hep C. If a bloodborne pathogen is confirmed, they can administer antiretroviral medications to the exposed person. Personnel who are not employees, such as unpaid students and declared volunteers, and who have exposure to bloodborne pathogens in work settings outside of academic classes in which they are enrolled, must receive the same training as employees. This Exposure Control Plan applies to all BU personnel with occupational exposure to human materials, including body fluids or tissues, or other potentially infectious materials as defined by OSHA. Theyve tested methods and strategies to see how people assisting someone can reduce their risk. BBP training is required upon initial assignment, on an annual basis thereafter, and whenever modification of the job description may affect the employees potential for occupational exposure. Grab the wrist of the glove and pull it toward your fingers inside out. Even though the antibodies diminish after about 30 years, a healthy body continues to recognize Hep B and fight it. <<653D9DF527CB4F45B4B4E7C0F3CC35BE>]>> Prior to starting work in these areas, the employee shall contact (name of responsible person and/or position) for information regarding: Include here the chemical list developed during the inventory. First aid for a possible exposure incident shall consist of the following procedures: Needlesticks with used or contaminated equipment, Cover the wound with sterile bandage as needed. While OSHA only requires employers to provide free OSHA-adhering training to employees who are likely to face exposure, anyone can benefit from taking a free, online OSHA-adhering BBP training course. Broken glassware that may be contaminated is only picked up using mechanical means, such as a brush and dustpan. (Name of responsible person or department) will provide and maintain all necessary personal protective equipment (PPE), engineering controls (e.g., sharps containers), labels, and red bags as required by the standard. Professionals could generally include: With that said, you never know when you might need help during a workplace emergency. The following is a list of job classifications in which some employees at our establishment have occupational exposure. Personnel that work with, or may reasonably have contact with, human blood, body fluids, unfixed tissue, and human tissue culture or cell lines are considered to be at risk from bloodborne pathogens. 0000220468 00000 n Both front-line workers and management officials are involved in this process in the following manner: (Describe employeesinvolvement)___________________(Name of responsible person or department) is responsible for ensuring that these recommendations are implemented. Jobs within the work environment must be evaluated, and specific work tasks and procedures that may lead to occupational exposure to blood borne pathogens must be listed. Should an exposure incident occur, contact (Name of responsible person) at the following number ____________________ . 0000074538 00000 n Laboratory and workplace specific training shall be documented and the records maintained by the PI/supervisor (or department) for at least three years. This facility identifies the need for changes in engineering controls and work practices through (Examples: Review of OSHA records, employee interviews, committee activities, etc.). These pathogens could also pass through an open wound. This decision is often both safety-oriented and aesthetic. After they are used, disposable syringes and needles, scalpel blades, and other sharp items should be placed in puncture-resistant containers for disposal the puncture-resistant containers should be located as close as practical to the use area. This list includes the name of the chemical, the manufacturer, the work area in which the chemical is used, dates of use, and quantity used. In pursuit of this goal, the following exposure control plan (ECP) is provided to eliminate or minimize occupational exposure to bloodborne pathogens in accordance with OSHA standard 29 CFR 1910.1030, The Institutional Biosafety Committee strongly encourages each department and supervisor to fully adopt the Bloodborne Pathogens Exposure Control Plan and implement its requirements as applicable. 0000017235 00000 n They must contain the names of all persons attending the training session. Exposure Control Flashcards | Quizlet The first thing to do is notify the appropriate supervisor, so they can make that decision. All employees will utilize universal precautions. However, class II biological safety cabinets should be used whenever procedures are conducted that have a high potential for generating droplets. Exposure Control Plan. He/she will ensure that procedures are developed to obtain the necessary MSDSs and will review incoming MSDSs for new or significant health and safety information. d. Youre performing CPR on your HIV-positive coworker. If revisions to this ECP are necessary (Responsible person or department) will ensure that appropriate changes are made. Engineering controls include biological safety cabinets, mechanical pipettes, self- sheathing needles, enclosed containers, safety centrifuge cups, and other engineered solutions designed to minimize exposure to biological agents. 0000008695 00000 n If the employee has had the vaccine previously, but has not had a blood antibody titer to confirm his or her immunity, the employee will be offered the opportunity to have a titer drawn. Find all the resources to help manage your account on our Customer Portal or contact our dedicated customer advocate team directly: 866-924-9339. If you answered all the questions correctly, congratulations. 0000210330 00000 n 0000134604 00000 n A statement that the employee has been notified of the evaluation results, A statement that the employee has been notified of any medical conditions that may arise from the exposure which may require further treatment. 0000038135 00000 n Vaccination against the hepatitis B virus must be offered, under the direction of a health care provider, under the following conditions to all employees and declared volunteers whose listed job responsibilities involve contact with blood or other potentially infectious materials: HBV vaccination is paid for by the employer and provided at no cost to the employee. Terms in this set (39) Every medical facility is required by OSHA to have an exposure control plan. For routine procedures, such as histologic and pathologic studies or microbiologic culturing, a biological safety cabinet may not be necessary to prevent exposure to infectious aerosols. If exposures to blood or other body fluids* are reasonably anticipated, you are required by the Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Standard to develop an Exposure Control Plan. Upon completion of this laboratory specific plan, the PI/supervisor must file it in a central location within the laboratory along with the Boston University Biosafety Manual for all personnel to access. Preferably a needle is not used to perform the task, but if use of a needle is necessary, then the operator must be protected from a potential needlestick injury. Hep B can affect the body for a short time or become a lifelong disease. The hazard communication standard requires you to develop a written hazard communication program. 0000221904 00000 n (For example: non-glass capillary tubes, SESIPs, needleless systems), ________________________________________________________. If an MSDS is not available, contact (name of responsible person and/or position). If in the future I continue to have occupational exposure to blood or other potentially infectious materials and I want to be vaccinated with hepatitis B vaccine, I can receive the vaccination series at no charge to me. Category 1: Job classifications in which all employees have occupational exposure to bloodborne pathogens, Category 2: Job classifications in which some employees have occupational exposure to bloodborne pathogens. 0000043758 00000 n 0000069839 00000 n COVID-19 Work Plan; Drinking Water Quality. Personnel who develop symptoms of allergy or asthma that occur upon exposure to experimental animals are referred to Occupational Health Services for evaluation.Under the OSHA Blood borne Pathogen Standard, BU and BMC are required to offer the hepatitis B vaccine to all employees at risk within 10 days of starting their work assignment. The ECP should describe how the standard will be met for these employees. Boston Medical Center (BMC) has a separate Exposure Control Plan for Hospital employees and operations. A standard for managing blood-borne pathogens, b. Therefore, it is necessary for each department, school or campus to complete certain portions of the plan that will be unique to that entity. HS]HSq?:4):nN*XSDAa=mdAu&"+hFH}nRO&l}@]?s~p A:(]+918$q@=AsCD3 rL2Cm'x>0? If the employee consents to baseline blood collection, but does not give consent at that time for HIV serologic testing, the sample shall be preserved for at least 90 days. An exposure determination of University job classifications is provided in Appendix A. Written correspondence will be kept demonstrating that individuals who accept the vaccination series were provided the opportunity to receive the vaccination. Any device or procedure that requires the use of a needle must be engineered using the best available technology. Food, gum, beverages, cosmetics, lip balm, etc. Medical Students, Physician Assistant Students, Resident and Attending physicians carrying out duties at non-University hospitals and clinics are required to follow the host institution's exposure control plan with respect to PPE use. Further details of the training requirements are contained in the appropriate section of the Plan. I understand that by declining this vaccine, I continue to be at risk of acquiring hepatitis B, a serious disease. If the infectious status is not established, the source individual's blood shall be tested as specified by State and local laws and regulations. An Exposure Control Plan is meant to be a living document, used as a source of information for answering bloodborne pathogen-related questions and to help ensure exposure control activities are in place. John's employer: Is in violation of OSHA standards. Like the pandemic, you dont want to wait until youre in the presence of a contagious disease to learn how to stay safe. In most cases, the BBP plan should not include waiting for a professional cleanup company. 0000032643 00000 n This plan will be reviewed and revised annually or whenever changes in procedure or personnel occur. Employee training records are provided upon request to the employee or the employees authorized representative within 15 working days. 0000001943 00000 n Never wash or decontaminate disposable gloves for reuse. 0000006294 00000 n This information will include specific chemical hazards, protective and safety measures the employee should use, and steps the company is taking to reduce the hazards, including ventilation, respirators, the presence of another employee (buddy systems), and emergency procedures. Medical records are maintained for each employee with occupational exposure in accordance with 29 CFR 1910.1020, Access to Employee Exposure and Medical Records.. 0000023276 00000 n (Attach a brief description of their qualifications.). 0000044145 00000 n Each PI or manager must ensure that they and all their employees with the potential for occupational exposure participate in a training program provided by EHS at no cost to the employee during working hours. General Bloodborne Pathogens training is provided by EH&S. Included is a list of tasks and procedures, or groups of closely related tasks and procedures, in which occupational exposure may occur for these individuals: Job Title Department Location Task Procedure, __Housekeeper_________________Environmental Services____________Handling Regulated Waste__, Job Title Department Location Task Procedure. All work units of this company will participate in the Hazard Communication Program. (Name of responsible person or department) will be responsible for training, documentation of training, and making the written ECP available to employees, OSHA, and NIOSH representatives. Human or animal specimens or infectious cultures, Contaminated animal carcasses, body parts and bedding, Sharps, including hypodermic needles and syringes, Pasteur pipettes, broken medical glassware, scalpel blades, disposable razors, and suture, Wastes from the production of bacteria, viruses, or the use of spores, discarded live and attenuated vaccines, and culture dishes and devices used to transfer, inoculate, and mix cultures. %%EOF All material that consists of, or is contaminated with, human blood or other potentially infectious materials (OPIM) must be considered potentially contaminated with bloodborne pathogens.

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