Download Blood and Body Fluid Exposures - Reporting Exposures For Staff

LAFAYETTE PARISH SHERIFF’S OFFICE
Section/Policy:
H-2800
CORRECTIONS DIVISION
POLICY AND PROCEDURES
Subject:
Number of Pages:
3
BLOOD AND BODY FLUID EXPOSURES –
REPORTING EXPOSURES FOR STAFF
References:
ACA: 4-ACRS-4C-08; 4-ACRS-4C-09; 4-ALDF-4C-14 (Mandatory)
Louisiana Revised State Statute (LRS): §15:831 Medical care of offenders – testing
OSHA: 29 CFR 1910.1020; 29 CFR 1910.1030
Corrections Division Policy and Procedure: A-5400; H-2700
Approved by:
Treatment Programs Manager:
Health Care Authority:
Director of Corrections:
Revision / Review Dates:
Originated: 08-26/02; Reviewed: 12/17/03; Revised: 07/14/04; Reviewed: 12/22/04;
Reviewed: 12/30/05; Reviewed: 12/4/08; Revised: 12/12/08; Revised: 08/10/10;
Revised: 03/26/15; Revised: 05/04/16
H-2800
POLICY:
Bloodborne exposures shall be managed per the guidelines of OSHA. Staff shall
be required to use standard blood and body fluid precautions. (NCCHC: J-B-01 –
Essential; OSHA: 29 CFR 1910.1020; OSHA: 29 CFR 1910.1030)
H-2801
DISCUSSION:
The Corrections Division has procedures in place in the event of any staff
member being exposed to a communicable disease. These should specify the steps
to take from attempting to locate the source of the exposure to follow-up
procedures. (4-ALDF-4C-14-Mandatory; A-5400)
H-2802
A.
DEFINITIONS:
Biohazard Materials:
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Policy H-2800
Those materials of biological origin that could potentially cause harm to humans,
domestic or wild animals or plants. Examples include recombinant DNA; human,
animal or plant pathogens; biological toxins (such as tetanus toxin); human blood
and certain human body fluids.
B.
1.
Human blood and blood products include blood as well as serum, plasma
and other blood products. This is in the form where the fluid is in
containers or is saturated or freely dripping solid waste item.
2.
Sharps are needles, scalpel blades and broken glass. These items shall be
considered categorized with infectious waste because they are
contaminated and/or have the potential to inoculate handlers with any
environmental contaminant.
3.
Regulated human body fluids are cerebral spinal fluid, synovial fluid,
pleural fluid, peritoneal fluid, pericardial fluid and amniotic fluid that are
in containers or that drip freely from body fluid-soaked solid waste items.
Bloodborne Pathogen:
A pathogenic microorganism present in the human blood that can cause disease in
humans.
C.
Communicable Disease:
A disease caused by an agent that is transmitted from person to person by:
D.
1.
Airborne droplets inhalation, i.e. chicken pox, rubella (German measles),
tuberculosis, pertussis (whooping cough), rubella (measles), mumps,
diphtheria, etc.
2.
Direct contact with blood or body fluid, i.e. chicken pox, congenital
rubella, viral hepatitis, venereal diseases in uncontrolled situations, mouthto-mouth resuscitation of meningococcal (meningitis) persons,
pediculosis, scabies, rabies, HIV, etc.
3.
Vehicle food-borne, i.e. salmonella, shigella, hepatitis A, staphyloccus,
clostridium, etc.
Contaminated:
The presence or reasonable anticipated presence of blood or other potentially
infectious materials on an item or surface.
E.
Decontamination:
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Policy H-2800
The process of reducing the number of disease producing microorganisms and
rendering an object safe for handling.
F.
G.
Significant Bloodborne Exposure:
1.
A skin puncture by a needle or sharp object that has had contact with
blood or body fluid from another person.
2.
Spattering of blood or body fluids into the mucous membranes or eyes.
3.
Any contamination of skin (cuts, abrasions, blisters, open dermatitis) by
blood or body fluids or bites that break the skin.
Infectious Agent:
A biohazard capable of causing a disease.
H.
Standard Precautions:
Requires that a person assume that blood and body fluids, non-intact skin and
moist mucus membranes from all persons are potentially infectious. The
employee anticipates the interaction and selects physical barriers (gloves, gown
and facial protection) necessary to minimize the risk of a bloodborne exposure.
Exposure controls have been established for employees who encounter blood and
body fluid in their daily practice, but judgment is also necessary. Each individual
must establish their own standards for consistent use of barriers.
H-2803
PROCEDURES:
A.
If a staff member has a significant exposure, medical staff shall provide
immediate first aid and the on-duty supervisor shall refer the staff person for the
appropriate treatment per established procedure. (4-ACRS-4C-08; A-5400)
B.
Medical staff shall interview the offender and review the offender’s health record
in order to determine the offender’s blood and body fluid status. If BBF status is
negative or unknown, medical staff shall seek offender consent to have a source
blood sample drawn. If the offender refuses to have their blood drawn, the
offender shall be sent to University Hospital & Clinics Emergency Department
for an HBsAg, Anti-HBs and HIV baseline to be drawn. The offender shall be
treated as a positive exposure in accordance with established procedure and
Louisiana Revised Statute. (4ACRS-4C-08; 4-ACRS-4C-09; H-2700; LRS:
§15:831)
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Policy H-2800