Download Blood Borne Pathogen Exposure Control Plan

Southern Kennebec Child Development Corporation
Bloodborne Pathogen Exposure Control Plan
SKCDC is committed to providing a safe and healthful work environment for our entire staff. 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, “Occupational Exposure to Bloodborne
Pathogens.”
Program Administration:
The Health/Nutrition Manager is responsible for the implementation of the ECP.
Implementation includes:
 ECP reviews and annual updates.
 All necessary PPE (personal protective equipment) will be provided to Program Supervisors.
 All necessary follow up after an exposure incident.
 All necessary recordkeeping to ensure documentation and maintenance of all records.
 All employee training and documentation.
***This Plan outlines appropriate behavior and responsibility of employees.
Those employees, who are determined to have occupational exposure to blood or other potentially
infectious materials (OPIM), must comply with the procedures and work practices outlined in this ECP.
Failure to adhere to the expectations as outlined may result in disciplinary action. ***
This ECP Includes:
1. Determination of Employee Exposure
2. Implementation of various methods of Exposure Control, including:
A. Exposure Control Plan
B. Universal Precautions
C. Engineering and Work Practice controls
D. Personal Protective Equipment (PPE)
E. Housekeeping
3. Hepatitis B Vaccination
4. Post Exposure Evaluation and Follow Up
5. Employee Training.
6. Record Keeping
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1.
Employee Exposure Determination
The following is a list of all job classifications at SKCDC in which all employees have occupational exposure.
Job Title
Assistant Teacher
Program Supervisors
Center Supervisor/Teacher
Teachers
Home Visitors
Cooks
Cook Assistants
Education Technicians
The following is a list of job classifications and tasks in which some SKCDC employees have occupational
exposure.
Job Title
Tasks
Custodians
Disposal of trash/clean up activities
Family Services Coordinators
Classroom duties
Program Managers
Classroom duties
Substitute Positions: Teachers, Assistant Teachers, Cooks are covered by this standard.
2.
Methods of Implementation and Control
A. Exposure Control Plan
 All new Employees and Substitutes covered by this standard receive training upon employment by
SKCDC, and all employees and substitutes receive thereafter, an annual BBP refresher training. (BBP
Update-Attachment A)
 A copy of the Exposure Control Plan is available at each center, for the employee to review at any
time.
B. Universal Precautions
All employees and substitutes as listed above will use universal precautions. (Attachments C & D)
C. Engineering Controls and Work Practices
Engineering controls and work practice controls will be used to prevent or minimize exposure to bloodborne
pathogens.
D. Personal Protective Equipment (PPE)
 PPE is provided to our employees at no cost to them. It is chosen based on the anticipated
exposure and acts as a barrier to prevent blood or OPIM from reaching their skin or mucous
membranes.
 Training is provided to employees, by the Health/Nutrition Manager, at the time of employment and on
an annual basis, on the use of the appropriate PPE, based on their job classifications.
 PPE is available to employees, at all centers, which includes gloves and Bloodborne Pathogens Kits
(Attachment B).
 It is the employee’s responsibility to ask their Supervisor where the PPE is located at each
center, and obtain the PPE to use when performing the tasks, required by their job title.
 It is the responsibility of the Supervisor to ensure that all PPE is available at each center.
All employees using PPE must observe the following precautions:
 All employees administering first aid, changing diapers etc. will wear protective gloves when dealing
with blood or OPIM.
 The employee is responsible to carry their gloves with them at all times while performing their work.
 First aid will be administered by designated individuals, i.e., Teacher, Assistant Teacher, or his/her
designee.
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 Wash hands immediately or as soon as possible after removal of gloves or other PPE.
 One pair of gloves per child will be worn once, and then immediately and appropriately disposed of.
 Replacement gloves can be obtained at designated areas in each center.
 Remove PPE after it becomes contaminated, and before leaving the work area.
 Wear the face and eye mask, & apron which is provided in the BBP Kit, if OPIM poses a hazard to the
employee.
E. Housekeeping (Attachment E)
 All spills of blood or OPIM will be cleaned up using an approved agent.
 A bleach solution in a 1:64 ratio is mixed daily at each center, and will be used for
decontamination.
Each Center will designate a specific staff person and a back-up staff person to perform this duty daily.
 All blood stained materials or OPIM materials, are placed in a plastic bag, double bagged, and
immediately removed to the trash disposal area.
 Staff should have an extra set of clothing available at the center. Employees are expected to
change into clean clothing, if their clothing becomes contaminated with blood or OPIM. The blood
stained clothing will be double bagged, and removed from the center.
 Contaminated broken glass and other materials are not picked up with the hands. It is swept up or
picked up by mechanical means, such as a brush and dust pan.
 Equipment used for cleanup and contaminated equipment (such as toys or playground equipment)
is cleaned and decontaminated as soon as possible after contamination.
3. Hepatitis B Vaccination

All employees identified as having an exposure incident, which has been determined by Work Place
Health, are offered the vaccine free of charge, within twenty-four hours of exposure.

Vaccinations are provided at Maine General Medical Center- Workplace Health, in Augusta or
Waterville.

Employees who do not want the vaccine must sign a Hepatitis B Vaccine Declination Form.
(Attachment F) Employees who decline the vaccine can change their minds for a future occupational
exposure and have the vaccine at a later date, provided at no cost to the employee.

Documentation of the declination form is kept at SKCDC.
4. Post Exposure Evaluation and Follow Up
All employees who have an exposure are offered post exposure evaluation and follow-up by Maine
General Hospital - Work Place Health in Augusta or Waterville. Employees are also encouraged to contact
their PCP. The post exposure evaluation and follow-up includes:

Documentation of route of exposure and circumstances of the incident.

Documentation of source individual and his/her HIV/HBV status if known. Reasonable efforts are
made to obtain permission to test the source individual’s blood for HIV/HBV.

If the source individual is tested, the results are made available to the exposed employee. The
employee must obey all confidentiality requirements.

The exposed employee is offered testing for HIV/HBV. The blood sample is saved for 90 days to
allow the employee to decide if he/she wants it to be tested for HIV. If the employee decides
during this period, the blood sample can be dealt with appropriately.

The exposed employee is offered post exposure treatment based on the latest US Public Health
Service Recommendations.

The exposed employee is given counseling regarding precautions to take during the period after the
exposure incident. In addition, the employee is informed of any medical condition that may result
from the exposure that could require evaluation and treatment. The employee is asked to report related
experiences to appropriate personnel.

The Health/Nutrition Manager consults as necessary with the Consulting Physician to ensure the
effective implementation of the plan.
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A.
Exposure Procedure:
 Provide appropriate First Aid and tell your Program Supervisor or designee immediately.
 If a child is involved fill out the Child Incident Form (Attachment G) and attach it to Bloodborne
Exposure Incident Report Form (Attachment H).
 Have Supervisor fill out Bloodborne Exposure Incident Report Form (Attachment H).
 Call Workplace Health - Augusta, 626-7250, 7:30 a.m. to 4:40 p.m. or Waterville, 872-4260, 7:30
a.m. to 5:00 p.m., as soon as possible to describe the incident and get guidance as to medical
follow-up that may be needed.
 Follow the instructions of Workplace Health.
 Call your Primary Care Provider as soon as possible.
 Complete Exposure Report Form with your supervisor or designee.
 Call SKCDC Main Office at 582-3110 and ask to speak to a staff person from BOTH
departments listed below. Please call in the order listed and DO NOT LEAVE MESSAGES:
Health
1. Health/Nutrition Manager, Ext. 38.
Human Resources/Fiscal
2. HR Assistant - Ext. 40 or if not available
HR Director- Ext. 21 or if not available
Fiscal Office - Ext. 15



5.
A written opinion is obtained from the health care professional who evaluates the employee.
Documentation of the evaluation is obtained in the following instances:
 Whenever the employee is sent to a health care professional for evaluation, following an
exposure incident.
 Whenever the Hepatitis B vaccine is indicated and the employee receives the vaccination
following an incident.
 When the employee has been informed of the results of the evaluation.
 When the employee has been told about any medical conditions resulting from exposure to
blood or other potentially infectious materials.
Meet in person or have a telephone conversation with the Health/Nutrition Manager to complete
Employee Evaluation and Follow up Form. (Attachment I).
Employee Training
 All new employees and substitutes covered by this standard receive training upon employment by
SKCDC, and all employees and substitutes will receive thereafter, an annual BBP refresher training.
(BBP Update (Attachment A)
 Training will include:

An explanation of the OSHA Standard for Bloodborne Pathogens.

Epidemiology, Symptoms and Transmission of Bloodborne Disease.

A copy and explanation of SKCDC’S ECP.

Tasks and activities which could cause exposure to blood or OPIM, including what constitutes
an exposure incident.

Exposure Control Methods, which include Universal Precautions, Work Practice Controls,
PPE, and Housekeeping, which is practiced at all centers.

Post exposure evaluation and follow-up.

Hepatitis B vaccination.

Training Materials are available at SKCDC, 337 Maine Avenue, Farmingdale, ME
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6.
Record keeping
All employee documented records including Documentation of Training, Exposure Report Forms, and
Employee Exposure and Follow up Forms are kept at SKCDC, at 337 Maine Avenue, Farmingdale, ME
 The Health/Nutrition Manager will coordinate and document the training of staff.
 The Center/Home Based Supervisor/Teacher or designee is responsible for providing documentation
when an exposure incident occurs.
 Documentation is submitted to the Health/Nutrition Manager immediately following exposure incident
(within 24 hours).
 The Health/Nutrition Manager is responsible for initiating and completing the Employee Exposure and
Follow up Form.
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Bloodborne Pathogen (BBP) Update (Attachment A)
Blood /Body Fluids…Barrier...Protect
Bloodborne Pathogen Training is 1 hour for all new employees. All other staff need updates on an annual
basis. The BBP Update is done by the Health/Nutrition Manager at the Annual Communicable Disease
Trainings.
Bloodborne Pathogens Policy Review contains a review of:
1. Universal Precautions – Handling All Body Fluids
2. Engineering and Work Practice Controls are used to prevent or minimize exposure to
bloodborne pathogens
 Personal Protective Equipment (PPE)
 Bloodborne Pathogens Kits, gloves, Hand washing
 Housekeeping - Bleach, double bag
3. Hepatitis B Vaccination: All employees identified as having an exposure incident, which has been
determined by Work Place Health, are offered the vaccine free of charge, within twenty- four
hours of exposure.
4. Hepatitis B Vaccine Declination Form.
5. Post Exposure Evaluation and Follow Up Procedures
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BLOODBORNE PATHOGENS KIT (Attachment B)
For Safe Handling, Clean–up, Disinfection and Disposal of Body Fluids
Kit Includes:
 1 pair Disposable Gloves
 Small Plastic Bottle of Absorbent Powder
 1 Scoop with Detachable Scraper
 2 Antiseptic Towelettes (one for cleaning surface, one for cleaning hands)
 1 Absorbent Towel
 2 Trash Bag with Twist Tie for Closure
 Mask with Eye Splash Barrier
 Disposable Plastic Apron
NOTE. The Bleach solution (that is mixed daily) is also to be used for blood/ body fluid spill
cleanup.
Instructions for Use:
1. Put on Gloves.
2. Open the bottle of Absorbent Powder and completely cover the spill (caution may
be slippery when wet).
3. Once the spill is solidified, use the scoop and the detachable scraper to pick up the
body fluid.
4. Dispose of material, scoop in the trash bag.
5. Thoroughly wet the cleaned surface with one of the Antiseptic Towelettes, and
allow to remain wet for 1 minute.
6. If needed dry any remaining residue with the absorbent towel.
7. Remove Gloves, dispose gloves and all materials in the trash bag, and secure with
twist tie.
8. Double bag into remaining trash bag, and secure with twist tie. Remove to outside
trash containers.
9. Wipe Hands with the remaining Antiseptic Towelette. Air dry.
Note:
This kit is for use on inanimate, hard, non porous surfaces.
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Occupational Health and Safety Administration (OSHA)
Bloodborne Standard Definitions (Attachment C)
(Took effect on March 6, 1992)
Blood means human blood, human blood components, and products made from human blood.
Bloodborne Pathogens means 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).
Contaminated means the presence or the reasonably anticipated presence of blood or other potentially infectious
materials on an item or surface.
Decontamination means the use of physical or chemical means to remove, 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.
Exposure Incident occurs when blood or OPIM (other potentially infectious materials) comes in contact with the
employee’s eye, mouth, nose or other mucous membrane, or non-intact skin. A human bite if skin is broken and skin
to mouth contact occurs is also an exposure incident.
Hand washing Facilities means a facility providing an adequate supply of running potable water, soap and single use
towels or hot air drying machines.
HBV means hepatitis B virus.
HCV means hepatitis C virus
HIV means human immune deficiency virus. This is the virus that causes AIDS
Occupational Exposure means reasonably anticipated skin, eye, mucous membrane, or other potentially infectious
materials that may result from the performance of an employee's duties.
Other Potentially Infectious Materials (OPIM) is any body fluid such as mucus, saliva, urine, vomit or feces that
has the potential to contain blood. Blood may not be visible.
Personal Protective Equipment (PPE) is appropriate personal equipment worn by an employee for protection
against the hazards of blood and OPIM. SKCDC makes available to their employees the following personal
equipment: Vinyl Gloves, Face and eye shield, and plastic aprons to the body and to protect the clothing.
Solution for Blood/OPIM Decontamination and Cleanup
Bleach and water solution to be mixed daily to the following ratio:
¼ cup bleach to a gallon of water or 1 Tablespoon bleach to a quart of water
Universal Precautions – Handling All Body Fluids of all children and adults. This means using infection control
practices (practices that help reduce the spread of illnesses) such as hand washing, using PPE, and decontamination.
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Universal Precautions (Attachment D)
The body fluids of all persons should be considered to contain potentially infectious agents. The table below provides
examples of infectious agents that may occur in body fluids and the respective transmission concerns. It must be
emphasized that many of the body fluids with which one may come in contact contain microorganisms, some of
which may cause disease. Individuals may be at various stages of infection: incubating disease mildly infected
without symptoms, or chronic carriers of certain infectious agents. In fact, transmission of communicable diseases is
more likely to occur from contact with infected body fluids of unrecognized carriers than from contact with fluids
from recognized individuals because simple precautions are not always used.
TRANSMISSION CONCERNS IN THE SCHOOL SETTING:
POTENTIAL BODY FLUID SOURCES OF INFECTIOUS AGENTS
BODY FLUID
SOURCE
EXAMPLES OF
AGENTS OF
CONCERN
POTENTIAL
TRANSMISSION
ROUTES
Blood cuts/abrasions
- nosebleeds
- menses
Hepatitis B & C
viruses
HIV virus
Cytomegalovirus
Inoculation through
cuts and abrasions and
Mucous Membranes
*Feces
Salmonella bacteria
Shigella bacteria
Rotavirus
Hepatitis A virus
Norovirus
E coli
Giardia
C Diff
Cryptosporidiosis
Oral inoculation from
contaminated hands or
surfaces.
*Urine
Cytomegalovirus
Oral or Nasal
inoculation from
contaminated hands.
Respiratory
Secretions
- saliva
- nasal discharge
Mononucleosis virus
Common cold virus
Influenza virus
Meningococcal
bacteria
Oral inoculation from
contaminated hands.
Direct Droplet
Inoculation to Mouth
and Nose
*Vomitus
Gastrointestinal
viruses, (e.g.,
Norovirus& Rotavirus)
Oral inoculation from
contaminated hands.
*Possible transmission of HIV and Hepatitis B and Hepatitis C is of little concern from these sources.
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Tips for Prevention (Attachment E)
1. Treat all bodily fluids as if they were contaminated.(Universal Precautions)
2. Use disposable non-latex gloves when exposure to bodily fluids is possible. Hands should be washed after
gloves are removed and gloves discarded in a plastic bag or lined trashcan, secured, and disposed of daily.
3. Use protective clothing when anticipating spattering of fluids.
4. All personnel (e.g. custodians, bus drivers, maintenance personnel) should use bloodborne precautions when
cleaning and disinfecting.
Decontamination after Direct Contact
Recommended Decontamination Procedure:
1. Wash hands thoroughly with soap and water.
2. Clothing - Rinse and place clothing and other non-disposable items that have been soaked with body fluid, in
double plastic bags.
a. Use gloves while handling items.
b. If presoaking is required to remove stains (e.g., blood, feces) use gloves to rinse or soak item in cold
water prior to bagging to be sent home.
c. Laundry – Launder contaminated clothing in soap and water adding bleach. Wash separately from
other items if clothing is soaked with body fluids.
3. Hard Surfaces -. Use bleach solution the same day as it is prepared.
a. Mops should be soaked in the disinfectant after use and rinsed thoroughly or washed in a hot water
cycle before rinse.
b. Non-disposable cleaning equipment (dustpans, buckets) should be thoroughly rinsed in the
disinfectant. Disinfectant solution should be promptly disposed down a drainpipe.
4. Rugs – Use absorbent agents specifically intended for cleaning body fluid spills. Cover spills with absorbent
material, gently sweep up and discard in plastic bag.
a. Leave for a few minutes to absorb the fluid and then vacuum or sweep up.
b. The vacuum bag or sweepings should be placed in a plastic bag, and then disposed of in trash
receptacle.
c. Broom and dustpan should be rinsed in a disinfectant.
d. No special handling is required for vacuuming equipment, except nozzle used to vacuum spill should
be wiped with disinfectant.
5. Disposable Items:
a. All disposable materials contaminated with blood and/or body fluids will be put in double plastic bags,
tied and placed in a trash receptacle not accessible to children.
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SKCDC HEPATITIS B DECLINATION FORM (Attachment F)
I have been offered the Hepatitis B vaccine, at no cost to myself, based on an occupational exposure to
blood or other potentially infectious materials. I understand I must receive this vaccine within 24 hours
of exposure in order for it to be effective. However, I choose to decline the Hepatitis B
vaccination at this time. I understand, by declining this vaccine I could be at risk of acquiring Hepatitis
B, a serious disease. If in the future I have another occupational exposure, I will be offered the
vaccination series at no cost to me.
Employee Signature: ____________________________________ Date: __________________
Signature of Witness: ____________________________________ Date: _________________
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SKCDC INCIDENT REPORT FORM (Attachment G)
Center: __________________
Classroom: _____________________
Date_____________
Child's Name: _____________________________D.O.B.__________
Time injury/illness occurred: ________________________ a.m. / p.m. (Circle injury/illness)
Location:  Playground  Classroom  Other_______________________Equipment/Tool Involved____________________
Parents notified by: ___________________________________________
Time: __________________
Description of injury and how it happened: ______________________________________________________________________
____________________________________________________________________________________________________________
Illness: _____________________________________________________________________________________________________
Be specific about Illness: (Example: Rash - Prickly heat type over the entire body!)
Cause of Injury
Nature of Injury & Size
Nature of Illness
Collided
Bite
Diarrhea
Fell
Bruise/Bump
Fever
Jumped
Burn
Rash
Pushed
Cut
Vomiting
Slipped
Pinch
Other
Tripped
Scratch
Other
Sting
Other (ie. Redness)
Note: Be Specific If other is checked
Note: All Injuries and Illness should be reported to Parent ASAP, especially Face & Head & Neck Injuries.
Blood involved:  Yes  No
Blood exposure:  Yes  No
Part of body injured: _________________________________________________________________________________________
(Be specific: for example, upper right arm above elbow)
First-aid care given: __________________________________________________________________________________________
(Please be specific about the care given: example scratch washed with soap & water, band aid applied)
By Whom: _________________________________________________________________________
 Gloves worn by staff member/provider
 Area cleaned/disinfected with bleach solution
 Gloves / blood soaked items double-bagged & removed from classroom immediately
Action taken:  Child remained at center/home start
 Child sent home - Time: ______ a.m. / p.m.
 Child taken to hospital/clinic/physician
Other (Be Specific) _______________________________________
Recheck Head Injury (With in hour) Symptoms of Head Injury Present: Yes
No- If yes be specific______________
Medication given as indicated on IHP/ Health Alert/ Other______________________________________________________
(Be specific: Name of medication, time given)
By whom: _____________________Recommendations/FollowupPlan_________________________________________________
___________________________________________________________________________________________________________
Signature of reporting staff _________________________________________Date:___________
Printed name of reporting staff: ________________________________________________________________________
Signature of witness to accident: __________________________________________ Date: ____________
Signature of Parent: ____________________________________________________ Date: ____________
 Reviewed by Center/Home Based Supervisor
 File in child's folder
 Give copy to office
Reviewed by Program Manager
Reviewed by Health/Nutrition Manager
Recommendations/Follow up Plan________________________________________________________________Date___________
Injury/Illness must be documented on the day of occurrence!
Please submit within 24 hours of Injury/Illness!
Please Note: White copy – SKCDC, Yellow copy - Parent
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Attachment # H
(Attachment 4 in Employee Safety
and Accident Prevention Plan)
Southern Kennebec Child Development Corporation
BLOODBORNE EXPOSURE INCIDENT REPORT FORM
Employee: _________________________________ Center: _____________________________
Date of Incident: _________ Time of Incident: _________ Date Incident Reported: ___________
Employee reported Incident to:
Exposure incident occurred:
Center Supervisor
Other Person _____________________________
Name of Person
Classroom
Playground
Other __________________________________
Describe
Description of Incident: _________________________________________________________________
____________________________________________________________________________________
_________________________________________________________________________________________
_______________________________________________________________________________
Identification of Source Individual: ________________________________________________________
First Aid Given_________________________________________________________________________
Precautions taken:
Gloves worn by staff person/s
Area decontaminated, & materials disposed of by ___________________________
Name of Employee
Incident Reported to:
Work Place Health _____________________________________ Date: _________ Time: _____
Name/Title
Primary Care Provider_____________________________________ Date: _________ Time: _____
Name
Health Nutrition/Manager_________________________________ Date: _________ Time: _____
Name
Human Resources/Fiscal Office: __________________________ Date: _________ Time: _____
Name
Follow up/ Recommendations as reported by the Employee: ____________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
__________________________________________________________________________
Employee Signature: _____________________________________ Date: ________________
Supervisor’s Signature: ___________________________________ Date: _______________
***Please Note*** Attach a copy of the Child Incident Report Form (If Applicable)
This form is to be completed within 24 hours following the incident and forwarded immediately to the
Health/Nutrition Manager.
Thank you
Complete and attach to the Supervisor’s Accident/Work Safety Investigation Report Form
Bloodborne Exposure Incident Report Form: (4) Revised 02/25/13
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SKCDC - EMPLOYEE BLOODBORNE EVALUATION AND FOLLOWUP FORM (Attachment I)
(To be completed by Health/Nutrition Manager)
Employee Name: ___________________________________________________Date:__________________
Employee Consulted:
Work Place Health
Primary Care Provider
Other__________________________________
Describe

Documentation and copy of previous Hepatitis B Vaccination
(If Yes Dates: _____________ _____________ ____________
Dose 1
Dose 2
Post Exposure
 Hepatitis B Vaccinations:
Yes
No
Dose 3
Received -Dates: _____________ _______________ ______________
Dose 1
Dose 2
Refused – Signed Declination form attached (mandatory)

Blood Test Done:

Source Individual contacted:

Testing of source individual completed
Results provided to exposed employee
Testing refused
Date: __________

Written opinion received from:
Date: ______________
Yes
Refused:
Dose 3
Yes
No
Date: ______________
No (if yes), by whom: _____________________________
Date: __________
Date: __________
Work Place Health
Primary Care Provider
Other ______________________________________
Name

Documentation of employee evaluation /counseling received.

Worker’s Comp notified

Documentation completed
Date _______________
_____________________________________________
By whom
Date _______________
Additional comments/information:
______________________________________________________________________________________________
______________________________________________________________________________________________
Employee Signature: _______________________________________________
Date: _______________
Health/Nutrition Manager:
Date: _______________
_______________________________________
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