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Bloodborne Pathogens 1910.1030 Purpose of Standard Provides requirements specifically enacted to reduce the incidence of transmission of the HIV or HBV virus because of occupational exposure to infected blood and/or other potentially infectious materials. Scope of Standard Covers all employees who could be “reasonably anticipated” as the result of performing their job duties to face contact with blood and other potentially infectious materials. Infectious Materials: Semen Vaginal Secretions Saliva in Dental Procedures Any body fluid visibly contaminated with blood and all body fluids Definitions Bloodborne Pathogens ~ Pathogenic microorganisms that are present in human blood and can cause disease in humans HIV ~ Human Immunodeficiency Virus HBV ~ Hepatitis B virus Exposure Control Plan Employers must identify, in writing, Tasks and procedures as well as job classifications where occupational exposure to blood occurs. Set forth a schedule for implementing other provisions of the standard and specify the procedure for evaluating circumstances surrounding exposure incidents. The plan must be accessible to employees and available to OSHA. Employers must review and update it at least annually. Methods of Compliance Mandates Universal Precautions Emphasizes Engineering and Work Practice Controls Handwashing Employers must provide facilities and ensure that employees use them following exposure to blood Minimizes needlesticks Splashing & Spraying of Blood Appropriate packaging of specimens Methods of Compliance Employers must provide at no cost and require employees to use appropriate PPE, such as gloves, gowns, masks, mouthpieces and resuscitation bags. Requirement of a written schedule for cleaning, identifying the method of decon. Hepatitis B Vaccination Requires vaccinations to be made available to all employees who have occupational exposure to blood within 10 working days of assignment, at no cost. Must have post-exposure evaluation and follow-up to all employees who have had an exposure incident Exposure Incident Requirements The employer shall make immediately available to the exposed employee a confidential medical evaluation and follow-up including: Documentation of the routes of exposure Circumstances under which the exposure incident occurred. Identification and Documentation of the Source Individual - should be tested as soon as feasible and after consent is obtained Results of source individual’s testing shall be made available to the exposed employee Counseling & Evaluation of reported illness Training Requirements Training within 90 days of effective date Initially upon assignment/Annually Copy of standard with explanation General discussion on bloodborne diseases and their transmission Exposure control plan Hierarchy of Control Recordkeeping Medical records must be kept for each employee with occupational exposure for the duration of employment plus 30 years Must be confidential Training records must be maintained for 3 years and must include dates, contents, names of trainers and attendees Must be made available to subject employee, anyone with written consent of the employee, OSHA and NIOSH. Not available to the employer