Download Compliance Training Program OSHA Bloodborne

Corporate Billing Address:
2912 Filbert Avenue
Reading, PA 19606
Phone: 484-638-1126
Fax: 610-750-7141
Site Address/Training:
3839 Perkiomen Avenue Rear
Reading, PA 19606
Phone: 484-638-1126
Fax: 610-401-0928
Website:
www.siouxservices.com
Compliance Training
Program
OSHA Bloodborne
Pathogens &
Needlestick
29 CFR 1910.1030
All rights reserved. Neither the power
point nor any part thereof may be
reproduced in any manner without
written permission of the publisher.
Due to the constantly changing nature of
governmental regulations, it is
impossible to guarantee absolute
accuracy of the training material
contained within this module. So the
publishers cannot assume any
responsibility for omissions, errors,
misprinting, or ambiguity contained
within this module and shall not be held
liable in any degree for any loss or injury
caused by such as listed above.
Sioux Services ComplianceTraining
Program
Background
• Approximately 5.6 million workers in health care and
other facilities are at risk of exposure to bloodborne
pathogens such as human immunodeficiency virus (HIV
– the virus that causes AIDS), the hepatitis B virus
(HBV), and the hepatitis C virus (HCV).
• OSHA’s Bloodborne Pathogens standard prescribes
safeguards to protect workers against the health
hazards from exposure to blood and other potentially
infectious materials, and to reduce their risk from this
exposure.
Sioux Services Compliance Training
Program
Definitions
This program requires and understanding of
the definitions related to the standard.
A complete listing of the applicable terms is
located in this training module. Take a few
moments to locate and review these
definitions and then use them for reference
as you progress through the training.
Sioux Services Compliance Training
Program
Employee Training
The BBP Standard requires employers to provide
training to their employees who may be exposed to
Bloodborne Pathogens.
Training is mandatory:
• Yearly.
• For new hires within 90 days or prior to their
initial assignments.
• When new chemicals are introduced into the
workplace.
• Or any major change at your facility or any
regulations change.
Sioux Services Compliance Training
Program
Bloodborne Pathogen
• 29 CFR 1910.1030
• “Bloodborne pathogens” means pathogenic
microorganisms that are present in human blood
and can cause disease in humans. These
pathogens include among others hepatitis B virus
(HBV), which causes hepatitis B; human
immunodeficiency virus (HIV), which causes AIDS;
hepatitis C virus and other pathogens, such as
those that cause malaria.
Sioux Services Compliance Training
Program
Other Potentially Infectious Materials
“Other potentially infectious materials” means:
1. The following human body fluids: semen, vaginal secretions,
cerebrospinal fluid, synovial fluid, pleural fluid, pericardial
fluid, peritoneal fluid, amniotic fluid, saliva in dental
procedures, any body fluid that is visibly contaminated with
blood, and all body fluids in situations where it is difficult or
impossible to differentiate between bodily fluids;
2. Any unfixed tissue or organ (other than intact skin) from a
human (living or dead); and
3. HIV-containing cell or tissue cultures, organ cultures, and
HIV- or HBV-containing culture medium or other solutions;
and blood, organs, or other tissues from experimental animals
infected with HIV or HBV.
Sioux Services Compliance Training
Program
Reasonably Anticipated
• The term “reasonably anticipated” contact
means potential contact as well as actual
contact with blood or other potentially
infectious materials.
Sioux Services Compliance Training
Program
Who is covered by the standard?
• 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.
• “Good Samaritan” acts such as assisting a coworker with a nosebleed would not be
considered occupational exposure.
Sioux Services Compliance Training
Program
•
•
•
•
•
•
•
•
•
•
•
•
Some Workers Who are at Risk
Physicians, nurses and emergency room personnel
Orderlies, housekeeping personnel, and laundry workers
Dentists and other dental workers
Laboratory and blood bank technologists and technicians
Medical Examiners
Morticians
Law Enforcement personnel
Firefighters
Paramedics and emergency medical technicians
Anyone providing first-response medical care
Medical waste treatment employees
Home Healthcare workers
Sioux Services Compliance Training
Program
How does exposure occur?
• Most common: needlesticks
• Cuts from other contaminated sharps
(scalpels, broken glass, etc.)
• Contact of mucous membranes (for example,
the eye, nose, mouth) or broken (cut or
abraded) skin with contaminated blood.
Sioux Services Compliance Training
Program
Exposure Control Plan
Identifies jobs and tasks where occupational
exposure to blood or other potentially
infectious material occurs
Describes how the employer will:
Use engineering and work practice
controls
Ensure use of personal protective
equipment
Provide training
Provide medical surveillance
Provide hepatitis B vaccinations
Use signs and labels
Sioux Services Compliance Training
Program
Exposure Control Plan
Written plan required
Plan must be reviewed at least annually to reflect changes in:
tasks, procedures, or assignments which affect exposure, and
technology that will eliminate or reduce exposure
Annual review must document employer’s consideration and
implementation of safer medical devices
Must solicit input from potentially exposed employees in the
identification, evaluation and selection of engineering and work
practice controls. Plan must be accessible to employees
For an example of an Exposure Control Plan go to:
https://www.osha.gov/OshDoc/Directive_pdf/CPL_22_69_APPD.pdf
Sioux Services Compliance Training
Program
Universal Precautions
Treat all human blood and certain body
fluids as if they are infectious
Must be observed in all situations where
there is a potential for contact with blood
or other potentially infectious materials
Sioux Services Compliance Training
Program
Engineering and Work Practice
Controls
These are the primary methods used
to control the transmission of HBV
and HIV
When occupational exposure remains
after engineering and work practice
controls are put in place, personal
protective equipment (PPE) must be
used
Sioux Services Compliance Training
Program
Engineering Controls
These controls reduce employee exposure by either
removing the hazard or isolating the worker.
Examples:
Sharps disposal containers
Self-sheathing needles
Safer medical devices
•Needleless systems
•Sharps with engineered sharps
injury protections
Sioux Services Compliance Training
Program
Safer Medical Devices
Needless Systems: a device that does not use needles
for the collection or withdrawal of body fluids, or for
the administration of medication or fluids
Sharps with Engineered Sharps Injury Protections:
a non-needle sharp or a needle device used for
withdrawing body fluids, accessing a vein or artery, or
administering medications or other fluids, with a builtin safety feature or mechanism that effectively reduces
the risk of an exposure incident
Sioux Services Compliance Training
Program
Work Practice Controls
These controls reduce the likelihood of exposure by
altering how a task is performed.
Examples:
•Wash hands after removing gloves
and as soon as possible after
exposure
•Do not bend or break sharps
•No food or smoking in work areas
Sioux Services Compliance Training
Program
Personal Protective Equipment
Specialized clothing or equipment worn by an
employee for protection against infectious
materials
Must be properly cleaned, laundered,
repaired, and disposed of
Must be removed when leaving area or upon
contamination
Sioux Services Compliance Training
Program
PPE Rules to Remember
• Always check PPE for defects or tears before
using
• If PPE becomes torn or defective remove and
get new
• Remove PPE before leaving a contaminated
area
• Do not reuse disposable equipment
Sioux Services Compliance Training
Program
Examples of PPE
•Gloves
•Gowns
•Face shields
•Eye protection
•Mouthpieces and resuscitation devices
The employer must ensure that appropriate PPE in the
appropriate sizes is readily accessible at the worksite or is
issued to employees. Hypoallergenic gloves, glove liners,
powderless gloves, or other similar alternatives must be
readily accessible to those employees who are allergic to
the gloves normally provided.
Sioux Services Compliance Training
Program
Housekeeping
Must develop a written schedule for cleaning and
decontamination at the work site based on the:
•Location within the facility
•Type of surface to be cleaned
•Type of soil present
•Tasks or procedures being performed
Sioux Services Compliance Training
Program
Housekeeping continued
Work surfaces must be decontaminated
with an appropriate disinfectant:
•After completion of procedures,
When surfaces are contaminated,
and at the end of the work shift
Sioux Services Compliance Training
Program
Regulated Waste
Must be placed in closeable, leak-proof
containers built to contain all contents during
handling, storing, transporting or shipping
and be appropriately labeled or color-coded.
Sioux Services Compliance Training
Program
Laundry
Handle contaminated laundry as little as
possible and use PPE
Must be bagged or containerized at location
where used
No sorting or rinsing at location where used
Must be placed and transported in labeled or
color-coded containers
Sioux Services Compliance Training
Program
Hepatitis B Vaccination
• Strongly endorsed
by medical
communities
• Usually Offered to
all potentially
exposed employees
• Declination form
Sioux Services Compliance Training
Program
Potentially Infectious Bodily Fluids
• Skin tissue, cell
cultures
• Chewing tobacco
juice
• Any other bodily
fluid
•
•
•
•
•
Sioux Services Compliance Training
Program
Blood
Saliva
Vomit
Urine
Semen or vaginal
secretions
Hepatitis C (HCV)
• Hepatitis C is the most common chronic bloodborne
infection in the United States
• Symptoms include:
jaundice, fatigue,
abdominal pain, loss of
appetite, intermittent
nausea, vomiting
• May lead to chronic liver
disease and death
Hepatitis B (HBV)
• 1—1.25 million
Americans are
chronically infected
• Symptoms include:
jaundice, fatigue,
abdominal pain, loss of
appetite, intermittent
nausea, vomiting
• May lead to chronic
liver disease, liver
cancer, and death
• Vaccination available
since 1982
• HBV can survive for at
least one week in
dried blood
• Symptoms can occur 1-9
months after exposure
Sioux Services Compliance Training
Program
Human Immunodeficiency Virus
(HIV)
• HIV is the virus that leads to AIDS
• HIV depletes the immune system
• HIV does not survive well
outside the body
• No threat on contracting HIV
through casual contact
Sioux Services Compliance Training
Program
Common BB Pathogen Diseases
•
•
•
•
•
•
Malaria
Brucellosis
Syphilis
Hepatitis B(HBV)
Hepatitis C(HCV)
Human Immunodeficiency Virus
(HIV)
Sioux Services Compliance Training
Program
What to do if an exposure occurs?
•Wash exposed area with soap and water
•Flush splashes to nose, mouth, or skin with water
•Irrigate eyes with water or saline
•Report the exposure
Direct the worker to a healthcare professional
Treatment should begin as soon as possible after
exposure, preferably within 24 hours, and no later
than 7 days.
Sioux Services Compliance Training
Program
Post-Exposure Follow-Up
Document routes of exposure and how exposure occurred
Record injuries from contaminated sharps in a sharps injury
log, if required
Obtain consent from the source individual and the exposed
employee and test blood as soon as possible after the
exposure incident
Provide risk counseling and offer post-exposure protective
treatment for disease when medically indicated in accordance
with current U.S. Public Health Service guidelines
Provide written opinion of findings to employer and copy to
employee within 15 days of the evaluation
Sioux Services Compliance Training
Program
Biohazard Warning Labels
Warning labels required on:
•Containers of regulated waste
•Refrigerators and freezers containing blood
and other potentially infectious materials
•Other containers used to store, transport, or
ship blood or other potentially infectious
materials
•Red bags or containers may be substituted for
labels
Sioux Services Compliance Training
Program
Training Requirements
Provide at no cost to employees during working
hours
Provide at time of initial assignment to a job with
occupational exposure and at least annually
thereafter
Additional training needed when existing tasks
are modified or new tasks are required which
affect the worker’s occupational exposure
Maintain training records for 3 years
Sioux Services Compliance Training
Program
Medical Recordkeeping Requirements
Employee’s name and social security number
Employee’s hepatitis B vaccination status
Results of examinations, medical testing, and post-exposure
evaluation and follow-up procedures
Health care professional’s written opinion
Information provided to the health care professional
Employee medical records must be kept confidential and not
disclosed or reported without the employee’s written consent (unless
required by law)
Medical records must be maintained for duration of employment plus
30 years according to OSHA’s rule governing access to employee
exposure and medical records
Sioux Services Compliance Training
Program
Sharps Injury Log
Employers must maintain a sharps injury log for the
recording of injuries from contaminated sharps
The log must be maintained in a way that ensures
employee privacy and must contain, at a minimum:
•Type and brand of device involved in the incident
•Location of the incident
•Description of the incident
Sioux Services Compliance Training
Program
OSHA Forms for Recording WorkRelated Injuries and Illnesses
For more information and copies of the Forms
for Recording Work-Related Injuries and illnesses
go to:
https://www.osha.gov/recordkeeping/RKform300pkgfillable-enabled.pdf
Summary
OSHA’s Bloodborne Pathogens standard prescribes
safeguards to protect workers against the health hazards
from exposure to blood and other potentially infectious
materials, and to reduce their risk from this exposure.
Implementation of this standard not only will prevent
hepatitis B cases, but also will significantly reduce the risk
of workers contracting AIDS, Hepatitis C, or other
bloodborne diseases
For more information on Bloodborne Pathogens, see
OSHA’s web site at: www.osha.gov
Sioux Services Compliance Training
Program
Employee Exam – Bloodborne Pathogens (please take test, print name, sign name, date and email to [email protected] for correction and
certificate)
Name:
Date:
Topic: Bloodborne Pathogens – General
1. The Bloodborne Pathogen Standard is enforced by what federal government agency:
Central Intelligence Agency (CIA).
Environmental Protection Agency (EPA).
Occupational Safety and Health Administration (OSHA).
Both a and c.
The Correct answer is:
2. Potentially Infectious materials include:
Anything that may be present in a first aid emergency.
Only body fluid that contains blood.
Any body fluid you cannot identify.
All of the above.
The correct answer is:
3. What are Bloodborne Pathogens?
Material present during emergencies that are potentially infectious.
A cut or abrasion that pierces mucous membranes.
Microorganisms present in blood that could cause disease.
A program designed to stop the spread of disease and infection.
The correct answer is:
4. Using “universal precautions” means:
Treating all blood and certain body fluids as though they were infectious.
That all workers who are exposed to Bloodborne Pathogens follow the same set of work procedures.
Using gloves and masks whenever you touch a co-worker.
Careful hand washing.
The correct answer is:
Test Page 1 of 3
5. Who should know about the Bloodborne Pathogen standard?
First responders on the emergency response team.
Patient care providers.
People involved in work that could potentially expose them to Bloodborne Pathogens.
All of the above.
The Correct answer is:
6. Personal protective equipment must be used:
When the possibility of exposure to blood or body fluids exists.
At all times.
At the worker’s discretion.
Whenever certain substances are present.
The correct answer is:
7. Hepatitis B vaccination must be available to a worker:
Once a year.
If he/she has an occupational exposure risk.
Every month.
It is not necessary to have a vaccination.
The correct answer is:
8. An exposure incident is defined as:
No anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials.
Specific skin, eye, mouth, mucous membrane, or parenteral skin contact with blood or potentially infected body fluids that result from doing one’s job.
Specific skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials at one’s home.
A piercing of the ears at the local mall.
The correct answer is:
9. Medical records must be maintained on all employees with occupational exposure for the following length of time:
Thirty (30) years.
Length of employment plus 30 years.
Until a person leaves their place of employment.
Length of employment plus 20 years.
The correct answer is:
Test Page 2 of 3
10. Warning labels must:
Bear the biohazard symbol and be printed in fluorescent yellow.
Bear the biohazard symbol and be printed in fluorescent green.
Bear the biohazard symbol and be printed in fluorescent orange or orange-red.
Be printed in black or white.
The correct answer is:
11. Under Universal Precautions, all human blood and certain body fluids are treated as if they were known to be infectious for HIV, HBV, or other Bloodborne
Pathogens:
True or False?
The correct answer is:
12. Good housekeeping techniques minimize the risk of occupational exposure to potentially infectious materials:
True or false?
The correct answer is:
Test Page 3 of 3