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Bloodborne Pathogen Standards
• 29 CFR 1910.1030 (Federal)
• Part 554 Bloodborne Infectious Disease (Michigan)
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What are BBP Standards?
•To protect workers against possible
contamination from a Bloodborne Infectious
Disease
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When to comply?
•If there is a reasonable anticipated
risk of exposure to blood or OPIM
during routine tasks
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Definitions
• Bloodborne pathogens - pathogenic
microorganisms transmitted via human blood
and cause disease in humans
HIV - virus that causes AIDS (incubation 1-10+ years)
Hepatitis B (HBV) - acute or chronic infection of liver
(incubation 2-3 months)
Hepatitis C (HCV) – also infects liver (incubation 6-9
weeks)
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Other Potentially Infectious Material
(OPIM) (State Rule 325.7002(s))
• Semen
• Vaginal secretions
• Amniotic fluid
• Cerebrospinal fluid
• Peritoneal fluid
• Pleural fluid
• Pericardial fluid
• Synovial fluid
• Saliva in dental procedures
• Any bodily fluid that is
visibly contaminated with
blood
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Sharps
•Any item that has a potential to cut or
puncture skin. (broken glass, needles,
lancets, etc.)
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Universal Precautions
•ALL blood and OPIM treated as
infectious
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Standard Operating
Procedures (SOPs)
•Each task should have a written
procedure to reduce risk of exposure
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Engineering Controls
•Products that reduce exposure by design
•Examples: self sheathing needles, sharp
containers, sinks
9
“
SESIP”
Sharps with Engineered Sharps
Injury Protections
Non-needle sharp or a needle with a builtin safety feature or mechanism that
effectively reduces the risk of an exposure
incident.
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Hypodermic syringes with
“Self-Sheathing” safety feature
Self-sheathed protected position
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Hypodermic syringes with
“Retractable Technology” safety
feature
Retracted protected position
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Phlebotomy needle with
“Self-Blunting” safety feature
Blunted protected position
13
“Add-on” safety feature
Attached to syringe needle
Attached to blood tube holder
14
Retracting lancets with safety features
Before
Before During
During
After
After
In use
After use
15
Disposable scalpels with safety
features
Retracted position
Protracted position
Protracted position
16
Work Practice Controls
•Reduce exposure by work habits
•Examples: wearing gloves, washing
hands, using sharp containers, no food,
etc. while working
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Personal Protective Equipment (PPE)
•Specialized clothing/equipment worn for
protection against hazards
•Choose correct ones for task
Gloves, Protective Eyewear, Face Shield, etc.
•DON & DOFF
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Regulated Waste
Determination of Regulated Waste - Michigan Law
 Medical Waste Regulatory Act - Part 138
Law determines where it is sent and how much it
cost (incineration, public sewage, radioactive,
how it is packaged, segregated, labeled, etc.)
Use of red biohazard containers
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Laundry
•Employer’s responsibility to launder the
reusable required PPE
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Vaccination
•Employer must provide Hep B vaccination
to employee
•Cost - Employer’s Expense
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Waiver
•Employee has the right to decline HBV
vaccine
•Must sign a waiver
•
•Employee has right to request a HBV
vaccine at later date, at employer’s expense
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Post Exposure
•Determination – what was BBP exposure?
•Procedure – report, go to ER, document
incident, test patient
Prophylaxis
•Confidentiality
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Biohazard
Labels and Warnings
•Labels
•Colors – blaze orange/red
•Symbols – 3 sided
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Recordkeeping
•1. A Sharps Injury Log is filled out in addition
to OSHA 300 log (confidentiality maintained)
•2. BBP training is also documented
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Sharps Injury Log
At a minimum, the log must contain, for
each incident:
•Type and brand of device involved
•Department or area of incident
•Description of incident
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BBP Training
It is the Law
Also known as Exposure Control Plan
Newly hired and Annual retraining
Also, training on new devices and procedures
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