Bloodborne Pathogens   29 CFR 1910.1030

Ways You Could You Contract a Disease at Work:
Administering first aid.
Cleaning the laboratories or restrooms.
Using a tool or instrument covered with dried blood.
A co-worker sneezes on you.


Who Must be Trained:
All employees with occupational exposure to blood or
other potentially infectious material (OPIM).
Employees who are trained in first aid and CPR.
 

Bloodborne Pathogens:
Bloodborne Pathogens are
pathogenic microorganisms present in human
blood that can lead to diseases such as:
Human Immunodeficiency Virus (HIV),
Hepatitis B (HBV),
Hepatitis C (HCV),
Lyme desease and rocky mountain spotted fever.

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,
but can be present in some of the bodily fluids
that can be found outside the body
such as
semen, vaginal secretions, saliva, blood, sweat and tears.

Hepatitis B (HBV)
1—1.25 million Americans are chronically infected.
Symptoms include: jaundice, fatigue, abdominal pain,
loss of appetite, intermittent nausea, and 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.

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, and vomiting.
May lead to chronic liver disease and death.
Potentially Infectious; Can be contacted from bodily fluids:
Blood, saliva, vomit, urine, semen or vaginal secretions,
Unfixed skin or tissue (living or dead)
, cell or tissue cultures,
or others (Cerebrospinal Fluid, Synovial Fluid, Pleural Fluid,
Pericardial fluid, Peritoneal fluid, Amniotic fluid
).

Bloodborne Pathogens Potential Transmission:
Contact with another person’s blood or bodily fluid that may contain blood.
Mucous membranes:  eyes, mouth, nose, non-intact skin;
dissection of unpreserved animal carcasses (necropsy);
contaminated sharps/needles.

Exposure:
Can occur from accident,
accident cleanup, administering first aid,
or any work where contact is possible such as lab or janitorial work.
The definition of an "Occupational Exposure' is
"A reasonably anticipated skin, eye, mucous membrane
or
contact with blood or other potentially
infectious material (OPIM) that may result
from the performance of an employee’s duties."

Exposure Incident:
This is "a specific eye, mouth, or other mucous membrane,
 non-intact skin, or parenteral contact
(injection) with blood
or other potentially infectious materials that results
from the performance of an employee’s duties."

If there are no infiltrations of mucous membranes or open
skin surfaces, it is not considered an occupational exposure.
Report all accidents involving blood or bodily fluids.
Post exposure medical evaluations are to
be conducted and documented in record.

Postexposure Evaluation:
The medical evaluation is to be confidential.
Document the route of exposure,
and identify source individual.
The source individuals blood should
be tested (with individuals consent),
and results
provided to the exposed employee.

Universal Precautions:
"Treat all blood and bodily fluids as if they are contaminated."
Utilize proper cleanup and decontamination.
Use protective equipment;
Latex gloves, protective clothing (smocks or aprons),
respiratory mask, eye/face protection (goggles, glasses, or face shield).

Decontamination:
Wear protective gloves.
Disinfectant/cleaner can be provided by making a
solution of 1/4 cup bleach per gallon of water.
Properly dispose of contaminated PPE, towels, rags.

Safe Work Practices:
Remove contaminated PPE or clothing as soon as possible.
Clean and disinfect contaminated equipment and work surfaces.
Thoroughly wash up immediately after exposure.
Properly dispose of contaminated items.

Exposure Control Plan (ECP):
The ECP determines the potential exposure determination
and provides safe work practices.
Should also provide guidance for:
Decontamination equipment, selecting and using
Personnel Protective Equipment (PPE),
handling biowaste, labels and signs, training
requirements, and recordkeeping requirements.

Hepatitis Vaccinations:
Strongly endorsed.  Hepatitis B
must be offered to employees with
the potential of an occupational exposure.
Must be provided at no cost to employees,
to be paid by departmental budget.
If an employee's job has a
n exposure potentual,
and they do not desire vaccination,
then a declination form must be obtained
and kept in their medical record.
The Health and Wellness center, Rm 126, Dean
offers both Hep B and Hep A&B vaccinations,
both consists of three shots.  The price
is $30.00 for B, $40.00 for A/B.

Regulated Medical Waste:
Regulated Medical Waste consist of the folowing:
Liquid or semiliquid blood or OPIM
(other potentially infectious materials).
Contaminated items that would release
blood or OPIM when compressed.
Contaminated sharps.
Pathological and microbiological
waste containing blood or OPIM.

Labels and Signs:
Labels must include the universal biohazard symbol,
and the term “Biohazard” must be attached to;
containers of regulated biohazard waste,
refrigerators or freezers containing blood or OPIM,
containers used to store, transport, or ship blood or OPIM.


Recordkeeping:
Medical records include;
Hepatitis B vaccination status,
postexposure evaluation,
and follow-up results.
Medical records must be maintained
for employment plus 30 years.
Medical records must be available
to employees upon request.
Medical records must be available to
authorized persons (e.g., OSHA, AR. DOL).
Must be transferred to successor employers.

Training records contain;
Training dates, contents of the training,
name and qualifications of the trainer,
basics of bloodborne diseases,
and exposure prevention.
Training records must be kept for three years.
Must be transferred to successor employers.

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