Bloodborne Pathogens

Purpose of Standard zProvides 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 zCovers 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: zSemen zVaginal Secretions zSaliva in Dental Procedures zAny body fluid visibly contaminated with blood and all body fluids

Definitions zBloodborne Pathogens ~ Pathogenic microorganisms that are present in human blood and can cause disease in humans zHIV ~ Human Immunodeficiency Virus zHBV ~ Hepatitis B virus

Exposure Control Plan zEmployers must identify, in writing, zTasks and procedures as well as job classifications where occupational exposure to blood occurs. zSet forth a schedule for implementing other provisions of the standard and specify the procedure for evaluating circumstances surrounding exposure incidents. zThe plan must be accessible to employees and available to OSHA. zEmployers must review and update it at least annually.

Methods of Compliance zMandates Universal Precautions zEmphasizes Engineering and Work Practice Controls yHandwashing yEmployers must provide facilities and ensure that employees use them following exposure to blood yMinimizes needlesticks ySplashing & Spraying of Blood yAppropriate packaging of specimens

Methods of Compliance zEmployers must provide at no cost and require employees to use appropriate PPE, such as gloves, gowns, masks, mouthpieces and resuscitation bags. zRequirement of a written schedule for cleaning, identifying the method of decon.

Hepatitis B Vaccination zRequires vaccinations to be made available to all employees who have occupational exposure to blood within 10 working days of assignment, at no cost. zMust have post-exposure evaluation and follow-up to all employees who have had an exposure incident

Exposure Incident Requirements zThe employer shall make immediately available to the exposed employee a confidential medical evaluation and follow-up including: yDocumentation of the routes of exposure yCircumstances under which the exposure incident occurred. yIdentification and Documentation of the Source Individual - should be tested as soon as feasible and after consent is obtained yResults of source individual’s testing shall be made available to the exposed employee yCounseling & Evaluation of reported illness

Training Requirements zTraining within 90 days of effective date yInitially upon assignment/Annually xCopy of standard with explanation xGeneral discussion on bloodborne diseases and their transmission xExposure control plan xHierarchy of Control

Recordkeeping zMedical records must be kept for each employee with occupational exposure for the duration of employment plus 30 years zMust be confidential zTraining records must be maintained for 3 years and must include dates, contents, names of trainers and attendees zMust be made available to subject employee, anyone with written consent of the employee, OSHA and NIOSH. Not available to the employer