1. Blood Borne Pathogens 29 CFR 1910.1030
Could you contact a disease at work?
Administering first aid?
Cleaning a restroom?
Using a tool covered with dried blood?
A co-worker sneezes on you?

2. Common Blood borne Pathogens
OSHA defines blood borne pathogens as pathogenic microorganisms present in human blood that can lead to diseases.
Human Immunodeficiency Virus (HIV)
Hepatitis B (HBV)
Hepatitis C (HCV)

3. 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
May be found in low quantities in saliva, tears from some AIDS patients. Not found in sweat. Contact with saliva, tears or sweat has never been shown to result in transmission of HIV.

4. Hepatitis B (HBV) Over 1 million Americans are chronically infected
Symptoms include: jaundice, fatigue, abdominal pain, loss of appetite, nausea and vomiting
May lead to chronic liver disease, liver cancer and death
Vaccination available since 1982
HBV can survive for up to one week in dried blood

5. Hepatitis B Vaccination
Endorsed by the medical communities
Series of three injections
Shown to be safe for infants, children and adults
Offered to all potentially exposed employees
Provided at no cost to employees
Declination/Acceptance form

6. Hepatitis C (HCV)
Hepatitis C is the most common chronic blood borne infection in the United States
Symptoms include: jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea, vomiting
Can survive in dried blood for up to 3 weeks
May lead to chronic liver disease and death
No known vaccine

7. Potentially Infectious Bodily Fluids
Blood
Saliva, vomit, urine
Semen or vaginal secretions
Skin, tissue, cell cultures
Other body fluids

8. Potential Transmission
Contact with another persons blood or bodily fluid that may contain blood.
Contact with mucous membranes: eyes, mouth, nose
Contact with non-intact skin
Contact with contaminated sharps/needles

9. Potential Exposure Industrial accident Administering first aid
Post accident cleanup
Cleanup of bodily fluids
Janitorial or maintenance work

10. Exposure Control Plan (ECP)
Potential exposure determination
Follow safe work practices
Decontamination of equipment
Use proper personal protective equipment (PPE)
Proper handling of bio waste and use of labels and signs
Follow training and recordkeeping requirements

11. 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

12. Universal Precautions
Treat all blood and bodily fluids as if they are contaminated.
Perform proper clean up and decontamination
Always wear appropriate PPE such as vinyl or nitrile gloves, gown or apron when handling any type of bodily fluid.

13. Protective Equipment Bleeding control – Nitrile or vinyl gloves
Spurting blood – Nitrile or vinyl gloves, protective clothing such as smocks or aprons, respiratory mask, eye and face protection such as safety glasses or face shields
Post accident clean up or janitorial work – use nitrile or vinyl gloves.

14. Decontamination Solution of ¼ cup of bleach per gallon of water
Properly dispose of contaminated PPE, towels or rags

15. 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
Avoid cross contamination

16. Regulated Medical Waste
Liquid or semi liquid blood or OPIM (other potentially infectious materials)
Contaminated items that would release blood or OPIM when compressed
Contaminated sharps

17. 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

18. Sharps Disposal Containers
Use single use supplies, such as needles, whenever possible
Sharps containers must be closable, puncture resistant, leak proof and labeled with a biohazard sign
Dispose containers when 2/3 full at an appropriate medical waste site

19. Exposure Incident
A specific incident of contact with potentially infectious bodily fluid
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 offered

20. Post-exposure Evaluation
Confidential medical evaluation
Document route of exposure
Identify the source individual
Test source individuals blood (with individuals consent)
Provide results to exposed employee

21. Recordkeeping Medical records include: Hepatitis B vaccination status
Post exposure evaluation and follow-up results
Training records include:
Training dates
Contents of the training

22. Summary Follow universal precautions
Use PPE and follow safe work practices
Perform decontamination
Report all exposure incidents