1. Controlling exposures in pest control work
Bloodborne Pathogens
Controlling exposures in pest control work
Your work in pest control does not expose you to bloodborne pathogens in your usual work setting or usual tasks. This presentation should be utilized as a discussion with attendees regarding any potential BBP exposures situations they have encountered in pest control work.

2. Pathogenic microorganisms that are present in human blood or other potentially infectious materials and can cause disease in humans.
Bloodborne Pathogens
Pathogens include but are not limited to:
Hepatitis B
HIV – human immunodeficiency virus
Pathogens are present in blood and body fluids.

3. 29 CFR 1910.1030, Occupational Exposure to Bloodborne Pathogens
Published December 1991
Effective March 1992
Scope
ALL occupational exposure to blood and other potentially infectious material (OPIM)
We don’t have exposures on any regular basis unlike the healthcare industry.

4. Pest control work in medical facility Work where a sharp has been left
…reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee’s duties.
Duties may include:
Pest control work in medical facility
Work where a sharp has been left
First aid to a co-worker
Any Others?
Let trainees discuss any other situations they feel might occur that have an exposure hazard on the job.
Reference (c)(1)(i)

5. Communicate presence of hazards to employees.
Employer shall assess the workplace to determine if hazards are present that require the use of PPE.
Communicate presence of hazards to employees.
Select the appropriate PPE – must fit each employee.
Our general work would not typically involve any BBP exposure but you still need to be aware should you come across a hazardous situation in a work setting.

6. Exposure Control Plan The method of implementation for:
Methods of compliance.
Hepatitis B vaccination and post-exposure evaluation and follow-up for any exposure.
Communication of hazards to employees.
Recordkeeping.

7. Exposure Determination
all jobs in which employees in those job have occupational exposure.
all tasks and procedures…in which occupational exposure occurs and that are performed by the above employees.
Discuss specific jobs (general pest, termite, bedbug)
Discuss specific tasks where exposures occur (moving mattresses, reaching under furniture, etc.)

8. Exposure Control Plan
The procedure for the evaluation of circumstances surrounding exposure incidents:
Immediate availability for exposed employees to confidential medical evaluation and follow-up.
Documentation of the route(s) of exposure, and the circumstances under which the exposure incident occurred.
Your occupational health clinic should be your go to for any report of exposure. They will provide the proper documentation of the incident.

9. Standard (universal) Precautions
…shall be observed to prevent contact with blood or other potentially infectious materials.
…all body fluids shall be considered potentially infectious materials.
If you don’t know where the fluid came from, consider it contaminated. Don’t touch.

10. Purpose - to eliminate or minimize employee exposure:
Readily accessible hand washing facilities.
Contaminated sharps management – don’t touch.
Keeping food and drink out of the work area.
Procedures involving blood handling – we do not do this.
Procedures for moving something with dried fluid
If not of a quantity to splash, pool, or flake off, only then deal with the item.
Handle it as little as possible and only when gloved avoiding the contaminated area of the item.
Dispose of gloves and wash thoroughly and immediately.
Talk about specific examples here. Contaminated bedding, furniture, etc.
Procedures for moving something with dried fluid
If not of a quantity to splash, pool, or flake off, only then deal with the item.
Handle it as little as possible and only when gloved avoiding the contaminated area of the item.
Dispose of gloves and wash thoroughly and immediately.

11. Provide alcohol-based hand cleansers in multiple locations.
When they should be used: if hands are not visibly dirty, if soap and water are not available.
Frequent use is recommended, good amount, rubbing into all surfaces of hands until dry.
Washing with soap and water: careful technique, seconds, if hands are dirty, and after direct contact with potentially infectious material.

12. Employer shall provide appropriate PPE at no cost to employee.
Shall be used where exposure remains after institution of engineering and work practice controls.
Employer shall provide appropriate PPE at no cost to employee.
May include: gloves, crawl suits, eye protection.
Discuss the use of gloves when handling soiled items.

13. Use
Accessibility
Cleaning, laundering, and disposal
Repair and replacement
Garment penetration
PPE removal prior to leaving work area

14. Shall be handled as little as possible:
Employer shall ensure that employees who have contact with contaminated laundry wear protective gloves and other appropriate PPE.

15. How should contaminated laundry be handled?
Contaminated laundry shall be handled as little as possible with a minimum of agitation and only if dry.
Whenever contaminated laundry is wet and presents a reasonable likelihood of soak-through or leakage the items should not be handle at all by our employees.
How should contaminated laundry be handled?
A44. Contaminated laundry shall be handled as little as possible with a minimum of agitation. Contaminated laundry shall be bagged or containerized at the location where it was used and shall not be sorted or rinsed in the location of use. Other requirements include:
Contaminated laundry shall be placed and transported in bags or containers labeled or color-coded in accordance with paragraph (g)(1)(i) of the standard. When a facility utilizes Universal Precautions in the handling of all soiled laundry, alternative labeling or color-coding is sufficient if it permits all employees to recognize the containers as requiring compliance with Universal Precautions.
Whenever contaminated laundry is wet and presents a reasonable likelihood of soak-through or leakage from the bag or container, the laundry shall be placed and transported in bags or containers which prevent soak-through and/or leakage of fluids to the exterior.
The employer shall ensure that employees who have contact with contaminated laundry wear protective gloves and other appropriate personal protective equipment.
When a facility ships contaminated laundry off-site to a second facility which does not utilize Universal Precautions in the handling of all laundry, the facility generating the contaminated laundry must place such laundry in bags or containers which are labeled or color-coded in accordance with paragraph (g)(1)(i) of the standard.

16. The employer shall make available the Hep B vaccine & appropriate medication…to all employees who have occupational exposure.
Post-exposure evaluation & follow-up care to all employees who have had an exposure incident:
No cost to the employee
At a reasonable time
Licensed physician or healthcare professional
All lab tests are conducted by an accredited lab at no cost to employee

17. Yes
Must have them complete the Declination Statement and keep that document.
Appendix A (mandatory)
Individuals can change their mind at any time and receive the vaccinations.

18. Involvement from health care provider.
Documentation of the route(s) of exposure.
Identification and documentation of the source individual.
Collection and testing of blood for HBV and HIV.
Post-exposure prophylaxis and care.
Counseling.
Evaluation of reported illnesses.

19. Discussion
Please ask questions regarding your work involving any concerns related to this topic.
Please be sure to sign documentation that you have attended this training.
In general, the standard requires employers to:
Establish an exposure control plan. This is a written plan to eliminate or minimize occupational exposures. The employer must prepare an exposure determination that contains a list of job classifications in which all workers have occupational exposure and a list of job classifications in which some workers have occupational exposure, along with a list of the tasks and procedures performed by those workers that result in their exposure.