1. Boodborne Pathogens and the Fire Service 29 CFR 1910.1030 By Jim McPadden

2. 29 CFR 1910.1030 Exposure Control Plan Exposure Control Plan Definition of an Exposure Definition of an Exposure Methods Of Compliance Methods Of Compliance PPE PPE Sharps Sharps Engineering and Work Practice Controls Engineering and Work Practice Controls

3. 29 CFR 1910.1030 Workplace Controls Workplace Controls Laundry and Waste Containment Laundry and Waste Containment Post Exposure and Evaluation Post Exposure and Evaluation Housekeeping Housekeeping Record keeping Record keeping

4. Exposure Control Plan Employers must have a written plan Employers must have a written plan Designed to eliminate or minimize employee exposures Designed to eliminate or minimize employee exposures The plan must be accessible The plan must be accessible

5. Must consist of the following Exposure determination Exposure determination –List of jobs that potentially have occupational exposure –List of tasks and procedures in which occupational exposures occur –Exposure determination shall be made without regard to the use of PPE

6. What is an Exposure? A specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee’s duties A specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee’s duties

7. Methods of Compliance Universal precautions shall be observed to prevent contact with blood or other potentially infectious materialsUniversal precautions shall be observed to prevent contact with blood or other potentially infectious materials All body fluids shall be considered potentially infectiousAll body fluids shall be considered potentially infectious

8. Personal Protective Equipment Employer Shall provide, at no cost to the employee, PPE such as but not limited to- Employer Shall provide, at no cost to the employee, PPE such as but not limited to- –Gloves, gowns, face shields, eye protection, pocket masks, lab coats…

9. Use of PPE Employer shall ensure Employer shall ensure –PPE is used –PPE is appropriate size –Is readily accessible or issue to employees –PPE is appropriate for the task at hand

10. PPE Contamination All PPE that has been penetrated by potentially infectious material should be removed and/or replaced as soon as possible. All PPE that has been penetrated by potentially infectious material should be removed and/or replaced as soon as possible. PPE should be place in appropriately designated containers PPE should be place in appropriately designated containers PPE should be disposed of or decontaminated PPE should be disposed of or decontaminated

11. Cleaning, Disposal, and Repair of PPE Employer is responsible for all of the above at NO cost to the employee Employer is responsible for all of the above at NO cost to the employee

12. Engineering and Work Practice Controls Employees shall provide Employees shall provide –hand washing facilities which are readily accessible or –appropriate antiseptic hand cleaner in conjunction with towels –ensure that employees wash hands immediately after removal of gloves –ensure that employees wash hands and any other skin with soap and water, or –flush mucous membranes with water as soon a feasible after contact with potentially infected materials

13. Handling of Sharps Contaminated needles and other sharps shall not be bent or recapped Contaminated needles and other sharps shall not be bent or recapped Unless a one-handed technique is used Unless a one-handed technique is used Shearing or breaking needles is prohibited Shearing or breaking needles is prohibited Immediately after use sharps must be put into appropriate containers Immediately after use sharps must be put into appropriate containers

14. Sharps Containers Labeled in accordance with 1910.1030 (g)(1)(i) Labeled in accordance with 1910.1030 (g)(1)(i) Puncture resistant Puncture resistant Color coded Color coded Leak proof on side and bottom Leak proof on side and bottom

15. Sharps Injury Log The employer shall maintain the log The employer shall maintain the log Information recorded shall be confidential Information recorded shall be confidential Log info Log info –Type and brand involved –Where the exposure occurred –How the event occurred

16. Other Workplace Controls Do not eat, drink smoke, apply cosmetics, or handle contact lenses in work areas where there is reasonable likelihood of occupational exposure. Do not eat, drink smoke, apply cosmetics, or handle contact lenses in work areas where there is reasonable likelihood of occupational exposure. All procedures involving potentially infectious materials should be done in such a manner as to minimize slashing, spraying, spattering, and generation of droplets of these substances. All procedures involving potentially infectious materials should be done in such a manner as to minimize slashing, spraying, spattering, and generation of droplets of these substances.

17. Contaminated Laundry Handle as little as possible Handle as little as possible Bag or contain where it is used Bag or contain where it is used Transported in containers that are labeled in accordance with 1910.1030(g)(1)(i) Transported in containers that are labeled in accordance with 1910.1030(g)(1)(i)

18. Waste Containment Placed in containers which are Placed in containers which are –Closable –Contain all contents –Prevent spillage or protrusion –Labeled in accordance with 1910.1030 (g)(1)(i) –Disposed of in accordance with applicable regulations

19. Housekeeping The Employer shall- Ensure surfaces are disinfected after contact with potentially infectious material Ensure surfaces are disinfected after contact with potentially infectious material Ensure that protective coverings are used when appropriate and replaced when contaminated Ensure that protective coverings are used when appropriate and replaced when contaminated

20. Hepatitis B Vaccination Made available by employer within 10 days Made available by employer within 10 days –No cost to employee Not mandatory Not mandatory –Employees declining vaccination need to sign waiver If employee wants vaccination at a later date, the employer shall make it available If employee wants vaccination at a later date, the employer shall make it available

21. Post-exposure Evaluation and Follow-up Following a report of an exposure employers shall make available Following a report of an exposure employers shall make available –an immediate confidential medical evaluation –You must document the route of exposure –Document the circumstances under which it occurred –Document the Identification of the source of the exposure

22. Post-exposure Evaluation and Follow-up (continued) The source individual’s blood shall be tested as soon as feasible The source individual’s blood shall be tested as soon as feasible Results of the test shall be made known to the employee Results of the test shall be made known to the employee Counseling shall be provided for employee Counseling shall be provided for employee

23. Record Keeping All blood test and result shall be kept confidential and secure All blood test and result shall be kept confidential and secure All documentation and medical records shall be kept by the employer for the duration of employment plus thirty years. All documentation and medical records shall be kept by the employer for the duration of employment plus thirty years.

24. Summary Exposure Control Plan Exposure Control Plan Definition of an Exposure Definition of an Exposure Methods Of Compliance Methods Of Compliance PPE PPE Sharps Sharps Engineering and Work Practice Controls Workplace Controls Engineering and Work Practice Controls Workplace Controls Laundry and Waste Containment Laundry and Waste Containment Post Exposure and Evaluation Post Exposure and Evaluation Housekeeping Housekeeping Record keeping Record keeping

25. Questions?