1. OSHA Universal Precautions Refresher Training Environmental Health and Safety Biosafety Tufts University School of Medicine Posner Hall 200 Harrison Avenue

2. Universal Precautions Approach to Infection ControlApproach to Infection Control All human blood and certain human body fluids are treated as infectious for HIV, HBV and other bloodborne pathogensAll human blood and certain human body fluids are treated as infectious for HIV, HBV and other bloodborne pathogens

3. Bloodborne Pathogens Carried, replicated, and/or transmitted in blood or blood productsCarried, replicated, and/or transmitted in blood or blood products Capable of causing disease.Capable of causing disease. All human blood and other potentially infectious material (OPIM) should be considered infectious infectious.All human blood and other potentially infectious material (OPIM) should be considered infectious infectious.

4. Primary Categories of Protection Engineering ControlsEngineering Controls Work Place PracticesWork Place Practices Personal Protective EquipmentPersonal Protective Equipment

5. Compliance Goal is to prevent contact with blood or other potentially infectious material.Goal is to prevent contact with blood or other potentially infectious material. All bodily fluids should be considered infectious.All bodily fluids should be considered infectious.

6. Engineering Controls Isolate or Remove the Hazard:Isolate or Remove the Hazard: –Sharps disposal containers –Self-sheathing needles –Sharps with sharp injury protection –Needleless systems –Hand washing sinks readily available Alternative:Alternative: –Appropriate antiseptic hand cleaner/towlettes –Nearby sink for hand washing

7. Work Practice Controls Wash hands immediately or as soon as feasible after removing gloves or other Personal Protective Equipment (PPE).Wash hands immediately or as soon as feasible after removing gloves or other Personal Protective Equipment (PPE).

8. Work Practice Controls Sharps should not be bent, recapped, sheared or broken.Sharps should not be bent, recapped, sheared or broken. –Unless employer demonstrates no feasible alternative –Must be accomplished through the use of a mechanical device or one handed technique

9. Needle Safety Prohibited: bending, shearing, breakingProhibited: bending, shearing, breaking –separation of needles and syringes Alternative Work Practice Controls Alternative Work Practice Controls –one handed technique –needle recapping devices

10. Work Practice Controls Sharps DisposalSharps Disposal –Immediately after use –Disposed of in appropriate sharps containers: Puncture resistantPuncture resistant Leak proofLeak proof Labeled with the Universal Biohazard SymbolLabeled with the Universal Biohazard Symbol

11. Communication

12. Sharps Containers Needles and syringes:Needles and syringes: –Do not recap –Place in sharps container after use Contaminated glassContaminated glass Contaminated plastic pipets or pipet tipsContaminated plastic pipets or pipet tips Razor blades, scalpelsRazor blades, scalpels Broken glassBroken glass Put in Enviroclean box when 2/3 fullPut in Enviroclean box when 2/3 full

13. Examples

14. Examples

15. Work Practice Controls No eating, drinking, applying cosmetics, handling contactsNo eating, drinking, applying cosmetics, handling contacts No storage of food/drink for human consumption in same areas as storage for human specimensNo storage of food/drink for human consumption in same areas as storage for human specimens

16. Work Practice Controls Minimize procedures that create aerosols, splashing, spraying, dropletsMinimize procedures that create aerosols, splashing, spraying, droplets Specimens for transport must be in sealed, secondary containment, labeled with the Universal Biohazard Symbol or other facility recognized Biohazard Transport containerSpecimens for transport must be in sealed, secondary containment, labeled with the Universal Biohazard Symbol or other facility recognized Biohazard Transport container

17. Personal Protection Equipment PPE Cover all areas of your body to prevent contact with potentially contaminated blood or body fluids.Cover all areas of your body to prevent contact with potentially contaminated blood or body fluids. Use of Personal Protective Equipment (PPE)Use of Personal Protective Equipment (PPE) –Lab Coat / Disposable Gown –Safety Glasses –Face Shield –Gloves –Disposable Booties –Surgical Mask versus N-95 Respirator All contaminated PPE must be removed prior to leaving work area!!

18. Universal Precautions Review Certification This is a required component of your application to the TUSM Visiting Student Program. I certify that I have reviewed the TUSM OSHA Universal Precautions Guidelines. Printed Name:_____________________________________ Signature:_______________________________________Date:____________ Print ONLY this page of this document and mail along with your application and other supporting materials to: TUSM Visiting Student Program Registrar’s Office 145 Harrison Ave. Boston, MA 02111