1. Bloodborne Pathogen Standard

2. Introduction California Code of Regulations, Title 8, Sec 5193 California Code of Regulations, Title 8, Sec 5193 Applies to all employees who could “reasonably anticipate” as a result of performing their job tasks contact with blood and other potentially infectious material (OPIM) i.e., body fluids, unfixed tissues or organs Applies to all employees who could “reasonably anticipate” as a result of performing their job tasks contact with blood and other potentially infectious material (OPIM) i.e., body fluids, unfixed tissues or organs Limit occupational exposure to blood and OPIM which could result in transmission of bloodborne pathogens i.e., Hepatitis B virus (HBV), HIV Limit occupational exposure to blood and OPIM which could result in transmission of bloodborne pathogens i.e., Hepatitis B virus (HBV), HIV Requires a written Exposure Control Plan Requires a written Exposure Control Plan

3. Elements of an Exposure Control Plan Exposure Determination Exposure Determination Method of Compliance Method of Compliance HIV, HBV and HCV Research Laboratories HIV, HBV and HCV Research Laboratories Hepatitis B Vaccination and Post-Exposure Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-Up Hazard Communication Hazard Communication Record Keeping Record Keeping Evaluation of Exposure Incidents Evaluation of Exposure Incidents Sharps Injury Log Sharps Injury Log

4. Exposure Determination Exposure evaluation based upon the job description. Exposure evaluation based upon the job description. Exposure evaluation based upon reasonably anticipated contact (skin, eye, mucous membrane, parenteral contact, etc.) with blood or other potentially infectious materials resulting from performing the assigned tasks. Exposure evaluation based upon reasonably anticipated contact (skin, eye, mucous membrane, parenteral contact, etc.) with blood or other potentially infectious materials resulting from performing the assigned tasks.

5. Method of Compliance Universal Precaution – treating all human blood and certain human body fluids as if infectious for bloodborne pathogens Universal Precaution – treating all human blood and certain human body fluids as if infectious for bloodborne pathogens Engineering and Work Practice Controls Engineering and Work Practice Controls  Needleless system or needles/sharps with engineered sharps injury protection  Needles and other sharps shall not be recapped, bent or broken  Needles and other sharps shall be disposed in rigid, puncture- proof, leak resistant and properly labeled sharps container  Sharps container shall be closed immediately prior to removal or replacement to prevent spillage or protrusion of contents during handling or transport  Specimens of blood or OPIM shall be placed in a closable, leakproof, properly labeled red bag prior to handling, collection or transport Personal Protective Clothing and Equipment Personal Protective Clothing and Equipment

6. Hepatitis B Vaccination and Post-Exposure Follow-Ups Hepatitis B vaccination shall be provided at no cost to employee who has a potential for becoming exposed to blood or OPIM. Hepatitis B vaccination shall be provided at no cost to employee who has a potential for becoming exposed to blood or OPIM. Post-exposure follow-ups shall be provided if an occupational exposure occurs. Post-exposure follow-ups shall be provided if an occupational exposure occurs.

7. Hazard Communication 1. Signs and Labels Signs shall be posted at the entrance to the work areas which shall bear: Signs shall be posted at the entrance to the work areas which shall bear:  Name of infectious agent  International symbol for biohazard in fluorescent orange-red  Special requirements for entering the area  Name and telephone number of lab director or other responsible person  Warning labels shall be affixed to containers of infectious wastes, refrigerators and freezers containing blood or OPIM, or other containers used to store or transport blood or OPIM. Labels shall have the international symbol for biohazard in fluorescent orange-red Labels shall have the international symbol for biohazard in fluorescent orange-red 2. Training