1. General Safety Bloodborne Pathogens Revised June 2011

2. Bloodborne Pathogens Exposure Control Plan The Cumberland County School System’s Exposure Control Plan is designed to help CCS eliminate or minimize exposure to bloodborne pathogens or other infectious materials. The plan outlines steps to prevent occupational exposure and specific procedures to follow if an inadvertent exposure occurs. The plan is designed to protect employees designated as “At Occupational Risk” from the health hazards associated with bloodborne pathogens and to provide appropriate treatment and counseling should an employee be exposed to bloodborne pathogens. The CCS Bloodborne Pathogens Exposure Control Plan follows all N.C. and Federal Labor Laws. The Exposure Control Plan can be located in the Teachers lounge, Office and the Media Center.

3. Responsible Persons Responsible Persons  Will be responsible for overall management and support of CCS Bloodborne Pathogens Compliance Program. CCS Bloodborne Pathogens Compliance Program. Principal, Department Heads / Supervisors  They are responsible for exposure control in their respective school and or department. They work directly with the school and or department. They work directly with the Exposure Control Officer and employees to ensure that Exposure Control Officer and employees to ensure that proper exposure control procedures are followed. proper exposure control procedures are followed. Site-Based Safety Liaison  Provides information and training to site-based employees employees Exposure Control Officer : Safety / Security Office

4. Employee Responsibility Employee Responsibility  Know what task they perform that have the potential of occupational exposure.  Attend the bloodborne pathogens training sessions.  Plan and conduct all operations in accordance with the work practice controls.  Develop good personal hygiene habits.  Accept or decline the HBV vaccination series. Employees designated as “At Occupational Risk” have the most important role in the bloodborne pathogens compliance program. important role in the bloodborne pathogens compliance program. Employees should: Employees should: Thevaccinations series cost the CCS $ 150.00 per person The vaccinations series cost the CCS $ 150.00 per person **No matter if you do or do not complete the series**

5. Exposure Determination Exposure Determination Category A: Tasks that involve potential for mucous membrane or skin contact with blood, body fluids, or tissues, or potential spills or splashes of them; all employees in this category have risk of occupational exposure. Category A: Tasks that involve potential for mucous membrane or skin contact with blood, body fluids, or tissues, or potential spills or splashes of them; all employees in this category have risk of occupational exposure.  Athletic Trainers  Student Trainers (not to exceed 12 per school)  EC Bus Drivers & Driver’s Assistants  School Nurses  Health Occupations Teachers  Custodians  Two (2) individuals per school as First Aid Responders  Adaptive P.E. teachers  Plumbers

6. Exposure Determination Category A Cont. Exposure Determination Category A Cont. Pre K Teacher & Teacher Assistants Pre K Teacher & Teacher Assistants Kindergarten Teacher and Assistants Kindergarten Teacher and Assistants Self-Contained EC teachers & teacher assistants who serve: Self-Contained EC teachers & teacher assistants who serve: 1) Traumatic brain injury 2) Autistic 3) TMD 4) EMD 5) BED 6) Multi-handicapped 7) Preschool handicapped 8) Severe and profound 9) Orthopedically impaired students 10) Specific Learning Disabled (SLD) 10) Specific Learning Disabled (SLD)

7. Exposure Determination Category B Exposure Determination Category B Category B: Tasks that involve no exposure to blood, body fluids, or tissues, but employment may require performing unplanned Category A tasks; some employees in this category have a risk of occupational exposure. Category B: Tasks that involve no exposure to blood, body fluids, or tissues, but employment may require performing unplanned Category A tasks; some employees in this category have a risk of occupational exposure. * Social Workers * School Psychologists * P.E. Teachers * Guidance Counselors * Speech Pathologist * Homebound Teachers * Safe School Coordinators * All other Teachers & Teacher Asst. * Coaches (Football, Basketball, Soccer, Wrestling) All employees must fill out the Vaccination Request – Declination Form and sign the appropriate section:  I decline the Hepatitis B vaccination, and I acknowledge that I will continue to be at risk of exposure to Hepatitis B, which is a serious disease. Or  At this time, I request the Hepatitis B vaccination series, and I acknowledge that I will complete the series of three (3) vaccinations provided to me by the CCS Blood Borne Pathogens Standard. Employees who refuse the Hepatitis B Vaccination have the option to request the vaccination series later, at no expense to themselves, if they continue to have occupational exposure to blood or other potential infectious materials Employees who refuse the Hepatitis B Vaccination have the option to request the vaccination series later, at no expense to themselves, if they continue to have occupational exposure to blood or other potential infectious materials

8. Exposure Determination Category C Exposure Determination Category C Category C: Tasks that involve no exposure to blood, body fluids, or tissues, and Category A tasks are not a condition of employment; employees have no risk of occupational exposure. Category C: Tasks that involve no exposure to blood, body fluids, or tissues, and Category A tasks are not a condition of employment; employees have no risk of occupational exposure. 1) Cafeteria Workers 2) Office Personnel 3) Specific Maintenance Employees 4) Bus Driver Employees in this category who would like to Employees in this category who would like to receive the vaccination will need to fill out an receive the vaccination will need to fill out an “Appeals Form” (supervisors signature required). “Appeals Form” (supervisors signature required).

9. Universal Precautions CCS adheres to the practice of Universal Precautions. (Treat everything as though it is infected) (Treat everything as though it is infected) All human blood and body fluids such as: Semen, and Vaginal secretions are treated as if they are known to be infectious for HBV, HIV, and other Bloodborne Pathogens. In circumstances where it is difficult or impossible to differentiate between body fluid types, we should assume all body fluids to be potentially infectious. The school site and department head/supervisors are responsible for ensuring that universal precautions are followed.  Do Not share pierced earrings, tooth brushes or razors. HBV can survive in dried blood for up to 7 days. HBV can survive in dried blood for up to 7 days.

10. Hepatitis B Vaccination Hepatitis B Vaccination In order to protect employees as much as possible from the possibility of Hepatitis B infection, CCS has implemented a vaccination program. The Program is available, at no cost to the Employee.  The vaccination is 90% effective in preventing Hepatitis B.

11. Vaccination Program Vaccination Program The first dose of vaccine is made available to employees upon completion of the New Employee Safety & OSHA Orientation. The first dose of vaccine is made available to employees upon completion of the New Employee Safety & OSHA Orientation. The second dose is given one month from the first shot. The second dose is given one month from the first shot. The third dose is given five months from the second shot. The third dose is given five months from the second shot. Vaccinations are performed under the supervision of a licensed physician or other healthcare professional. Vaccinations are performed under the supervision of a licensed physician or other healthcare professional. Employees taking part in the vaccination program are in category A and B, and those in Category C may complete an “Appeals Form” in order to participate in the program. Employees taking part in the vaccination program are in category A and B, and those in Category C may complete an “Appeals Form” in order to participate in the program. All Employees, whether they decide to take part or decline the program, must sign the “Vaccination Request - Declination Form” All Employees, whether they decide to take part or decline the program, must sign the “Vaccination Request - Declination Form”

12. Post-Exposure Evaluation Post-Exposure Evaluation Perform personal decontamination measures and first aid procedures as soon as practical and as needed. Perform personal decontamination measures and first aid procedures as soon as practical and as needed. Contact the Safety/Security Office immediately in the event of any questionable bloodborne exposure. Contact the Safety/Security Office immediately in the event of any questionable bloodborne exposure. If there are injuries requiring medical attention, the employee shall go to a designated urgent care clinics or hospital emergency room for assessment and further treatment of the injury / wound. If there are injuries requiring medical attention, the employee shall go to a designated urgent care clinics or hospital emergency room for assessment and further treatment of the injury / wound. A Worker’s Compensation Claim shall be filed. A Worker’s Compensation Claim shall be filed. Once the injury/wound has been treated, it is the responsibility of the employee to contact the Exposure Control Officer. At this time the post-exposure evaluation process will begin. Once the injury/wound has been treated, it is the responsibility of the employee to contact the Exposure Control Officer. At this time the post-exposure evaluation process will begin. If an employee is involved in an incident where exposure to bloodborne pathogens may have occurred, the following steps will be taken:

13. Post-Exposure Evaluation Cont. Post-Exposure Evaluation Cont. The Exposure Control Officer will investigate the incident and document the circumstances. The Exposure Control Officer will investigate the incident and document the circumstances. The source’s individual blood shall be tested as soon as possible after consent is obtained in order to determine HBV and HIV infectivity. If consent is not obtained, the employer shall document the refusal for record and contact the School Board Attorney for advise on further legal avenues. The source’s individual blood shall be tested as soon as possible after consent is obtained in order to determine HBV and HIV infectivity. If consent is not obtained, the employer shall document the refusal for record and contact the School Board Attorney for advise on further legal avenues. If the exposed victim does not request the source’s blood be tested, and consent has been obtained by the source, the blood will be tested anyway for documentation purposes. If the exposed victim does not request the source’s blood be tested, and consent has been obtained by the source, the blood will be tested anyway for documentation purposes.

14. Medical Record Keeping Medical Record Keeping To assure that CCS has as much medical information available to the healthcare provider, CCS will maintain comprehensive medical records on employees in the Bloodborne Pathogens Program. To assure that CCS has as much medical information available to the healthcare provider, CCS will maintain comprehensive medical records on employees in the Bloodborne Pathogens Program.

15. Personal Protective Equipment Personal Protective Equipment CCS will provide at no cost to the employees, appropriate personal protective equipment needed to protect them against exposure. CCS will provide at no cost to the employees, appropriate personal protective equipment needed to protect them against exposure. The Safety/Security Office in cooperation with Custodial Services is responsible for insuring that all schools and work areas have appropriate PPE available to employees. The Safety/Security Office in cooperation with Custodial Services is responsible for insuring that all schools and work areas have appropriate PPE available to employees.

16. Accessibility of Personal Protective Equipment Personal Protective Equipment is readily accessible at the work site. Personal Protective Equipment is readily accessible at the work site. Personal Protective Equipment can be found in the following locations: Personal Protective Equipment can be found in the following locations: 1.Principal’s Office 2.Individual Classrooms 3.Custodian’s Work Station 4.Coaches’ First Aid Kits 5.School Bus 6.Cafeteria

17. Clean-up Kits Clean-up Kits Kits shall be located in all classrooms. Kits shall be located in all classrooms. Kits should contain: Kits should contain: 1. Gloves (vinyl or latex) 2. Absorbent Powder 3. Red Bag (blood contaminated items) 4. Black Bag (all other refuge) 5. Scoop 6. Germicidal Wipe 7. Handy-Wipe

18. Clean-up Kits Initial clean up of body fluids (vomit, urine, blood, etc.) should be conducted by the classroom teacher using the contents of the BBP kit provided (Absorbent Powder, germicidal wipes, gloves, scoop, red / black bag, etc.). Follow up decontamination procedures should always be conducted by the Custodian. Initial clean up of body fluids (vomit, urine, blood, etc.) should be conducted by the classroom teacher using the contents of the BBP kit provided (Absorbent Powder, germicidal wipes, gloves, scoop, red / black bag, etc.). Follow up decontamination procedures should always be conducted by the Custodian. If the involved student is removed from the classroom, ensure the initial clean up process has been completed to prevent possible BBP exposure to other students. If the involved student is removed from the classroom, ensure the initial clean up process has been completed to prevent possible BBP exposure to other students. If you cannot locate a clean-up kit in your workplace, contact your supervisor or custodian If you cannot locate a clean-up kit in your workplace, contact your supervisor or custodian

19. Needles and Sharps Containers Sharps containers are available at all schools. Do not recap used needles. All used needles should be placed in the provided sharps container. When sharps containers are full contact the Safety/Security Office for pick up. View Video: Bloodborne Pathogens