Richard J. Green, MSc Safety Training Manager Office of Health and Safety Centers for Disease Control and Prevention

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Richard J. Green, MScSafety Training
ManagerOffice of Health and SafetyCenters for
Disease Control and Prevention
OSHAs Bloodborne Pathogens Standard
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• 29 CFR 1910.1030
  Occupational Exposure to Bloodborne Pathogens
• Effective March, 1992
• Revisions
• November, 1999 Compliance Directive
• April, 2001 Needlestick Prevention Act
• Scope
• ALL occupational exposure to blood and other
  potentially infectious material (OPIM)

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Major Provisions by Paragraph (b) Definitions (c)
Exposure Control Plan (ECP) (d) Engineering and
Work Practice Controls (e) HIV and HBV Research
Labs (f) Vaccination, Post-Exposure
Follow-up (g) Labeling and Training (h) Record
keeping
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• Definitions
• Bloodborne Pathogen
• Pathogenic microorganisms that are present in
  human blood and can cause disease in humans.
  These pathogens include, but are not limited to,
  hepatitis B virus (HBV) and human
  immunodeficiency virus (HIV).

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• Definitions
• Bloodborne Pathogen
• Pathogenic microorganisms that are present in
  human blood and can cause disease in humans.
  These pathogens include, but are not limited to,
  hepatitis B virus (HBV) and human
  immunodeficiency virus (HIV).

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• (b) Definitions
• Occupational Exposure
• Reasonably anticipated skin, eye, mucous
  membrane, or parenteral contact with blood or
  other potentially infectious materials that may
  result from the performance of an employees
  duties.

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• (b) Definitions
• Occupational Exposure
• Reasonably anticipated skin, eye, mucous
  membrane, or parenteral contact with blood or
  other potentially infectious materials that may
  result from the performance of an employees
  duties.

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• Exposure Control Plan (ECP)
• Provides employees with work practices,
  procedures, and policies designed to minimize or
  eliminate employee exposure.
• Includes current safety technologies,
  documentation of safer device implementation, and
  input from non-managerial workers.

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• Exposure Control Plan (ECP)
• Provides employees with work practices,
  procedures, and policies designed to minimize or
  eliminate employee exposure.
• Includes current safety technologies,
  documentation of safer device implementation, and
  input from non-managerial workers.

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• (c) Exposure Control Plan (ECP)
• Exposure Determination
• Identify worker exposures to blood or OPIM
• Review all processes and procedures with exposure
  potential
• Re-evaluate when new processes or procedures are
  used

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• (c) Exposure Control Plan (ECP)
• Exposure Determination
• Identify worker exposures to blood or OPIM
• Review all processes and procedures with exposure
  potential
• Re-evaluate when new processes or procedures are
  used

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• Universal/Standard Precautions
• Treat all human blood and body fluids as if they
  were infected.
• Treat all HIV/HBV/HCV containing cell or tissue
  culture, culture medium, solutions or tissues
  from experimental animals infected with
  HIV/HBV/HCV as infected.
• Utilize Handwashing, Sharps Precautions, Barrier
  Protections

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• Universal/Standard Precautions
• Treat all human blood and body fluids as if they
  were infected.
• Treat all HIV/HBV/HCV containing cell or tissue
  culture, culture medium, solutions or tissues
  from experimental animals infected with
  HIV/HBV/HCV as infected.
• Utilize Handwashing, Sharps Precautions, Barrier
  Protections

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• (d) Engineering and Work Practice Controls
• Employers must select, implement , and document
  appropriate engineering controls (e.g. sharps
  disposal containers, sharps with engineered
  sharps injury protections SESIP, needleless
  systems, directional airflow) that isolate or
  remove the bloodborne pathogens hazard from the
  workplace and reduce or eliminate employee
  exposure.

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• (d) Engineering and Work Practice Controls
• Employers must select, implement , and document
  appropriate engineering controls (e.g. sharps
  disposal containers, sharps with engineered
  sharps injury protections SESIP, needleless
  systems, directional airflow) that isolate or
  remove the bloodborne pathogens hazard from the
  workplace and reduce or eliminate employee
  exposure.

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• (d) Engineering and Work Practice Controls
• Selection of engineering and work practice
  controls is dependent on the employers exposure
  determination.

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• (d) Engineering and Work Practice Controls
• Selection of engineering and work practice
  controls is dependent on the employers exposure
  determination.

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• (d) Engineering and Work Practice Controls
• Personal Protective Equipment
• Specialized clothing or equipment.
• Selection based on quantity and type of exposure
  expected.
• Ex aerosol production face protection

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• (d) Engineering and Work Practice Controls
• Work Practices
• Hand washing
• Personal hygiene
• Personal attire
• Not wearing personal protective equipment (PPE)
  out of the work area
• Changing PPE when contaminated
• Decontaminating/cleaning regularly after spills

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• (d) Engineering and Work Practice Controls
• Housekeeping
• Written schedule for cleaning and decontaminating
• Documented eye wash checks
• Material decontamination before exit from lab
• Removal of PPE from lab is prohibited
• Home laundering of PPE is prohibited
• Segregated waste

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• (d) Engineering and Work Practice Controls
• Housekeeping
• Written schedule for cleaning and decontaminating
• Documented eye wash checks
• Material decontamination before exit from lab
• Removal of PPE from lab is prohibited
• Home laundering of PPE is prohibited
• Segregated waste

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• (e) HIV/HBV Research Labs and Production
• Facilities
• BSL 3 practices and procedures
• Separated work areas
• Sealed surfaces
• Waste incineration/autoclaving
• BSC usage
• Directional airflow

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• (f) Vaccination, Post-Exposure Follow-up
• Hepatitis B vaccine made available to all workers
  with potential risk of exposure
• Offered within 10 days of employment
• No cost to worker
• Declination signed if employee declines
  vaccine may accept at a later date

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• (f) Vaccination, Post-Exposure Follow-up
• Hepatitis B vaccine made available to all workers
  with potential risk of exposure
• Offered within 10 days of employment
• No cost to worker
• Declination signed if employee declines
  vaccine may accept at a later date

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• (f) Vaccination, Post-Exposure Follow-up
• Report the incident immediately
• Inform supervisor
• Go to clinic/medical services provider
• Confidential medical evaluation
• Route of exposure
• Circumstances of the incident
• Source known
• Important to start drug therapy within 2 hours
• Testing of victim/source only with consent
  (baseline blood stored for 90 days)

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• (f) Vaccination, Post-Exposure Follow-up
• Report the incident immediately
• Inform supervisor
• Go to clinic/medical services provider
• Confidential medical evaluation
• Route of exposure
• Circumstances of the incident
• Source known
• Important to start drug therapy within 2 hours
• Testing of victim/source only with consent
  (baseline blood stored for 90 days)

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• Labeling and Training
• Labels must include universal biohazard symbol
  and the term Biohazard
• Wherever BBP or OPIM are
• Fluorescent orange-red
• Secured with string, tape, wire, adhesive
• Exceptions Blood products for clinical use,
  blood samples in containers, blood drawing tubes

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• Labeling and Training
• Labels must include universal biohazard symbol
  and the term Biohazard
• Wherever BBP or OPIM are
• Fluorescent orange-red
• Secured with string, tape, wire, adhesive
• Exceptions Blood products for clinical use,
  blood samples in containers, blood drawing tubes

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• Labeling and Training
• Signs posted at all work area entrances
• Biohazard symbol
• Infectious agent
• Entry requirements
• Name telephone of responsible person

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• Record Keeping
• Occupational exposure/sharps injury record
• Confidential
• Kept for duration of employment, 30 years
• Includes
• Name social security number
• Vaccination status
• Examination results

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• Record Keeping
• Occupational exposure/sharps injury record
• Confidential
• Kept for duration of employment, 30 years
• Includes
• Name social security number
• Vaccination status
• Examination results

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• Record Keeping
• Sharps Injury Log (each incident)
• Type and brand of device involved
• Department or area of incident
• Description of incident

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• Record Keeping
• Sharps Injury Log (each incident)
• Type and brand of device involved
• Department or area of incident
• Description of incident

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• Record Keeping
• Training records
• Kept for 3 years
• Dates
• Contents
• Names qualifications of instructors
• Names job titles of students
• Annual documentation

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• Record Keeping
• Training records
• Kept for 3 years
• Dates
• Contents
• Names qualifications of instructors
• Names job titles of students
• Annual documentation

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Summary

• Inspection Items
• Exposure Control Plan
• Jobs
• Tasks
• Compliance Methods
• Engineering Controls
• Workplace Practices
• PPE
• HBV Vaccination/Post-Exposure Follow-up
• Records Management
• Medical
• Sharps Injury Log
• Training

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