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OSHA

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OSHA & Work Practice Controls Never Eat Drink Smoke Apply cosmetics or lip balm Handle contact lenses in areas where ... Only in presence of active hepatitis B Not. – PowerPoint PPT presentation

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Title: OSHA


1
OSHA
  • Bloodborne Pathogen Training

2
OSHAs Mission
  • With the Occupational Safety and Health Act of
    1970, Congress created the Occupational Safety
    and Health Administration (OSHA) to assure safe
    and healthful working conditions for working men
    and women by setting and enforcing standards and
    by providing training, outreach, education and
    assistance.

3
OSHA Standards
  • In 1991, OSHA issued the original Bloodborne
    Pathogens Standard (29 CFR 1910.1030) in efforts
    to protect workers from the risk of exposure.
  • http//www.osha.gov/SLTC/bloodbornepathogens/stand
    ards.html

4
General Duty Clause
  • OSH Act, Section 5(a)(1) refers to the General
    Duty Clause which requires the employer to
    provide their employees a place of employment
    that is free from recognized hazards that are
    likely to cause death or serious physical harm to
    the employees.

5
General Duty Continued
  • Section 5(a)(2) requires the employers to
    complywith occupational safety and health
    standards declared under the OSH Act.

6
29 CFR 1910.1030 (d)(2)(i)
  • This paragraph of the Bloodborne Pathogen
    Standard requires the use of engineering and work
    practice controls to eliminate or minimize
    employee exposure to bloodborne pathogens.

7
29 CFR 1910.1030 (h)(5)(i)
  • States that the employer must evaluate and use
    changes in technology that eliminate or reduce
    exposure to bloodborne pathogens.

8
Who is at Risk?
  • Could you reasonably come into contact with
    blood?
  • Accidents happen - Everyone is potentially at
    risk.
  • It is recommended that all employees at risk
    should obtain Hepatitis B vaccine. The vaccine
    is available free of charge to employees at risk
    of exposure to blood.

9
Potential Occupational Exposure Risks In A Public
Setting
  • Giving First Aid
  • Working with high risk individuals
  • Handling sharp objects
  • Cleaning up blood or body fluids

10
Bloodborne Pathogens are NOT transmitted by
  • Touching an infected person
  • Coughing or Sneezing
  • Using the same equipment, materials, toilets,
    water fountains or showers as an infected person
  • It is important that you know which ways are
    viable means of transmission for bbps in your
    workplace, and which are not.

11
What are Bloodborne Pathogens?
  • Microorganisms in human blood
  • This includes, but is not limited to
  • Hepatitis B virus (HBV)
  • HIV/AIDS
  • Hepatitis C, D, and E
  • Syphilis
  • Malaria

Hep. B Virus
HIV
12
The ABCs of Hepatitis
Type Transmission Vaccine
Complications
13
Hepatitis B is 100 times more contagious than HIV
Hep B 500,000,000 particles per tsp. of blood
HIV 5 - 10 particles per tsp. of blood
14
Hepatitis B Vaccination
  • The OSHA bloodborne pathogen standard requires
    employers to offer the 3 injection vaccination
    series free to all employees who are exposed to
    blood or other potentially infectious materials
    as part of their job duties.

15
Documenting Hep B Vaccinations
  • The vaccination must be offered within 10 days of
    the employees initial employment.
  • All employees who are offered the vaccination
    series must document their vaccination decision
    on the Employee Screening Record, page 3 of the
    Occupational Health Record, ODH Form No. 807
  • This form is often referred to as the Hep B
    Declination Statement

16
Potentially Infectious Body Fluids Include
  • Blood
  • Blood Products
  • Blood Components
  • Saliva
  • Breast Milk
  • Any Body Fluid that Visibly Contains blood
  • Any Body Fluid you CANNOT Identify

17
How Can Infectious Body Fluids Be Transmitted?
INFECTIOUS BODY FLUIDS
  • Open Sores
  • Cuts
  • Abrasions
  • Acne
  • Eyes
  • Nose
  • Mouth
  • Accidental puncture from needles, broken glass,
    etc.
  • Sharps
  • Sexual Contact

18
What are Standard Precautions
STANDARD PRECAUTIONS
  • Standard Precautions Treat ALL blood and body
    fluids as if they were infectious.
  • Always place a barrier between yourself and the
    body fluids of others.

19
Personal Protective Equipment (PPE)
  • A barrier protects!!

But dont over do it!!!
20
PPE Rules to Follow
  • Always wear PPE in exposure situations
  • Remove and replace torn or punctured PPE
  • Remove PPE before leaving the work area

21
PPE General Guidelines
  • Persons must be trained to use the equipment
    properly.
  • The equipment must be appropriate for the task
    and should fit properly.
  • Appropriate PPE must be used each time a task
    involving infectious materials is performed.

22
PPE Guidelines
  • The employer must make PPE readily accessible in
    the work area.
  • The employer must maintain, replace or dispose of
    PPE at no cost to the employee.
  • Persons should dispose of PPE appropriately.

23
Gloves
  • Protective gloves should be available in every
    workplace.
  • Gloves should be made of latex, nitrile, rubber,
    or other water impervious materials.

24
  • Always Check Your Gloves for Damage Before Using
    Them.
  • Dont use Damaged Equipment.
  • If you have a latex allergy, notify your
    supervisor.

25
Goggles
  • Could it splash or vaporize??
  • You must protect your eyes.

26
Face Mask
  • Will Protect the Mouth and Nose.

27
Face Shields
  • Help protect the nose and mouth.

28
Aprons
  • May be worn to protect your clothing and to keep
    blood or other contaminated fluids from soaking
    through to your skin.

29
Mouth Piece
  • Use a barrier mouth piece for CPR.

30
PUT YOURSELF FIRST!!
  • In an emergency, before you can help others, you
    must protect yourself.
  • Dont forget to use Standard Precautions.
  • Dont forget your PPE.

31
OSHA Work Practice Controls
  • Never
  • Eat
  • Drink
  • Smoke
  • Apply cosmetics or lip balm
  • Handle contact lenses
  • in areas where there is a chance of exposure.

32
Keep away from food!!
  • Never store potentially infectious materials in a
    refrigerator or cabinet, or on shelves and
    counter tops where food or drinks are kept.

33
Broken Glass and Sharps
WORK PRACTICE CONTROLS
  • Never pick up broken glass or metal sharps with
    your hands - even if you are wearing gloves. Use
    pliers, tongs, or a broom and dustpan to dispose
    of the sharp item.

34
Clean Up
WORK PRACTICE CONTROLS
  • Use absorbent materials on any blood or body
    fluids. This will prevent them from being
    splashed and splattered.

35
Housekeeping and Decontamination
  • Clean all equipment and work areas as soon as
    possible with agency approved product.
  • (see Infection Control Manual for description)

36
Disinfectants
  • 1 part bleach to 10 parts water
  • ¼ cup to 1 gallon water
  • Always rinse with clear water afterwards to limit
    corrosion

37
Disposal of Bio-hazardous Material
  • All contaminated gowns, gloves and materials used
    in cleaning and disinfecting are to be placed in
    a biohazard bag or box.

38
Signs Labels
  • Signs and labels communicate hazards to
    employees.
  • Warning labels must be affixed to containers of
    regulated waste, refrigerators , freezers, or any
    container that is used to store, transport, or
    ship blood or other potentially infectious
    materials.

39
Color Coding
  • The labels must display the universal biohazard
    symbol.
  • The term biohazard must appear in a color that
    contrasts with the fluorescent orange or
    orange-red background.

40
Exposure Incidents
  • Even with a comprehensive infection control plan
    in place, human error or unexpected circumstances
    can result in an occupational exposure to
    potentially infectious body fluids.
  • Exposures are classified as occupational when
    they are received by the employee while
    performing the duties of their job

41
Examples of Incidents
  • A percutaneous injury involving a potentially
    contaminated sharp instrument.
  • A splash of blood or other potentially infectious
    material to the eyes, mouth, or mucous membranes.
  • Blood or other potentially infectious materials
    contacting broken skin.

42
Recordkeeping
  • The Bloodborne Pathogen Standard requires that
    employers maintain medical records on all
    employees who have received an occupational
    exposure.
  • The record must include the name, SSN, hep B
    vaccination status (dates included), medical
    testing, follow up, the healthcare providers
    written opinion, and a copy of the information
    provided to the healthcare professional.

43
Records
  • BBP training records must include the
    following and be maintained for 3 years.
  • Dates of training.
  • A summary or the contents of the training.
  • Names qualifications of all persons attending
    the training.
  • Names job titles of all persons attending the
    training.

44
Protect Yourself
  • Take advantage of Hepatitis B vaccination
    programs.
  • ALWAYS utilize Standard Precautions.
  • Immediately report exposures to your
    administrator or supervisor.
  • Complete an incident report following exposures.
  • Refer to the Infection Control Manual for
    exposure management.

45
Thank You !!
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