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Bloodborne Pathogen Standards� 29 CFR 1910.1030 (Federal)� Part 554 Bloodborne Infectious Disease (Michigan)

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What are BBP Standards?� To protect workers against possible

contamination from a Bloodborne Infectious Disease

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When to comply?

� If there is a reasonable anticipated risk of exposure to blood or OPIM during routine tasks

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Definitions� Bloodborne pathogens - pathogenic

microorganisms transmitted via human blood and cause disease in humans

HIV - virus that causes AIDS (incubation 1-10+ years)

Hepatitis B (HBV) - acute or chronic infection of liver (incubation 2-3 months)

Hepatitis C (HCV) – also infects liver (incubation 6-9 weeks)

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Other Potentially Infectious Material (OPIM) (State Rule 325.7002(s))

� Semen� Vaginal secretions� Amniotic fluid� Cerebrospinal fluid� Peritoneal fluid� Pleural fluid� Pericardial fluid

� Synovial fluid� Saliva in dental procedures

� Any bodily fluid that is visibly contaminated with blood

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Sharps

� Any item that has a potential to cut or puncture skin. (broken glass, needles, lancets, etc.)

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Universal Precautions

� ALL blood and OPIM treated as infectious

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Standard Operating Procedures (SOPs)

� Each task should have a written procedure to reduce risk of exposure

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Engineering Controls

� Products that reduce exposure by design

� Examples: self sheathing needles, sharp containers, sinks

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“SESIP”

Sharps with Engineered Sharps Injury Protections

Non-needle sharp or a needle with a built-in safety feature or mechanism that effectively reduces the risk of an exposure incident.

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Hypodermic syringes with “Self-Sheathing” safety feature

Self-sheathed protected position

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Hypodermic syringes with “Retractable Technology” safety

feature

Retracted protected position

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Phlebotomy needle with “Self-Blunting” safety feature

Blunted protected position

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“Add-on” safety feature

Attached to syringe needle

Attached to blood tube holder

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Retracting lancets with safety features

Before During After

Before During After

In use After use

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Disposable scalpels with safety features

Retracted position

Protracted positionProtracted position

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Work Practice Controls

� Reduce exposure by work habits

� Examples: wearing gloves, washing hands, using sharp containers, no food, etc. while working

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Personal Protective Equipment (PPE)

� Specialized clothing/equipment worn for protection against hazards

� Choose correct ones for taskGloves, Protective Eyewear, Face Shield, etc.

� DON & DOFF

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Regulated WasteDetermination of Regulated Waste - Michigan Law

Medical Waste Regulatory Act - Part 138Law determines where it is sent and how much it

cost (incineration, public sewage, radioactive, how it is packaged, segregated, labeled, etc.)

Use of red biohazard containers

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Laundry

� Employer’s responsibility to launder the reusable required PPE

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Vaccination� Employer must provide Hep B vaccination

to employee

� Cost - Employer’s Expense

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Waiver� Employee has the right to decline HBV

vaccine

� Must sign a waiver

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� Employee has right to request a HBV vaccine at later date, at employer’s expense

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Post Exposure

� Determination – what was BBP exposure?

� Procedure – report, go to ER, document incident, test patientProphylaxis

� Confidentiality

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Biohazard Labels and Warnings

� Labels

� Colors – blaze orange/red

� Symbols – 3 sided

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Recordkeeping

� 1. A Sharps Injury Log is filled out in addition to OSHA 300 log (confidentiality maintained)

� 2. BBP training is also documented

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Sharps Injury Log

At a minimum, the log must contain, for each incident:

� Type and brand of device involved

� Department or area of incident

� Description of incident

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BBP Training

It is the Law

Also known as Exposure Control Plan

Newly hired and Annual retraining

Also, training on new devices and procedures