Bloodborne Pathogen Standard (BBP)

29 CFR 1910.1030

Regulations

OSHA Standard on Blood Borne Pathogens (29 CFR 1910.1030)

• Covers all employees who could be "reasonably anticipated" as the result of performing their job duties to face contact with blood and other potentially infectious materials

• Written Exposure Control Plan – EHS website– www.du.edu/ehs

Blood Borne Pathogens

• Blood Borne Pathogens (BBP) are infectious materials in the blood that can cause disease in humans, including but not limited to hepatitis B and C and human immunodeficiency virus (HIV)

Your Role & Responsibilities

• Minimize the risk of BBP exposure to your co-workers and yourself

• Take proper precautions at all times• When an incident occurs, respond quickly and

correctly

Transmission of Disease

• Blood Borne Pathogen Exposures: – puncture from a contaminated sharp object – blood or other potentially infectious material (OPIM)

splash to broken skin or mucous membrane of your eyes, nose or mouth

• OPIM Includes: – tissue, semen, vaginal secretions, cerebrospinal,

synovial, pleural, peritoneal, pericardial and amniotic fluids, and any other body fluid visibly contaminated with blood .

Hepatitis B Virus (HBV)• Hepatitis B (HBV)

– Attacks the liver causing inflammation– Can lead to cirrhosis, liver cancer, or death– There is a vaccine– Most people recover

• Symptoms include:– Fatigue, abdominal pain, loss of appetite, jaundice, nausea

and vomiting

• HBV can be transmitted indirectly if you touch a contaminated surface and then touch your nose, mouth, eyes, or broken skin– HBV can survive dried and at room temperature on surfaces

up to a week

HBV VaccinationsHBV Vaccinations• The Hepatitis B vaccination is offered at no cost

to all employees who might receive occupational exposure

• Routine HBV vaccinations began in children in 1991

• It is a series of three injections over 4-6 months • Departments are responsible for the cost of the

vaccine• Vaccines are usually effective for at least 23

years• Employees anticipated to have a reasonable

chance of exposure who do not want the vaccine should sign a declination form

Hepatitis C Virus (HCV)

• Hepatitis C (HCV)– Inflammation of the liver– Can lead to chronic liver disease and

death– People can carry the virus for years

and show no symptoms– CDC estimates 3.2 million people in

the U.S. are living with chronic hepatitis C

Hepatitis C (HCV) Hepatitis C (HCV) • The most common

blood borne infection in the US

• Primary cause of liver transplants

• Spread through large or repeated exposures to infected blood

HCV is not spread by kissing, hugging, sneezing, coughing, food or water, sharing eating utensils or drinking glasses, or casual contact.

Human Immunodeficiency Virus (HIV)

• Human immunodeficiency virus (HIV)

– HIV attacks the immune system

– People can carry the virus for years and show no symptoms

• HIV can develop into Acquired Immune Deficiency Syndrome (AIDS)

Human Immunodeficiency Virus Human Immunodeficiency Virus (HIV)(HIV)

• HIV does not live well outside the body and does not survive in dried blood

• The virus destroys blood cells that fight off illness

• The symptoms of AIDS are primarily the result of infections that do not normally develop in individuals with healthy immune systems

Protecting Yourself

• Infection control– Hand washing– Use of personal protective equipment– Universal precautions

Universal Precautions

• A method of infection control in which all blood or bodily fluids anyone comes in to contact with is assumed to be infectious

• These precautions should be used in every workplace because:– You cannot tell if someone is a carrier of a BBP

– You cannot assume someone will alert you to the fact they are a carrier of a BBP

– You may be a carrier of a BBP without knowing it

Universal Precautions

1. Wash hands and work surfaces frequently2. Avoid contact with sharp objects3. Use gloves and other personal protective

equipment when you anticipate exposure to blood or other bodily fluids

4. Dispose of hazardous material safely using engineering controls like a sharps box for needle disposal

Hand Washing

• Wet hands thoroughly under warm water• Use non-abrasive soap on wet hands• Vigorously rub hands together for 20 seconds

– think happy birthday• Scrub all surfaces top and bottom• Thoroughly rinse hands• Dry hands with disposable towel• Use towel to turn off water and dispose of

towel

Alcohol Based Sanitizers

• Don’t require water• Excellent alternative to hand washing • Apply about one-half teaspoon of the product

to the palm of your hand • Rub hands together covering all surfaces until

they’re dry• Wash hands with soap and water when able

Personal Protective Equipment

• Gloves– Use single use gloves when administering

first aid– Cover any cuts with bandages before

putting on gloves– Make sure gloves fit snuggly not loosely– Check for rips or tears

• Goggles should be used whenever there is a chance of splashing

Sharp objects• Never place sharp objects in trash containers

– Sharps containers for razorblades and needles– Cardboard boxes for pipette tips and broken glass

• Never smash down overflowing trash containers with your hands or feet

• Always carry a trash bag away from your body

• Never pick up broken glass with your hands

Contaminated Sharps

• Use a brush and dust pan or tongs/tweezers to pick up sharps – never use your hand directly

• Place the item in a closable, leak-proof, puncture resistant container

• Spray with disinfectant before closing the container

• Use regular trash for disposal• Use a sharps container for needles and razor

blades

Cleaning Blood/OPIM Spills

• Cover the spill with paper towels and carefully pour an approved cleaning solution– To determine if a cleaning solution is EPA

approved read the label– 10% bleach solution

• Leave it for 10 minutes to kill any BBP• Don Gloves before wiping up/absorbing• Put waste in a leak-proof bag• Dispose in regular trash

Soiled Clothing

• Although soiled clothing may harbor large numbers of pathogenic microorganisms, the risk of actual disease transmission is negligible – Common sense hygienic practices are

recommended

Post Exposure ProceduresPost Exposure Procedures• If an employee is

potentially exposed to a BBP, they should immediately alert their supervisor

• Immediately clean the affected body part with hot water and soap

• Immediately disinfect contaminated surfaces

• All incidents must be recorded on an incident investigation report

• Contact Risk Management

– www.du.edu/risk• First Report of Injury• Supervisor’s Report

• The University will provide a free post incident medical evaluation

Post Exposure Evaluation & Follow Up

Following a report of an exposure incident, the employer shall provide a confidential medical evaluation which will include:

• Documentation of route of exposure• HIV/HBV status of the source individual• Serological testing of the blood ASAP• Post exposure vaccine (HBIG) if indicated• Medical evaluation of a future reported

illness• Counseling of the exposed individual

Notification of all Injuries

• For emergencies call 911 and then Campus Safety 1-3000• For non life-threatening injuries contact a designated clinic

– Concentra 303-777-2777– Rocky Mountain Medical Group 303-762-0900

• Notify Department of Risk Management within 24 hours – 303-871-2354

• Fill out Employee First Report of Injury and return via fax to 303-871-4455 within 24 hours

• Have the supervisor fill out “Supervisor’s Report of Injury” and return it to Risk Management

Additional InformationEnvironmental Health and Safety:www.du.edu/ehs

Chris Shortcshort8@du.edu 1-7501

Risk Management:www.du.edu/risk

Center for DiseaseControl(CDC)http://www.cdc.gov/niosh/topics/bbp/

Quiz

• 12 questions• Send completed quizzes to EHS to

receive credit for the training• Keep a copy with your CHP if you

are laboratory personnel/student

Take the Quiz