General SafetyGeneral Safety

Bloodborne Bloodborne PathogensPathogens

Revised June 2011

Bloodborne Bloodborne Pathogens Pathogens Exposure Control Exposure Control PlanPlan The Cumberland County School System’s Exposure The Cumberland County School System’s Exposure

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

The Exposure Control Plan can be located in the The Exposure Control Plan can be located in the Teachers lounge, Office and the Media Center.Teachers lounge, Office and the Media Center.

Responsible Responsible PersonsPersons

Will be responsible for overall management and support ofWill be responsible for overall management and support of CCS Bloodborne Pathogens Compliance Program.CCS Bloodborne Pathogens Compliance Program.

Principal, Department Heads / SupervisorsPrincipal, Department Heads / Supervisors They are responsible for exposure control in their respectiveThey are responsible for exposure control in their respective school and or department. They work directly with theschool and or department. They work directly with the Exposure Control Officer and employees to ensure thatExposure Control Officer and employees to ensure that proper exposure control procedures are followed.proper exposure control procedures are followed.

Site-Based Safety LiaisonSite-Based Safety Liaison Provides information and training to site-based Provides information and training to site-based employeesemployees

Exposure Control Officer :Exposure Control Officer : Safety / Security Office Safety / Security Office

Employee Employee ResponsibilityResponsibility

Know what task they perform that have Know what task they perform that have the potential of occupational exposure.the potential of occupational exposure.

Attend the bloodborne pathogens training Attend the bloodborne pathogens training sessions.sessions.

Plan and conduct all operations in Plan and conduct all operations in accordance with the work practice accordance with the work practice controls.controls.

Develop good personal hygiene habits.Develop good personal hygiene habits. Accept or decline the HBV vaccination Accept or decline the HBV vaccination

series.series.

Employees designated as Employees designated as “At Occupational Risk”“At Occupational Risk” have the most have the most important role in the bloodborne pathogens compliance program.important role in the bloodborne pathogens compliance program. Employees should:Employees should:

TheThe vaccinations series cost the CCS $ 150.00 per person vaccinations series cost the CCS $ 150.00 per person ****No matter if youNo matter if you dodo oror do notdo not complete the seriescomplete the series****

Exposure Exposure DeterminationDetermination Category A:Category A: Tasks that involve potential Tasks that involve potential

for mucous membrane or skin contact for mucous membrane or skin contact with blood, body fluids, or tissues, or with blood, body fluids, or tissues, or potential spills or splashes of them; all potential spills or splashes of them; all employees in this category have risk of employees in this category have risk of occupational exposureoccupational exposure..

Athletic TrainersAthletic Trainers Student Trainers (not to exceed 12 per school)Student Trainers (not to exceed 12 per school) EC Bus Drivers & Driver’s AssistantsEC Bus Drivers & Driver’s Assistants School NursesSchool Nurses Health Occupations TeachersHealth Occupations Teachers CustodiansCustodians Two (2) individuals per school as First Aid Two (2) individuals per school as First Aid

RespondersResponders Adaptive P.E. teachersAdaptive P.E. teachers PlumbersPlumbers

Exposure Exposure DeterminationDetermination Category A Category A Cont.Cont. Pre K Teacher & Teacher AssistantsPre K Teacher & Teacher Assistants

Kindergarten Teacher and AssistantsKindergarten Teacher and Assistants Self-Contained EC teachers & teacher Self-Contained EC teachers & teacher

assistants who serve:assistants who serve:1)1) Traumatic brain injury Traumatic brain injury

2)2) Autistic Autistic

3)3) TMD TMD

4)4) EMD EMD

5)5) BED BED

6)6) Multi-handicapped Multi-handicapped

7)7) Preschool handicapped Preschool handicapped

8)8) Severe and profound Severe and profound

9)9) Orthopedically impaired students Orthopedically impaired students

10)10) Specific Learning Disabled (SLD) Specific Learning Disabled (SLD)

Exposure Exposure DeterminationDetermination Category B Category B

Category B:Category B: Tasks that involve no exposure to blood, body fluids, or Tasks that involve no exposure to blood, body fluids, or tissues, but employment may require performing unplanned Category tissues, but employment may require performing unplanned Category A tasks; some employees in this category have a risk of occupational A tasks; some employees in this category have a risk of occupational exposure.exposure.

* * Social Workers * School PsychologistsSocial Workers * School Psychologists* P.E. Teachers * Guidance Counselors* P.E. Teachers * Guidance Counselors* Speech Pathologist * Homebound Teachers* Speech Pathologist * Homebound Teachers* Safe School Coordinators * All other Teachers & Teacher Asst.* Safe School Coordinators * All other Teachers & Teacher Asst.* Coaches (Football, Basketball, Soccer, Wrestling)* Coaches (Football, Basketball, Soccer, Wrestling) All employees must fill out the Vaccination Request – Declination Form All employees must fill out the Vaccination Request – Declination Form

andandsign the appropriate section:sign the appropriate section: I decline the Hepatitis B vaccination, and I acknowledge that I will 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 continue to be at risk of exposure to Hepatitis B, which is a serious disease.disease. OrOr

At this time, I request the Hepatitis B vaccination series, and I At this time, I request the Hepatitis B vaccination series, and I acknowledge that I will complete the series of three (3) vaccinations acknowledge that I will complete the series of three (3) vaccinations provided to me by the CCS Blood Borne Pathogens Standard.provided to me by the CCS Blood Borne Pathogens Standard.

Employees who refuse the Hepatitis B Vaccination have the option to Employees who refuse the Hepatitis B Vaccination have the option to request the vaccination series later, at no expense to themselves, if request the vaccination series later, at no expense to themselves, if they continue to have occupational exposure to blood or other they continue to have occupational exposure to blood or other potential infectious materialspotential infectious materials

Exposure Exposure DeterminationDetermination Category C Category C

Category C:Category C: Tasks that involve no exposure Tasks that involve no exposure to blood, body fluids, or tissues, and Category to blood, body fluids, or tissues, and Category A tasks are not a condition of employment; A tasks are not a condition of employment; employees have no risk of occupational employees have no risk of occupational exposure.exposure.1)1) Cafeteria Workers Cafeteria Workers2)2) Office Personnel Office Personnel3)3) Specific Maintenance Employees Specific Maintenance Employees4)4) Bus Driver Bus Driver

Employees in this category who would like toEmployees in this category who would like to receive the vaccination will need to fill out anreceive the vaccination will need to fill out an ““Appeals Form”Appeals Form” (supervisors signature (supervisors signature

required).required).

Universal PrecautionsUniversal PrecautionsCCS adheres to the practice of 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 All human blood and body fluids such as: Semen, and Vaginal secretions are treated as if they are known to be Vaginal secretions are treated as if they are known to be infectious for HBV, HIV, and other Bloodborne Pathogens. infectious for HBV, HIV, and other Bloodborne Pathogens.

In circumstances where it is difficult or impossible to In circumstances where it is difficult or impossible to differentiate between body fluid types, we should assume all differentiate between body fluid types, we should assume all body fluids to be potentially infectious. The school site and body fluids to be potentially infectious. The school site and department head/supervisors are responsible for ensuring department head/supervisors are responsible for ensuring that universal precautions are followed.that universal precautions are followed.

Do NotDo Not share pierced earrings, tooth brushes or razors. 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.

Hepatitis B Hepatitis B VaccinationVaccinationIn order to protect employees as In order to protect employees as

muchmuch

as possible from the possibility ofas possible from the possibility of

Hepatitis B infection, CCS hasHepatitis B infection, CCS has

implemented a vaccination program. implemented a vaccination program.

The Program is available, at no cost The Program is available, at no cost to theto the

Employee.Employee.

The vaccination is 90% effective The vaccination is 90% effective in preventing Hepatitis in preventing Hepatitis B.B.

Vaccination Vaccination ProgramProgram

The first dose of vaccine is made available to employees The first dose of vaccine is made available to employees upon completion of the New Employee Safety & OSHA upon completion of the New Employee Safety & OSHA Orientation.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 The third dose is given five months from the second

shot.shot.

• Vaccinations are performed under the supervision of a Vaccinations are performed under the supervision of a licensed physician or other healthcare professional. licensed physician or other healthcare professional.

• Employees taking part in the vaccination program are in Employees taking part in the vaccination program are in category A and B, and those in Category C may complete an category A and B, and those in Category C may complete an “Appeals Form” in order to participate in the program. “Appeals Form” in order to participate in the program.

• All Employees,All Employees, whether they decide to take part or decline whether they decide to take part or decline the programthe program, , must signmust sign the “Vaccination Request - the “Vaccination Request - Declination Form”Declination Form”

Post-Exposure Post-Exposure EvaluationEvaluation

Perform personal decontamination measures and first Perform personal decontamination measures and first aid procedures as soon as practical and as needed.aid procedures as soon as practical and as needed.

Contact the Safety/Security Office immediately in the Contact the Safety/Security Office immediately in the event of any questionable bloodborne exposure.event of any questionable bloodborne exposure.

If there are injuries requiring medical attention, the If there are injuries requiring medical attention, the employee shall go to a designated urgent care clinics employee shall go to a designated urgent care clinics or hospital emergency room for assessment and or hospital emergency room for assessment and further treatment of the injury / wound. 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, Once the injury/wound has been treated, it is the it is the

responsibility of the employeeresponsibility of the employee to contact the Exposure to contact the Exposure Control Officer. At this time the post-exposure Control Officer. At this time the post-exposure evaluation process will begin.evaluation process will begin.

If an employee is involved in an incident where exposure to bloodborne If an employee is involved in an incident where exposure to bloodborne pathogens may have occurred, the following steps will be taken:pathogens may have occurred, the following steps will be taken:

Post-Exposure Post-Exposure EvaluationEvaluation Cont.Cont.

The Exposure Control Officer will investigate The Exposure Control Officer will investigate the incident and document the the incident and document the circumstances.circumstances.

The source’s individual blood shall be tested The source’s individual blood shall be tested as soon as possible after consent is obtained as soon as possible after consent is obtained in order to determine HBV and HIV in order to determine HBV and HIV infectivity. If consent is not obtained, the infectivity. If consent is not obtained, the employer shall document the refusal for employer shall document the refusal for record and contact the School Board record and contact the School Board Attorney for advise on further legal avenues. Attorney for advise on further legal avenues.

If the exposed victim does not request the If the exposed victim does not request the source’s blood be tested, and consent has source’s blood be tested, and consent has been obtained by the source, the blood will been obtained by the source, the blood will be tested anyway for documentation be tested anyway for documentation purposespurposes. .

Medical Medical RecordRecord KeepingKeeping

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

Personal Protective Personal Protective EquipmentEquipment

CCS will provide at no cost CCS will provide at no cost to the employees, to the employees, appropriate personal appropriate personal protective equipment protective equipment needed to protect them needed to protect them against exposure.against exposure.

The Safety/Security Office in The Safety/Security Office in cooperation with Custodial cooperation with Custodial Services is responsible for Services is responsible for insuring that all schools and insuring that all schools and work areas have appropriate work areas have appropriate PPE available to employees.PPE available to employees.

Accessibility of Personal Accessibility of Personal Protective EquipmentProtective Equipment

Personal Protective Equipment is Personal Protective Equipment is readily accessible at the work site.readily accessible at the work site.

Personal Protective Equipment can be Personal Protective Equipment can be found in the following locations:found in the following locations:

1.1. Principal’s OfficePrincipal’s Office2.2. Individual ClassroomsIndividual Classrooms3.3. Custodian’s Work StationCustodian’s Work Station4.4. Coaches’ First Aid KitsCoaches’ First Aid Kits5.5. School BusSchool Bus6.6. CafeteriaCafeteria

Clean-up KitsClean-up Kits Kits shall be located in all Kits shall be located in all

classrooms.classrooms. Kits should contain:Kits should contain:

1.1. Gloves Gloves (vinyl or latex)(vinyl or latex)2.2. Absorbent Powder Absorbent Powder3.3. Red Bag Red Bag (blood contaminated items)(blood contaminated items)4.4. Black Bag Black Bag (all other refuge)(all other refuge)5.5. Scoop Scoop6.6. Germicidal Wipe Germicidal Wipe7.7. Handy-Wipe Handy-Wipe

Clean-up KitsClean-up Kits Initial clean up of body fluids (vomit, urine, blood, etc.) Initial clean up of body fluids (vomit, urine, blood, etc.)

should be conducted by the classroom teacher using the should be conducted by the classroom teacher using the contents of the BBP kit provided (Absorbent Powder, contents of the BBP kit provided (Absorbent Powder, germicidal wipes, gloves, scoop, red / black bag, etc.). germicidal wipes, gloves, scoop, red / black bag, etc.). Follow up decontamination procedures should always be Follow up decontamination procedures should always be conducted by the Custodian.conducted by the Custodian.

If the involved student is removed from the classroom, If the involved student is removed from the classroom, ensure the initial clean up process has been completed to ensure the initial clean up process has been completed to prevent possible BBP exposure to other students.prevent possible BBP exposure to other students.

If you cannot locate a clean-up kit in your workplace, If you cannot locate a clean-up kit in your workplace, contact your supervisor or custodiancontact your supervisor or custodian

Needles and Sharps Needles and Sharps ContainersContainers

Sharps containers are Sharps containers are available at all schools.available at all schools.

Do not recap used needles. All Do not recap used needles. All used needles should be used needles should be placed in the provided sharps placed in the provided sharps container. container.

When sharps containers are When sharps containers are full contact the full contact the Safety/Security Office for pick Safety/Security Office for pick up.up.

View Video:View Video: Bloodborne Bloodborne PathogensPathogens