WELCOMEOSHA 29 CFR 1910.1030

BLOODBORNE PATHOGENS

OSHA TRAINING

COURSE OBJECTIVES

INTRODUCE 29 CFR 1910.1030, THE BLOODBORNE STANDARD

DISCUSS METHODS USED TO CONTROL INFECTIOUS MATERIALS

DISCUSS THE PHYSICAL AND HEALTH HAZARDS

DISCUSS THE LOCAL BLOODBORNE PATHOGENS CONTROL POLICY

DISCUSS EMPLOYEE PROTECTIVE MEASURES

DISCUSS WARNING LABELS

INTRODUCE THE BASIC SAFETY RULES

RECOGNIZE SITUATIONS WHERE PATHOGENS MAY BE PRESENT

UNDERSTAND THE LOCAL WRITTEN POLICY

SELECT APPROPRIATE PERSONAL PROTECTIVE EQUIPMENT

SUCCESSFULLY PRODUCE APPROPRIATE WARNING LABELS

UNDERSTAND PROPER DECONTAMINATION PROCEDURES

UNDERSTAND THE BASIC SAFETY RULES

STUDENT LEARNING OUTCOMES

BASIS FOR THIS COURSE

1,000,000 + PEOPLE INFECTED WITH HIV IN THE UNITED STATES

HEPATITIS B VIRUS (HBV) BIGGER THREAT THAN AIDS

5.6 MILLION WORKERS AT RISK

OSHA BLOODBORNE PATHOGENS STANDARD

STANDARD: 29 CFR 1910.1030 ESTABLISHES WORKPLACE EXPOSURE CONTROL PROGRAM REQUIRES A WRITTEN PROGRAM REQUIRES USE OF LABELS AND OTHER WARNINGS REQUIRES HAZARDS AND PRECAUTIONS BE EXPLAINED REQUIRES HOUSEKEEPING POLICY BE ESTABLISHED REQUIRES RECORDKEEPING

BASIS FOR THIS COURSE

THE BOTTOM LINE

TRAINING YOU TO BE KNOWLEDGEABLEOF HOW TO LOWER YOUR CHANCES OF

WORKPLACE EXPOSURETO THE BLOODBORNE PATHOGENS

YOU ARE POTENTIALLY EXPOSED TO INYOUR DAILY WORKING LIFE!

29CFR - SAFETY AND HEALTH STANDARDS

1910 - GENERAL INDUSTRY

1030 - BLOODBORNE STANDARD

REGULATORY STANDARDBLOODBORNE PATHOGENS

29CFR - 1910 - 1030

MARCH 6, 1992 - FINAL RULE TOOK EFFECT

MAY 5, 1992 - EXPOSURE CONTROL PLAN

JUNE 4, 1992 - INFORMATION AND TRAINING

JULY 6, 1992 - ALL OTHER PROVISIONS

COMPLIANCE TIMETABLE29CFR 1910.1030

29CFR - 1910 - 1030

APPLICABILITY

HAVE EMERGENCY RESPONSE DUTIES PERFORM JANITORIAL DUTIES PERFORM WORK WITH POTENTIAL BBP’S HAVE ANY POTENTIAL WORKPLACE EXPOSURE

APPLIES TO EMPLOYEE’S WHO:

SMITHSMITH

TRAINING REQUIREMENTS

THE EMPLOYER MUST:

MAINTAIN A BLOODBORNE TRAINING PROGRAM

REVIEW THE PROGRAM ON AN ANNUAL BASIS

TRAIN ALL EMPLOYEES HAVING OCCUPATIONAL EXPOSURE

DISCUSS EMPLOYEE PROTECTIVE MEASURES

TRAIN AT INITIAL ASSIGNMENT TO A JOB HAVING RISK

TRAIN AT LEAST ONCE A YEAR THEREAFTER

DISCUSS WARNING AND LABELING REQUIREMENTS

TRAINING REQUIREMENTS

THE EMPLOYER MUST:

DISCUSS DISPOSAL PROCEDURES

DISCUSS EPIDEMIOLOGY AND SYMPTOMS

DISCUSS DECONTAMINATION PROCEDURES

DISCUSS PERSONAL PROTECTIVE EQUIPMENT

DISCUSS WORK PRACTICES TO CONTROL EXPOSURE

DISCUSS HOW TO OBTAIN A COPY OF THE REGULATION

ANNUALLY

IF THERE IS REASON TO DOUBT PROFICIENCY

IF THERE IS A FAILURE IN CONTROL PROCEDURES

RETRAINING REQUIREMENTS

REQUIRED:

DANGER

BLOODBORNEPATHOGENS

GENERAL PROGRAM REQUIREMENTS

PROVIDE TRAINING TO ALL HAVING OCCUPATIONAL EXPOSURE

MAINTAIN A WRITTEN PROGRAM

DETERMINE WHO CAN BE POTENTIALLY EXPOSED

PERFORM RISK ASSESSMENT

DEVELOP PROCEDURES FOR INCIDENT INVESTIGATIONS

DETERMINE AND IMPLEMENT METHODS OF COMPLIANCE

ALL EMPLOYERS MUST:

WRITTEN PROGRAM REQUIREMENTS

DEVELOP AND MAINTAIN A WRITTEN PROGRAM

REVIEW THE PROGRAM ON AN ANNUAL BASIS

MAKE THE WRITTEN PROGRAM AVAILABLE TO ALL

EMPLOYEES DURING EACH WORK SHIFT

ALL EMPLOYERS MUST:

SOP’S

PROGRAM MANAGEMENT FORMS

NON-ROUTINE TASK - (Protective Measures Determination):

USED BY SUPERVISORS TO ASSESS JOBS THAT ARE NOT PERFORMED ON A ROUTINE BASIS, BUT WHERE THE POSSIBILITY OF INJURY TO AN EMPLOYEE EXISTS.

COMMONLY USED PROGRAM MANAGEMENT FORMS

FORMS

PROGRAM MANAGEMENT FORMS

EXPOSURE INCIDENT REPORT:

USED TO INVESTIGATE INCIDENTS WHERE EXPOSURE MAY HAVE OCCURRED.

COMMONLY USED PROGRAM MANAGEMENT FORMS

FORMS

DEFINITIONS BLOODBORNE PATHOGENS - MICROORGANISMS PRESENT IN HUMAN BLOOD

CONTAMINATED - THE PRESENCE OF BLOOD OR OTHER POTENTIALLY INFECTIOUS MATERIALS

DECONTAMINATION - THE USE OF PHYSICAL OR CHEMICAL MEANS TO REMOVE, DESTROY, OR RENDER SAFE POTENTIALLY INFECTIOUS

MATERIALS

MEDICAL RECORDKEEPING

MAINTAIN COPIES OF VACCINATION RECORDS

MAINTAIN RECORDS IN STRICTEST CONFIDENCE

MAINTAIN HEALTHCARE PROVIDER WRITTEN OPINIONS

MAINTAIN DATA PROVIDED TO HEALTHCARE PROVIDERS

RETAIN RECORDS FOR 30YRS OR - EMPLOYMENT + 20YRS

ESTABLISH AND MAINTAIN ACCURATE EXPOSURE RECORDS

EMPLOYERS MUST:

MEDICAL RECORDKEEPING

I Understand That Due to My Occupational Exposure to Blood or Other Potentially Infectious Materials I May Be at Risk of Acquiring Hepatitis B Virus (HBV) Infection. I Have Been Given the Opportunity to Be Vaccinated With Hepatitis B Vaccine, at No Charge to Myself. However, I Decline Hepatitis B Vaccination at This Time. I Understand That by Declining This Vaccine I Continue to Be at Risk of Acquiring Hepatitis B, a Serious Disease. If in the Future I Continue to Have Occupational Exposure to Blood or Other Potentially Infectious Materials and I Want to Be Vaccinated With Hepatitis B Vaccine, I Can Receive the Vaccination Series at No Charge to Me.

HEPATITIS B VACCINATION DECLINATION STATEMENT:

TRAINING RECORDKEEPING

CONTAIN A SUMMARY OF TRAINING SESSIONS

BE RETAINED FOR 3YRS FROM DATE OF TRAINING

CONTAIN THE JOB TITLES OF PERSONS ATTENDING

BE PROVIDED UPON REQUEST TO OSHA INSPECTORS

CONTAIN ATTENDEE NAMES AND DATES OF TRAINING

CONTAIN NAMES AND QUALIFICATIONS OF INSTRUCTORS

RECORDS MUST:

EXPOSURE CONTROL PLAN

BE IN WRITTEN FORM

DETAIL METHODS OF COMPLIANCE

INCLUDE AN EXPOSURE DETERMINATION

DETAIL RECORDKEEPING REQUIREMENTS

DETAIL POST EXPOSURE FOLLOW-UP PROCEDURES

DETAIL COMMUNICATION OF HAZARDS TO EMPLOYEES

DETAIL EXPOSURE INCIDENT REPORTING PROCEDURES

DESCRIBE THE METHODS OF PROGRAM IMPLEMENTATION

THE PLAN MUST:

BLOODBORNE HAZARDS

SYPHILIS

MALARIA

HEPATITIS C

HEPATITIS B VIRUS (HBV)

HUMAN IMMUNODEFICIENCY VIRUS (HIV)

COMMON BLOODBORNE DISEASES:

DANGER

BLOODBORNEPATHOGENS

BLOODBORNE HAZARDS

ONE OF THE MOST COMMON VIRUSES

VACCINES AVAILABLE TO PREVENT INFECTION

CAN CAUSE DAMAGE TO LIVER LEADING TO DEATH

VIRUS CAN BE SPREAD TO FAMILY MEMBERS EASILY

SEVERE FLU-LIKE SYMPTOMS ARE A COMMON SYMPTOM

BLOOD, SALIVA AND OTHER BODY FLUIDS MAY BE INFECTIOUS

SYMPTOMS MAY BE DELAYED 28 TO 160 DAYS AFTER EXPOSURE

HEPATITIS B VIRUS (HBV):

BLOODBORNE HAZARDS

NO KNOWN VACCINE FOR HIV DIFFICULT TO CONTRACT IN THE WORKPLACE VIRUS IS NOT SPREAD THROUGH CASUAL CONTACT SYMPTOMS MAY BE DELAYED FOR MONTHS TO YEARS DECREASES THE BODY’S ABILITY TO FIGHT INFECTION BLOOD AND OTHER BODY FLUIDS MAY BE INFECTIOUS SEVERE FLU-LIKE SYMPTOMS ARE A COMMON SYMPTOM LEADS TO ACQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS)

HUMAN IMMUNODEFICIENCY VIRUS (HIV):

TRANSMISSION MODES

BLOOD VOMIT BODY FLUIDS NOSE AND MOUTH MUCOUS MEMBRANES ABSORPTION THROUGH THE EYES CUTS, SCRAPES, BURNS, RASHES, DERMATITIS ETC.

BBP’S CAN BY TRANSMITTED BY:

TRANSMISSION MODES

CPR REMOVAL OF SUTURES BLOOD SUGAR SCREENING BIOHAZARD SPILL CLEANUP TREATING TEARS OF SKIN TISSUE DISPOSAL OF CONTAMINATED SHARPS CHANGING CONTAMINATED DRESSINGS JANITORIAL DUTIES IN FEMALE REST ROOMS REMOVAL OF FOREIGN BODIES FROM EYES OR SKIN

OCCUPATIONAL EXPOSURE CAN OCCUR:

COMMUNICATION OF HAZARDS

INTERNATIONAL SYMBOL FOR BIOHAZARD

BIOHAZARD

COMMUNICATION OF HAZARDS

LABELS MUST BE FLUORESCENT ORANGE OR ORANGE-RED

WARNING LABELS MUST BE AFFIXED TO WASTE CONTAINERS

LABELS MUST BE PROPERLY AFFIXED TO CONTAINERS

RED BAGS OR CONTAINERS MAY BE USED IN LIEU OF LABELS

DECONTAMINATED WASTE NEED NOT BE LABELED OR CODED

LABELS ARE ONLY REQUIRED ON THE OUTSIDE PACKAGE

WARNINGS AND LABELS:

COMMUNICATION OF HAZARDS

SIGNS MUST BE POSTED AT THE ENTRANCE TO WORK AREAS HAVING POTENTIALLY INFECTIOUS MATERIALS

SIGNAGE:

BIOHAZARD

NAME OF THE INFECTIOUS AGENTSPECIAL REQUIREMENTS FOR ENTRY

NAME, TELEPHONE NUMBER OF THE RESPONSIBLE PERSON

1.2.3.

PPE REQUIREMENTS

PERSONAL PROTECTIVE EQUIPMENT REQUIREMENTS:

FOLLOW LOCAL JOB PROCEDURES IF YOU THINK ADDITIONAL PPE IS NEEDED, REQUEST IT DON’T AUTOMATICALLY ASSUME YOU’RE COVERED IF YOU HAVE QUESTIONS CONSULT YOUR SUPERVISOR UNDERSTAND WHAT YOUR DEALING WITH!

PPE REQUIREMENTS

PERSONAL PROTECTIVE EQUIPMENT REQUIREMENTS:

REMOVE PPE BEFORE LEAVING THE WORK AREA KNOW BIOHAZARD WARNINGS AND LABELS PLACE USED PPE IN DESIGNATED CONTAINERS NEVER TRY AND DECONTAMINATE DISPOSABLE PPE KNOW THE TYPE OF PPE REQUIRED FOR THE JOB!

INHALATION

-- A DOSE THAT IS ABSORBED THROUGH THE LUNGS INTO THE BLOODSTREAM

ABSORPTION

-- A DOSE THAT IS ABSORBED THROUGH THE SKIN OR EYES

ROUTES OF ENTRY

GENERAL CONCEPTS OF TOXICOLOGY

INGESTION

-- A DOSE THAT IS ABSORBED THROUGH THE GASTRO- INTESTINAL TRACT FROM EATING, DRINKING OR SMOKING INJECTION

-- A DOSE THAT IS ABSORBED VIA BROKEN GLASS, SPRAY GUNS, NEEDLES, COMPRESSED AIR, KNIVES ETC.

GENERAL CONCEPTS OF TOXICOLOGY

ROUTES OF ENTRY

EXPOSURE TERMINOLOGY

LOCAL EFFECT. DAMAGE TO BODY PARTS THAT ACTUALLY CONTACT THE HARMFUL SUBSTANCE (ACID ON A HAND). SYSTEMIC EFFECT. DAMAGE TO AN AREA OF THE BODY AFTER THE SUBSTANCE IS ABSORBED (LIVER DAMAGE).

INDIVIDUAL SUSCEPTIBILITY. SOME PEOPLE ARE NATURALLY SENSITIVE OR CAN DEVELOP SENSITIVITY TO A SUBSTANCE. DOSE. COMBINATION OF CONCENTRATION AND LENGTH OF BODILY EXPOSURE TO A SPECIFIC MATERIAL.

GENERAL CONCEPTS OF TOXICOLOGY

ROUTES OF ENTRY

METHODS OF CONTROL

ABSORPTION

INGESTION INJECTION

METHODS OF CONTROL

CONTROL THE SPREAD OF CONTAMINATION

METHODS OF CONTROL

WASH HANDS AND REMOVE PPE BEFORE:

COMMON SENSE RULES:

EATING SMOKING DRINKING HANDLING CONTACT LENSES APPLYING COSMETICS OR LIP BALM

METHODS OF CONTROL

PROTECT ALL POTENTIAL ROUTES OF ENTRY

PROPERLY DECONTAMINATE ALL POTENTIALLY EXPOSED PPE

NEVER REUSE DISPOSABLE GLOVES (CROSS CONTAMINATION)

ASSUME ALL HUMAN BLOOD AND BODY FLUIDS ARE INFECTIOUS

INSPECT PERSONAL PROTECTIVE EQUIPMENT (PPE) BEFORE USE

UNIVERSAL PRECAUTIONS:

METHODS OF CONTROL

PUT ON A LEAK-PROOF APRON

USE EYE AND FACE PROTECTION

RESTRICT ACCESS TO THE CONTAMINATED AREA

WEAR TWO PAIRS OF GLOVES TO PREVENT EXPOSURE

USE DISPOSABLE TOWELS TO SOAK UP FLUIDS OR BLOOD

DISINFECT MOPS AND OTHER CLEANUP EQUIPMENT AFTER USE

USE EYE PROTECTION (SPLASH GOGGLES) TO PREVENT EXPOSURE

ACCIDENT/SPILL CLEANUP RECOMMENDATIONS:

METHODS OF CONTROL

WIPER TOWELS WATERPROOF APRON IDENTIFICATION TAGS INSTRUCTION FOR USE PAPER, PENCILS AND TAPE RED BIOHAZARD WASTE BAG PICK-UP SCOOP WITH SCRAPER EYE, FACE AND SKIN PROTECTION ANTIMICROBIAL HANDWIPES (SKIN) SEVERAL PAIRS OF LATEX GLOVES (USE DOUBLE SETS) CONTAINER OF SOLIDIFIER/DECONTAMINANT/DEODORIZER GERMICIDAL DISINFECTANT WIPES PACK (EQUIPMENT/SURFACES)

ACCIDENT/SPILL CLEANUP KIT RECOMMENDATIONS:

EMERGENCY ASSISTANCE

KNOW WHAT TO DO BEFORE IT HAPPENS! SOUND THE ALARM FOR HELP SHUT OFF MACHINERY DON’T ADD YOUR NAME TO THE LIST OF INJURED!! DON’T TAKE UNNECESSARY RISKS DON’T TOUCH BLOOD OR BODY FLUIDS DON’T GIVE UNPROTECTED MOUTH-TO-MOUTH STAY WITH THE INJURED PERSON WAIT FOR EMERGENCY RESPONDERS TO ARRIVE

SOME SUGGESTIONS:

METHODS OF DECON

SOAP & WATER

10% BLEACH SOLUTION

APPROVED TOWELETTES

SEGREGATED LAUNDERING

APPROVED DISINFECTANTS

DECONTAMINATION METHODS:

EXPOSURE INCIDENT REPORTING

DON’T PANIC! DECONTAMINATE THE EXPOSED BODY PART REPORT TO YOUR SUPERVISOR DETERMINE THE SOURCE OF THE EXPOSURE TRY TO OBTAIN A SAMPLE FOR ANALYSIS ASK ABOUT VACCINATION, FOLLOW-UP ETC.

SUGGESTED REPORTING METHOD:

EXPOSURE INCIDENT REPORTING

DID PPE FAIL? IF YES HOW? DESCRIBE THE CIRCUMSTANCES. IDENTIFY THE SOURCE INDIVIDUAL. GET COPIES OF ALL DOCUMENTATION. WHAT DUTIES WERE YOU PERFORMING? DESCRIBE POSSIBLE ROUTES OF EXPOSURE. WHAT BODY FLUIDS WERE YOU EXPOSED TO?

DOCUMENTING THE EXPOSURE:

NON-ROUTINE TASKS

DEFINITION:

A Task That Is Required Only on Occasion and Where Employees Are Not Completely Familiar With All Aspects of the Job.

PROBLEM:

This Lack of Familiarity Contributes Greatly to a Higher Probability of Injury.

SUPERVISORS MUST:

Identify Nonroutine Tasks and Assess Their Degree of Risk to Employees.

MANAGING INFECTIOUS WASTE

ESTABLISH DESIGNATED STORAGE AREAS CONTROL ACCESS TO STORAGE AREAS USE APPROVED RECEPTACLES RED IS THE PRIMARY COLOR FOR CONTAINERS ENSURE LABELS ARE PRESENT ENSURE PACKAGING IS SUFFICIENT (I.E. DON’T USE BAGS FOR SHARPS ETC.)

STORAGE:

USE APPROVED HAULERS

REVIEW MANIFESTS CAREFULLY

ESTABLISH REGULAR PICKUP TIMETABLES

REVIEW HANDLING PROCEDURES PERIODICALLY

DISPOSAL:

MANAGING INFECTIOUS WASTE

OUTSIDE CONTRACTORS MUST:

INFORM REPRESENTATIVES OF THE FACILITY OF THE TYPES OF WORK THAT THEY WILL BE DOING AND BE PREPARED TO PROVIDE TRAINING DOCUMENTATION UPON REQUEST

EMPLOYER REPRESENTATIVES MUST:

INFORM THE CONTRACTOR OF PATHOGENS PRESENT IN THE AREA WHERE CONTRACTOR PERSONNEL WILL BE WORKING

CONTRACTOR SAFETY REQUIREMENTS

REMEMBER, YOU CONTROL YOUR FACILITY OR AREA!

REVIEW THEIR PROCEDURES WITH THEM !

REVIEW THEIR PROCEDURES BEFORE STARTING THE JOB!

DETERMINE THEIR SAFETY PERFORMANCE RECORD!

DETERMINE WHO IS IN CHARGE OF THEIR PEOPLE!

DETERMINE HOW THEY WILL AFFECT YOUR EMPLOYEES!

TIPS FOR USING CONTRACTORS

OSHA'S PERCEPTIONOF A SUCCESSFUL PROGRAM

1. DETAILED EXPOSURE CONTROL PROCEDURES

2. EXTENSIVE EMPLOYEE TRAINING PROGRAMS

3. PERIODIC REINFORCEMENT OF TRAINING

4. SUFFICIENT DISCIPLINE REGARDING IMPLEMENTATION

NEVERDISCOUNT

ANYROUTE-OF-ENTRY!

THE FINAL WORD

THE FINAL WORDCONCERNING PATHOGENS