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
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