Transcript Document

Bloodborne Pathogens
29 CFR 1910.1030
Components of the Standard
• Exposure Control Plan
• Methods of Compliance
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Universal Precautions
Engineering and Work Practice Controls
Personal Protective Equipment
Housekeeping
Components of the Standard
Continued...
• Hepatitis B Vaccination
• Hazard Communication
• Recordkeeping
Exposure Control Plan
• Key provision of the standard, requires employer
to identify exposed or potentially exposed
workers, i.e., those who need training, PPE,
vaccination, and situations where engineering
controls would “eliminate or minimize exposure”
• The plan must be available to employees;
1910.1020 requires a hard copy be made available
to workers within 15 days of request.
• The plan must also include the procedures for
evaluating the circumstances surrounding an
exposure incident
Exposure Control Plan
• (c)(1)(iv) requires plan to be reviewed and
updated at least annually.
– Plan must be updated to reflect changes in
technology that eliminate or reduce employee
exposure.
– Plan MUST document consideration and
implementation of appropriate, commercially
available and effective engineering controls
Exposure Control Plan
• Needlestick Safety and Prevention Act
– Public Law 106-430 on November 6, 2000
• An Act: To require changes in the bloodborne
pathogens standard in effect under the
Occupational Safety and Health Act of 1970.
Universal Precautions...
• …shall be observed to prevent contact with
blood or potentially infectious materials.
Under circumstances in which
differentiation between body fluid types is
difficult or impossible, all body fluids shall
be considered potentially infectious
materials. 1030(d)(1)
• In Other Words....
Engineering and Work Practice Controls
• Engineering and work practice controls to be
instituted as the PRIMARY means of eliminating
or minimizing exposure.
– Conforms to OSHA’s traditional “hierarchy of
controls.”
– The employer MUST use engineering and work
practice controls to eliminate exposure or
reduce it to the lowest feasible extent.
– IF engineering and work practice controls do
not eliminate exposure, the use of PPE is
required.
Engineering and Work Practice Controls
• “Where engineering controls will reduce
employee exposure either by removing,
eliminating or isolating the hazard, they must
be used.” CPL 2-2.44D
– The employer should be using - or at least have
considered, and documented in exposure
control plan why he/she CANNOT be using engineering and work practice controls for
work operations involving exposure to blood or
OPIM.
Cost of Safer Devices
DEVICE
UNIT PRICE
UNIT PRICE
(conventional)
(safer design)
• Phlebotomy
needles
$0.10
$0.33
• “Butterfly”
needles
$0.65
$0.90
• IV Catheter
$0.75
$1.75
• Hypodermic
needle/syringe
$0.05
$0.25
Housekeeping (4)(i)
• Employer must develop and implement a
written cleaning and decontamination
schedule based upon:
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location within the facility
type of surface to be cleaned
type of soil present
type of procedures being performed
Housekeeping
• Areas and equipment must be cleaned and
decontaminated after contact with blood etc.
• Broken glassware which MAY be
contaminated must be handled by
mechanical means, e.g. tongs, forceps
• Contaminated reusable sharps must to
processed and stored in a manor that
precludes employees from handling them
Sharps Containers
Contaminated sharps shall be discarded immediately
or as soon as feasible in containers that are:
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Closable
Puncture resistant
Leakproof on sides and bottoms
Labeled or color-coded
Laundry
• Contaminated laundry must be handled as
little as possible, with minimum agitation
• Bagged at location of use in labeled or
color-coded bags or containers
• NOT sorted or rinsed at location of use
HBV Vaccinations
• Employer must provide hepatitis B
vaccination to to all employees who have
an occupational exposure to BBP
• Employer must provide a post-exposure
evaluation to all employees who have had
an exposure incident.
Hazard Communication
• Labels and Signs
– Biohazard symbol
– Red bags or containers may be substituted
• Information and Training
– at time of initial assignment
– annually thereafter
– upon task and/or procedure change
Training Material
• Appropriate for
educational level,
literacy and language
• Explains symptoms
and epi. of BB disease
• modes of transmission
• Exposure Control Plan
• Use and limitations of
engineering , PPE and
work practice controls
• Hepatitis B vaccine
• BBP Exposure &
follow-up procedures
• Must be interactive
Interactive Training
• The trainer must be knowledgeable in the
subject matter as it relates to the workplace
• Unsupervised video tape and/or computer
training classes are not appropriate
Recordkeeping
• Medical Records
– for each employee with occupational exposure
– HBV vaccine dates and status
– for duration of employment + 30 years
• Training Records
– dates and summary of session
– name of participants and trainers
– maintained for 3 years
Needlestick Prevention
• OSHA estimates that 5.6 million workers in the health
care industry and related occupations are at risk of
occupational exposure to bloodborne pathogens.
• CDC estimated that 600,000 to 800,000 needlestick
injuries (NSI’s) and other percutaneous injuries occur
annually among health care workers.
• 1/3 of all sharps injuries have been reported to be
related to the disposal process.
• 62% – 88% of sharps injuries can potentially be
prevented by the use of safer medical devices.
• Needlestick requirements take effect April 18, 2001.
• Occupational Exposure to Bloodborne Pathogens;
Needlestick and Other Sharps Injuries; Final Rule (2001,
January 18).
• There is a need for employers to select safer needle
devices as they become available and to involve
employees in identifying and choosing the devices.
• The updated standard requires employers to maintain a
log of injuries from contaminated sharps.
• The revised OSHA bloodborne pathogens standard
obligates employers to consider safer needle devices when
they conduct their annual review of their exposure control
plan.
• Safer sharps are considered appropriate engineering
controls, the best strategy for worker protection.
• The new needlestick log will help both employees and
employers track all the needlesticks to help identify
problem areas or operations
• The Needlestick Safety and Prevention Act took effect
November 6, 2000. It specified revisions of OSHA’s
bloodborne pathogens standard and directed the agency to
make these changes within 6 months.
Bloodborne Pathogen Questions
Glenn Lamson
[email protected]
801-524-7914