Transcript Jackson State Community College

Jackson State Community
College
Exposure Control Plan
May 1, 2005
Complete training within 10 days of employment
(Question 4)
Training updates annually
Exposure Control Plan
Purpose
To comply with the OSHA standard regarding
bloodborne pathogens (1992)
To reduce occupational exposure to bloodborne
pathogens (BBP)
BBP’s include HBV (the agent responsible for
Hepatitis B infection), HCV (the agent responsible
for Hepatitis C infection), HIV (the agent
responsible for AIDS) and others
Purpose of training: protect workers from lifethreatening infections which they may encounter in
the workplace while completing their normal job
duties. (Question 6)
Primary Objectives of BBP
Training
To protect our employees from the
health hazards associated with
bloodborne pathogens
To provide appropriate treatment and
counseling should an employee be
exposed to bloodborne pathogens
(HBV, HCV, HDV, HIV, syphilis, malaria,
& others) [Question 5]
Program Statement
JSCC is concerned about providing a
place of employment which is free of
recognized hazards that are causing or
likely to cause death or serious physical
harm to its employees. This
policy/program applies to any
occupational exposure to bloodborne
pathogens present in human blood that
can cause disease in humans
Exposure Control Program
General Management
There are three major categories of
responsibility that are central to the
effective implementation of the plan:
The Exposure Control Officer
Division and Department managers
Our employees
To assist the EC Officer, the college has
an Exposure Control Committee
Exposure Control
committee
Medical Advisor - Dr. Jackie Taylor
Exposure Control Officer – Celeste Osgood
Chairman of Nursing - Dr. Leslie West-Sands
Safety Director – Nick Trent
MLT Program Director - Glenda Jones
Human Resources Director - Diane Harris
Availability of the Plan
A copy of the ECP is available:
Health Services Office across from the
JSCC Bookstore
Night Office on the main campus, the
Lexington and the Savannah Centers.
Health Services Web page: Go to “Student
Services” from JSCC main page
[www.jscc.edu]; then to “Health Services”;
then click on “BBP” [Question 1]
Review and Update
To maintain a current approach to Exposure
Control, the committee will review and update the
ECP under the following circumstances:
Annually
Whenever new or modified tasks and
procedures are implemented affecting the risk
for exposure to our employees
Whenever job descriptions are revised, affecting
risk for exposure
Whenever new functional positions are
established that involve BBP exposure
Exposure Determination:
Who is covered in the JSCC
ECP?
Director of JSCC Health
Services & staff
Nursing Faculty
Health Sciences Faculty
Biology Faculty
Athletic and PE Faculty
Physical Plant Staff:
Maintenance,
Custodians and
Security Guards
Engineering and
Technology Faculty
Methods of Compliance
General:
The basic rule for handling potentially
infectious materials will be to assume that
all blood and body fluids are contaminated
with HIV or HBV. Body Substance Isolation
precautions will be taken as appropriate to
the specific risk of exposure. [Question 14]
“BSI” replaces “universal precautions” &
“standard precautions”
Methods of Compliance
Engineering Controls:
Hand washing facilities accessible to all
employees who have the potential for
exposure
Containers for contaminated sharps &
specimens leak proof & puncture resistant
Commercially manufactured BBP
Protection and Clean-up Kits should be
used for clean up of BBP [Question 13]
Methods of Compliance
Work Practice Controls:
Appropriate barrier precautions to prevent exposure
(gloves, gowns, goggles, etc)
Safety engineered needles & sharps
Hand washing or antiseptic hand cleansers
Eating, drinking, smoking, applying cosmetics or lip balm
and handling contact lens are prohibited in any work area
where there is potential for exposure to BBPs.
Proper labeling of potentially infectious materials (color
coded or biohazard sign)
Decontaminating equipment that may be contaminated.
Methods of Compliance
Personal Protective Equipment
Will be provided at no cost to the employee,
appropriate equipment including but not
limited to gloves, gowns, masks, face shields,
lab coats, eye protection, mouthpieces,
resuscitation bags, pocket masks, etc.
(Students who are not student workers must
provide their own PPE.).
Must be worn based on the degree of
anticipated exposure (latex or nylon free
materials are available for those who need
latex or nylon free gloves) [Questions 10 & 11]
Personal Protective
Equipment
Appropriate only if it does not permit
blood or other potentially infectious
materials to pass through or reach the
person’s work clothes, street clothes,
undergarments, skin, eyes, mouth, or
other mucous membranes under normal
conditions of use.
Personal Protective
Equipment
Any employee failing to use
appropriate PPE after completion of
the initial training shall be
considered to have committed a
willful safety violation as defined by
OSHA and therefore are subject to
disciplinary action.
Personal Protective
Equipment
Any person with supervisory authority failing
to enforce the use of appropriate PPE by his
or her personnel after completion of the
initial training shall be considered to have
committed a willful safety violation as
defined by OSHA and therefore subject to
disciplinary action.
It will be the responsibility of the department
to provide, repair or replace all PPE.
Methods of Compliance
Housekeeping:
Maintaining the college in a clean and sanitary
condition is an important part of our BBP
compliance program & is everyone’s concern,
not just the housekeeping staff [Question 9]
A written schedule for cleaning and
decontamination of the various areas of the
facility has been developed and implemented
under the supervision of the Physical Plant
Managers. A copy is available in the Physical
Plant Office.
Details in ECP Manual
Hepatitis B Vaccination
HBV is highly infectious, not easily cured
HBV is preventable by vaccine in 85-97% of
cases.
Hepatitis B vaccination is available at no cost
to the employee who has been identified as
“potentially at risk for exposure to bloodborne
pathogens” in their tour of duty.
Vaccine will be administered through Health
Services. It is the responsibility of the
employee to keep appointments to receive the
vaccine. [Questions 7 & 12]
Is This Vaccine Safe?
June 2002: Institute Of Medicine finds no link between
the Hep B vaccine & Multiple Sclerosis
http://www.iom.edu/iom/iomhome.nsf/WFiles/HepatitisB_ExecSummary/$file/HepatitisB_ExecSummary.PDF
A vaccine, like any medicine, is capable of causing
serious problems, such as severe allergic reactions,
but the risk of the Hep B vaccine causing serious
harm, or death, is extremely small
http://www.cdc.gov/nip/publications/vis/vis-hep-b.pdf
Local soreness 1 – 2 days (25% of adults)
Mild to moderate fever (1 out of 100 adults)
http://www.cdc.gov/nip/publications/vis/vis-hep-b.pdf
Report if severe symptoms within a few minutes to a
few hours of injection: difficulty breathing, hoarseness,
wheezing, hives, paleness, weakness, rapid pulse or
dizziness http://www.cdc.gov/nip/publications/vis/vis-hep-b.pdf
What If I Have Been
Exposed to BBP or
OPIM?
Wash immediately with soap & water
Report to your supervisor immediately
Contact the Exposure Control Officer if
questions (24 hour cell: 695-0911)
Report to ER within 2 hours
To determine risk
To receive treatment if indicated
To receive medication if indicated
[Questions 3 & 8]
Post-Exposure Evaluation
& Follow-Up
All potential exposure incidents shall be reported
to the immediate supervisor.
An Exposure Incident Report will be completed.
The report will be submitted to the Exposure
Control Officer no later than the next working day
following exposure.
Determination will be made as to the exposure of
BBP, etc.
Communication of
Hazards to Employees
Labels and signs: Containers marked with the
biohazard symbol should only be handled or
processed by employees who are assigned to this
task within their department. These employees
complete a separate training within their department
especially for this purpose. [Question 2]
Biohazard containers are not emptied, moved or
processed as regular waste.
Biohazard containers & liners can be red or orangered and will be stamped with the biohazard symbol
Information & Training
Recording Needlesticks
Requires employers to
record all needlestick
and sharps injuries
involving contamination
by another person’s
blood or other
potentially infectious
material
1904.8
Tuberculosis & Medical
Removal
Includes separate
provisions describing the
recording criteria for
cases involving the workrelated transmission of
tuberculosis
Requires employers to
record cases of medical
removal under OSHA
standards
1904.11 & 1904.9