BLOODBORNE PATHOGENS OSHA TRAINING OSHA 29 CFR 1910.1030 WELCOME COURSE OBJECTIVES INTRODUCE 29 CFR 1910.1030, THE BLOODBORNE STANDARD DISCUSS METHODS USED TO CONTROL.
Download ReportTranscript BLOODBORNE PATHOGENS OSHA TRAINING OSHA 29 CFR 1910.1030 WELCOME COURSE OBJECTIVES INTRODUCE 29 CFR 1910.1030, THE BLOODBORNE STANDARD DISCUSS METHODS USED TO CONTROL.
BLOODBORNE PATHOGENS OSHA TRAINING OSHA 29 CFR 1910.1030 WELCOME 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 STUDENT LEARNING OUTCOMES 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 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 KNOWLEDGEABLE OF HOW TO LOWER YOUR CHANCES OF WORKPLACE EXPOSURE TO THE BLOODBORNE PATHOGENS YOU ARE POTENTIALLY EXPOSED TO IN YOUR DAILY WORKING LIFE! REGULATORY STANDARD BLOODBORNE PATHOGENS 29CFR - 1910 - 1030 29CFR - SAFETY AND HEALTH STANDARDS 1910 - GENERAL INDUSTRY 1030 - BLOODBORNE STANDARD COMPLIANCE TIMETABLE 29CFR 1910.1030 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 APPLICABILITY APPLIES TO EMPLOYEE’S WHO: HAVE EMERGENCY RESPONSE DUTIES PERFORM JANITORIAL DUTIES PERFORM WORK WITH POTENTIAL BBP’S HAVE ANY POTENTIAL WORKPLACE EXPOSURE SMITH SMITH 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 RETRAINING REQUIREMENTS REQUIRED: ANNUALLY IF THERE IS REASON TO DOUBT PROFICIENCY IF THERE IS A FAILURE IN CONTROL PROCEDURES DANGER BLOODBORNE PATHOGENS GENERAL PROGRAM REQUIREMENTS ALL EMPLOYERS MUST: 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 WRITTEN PROGRAM REQUIREMENTS ALL EMPLOYERS MUST: 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 SOP’S PROGRAM MANAGEMENT FORMS COMMONLY USED 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. FORMS PROGRAM MANAGEMENT FORMS COMMONLY USED PROGRAM MANAGEMENT FORMS EXPOSURE INCIDENT REPORT: USED TO INVESTIGATE INCIDENTS WHERE EXPOSURE MAY HAVE OCCURRED. 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 EMPLOYERS MUST: 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 MEDICAL RECORDKEEPING HEPATITIS B VACCINATION DECLINATION STATEMENT: 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. TRAINING RECORDKEEPING RECORDS MUST: 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 EXPOSURE CONTROL PLAN THE PLAN MUST: 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 BLOODBORNE HAZARDS COMMON BLOODBORNE DISEASES: DANGER SYPHILIS MALARIA HEPATITIS C BLOODBORNE PATHOGENS HEPATITIS B VIRUS (HBV) HUMAN IMMUNODEFICIENCY VIRUS (HIV) BLOODBORNE HAZARDS HEPATITIS B VIRUS (HBV): 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 BLOODBORNE HAZARDS HUMAN IMMUNODEFICIENCY VIRUS (HIV): 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) TRANSMISSION MODES BBP’S CAN BY TRANSMITTED BY: BLOOD VOMIT BODY FLUIDS NOSE AND MOUTH MUCOUS MEMBRANES ABSORPTION THROUGH THE EYES CUTS, SCRAPES, BURNS, RASHES, DERMATITIS ETC. TRANSMISSION MODES OCCUPATIONAL EXPOSURE CAN OCCUR: 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 COMMUNICATION OF HAZARDS BIOHAZARD INTERNATIONAL SYMBOL FOR BIOHAZARD COMMUNICATION OF HAZARDS WARNINGS AND LABELS: 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 COMMUNICATION OF HAZARDS SIGNAGE: SIGNS MUST BE POSTED AT THE ENTRANCE TO WORK AREAS HAVING POTENTIALLY INFECTIOUS MATERIALS BIOHAZARD 1. 2. 3. NAME OF THE INFECTIOUS AGENT SPECIAL REQUIREMENTS FOR ENTRY NAME, TELEPHONE NUMBER OF THE RESPONSIBLE PERSON 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! GENERAL CONCEPTS OF TOXICOLOGY ROUTES OF ENTRY INHALATION -- A DOSE THAT IS ABSORBED THROUGH THE LUNGS INTO THE BLOODSTREAM ABSORPTION -- A DOSE THAT IS ABSORBED THROUGH THE SKIN OR EYES GENERAL CONCEPTS OF TOXICOLOGY ROUTES OF ENTRY INGESTION -- A DOSE THAT IS ABSORBED THROUGH THE GASTROINTESTINAL 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 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. METHODS OF CONTROL ROUTES OF ENTRY ABSORPTION INGESTION INJECTION METHODS OF CONTROL CONTROL THE SPREAD OF CONTAMINATION METHODS OF CONTROL COMMON SENSE RULES: WASH HANDS AND REMOVE PPE BEFORE: EATING SMOKING DRINKING HANDLING CONTACT LENSES APPLYING COSMETICS OR LIP BALM METHODS OF CONTROL UNIVERSAL PRECAUTIONS: 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 METHODS OF CONTROL ACCIDENT/SPILL CLEANUP RECOMMENDATIONS: 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 METHODS OF CONTROL ACCIDENT/SPILL CLEANUP KIT RECOMMENDATIONS: 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) EMERGENCY ASSISTANCE SOME SUGGESTIONS: 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 METHODS OF DECON DECONTAMINATION METHODS: SOAP & WATER 10% BLEACH SOLUTION APPROVED TOWELETTES SEGREGATED LAUNDERING APPROVED DISINFECTANTS EXPOSURE INCIDENT REPORTING SUGGESTED REPORTING METHOD: 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. EXPOSURE INCIDENT REPORTING DOCUMENTING THE EXPOSURE: 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? 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 STORAGE: 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.) MANAGING INFECTIOUS WASTE DISPOSAL: USE APPROVED HAULERS REVIEW MANIFESTS CAREFULLY ESTABLISH REGULAR PICKUP TIMETABLES REVIEW HANDLING PROCEDURES PERIODICALLY CONTRACTOR SAFETY REQUIREMENTS 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 TIPS FOR USING CONTRACTORS 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! OSHA'S PERCEPTION OF A SUCCESSFUL PROGRAM 1. DETAILED EXPOSURE CONTROL PROCEDURES 2. EXTENSIVE EMPLOYEE TRAINING PROGRAMS 3. PERIODIC REINFORCEMENT OF TRAINING 4. SUFFICIENT DISCIPLINE REGARDING IMPLEMENTATION THE FINAL WORD THE FINAL WORD CONCERNING PATHOGENS NEVER DISCOUNT ANY ROUTE-OF-ENTRY!