bloodborne pathogens needlestick
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www.spin-safety.orgCreated by Joe Teeples of Wisconsin Safety
Bloodborne Pathogens
Updated to include the
Needlestick Act
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Created by Joe Teeples of Wisconsin Safety
Bloodborne Pathogens
OSHA Regulation 29CFR 1910.1030 History & Effective Dates Purpose of the Regulation Employer Requirements Scope and Coverage Exposure Control Plan
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Created by Joe Teeples of Wisconsin Safety
Bloodborne Pathogens 1991- OSHA publishes the final regulation for
Bloodborne Pathogens in December. 1992- OSHA regulation effective in March 1992- Deadline for the completion of the
written Exposure Control Plan (May) 2000- Needlestick Safety and Prevention Act
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Created by Joe Teeples of Wisconsin Safety
Bloodborne Pathogens
To assure that no employee will suffer material health or functional impairment due to an exposure to hazardous agents while in the course of their employment.
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Created by Joe Teeples of Wisconsin Safety
Employer Requirements Requirements of the Employer Employee education and
training Protective measures and
equipment Written Documentation Recordkeeping
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Created by Joe Teeples of Wisconsin Safety
Scope and Coverage Original thrust was aimed at:
– Hospitals– First Responders (ambulance, fire, police)– Dental practices
Non medical classifications:– Funeral directors and morticians– Police crime labs– Barbers and cosmetologists
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Created by Joe Teeples of Wisconsin Safety
Scope and Coverage also effects: Maintenance and Custodial workers Housekeeping and Laundry services Waste Handling and Disposal services
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Created by Joe Teeples of Wisconsin Safety
Needlestick Prevention
Needlestick incidents do happen!
Be prepared! All needlestick
incidents are preventable!
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Created by Joe Teeples of Wisconsin Safety
Needlestick Prevention Cont.
Once the worker has been stuck he has been exposed!
Record the incident!!
Treat the worker!
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Created by Joe Teeples of Wisconsin Safety
Bloodborne Pathogens
There is one exemption to the rule!
The Good Samaritan clause– A De minimus classification– No penalties for violation
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Created by Joe Teeples of Wisconsin Safety
Occupational Exposure
Any reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood...
.... or any other potentially infectious materials that may result from the performance of an employees duties.
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Created by Joe Teeples of Wisconsin Safety
Determination of Exposure “Potentially Infectious” materials include:
– semen– vaginal secretions– cerebrospinal fluid– synovial fluid– pleural fluid– pericardial fluid– peritoneal fluid– amniotic fluid– saliva in dental procedures
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Created by Joe Teeples of Wisconsin Safety
Employee Education and Training Epidemiology of bloodborne diseases is
the study of the incidence, distribution and control of Hepatitis B and HIV/AIDS– Hepatitis is an inflammation of the
liver– HIV/AIDS destroys the ability to fight
infections
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Created by Joe Teeples of Wisconsin Safety
Symptoms of Hepatitis B
Yellow Eyes & Skin (Jaundice) Abdominal pain Fever and Vomiting Dark Urine Fatigue
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Created by Joe Teeples of Wisconsin Safety
Symptoms of AIDS Fever Swollen Glands Diarrhea Extreme Weight Loss Skin Lesions Mental Disorientation
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Created by Joe Teeples of Wisconsin Safety
Needles come in all shapes and sizes. Check manufacturers for the safest needle!
Needlestick Prevention
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Created by Joe Teeples of Wisconsin Safety
Modes of Transmission Parenteral
– Intravenous Injection – Accidental Needlestick
Sexual– Unprotected Sex
Mucous Membrane– Respiratory tract– Alimentary tract (Nutrition/Digestive)
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Created by Joe Teeples of Wisconsin Safety
Most Common Means of Transmission
Currently unprotected sex is the most common means of transmission.
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Created by Joe Teeples of Wisconsin Safety
Control Measures Engineering Controls
– Serve to reduce employee exposure in the workplace by either isolating the worker from the exposure or removing the hazard
Examples– Surgical gloves– Self retracting needles– Sharps Containers
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Created by Joe Teeples of Wisconsin Safety
Control Measures Cont.. Work Practice Controls
– Reduce the likelihood of exposure through the alteration of the manner in which the task is performed.
Examples– Using Gloves– Hand washing– Method of removing
contaminated gloves– Recapping needle procedures
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Created by Joe Teeples of Wisconsin Safety
Control Measures Cont..
Personal Protective Equipment (PPE)– Minimizes the risk of infectious materials
entering into the workers body through • skin lesions or • entry through the eyes, nose, or mouth
Examples– Gloves– Gowns– Face Shields
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Created by Joe Teeples of Wisconsin Safety
Universal Precautions
An approach to infection control
All human blood and certain human body fluids are treated as if known to be infected!
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Created by Joe Teeples of Wisconsin Safety
HBV Vaccinations HBV Vaccinations are the most
important part of HBV infection control
Gloves and other PPE do not prevent puncture wounds or unanticipated exposures.
Set of three inoculations Good for ten years
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Created by Joe Teeples of Wisconsin Safety
Post Exposure Evaluation and Follow-up
Exposure Incident means a specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other infectious materials that result from the performance of an employees duties.
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Created by Joe Teeples of Wisconsin Safety
Post Exposure Evaluation and Follow-up Cont.
Following a report of an exposure incident, the employer provide a confidential medical evaluation which will include:– Documentation of route of exposure– HIV/HBV status of the source individual– Serological testing of the blood ASAP– Post exposure vaccine (HBIG) if indicated– Medical evaluation of the reported illness– Counseling of the exposed individual
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Created by Joe Teeples of Wisconsin Safety
Regulated Waste Disposal Contaminated items that:
– Would release blood or other potentially infectious materials•IF they are
– Pourable– Drippable– Compressible
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Created by Joe Teeples of Wisconsin Safety
Housekeeping and Laundry Keep the work-site in a
clean and sanitary condition.
Use a hospital grade VIRUCIDE
OR a 1:10 bleach to water solution
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Created by Joe Teeples of Wisconsin Safety
Tags, Labels & Bags Tags and Labels shall be
fluorescent orange or red-orange with lettering and the Biohazard symbol in a contrasting color.
Bags must have this label on them or they must be red in color and leak proof.
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Created by Joe Teeples of Wisconsin Safety
Recordkeeping The employer shall establish and
maintain an accurate record for each employee with an occupational exposure incident.
Records shall include:– Name & Social Security Number of
employee– Copy of employees HBV vaccination
records– Copy of all medical testing and
findings– Copy of physicians written opinion
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Created by Joe Teeples of Wisconsin Safety
Recordkeeping Cont.
The employer shall maintain records for:– The duration of the employment– PLUS 30 years– Records must be kept
CONFIDENTIAL!
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Created by Joe Teeples of Wisconsin Safety
Sharps Injury Log
The Sharps Injury Log must document:– Type and brand of device– Work area where incident occurred– Explanation of how incident occurred
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Created by Joe Teeples of Wisconsin Safety
Exposure Control Plan
Must Address:– Exposure Determination– Employee Education and Training– Control Measures– HBV Vaccinations– Post Exposure Evaluation and Follow Up– Regulated Waste Disposal– Tags, Labels, and Bags– Housekeeping and Laundry– Record keeping
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Created by Joe Teeples of Wisconsin Safety
Exposure Control Plan Cont.
Reviewed AND updated annually
Reflect technological changes DOCUMENT consideration of
safer medical devices Document solicitation from non-
managerial employees
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Created by Joe Teeples of Wisconsin Safety
New Legislation
Needlestick Safety and Prevention Act, November 6, 2000
OSHA directed to revise Bloodborne Pathogen regulation within 6 months
Congress exempts OSHA from procedural requirement for promulgation of regulation in order to comply with the Act
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Created by Joe Teeples of Wisconsin Safety
Four areas for revision
Modification of definitions Revision and Updating the
Exposure Control Plan Solicitation of Employee Input Recordkeeping
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Created by Joe Teeples of Wisconsin Safety
Definitions
Engineering Controls Needleless Systems Sharps with Engineered Sharps
Injury Protection
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Wash Your Hands
Hand washing after using toilet:– Women 74%– Men 61%
New York City- 60% Chicago- 78% New Orleans- 69% Atlanta Braves Game-
– Women 89%– Men 46%– Pass the popcorn!!
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Hanta Virus
46 year old elementary school teacher Colorado’s fifth Hanta Virus victim in a year She lasted five days – Lived on a ranch with husband and 3 children 200 cases nationwide