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
BLOODBORNE
 MALARIA
PATHOGENS
 HEPATITIS C
 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. NAME OF THE INFECTIOUS AGENT
2. SPECIAL REQUIREMENTS FOR ENTRY
3. 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 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

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!