A: Introduction Show
A: IntroductionAcquired Immunodeficiency Syndrome (AIDS) and Hepatitis B warrant serious concerns for workers occupationally exposed to blood and other body fluids that contain bloodborne pathogens. In recognition of these potential hazards, the Occupational Safety and Health Administration (OSHA) implemented a Bloodborne Pathogens regulation, [29 Code of Federal Regulations (CFR) 1910.1030] to help protect workers from these health hazards. The major intent of this regulation is to prevent the transmission of bloodborne diseases within potentially exposed workplace occupations. The standard is designed to reduce and prevent employee exposure to the Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV) Hepatitis C Virus (HCV) and other bloodborne diseases. The standard recommends that employers follow universal precautions, which means that all blood or other potentially infectious material must be treated as being infectious. Employers must perform an employee exposure evaluation. If employee exposure is recognized as defined by the standard, then the standard mandates that an Exposure Control Plan (ECP) be developed to include; engineering controls, work practices, personal protective equipment, HBV vaccinations and training. The standard also mandates practices and procedures for housekeeping, medical evaluations, communication of hazards, and recordkeeping. Go to Blood-borne Pathogen Exposure Plan index. B: PolicyThe College of Saint Benedict and the Order of Saint Benedict (OSB) are committed to providing a safe and healthful learning and work environment for all employees, students, residents and visitors. In pursuit, the following Exposure Control Plan (ECP) is prepared to eliminate or minimize occupational exposure to bloodborne pathogens in accordance with OSHA Bloodborne Pathogens Standard, Title 29 Code of Federal Regulations 1910.1030. The ECP is a key document to assist our campuses in the protection against infectious diseases. The implementation ensures compliance with the OSHA standard. All employees should therefore be familiar with the ECP and carefully follow the procedures and work practices as outlined. The College of Saint Benedict and OSB recognize that some of the Class I or Class II employees sometimes work at off-site facilities that have the potential for exposure to bloodborne pathogen (BBP). Employees who must work at an off-site facilities are required to comply with the procedures and work practices outlined in that facilities exposure control plan. Supervisor or project director who arranges with the outside facility must request, satisfy themselves with and document training of the employees in the exposure control plan of that facility before work begins. Employees should remain vigilant at all times and request sufficient protection. Go to Blood-borne Pathogen Exposure Plan index. C: Program AdministrationC.1 The Environmental Health Safety Office:
C.2 The Human Resources Office:
C.4 Participating Department Chair, Director or Supervisor
C.5 First Aid Providers/CSB Security Officers (5000) or OSB Life safety (911 or 2144) In addition to routine services, security or life safety officers will
C.6 Employees Those employees who are reasonably anticipated to have contact with or exposure to blood or other potentially infectious materials (Class I and Class II) are required to comply with the procedures and work practices outlined in this ECP. Other employees who are NOT reasonably anticipated to have contact with or exposure to blood or other potentially infected materials are expected to observe "universal precaution" as described in this ECP and use discreet judgment when offering voluntary assistance to a victim. Go to Blood-borne Pathogen Exposure Plan index. D: Disciplinary ActionOur institutions are obligated to comply with the requirements of Federal Standard 29 CFR 1910.1030. Failure on employee’s part to comply with the requirements or the creation of unsafe/unsanitary conditions or unsafe acts will subject the employee to appropriate disciplinary course of action as provided in the employee’s relevant handbook. E: DefinitionsFollowing are some common words and phrases that specifically apply to this ECP. The definition of these words and phrases are also included in paragraph 1910.1030 (b) of 29 CFR, provided as Appendix A to this ECP. Blood - human blood, human blood components, and products made from human blood. Blood-borne Pathogens - pathogenic micro-organisms that are present in human blood and can infect and cause disease in humans. These pathogens include, but are not limited to, Hepatitis B virus (HBV), and Human Immunodeficiency Virus (HIV). Contaminated - the presence or the reasonably anticipated presence of blood or other potentially infectious materials on an item or surface. Exposure Incident - a specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee's duties. Occupational Exposure - reasonably anticipated skin, eye, mucous membrane, or parenteral contact.- with blood or other potentially infectious materials that may result from the performance of an employee's duties. Other Potentially Infectious Materials (OPIM) 1. The following human body fluids:
2. Any unfixed tissue or organ (other than intact skin) from a human (living or dead) 3. HIV-containing cells or tissue cultures, organ cultures, and HIV or HBV-containing cultures medium or other solutions; and 4. Blood, organs, or other tissue from experimental animals infected with HIV or HBV. Regulated Waste
Go to Blood-borne Pathogen Exposure Plan index. F: EpidemiologyThere are several diseases that are caused by bloodborne pathogens (BBP’s). Many bloodborne pathogens are fairly exotic and you may never encounter them. However, a few BBP’s are fairly common and present a risk to employee who come in direct contact with potentially infectious materials such as human blood and certain body fluids. Among the more common bloodborne pathogens that employees could be exposed to on the job include but are not limited to, hepatitis B virus (HBV) Hepatitis C (HCV) and human immunodeficiency virus (HIV). F.1 Hepatitis virus Hepatitis B virus (HBV) - is a virus that causes an infection of the liver potentially leading to liver disease, liver cancer and possibly death. Hepatitis B: Is an inflammation of the liver, caused by infectious and highly contagious HBV. It is characterized by jaundice and usually accompanied by fever and systemic manifestation.
Class I or Class II employees reasonably anticipated to encounter blood and potentially infectious materials in the course of their jobs are entitled to the vaccination at no cost. If employee previously declined the vaccination but would like to receive it at this time, or if the employee would like to discuss the vaccination further, contact Environmental Health and Safety office at 5277(CSB) or 3267(OSB). Hepatitis C Virus (HVC) - F.2 Human Immunodeficiency Virus (HIV) HIV is the virus that gradually weakens the immune system of the infected person, leaving that person unable to fight off other infections. This leads to acquired immunodeficiency syndrome (AIDS) and will ultimately cause death. Acquired Immune Deficiency Syndrome (AIDS): Is a major failure of the body’s ability to fight infection and suppress multiplication of abnormal cells such as cancer
Go to Blood-borne Pathogen Exposure Plan index. G: Route of Blood-borne Pathogen TransmissionThe pathogens HIV and HBV which can cause these diseases may be found not only in human blood, but also in other potentially infectious materials (OPIM) including the following body fluids:
It is a required practice to use Universal Precautions when handling these body fluids. The following body fluids are not expected to be infectious sources of bloodborne pathogens (unless they are visibly contaminated with blood): urine; feces; vomit; tears; sweat; sputum; nasal secretions Although these body fluids are not currently classified as infectious sources of bloodborne pathogens, universal precautions, good personal hygiene practices must be followed when handling these materials. Some items found in clinical or laboratory setting are also considered to be other potentially infectious materials (OPIM) and they include:
Transmission of Bloodborne Pathogens. Bloodborne pathogens can be transmitted when infectious blood or OPIM is introduced into the bloodstream of a person. The routes of infection with HBV and HIV are generally similar for people at risk of occupational exposure. The primary routes are: Percutaneous (parenteral) Exposure
Permucosal (via mucous membrane)
The HBV virus is particularly dangerous since it can survive on dried surfaces at room temperature for at least one week. This means that a surface can be dangerously contaminated without any visible signs if the work areas are not thoroughly cleaned immediately after being contaminated with infectious material. There are many more HBV-infected people than HIV-infected people in a community. Thus the chance of exposure to HBV is greater. Hepatitis B virus is much more infectious than HIV. Go to Blood-borne Pathogen Exposure Plan index. H: Employee Exposure DeterminationOSHA requires employers to perform an exposure determination concerning which employees may incur occupational exposure to blood or other potentially infectious materials. The exposure determination is made without regard to the use of personal protective equipment (i.e., employees are considered to be at risk of exposure even if they wear personal protective equipment). This exposure determination is required to list all job classifications in which all employees may be expected to incur such occupational exposure, regardless of frequency. H.1 Classification I A list of job classifications in which all of the employees have risk of occupational exposure. At the College of St. Benedict, the following job classifications are in this category:
At the Order of St. Benedict, the following job classifications are in this category:
In addition, OSHA requires a listing of job classifications in which some employees may have occupational exposure. Since not all the employees in these categories would be expected to incur exposure to blood or other potentially infectious materials, tasks or procedures that would cause these employees to have occupational exposure are also required to be listed in order to clearly understand which employees in these categories are considered to have occupational exposure. The job classifications and associated tasks for these categories are as follows: H.2 Classification II A list of job classifications in which some of the employees have risk of occupational exposure; and the list of specific tasks and procedures causing the occupational exposure. The table below lists the job categories at the College of St. Benedict:
The table below lists the job categories at the Order of St. Benedict:
Note: All exposure determinations were made without regard to the use of Personal Protective Equipment (PPE). H.3 Voluntary Assistance Voluntary "Good Samaritan" acts which result in exposure to blood or other potentially infectious materials from assisting a fellow employee (i.e., assisting a co-worker with nose bleed, giving CPR or first aid) are not included in the Bloodborne Standard. However, at the College of St. Benedict and OSB, such incidences will be evaluated on case by case basis and the college may offer post-exposure evaluation and follow-up for victims. In case of bleeding, assistance such as fetching first aid kit, handing supplies to the victim and maintaining dialogue with the victim until bleeding has stopped or until help arrives is most valuable and every employee is encouraged to just do that. Such assistance should be sufficient for most of the type of incidences we experience on our campus. If the bleeding is such that the victim cannot contain it single handed and you must help, then follow the fairly easy concepts explained here, but remember take the time to assess the conditions so that you will be better able to cope with the emergency. Place a sterile dressing over the wound if you have one available. If you don't have sterile first aid supplies, use a clean cloth. Apply direct pressure over the wound to control bleeding. NOTE: While the risk of disease transmission is slight when your skin is intact, placing a barrier between your skin and the victim's blood is a wise idea. Use disposable rubber gloves if possible. ANY barrier is better than none. Do not remove dressing if it becomes blood soaked. Apply an additional dressing instead. Don't release pressure until help arrives. Wash your hands thoroughly when you are finished. Go to Blood-borne Pathogen Exposure Plan index. I: Methods of ComplianceEmployees covered by the Bloodborne Pathogens Standard will receive an explanation of the ECP during their initial training session. It will also be reviewed in their annual refresher training. All employees will have an opportunity to review this Plan at any time during their work shifts by contacting their supervisor or by contacting EH&S officer, at 5277 or 3267. I.1 Universal Precaution All employees will utilize Universal Precautions. The term "universal precautions" refers to a system of infectious disease control which assumes that all blood or body fluids are infectious and requires every worker exposed to direct contact with blood or body fluids to be protected as though such body fluids were infected with Hepatitis B (HBV), Human Immunodeficiency Virus (HIV) or other infectious agents. Therefore, universal precautions are intended to prevent workers from parenteral, mucous membrane, and non-intact skin exposures to infectious agents. I.2 Engineering Control and Work practices Engineering controls and work practice controls will be used to prevent or minimize exposure to bloodborne pathogens. Some of the specific engineering controls and work practice controls we will use are listed below: Product Design Evaluation New technology for needles and sharps will be evaluated and implemented whenever possible to further prevent accidental needle sticks and cuts. Our engineering controls (i.e., sharps containers, etc.) will be inspected by the supervisor or project director and maintained or request for maintenance/replacement as appropriate. Examples of engineering controls include, but are not limited to:
Note: Contaminated needles and other contaminated sharps will not be bent, recapped, removed, sheared or purposely broken. If the procedure would require that the contaminated needle be recapped or removed and no alternative is feasible and the action is absolutely necessary for the procedure, the recapping or removal of the needle must be done by the use of a mechanical device or a one-handed technique. Procedures where recapping is necessary must be forwarded to EH&S office in order to be included in the ECP. I.3 Handwashing Handwashing is the single most important means of preventing the spread of infection. It is vitally important to clean hands thoroughly after contact with potentially infectious material. This helps to protect the employee from hand-to-mouth infection and also prevents the hand-to-hand spread of contamination to fellow employees. Examples of Handwashing practice controls include, but are not limited to:
I.4 Work Practice Controls
Go to Blood-borne Pathogen Exposure Plan index. J: Personal Protective EquipmentPersonal protective equipment (PPE) are barriers designed to prevent employees from having direct contact with blood or other potentially infectious materials. Personal protective equipment (PPE) must also be used if occupational exposure remains after instituting engineering and work practice controls, or if controls are not feasible. Baseline information will be provided during the initial training, in the use of the appropriate personal protective equipment. PPE training for employees' specific job classifications or tasks and procedures will be provided by the supervisor or project director for work they will perform. Additional training will be provided, whenever necessary, such as if an employee takes a new position or if new duties are added to their current position. Supervisors or project directors will provide the additional training as appropriate. Environmental Health and safety office will be available for assistance. When there is a potential for occupational exposure, the supervisor shall provide and ensure that the employee uses appropriate personal protective equipment such as, but not limited to the following:
Supervisors shall provide, at no cost to the employee, appropriate personal protective equipment when there is anticipated occupational exposure. Personal protective equipment will be considered 'appropriate" only if it does not permit blood or other potentially infectious materials to pass through mucous membranes under normal conditions of use and for the duration of time which the protective equipment will be used. The appropriate personal protective equipment in the appropriate sizes will be readily accessible at the worksite or is issued to employees by the project supervisor. Hypoallergenic gloves, glove liners, powder-less gloves, or other similar alternatives shall be readily accessible to those employees who are allergic to the gloves normally provided. Employees with first aid responder responsibilities such as security officer must have quick access to kits having gloves, ventilation devices, pocket masks or mouthpieces, eye protection, aprons, and disinfectant towelettes for hand washing. In addition to their personal Kits, these PPE's can be found in the Bloodborne Pathogen kits located in most of the building on campus. The list of supplies contained in a standard kit is provided in Appendix H. As a general rule, all employees using PPE must observe the following precautions:
Note to Supervisors: ANY PERSONAL PROTECTIVE EQUIPMENT CHOSEN SHALL FORM AN EFFECTIVE BARRIER. THE TYPE AND CHARACTERISTICS WILL DEPEND UPON THE TASK AND DEGREE OF EXPOSURE ANTICIPATED. GENERAL WORK CLOTHES (e.g. uniforms, pants, shirts or blouses) OR EYE GLASSES NOT INTENDED TO FUNCTION AS PROTECTION AGAINST A HAZARD ARE NOT CONSIDERED TO BE PERSONAL PROTECTIVE EQUIPMENT. THE SUPERVISOR SHALL ENSURE THAT THE EMPLOYEE USES APPROPRIATE PERSONAL PROTECTIVE EQUIPMENT. THE SUPERVISOR SHALL ENSURE THAT APPROPRIATE PERSONAL PROTECTIVE EQUIPMENT IN APPROPRIATE SIZES IS READILY ACCESSIBLE Contact the Environmental Health and Safety Office at 5277 or 3267 for assistance in the selection and coordination of the purchase of PPE . Go to Blood-borne Pathogen Exposure Plan index. K: HousekeepingHousekeeping refers to maintaining the work site in a clean and sanitary condition, which helps to minimize occupational exposure to blood or other potentially infectious materials. Housekeeping procedures are specific for cleaning and decontaminating the environment, equipment, and work surfaces, and for handling contaminated laundry. Note: EPA registered tuberculocidal disinfectants are appropriate for the cleaning of blood or OPIM. A list of EPA approved disinfectants is provided in Appendix F. A solution of 5.25 percent sodium hypochlorite, (household bleach), diluted between 1:10 and 1:100 with water, is also acceptable (OSHA) for cleaning contaminated surfaces. Quaternary ammonium products are appropriate for use in general housekeeping procedures that do not involve the cleanup of contaminated items or surfaces. The particular disinfectant used, as well as the frequency with which it is used, will depend upon the circumstances in which a given housekeeping task occurs (i.e., location within the facility, type of surface to be cleaned, type of soil present, and tasks and procedures being performed). The following procedures are provided as a general practice for house keeping in a laboratory setting. To ensure a complete decontamination, it is recommended that employees plan procedures as specific as possible to the task.
Discard all regulated waste according to federal, state, and local regulations, i.e., liquid or semi-liquid blood or other potentially infectious material; items contaminated with blood other potentially infectious materials that would release these substances in a liquid or semi-liquid state if compressed; items caked with dried blood or other potentially infectious materials and capable of releasing these materials during handling; contaminated sharps; and pathological and microbiological wastes containing blood or other potentially infectious materials, should be treated as regulated waste and discarded following appropriate procedure. Go to Blood-borne Pathogen Exposure Plan index. L: LaundryThe following requirements must be met, with respect to laundry/linen contaminated with blood or OPIM:
Go to Blood-borne Pathogen Exposure Plan index. M: Hepatitis B VaccinationThe clinic chosen by the employee will provide information on Hepatitis B vaccinations, addressing its safety, benefits, efficacy, methods of administration and availability. The Hepatitis B vaccination series will be made available at no cost, within 10 days of initial assignment to employees who have occupational exposure to blood or other potentially infectious materials unless:
If an employee chooses to decline HB vaccination, then the employee must sign a statement to this effect. (See Appendix C for Mandatory declination statement.) Employees who decline may request and obtain the vaccination at a later date at no cost, by contacting the Environmental Health and Safety office 5277 or 3267. Documentation of refusal of the HB vaccination will be kept with the employee's other medical records. To ensure employees are aware of the importance of the Hepatitis B vaccination, it is recommended that all involved in hiring to encourage employees to consider the efficacy, and benefits of the vaccination, the fact that it is given at no cost, and during work hours. Highlights of Hepatitis B Vaccination (view summary chart)
Go to Blood-borne Pathogen Exposure Plan index. N: Post-Exposure EvaluationPost Exposure Evaluation and Follow-up Procedures for Reporting, Documenting and Evaluating the Exposure Should an exposure incident occur contact your supervisor, a first responder, CSB Security at 5000, or OSB Life Safety at 911 immediately. Each exposure must be documented, on a 'Exposure Report Form' (see Appendix D). Environmental Health and Safety will review and provide any additional information as needed. The incident report will:
An immediately available confidential medical evaluation and follow up will be conducted by a licensed Healthcare Provider of choice. The following elements will be performed:
Appendix D 'Exposure Report Form' will be given to the employee, in order to provide additional relevant medical information for the medical evaluation. Original records on this appendix will be maintained with employee's medical records. The Environmental Health and Safety Officer will review the circumstances of the exposure incident to determine if procedures, protocols and/or training need to be revised. If consent is not obtained, CSB/OSB must show that legally required consent could not be obtained. Where consent is not required by law, the source individual's blood, if available, should be tested and the results documented. If, during this time the exposed employee elects to have the baseline sample tested, testing shall be done as soon as feasible. Following an exposure incident, prompt medical evaluation and prophylaxi's is essential. Timeliness is, therefore, an important factor in effective medical treatment. Recent information from CDC indicates that evaluation within two hours is most helpful particularly with HIV incident. Effective medical treatment may still be conducted within 72 hours from the time of exposure to HBV. Highlights of Post Exposure Evaluation and Follow-up Requirements
Go to Blood-borne Pathogen Exposure Plan index. O: Healthcare ProviderEnvironmental Health and Safety officer will ensure that health care professionals responsible for employee's HB vaccination and post-exposure evaluation and follow-up, have a copy of the OSHA Bloodborne Standard. Environmental Health and Safety officer or the Human Resource office will ensure that the health care professional evaluating an employee after an exposure incident receives the following:
Healthcare Professional's Written Opinion The attending Healthcare Provider will provide the employee with a copy of the evaluating healthcare professional's written opinion within 15 days after completion of the evaluation. For HB vaccinations, the healthcare professional's written opinion will be limited to whether the employee requires or has received the HB vaccination. The written opinion for post-exposure evaluation and follow-up will be limited to whether or not the employee has been informed of the results of the medical evaluation and any medical conditions which may require further evaluation and treatment. All other diagnoses must remain confidential and not be included in the written report. Go to Blood-borne Pathogen Exposure Plan index. P: Waste Removal/DisposalP.1. Labeling All employees involved in the biohazard waste removal will ensure that warning labels are affixed or red labeled bags are used as required. Employees are to notify, in the following order; the custodian for the area, CSB Security (5000), OSB Life Safety (911), or Environmental Health and Safety (5277 or 3267), if they discover unlabeled regulated waste containers. See Appendix B, for Minnesota State Labeling Requirements.) P.2. Disposal The Class I or Class II employee designated for the custodial services at the work site or the department from which a potentially infectious waste exists will have the overall responsibility for the waste. The accumulated infectious waste that has the potential to release blood or OPIM, will be placed in a container that is leakproof or puncture resistant or a combination of both depending on waste media, for safe transportation. The responsible person will inform CSB Security (5000) or OSB Life Safety (911) of the existence of such waste. In a timely manner, the security will transport the waste to a designated accumulation center. Unless they are visibly contaminated with blood, clean up of the following body fluids: urine; feces; vomit; tears; sweat; sputum; nasal secretions which currently are not expected to be infectious sources of bloodborne pathogens shall be disposed of as a regular waste. P.3. Waste Disposal Procedures in the Teaching Laboratory. (Review Infectious Waste Summary) The responsibility for decontamination and proper disposal of biohazardous waste in teaching laboratories lies with the producing facility (e.g., laboratory and department). The safety officer for academic programs will assist in coordinating the waste activities and in the disposal of sharps and pathological waste including animal carcasses. Departments or laboratories that have specific biosafety procedure shall use this ECP as a minimal standard. As a general practice the teaching laboratories will utilize Autoclave machine if available, to decontaminate potentially infectious waste before disposal into regular waste stream.
Go to Blood-borne Pathogen Exposure Plan index. Q: TrainingAll employees who have or are reasonably anticipated to have occupational exposure to blood-borne pathogens, the Class I and Class II job lists, will receive the initial training before assigned to work and the mandatory annual refresher training thereafter. Q.1 What training is required: Department Chair or Manager must arrange or contact EH&S to arrange for the initial training for newly hired and for the annual refresher for participating employees in the department. Based on need, a general awareness training session can be scheduled in January/February for regular full time employees. Additional awareness training for student workers will be arranged on as need basis typically at the beginning and end of each academic year. All training will provide appropriate information applicable to our work environment. Employees who attend training as a requirement of their annual refresher (Class I & II) must do so in order to satisfy the requirements. If an employee misses a scheduled class, She or he may request for a session by contacting EH&S office. Individual training whether initial or a refresher, will most likely take a different format, including interactive computer based training (CBT), with instant access to a qualified trainer. On-going employees who have attended the training session at least once and are not classified as Class I or Class II in the College ECP are not required to attend annual training. However, such employee may come into any general session, supervisor permitting or refer to the ECP in order to stay current with the practice of "universal precaution". Each training program will be appropriate in context, including the following elements:
Q.2 When training is required: Initial training must be completed before assignment to tasks where occupational exposure may take place, and a refresher session at least annually thereafter. Often there will be need to hire or re-assign employee to a Class I or Class II job category, in between training session. In order to satisfy the "training within ten working days" requirement, the hiring departments and the human resources must provide the Environmental Health & Safety office with such information at least one week before the scheduled start date. The Environmental Health & Safety will conduct or arrange for the required training for the employee. The supervisor or project director will conduct the site specific orientation. Q.3 Recordkeeping requirements: Training records must be maintained for three years from the date on which the training occurred. Training records must include the dates of the training sessions, the contents or a summary of the training session, the names and qualifications of persons conducting the training, and the names and job titles of all persons attending the training sessions. Go to Blood-borne Pathogen Exposure Plan index. R:Record KeepingR.1 Medical Records Medical records are maintained for each employee with occupational exposure in accordance with 29 CFR 1910.20. Human Resources Department is responsible for maintenance of the required medical records and they are kept at the Human Resources Office in the Main Building. All employee medical records will be kept confidential and will not be disclosed or reported without the employee's express written consent to any person within or outside the workplace except as required by the standard or as may be required by law. Employee medical records shall be maintained for at least the duration of employment plus 30 years in accordance with 29 CFR 1910.20. Employee medical records shall be provided upon request of the employee or to arrange having written consent of the employee within 15 working days. R.2 Training Records Bloodborne pathogen training records will be maintained at the Environmental Health and Safety Office. The training record shall include:
Training records will be maintained for a minimum of three (3) years from the date on which the training occurred. Go to Blood-borne Pathogen Exposure Plan index. S: APPENDICESAPPENDIX ACopy of OSHA standard 29 CFR 1910.1030 APPENDIX B
APPENDIX COSHA Regulations (Standards - 29 CFR) (Click for printable version) Hepatitis B Vaccine Declination (Mandatory) - 1910.1030 Appendix A 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. ___________________________ _____________________ _________ Name of Employee (Print) / Signature / Date [56 FR 64004, Dec. 06, 1991, as amended at 57 FR 12717, April 13, 1992; APPENDIX DEXPOSURE INCIDENT REPORT (Click for printable version) (ROUTES AND CIRCUMSTANCES OF EXPOSURE INCIDENT) Please Print DATE COMPLETED ___________________________________________________________ EMPLOYEE’S NAME____________________________________ SS# ___________________ HOME PHONE ___________________BUSINESS PHONE____________________________ DOB______________________ JOB TITLE ________________________________________________ EMPLOYEE VACCINATION STATUS _____________________________________________ DATE OF EXPOSURE _______________ TIME OF EXPOSURE_________________ AM PM LOCATION OF INCIDENT (BUILDING, STREET, ETC. - BE SPECIFIC):___________________ NATURE OF INCIDENT (ACCIDENT WHILE CLEANING, SPORTS, TRAUMA, MEDICAL EMERGENCY) BE SPECIFIC: ______________________________________________________________________________________ ______________________________________________________________________________________ DESCRIBE WHAT TASK (S) YOU WERE PERFORMING WHEN THE EXPOSURE OCCURRED (BE SPECIFIC:) ______________________________________________________________________________________ ______________________________________________________________________________________ WHERE YOU WEARING PERSONAL PROTECTIVE EQUIPMENT (PPE)? YES_____ NO____ IF YES, LIST __________________________________________________________________ _____________________________________________________________________________ DID THE PPE FAIL? YES_____ NO_______ IF YES, EXPLAIN HOW: ___________________________________________________________________________________ WHAT BODY FLUIDS WERE YOU EXPOSED TO (BLOOD OR OTHER POTENTIALLY INFECTIOUS MATERIAL)? (BE SPECIFIC): ______________________________________________________________________________________ ______________________________________________________________________________________ WHAT PARTS OF YOUR BODY BECAME EXPOSED? BE SPECIFIC. _____________________________________________________________________________ ESTIMATE THE SIZE OF THE AREA OF YOUR BODY THAT WAS EXPOSED. ____________ _____________________________________________________________________________________ FOR HOW LONG?______________________________________________________________ DID A FOREIGN BODY (NEEDLE, NAIL, OR OTHER SHARPS ETC.) PENETRATE YOUR BODY? YES__________ NO__________ IF YES, WHAT WAS THE OBJECT?________________________________________________ WHERE DID IT PENETRATE YOUR BODY?_________________________________________ WAS ANY FLUID INJECTED INTO YOUR BODY? YES_________ _____NO__________ IF YES, WHAT FLUID?_____________________________ HOW MUCH?_________________ DID YOU RECEIVE MEDICAL ATTENTION? YES_____________ NO_______________ IF YES, WHERE?______________________________________________________________ WHEN_______________________________________________________________________ BY WHOM____________________________________________________________________ IDENTIFICATION OF SOURCE INDIVIDUAL(S) NAME(S)_____________________________________________________________________ DID YOU TREAT THE PATIENT DIRECTLY? YES____ NO_______ IF YES, WHAT TREATMENT DID YOU PROVIDE, BE SPECIFIC:________________________ OTHER PERTINENT INFORMATION_______________________________________________ _________________________________________________________________________ ________________________________________________ ___________________ Signature of Supervisor or person preparing this report / Date __________________________________________________ ___________________ Signature of the Employee / Date (Click for printable version) APPENDIX EList of Products registered with the EPA which are effective against Hepatitis B Virus (HBV) and Human Immunodificiency Virus (HIV).
Selected EPA - Registered Disinfectants .
This information is provided as a service of the National Antimicrobial Information Network and is based on the most recent information available from the US Environmental Protection Agency. This list is updated periodically as new information is obtained, accounting for label changes, cancellations, transferals of registrations, and label edits. NOTE: If you have questions regarding a particular products registration status, you can compare its EPA registration number with the EPA Reg #: number on this list. The EPA Reg#: number may consist of two or three sets of digits separated by hyphens "-". The first number refers to the Registrants Identification number. The second number represents the Product identification number. The third number represents the Distributor/Relabeler Identification number. This lists contains the primary registrants products. Other companies may repackage and rename products but do not change the formulation. These renamed products do not appear on this list. Some products may have more than one trade name for a registration number. What is the primary route of exposure to bloodborne pathogens?For a bloodborne pathogen to be spread, the bodily fluids of an infected person must enter into the bloodstream of another person. The most common cause of transmission in the workplace is when an infected person's blood enters another person's bloodstream through an open wound.
What are the 3 routes of occupational exposure to bloodborne pathogens?Three Main Routes of Bloodborne Pathogen Transmission in the Workplace. Unprotected openings in the skin. Bloodborne pathogens can be transmitted through cuts, scrapes, or any other open wounds. ... . Mucous membranes. ... . Penetration of skin.. What are the 3 primary bloodborne pathogens?Human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) are three of the most common bloodborne pathogens from which health care workers are at risk.
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