Friday, April 19, 2013

CDC:Information for Employers Complying with OSHA's Bloodborne Pathogens Standard

The Bloodborne Pathogens Standard applies to employees who have occupational exposure (reasonably anticipated job-related contact with blood or other potentially infectious materials). The three most common bloodborne pathogens (BBPs) are human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV).

Exposure Control Plan

Identify job classifications, tasks, and procedures where there is occupational exposure.
Establish a written Exposure Control Plan and make it available to employees. Review and update it annually.

Safety Devices

Evaluate medical devices with engineered sharps injury protections (safety devices).
Use appropriate, effective, and commercially available safety devices.
Involve front‑line employees in the evaluation and selection process.
Document the evaluation and selection of safety devices annually.

Hepatitis B Vaccination

Offer free hepatitis B vaccinations to all employees with occupational exposure to blood or other potentially infectious materials (OPIM).

Other Controls

Ensure that employees comply with Universal Precautions.
Use engineering and work practice controls to eliminate or minimize employee exposure.
Provide and ensure the use of appropriate personal protective equipment, such as gloves, gowns, lab coats, face shields or masks and eye protection, and mouthpieces, resuscitation bags, pocket masks, or other ventilation devices.
Ensure that contaminated sharps are disposed of in proper sharps disposal containers.

Post-Exposure Incident Procedures

Document the route of exposure and other circumstances. Identify the source individual where feasible.
Offer post-exposure medical evaluation by a healthcare professional at no cost to employees.
Test the source individual’s blood for BBPs where possible, and test the exposed employee’s blood after consent is obtained.
Ensure the provision of post-exposure medication when medically indicated and as recommended by the Department of Health & Human Services.

Training

Train occupationally exposed employees at initial assignment and at least annually by a knowledgeable person.
Training must include a number of elements, such as:
• An accessible copy of the BBP standard
(29 CFR 1910.1030).
• Information on the epidemiology and symptoms of bloodborne diseases.
• Information on modes of transmission of BBPs.
• Description of employer’s Exposure Control Plan and how to get a copy.
• How to recognize tasks that may involve exposure to blood or OPIM.
• Use and limitations of methods to reduce exposure, including engineering controls, work practices, and personal protective equipment.
• Information on the hepatitis B vaccine.
• What to do and whom to contact after
an exposure.
• Information on post-exposure evaluation and follow-up.
• An opportunity for interactive questions
and answers.

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