Free Blood Borne Pathogens Training per OSHA Requiremens — Transcript
Full transcript
- 0:00bloodborne pathogens OSHA 29 CFR 1,
- 0:061910.1030
- 0:08freely available training for your staff
- 0:11please share and
- 0:14subscribe bloodborn pathogens course
- 0:18objective students shall understand and
- 0:21be able to describe what is a bloodborne
- 0:24pathogen HIV Hepatitis B hepatitis C and
- 0:28how they are transmitted
- 0:30guidelines for handling bloodborne
- 0:32pathogens and other bodily fluids
- 0:35Universal precaution personal protective
- 0:38equipment PPE what to do if an exposure
- 0:42occurs decontamination and sterilization
- 0:47procedures introduction OSHA's
- 0:50bloodborne pathogen standard prescribes
- 0:52safeguards to protect workers against
- 0:54the health hazards from exposure to
- 0:56blood and other potentially infectious
- 0:58materials and to reduce their risk from
- 1:01this exposure implementation of this
- 1:03standard will not only prevent hepatitis
- 1:06B cases but will also significantly
- 1:08reduce the risk of workers Contracting
- 1:11AIDS hepatitis C or other bloodborne
- 1:15diseases bloodborne pathogens as a
- 1:19universal precaution treat all human
- 1:21blood and certain body fluids as if
- 1:24they're
- 1:26infectious definitions
- 1:30what does bloodborne pathogens mean
- 1:33bloodborne pathogens means
- 1:35microorganisms that are present in human
- 1:37blood or other potentially infectious
- 1:39materials that can cause disease in
- 1:43humans what types of diseases are there
- 1:46bloodborne pathogen diseases include but
- 1:49are not limited to Hepatitis B virus
- 1:53hbv hepatitis C virus HIV which causes
- 1:58AIDS malaria
- 2:02definitions occupational exposure means
- 2:05reasonably anticipated skin eye mucous
- 2:08membrane or potential contact with blood
- 2:11that may result from the performance of
- 2:13an employees duties reasonably
- 2:15anticipated exposure includes the
- 2:17potential for exposure as well as actual
- 2:20exposure to blood or other potentially
- 2:22infectious materials a py it includes
- 2:25exposure to blood or a Pim including
- 2:27regulated waste as well as incidents of
- 2:30needle sticks this definition does not
- 2:32cover Good Samaritan acts that is
- 2:35voluntarily aiding someone in one's
- 2:37place of employment which results in
- 2:39exposure to blood or a
- 2:41him definitions pyal such as an injury
- 2:46with needles and Sharps prenatal virus
- 2:49can be transmitted from a mother to her
- 2:51infant during pregnancy Pim potentially
- 2:55infectious materials PPE personal
- 2:59protective equipment
- 3:02transmission how do you transfer
- 3:06pathogens four ways to spread germs
- 3:10transmission of germs one Airborne or
- 3:13respiratory route two direct contact
- 3:17route three feal oral route four blood
- 3:22contact
- 3:24route other potentially infectious
- 3:27materials a him but fluids including
- 3:31semen vaginal secretions synovial fluid
- 3:34pericardial fluid amniotic fluid saliva
- 3:38and dental procedures and any body fluid
- 3:40that is visibly contaminated with blood
- 3:43and all body fluids in situations where
- 3:45it is difficult or impossible to
- 3:47differentiate between bodily fluids are
- 3:49to be assumed infectious any unfixed
- 3:52tissue or organ from a human being such
- 3:54as torn skin HIV containing cell or
- 3:58tissue cultures organ cultures an HIV or
- 4:01hbv containing culture medium or other
- 4:04Solutions and blood organs or other
- 4:07tissues from animals infected with HIV
- 4:09or
- 4:12hbv at risk you are always at risk for
- 4:17bbp why should you care approximately
- 4:215.6 million workers are at risk of
- 4:23exposure to bloodborne pathogens such as
- 4:26HIV the Hepatitis B virus and the
- 4:29hepatis tius C virus OSHA's bloodborne
- 4:32pathogen standard prescribes safeguards
- 4:35to protect workers and reduce their risk
- 4:37against the hazards from exposure to
- 4:39blood and other potentially infections
- 4:41materials every organization must have
- 4:44by law a specific written safety program
- 4:47regarding bloodborne pathogen safety and
- 4:51safeguards who is covered by the
- 4:53standard all employees who could be
- 4:56reasonably anticipated as the result of
- 4:58performing their job duties to face
- 5:00contact with blood and other potentially
- 5:03infectious
- 5:05materials some workers are are at risk
- 5:09some jobs within the city that are
- 5:10covered by the standard wastewater
- 5:13treatment workers medical waste
- 5:15treatment employees law enforcement
- 5:18Personnel Physicians nurses and
- 5:21emergency room Personnel orderly
- 5:24housekeeping personnel and laundry
- 5:26workers dentists and other Dental
- 5:29workers
- 5:30laboratory and blood bank technologists
- 5:32and technicians medical examiners
- 5:36morticians firefighters Parks and
- 5:39Recreation workers custodial Services
- 5:42Workers paramedics and emergency medical
- 5:45technicians anyone providing First
- 5:48Response medical care home health care
- 5:51workers employees assigned to First Aid
- 5:53response duties by their employer other
- 5:56workers assigned duties putting them at
- 5:58risk of occupation
- 6:01exposure how does contamination occur
- 6:05what risks do you have on your job that
- 6:07pose a hazard or expose you to
- 6:08bloodborne
- 6:11pathogens how does exposure occur cuts
- 6:14from contaminated sharp items knives
- 6:17broken glass sharp metal sharp wires Etc
- 6:22a contaminated sharp item is any
- 6:24contaminated object that can penetrate
- 6:26the skin contact of mucous membrane eye
- 6:30nose mouth or broken cut or scraped skin
- 6:34with contaminated blood most common
- 6:36exposure is caused by needle sticks
- 6:39600,000 to 800,000 needlestick injuries
- 6:42occur each year in the United States
- 6:45keep in mind that all employees could
- 6:47come in contact with one or more of
- 6:49these exposure not just medical
- 6:53personnel preventative measures how do
- 6:56we prevent bbp contamination
- 7:00universal precautions a universal
- 7:03precaution is the prevention strategy by
- 7:06which all blood and potentially
- 7:08infectious materials are treated as if
- 7:10they were in fact infectious treat all
- 7:13human blood and bodily fluids as if
- 7:15they're infectious must be observed in
- 7:18all situations where there is a
- 7:19potential for contact with blood or
- 7:21other potentially infectious
- 7:25materials engineering % work practice
- 7:29control
- 7:30these are the primary methods used to
- 7:32control the transmission of hbv and HIV
- 7:35engineering and work practice control
- 7:38should be the first line of defense in
- 7:40keeping workers safe when occupational
- 7:43exposure remains after engineering and
- 7:45work practice controls are put in place
- 7:48personal protective equipment PPE must
- 7:50be used employers must obtain input from
- 7:53non-managerial employees who are
- 7:55potentially exposed to injuries from
- 7:58contaminated sharps and the
- 8:00identification evaluation and selection
- 8:02of engineering and work practice
- 8:06controls controls these controls reduce
- 8:10employee exposure by either removing the
- 8:12hazard or isolating the worker controls
- 8:15reduce the likelihood of exposure by
- 8:17altering how a task is performed all
- 8:20procedures involving blood or other
- 8:23potentially infectious materials shall
- 8:25be performed in such a manner as to
- 8:27minimize splashing spraying battering
- 8:30and generation of droplets of these
- 8:32substances mouthpipe heading SL
- 8:35suctioning of blood or other potentially
- 8:37infectious materials is
- 8:40prohibited preventative measures eating
- 8:43drinking smoking applying Cosmetics or
- 8:47lip balm and handling contact lenses are
- 8:49prohibited in work areas where there is
- 8:51a reasonable likelihood of Occupational
- 8:53exposure food and drink shall not be
- 8:56kept in refrigerators freezers shells
- 9:00cabinets or on countertops or bench
- 9:02Toops where blood or a pin are
- 9:05present preventative measures
- 9:08contaminated broken glass wear shall not
- 9:11be picked up directly with hands shall
- 9:14be cleaned up using mechanical means
- 9:16such as a brush and dust pan tongs or
- 9:19forceps tools must be decontaminated
- 9:22after use shall be placed into a Sharps
- 9:25container for proper disposal
- 9:27contaminated reusable sharps shall not
- 9:29be stored or processed in a manner that
- 9:31requires employees to reach by hand into
- 9:34the containers where these Sharps have
- 9:36been placed for example do not dump
- 9:39contaminated reusable sharps in a sink
- 9:41of soapy water and then retrieve the
- 9:43devices from the sink by hand use a
- 9:46strainer basket to hold the immersed
- 9:48instruments and forceps for their
- 9:50retrieval from the basket do not Bend or
- 9:53break sharp
- 9:55objects personal protective equipment
- 9:58consider
- 10:01erations personal protective equipment
- 10:04remember engineering and work practice
- 10:06control should be the first line of
- 10:08defense in keeping workers safe when
- 10:11occupational exposure remains after
- 10:13engineering and work practice controls
- 10:16are put into place personal protective
- 10:18equipment PP must be used be sure to go
- 10:22over all of the personal protective
- 10:23equipment including how to use it when
- 10:26to use it and how to access it
- 10:30personal protective equipment PPE the
- 10:33employer shall ensure that the employee
- 10:35uses appropriate personal protective
- 10:37equipment all personal protective
- 10:39equipment should be removed prior to
- 10:41leaving the work area when personal
- 10:44protective equipment is removed it shall
- 10:46be placed in an appropriately designated
- 10:48area or container for storage washing
- 10:51decontamination or
- 10:54disposal specialized clothing or
- 10:57equipment worn by an employee for
- 10:59protection against infectious materials
- 11:02gloves gs/ safety garments boots face
- 11:07Shields eye protection SL Googles
- 11:11mouthpieces and resuscitation devices
- 11:14mouthpieces and resuscitation devices
- 11:16must be supplied where employees are
- 11:18expected to perform CPR as an assigned
- 11:22Duty gowns aprons ampers and other
- 11:26protected body clothing the requirements
- 11:28for the use of personal protected body
- 11:30clothing and the degree to which it must
- 11:32resist penetration are performance-based
- 11:35the employer must evaluate the task and
- 11:38type of exposure expected and based on
- 11:41the determination select the appropriate
- 11:43PPE masks and combination with eye
- 11:46protection devices such as goggles or
- 11:48glasses with solid side shields or chin
- 11:51length face Shields shall be worn
- 11:53whenever splashes spray spatter or
- 11:56droplets of blood or a pin may be
- 11:58generated
- 12:01personal protective equipment gowns
- 12:04aprons ampers and other protective body
- 12:07clothing small splashes spatters and
- 12:10sprays of blood or a pin will usually be
- 12:13stopped by a cotton garment larger
- 12:15occurrences creating a potential for
- 12:17soak through would require a garment of
- 12:19impervious construction the street
- 12:22clothes must be protected from
- 12:24contamination long sleeve garments shall
- 12:27be used for procedures in which blood or
- 12:29Pim exposure to the forearms is
- 12:31reasonably
- 12:33anticipated gloving put glove on clean
- 12:37hand remove by grasping outside at wrist
- 12:40pull inside out with ungloved hand grasp
- 12:43on inside of the wrist and pull inside
- 12:45out over hand gloves shall be worn when
- 12:48it can be reasonably anticipated that
- 12:50the employee may have hand contact with
- 12:53blood hand contact with a pin hand
- 12:57contact with mucous membranes hand
- 13:00contact with non- intact skin perform
- 13:02vascular access procedures handle or
- 13:05touch contaminated items or
- 13:09surfaces PPE maintenance utility gloves
- 13:13may be decontaminated for reuse if the
- 13:15Integrity of the glove is not
- 13:18compromised however they must be
- 13:20discarded if they are cracked peeling
- 13:22torn punctured or exhibit other signs of
- 13:25deterioration or when their ability to
- 13:27function as a barrier is
- 13:29compromised all personal protective
- 13:32equipment must be carefully checked
- 13:33before use to ensure that it is in good
- 13:36condition PPE may not be used if damaged
- 13:39Beyond repair PPE must be properly
- 13:42cleaned laundered repaired and disposed
- 13:46of at no cost the employee PP must be
- 13:49removed when leaving the area or upon
- 13:53contamination housekeeping proper
- 13:56cleanup is the best way to prevent
- 13:58contamination
- 14:01housekeeping procedures the employer
- 14:04must determine and Implement an
- 14:05appropriate written schedule for
- 14:07cleaning and method of decontamination
- 14:10based upon location within the facility
- 14:13type of surface to be cleaned type of
- 14:16soil present task or procedure being
- 14:19performed the term work site refers not
- 14:22only to permanent fixed facilities such
- 14:25as hospitals offices Etc but also
- 14:28include temporary non-fixed workspaces
- 14:30such as mobile offices ambulances
- 14:35Etc housekeeping effective use of
- 14:38disinfectants is an important factor in
- 14:41preventing Health Care Associated
- 14:43infections justification for using a
- 14:46disinfectant needed for surfaces
- 14:48contaminated by blood or a pin
- 14:50disinfectants are more effective and
- 14:53reducing microbial load detergents
- 14:55become contaminated and result in
- 14:57seating the patient envir environment
- 14:59with bacteria surfaces May contribute to
- 15:02transmission of epidemiological microbes
- 15:05for example ver MRSA
- 15:10cysa housekeeping disinfection
- 15:13meticulous disinfection and hand washing
- 15:15will prevent transmission work surfaces
- 15:18must be decontaminated with an
- 15:20appropriate disinfectant after
- 15:22completion of a task or procedure when
- 15:25surfaces are contaminated at the end of
- 15:28the workshift
- 15:31who washes hands more after using toilet
- 15:35women
- 15:3674% men
- 15:3861% New York City 60% Chicago
- 15:4278% New Orleans dashed
- 15:4569% Atlanta Braves game women
- 15:4989% men
- 15:5346% housekeeping disinfection in the US
- 15:57to comply with OSHA's rule on blood
- 15:59borin pathogens a blood spill must be
- 16:01cleaned using a disinfectant blood
- 16:04should be disinfected using an EPA
- 16:06register disinfectant a disinfectant
- 16:09with a hbv slhv claim or a solution of
- 16:12Bleach between 110 and 1 100 with water
- 16:16the list of EPA registered products are
- 16:19available from the national
- 16:20antimicrobial Information
- 16:23Network housekeeping protective
- 16:26coverings used to cover equipment and
- 16:28environmental surfaces shall be removed
- 16:30and replaced as soon as feasible when
- 16:32they become contaminated or at the end
- 16:34of the workshift bends pales cans and
- 16:38similar receptacles intended for reuse
- 16:41which of a reasonable likelihood for
- 16:42becoming contaminated with blood or a
- 16:44Pim shall be inspected and
- 16:46decontaminated on a regularly scheduled
- 16:48basis and as soon as feasible upon
- 16:51visible
- 16:52contamination standard microbiological
- 16:54practices or regulated waste shall
- 16:56either be incinerated or decontam
- 16:59minated by a method such as autoclaving
- 17:01known to effectively destroy bloodborne
- 17:05pathogens warning signs and
- 17:09labels warnings containers of regulated
- 17:12waste refrigerators and freezers
- 17:15containing blood or a Pim other
- 17:17containers used to store transport or
- 17:20ship blood or a Pim contaminated
- 17:22equipment prior to shipping these labels
- 17:25shall be fluorescent orange or orange
- 17:27red or predominant ly so with lettering
- 17:30and symbols in a contrasting color red
- 17:33bags or containers may be substituted
- 17:35for labels labels shall be affixed as
- 17:38close as feasible to The Container by
- 17:40string wire adhesive or other method
- 17:43that prevents their loss or
- 17:44unintentional removal the standard
- 17:47requires that warning labels be attached
- 17:51to signs when other potentially
- 17:54infectious materials or infected animals
- 17:57are present in the work area a hazard
- 17:59warning sign incorporating the universal
- 18:01biohazard symbol shall be posted on all
- 18:04access doors the employer shall post
- 18:07signs at the entrance to work areas
- 18:09which shall bear the following Legend
- 18:11name of the Infectious agent special
- 18:14requirements for entering the area name
- 18:17telephone number of the laboratory
- 18:19director or other responsible person
- 18:22these signs shall be fluorescent orang r
- 18:25or predominantly so with lettering and
- 18:27symbols in a contrasting
- 18:30color laundry procedures when a facility
- 18:33uses universal precautions in the
- 18:35handling of all soiled laundry
- 18:37alternative labeling or color coding is
- 18:40sufficient if it permits all employees
- 18:42to recognize that the containers require
- 18:44handling in compliance with universal
- 18:47precautions handle contaminated laundry
- 18:50as little as possible and use PPE
- 18:53laundry must be bagged or containerized
- 18:55at the location where it is used laundry
- 18:58must be placed and transported in
- 19:00labeled or colorcoded
- 19:03containers exposure
- 19:06procedure exposure procedure bloodborne
- 19:10pathogen exposure control training log
- 19:13exposure incident report form post
- 19:16exposure evaluation by Health provider
- 19:18form post exposure referral to health
- 19:21provider form hepatitis B vaccine
- 19:24declination mandatory Sharps injury log
- 19:30exposure
- 19:31procedure at a minimum the log must
- 19:34contain for each incident type and brand
- 19:37of device involved department or area of
- 19:40incident description of incident Sharps
- 19:43injury
- 19:45log disease
- 19:48prevention medical recordkeeping
- 19:51requirements employees name and social
- 19:54security number employees Hepatitis B
- 19:57vaccination status
- 19:59results of examinations medical testing
- 20:02and post exposure evaluation and
- 20:04follow-up procedures Healthcare
- 20:07professionals written opinion
- 20:09information provided to the healthc care
- 20:11professional employee medical records
- 20:13must be kept confidential and not
- 20:15disclosed or reported without the
- 20:17employees written consent unless
- 20:19required by law medical records must be
- 20:23maintained for duration of employment
- 20:25plus 30 years according to OSHA's rule
- 20:27governing access to employee exposure
- 20:29and medical
- 20:32records Hepatitis B vaccination
- 20:34requirements the city must make
- 20:36available free of charge at a reasonable
- 20:39time and place to all employees at risk
- 20:42of exposure within 10 working days of
- 20:44initial assignment unless employee has
- 20:47had a vaccination antibody testing
- 20:49reveals immunity the vaccination must be
- 20:52performed by a licensed health care
- 20:55professional vaccine must be provided
- 20:57even if the employee initially declines
- 21:00but later decides to accept the
- 21:04vaccination Hepatitis B vaccination
- 21:06requirements employees who decline the
- 21:09vaccination must sign a declination form
- 21:12employees are not required to
- 21:14participate in an antibody
- 21:16PC n g program to receive vaccination
- 21:20series vaccination booster doses must be
- 21:23provided if recommended by the US public
- 21:25health service contact your supervisor
- 21:28if you need to schedule the hepatitis B
- 21:33vaccine Hepatitis B vaccination the
- 21:36Center for Disease Control states that
- 21:39employees who have ongoing contact with
- 21:41patients blood or other aim and are at
- 21:43ongoing risk for injuries taking place
- 21:45through the skin via sharp instruments
- 21:48i. e do needle sticks be tested for
- 21:50antibodies to Hepatitis B surface
- 21:53antigens this testing needs to be done
- 21:56within 1 to two months after completion
- 21:58of the three- dose vaccination series
- 22:01employees who do not respond to the
- 22:03primary vaccination series must be
- 22:05revaccinated with a second three dose
- 22:07vaccine series and retested
- 22:10nonresponders must be medically
- 22:14evaluated Hepatitis B the employer's
- 22:17exposure control plan specifically
- 22:19addresses the provision of the hepatitis
- 22:21B vaccine to all unvaccinated first aid
- 22:23providers who assisted in any situation
- 22:26involving the presence of blood or a pin
- 22:28this provision is regardless of whether
- 22:30an actual exposure incident has occurred
- 22:33the post exposure evaluation and the
- 22:36follow up for those employees who
- 22:38experience an exposure incident
- 22:42include Hepatitis B A provision for a
- 22:45reporting procedure that ensures all
- 22:46first aid incidents involving blood or a
- 22:49pin are reported to the employer the
- 22:52report must include the names of first
- 22:54aid providers and a description of the
- 22:56incident including time and place
- 22:59B provision for the bloodborne pathogens
- 23:01training program for designated first
- 23:03aid providers to include the specifics
- 23:05of the reporting procedure C provision
- 23:09for the full Hepatitis B vaccination
- 23:11series to be made available as soon as
- 23:13possible but in no event later than 24
- 23:16hours to all unvaccinated first aid
- 23:18providers who have rendered assistance
- 23:20in any situation involving blood
- 23:24orapin Hepatitis B hbv occurs when the
- 23:28the hbv virus enters the body multiplies
- 23:31in the blood and infects the liver can
- 23:34result in mild illness or permanent
- 23:36liver damage most individuals recover
- 23:39death does occur in rare cases due to
- 23:42liver failure Hepatitis B is the cause
- 23:44of up to 80% of liver
- 23:48cancer how hepatitis is spread infected
- 23:52person to uninfected person through
- 23:54sexual intercourse IV drug users that
- 23:57share needles tattooing with
- 23:59unspecialized equipment hbv hcv infected
- 24:04mothers passing virus to their unborn
- 24:06child hbv hcv infected mothers passing
- 24:10the virus in breast milk blood to blood
- 24:13transmission through blood transfusion
- 24:16breaks in skin or through mucous
- 24:20membranes Hepatitis B can survive on
- 24:23surfaces dried in a room temperature for
- 24:25at least a week vaccination is available
- 24:29symptoms yellow eyes and skin jaundice
- 24:32abdominal pain and swelling fever and
- 24:35vomiting skin
- 24:38rash hepatitis C serious sometimes fatal
- 24:42disease that affects the liver not as
- 24:44infectious as Hepatitis B but more
- 24:47common vaccination is not available
- 24:51symptoms yellow eyes and skin jaundice
- 24:54sore muscles headache abdominal pain
- 24:59nausea dark urine weight loss
- 25:04fatigue how HIV infection is spread
- 25:08infected person to uninfected person
- 25:10during unprotected sexual intercourse
- 25:13infected intervenous drug users when
- 25:16they share needles and syringes
- 25:17contaminated with blood women infected
- 25:20with HIV can pass the virus to their
- 25:22unborn child as the virus can be
- 25:25transmitted through breastfeeding
- 25:27breastfeeding is not not recommended to
- 25:29infants of infected mothers blood to
- 25:32blood transmission when the infected
- 25:34blood enters the bloodstream by blood
- 25:36transfusion breaks in the skin mucus or
- 25:39needle
- 25:41sticks AIDS reduces the body's ability
- 25:45to fight off normal diseases transmitted
- 25:48mainly through sexual contact and
- 25:50contaminated needles can be spread by
- 25:53contact with infected blood and body
- 25:55fluids it cannot be transmitted by touch
- 25:58HIV which causes AIDS is very fragile
- 26:02and survives only a short time outside
- 26:04the human body symptoms include fever
- 26:08swollen glands diarrhea abdominal cramps
- 26:12Extreme Weight Loss skin rash or
- 26:17lesions pose
- 26:20exposure what to do if an exposure
- 26:22occurs promptly wash or flush the
- 26:25affected area dgate eyes with water or
- 26:29report the exposure to your supervisor
- 26:32get medical attention from a health care
- 26:34professional serious exposures will
- 26:36require the initiation of drug therapies
- 26:39that are believed to be most effective
- 26:41when given within a few hours of the
- 26:42exposure treatment should begin as soon
- 26:45as possible after exposure within 24
- 26:48hours the Center for Disease Control
- 26:51currently recommends treatment within 2
- 26:53hours of exposure I've been
- 26:56stuck what did do in case of a spill or
- 26:59accident that results in an exposure
- 27:02report event immediately to your
- 27:04supervisor laboratory director or other
- 27:06responsible person all spills shall be
- 27:09immediately contained and cleaned up by
- 27:11an appropriate professional staff or
- 27:13others properly trained and equipped to
- 27:15work with potentially infectious
- 27:17materials proper PPE must be used
- 27:20equipment and tools must be cleaned and
- 27:23decontaminated before servicing or being
- 27:25put back in use use a solution of 1/4
- 27:28cup of bleach per 1 gallon of water
- 27:31cover spill with paper towels or Rags
- 27:34then gently pour bleach solution over
- 27:36towels SL Rags avoid splashing and leave
- 27:39for at least 10 minutes wash exposed
- 27:42area with EP a proved
- 27:46disinfectant post exposure followup
- 27:49document roots of exposure and how
- 27:51exposure occurred record injuries from
- 27:54contaminated sharps and the sharps
- 27:56injury log a obtain consent from The
- 27:59Source individual and the exposed
- 28:01employee and test blood as soon as
- 28:03possible after the exposure
- 28:06incident post exposure followup provide
- 28:10risk counseling and offer post exposure
- 28:12protective treatment for disease when
- 28:15medically indicated in accordance with
- 28:16current US Public Health Service
- 28:19guidelines provide written opinion of
- 28:21findings to employer and copy to
- 28:23employee within 15 days of the
- 28:25evaluation
- 28:28employer
- 28:29responsibilities employees are required
- 28:32to do the following under
- 28:34oosha employer
- 28:37responsibilities each employer shall
- 28:39ensure that a copy of the exposure
- 28:41control plan is accessible to all
- 28:43employees the exposure control plan
- 28:46shall be made available to the assistant
- 28:48secretary and the director upon request
- 28:50for examination and copying a key
- 28:53element of the exposure control plan is
- 28:55the exposure determination and the
- 28:58exposure determination the employer is
- 29:00required to identify and document job
- 29:03classifications where occupational
- 29:05exposure to blood in a pin can occur
- 29:07this determination shall be made without
- 29:10regard to using personal protective
- 29:14equipment employer
- 29:16responsibilities include training
- 29:19employees initially and through annual
- 29:21updates implementing a written plan
- 29:24enforcing good work practices following
- 29:27un IAL precautions proper disinfecting
- 29:31practices and waste disposal controlling
- 29:34exposures through the use of needle
- 29:36buckets bias safety cabinets needleless
- 29:39IV systems and self sheathing needles
- 29:42providing personal protective equipment
- 29:45PPE identifying hazards by proper
- 29:48labeling including incubators freezers
- 29:51and
- 29:52centrifuges must employ and go over Good
- 29:55Housekeeping employers shall provide
- 29:57hand and washing facilities which are
- 29:59readily accessible to employees
- 30:02employers shall ensure that employees
- 30:04wash hands and any other skin with soap
- 30:06and water or flush mucous membranes with
- 30:09water immediately or as soon as feasible
- 30:11following contact with blood or other
- 30:13potentially infectious
- 30:16materials employer
- 30:19responsibilities training requirements
- 30:22provide at no cost to employees during
- 30:24working hours provide the time of
- 30:27initial assignment to a job with
- 30:28occupational exposure and at least
- 30:31annually thereafter annual training for
- 30:33all employees shall be provided within
- 30:35one year of their previous training
- 30:38additional training needed when existing
- 30:40tasks are modified or new tasks are
- 30:42required which affect the workers's
- 30:44occupational exposure maintain training
- 30:47records for 3
- 30:50years training employers and employees
- 30:53have
- 30:56responsibilities training
- 30:58material appropriate in content and
- 31:00vocabulary to educational level literacy
- 31:03and language of employees shall be used
- 31:06training shall be provided as follows
- 31:09the employer shall assure that employees
- 31:11demonstrate proficiency and standard
- 31:14microbiological practices and techniques
- 31:16and in the practices and operations
- 31:18specific to the facility before being
- 31:20allowed to work with HIV or hbv the
- 31:24employer shall assure that employees
- 31:26have prior experience in the handling of
- 31:28human pathogens or tissue cultures
- 31:30before working with HIV or
- 31:34hbv training program elements a an
- 31:37accessible copy of the standard and
- 31:39explanation of its content b a general
- 31:43explanation of the epidemiology and
- 31:45symptoms of bloodborne diseases C an
- 31:48explanation of the modes of transmission
- 31:50of bloodborne pathogens D an explanation
- 31:54of the employer's written exposure
- 31:56control plan and how employees can
- 31:58obtain a copy e an explanation of the
- 32:02appropriate methods for recognizing
- 32:04tasks and other activities that may
- 32:06involve exposure to blood or a
- 32:09him training program elements F an
- 32:12explanation of the use and limitations
- 32:14of methods that will prevent or reduce
- 32:16exposure including appropriate
- 32:18engineering controls work practices and
- 32:21PP G information on the types proper use
- 32:26location removal handling
- 32:29decontamination and disposal of PPE H
- 32:32and explanation of the basis for
- 32:34selection of PPE I information on the
- 32:38hepatitis B vaccine including
- 32:40information on its efficiency safety
- 32:43methods of administration the benefits
- 32:45of being vaccinated and that the vaccine
- 32:47and vaccination will be offered free of
- 32:51charge training program elements J
- 32:55information on the appropriate actions
- 32:57to takeen persons to contact in an
- 32:59emergency involving blood or a him K an
- 33:02explanation of the procedure to follow
- 33:04if an exposure incident occurs including
- 33:07the method of reporting the incident and
- 33:09the medical followup that would be made
- 33:11available L information on the post
- 33:14exposure evaluation and followup that
- 33:17the employer is required to provide for
- 33:19the employee experiencing an exposure
- 33:21incident M an explanation of the signs
- 33:24and labels and R color coding required
- 33:27and used in the facility and an
- 33:29opportunity for interactive questions
- 33:31and answers with the person conducting
- 33:33the training
- 33:35session training the person conducting
- 33:38the training shall be knowledgeable and
- 33:40the subject matter covered in the
- 33:42training program training solely by
- 33:44means of a film or video without the
- 33:47opportunity for a discussion period
- 33:49would not be acceptable generic films
- 33:52videos or computer programs even an
- 33:55interactive one is not considered a
- 33:57appropriate unless the employer
- 33:59supplements such training with the site
- 34:01specific information required trainees
- 34:04must have direct access to a qualified
- 34:06trainer during their
- 34:09training employee
- 34:11responsibilities you are responsible for
- 34:13your training to avoid contaminating
- 34:15yourself and
- 34:18others employee
- 34:20responsibilities attend training comply
- 34:23with and enforce the exposure control
- 34:25plan be sure to know proper procedures
- 34:28and contacts in case of an exposure
- 34:31segregate medical waste properly be sure
- 34:34to know facilities labeling codes
- 34:37properly select wear remove and dispose
- 34:40of personal protective equipment
- 34:44PP
- 34:47summary summary os's bloodborne pathogen
- 34:51standard prescribes safeguards to
- 34:53protect you against the health hazards
- 34:54from exposure to blood and other
- 34:56potentially infect ious materials and to
- 34:59reduce your risk from this exposure
- 35:01implementation of this standard not only
- 35:04will prevent hepatitis B cases but also
- 35:07will significantly reduce the risk of
- 35:09workers Contracting AIDS hepatitis C or
- 35:12other bloodborne diseases the best
- 35:14precaution against contamination is to
- 35:17have Safeguard work practices in place
- 35:19to eliminate the exposure to the hazard
- 35:22when that is not possible then the use
- 35:24of PPE is absolutely necessary
- 35:28more information the safety emergency
- 35:31management office 623 773
- 35:367679 OSHA website at www.osha.gov
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