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Bloodborne Pathogen Standards� 29 CFR 1910.1030 (Federal)� Part 554 Bloodborne Infectious Disease (Michigan)
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What are BBP Standards?� To protect workers against possible
contamination from a Bloodborne Infectious Disease
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When to comply?
� If there is a reasonable anticipated risk of exposure to blood or OPIM during routine tasks
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Definitions� Bloodborne pathogens - pathogenic
microorganisms transmitted via human blood and cause disease in humans
HIV - virus that causes AIDS (incubation 1-10+ years)
Hepatitis B (HBV) - acute or chronic infection of liver (incubation 2-3 months)
Hepatitis C (HCV) – also infects liver (incubation 6-9 weeks)
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Other Potentially Infectious Material (OPIM) (State Rule 325.7002(s))
� Semen� Vaginal secretions� Amniotic fluid� Cerebrospinal fluid� Peritoneal fluid� Pleural fluid� Pericardial fluid
� Synovial fluid� Saliva in dental procedures
� Any bodily fluid that is visibly contaminated with blood
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Sharps
� Any item that has a potential to cut or puncture skin. (broken glass, needles, lancets, etc.)
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Universal Precautions
� ALL blood and OPIM treated as infectious
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Standard Operating Procedures (SOPs)
� Each task should have a written procedure to reduce risk of exposure
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Engineering Controls
� Products that reduce exposure by design
� Examples: self sheathing needles, sharp containers, sinks
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“SESIP”
Sharps with Engineered Sharps Injury Protections
Non-needle sharp or a needle with a built-in safety feature or mechanism that effectively reduces the risk of an exposure incident.
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Hypodermic syringes with “Self-Sheathing” safety feature
Self-sheathed protected position
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Hypodermic syringes with “Retractable Technology” safety
feature
Retracted protected position
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Phlebotomy needle with “Self-Blunting” safety feature
Blunted protected position
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“Add-on” safety feature
Attached to syringe needle
Attached to blood tube holder
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Retracting lancets with safety features
Before During After
Before During After
In use After use
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Disposable scalpels with safety features
Retracted position
Protracted positionProtracted position
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Work Practice Controls
� Reduce exposure by work habits
� Examples: wearing gloves, washing hands, using sharp containers, no food, etc. while working
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Personal Protective Equipment (PPE)
� Specialized clothing/equipment worn for protection against hazards
� Choose correct ones for taskGloves, Protective Eyewear, Face Shield, etc.
� DON & DOFF
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Regulated WasteDetermination of Regulated Waste - Michigan Law
Medical Waste Regulatory Act - Part 138Law determines where it is sent and how much it
cost (incineration, public sewage, radioactive, how it is packaged, segregated, labeled, etc.)
Use of red biohazard containers
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Laundry
� Employer’s responsibility to launder the reusable required PPE
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Vaccination� Employer must provide Hep B vaccination
to employee
� Cost - Employer’s Expense
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Waiver� Employee has the right to decline HBV
vaccine
� Must sign a waiver
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� Employee has right to request a HBV vaccine at later date, at employer’s expense
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Post Exposure
� Determination – what was BBP exposure?
� Procedure – report, go to ER, document incident, test patientProphylaxis
� Confidentiality
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Biohazard Labels and Warnings
� Labels
� Colors – blaze orange/red
� Symbols – 3 sided
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Recordkeeping
� 1. A Sharps Injury Log is filled out in addition to OSHA 300 log (confidentiality maintained)
� 2. BBP training is also documented
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Sharps Injury Log
At a minimum, the log must contain, for each incident:
� Type and brand of device involved
� Department or area of incident
� Description of incident
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BBP Training
It is the Law
Also known as Exposure Control Plan
Newly hired and Annual retraining
Also, training on new devices and procedures