Potential Infectious Exposure and Bloodborne Pathogen Safety in the Gross Room
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1 Potential Infectious Exposure and Bloodborne Pathogen Safety in the Gross Room Richard L. Daniel, PA(ASCP) Children s of Alabama, Benjamin Russell Hospital for Children 40th Annual AAPA Educational Conference Waldorf Astoria Hotel, New York City September 10, 2014 Bloodborne Pathogen Safety Page 1
2 Objectives Know the risks and hazards associated with potentially infectios exposure in the gross room. Know how to comply with the OSHA Bloodborne Pathogen Standard and have Effective Exposure Control Plan. Employ appropriate safety measuers and practices to minimize exposure to potentially infectious specimens and contaminated work areas. Bloodborne Pathogen Safety Page 2
3 THE GROSS ROOM The Gross Room receives all kinds of bloody specimens most of which are considered other potentially infectious materials (OPIM) More and more specimens are received in the fresh state for frozen section, cultures, molecular studies, cytogenetics, other special studies, tumor banking, so on, increasing ones exposure for potentially infectious material. The potential for exposure to Hepatitis C, Hepatitis B and HIV is real and precautions must be taken. Healthcare workers are at greater risk for acquiring an infectious disease than the normal population. Introduction The OSHA Bloodborne Pathogen Standard 29 Code of Federal Regulations (CFR) Occupational Safety and Health Standards, Z, Toxic and Hazardous Substances, , Bloodborne Pathogens, A Applies to all employees who could reasonably anticipate as a result of performing their job tasks contact with blood and other potentially infectious material (OPIM) i.e., body fluids, unfixed tissues or organs. Limit occupational exposure to blood and OPIM which could result in transmission of bloodborne pathogens i.e., Hepatitis B virus (HBV), Hepatitis C virus (HCV), HIV. Requires a written Exposure Control Plan. Bloodborne Pathogen Safety Page 3
4 Exposure Determination. Exposure evaluation based upon the job description. Exposure evaluation based upon reasonably anticipated contact (skin, eye, mucous membrane, parenteral contact, etc.) with blood or other potentially infectious materials resulting from performing the assigned tasks. Method of Compliance Universal Precaution treating all human blood and certain human body fluids as if infectious for bloodborne pathogens. Engineering and Work Practice Controls. Needleless system or needles/sharps with engineered sharps injury protection. Needles and other sharps shall not be recapped, bent or broken. Needles and other sharps shall be disposed in rigid, punctureproof, leak resistant and properly labeled sharps container. Sharps container shall be closed immediately prior to removal or replacement to prevent spillage or protrusion of contents during handling or transport. Specimens of blood or OPIM shall be placed in a closable, leakproof, properly labeled red bag prior to handling, collection or transport. Personal Protective Clothing and Equipment. Bloodborne Pathogen Safety Page 4
5 Hepatitis B Vaccination and Post-Exposure Follow-Ups Hepatitis B vaccination shall be provided at no cost to employee who has a potential for becoming exposed to blood or OPIM. Post-exposure follow-ups shall be provided if an occupational exposure occurs. Hazard Communication-Signs and Labels Signs shall be posted at the entrance to the work areas which shall bear: Name of infectious agent International symbol for biohazard in fluorescent orange-red Special requirements for entering the area Name and telephone number of lab director or other responsible person Warning labels shall be affixed to containers of infectious wastes, refrigerators and freezers containing blood or OPIM, or other containers used to store or transport blood or OPIM. Labels shall have the international symbol for biohazard in fluorescent orange-red 2. Training Exposure Control Plans Following the OSHA Bloodborne Pathogens Standard (29 CFR ). 1 All employees who have occupational exposure to bloodborne pathogens receive initial and periodical training. Annual evaluation process includes safety tests. Bloodborne Pathogen Safety Page 5
6 Additional Notes: Bloodborne Pathogen Safety Page 6
7 References 1. OSHA Bloodborne Pathogens Standard, 29 C.F.R. Sect Bloodborne Pathogen Safety Page 7
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