Bloodborne Pathogens Control Plan 2016-2017 #TeamSISD The right choice for Socorro Independent School District Leading Inspiring Innovating ENDLESS OPPORTUNITIES. TUNIT
Socorro Independent School District Bloodborne Pathogens Exposure Control Plan This Bloodborne Pathogens Control Plan is written for compliance with the Occupational Safety and Health Administration (OSHA) Standard 29 CFR 1910.1030. This plan is designed to minimize employee exposure when, in the course of their work, employees could reasonably be expected to come into contact with human blood or other potentially infectious material. Definition The OSHA standard defines Bloodborne Pathogens as a pathogenic microorganisms that are present in human blood and can infect and cause disease in persons who are exposed to blood containing the pathogens. These pathogens include, but are limited to the hepatitis B virus (HBV) and the human immunodeficiency virus (HIV), which causes Acquired Immune-Deficiency Syndrome (AIDS). This plan is consistent with the Universal Precautions concept, that is, all human blood and certain human body fluids are treated as though they are known to be infectious for HIV, HBV, and other Bloodborne Pathogens. This means the general assumption is made that all blood or body fluids are infectious, and therefore, engineering practices and personal protective equipment are to be used at all times. Universal Precautions Apply To: Blood Amniotic Fluid Pericardia! Fluid Peritoneal Fluid Synovial Fluid Pleural Fluid Cerebrospinal Fluid Semen Vaginal Secretions Any body fluid visibly contaminated with blood Saliva in dental procedures Unfixed human tissue or organ HIV or HBV containing cell, tissue or organ cultures or culture medium or other solutions, Blood, organs, or other tissues from HIV or HBV infected experimental animals, and All body fluids in situations where it is difficult or impossible to differentiate between body fluids.
Socorro Independent School District Basic Infection Control Principles All Socorro ISD employees should minimize direct contact with blood or body fluids through: 1. Handwashing 2. Adhering to universal precautions to prevent occupational exposure to Bloodborne pathogens 3. Utilizing appropriate barrier precautions (personal protective equipment) PPE Occupational exposure to Bloodborne pathogens may occur through the following: n-intact skin Mucous membranes Puncture or penetration of the skin (parenteral) Inhalation Exposure Determination The risk of contracting HIV /HBV through occupational exposure is minimal. Nevertheless, there are some actions Socorro ISD will take to ensure the protection of those workers as reasonably anticipated to be exposed to blood (potential for exposure as well as actual exposure.) All procedures involving blood or other potentially infectious materials shall be performed in such a manner as to minimize splashing, spraying, spattering, and generation of droplets of these substances. When contact with blood or other body fluid is anticipated, e.g. when giving first aid, when collecting bathroom or first aid equipment (PPE), listed in the EXAMPLES OF PERSONAL PROTECTIVE EQUIPMENT. Job Classifications All Socorro ISD employees who are exposed to blood and/or body fluids are considered at risk to Bloodborne pathogens and are placed in Category I or II. Category I: Tasks that routinely involve exposure to blood body fluids, tissues, or other contaminated materials. The following job classification( s) are considered Category I. Nurses Health Assistants (Nurses Aides) Athletic Trainers Category II: Tasks that routinely involve no exposure to blood, body fluids, tissues, or other contaminated materials, but employment may require performing unplanned Category I tasks. The following job classification(s) are identified as Category II. Special Education Personnel Custodians Teachers Bus Assistants Security Personnel PE Coaches Bus Drivers Plumbers
The categorization of tasks in health care requires the use of certain items of PPE. The following guideline will be used to determine if personal protective equipment should be available/worn: Task/Activity Disposable Gloves Gown Mask Protective Eyewear Bleeding Control with Spurting Blood Bleeding Control with Minimal Bleeding Emergency Childbirth Blood Drawing Handling & cleaning instruments with microbial contamination, unless soiling likely Measuring Blood Pressure Measuring Temperature Giving an injection Examples Of Personal Protective Equipment: Laboratory Coats, Jackets Disposable gloves (single use) Utility Gloves (reusable) Masks, face shields Gowns, aprons, protective body clothing Protective eye wear Mouth pieces, resuscitation bags, pocket masks, other ventilation devices Latex gloves offer more protection than vinyl when there is contact with blood or other body fluids. This includes touching broken skin and handling surfaces soiled with blood or body fluids. If there is exposure to blood and body fluids and only vinyl gloves are available, employees should consider wearing two or even three pairs of gloves to provide extra protection in the event that gloves are tom or pierced. Hypoallergenic gloves must be accessible to those employees who are allergic to the gloves normally provided. Methods To Minimize Exposure The PPE will be replaced, repaired or cleaned as necessary and at no cost to employees. Garments that become penetrated by blood or other potentially infectious materials will be removed immediately or as soon as feasible. Gloves will be replaced as soon as practical when contaminated or as soon as feasible if they are tom., punctured, or when their ability to function as a barrier is compromised. All personal protective equipment will be removed prior to leaving the work area and placed in an appropriate designated area or container for storage, cleaning, decontamination or disposal. To minimize potential occupational exposure, the following will be implemented. Do not recap used needles by hand Do not remove used needles from disposable syringes by hand
Do not bend, break, or otherwise manipulate used needles by hand. Use extreme caution when handling sharps after procedures, cleaning used instruments and disposing of used instruments. Put used disposable sharps in puncture-resistant or approved biohazard containers. Do not dispose in wastebaskets. Syringe disposal containers should only be filled two-thirds full and should be kept upright. Process and dispose of infectious waste according to state and local regulations. Broken glass, which may be contaminated, will not be picked up directly with the hands. It will be cleaned up by using mechanical means, such as a brush and dustpan, tongs, or forceps. CPR Resuscitation Safety Barriers Because of theoretical risk, disposable airways or resuscitation bags should be used during artificial ventilation of ill or trauma victims. Pocket mouth-to-mouth resuscitation masks should be provided to all nurses. Disposable equipment should be discarded after use, and reusable equipment should be thoroughly disinfected, using standard cleaners or household bleach. Infection Control Techniques Thoroughly wash hands with soap and running water for at least 15 seconds after contact with each of the following: Patient Specimen Potentially contaminated surface or After removing personal protective equipment Use antiseptic towelettes or hand cleaner if hand-washing facilities are not readily available. Wear PPE appropriate to the task being performed Change gloves between each patient contact. Health care workers who have exudative lesions/weeping dermatitis or open sore should refrain from direct patient care until the condition resolves. Disinfect and/or sterilize potentially contaminated equipment and surfaces. Immediately and thoroughly wash skin or flush mucous membranes if splashed with blood or body fluids. Change clothing splashed with blood or body fluids as quickly as feasible Employees are prohibited from eating, drinking, applying cosmetics, lip balm, or handling contact lenses in contaminated work areas. Food and drink are not allowed in refrigerators, freezers, shelves, cabinets, or on counter-tops or bench-tops where blood or potentially infectious materials are present. Perform all procedures involving blood or other potentially infectious materials in such a manner as to minimize splashing, spraying, and spattering and generation of droplets of these substances. Specimens of blood or other potentially infectious materials will be placed in a labeled or color-coded container, which prevents leakage during collection, handling, processing, storage, transport, or shipping.
Equipment, which may become contaminated with blood or other potentially infectious materials, will be examined prior to servicing or reuse and will be properly labeled or placed in red bags. Labeling And Disposal All containers of regulated waste containing blood or other potentially infectious material, and other containers used to store, transport or ship blood or other potentially infectious materials will be labeled with the biohazard symbol: These labels will be fluorescent orange or orange-red or predominantly so, with lettering or symbols in a contrasting color. Labels will be affixed as close as feasible to the container by string, wire, adhesive, or other method that their loss or unintentional removal. Red bags or red containers may substitute for labels. Individual containers with blood or other potentially infectious materials that are placed in a labeled container during storage, transport, shipment or disposal are exempted from labeling requirements. Containers required for contaminated equipment will be labeled and will also state which portions of the equipment remain contaminated. Regulated waste that has been decontaminated need not be labeled or color coded. Biohazards waste will be disposed of according to federal, state, and local laws. All contaminated waste (gauze, bandaids, cotton tip applicators, disposable gloves, aprons, etc. ) shall be placed in a designated container that is lined with an impervious bag and labeled and tagged as Biohazard. Housekeeping Good housekeeping and work practice controls play a major role in preventing and minimizing the spread of Bloodborne pathogens and Other Potentially Infectious Material (OPIM). All equipment and working surfaces must be cleaned and disinfected after contact with blood or other potentially infectious materials. All bins, pails, and trash receptacles intended for reuse must be inspected and decontaminated immediately if there is visible contamination. Restrooms and the first aid rooms also will be cleaned and decontaminated on a regularly scheduled basis. Small spills of blood or fluids can be cleaned up with absorbent material, such as paper towels or pads, without dripping off the absorbent material. It must be contained in such a way so as not to cause pooling, puddling or dripping. The person doing the cleaning will wear gloves and other appropriate PPE, bag or enclosed with discarded gloves without contaminating the environment. The area will be immediately wiped of all traces of blood or body fluid with an approved disinfectant. If these conditions cannot be met, the spill will be considered a large spill and treated as follows. A large spill of blood or OPIM cannot be easily cleaned up with paper towels or other absorbent pads and causes, pooling, puddling, or dripping. A custodian will be called to the scene to perform the clean up procedure. The area will be kept clear of personnel and steps will be taken to prevent further contamination of the environment. Any used mops or similar cleaning devices will be disinfected. When using gloves for cleaning purposes, do not use examination gloves of any type. Household cleaning gloves or rubber gloves should be used to protect the skin from any of the chemicals used for cleaning that can break down an examination glove. Employees who have contact with contaminated laundry must wear protective gloves and other appropriate personal protective equipment.
Decontamination Decontamination means the use of physical or chemical means to remove, inactivate, or destroy Bloodborne pathogens on a surface of an items to the point where they are no longer capable of transmitting infectious particles and the surface or item is rendered safe for handling, use, or disposal. Disinfectant solution such as one part of household bleach to nine parts of water (1:9 solution) will be used to decontaminate spills or contaminated surfaces. Other disinfectants may be utilized; however, they must be effective against HIV and HBV. In addition, the disinfectant must be tuberculocidal. The type of surface will dictate the cleaning method. Exposure Incident Exposure incident means 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. Employees who sustain an exposure incident, the exposed employee (after consent) will receive a confidential medical evaluation and follow-up including at least the following: 1. Documentation of the route( s) of exposure, and the circumstances under which the exposure occurred. 2. Identification and documentation of the source individual, unless Socorro ISD can establish that identification is infeasible or prohibited by the state or local law. 3. Collection and testing of blood for HBV and HIV serological status. 4. Post-exposure prophylaxis, when medically indicated, as recommended by the U.S. Public Health Service 5. Counseling 6. Evaluation of reported illnesses The healthcare professional evaluating an employee will be provided with the following information: 1. A copy of29 CFR 1910.1030 2. A description of the exposed employee s duties as they relate to the exposure incident. 3. Documentation of the route( s) of exposure and circumstances under which exposure occurred. 4. Results of the source individual s blood testing, if available. 5. All medical records relevant to appropriate treatment of the employee including vaccination status which are required to be maintained. The employee will receive a copy of the evaluating healthcare professional s written opinion within 15 days of the completion of the evaluation. The healthcare professional s written opinion for hepatitis B vaccination will be limited to whether hepatitis B vaccination is indicated for an employee, and if the employee has received such vaccination. The healthcare professional s written opinion for post-exposure evaluation and follow-up will be limited to the following information: 1. That the employee has been informed of the results of the evaluation. 2. That the employee has been told about any medical conditions resulting from exposure to blood or other potentially infectious materials which require further evaluation or treatment. All other findings or diagnoses will remain confidential and will not be included in a written report. All medical evaluations and procedures including the hepatitis B vaccine and vaccination series and post-exposure evaluation and follow-up, including prophylaxis will be made available at no cost to the employee and at a reasonable time and place. They will be performed by or under the supervision of a licensed physician or by or under the supervision of a licensed healthcare professional. They will be provided according to recommendations of the U.S. Public Health Services current at the time these evaluations and procedures take place. An accredited laboratory at
no cost to the employee will conduct all laboratory tests. All medical records will be kept in accordance with 29 CFR 1910.20. Occupational Exposure Training Program All employees with occupational exposure will participate in a training program at the initial assignment to a task where occupational exposure may take place, within 90days after the effective employment date with Socorro ISD, and at least annually thereafter. Additional training will be provided when changes such as modification of tasks or procedures affect the employee s occupational exposure. The training program will contain at a minimum the following elements: 1. An accessible copy of the regulatory text of29 CFR 1910.1030 and an explanation of its contents. 2. A general explanation of the epidemiology and symptoms of Bloodborne diseases. 3. An explanation of the modes of transmission of Bloodborne pathogens. 4. An explanation of Socorro ISD s exposure control plan and the means by which the employee can obtain a copy of the written plan. 5. An explanation of the appropriate methods for recognizing tasks and other activities that may involve exposure to blood and other potentially infectious materials. 6. An explanation of the use and limitations of methods that will prevent or reduce exposure including appropriate engineering controls, work practices, and personal protective equipment. 7. Information of the types, proper use, location, removal, handling, decontamination, and disposal of personal protective equipment. 8. An explanation of the basis for selection of PPE 9. Information on the hepatitis B vaccine, including information on its efficacy, safety, method of administration, the benefits of being vaccinated, and that the vaccine will be offered free of charge. 10. Information on the appropriate actions to take and persons to contact in an emergency involving blood or other potentially infectious materials. 11. An explanation of the procedure to follow if an exposure incident occurs, including the method of reporting the incident and the medical follow-up that will be made available. 12. Information on the post-exposure evaluation and follow-up that Socorro ISD is required to provide for the employee following an exposure incident. 13. An explanation of the signs and labels and/or color-coding. 14. An opportunity for interactive questions and answers with the person conducting the training. Hepatitis B Vaccination And Post Exposure Evaluation And Follow-Up The hepatitis B vaccine and vaccination series is available to all employees who have occupational exposure. The hepatitis B vaccination is available within 10 working days after the employee has received the required training, unless the employee has previously received the complete hepatitis B vaccination series, antibody testing has revealed that the employee is immune, or the vaccine is contraindicated for medical reasons. If an employee initially declines the hepatitis B vaccination, but at a later date while still covered under the standard decides to accept the vaccination, it will be made available. If an employee declines the vaccination, he/she will be required to sign a statement to that effect. If a routine booster dose(s) of hepatitis B vaccine is recommended by the U.S. Public Health Service at a future date, such booster dose(s) will be available at no cost. Record Keeping Socorro ISD will establish and maintain an accurate medical record for each employee with occupational exposure in accordance with 29 CFR 1910.20 and 1910.1030. Training records will be established and maintained in accordance with 29 CFR 1910.20 and 1910.30. All medical and training records will be made available to the subject employee and to anyone having written consent of the subject employee.
Socorro Independent School District Hepatitis B Vaccination Record Form Employee s Name: Campus: Position: Employee Signature: HBV Vaccination History Dates Series Completed _ Administered by Vaccine #1 - Date Vaccine #2 - Date Vaccine #3 - Date
Socorro Independent School District Hepatitis B Vaccine Declination Statement 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 myself. Employee Name Employee Signature Date
Socorro Independent School District Acknowledgment 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 myself. Employee Name Employee Signature Date