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Bloodborne Pathogens
Bloodborne Pathogens
StandardUnit 3
Lesson 1: Overview of the Standard
Objectives:In this lesson, you will:• Identify regulations included in the
Bloodborne Pathogens Standard.• List the regulations related to the
Needlestick Safety and Prevention Act.
Bloodborne Pathogens Standard• Set of guidelines to avoid spreading
bloodborne diseases like Hepatitis B & C and HIV
• Created by the Occupational Safety and Health Administration (OSHA) in 1991
• Must be followed by healthcare facilities and employees or risk penalties
• Exposure control plan• Identify at-risk
employees• Hepatitis B vaccine• Personal protective
equipment• Hand washing stations• Clean work environment
• Signs and color-coded containers to mark biohazardous areas
• Procedure for handling exposures
• Employee training on bloodborne pathogen safety
Provisions of the Standard
Needlestick Safety and Prevention Act
• Passed by Congress in 2001• Focused on safer medical devices
and methods of recordkeeping– Identifying and using safer medical
devices to avoid accidents– Getting input from employees who
work directly with patients– Maintaining a log of injuries related
to sharps
Lesson 1: Overview of the Standard
Summary:In this lesson, you have:• Identified regulations included in the
Bloodborne Pathogens Standard.• Listed the regulations related to the
Needlestick Safety and Prevention Act.
Lesson 2: Exposure Control Plan
Objectives:In this lesson, you will:• Discover the contents of an
exposure control plan.• Identify employees who are at
increased risk of exposure.
Exposure Control Plan• List of employees who
might be exposed• Guidelines to prevent
exposure• Training about bloodborne
pathogens and the exposure control plan
• Methods used to maintain records
• Exposure procedure
At-Risk Employees
• Listed in the exposure determination section of the plan
• Any employee whose job requires them to come into contact with blood or other possibly infectious bodily fluids
Hepatitis B Vaccination
• At-risk employees are eligible for this free vaccine
• Available at no cost within 10 days of employment
• Not required and can be received for free at any time
Lesson 2: Exposure Control Plan
Summary:In this lesson, you have:• Discovered the contents of an
exposure control plan.• Identified employees who are
at increased risk of exposure.
Lesson 3:Workplace
Control Practices
Objectives:In this lesson, you will:• Discover a variety of ways that
facilities can reduce the risk of exposure.• Identify safety devices.• Document work practice controls
in an exposure control plan.
Disinfecting
• Employees must clean surfaces and equipment immediately after spill or use.
• A bleach solution with 1 part bleach and 10 parts water should be used as a disinfectant.
Disposing of Waste• Infectious waste should
immediately be sorted into the appropriate container.
• Red or orange coloring, along with the biohazardous waste symbol, must be used to mark biohazardous waste containers.
Safer Medical Devices
• Required part of the exposure control plan
• Evaluated by a safety committee that uses employee input
• One example is self-sheathing syringes
Lesson 3:Workplace
Control Practices
Summary:In this lesson, you have:• Discovered a variety of ways that
facilities can reduce the risk of exposure.• Identified safety devices.• Documented work practice controls
in an exposure control plan.
Lesson 4:Training and
Recordkeeping
Objectives:In this lesson, you will:• Explore the training requirements
of the Bloodborne Pathogens Standard.• Identify the records that must be
kept according to the Standard.
Bloodborne Pathogens Training
Must be completed:• When employment begins• As needed as policies change• Each year
Medical Records• Kept for all employees with
occupational exposure• Kept for at least 30 years after
employment ends• Include:– Name & social security number– Hepatitis B vaccination status– Report of exposure– Evaluator’s written opinion
Sharps Injury Log
• Kept for at least five years• Reviewed each year as part of
the safer devices evaluation• Includes:– The date of the injury– The type and brand of the
sharps device involved– Where the incident occurred– How the incident occurred
Training Records
• Kept for 3 years• Include:– Date of training– Trainer’s name– Attendees’ names– Summary of
material covered
Lesson 4:Training and
Recordkeeping
Summary:In this lesson, you have:• Explored the training
requirements of the Bloodborne Pathogens Standard.• Identified the records that must be
kept according to the Standard.
Lesson 5:Exposure Reporting
Objectives:In this lesson, you will:• Explore post-exposure procedures.• Learn about the recordkeeping
involved with exposure incidents.
Immediately After Exposure
• Wash the area with soap and water.
• Tell the doctor in charge and the office manager what has happened.
Post-Exposure Procedures
• Create a medical record with information about the exposure incident
• Can also include:– Lab testing to see if
infection has occurred– Antiviral medication to
help prevent infection
Creating an Exposure Record
• Information about the event and test results are recorded.
• The employee’s family doctor gives a written opinion.
• Everything in the record is considered confidential.
Lesson 5:Exposure Reporting
Summary:In this lesson, you have:• Explored post-exposure
procedures.• Learned about the recordkeeping
involved with exposure incidents.