Boodborne Pathogens and Boodborne Pathogens and the Fire Servicethe Fire Service

29 CFR 1910.103029 CFR 1910.1030

ByBy

Jim McPaddenJim McPadden

29 CFR 1910.103029 CFR 1910.1030

• Exposure Control PlanExposure Control Plan

• Definition of an ExposureDefinition of an Exposure

• Methods Of ComplianceMethods Of Compliance

• PPEPPE

• SharpsSharps

• Engineering and Work Practice Engineering and Work Practice ControlsControls

29 CFR 1910.103029 CFR 1910.1030

• Workplace ControlsWorkplace Controls

• Laundry and Waste ContainmentLaundry and Waste Containment

• Post Exposure and EvaluationPost Exposure and Evaluation

• HousekeepingHousekeeping

• Record keepingRecord keeping

Exposure Control PlanExposure Control Plan

• Employers must have a Employers must have a writtenwritten plan plan

• Designed to eliminate or minimize Designed to eliminate or minimize employee exposuresemployee exposures

• The plan must be accessible The plan must be accessible

Must consist of the followingMust consist of the following

• Exposure determinationExposure determination– List of jobs that potentially have List of jobs that potentially have

occupational exposureoccupational exposure– List of tasks and procedures in which List of tasks and procedures in which

occupational exposures occuroccupational exposures occur– Exposure determination shall be made Exposure determination shall be made

without regard to the use of PPEwithout regard to the use of PPE

What is an Exposure?What is an Exposure?

• A specific eye, mouth, other mucous A specific eye, mouth, other mucous membrane, non-intact skin, or membrane, non-intact skin, or parenteral contact with blood or parenteral contact with blood or other potentially infectious materials other potentially infectious materials that results from the performance of that results from the performance of an employee’s duties an employee’s duties

Methods of ComplianceMethods of Compliance

• Universal precautions shall be observed Universal precautions shall be observed to prevent contact with blood or other to prevent contact with blood or other potentially infectious materialspotentially infectious materials

• All body fluids shall be considered All body fluids shall be considered potentially infectiouspotentially infectious

Personal Protective Personal Protective EquipmentEquipment

• Employer Employer ShallShall provide, at no cost to provide, at no cost to the employee, PPE such as but not the employee, PPE such as but not limited to-limited to-– Gloves, gowns, face shields, eye Gloves, gowns, face shields, eye

protection, pocket masks, lab coats…protection, pocket masks, lab coats…

Use of PPEUse of PPE

• Employer shall ensure Employer shall ensure – PPE is usedPPE is used– PPE is appropriate sizePPE is appropriate size– Is readily accessible or issue to Is readily accessible or issue to

employeesemployees– PPE is appropriate for the task at handPPE is appropriate for the task at hand

PPE ContaminationPPE Contamination

• All PPE that has been penetrated by All PPE that has been penetrated by potentially infectious material should potentially infectious material should be removed and/or replaced as soon be removed and/or replaced as soon as possible.as possible.

• PPE should be place in appropriately PPE should be place in appropriately designated containersdesignated containers

• PPE should be disposed of or PPE should be disposed of or decontaminateddecontaminated

Cleaning, Disposal, and Repair Cleaning, Disposal, and Repair of PPEof PPE

•Employer is responsible Employer is responsible for all of the above at for all of the above at NONO cost to the employee cost to the employee

Engineering and Work Practice Engineering and Work Practice ControlsControls

• Employees shall provideEmployees shall provide– hand washing facilities which are readily hand washing facilities which are readily

accessible oraccessible or– appropriate antiseptic hand cleaner in appropriate antiseptic hand cleaner in

conjunction with towelsconjunction with towels– ensureensure that employees wash hands that employees wash hands

immediately after removal of gloves immediately after removal of gloves – ensureensure that employees wash hands and any that employees wash hands and any

other skin with soap and water, orother skin with soap and water, or– flush mucous membranes with water as soon a flush mucous membranes with water as soon a

feasible after contact with potentially infected feasible after contact with potentially infected materialsmaterials

Handling of SharpsHandling of Sharps

• Contaminated needles and other Contaminated needles and other sharps shall sharps shall notnot be bent or recapped be bent or recapped

• Unless a one-handed technique is Unless a one-handed technique is usedused

• Shearing or breaking needles is Shearing or breaking needles is prohibitedprohibited

• Immediately after use sharps must be Immediately after use sharps must be put into appropriate containersput into appropriate containers

Sharps ContainersSharps Containers

• Labeled in accordance with Labeled in accordance with 1910.1030 (g)(1)(i)1910.1030 (g)(1)(i)

• Puncture resistantPuncture resistant

• Color codedColor coded

• Leak proof on side and bottomLeak proof on side and bottom

Sharps Injury LogSharps Injury Log

• The employer shall maintain the logThe employer shall maintain the log

• Information recorded shall be Information recorded shall be confidentialconfidential

• Log infoLog info– Type and brand involvedType and brand involved– Where the exposure occurredWhere the exposure occurred– How the event occurredHow the event occurred

Other Workplace ControlsOther Workplace Controls

• Do not eat, drink smoke, apply cosmetics, Do not eat, drink smoke, apply cosmetics, or handle contact lenses in work areas or handle contact lenses in work areas where there is reasonable likelihood of where there is reasonable likelihood of occupational exposure.occupational exposure.

• All procedures involving potentially All procedures involving potentially infectious materials should be done in infectious materials should be done in such a manner as to minimize slashing, such a manner as to minimize slashing, spraying, spattering, and generation of spraying, spattering, and generation of droplets of these substances. droplets of these substances.

Contaminated LaundryContaminated Laundry

• Handle as little as possibleHandle as little as possible

• Bag or contain where it is usedBag or contain where it is used

• Transported in containers that are Transported in containers that are labeled in accordance with labeled in accordance with 1910.1030(g)(1)(i)1910.1030(g)(1)(i)

Waste ContainmentWaste Containment

• Placed in containers which arePlaced in containers which are– ClosableClosable– Contain all contentsContain all contents– Prevent spillage or protrusionPrevent spillage or protrusion– Labeled in accordance with 1910.1030 Labeled in accordance with 1910.1030

(g)(1)(i)(g)(1)(i)– Disposed of in accordance with Disposed of in accordance with

applicable regulationsapplicable regulations

HousekeepingHousekeeping

The Employer shall-The Employer shall-

• Ensure surfaces are disinfected after Ensure surfaces are disinfected after contact with potentially infectious contact with potentially infectious materialmaterial

• Ensure that protective coverings are Ensure that protective coverings are used when appropriate and replaced used when appropriate and replaced when contaminatedwhen contaminated

Hepatitis B VaccinationHepatitis B Vaccination

• Made available by employer within Made available by employer within 10 days10 days– No cost to employeeNo cost to employee

• Not mandatoryNot mandatory– Employees declining vaccination need to Employees declining vaccination need to

sign waiversign waiver

• If employee wants vaccination at a If employee wants vaccination at a later date, the employer shall make it later date, the employer shall make it availableavailable

Post-exposure Evaluation and Post-exposure Evaluation and Follow-upFollow-up

• Following a report of an exposure Following a report of an exposure employers shall make available employers shall make available – an immediate confidential medical an immediate confidential medical

evaluation evaluation – You must document the route of exposureYou must document the route of exposure– Document the circumstances under which it Document the circumstances under which it

occurredoccurred– Document the Identification of the source of Document the Identification of the source of

the exposurethe exposure

Post-exposure Evaluation and Post-exposure Evaluation and Follow-up (continued)Follow-up (continued)

• The source individual’s blood shall be The source individual’s blood shall be tested as soon as feasibletested as soon as feasible

• Results of the test shall be made Results of the test shall be made known to the employeeknown to the employee

• Counseling shall be provided for Counseling shall be provided for employeeemployee

Record KeepingRecord Keeping

• All blood test and result shall be kept All blood test and result shall be kept confidential and secureconfidential and secure

• All documentation and medical All documentation and medical records shall be kept by the records shall be kept by the employer for the duration of employer for the duration of employment plus thirty years.employment plus thirty years.

SummarySummary

• Exposure Control PlanExposure Control Plan• Definition of an ExposureDefinition of an Exposure• Methods Of ComplianceMethods Of Compliance• PPEPPE• SharpsSharps• Engineering and Work Practice Controls Engineering and Work Practice Controls

Workplace ControlsWorkplace Controls• Laundry and Waste ContainmentLaundry and Waste Containment• Post Exposure and EvaluationPost Exposure and Evaluation• HousekeepingHousekeeping• Record keepingRecord keeping

Questions?Questions?