1. Bloodborne Pathogen Standards • 29 CFR 1910.1030 (Federal) • Part 554 Bloodborne Infectious Disease (Michigan)

2. What are BBP Standards? • To protect workers against possible contamination from a Bloodborne Infectious Disease

3. When to comply? • If there is a reasonable anticipated risk of exposure to blood or OPIM during routine tasks

4. 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)

5. 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 Other Potentially Infectious Material (OPIM) (State Rule 325.7002(s))

6. Sharps • Any item that has a potential to cut or puncture skin. (broken glass, needles, lancets, etc.)

7. Universal Precautions • ALL blood and OPIM treated as infectious

8. Standard Operating Procedures (SOPs) • Each task should have a written procedure to reduce risk of exposure

9. Engineering Controls • Products that reduce exposure by design • Examples: self sheathing needles, sharp containers, sinks

10. “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.

11. Hypodermic syringes with “Self-Sheathing” safety feature Self-sheathed protected position

12. Hypodermic syringes with “Retractable Technology” safety feature Retracted protected position

13. Phlebotomy needle with “Self-Blunting” safety feature Blunted protected position

14. “Add-on” safety feature Attached to syringe needle Attached to blood tube holder

15. Retracting lancets with safety features Before During After Before During After In use After use

16. Disposable scalpels with safety features Retracted position Protracted position Protracted position

17. Work Practice Controls • Reduce exposure by work habits • Examples: wearing gloves, washing hands, using sharp containers, no food, etc. while working

18. Personal Protective Equipment (PPE) • Specialized clothing/equipment worn for protection against hazards • Choose correct ones for task • Gloves, Protective Eyewear, Face Shield, etc. • DON & DOFF

19. Regulated Waste Determination of Regulated Waste - Michigan Law • Medical Waste Regulatory Act - Part 138 • Law 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

20. Laundry • Employer’s responsibility to launder the reusable required PPE

21. Vaccination • Employer must provide Hep B vaccination to employee • Cost - Employer’s Expense

22. Waiver • Employee has the right to decline HBV vaccine • Must sign a waiver • Employee has right to request a HBV vaccine at later date, at employer’s expense

23. Post Exposure • Determination – what was BBP exposure? • Procedure – report, go to ER, document incident, test patient • Prophylaxis • Confidentiality

24. Biohazard Labels and Warnings • Labels • Colors – blaze orange/red • Symbols – 3 sided

25. Recordkeeping • 1. A Sharps Injury Log is filled out in addition to OSHA 300 log (confidentiality maintained) • 2. BBP training is also documented

26. 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

27. BBP Training It is the Law Also known as Exposure Control Plan Newly hired and Annual retraining Also, training on new devices and procedures