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This document outlines the Bloodborne Pathogen Standard as per California Code of Regulations, Title 8, Sec. 5193, which applies to all employees at risk of exposure to blood and other potentially infectious materials (OPIM) due to their job tasks. It mandates the development of a written Exposure Control Plan to limit occupational exposure to bloodborne pathogens such as HIV and Hepatitis B. Key components include hazard communication, engineering controls, personal protective equipment, vaccination policies, proper sharps disposal, and post-exposure evaluation and follow-up procedures.
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Introduction • California Code of Regulations, Title 8, Sec 5193 • 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), HIV • Requires a written Exposure Control Plan
Elements of an Exposure Control Plan • Exposure Determination • Method of Compliance • HIV, HBV and HCV Research Laboratories • Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-Up • Hazard Communication • Record Keeping • Evaluation of Exposure Incidents • Sharps Injury Log
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, puncture-proof, 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
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 • Training