Bloodborne Pathogens a Review and Update Kathryn Faguy

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    Introduction

    This Exposure Control Plan is designed to aid the St Cloud School Commune comply with the Occupational Safety and Health Assistants's (OSHA) Occupational Exposure to Bloodborne Pathogens standard as published in the Federal Register on December vi, 1991 (29 CFR 1910.1030). The standard applies to all school employees with reasonably predictable occupational exposure to claret or other potentially infectious materials resulting from performance of their task duties. It is important to notation that MN OSHA takes bloodborne pathogen exposure seriously and all efforts shall be made to identify potential exposures and providing proper protection to staff.

    Actual apply of the Exposure Control Program is limited to Resource Preparation & Solutions and the St Cloud School District. In addition, St Cloud School District is responsible for the implementation, enforcement and updating or their Exposure Control Program.

    The Program must be reviewed and updated annually or whenever new piece of work tasks or procedures affect occupational exposures. A Bloodborne Pathogens Program Compliance Checklist is provided for in Appendix A. The Almanac Program Review must include the date of review and signed by the advisable school official verifying that the plan is in substantial conformance with CFR 1910.1030 (Appendix H).

    The Safety Committee will exist asked to participate in the annual review procedure for this programme. Consideration will be given to comments of employees, including concerns about the safety awarding of this program in the district. These comments and input from staff will be included in the minutes of the Safe Committee and be used for guidance in irresolute the plan or in consideration of the annual training needs.

    NOTE: If parents supply needles for injections, the staff is not required to use these supplies if the School Nurse deems the needles to create an undue exposure to staff. Parents volition be requested to supply an advisable safety needle to utilise in the school.

    Bloodborne Pathogens Program Review and Updated Study

    Programme review and changes are documented below. Documented reviews indicate that the plan continues to encounter the needs of the Commune, or has been modified to do so more than finer.

     Date  Updates/Notes  Reviewer
     3/seven/2016  Changed containment to management under section B. Engineering and work practices Controls.  Wayne Warzecha
     iv/23/21  Reviewed plan, no changes  Wayne Warzecha


    Effective Dates

    The following tabular array summarizes compliance dates for the OSHA Occupational Exposure to Bloodborne Pathogens Standard.

     Clarification  Date
     Federal  Minnesota
     Constructive Date of Standard 3/6/92 6/6/92
     Exposure Control Plan five/v/92 viii/v/92
     Preparation Plan half dozen/6/92 nine/4/92
     Recordkeeping 7/half-dozen/92 9/4/92
     Engineering and Work Practices seven/6/92 10/iv/92
     Personal Protective Equipment 7/6/92 10/4/92
     Hepatitis B Vaccination and Post-Exposure Follow-Up 7/6/92 4/eleven/00
     Labels and Signs 7/6/92 ten/4/92
     Housekeeping 7/6/92 10/iv/92
     Revisions to 1910.1030 pub.1/18/01 Fed Reg. 4/18/01 x/1/92
     Hepatitis B Vaccination Program Alter-New Hires 6/29/01 2/29/01

     Definitions

    Amniotic Fluid means the fluid surrounding the fetus during pregnancy.

    Blood ways human blood, human blood components, and products made from homo claret.

    Bloodborne Pathogens means pathogenic microorganisms that are nowadays in homo blood and can cause illness in humans. These pathogens include, but are not express to, Hepatitis B Virus (HBV) Human Immunodeficiency Virus (HIV) and Hepatitis C Virus (HCV).

    Cerebral Spinal Fluid means the fluid surrounding the encephalon and spinal string. Contaminated means the presence or reasonably anticipated presence of blood or other potentially-infectious materials on an item or surface.

    Contaminated Laundry means laundry which has been soiled with claret or other potentially infectious materials, or which may contain sharps.

    Contaminated Sharps means any contaminated object that can penetrate the skin including, merely non express to, needles and broken glass.

    Decontamination means the apply of physical or chemical means to remove, inactivate or destroy bloodborne pathogens on a surface or item to the bespeak where they are no longer capable of transmitting infectious particles and the surface or item is rendered safe for handling, employ or disposal.

    Applied science Controls ways (eastward.g., sharps disposal containers, self-sheathing needles) that isolate or remove the bloodborne pathogens from the workplace.

    Exposure Incident ways a specific center, oral cavity, other mucous membrane, non-intact peel, or parental contact with blood or other potentially infectious materials that consequence from the functioning of an employee's duties.

    Hepatitis A Virus (HAV) an astute simply beneficial form of viral hepatitis caused by an RNA virus that does not persist in the blood serum and is unremarkably transmitted by ingesting food or drink that is contaminated with fecal matter.

    Hepatitis B Virus (HBV) is a virus which infects the liver resulting in cirrhosis, liver cancer or chronic liver illness. HBV can be transmitted through dried, caked blood on surfaces.

    Hepatitis C Virus (HCV) a viral hepatitis clinically indistinguishable from hepatitis B just caused past a single-stranded RNA virus; usually transmitted by parenteral means every bit injection of an illicit drug or claret transfusion or exposure to blood or claret products

    Human Immunodeficiency Virus (HIV) is a virus which attacks the body's allowed system reducing its ability to fight affliction (i.e. AIDS). HIV is not transmitted by coughing, sneezing, touching or using the same equipment, toilets, etc.

    Needless Systems means a device that does not use needles for: (1) the collection of bodily fluids later on initial venous or arterial access is established; (2) the administration of medication or fluids; (three) any other process involving the potential or occupational exposure to bloodborne pathogens due to injuries class contaminated sharps.

    Occupational Exposure ways reasonably-anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially-infectious materials that may result from the performance of an employee's duties.

    Other Potentially-Infectious Materials (O.P.I.M.) means any body fluid that is visibly contaminated with blood and all body fluids in situations where it is difficult or impossible to differentiate between torso fluids.

    Personal Protective Equipment (PPE) is specialized vesture or equipment worn past an employee for protection against a hazard. Full general piece of work dress (i.e. uniforms, shirts, pants) not intended to function as protection confronting a adventure are not considered to be personal protective equipment.

    Regulated Waste ways liquid or semi-liquid blood or other potentially-infectious materials; contaminated items that would release blood or other potentially-infectious materials in a liquid or semi-liquid state if compressed; items that are caked with dried blood or other potentially infectious materials and are capable of releasing these materials during treatment; and contaminated sharps.

    Sharps with Engineered Sharps Injury Protections (SESEP'South) means a non-needle sharp or a needle device used for withdrawing body fluids, accessing a vein or artery, or administering medications or other fluids, with a built-in safety feature or mechanism that finer reduces the run a risk if an exposure incident.

    Titer The measurement of the amount or concentration of a substance in a solution. Unremarkably refers to the amount of medication or antibodies found in a patient's blood and serum.

    Universal Precautions is a method of infection control which assumes all human blood and sure human body fluids to be infectious for HBV, HIV, HCV other bloodborne pathogens.

    Work Practice Controls means controls that reduce the likelihood of exposure past altering the manner in which a task is performed.

    Exposure Determinations

    All employees with an occupational exposure, including those who are expected to provide offset aid as a part of their job tasks, volition accept an attainable copy of the Exposure Control Plan to minimize or eliminate exposures.  Under OSHA Bloodborne Pathogens standard, "Proficient Samaritan" acts such as a teacher profitable a boyfriend instructor or student with injury (east.g. nose drain) are not covered.  In addition, those employees who receive get-go aid preparation but are non required to provide first aid every bit role of their job tasks are not covered.  Appendix D provides a sample log to be used when making exposure determinations.  When completed this log will be retained in the permanent record.

    The post-obit listing represents job classifications which all employees have occupational exposure (Category one).

    • School Nurses
    • Wellness Assistants
    • Coaches / Squad Trainers

    The following listing represents job classifications with some employees may have occupational exposure (Category 2).

    • Special Education
    • Physical Education Teachers / Coaches
    • Janitors / Custodians
    • Playground Attendants

    Note: The St. Deject School Commune shall identify additional job classifications within categories i and 2 relative to their specific organizational structure and operations.

    Specific work tasks an procedures which may result in occupational exposure to some employees  in Category 2 include the following when a specific chore clarification specifically includes any of these duties:

    • Coaches / Team Trainers --- Response to cleaved bones, cuts, abrasions or other injuries where exposure to claret or other bodily fluids is likely.
    • Physical Teaching Teachers --- Response to cleaved bones, cuts, abrasions or other injuries where exposure to blood or other actual fluids is probable.
    • Janitors / Custodians --- Cleaning of surfaces, contaminated with blood.  Disposal of contaminated sharps from the nurse's station (role) and bandages / towels with blood from the training and locker roo ms.
    • Playground Attendants --- Response to accidents or injuries which requires administering kickoff aid (i.e. cuts, abrasions).
    • Special Education --- Regular, Special Didactics, Early Childhood and EL Teachers and related support staff (paraprofessionals) -Response to accidents or injuries which requires administrating commencement help and provisions of personal care activities.

    All other chore classifications are considered to have no occupational exposure (Category iii).

    Methods of Compliance

    The following practices and procedures volition be implemented past the St Cloud School District to minimize or eliminate occupational exposures to task classifications in Categories 1 and 2.

    A. Universal Precautions.

    The concept of Universal Precautions requires the St Cloud Schoolhouse District to require its employees to assume all human blood and specified human body fluids are potentially infectious for HIV, HBV, HCV and other bloodborne pathogens. Consequently, St Cloud School District employees should avoid whatsoever unnecessary exposure to blood or other specified bodily fluids at all times.

    B. Engineering and Piece of work Practice Controls.

    Engineering controls reduce or eliminate employee exposures by either removing or isolating the take a chance or isolating the worker from exposure. The safety committee, to include a representation of l% of the afflicted employees, shall exist responsible for monitoring the effectiveness of engineering and work practice controls. The St Deject School District shall implement and enforce the post-obit engineering and work exercise controls.—If an exposure incident takes place, complete the Occupational Exposure Incident Report immediately (Appendix Eastward).

    1. Employees with lesions, dermatitis or other compromising conditions shall take extra precaution to avoid direct contact with blood or other infectious materials.
    2. Eating, drinking, smoking or handling contact lenses are prohibited in areas where there is a reasonable likelihood of occupational exposure.
    3. Employees will wash their hands and pare after gloves are removed with soap and h2o immediately or as soon as possible post-obit contact with blood or other potentially infectious materials. Where hand washing facilities are not available, clarified paw cleaners or towelettes forth with a clean material or paper towel, should exist available. Employees should keep to wash easily or skin with lather and water once bachelor.
    4. Employees volition flush mucous membranes (eyes, nose, mouth) with water immediately or every bit soon equally possible following contact with blood or other potentially infectious materials.
    5. All first assist or other procedures involving claret or other potentially infectious materials will be performed in a mode which minimizes splashing or spattering of these substances.
    6. Contaminated needles or other contaminated sharps will non exist bent, recapped or removed. All contaminated sharps volition be placed in specified safe needle devices or containers that are available in areas of anticipated use.  Disposal will be per district policy.  Filled sharps containers will exist secured and transported to St. Deject Hospital for proper disposal and exchange. (refer to Regulated Waste Management - Department H).
    7. All broken glass will exist deposited in a specified puncture-resistant container to avert accidents (cuts) during storage and disposal. Mechanical means (i.e. broom and dust pan) should be used to clean upwards all broken glassware.
    8. Equipment or surfaces, including the body fluid spill itself, which have been contaminated with blood or other potentially infectious materials, will be properly decontaminated as soon as possible, past following management listed on an EPA registered disinfectant. Once properly disinfected the material(s) demand non be red bagged or otherwise disposed of as contaminated.

    C. Personal Protective Equipment

    Personal protective equipment is used if occupational exposure remains afterward implementation of applied science and work practice controls, or if these controls are non feasible. Personal protective equipment is considered appropriate only if it does not permit claret or other potentially infectious materials to pass through the employees' wearing apparel or come in contact with their skin, eyes, oral fissure or other mucous membranes under normal working conditions. Personal protective equipment shall be provided at no cost to the employee in appropriate sizes and exist readily bachelor. The following personal protective equipment and practices shall be implemented by the Schoolhouse Commune.

    1. Gloves will exist worn by the employee when contact with blood or other potentially infectious materials is likely. Disposable gloves will be replaced as soon as practical when visibly contaminated, torn or punctured. Disposable gloves volition not be done or decontaminated for re-use. Utility gloves may be decontaminated for re-use if the integrity of the gloves are not compromised (i.eastward. torn, cracked, deteriorated). Hands should exist washed with soap and water upon removal of gloves.
    2. Masks or protective eyewear (prescription spectacles crave solid side shields) will be worn when providing intendance that is likely to splash or spray blood or other potentially infectious materials.
    3. Protective torso clothing (i.e. gown, apron) will be worn by the school nurse or designated school staff when providing care likely to generate splashes of blood or bodily fluids. All employees with occupational exposures should supervene upon blood-contaminated or soiled clothing with clean clothing as soon as possible. Skin which has come in contact with claret or other potentially infectious materials should be washed with soap and water as soon as possible.
    4. Resuscitation bags or masks shall exist made available to those responsible for providing cardiopulmonary resuscitation (CPR).
    5. Personal protective equipment should be removed prior to leaving the work area.
    6. Cleaning, repair, replacement or disposal of personal protective equipment volition be provided at no cost to the employee.

    Annotation: The employee may temporarily pass up the use of personal protective equipment when he/she uses their judgment that its use would have prevented commitment of health care or it would have posed a greater safety hazard to the employee.

    D. Housekeeping Practices

    The St Cloud Schoolhouse District is responsible for maintaining a clean and sanitary surround. Actual types of cleaning and cleaning schedules vary relative to location, site activities and types of surfaces. The schedule for these activities shall be included equally a function of this exposure command programme. The following are general housekeeping practices to be implemented by the St Deject School District.

    1. All equipment and environmental/working surfaces shall be cleaned and decontaminated after contact with blood or other potentially infectious materials every bit shortly as possible. Special cleaning schedules and procedures within the nurse's station may be necessary.
      • A hospital-grade disinfectant registered with the Environmental Protection Agency is (EPA) recommended.  Re-juv-nal a Hillyard product can besides be used on most surfaces.
    2. Reusable items which become contaminated during the cleaning process shall be properly decontaminated with EPA Recommended products or a 24 hour fresh bleach solutions earlier putting them dorsum into service.
    3. Protective coverings used in the nurse's station which become contaminated shall exist properly disposed of and replaced with a new, clean cover.
    4. Any receptacles intended for re-apply volition exist decontaminated on a regular basis or if visibly contaminated.
    5. Broken glassware shall exist cleaned up using mechanical means (i.e. brush and grit pan).
    6. Contaminated sharps or needles shall exist stored in a closeable, puncture-resistant container. Employees shall never reach their hands directly into the container.

    Eastward. Laundry Practices

    The post-obit laundry practices will be implemented by the St Cloud School District if they operate their own laundry facilities.

    1. Staff will wear protective gloves and other appropriate personal protective equipment to prevent exposure to claret or other potentially infectious materials during the handling and sorting of soiled linen. Note: Laundry soiled with body fluids not included in the OSHA definition is not considered contaminated and requires no special handling. All the same, as a general practice, all laundry should be handled as piddling as possible (Universal Precaution).
    2. All contaminated laundry and regulated waste matter shall be placed and transported in the advisable bags (refer to Regulated Waste product Management - Section H). Contaminated laundry which is moisture should exist stored or transported in containers which foreclose leakage.
    3. Laundry workers should non mix contaminated laundry with other laundry.
    4. All contaminated laundry which is shipped off-site should be transported in the appropriately labeled/colored bags (refer to Regulated Waste product Management - Department H).

    F. Human Bites

    Any St Cloud School District employee that receives a human bite during the class of their work duties, whereby the pare of the employee is broken from such a seize with teeth and the potential for exposure of claret exists, yous are required to perform the following steps immediately.

    1. Information technology is of import to follow Universal/Standard Hygiene procedures. Injured area must exist cleansed with disinfectant soap (nowadays in soap dispenser) for xv to 30 seconds.
    2. Complete the Occupational Exposure Incident Report (Appendix Due east).
    3. Contact Midwest Occupational Medicine (MOM) at 320-251 -9675 to discuss the exposure incident and to provide the necessary treatment and consultation. You must take the completed Occupational Exposure Incident/Written report with you to Midwest Occupational Medicine (MOM) located at 4544 County Road 134 (Hwy xv), St. Cloud.

    G. Hepatitis B Vaccination

    The OSHA Bloodborne Pathogens standard requires the St Deject School District to offering all employees who are required to provide beginning aid (Category 1) or may accept occupational exposure (Category two), the hepatitis B vaccination serial. This includes initial vaccination, post exposure evaluations and the potential need for a routine booster dose(s) if required. The standard does not crave the St Cloud School District to offer the vaccination to other employees who are considered to have no exposure (i.due east. those employees in Category iii  where first aid and personal activities are not a primary job task assigned) relative to their overall job tasks. Employees in category 1 should be checked for immunity or antigens by a titer within one-2 months after the tertiary shot in the primary series. If immunity has not been achieved, the hepatitis B vaccine and vaccination series must exist offered again or the non-immune individual must be referred to a doc for evaluation. Complete Appendix F or a similar log to back up delivery of appropriate training and to maintain a record of vaccinations and retain as function of the permanent record.

    The post-obit procedures will be implemented past the St Cloud Schoolhouse District.

    1. Specified employees who have occupational exposure volition be provided, at no toll, the hepatitis B vaccination serial, every bit well as mail-exposure evaluation and follow-up procedures. Actual vaccination and follow-up procedures shall be performed nether the supervision of a licensed physician or other licensed healthcare professional and provided in accordance with the recommendations of the U.S. Public Health Service. The healthcare professional will be provided with a copy of the Bloodborne Pathogens standard (29 CFR 1910.1030).
      Annotation: The hepatitis B vaccine is not required if the employee has previously received the complete hepatitis B vaccination serial and antibody testing reveals the employee is immune or the vaccine is inadvisable for medical reasons. A hepatitis B prescreening program will not be a prerequisite for receiving the vaccination.
    2. The hepatitis B vaccination will be available to specified employees within ten working days of initial consignment. Each employee receiving the vaccination must be informed on the following:efficacy of the vaccine;
      • safety of the vaccine;
      • method of administration;
      • benefits associated with the vaccine; and
      • acknowledgement of costless vaccine and vaccination.
    3. An employee who initially declines the hepatitis B vaccination volition be allowed to receive the vaccination at a later time. All employees who decline the hepatitis B vaccination made bachelor will be required to sign the Employee Hepatitis B Vaccine Declination form (Appendix C).
    4. The St Cloud School District shall offer the hepatitis B vaccination to all unvaccinated employees required to provide first help as a collateral duty who have rendered starting time aid in any situation involving the presence of blood or other potentially infectious materials (regardless of whether an actual exposure incident occurred). The vaccination should be made available as presently every bit possible, only in no event later than 24 hours.

    H. Regulated Waste material Management

    The following procedures will be implemented by the St Cloud School Commune to comply with federal and state (Minnesota) requirements for regulated infectious wastes.  Decontamination is the preferred method.

    Decontamination:

    1. Employ a fluid command solidifier, sprinkle evenly over spill and remove solidified material with  scoop and scraper, according to manufacturer'south instructions.  Since materials take been   decontaminated they may exist disposed of with the general trash for disposal.

    Containment:

    1. All regulated waste material (blood or contaminated items) will be placed in properly labeled containers which forbid whatsoever leakage during the collection, handling, processing, storage, transport or aircraft.
    2. A properly labeled secondary container will be used if exterior contamination of the primary container occurs. If waste items tin can puncture the primary container, the main container will be placed within a secondary container which is puncture-resistant.
    3. Contaminated sharps and needles will be immediately discarded in a closeable, puncture resistant, leak-proof container or rubber needle device. The sharps container will be readily accessible to personnel and located as close as possible to the area of use (preferably located centrally in the nurse'southward station).
    4. The sharps' containers will be maintained upright, replaced routinely and non be overfilled at any time. A regular schedule for elimination these containers will be implemented and be considered to exist a part of this exposure control plan. The containers will be closed prior to removal to avoid any spillage. Reusable containers volition not exist emptied or cleaned manually to avoid any "stick" exposures to the skin.
    5. The St Deject School Commune shall shop all regulated (contaminated) waste in a secure expanse.

    Annotation: OSHA does not consider typical band-aids or feminine hygiene products to be considered regulated waste. Janitors/custodians are recommended to employ Universal Precautions when disposing of feminine hygiene products to avert whatsoever unnecessary direct skin contact. In addition, de-contamination of any visible blood contagion in the receptacle may be required.

    Labeling

    1. Containers of regulated waste product volition be labeled with the Biohazard symbol and the wording "Biohazard" (refer to Figure one). The Biohazard characterization volition be fluorescent orange or orange red in color with the lettering in contrasting colors. The labels will be affixed so equally to avoid their loss or unintentional removal.

      Figure one. Biohazard Symbol

    2. Red numberless or red containers may be substituted for the Biohazard label. If Universal Precautions are utilized, the labeling/color-coded organization is not necessary provided the containers are recognizable and treated as containing regulated waste product. Nevertheless, all regulated waste leaving the facility must be properly labeled or color-coded.

    Disposal

    1. Documented disposal of regulated waste must be washed at least annually at a Minnesota Pollution Command Agency (MPCA) approved landfill or medical incinerator. Disposal of regulated waste material at a germ-free landfill is not permissible unless the waste product is first deemed "noninfectious." The St Cloud School District volition not mix regulated (hazardous) waste product with other waste.
    2. All regulated waste product shall be transported per Minnesota Department of Health, Department of Transportation and MPCA requirements. All shipments will be manifested accordingly.


    Exposure Evaluation and Follow-Up

    The St Deject School District is required to immediately provide a postal service-exposure evaluation and follow-up for employees who have had an occupational exposure to blood or other potentially infectious materials. The following protocol will be followed past the St Cloud School District for providing post-exposure evaluations and follow-upwardly. Appendix Grand includes a flow chart of required follow-up activities.

    1. All employees (Categories i and 2) shall immediately report an occupational exposure to the St Cloud School Commune or direct supervisor. In addition, all employees (Category three) who render kickoff aid where blood or other potentially infectious materials were evident (regardless of whether an exposure incident occurred) shall immediately study the incident to the St Deject School District or direct supervisor. The St Cloud School Commune volition make bachelor a confidential medical evaluation and follow-upwards of the incident with a licensed healthcare professional person.
      Note: The School District will record the effect on the OSHA 300 Log of Occupational Injuries and Illnesses and OSHA 301 Supplementary Record of Occupational Injuries and Illnesses, if applicable.
    2. Affected employee(s) shall exist provided with space on the incident reporting form to render an opinion on how to minimize or reduce future such exposures or incidents and to offer an stance on the possible touch on of engineering controls to reduce such exposures or incidents.
    3. The St Cloud School District's designated individual will document the circumstances under which the exposure occurred (or potential exposure in cases where first assist was provided), including the routes of exposure, the HBV, HIV or HCV condition of the source patient(south), if known, and the employee's hepatitis B vaccine condition. A copy of the OSHA Bloodborne Pathogen'south standard and the above information collected upon review of the incident will be provided to the healthcare professional.
    4. Within twenty iv hours the St Cloud School Commune (ambassador or licensed school nurse) will notify the source individual(southward) of the incident and attempt to obtain written consent to collect and test the source'southward blood to decide the presence of HBV, HIV and/or HCV infectivity. If the source individual is known to be infected with HBV, HIV or HCV testing of the source individual is non required.
    5. If consent is received, the results of the source individual's testing will exist fabricated available directly to the exposed employee through their healthcare provider. All applicable laws and regulations concerning disclosure of the identify and infectious status of the source individual will exist available.
    6. The exposed worker's blood will be nerveless equally presently as feasible and tested upon written consent being obtained for determination of HBV, HIV and/or HCV status. In addition, the St Cloud Schoolhouse District may be required to provide echo HIV testing to the exposed employee on a periodic footing thereafter depending on the healthcare professional person's opinion.
    7. Follow-up on the exposed worker will include counseling, medical evaluation of any acute illness that occurs, mail service-exposure prophylaxis and other mail service-exposure methods co-ordinate to recommendations for standard medical practices.
    8. The healthcare professional volition submit a written opinion to the St Cloud School District documenting that the employee was informed of the evaluation results and the need for any further follow-up and whether the hepatitis B vaccine was received.
    9. The St Deject Schoolhouse District volition provide a re-create of the healthcare professional person'due south written opinion to affected employee within 15 days of completed evaluation.

    Grooming

    The St Cloud Schoolhouse District will mandate and provide grooming to all identified employees (Categories 1 and 2) with potential occupationally exposures to blood and other potentially infectious materials. This training will be conducted annually during normal work hours past a trainer knowledgeable on the subject field thing. The preparation requirements include the following.

    1. Training will be provided earlier an initial assignment to a task involving a potential occupational exposure.
    2. Additional grooming will exist provided past the St Cloud School Commune when any new tasks or modifications of procedures affect the employee's occupational exposure.
    3. The preparation program shall include the post-obit components:
      • information on how to access the OSHA Bloodborne Pathogen's standard;
      • routes of exposure and symptoms of bloodborne pathogens;
      • re-create and explanation of the Exposure Control Plan;
      • methods for identifying tasks which may involve exposure to blood or other potentially infectious materials.
      • overview of engineering controls, work practices and personal protective equipment;
      • information on hepatitis B vaccine (refer to hepatitis B vaccination - Section Thou).
      • emergency procedures and notification requirements;
      • incident reporting;
      • post-exposure evaluation and follow-upward; and
      • explanation of labels and color-coding system requirements.

    Employee training records are provided upon request to the employee or the employee's authorized representative within 15 working days. Such request should be addressed to the bloodborne pathogen coordinator.

    Recordkeeping

    A. Training Records

    The St Cloud School Commune is required to certificate and maintain preparation records for three years subsequent to the initial preparation date. Training records shall include the following:

    • Date of the grooming session(due south)
    • Summary of the grooming topics discussed.
    • Name and qualifications of trainer(s)
    • Names and titles of all school employees who attended the grooming session (refer to Appendix B)

    Employee grooming records are provided upon asking to the employee or the employee's authorized representative within fifteen working days. Such requests should exist addressed to the Supervisor of Environmental Health & Safety.

    B. Medical Records

    The St Deject School Commune is required to maintain an accurate record for each employee with occupational exposure as specified in 29 CFR 1910.1030(Cv2) Access to Employee Exposure and Medical Records. Medical records are to remain confidential and shall be maintained for the duration of employment plus 30 years. The medical records relative to the Bloodborne Pathogen'due south standard shall include the following:

    • Employee name and social security number.
    • Hepatitis B vaccination status and dates.
    • Results of evaluations and follow-upwardly procedures.
    • The St Deject School District'south copy of the healthcare professional'due south written opinion.
    • Copy of the information provided to the healthcare professional by the St Cloud School District.

    Employee preparation records are provided upon request to the employee or the employee'south authorized representative within xv working days. Such requests should be addressed to the Supervisor of Environmental Health & Safety.

    C. OSHA Recordkeeping

    An exposure incident is recordable on the OSHA 300 Log if the case meets OSHA'south Recordkeeping Requirements (29 CFR Part 1904). This determination and the recording activities are done by the Supervisor of Ecology Wellness & Safe.

    D. Sharps Injury Log

    In addition to the OSHA's 1904 Recordkeeping Requirements, all percutaneous injuries from contaminated sharps are also recorded in the sharps injury log (See Appendix J). All incidents must include at least:

    • The date of injury
    • The type and brand of the device involve;
    • The department or work area where the incident occurred
    • An caption of how the incident occurred.

    This log is reviewed at to the lowest degree annually as role of the annual evaluation of the program and is maintained for at to the lowest degree v years post-obit the finish of the calendar year that they cover. If a copy is requested past anyone, information technology must have any personal identifiers removed from the report.

    Appendix A: Compliance Checklist

    • Click hither to download

    Appendix B: Training Log

    • Click here to download

    Appendix C: Hepatitis B Vaccination Series Forms

    • Employee Hepatitis B Vaccine Consent Grade
    • Employee Hepatitis B Vaccine Declination Form


    Appendix D: Exposure Determination Tape

    • Click here to download

    Appendix E: Occupational Exposure Incident Study

    • Click here to download

    Appendix F: Employee Exposure Decision/Grooming/HBV/Vaccination Record

    • Click hither to download

    Appendix G: Post-Exposure Evaluation and Follow-upwardly

    • Click here to download

    Appendix H: OSHA Standard

    • Occupational Exposure to Bloodborne Pathogens Standard (CFR 1910.1030)
    • Hepatitis B Vaccination Declination (Mandatory) (CFR 1910.1030 App A)

    Appendix I: Model Communication Letters/Script

    • Medical Evaluation
    • Pupil/Employee exposure to claret or other potentially infectious fabric
    • Notification of Human Bites

    Appendix J: Sharps Injury Log

    • Click here to download

    Appendix Yard: Safe Feature Evaluation Form

    • Click here to download

    Know the ABCs of Viral Hepatitis

    Know the ABCs of Viral Hepatitis

    ABCs of Viral Hepatits
    Know the risk of hepatitis B

    HOW Yous Can GET IT

    Hepatitis B virus (HBV) is hardy and easier to "catch" than you might realize. HBV is institute mainly in blood and body fluids. In certain situations, information technology is up to 100 times more contagious than HIV, the virus that causes AIDS. Hepatitis B virus can survive on surfaces for up to 1 month in some instances increasing your chances of infection. There are an estimated 1 to i.25 million persons with chronic HBV infection in the Usa that are infectious to others.

    Information technology CAN Make YOU VERY SICK

    Hepatitis B attacks your liver and can make you extremely sick. Some patients fifty-fifty require hospitalization. The illness tin can atomic number 82 to cirrhosis of the liver or liver cancer. Each twelvemonth there are upwardly to 150,000 new infections with hepatitis B and about four,000 people die due to hepatitis B-related chronic liver disease in the United states.

    It CAN BE PREVENTED

    Protect yourself and your children with hepatitis B vaccination...preventing chronic hepatitis B infection can reduce the run a risk of master liver cancer. Many don't accept the hepatitis B protection

    THE CENTERS FOR Affliction Control AND PREVENTION (CDC) RECOMMENDS:

    • Universal vaccination for all infants
    • Vaccination of all infants, children and adolescents from nascency to age xviii
    • Vaccination for at run a risk adults

    But 3 shots of vaccine provide protection

    • Soreness, swelling and redness at the site of injection are the most common side effects

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Source: https://www.isd742.org/Page/6487

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