Bloodborne Pathogen Awareness

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Division 2 AO 3-2019 Oregon Administrative Rules Oregon Occupational Safety and Health Division - (i) When the employee has cuts, scratches, or other breaks in his or her skin; - (ii) When the employee judges that hand contamination with blood may occur, for example, when performing phlebotomy on an uncooperative source individual; and - (iii) When the employee is receiving training in phlebotomy. - (x) Masks, Eye Protection, and Face Shields. Masks in combination with eye protection devices, such as goggles or glasses with solid side shields, or chin-length face shields, shall be worn whenever splashes, spray, spatter, or droplets of blood or other potentially infectious materials may be generated and eye, nose, or mouth contamination can be reasonably anticipated. - (xi) Gowns, Aprons, and Other Protective Body Clothing. Appropriate protective clothing such as, but not limited to, gowns, aprons, lab coats, clinic jackets, or similar outer garments shall be worn in occupational exposure situations. The type and characteristics will depend upon the task and degree of exposure anticipated. - (xii) Surgical caps or hoods and/or shoe covers or boots shall be worn in instances when gross contamination can reasonably be anticipated (e.g., autopsies, orthopaedic surgery). ## (4) Housekeeping. - (i) General. Employers shall ensure that the worksite is maintained in a clean and sanitary condition. The employer shall determine and implement an appropriate written schedule for cleaning and method of decontamination based upon the location within the facility, type of surface to be cleaned, type of soil present, and tasks or procedures being performed in the area. - (ii) All equipment and environmental and working surfaces shall be cleaned and decontaminated after contact with blood or other potentially infectious materials. - (A) Contaminated work surfaces shall be decontaminated with an appropriate disinfectant after completion of procedures; immediately or as soon as …

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Oregon Occupational Safety and Health Division Oregon Administrative Rules AO 3-2019 Division 2 Source Individual means any individual, living or dead, whose blood or other potentially infectious materials may be a source of occupational exposure to the employee. Examples include, but are not limited to, hospital and clinic patients; clients in institutions for the developmentally disabled; trauma victims; clients of drug and alcohol treatment facilities; residents of hospices and nursing homes; human remains; and individuals who donate or sell blood or blood components. Sterilize means the use of a physical or chemical procedure to destroy all microbial life including highly resistant bacterial endospores. Universal Precautions is an approach to infection control. According to the concept of Universal Precautions, all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV, and other bloodborne pathogens. Work Practice Controls means controls that reduce the likelihood of exposure by altering the manner in which a task is performed (e.g., prohibiting recapping of needles by a two-handed technique). ## (c) Exposure Control. - (1) Exposure Control Plan. - (i) Each employer having an employee(s) with occupational exposure as defined by paragraph (b) of this section shall establish a written Exposure Control Plan designed to eliminate or minimize employee exposure. - (ii) The Exposure Control Plan shall contain at least the following elements: - (A) The exposure determination required by paragraph (c)(2), - (B) The schedule and method of implementation for paragraphs (d) Methods of Compliance, (e) HIV and HBV Research Laboratories and Production Facilities, (f) Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-up, (g) Communication of Hazards to Employees, and (h) Recordkeeping, of this standard, and - (C) The procedure for the evaluation of circumstances surrounding exposure incidents as required by paragr…

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Oregon Occupational Safety and Health Division Oregon Administrative Rules AO 3-2019 Division 2 - (G) Information on the types, proper use, location, removal, handling, decontamination and disposal of personal protective equipment; - (H) An explanation of the basis for selection of personal protective equipment; - (I) Information on the hepatitis B vaccine, including information on its efficacy, safety, method of administration, the benefits of being vaccinated, and that the vaccine and vaccination will be offered free of charge; - (J) Information on the appropriate actions to take and persons to contact in an emergency involving blood or other potentially infectious materials; - (K) An explanation of the procedure to follow if an exposure incident occurs, including the method of reporting the incident and the medical follow-up that will be made available; - (L) Information on the post-exposure evaluation and follow-up that the employer is required to provide for the employee following an exposure incident; - (M) An explanation of the signs and labels and/or color coding required by paragraph (g)(1); and - (N) An opportunity for interactive questions and answers with the person conducting the training session. - (viii) The person conducting the training shall be knowledgeable in the subject matter covered by the elements contained in the training program as it relates to the workplace that the training will address. - (ix) Additional Initial Training for Employees in HIV and HBV Laboratories and Production Facilities. Employees in HIV or HBV research laboratories and HIV or HBV production facilities shall receive the following initial training in addition to the above training requirements. - (A) The employer shall assure that employees demonstrate proficiency in standard microbiological practices and techniques and in the practices and operations specific to the facility before being allowed to work with HIV or HBV. - (B) The employer shall assure that employee…

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Division 2 AO 3-2019 Oregon Administrative Rules Oregon Occupational Safety and Health Division OR-OSHA Admin. Order 8-1997, f. 11/14/97, ef. 11/14/97 (Methylene Chloride). OR-OSHA Admin. Order 5-2009, f. 5/29/09, ef. 5/29/09. OR-OSHA Admin. Order 1-1998, f. 2/13/98, ef. 2/13/98 (Methylene Chloride). OR-OSHA Admin. Order 3-1998, f. 7/7/98, ef. 7/7/98. OR-OSHA Admin. Order 1-1999, f. 3/22/99, ef. 3/22/99. OR-OSHA Admin. Order 2-1999, f. 4/30/99, ef. 4/30/99. OR-OSHA Admin. Order 4-1999, f. 4/30/99, ef. 4/30/99. OR-OSHA Admin. Order 6-2001, f. 5/15/01, ef. 5/15/01 (Cotton Dust). OR-OSHA Admin. Order 10-2001, f. 9/14/01, ef. 10/18/01 (Bloodborne Pathogens). OR-OSHA Admin. Order 12-2001, f. 10/26/01, ef. 10/26/01 (Methylene Chloride). OR-OSHA Admin. Order 1-2005, f. 4/12/05, ef. 4/12/05. OR-OSHA Admin. Order 4-2006, f. 7/24/06, ef. 7/24/06 (Technical Amendments). OR-OSHA Admin. Order 6-2006, f. 8/30/06, ef. 8/30/06 (Hexavalent Chromium). OR-OSHA Admin. Order 5-2009, f. 5/29/09, ef. 5/29/09. OR-OSHA Admin. Order 4-2011, f. 12/8/11, ef. 12/8/11. OR-OSHA Admin. Order 5-2011, f. 12/8/11, ef. 7/1/12. OR-OSHA Admin. Order 1-2012, f. 4/10/12, ef. 4/10/12. OR-OSHA Admin. Order 5-2012, f. 9/25/12, ef. 9/25/12. OR-OSHA Admin. Order 3-2013, f. 7/18/13, ef. 7/18/13. OR-OSHA Admin. Order 4-2013, f. 7/19/13, ef. 7/19/13. OR-OSHA Admin. Order 3-2019, f. 10/29/19, ef. 10/29/19. ## 1910.1030 Bloodborne Pathogens - (a) Scope and Application. This section applies to all occupational exposure to blood or other potentially infectious materials as defined by paragraph (b) of this section. - (b) Definitions. For purposes of this section, the following shall apply: Assistant Secretary means the Assistant Secretary of Labor for Occupational Safety and Health, or designated representative. Blood means human blood, human blood components, and products made from human blood. Bloodborne Pathogens means pathogenic microorganisms that are present in human blood and can c…

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Oregon Occupational Safety and Health Division Oregon Administrative Rules AO 3-2019 Division 2 - (G) Special care shall be taken to avoid skin contact with other potentially infectious materials. Gloves shall be worn when handling infected animals and when making hand contact with other potentially infectious materials is unavoidable. - (H) Before disposal all waste from work areas and from animal rooms shall either be incinerated or decontaminated by a method such as autoclaving known to effectively destroy bloodborne pathogens. - (I) Vacuum lines shall be protected with liquid disinfectant traps and highefficiency particulate air (HEPA) filters or filters of equivalent or superior efficiency and which are checked routinely and maintained or replaced as necessary. - (J) Hypodermic needles and syringes shall be used only for parenteral injection and aspiration of fluids from laboratory animals and diaphragm bottles. Only needle-locking syringes or disposable syringe-needle units (i.e., the needle is integral to the syringe) shall be used for the injection or aspiration of other potentially infectious materials. Extreme caution shall be used when handling needles and syringes. A needle shall not be bent, sheared, replaced in the sheath or guard, or removed from the syringe following use. The needle and syringe shall be promptly placed in a puncture-resistant container and autoclaved or decontaminated before reuse or disposal. - (K) All spills shall be immediately contained and cleaned up by appropriate professional staff or others properly trained and equipped to work with potentially concentrated infectious materials. - (L) A spill or accident that results in an exposure incident shall be immediately reported to the laboratory director or other responsible person. - (M) A biosafety manual shall be prepared or adopted and periodically reviewed and updated at least annually or more often if necessary. Personnel shall be advised of potential hazards, shall be requ…

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## Part 35 Health Care and Industries with Biological Hazards ## Exposure control 525.1 An employer must ensure that a worker's exposure to blood-borne pathogens or other biohazardous material is controlled in accordance with section 9. ## Medical sharps 525.2 (1) Subsections (2) and (3) come into effect on July 1, 2010. 525.2 (2) An employer must provide and ensure that any medical sharp is a safety engineered medical sharp. 525.2 (3) Subsection (2) does not apply if - (a) use of the required safety engineered medical sharp is not clinically appropriate in the particular circumstances, or - (b) the required safety engineered sharp is not available in commercial markets. 525.2 (4) An employer must develop and implement safe work procedures for the use and disposal of medical sharps if a worker is required to use or dispose of a medical sharp. 525.2 (5) An employer must ensure that a worker who is required to use and dispose of a medical sharp is trained in the safe work procedures required by subsection (4), and such training must include - (a) the hazards associated with the use and disposal of medical sharps, - (b) the proper use and limitations of safety engineered medical sharps, - (c) procedures to eliminate accidental contact with medical sharps, and - (d) any other relevant information. 525.2 (6) A worker must use and dispose of a medical sharp in accordance with the training provided by the employer. ## Sharps containers 526 (1) An employer must provide sharps containers and ensure that they are located as close as is reasonably practicable to where sharps are used. 526 (2) A worker must use the sharps container provided. 526 (3) An employer must ensure that a sharps container has a clearly defined fill line and is sturdy enough to resist puncture under normal conditions of use and handling. ## Recapping needles 527 A person must not recap waste needles. 527.1 Repealed.

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Division 2 Oregon Administrative Rules Oregon Occupational Safety and Health Division - (iv) The Exposure Control Plan shall be reviewed and updated at least annually and whenever necessary to reflect new or modified tasks and procedures which affect occupational exposure and to reflect new or revised employee positions with occupational exposure. The review and update of such plans shall also: - (A) Reflect changes in technology that eliminate or reduce exposure to bloodborne pathogens; and - (B) Document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure. Note: Oregon OSHA did not adopt 1910.1030(c)(1)(v). In Oregon, [redacted phone] applies. - (vi) The exposure control plan shall be made available to the Assistant Secretary and the Director upon request for examination and copying. - (2) Exposure Determination. - (i) Each employer who has an employee(s) with occupational exposure as defined by paragraph (b) of this section shall prepare an exposure determination. This exposure determination shall contain the following: - (A) A list of all job classifications in which all employees in those job classifications have occupational exposure; - (B) A list of job classifications in which some employees have occupational exposure, and - (C) A list of all tasks and procedures or groups of closely related task and procedures in which occupational exposure occurs and that are performed by employees in job classifications listed in accordance with the provisions of paragraph (c)(2)(i)(B) of this standard. - (ii) This exposure determination shall be made without regard to the use of personal protective equipment. - (d) Methods of Compliance. - (1) General. Universal precautions shall be observed to prevent contact with blood or other potentially infectious materials. Under circumstances in which differentiation between body fluid types is difficult or …

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Oregon Occupational Safety and Health Division Oregon Administrative Rules AO 3-2019 Division 2 Decontamination means the use of physical or chemical means to remove, inactivate, or destroy bloodborne pathogens on a surface or item to the point where they are no longer capable of transmitting infectious particles and the surface or item is rendered safe for handling, use, or disposal. Director means the Director of the National Institute for Occupational Safety and Health, U.S. Department of Health and Human Services, or designated representative. Engineering Controls means controls (e.g., sharps disposal containers, selfsheathing needles, safer medical devices, such as sharps with engineered sharps injury protections and needleless systems) that isolate or remove the bloodborne pathogens hazard from the workplace. Exposure Incident means a specific eye, mouth, other mucous membrane, nonintact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee's duties. Handwashing Facilities means a facility providing an adequate supply of running potable water, soap, and single use towels or air-drying machines. Licensed Healthcare Professional is a person whose legally permitted scope of practice allows him or her to independently perform the activities required by paragraph (f) Hepatitis B Vaccination and Post-exposure Evaluation and Followup. HBV means hepatitis B virus. HIV means human immunodeficiency virus. Needleless systems means a device that does not use needles for: - (1) The collection of bodily fluids or withdrawal of body fluids after initial venous or arterial access is established; - (2) The administration of medication or fluids; or - (3) Any other procedure involving the potential for occupational exposure to bloodborne pathogens due to percutaneous injuries from contaminated sharps. Occupational Exposur e means reasonably anticipated skin, eye, mucous membrane, or parent…

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Division 2 Oregon Administrative Rules Oregon Occupational Safety and Health Division - (i) The employer shall train each employee with occupational exposure in accordance with the requirements of this section. Such training must be provided at no cost to the employee and during working hours. The employer shall institute a training program and ensure employee participation in the program. - (ii) Training shall be provided as follows: - (A) At the time of initial assignment to tasks where occupational exposure may take place; - (B) At least annually thereafter. - (iii) Reserved. - (iv) Annual training for all employees shall be provided within one year of their previous training. - (v) Employers shall provide additional training when changes such as modification of tasks or procedures or institution of new tasks or procedures affect the employee's occupational exposure. The additional training may be limited to addressing the new exposures created. - (vi) Material appropriate in content and vocabulary to educational level, literacy, and language of employees shall be used. - (vii) The training program shall contain at a minimum the following elements: - (A) An accessible copy of the regulatory text of this standard and an explanation of its contents; - (B) A general explanation of the epidemiology and symptoms of bloodborne diseases; - (C) An explanation of the modes of transmission of bloodborne pathogens; - (D) An explanation of the employer's exposure control plan and the means by which the employee can obtain a copy of the written plan; - (E) An explanation of the appropriate methods for recognizing tasks and other activities that may involve exposure to blood and other potentially infectious materials; - (F) An explanation of the use and limitations of methods that will prevent or reduce exposure including appropriate engineering controls, work practices, and personal protective equipment;