Bloodborne Pathogen Exposure Control

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# Toxic and Hazardous Substances Bloodborne Pathogens Z 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, self- sheathing 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, non- intact 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 Follow- up. 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 Exposure means r…

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# 1910.1030-BLOODBORNE PATHOGENS Scope/Application: This section applies to all occupational exposure to blood or other potentially infectious materials as defined by paragraph (b) of this section. ## STANDARD HIGHLIGHTS - Programs, Plans and Procedures-work controls, exposure control program, gloving policy, written schedules, hepatitis B vaccinations - Recordkeeping-retention requirements, sharps injury log - Training and Communications-initial and annual training - Exposure Monitoring-exposure control program, exposure determination - Medical Surveillance-evaluations after exposure, information provided to the physician, written opinions - Qualified Person-healthcare professional - Signs, Markings and Tags-labels, posted signs ## Programs, Plans and Procedures 1910.1030(c)(1)(i)-Each employer having an employee(s) with occupational exposure as defined by paragraph (b) [Definitions] of this section shall establish a written Exposure Control Plan designed to eliminate or minimize employee exposure. [Reference paragraph (c)(1) for specific information.] 1910.1030(c)(1)(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. 1910.1030(d)(2)-Engineering and work practice controls shall be used to eliminate or minimize employee exposure. Where occupational exposure remains after institution of these controls, personal protective equipment shall also be used. 1910.1030(d)(3)(ix)(D)-f an employer in a volunteer blood donation center judges that routine gloving for all phlebotomies is not necessary then the employer shall: 1910.1030(d)(3)(ix)(D)(1)-Periodicaly. reevaluate this policy. 1910.1030(d)(4)(ii)-General. Employers shall ensure that the worksite is maintained in a clean and sanitary condition. The employer shall determine and implement an appropri…

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# 1910.1030-BLOODBORNE PATHOGENS (cont.) ## Recordkeeping (cont.) Exposure Monitoring 1910.1030(c)(1)(i)-Each employer having an employee(s) with occupational exposure as defined by paragraph (b) [Definitions] of this section shall establish a written Exposure Control Plan designed to eliminate or minimize employee exposure. [Reference paragraph (c)(1) for specific information.] 1910.1030(c)(1)(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. 1910.1030(c)(2)(i)-Each employer who has an employee(s) with occupational exposure as defined by paragraph (b) [Definitions] of this section shall prepare an exposure determination. Medical Surveillance 1910.1030(f)(3)-Post-exposure Evaluation and Follow-up. Following a report of an exposure incident, the employer shall make immediately available to the exposed employee a confidential medical evaluation and follow-up, and additional elements. 1910.1030(f)(4)(i)-The employer shall ensure that the healthcare professional responsible for the employee's Hepatitis B vaccination is provided a copy of this regulation. 1910.1030(f)(4)(ii)-The employer shall ensure that the healthcare professional evaluating an employee after an exposure incident is provided information. [Reference paragraph (f)(4) for specific information.] 1910.1030(f)(5)-Healthcare Professional's Written Opinion. The employer shall obtain and provide the employee with a copy of the evaluating healthcare professional's written opinion within 15 days of the completion of the evaluation. Qualified Person 1910.1030(f)(4)(i)-The employer shall ensure that the healthcare professional responsible for the employee's Hepatitis B vaccination is provided a copy of this regulation. 1910.1030(f)(4)(ii)-The employer shall ensure that the healthcare professiona…

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# Toxic and Hazardous Substances Bloodborne Pathogens (cont.) Z # Toxic and Hazardous Substances Bloodborne Pathogens Division 2 AO 3-2019 Oregon Administrative Rules Oregon Occupational Safety and Health Division (ii) The employer shall not make participation in a prescreening program a prerequisite for receiving hepatitis B vaccination. (iii) If the employee initially declines hepatitis B vaccination but at a later date while still covered under the standard decides to accept the vaccination, the employer shall make available hepatitis B vaccination at that time. (iv) The employer shall assure that employees who decline to accept hepatitis B vaccination offered by the employer sign the statement in Appendix A. (v) If a routine booster dose(s) of hepatitis B vaccine is recommended by the U.S. Public Health Service at a future date, such booster dose(s) shall be made available in accordance with section (f)(1)(ii). (3) Post-exposure Evaluation and Follow-up. Following a report of an exposure incident, the employer shall make immediately available to the exposed employee a confidential medical evaluation and follow-up, including at least the following elements: (i) Documentation of the route(s) of exposure, and the circumstances under which the exposure incident occurred; (ii) Identification and documentation of the source individual, unless the employer can establish that identification is infeasible or prohibited by state or local law; (A) The source individual's blood shall be tested as soon as feasible and after consent is obtained in order to determine HBV and HIV infectivity. If consent is not obtained, the employer shall establish that legally required consent cannot be obtained. When the source individual's consent is not required by law, the source individual's blood, if available, shall be tested and the results documented. (B) When the source individual is already known to be infected with HBV or HIV, testing for the source indivi…

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# Exposure Control Plan. ## 1910.1030(c)(1)(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. ## 1910.1030(c)(1)(iii). The Exposure Control Plan shall contain at least the following elements: ## 1910.1030(c)(1).(ii)(A). The exposure determination required by paragraph (c)(2), ## 1910.1030(c)(1)(iii)(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 ## 1910.1030(c)(1)(ii)(C) The procedure for the evaluation of circumstances surrounding exposure incidents as required by paragraph (f)(3)(i) of this standard. ## 1910.1030(c)(1)(iii). Each employer shall ensure that a copy of the Exposure Control Plan is accessible to employees in accordance with 29 CFR 1910.20(e). ## 1910.1030(c)(1)(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: ## 1910.1030(c)(1)(iv)(A) Reflect changes in technology that eliminate or reduce exposure to bloodborne pathogens; and ## 1910.1030(c)(1)(iv)(B) Document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure. Submit Feedback

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# GENERAL INDUSTRY STANDARD (cont.) ## R 325.[redacted postal code] Definitions. (cont.) animals, animals infected with HBV or HIV virus, or combinations thereof that contain, or are contaminated with, blood or other potentially infectious material. (c) "Blood" means human blood, human blood components, and products made from human blood. (d) "Bloodborne pathogens" means pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include hepatitis B virus (HBV) and human immunodeficiency virus (HIV). (e) "Clinical laboratory" means a workplace where diagnostic or other screening procedures are performed on blood or other potentially infectious material. (f) "Contaminated" means the presence or the reasonably anticipated presence of blood or other potentially infectious material on an item or surface. (g) "Contaminated laundry" means laundry that has been soiled with blood or other potentially infectious materials or that may contain sharps. (h) "Contaminated sharps" means any contaminated object that can penetrate the skin, including any of the following: (i) Needles. (ii) Scalpels. (iii) Broken glass. (iv) Broken capillary tubes. (v) Exposed ends of dental wires. (i) "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. (j) "Department" means the department of licensing and regulatory affairs. (k) "Director" means the director of the department or his or her designee. (I) "Disinfect" means to inactivate virtually all recognized pathogenic microorganisms, but not necessarily all microbial forms, on inanimate objects. (m) "Engineering controls" means controls, for example, sharps disposal containers, self-sheathing needles, or safer medical devices, such as sharp…

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# Toxic and Hazardous Substances Bloodborne Pathogens Z 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 evaluati…