PURPOSE Show This document serves as the written procedures for the Blood-borne Pathogens Exposure Control Plan (ECP) for The University of Mary Washington. These guidelines provide policies and safe practices to prevent the spread of disease resulting from handling blood or other potentially infectious materials (OPIM) during the course of work. This ECP has been developed in accordance with the OSHA Blood-Borne Pathogens Standard, 29 CFR 1910.1030. The purpose of this ECP includes:
ADMINISTRATIVE DUTIES The Director of OEMS is responsible for developing and maintaining the program. A copy of the plan may be reviewed by employees. It is located in the OEMS Office at Hamlet House. In addition, UMW OEMS is responsible for maintaining any records related to the Exposure Control Plan. If after reading this program you find that improvements can be made, please contact the Director of OEMS. We encourage all suggestions, as we are committed to the success of our written ECP. We strive for clear understanding, safe behavior, and involvement from every level of the University. EXPOSURE DETERMINATION We have determined which employees may incur occupational exposure to blood or OPIM. The exposure determination is made without regard to the use of Personal Protective Equipment (i.e., employees are considered to be exposed even if they wear Personal Protective Equipment). JOB CLASSES: GLOBAL RISK OF EXPOSURE This exposure determination is required to list all job classifications in which all employees may be expected to incur such occupational exposure, regardless of frequency. At UMW, the following job classifications are in this category:
JOB CLASSES: FUNCTION-SPECIFIC RISK OF EXPOSURE In addition, UMW has identified job classifications in which employees may have occupational exposure. Not all employees in these categories are expected to have exposure to blood or OPIM. Therefore, tasks or procedures that would cause occupational exposure are also listed to further specify which employees have occupational exposure. The job classifications and associated tasks for these categories are as follows:
COMPLIANCE STRATEGIES This plan includes a schedule and method of implementation for the various requirements of the standard. Universal precaution techniques developed by the Centers for Disease Control and Prevention (CDC) will be observed at UMW to prevent contact with blood or OPIM. All blood or OPIM will be considered infectious regardless of the perceived status of the source individual. ENGINEERING AND WORK PRACTICE CONTROLS Engineering and Work Practice Controls will be used to eliminate or minimize exposure to employees at UMW. Where occupational exposure remains after institution of these controls, employees are required to wear Personal Protective Equipment. At UMW, the following engineering controls are used:
The above controls are examined and maintained on a regular schedule. HAND WASHING FACILITIES Hand washing facilities are available to employees who have exposure to blood or OPIM. Sinks for washing hands after occupational exposure are near locations where exposure to blood-borne pathogens could occur. Supervisors should ensure employees wash their hands and any other contaminated skin after immediately removing personal protective gloves, or as soon as feasible with soap and water. Supervisors also ensure that if employees’ skin or mucous membranes become contaminated with blood or OPIM, then those areas are washed or flushed with water as soon as feasible following contact. SHARPS Employees may not bend, recap, remove, shear, or purposely break contaminated needles and other sharps. At UMW, recapping or removal is not permitted. Retractable syringes are encouraged to be used. HANDLING CONTAMINATED NEEDLES AND OTHER SHARPS The procedure for handling contaminated sharps is:
WORK AREA RESTRICTIONS In work areas where there is a reasonable likelihood of exposure to blood or OPIM, employees are not to eat, drink, apply cosmetics or lip balm, smoke, or handle contact lenses. Food and beverages are not to be kept in refrigerators, freezers, shelves, cabinets, or on counter tops or bench tops where blood or OPIM are present. Mouth pipetting/suctioning of blood or OPIM is prohibited. All procedures involving blood or other potentially infectious materials will be conducted in a manner which will minimize splashing, spraying, splattering, and generation of droplets of blood or OPIM. Methods employed at this facility to accomplish this goal are:
PERSONAL PROTECTIVE EQUIPMENT All Personal Protective Equipment (PPE) used at UMW is provided without cost to employees. PPE is chosen based on the anticipated exposure to blood or OPIM. The protective equipment is considered appropriate only if it does not permit blood or OPIM to pass through or reach the employees’ clothing, skin, eyes, mouth, or other mucous membranes under normal conditions of use and for the duration of time which the protective equipment will be used. UMW makes sure that appropriate PPE in all sizes is readily accessible at the work site or is issued without cost to employees by:
We purchase (when consumable), clean, launder, and dispose of Personal Protective Equipment as needed. All garments which are penetrated by blood shall be removed immediately or as soon as feasible. All PPE will be removed prior to leaving the work area. When PPE is removed, it shall be placed in an appropriately designated area or container for storage, washing, decontamination or disposal. GLOVES Employees must wear gloves when they anticipate hand contact with blood, OPIM, non-intact skin, and mucous membranes; when performing vascular access procedures, and when handling or touching contaminated items or surfaces. Disposable gloves used at UMW are not to be washed or decontaminated for re-use. They are to be replaced as soon as practical when they become contaminated or as soon as feasible if they are torn, punctured, or when their ability to function as a barrier is compromised. Utility gloves may be decontaminated for re-use provided that the integrity of the glove is not compromised. Utility gloves will be discarded if they are cracked, peeling, torn, punctured, or exhibit other signs of deterioration or when their ability to function as a barrier is compromised. Hypoallergenic gloves, glove liners, powder less gloves, or other similar alternatives shall be readily accessible to those employees who are allergic to the gloves normally provided. UMW requires the use of nitrile gloves by all employees to avoid latex allergy issues. The only exception is dishwashing-style gloves used for laboratory purposes. EYE AND FACE SHIELDS Employees must wear masks in combination with eye protective devices, such as goggles or glasses with solid side shield, or chin length face shields, whenever splashes, splatter, or droplets of blood or OPIM may be generated and reasonably anticipated to contaminate eye, nose, or mouth. Those situations and the corresponding eye and face protection are indicated with the possibility of severe contamination. HANDLING REGULATED WASTES When handling regulated wastes, other than contaminated needles and sharps, we make sure it is:
Note: Disposal of all regulated waste is in accordance with applicable Unites States, state, and local regulations. All medical waste at UMW is handled and disposed of by contracted services, other than some medical waste generated at Jepson Science Center. HANDLING CONTAMINATED LAUNDRY Laundry contaminated with blood or OPIM is handled as little as possible. Such laundry is placed in appropriately marked (biohazard labeled or color-coded red) bags at the location where it was used. Such laundry is not sorted or rinsed in the area of use. Note: When Body Substance Isolation or Universal Precautions is used in the handling of all laundry (i.e. all laundry is assumed to be contaminated), no labeling or color-coding is necessary if all employees recognize the hazards associated with the handling of this material. This facility does not follow Universal Precautions in the handling of laundry; therefore, contaminated laundry must be placed in bags or containers which are labeled or color-coded. INFORMATION AND TRAINING UMW ensures that blood-borne pathogens trainers are knowledgeable in the required subject matter. We make sure that employees covered by the blood-borne pathogens standard are trained at the time of initial assignment to tasks where occupational exposure may occur, and every year thereafter by the following methods:
Training is tailored to the education and language level of the employee and offered during the normal work shift. The training will be interactive and cover the following:
Additional training is provided to employees when there are any changes of tasks or procedures affecting the employee’s occupational exposure. Employees who have received training on blood-borne pathogens in the 12 months preceding the effective date of this plan will only receive training in provisions of the plan that were not covered. RECORD-KEEPING Training records shall be maintained for three years from the date of training. The following information shall be documented:
Medical records shall be maintained in accordance with OSHA Standard 29 CFR 1910.20. These records shall be kept confidential, and must be maintained for at least the duration of employment plus 30 years. The records shall include the following:
AVAILABILITY Employee medical records pertaining to BBP standard are held at the UMW Student Health Center. All employee records shall be made available to the employee in accordance with 29 CFR 1910.1020. All employee records shall be made available to the Assistant Secretary of Labor for the Occupational Safety and Health Administration and the Director of the National Institute for Occupational Safety and Health upon request. TRANSFER OF RECORDS If the University is closed or there is no successor employer to receive and retain the records for the prescribe period, the Director of the NIOSH shall be contacted for final disposition. EVALUATION AND REVIEW This program and its effectiveness is reviewed every year and updated as needed. HEPATITIS B VACCINATION PROGRAM The University offers the Hepatitis B vaccine and vaccination series to all employees who have occupational exposure to blood-borne pathogens, and post exposure follow-up to employees who have had an exposure incident. All medical evaluations and procedures including the Hepatitis B vaccine, vaccination series, and post-exposure follow up, including prophylaxis are:
All laboratory tests are conducted by an accredited laboratory at no cost to the employee. Hepatitis B vaccination is made available by contacting the Safety Office and scheduling with the UMW Student Health Center:
Participation in a pre-screening program is not a prerequisite for receiving Hepatitis B vaccination. 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 vaccination will be made available. All employees who decline the Hepatitis B vaccination offered must sign the OSHA-required waiver indicating their refusal. If a routine booster dose of Hepatitis B vaccine is recommended by the U.S. Public Health Service at a future date, such booster doses will be made available. POST-EXPOSURE EVALUATION AND FOLLOW-UP All exposure incidents are reported, investigated, and documented. When the employee is exposed to blood or OPIM, the incident is reported to the UMW OEMS at 540-654-2108. When an employee is exposed, he or she will receive a confidential medical evaluation and follow-up, including at least the following elements:
Collection and testing of blood for HBV and HIV serological status will comply with the following:
All employees who incur an exposure incident will be offered post-exposure evaluation and follow-up according to the OSHA standard. All post exposure follow-up will be performed by Fredericksburg Medical Walk in Center, Dr. Sharma, MD. The healthcare professional responsible for the employee’s Hepatitis B vaccination is provided with the following:
The University of Mary Washington obtains and provides the employee with a copy of the evaluating healthcare professional’s written opinion within 15 days of the completion of the evaluation. The healthcare professional’s written opinion for HBV vaccination must be limited to whether HBV vaccination is indicated for an employee, and if the employee has received such vaccination. The healthcare professional’s written opinion for post-exposure follow-up is limited to the following information:
Note: All other findings or diagnosis shall remain confidential and will not be included in the written report. LABELS AND SIGNS Biohazard labels are affixed to containers of regulated waste, refrigerators and freezers containing blood or OPIM, and other containers used to store, transport or ship blood or OPIM. The universal biohazard symbol is used. The label is fluorescent orange or orange-red. Red bags or containers may be substituted for labels. Blood products that have been released for transfusion or other clinical use are exempted from these labeling requirements. What are the 5 steps of an exposure control plan?Contact the Office of Risk Management for questions.. Step 1: Required Personal Protective Equipment. ... . Step 2: Equipment. ... . Step 3: Decontamination Procedures. ... . Step 4: Disposal. ... . Step 5: Decontaminate Re-useable Equipment. ... . Step 6: Wash Your Hands.. What information should be included in an exposure control plan?An exposure control plan addresses the worksite hazards; everything from your chemical inventory, processes, maintenance activities, as well as physical hazards that may pose an exposure risk. You should also think about certain categories of chemicals.
What should be included in an exposure control plan quizlet?Terms in this set (2) An exposure control plan should include: > A list of job classifications for which occupational exposure control is applicable, such as medical assistant, lab technician, dental hygienist, etc. >
What's an exposure control plan?Exposure Control Plan (ECP) — written procedures that specify the methods used to reduce exposures to bloodborne pathogens and treat individuals who may have been exposed to bloodborne pathogens.
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What are the five pieces of information that must be included in an exposure control plan?
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