Bloodborne Pathogen Program
Issued by: David Schleter
Date Effective: March 2010
1.0 Scope
This program applies to all 91原创 employees who have occupational exposure to bloodborne pathogens, to all Campus Units with employees who have occupational exposure to bloodborne pathogens, and to any employee who experiences an exposure incident. The definition of employee comes from the Ohio Revised Code for Worker鈥檚 Compensation (ORC 4123.01) which defines an employee as 鈥渆very person in the service of the state鈥hether paid or volunteer鈥.
2.0 Purpose
This program was developed to minimize or eliminate employee occupational exposure to bloodborne pathogens. It is intended to protect employees from acquiring bloodborne pathogens while in the workplace, to ensure that any potentially exposed employee has competent medical treatment and to ensure employee privacy is respected. The requirements of this procedure are designed to comply with the regulations of the Ohio Public Employees Risk Reduction Program (PERRP) - 鈥淪tate Employees OSHA鈥, and the Occupational Safety and Health Administration (OSHA) Bloodborne Pathogen Standard . A copy of the OSHA Standard is available by contacting the Environmental Health and Safety office (EHS).
3.0 Definitions
Blood - human blood, human blood components, and products made from human blood.
Bloodborne Pathogens - pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, hepatitis B virus (HBV) and human immunodeficiency virus (HIV).
Campus Unit 鈥 Any academic or non-academic: laboratory, department, section, center, division, school or other 91原创 representative that employs persons with occupational exposure to potentially infectious materials. Responsibility for the BBP program will rest at the highest reasonable level within the Campus Unit.
Contaminated - the presence or the reasonably anticipated presence of blood or other potentially infectious materials on an item or surface.
Contaminated Laundry - laundry which has been soiled with blood or other potentially infectious materials or may contain sharps.
Contaminated Sharps - any contaminated object that can penetrate the skin including, but not limited to, needles, scalpels, broken glass, broken capillary tubes, and exposed ends of dental wires.
Decontamination - 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.
Engineering Controls - mean 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 - 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. Or contact with blood or other potentially infectious materials where the exposed person is unsure if contact with eyes, mouth, mucous membranes, non-intact skin or parenteral contact occurred.
Hand-washing Facility - a facility providing an adequate supply of running potable water, soap, and single use towels or hot air drying machines.
Licensed Healthcare Professional - a person whose legally permitted scope of practice allows him or her to independently perform the activities required by paragraph (f) of 29CFR1910.1020: Hepatitis B Vaccination and Post-exposure Evaluation and Follow-up.
HBV - hepatitis B virus
HIV- human immunodeficiency virus
Needleless System - is 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 - 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
- The following human body fluids: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, and any body fluid that is visibly contaminated with blood, and all body fluids in\ situations where it is difficult or impossible to differentiate between body fluids.
- Any unfixed tissue or organ (other than intact skin) from a human (living or dead).
- HIV or HBV- containing cell or tissue cultures, organ cultures, and HIV or HBV - containing culture medium or other solutions; and blood, organs, or other tissues from experimental animals infected with HIV or HBV.
- Human cell lines
- Any blood, organs or tissue from animals that have been intentionally or are suspected of having been exposed to bloodborne pathogens in research or other procedures.
Parenteral - piercing mucous membranes or the skin barrier through such events as needle sticks, human bites, cuts, and abrasions.
Personal Protective Equipment - specialized clothing or equipment worn by an employee for protection against a hazard. General work clothes (e.g., uniforms, pants, shirts or blouses) not intended to function as protection against a hazard, are not considered to be personal protective equipment.
Potentially Infectious Material 鈥 for this program means both blood and other potentially infectious materials.
Regulated Waste - 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 handling; contaminated sharps; and pathological and microbiological wastes containing blood or other potentially infectious materials.
Ohio Environmental Protection Agency regulations govern the disposal of regulated waste 鈥 which is called infectious waste by OEPA. Definitions of infectious waste and 91原创 disposal procedures are located in the university Biosafety Manual.
Research Laboratory - a laboratory producing or using research- or laboratory-scale amounts of HIV or HBV. Research laboratories may produce high concentrations of HIV or HBV but not in the volume found in production facilities.
Sharp with Engineered Sharps Injury Protection - is a nonneedle 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 effectively reduces the risk of an exposure incident.
Source Individual - 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.
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 - 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).