Bloodborne Pathogen OSHA Standards TrainingTimisha Neal

Chastity Smith

Whitney Schwope

What constitutes a bloodborne pathogen?

• According to OSHA: bloodborne pathogens are infectious microorganisms present in blood that can cause disease in humans

• Examples of pathogens: Hepatitis B virus, Hepatitis C virus, HIV, species of plasmodium that cause malaria, etc.

• Such pathogens put workers at risk for serious or life threatening illnesses

• Exposure incident: a specific eye, mouth or other mucous membrane, non-intact skin, or parenteral contact with blood or OPIM

• Needle stick injuries are the most common cause of exposure

Did you know?• One outbreak can affect THOUSANDS of people.• 94% of healthcare-associated outbreaks occurred

in NONHOSPITAL settings.• MORE THAN HALF of all nurses will experience

at least one needlestick during his/her career.

It is vital to be trained and aware of how bloodborne pathogens are transmitted, who can infect along with who can get infected. Proper handling and disposal is also essential

“Over 6 million workers in the health care industry and related occupations are at risk of Bloodborne Pathogens and more than a million Americans are infected with HIV.”

-OSHA Statistics

Who needs Training?• As a result of different

injuries, especially by contaminated sharps and needle sticks, bloodborne pathogens continue to be a serious and significant public health concern.

Who needs Training?• Training is intended for those working with blood or

materials that have been exposed to bloodborne pathogens.

• Examples of jobs that may be exposed to bloodborne pathogens or materials that may have come into contact of bloodborne pathogens:• Health care workers: Physicians, Doctors, Nurses, Dentist,

Rescue personnel (Firefighters, Police Officers), Laboratory workers

• Non-health care workers: Housekeeping personnel, Janitorial staff, Craftsmen, and even Tattoo artists.

• Since we are small clinic with 45-50 employees, it is unnecessary to hire an onsite trainer. Bloodborne Pathogens training can be taken 100% online at any time of day.

OSHA Regulations that apply: • OSHA's Bloodborne Pathogens standard, including its 2001

revisions, applies to all employers who have an employee(s) with occupational exposure (i.e., reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or OPIM) that may result from the performance of the employee's duties. These employers must implement the requirements set forth in the standard.

• Bloodborne Pathogens Standard: 29 CFR 1910.1030• States what employers must do to protect all occupational exposure

to bloodborne pathogens and OPIMs (other potential infections materials)

• Needlestick Safety and Prevention Act (2001 revisions)

Bloodborne Pathogens Standard: 29 CFR 1910.1030

1910.1030(a)

Scope and Application. This section applies to all occupational exposure to blood or other potentially infectious materials as defined by paragraph (b) in the proceeding slide.

Bloodborne Pathogens Standard: 29 CFR 1910.1030 (cont’d)

• 1910.1030(b)-definitions • Contaminated means the presence or the reasonably anticipated presence of blood

or other potentially infectious materials on an item or surface. 

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

Contaminated Sharps means 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 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. 

Bloodborne Pathogens Standard: 29 CFR 1910.1030 (cont’d)• Occupational Exposure means 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 means (1) The following human body fluids: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, 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; (2) Any unfixed tissue or organ (other than intact skin) from a human (living or dead); and (3) HIV-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. 

Bloodborne Pathogens Standard: 29 CFR 1910.1030 (cont’d)• 1910.1030(c)(1)(v)• An employer, who is required to establish an Exposure Control Plan shall solicit input

from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation, and selection of effective engineering and work practice controls and shall document the solicitation in the Exposure Control Plan.

• 1910.1030(d)(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 impossible, all body fluids shall be considered potentially infectious materials.

• 1910.1030(g)(2)(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.

As a small clinic we are required by OSHA to:• Establish an Exposure Control Plan• Update said plan annually• Use labels and warning signs to communicate hazards• Provide training and information to workers• Implement use of universal precautions• Identify and use engineering controls• Identify and ensure the use of work practice controls• Provide PPE (gloves, gowns, eye protection and masks)• Hepatitis B vaccinations made available to employees• Post-exposure evaluations for employees who experience an

exposure incident• Maintain worker medical and training records

Other requirements under the BBP Standard:• Employers shall provide hand washing facilities that are readily available to employees

1910.1030(d)(2)(iii)• When provision of hand washing facilities is not feasible, the employer shall provide

appropriate antiseptic cleanser with clean cloth/paper towels• Employers ensure that employees wash their hands ASAP after removal of PPE• Eating, drinking, smoking, applying cosmetics or lip balm, and handling contanct lenses are

prohibited in work areas with a reasonable likelihood of occupational exposure• Contaminated reusable sharps shall be placed in containers until reprocessed ASAP.

Containers must be:• Puncture resistant• Labeled or color-coded according to the standard• Leak proof• In accordance with the requirements set forth in paragraph (d)(4)(ii)(E) for reusable sharps

• Employer must provide PPE at no cost to the employee• All PPE must be removed and placed in an appropriate designated area before leaving the work

area

• Employer is responsible for scheduled cleaning/decontamination of the facility

Costs Associated with Bloodborne Pathogens Standard Compliance• 10 hour training: must be provided on initial hire and updated

at least annually or when new procedures affect exposure• ECP understanding/training in house• Hepatitis B Vaccination: required for employees that have

gone through proper training within 10 days of initial assignment to a job with occupational exposure

• Post-exposure evaluation & follow-up: must be available at no cost to workers

• Labels and warning signs• PPE: personal protection equipment

Costs of in-house training vs. outsourced training• Trainer requirements: • must have 5 years general industry safety experience; college degree in

occupational safety and health, a Certified Safety Professional (CSP), or Certified Industrial Hygienist (CIH) designation may be substituted for 2 years of experience

• Completion of OSHA course #511 (26 hrs, $650)• Completion of OSHA course #501 ($650)• Authorized for 4 years, must complete course #503 ($450) to maintain authorized

trainer status

• Bloodborne Pathogen Exposure Control for Healthcare Facilities (OSHA course #7200)• 8hr, $275• No prerequisites • Target audience: program administrator, or person designated to create and

implement ECP

ECP: Exposure Control Plan• Written plan to eliminate or minimize occupational exposures to

blood borne pathogens by employees• ECP Applies to: • Doctors, nurses, nurse practitioners, receptionists, janitors, lab

technicians• Examples of tasks/procedures: blood draw, transport and cleanup

of sharps/other materials that may have come in contact with blood

• ECP is required to be updated annually to reflect changes in procedures, new/available effective safer medical devices and input from frontline workers on engineering and work practice controls

ECP Must Include:• Exposure determination that includes lists of:

• Job classifications in which all/some workers have exposure• Tasks and procedures performed by those workers that result in their exposure

• Procedures for evaluating circumstances surrounding exposure incidents• Schedule of how other provisions of the standard are implemented including:

• Methods of compliance include:• Universal precautions• Engineering & work practice controls (e.g. use of safer medical devices)• PPE• Housekeeping; including decontamination procedures and removal of regulated waste

• HIV and HBV research labs and production facility requirements• Hepatitis B vaccination and post-exposure evaluation/follow up• Communication of hazards to employees• Recordkeeping

• Documentation of:• Annual consideration/implementation of effective/available safer medical devices• Solicitation of non-managerial healthcare workers (who are directly responsible for

patient care) in the identification, evaluation and selection of effective engineering and work practice controls

Why do we need training over BBP…..?

• OSHA defines an occupational exposure as "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.”

• OSHA's definition of occupational exposure excludes exposures that are not reasonably expected. It also excludes exposures that are not a required part of your normal job.

• If you are unsure about whether an activity may involve exposure to blood or other potentially infectious materials, ask your supervisor. This is why at risk employees must have training in order to know what to do….

Why do we need training continued……• It is not possible to recognize all persons infected with

HIV, or to know if blood or other materials are actually infectious. The use of universal precautions is therefore mandatory.

• According to the concept of universal precautions, all human blood and other potentially infectious materials are treated as if known to be infectious for HBV, HIV, and other bloodborne pathogens.

Where can I get BBP Training…..• There are two options to getting Blood Borne Pathogen Training…

IN-CLASSROOM TRAINING for TRAINER

• Bloodborne Pathogens Train-the-Trainer• 8 Hours• Course Description:• This 8-hour course includes a review of OSHA Standard 29 CFR 1910.1030 on

Occupational Exposure to Bloodborne Pathogens. It is designed for those workers responsible for training employees covered under this standard. A generic written program along with a course manual will be provided.

• ONLINE TRAINING (40min. Training)

-Various recognized sites

-http://www.probloodborne.com/en/

-http://www.bridgefront.com/

-http://www.redcross.org

Bloodborne Pathogens Training Course Description• The Federal OSHA Bloodborne Pathogens “Standard” was first published

in 1991. It was designed to decrease and minimize the potential for occupational exposure to the HIV (Human Immunodeficiency Virus), or more commonly referred to HIV, the Hepatitis B Virus (HBV) and other human Bloodborne pathogens.

• Bloodborne Pathogen Training informs you about the precautions you must take to eliminate the risk of infectious diseases that can be contracted through exposure and the proper methods of handling potential contaminants. A quiz, consisting of simple, multiple choice questions will follow in order to ensure that you have achieved the basic knowledge need to properly

handle potential exposures.

What The Online Bloodborne Pathogens Training Covers:

• Introduction to Bloodborne Pathogens Training• What Training is Required According to the "OSHA Standard”• What Are Bloodborne Pathogens?• How Are Bloodborne Pathogens Transmitted?• Preventing Infection From Bloodborne Pathogens• Hepatitis B• Hepatitis C• HIV & AIDS• Personal Protective Equipment• Universal Precautions• Emergency Procedures for an Unexpected Exposure Incident

AFTER TRAINING CERTIFICATION• Certificates – example of online certification…• Immediately after completion of our Bloodborne Pathogens Training, you are able to download and/or

print your Bloodborne Pathogens Certificate which completely meets OSHA requirements and is

accepted by every healthcare and similar institutions.

• We offer full size and wallet card size certificates valid for 1 year.

• With bloodbornepathogensonline.com you have unlimited access to your training as well as to your

Bloodborne Pathogens OSHA certificate. Published by OSHA standard (29 CFR 1910.1030).

• Example of Certificate through online training…..• Includes:• 1 Year Certification.

• 1 year access to the course material.

• Temporary certificate and wallet card immediately

after passing the exam.

• Permanent certification card mailed the following

business day.

OSHA Inspection info:• OSHA inspections occur at random and without prior notice• Inspection priorities (in order):• Imminent danger situations- could cause death/physical harm• Fatalities and catastrophes- incidents involving the death of 3+

employees• Complaints• Referrals• Follow-ups• Planned or programmed investigations- applies to specific

high-hazard industries

Consequences of Noncompliance • Citations:• Describe the OSHA requirements violated• List any proposed penalties• Give a deadline for correcting the alleged hazards

• Penalties may range up to:• $7,000 for each serious violation • $70,000 for each willful/repeated violation

• Penalty reduction: based on employer’s good faith, inspection history and size of business• No good faith adjustment will be made for alleged willful

violations

Importance of Training..

• Bloodborne Pathogen training is EXTREMELY vital!

• It is important to understand the hazards of bloodborne pathogens, along with methods/measures you can take to protect yourself and other from exposure to potential pathogens.

References

• https://www.osha.gov/SLTC/bloodbornepathogens/bloodborne_quickref.html • https://www.osha.gov/pls/oshaweb/owadisp.show_document?

p_id=10051&p_table=STANDARDS• https://www.osha.gov/Publications/osha3186.pdf • https://

www.osha.gov/pls/oshaweb/owadisp.show_document?p_id=10051&p_table=STANDARDS

• https://www.osha.gov/OshDoc/data_BloodborneFacts/bbfact01.pdf • https://www.osha.gov/dte/library/materials_library.html • https://www.osha.gov/dte/outreach/authorized.html#generalindustry • http://

teex.org/teex.cfm?templateid=14&pageid=training&area=teex&navdiv=PRT&division=PRT&coursenum=OSH720&seq=70

• http://osha.asapconnected.com/Courses.aspx?CourseGroupID=5796• https://

www.osha.gov/OshDoc/data_General_Facts/factsheet-inspections.pdf