Kentucky Education and Workforce Development Cabinet Occupational Health and Safety Program Bloodborne Pathogen Exposure. OSHA’s Bloodborne Pathogens Standard-29 CFR 1910.1030.
PURPOSE-Limits occupational exposure to blood and other potentially infectious materials since any exposure could result in transmission of bloodborne pathogens which could lead to disease or death.
SCOPE-Covers all employees with occupational exposure to blood or other potentially infectious materials as a function of their jobs.
Bloodborne pathogens are micro-organisms in the bloodstream that cause diseases.
Reasonably anticipated skin, mucous membrane or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee’s duties.
29 CFR 1910.1030(b)
803 KAR 2:320
Employers are to evaluate each job task and procedure to determine which employees may be expected to be occupationally exposed to blood or other potentially infectious materials.
Exposure determination is made without regard to the use of personal protective equipment.
OSHA expects an employer to take into account all potential circumstances of exposure (biting, contact with skin lesions, and/or potentially infectious secretions) when determining which, if any, employees have occupational exposure.
Based on potential contact with blood and other potentially infectious materials, the employer is to select the appropriate personal protective equipment in accordance with the standard.
First aid trained employees assigned to provide emergency first aid as part of their specific job duties are covered by the Bloodborne Pathogens Standard.
GOOD SAMARITAN ACTS-Not covered by the standard.
Those positions that do not have occupational exposure to blood or other potential infectious body fluids.
Employees in Collateral Jobs
The three most significant bloodborne pathogens found in the workplace:
Each employee with occupational exposure will within 10 days of employment shall:
Provided at no cost to the employee.
Provided at a reasonable time and place and performed by or under the supervision of a licensed physician or other health care professional.
Provided at no cost to the employee annually.
Defined as human blood, human blood components, and products made from human blood.
An employee must make contact with contaminated fluids and permit a way to enter the body.
If employees are trained and designated as
responsible for rendering first aid or medical
assistance as part of their job duties, they are
covered by the OSHA Bloodborne Pathogen
Employees, who administer first aid as a collateral duty
to their routine work assignments, need not be offered
the pre-exposure hepatitis B vaccination, provided that a
number of conditions are met.
All first aid providers who provide assistance in any situation involving the presence of blood or other potentially infectious materials, regardless of whether or not a specific exposure incident occurs, must have the vaccine made available to them as soon as possible, but in no event later than 24 hours after exposure.
In an exposure incident as defined in the standard has taken place, other post exposure follow-up procedures must be initiated immediately, per the OSHA Standard.
While OSHA does not generally consider maintenance and janitorial staff employed in non-health care facilities to have occupational exposure, it is the employer’s responsibility to determine which job classification or specific tasks and procedures involve occupational exposure.
UNIVERSAL PRECAUTIONSis the term used when handling all blood or other potentially infectious material as if it were, in fact, infectious.
Since there is no way of know if an injured person or body fluid is infected, employees in ALL CASES must use universal precautions when exposed to another’s body fluids.
When antiseptic hand cleansers or towelettes are used, hands will be washed with soap and running water when the employee returns to a location where hand washing facilities are available.
Wash hands immediately or as soon as feasible after removal of gloves or other protective equipment.
Employer must ensure that employees wash hands and any other skin with soap and water, or flush mucous membranes with water immediately, or as soon as feasible, following contact with blood or body fluid.
PPE will be considered appropriate only if it does not permit blood or other potentially infectious materials to pass through to reach the employee’s work clothes, street clothes, undergarments, skin, eyes, mouth, and/or other mucous membranes.
Eye protection is to be worn whenever splashes, spray, spatter or droplets of blood or other potentially infectious materials may be generated and eye, nose, and/or mouth contamination can be reasonably anticipated.
Gloves will be worn when it can be reasonably anticipated that the employee may have hand contact with blood, other potentially infectious materials, mucous membranes, and/or non-intact skin.
Wear gloves when:
There is a Hepatitis-B vaccine that can be used post
exposure. It is about 90% effective and must be received as soon as possible.
Employee and First Line Supervisor
First Line Supervisor
First Line Supervisor
If an exposure incident occurs, all other post exposure follow-up procedures according to the BBP Standard must be initiated immediately.
Employer must ensure that the medical provider is familiar with and follows the recommendations for post exposure follow-up.
These procedures are based on OSHA standard 29 CFR 1910.1030 for all employees who have come in contact with infected blood, blood products and/or body fluids at work.
Occurs most often when performing first aid or coming into contact with someone who has been injured on the job.
Never Remove Sharps, Broken Glass, Etc. By Hand.
Contain the area by covering with paper towels and carefully pouring appropriate disinfectant solution around and on the area.
EXAMPLE-1:10 mixture of household bleach and water.
Blood contaminated items used for first aid and care of lacerations, nose bleeds, etc. shall be contained in a plastic lined container, closed, and disposed of with the daily trash in a large, heavy duty plastic bag of sufficient strength to preclude bursting and tearing during handling, storage or transport.
Items such as gauze, bandages, band-aids, and/or cotton balls are not required to have special hazard labels, only double bagging.
If the first aid supplies are saturated to the point where liquid can be squeezed in considerable amount, the supplies must be soaked in a disinfectant solution to decontaminate them.
They may be double bagged and included with the normal waste disposal.
Remove all personal protective equipment, dispose, and immediately wash hands and other contaminated body parts.
Place any soiled linen in a laundry bag. Soiled linen should be handled carefully as if it were contaminated. Pre-soak linen with disinfectant cleaning solution and launder with soap and water.
Linen and clothing contaminated with blood or body fluids must be handled with gloves.