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MIOSHA Part 554 Bloodborne Infectious Diseases Train the Trainer Program Module 2. Presented By: Consultation Education & Training (CET) Division Michigan Occupational Safety & Health Administration Michigan Department of Energy, Labor & Economic Growth www.michigan.gov/miosha

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miosha part 554 bloodborne infectious diseases train the trainer program module 2

MIOSHAPart 554 Bloodborne Infectious DiseasesTrain the Trainer ProgramModule 2

Presented By:

Consultation Education & Training (CET) Division

Michigan Occupational Safety & Health Administration Michigan Department of Energy, Labor & Economic Growth

www.michigan.gov/miosha

(517) 322-1809

welcome
Welcome

Welcome to the MIOSHA Bloodborne Infectious Diseases Online Training Module 2.

This is a continuation of the MIOSHA program designed to provide an overview of the MIOSHA bloodborne standard.

It does NOT fullfill all the training requirements in the Bloodborne Standard nor is it intended to replace facility specific training.

intended use train the trainer
Intended Use: “Train the Trainer”
  • Provide bloodborne infectious diseases information to those who provide training to employees who are at risk of occupational exposure.
  • Provide additional resources to assist trainers in becoming more knowledgeable in topics related to bloodborne infectious diseases.
module 2
Module 2

This is a continuation of the MIOSHA Bloodborne Infectious Diseases online training program. This module will provide an overview of Rules 10-16.

Note: Rule 12 covers HIV and HBV research laboratories and productions facilities. Due to limited application, this rule will not be included in this overview.

overview of the bloodborne standard
Rule 1 Scope

Rule 2 Definitions

Rule 3 Exposure determination

Rule 4 Exposure control plan

Rule 5 Universal precautions

Rule 6 Engineering controls

Rule 7 Work practices

Rule 8 Protective work clothing and equipment

Rule 9 Housekeeping

Rule 10 Regulated waste

Rule 11 Laundry

Rule 12 HIV and HBV research laboratories and production facilities

Rule 13 Vaccinations and postexposure follow-up

Rule 14 Communication of hazards to employees

Rule 15 Recordkeeping

Rule 16 Information and training

Appendices

Overview of the Bloodborne Standard

Module 1:

Module 2:

rule 10 regulated waste disposal
Rule 10 Regulated Waste Disposal

Regulated Waste shall be placed into containers or bags that are:

  • Closable
  • Leakproof
  • Color-coded or labeled

For contaminated sharps all the above plus puncture-resistant

rule 11 laundry
Rule 11 Laundry
  • Minimize agitation
  • Bag at the location where it is generated
  • Color-coded bags or containers
  • Cleaned and laundered in such a way to inactivate or destroy bloodborne pathogens
slide8
The next slide will provide questions to assist with reviewing the Bloodborne Infectious Diseases Standard:

Rule 10 Regulated Waste

Rule 11 Laundry

rule 10 11 waste and laundry questions and answers
Rule 10-11 Waste and LaundryQuestions and Answers:

Questions and answers will appear below. There will be delays to allow time to answer the questions.

True or False:

  • This container is acceptable for disposal of contaminated sharps:

False. Improper label and/or color.

See Rule 10 (2)

  • Employees may launder their contaminated work clothes at home.

False. Rule 11 (5) states that the employer is responsible to laundry contaminated clothing.

Detergent

rule 13 vaccinations and postexposure follow up
Rule 13 Vaccinations and postexposure follow-up
  • Performed by a licensed health care professional
  • Provided at no cost by the employer
  • Provided according to U.S. public health service (Centers for Disease Control and Prevention).
  • Counseling
rule 13 vaccinations and postexposure follow up continued
Rule 13 Vaccinations and postexposure follow-upContinued

Hepatitis B Vaccine

  • Offered within 10 days
  • HBV antibody testing offered after new employee vaccination
  • Employees may decline the series

Note: Clarification related to offering the HBV vaccination to 1st Aid providers is available through a Federal OSHA letter of interpretation (External link)

slide12

HBV Antibody Testing

  • May request an antibody titre test. (i.e. if vaccinated from a previous employer).
  • According to Current CDC recommendations (for new employees):
    • Must offer antibody titre within 60 days of the last vaccine in series.
    • If not responder, offer series of 3 again and titre as described above.
    • If still non-responder, follow CDC guidelines as appropriate.

Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis (External link)

slide13
The next slide will provide questions to assist with reviewing the Bloodborne Infectious Diseases Standard:

Rule 13 Vaccinations and postexposure follow-up

rule 13 hbv vaccination and titre questions and answers
Rule 13 HBV Vaccination and TitreQuestions and Answers:

Questions and answers will appear below. There will be delays to allow time to answer the questions.

True or False. Antibody testing is to be offered to new employees who accept the HBV vaccine within 30-60 days following administration of the HBV vaccination series.

True. Rule 13(2) states that an employer shall provide according to the current recommendations of the U.S. public health service [CDC].

Note: Current CDC recommendations can be found in the Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis (External link)

rule 13 vaccinations and postexposure follow up continued15
Rule 13 Vaccinations and postexposure follow-up Continued

Medical Evaluation

  • Confidential
  • Route of exposure (i.e. needlestick, splash to eyes, etc.)
  • Source individual identification and testing
  • Exposed individual blood testing
  • Postexposure prophylaxis as recommended by U.S. public health service (CDC)
  • Counseling
  • Evaluation of illnesses
rule 13 vaccinations and postexposure follow up continued16
Rule 13 Vaccinations and postexposure follow-up Continued

Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HBV, HCV and HIV and Recommendations for Postexposure Prophylaxis

Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis (External link)

rule 13 vaccinations and postexposure follow up continued17
Rule 13 Vaccinations and postexposure follow-up Continued

Employers shall provide to health care professionals a copy of the BID Rules and appendices

rule 13 vaccinations and postexposure follow up continued18
Rule 13 Vaccinations and postexposure follow-up Continued

Employers shall ensure that health care professionals who evaluate employees after an exposure have been given the following information:

  • Description of employees duties as related to the exposure incident
  • Documentation of the route and circumstances surrounding the exposure
  • Results of the source individual’s blood testing
  • Relevant medical records (including vaccine)
  • Description of PPE used or to be used
rule 13 vaccinations and postexposure follow up continued19
Rule 13 Vaccinations and postexposure follow-up Continued

Employer shall obtain and provide to exposed employee a copy of the health care professional’s written opinion limited to:

  • Any limitation on employee use of PPE
  • HBV vaccine information
  • Statement that employee has been informed of test results and medical conditions that may have resulted from exposure
slide20
The next slide will provide questions to assist with reviewing the Bloodborne Infectious Diseases Standard:

Rule 13 Vaccinations and postexposure follow-up

rule 13 post exposure follow up questions and answers
Rule 13 Post-exposure Follow-upQuestions and Answers:

Questions and answers will appear below. There will be delays to allow time to answer the questions.

True or False:

  • Employee medical evaluations and test results are confidential.

True. Rule 13 (5)

  • Employers have the right to know the HIV status of their employees.

False. Rule 13 (7) (c) states that the employer has the right to receive a statement that employee has been informed of test results and medical conditions that may have resulted from exposure

rule 14 communication of hazards to employees
Rule 14 Communication of Hazards to Employees
  • Signs posted in work areas
  • Labels affixed to containers of blood or OPIM
rule 15 recordkeeping
Rule 15 Recordkeeping
  • Employer shall establish and maintain medical records for each category A employee for duration of employment plus 30 years.
  • Training records shall be maintained for 3 years
rule 15 recordkeeping continued
Rule 15 Recordkeeping Continued

Sharps Injury Log for contaminated sharps injuries must contain:

  • Type and brand of device
  • Work unit or area where the incident occurred
  • Explanation of how it happened

Must protect employee confidentiality

Applies to employers required to maintain a log under Part 11 Recording and Reporting of Occupational Injuries and Illnesses

Note: Employers are permitted to use the 300 Log to record sharps injuries and are encouraged to use separate page(s) of the log just for recording sharps injuries.

slide25
The next slide will provide questions to assist with reviewing the Bloodborne Infectious Diseases Standard:

Rule 14 Communication of hazards to employees

Rule 15 Recordkeeping

rule 15 recordkeeping questions and answers
Rule 15 RecordkeepingQuestions and Answers:

Questions and answers will appear below. There will be delays to allow time to answer the questions.

True or False:

  • Employee medical records shall be kept for 5 years.

False. Rule 15 (4) states that an employer shall establish and maintain medical records for each employee for duration of employment plus 30 years.

  • Employers shall establish and maintain a log of contaminated sharps injuries.

True. Rule 12 (A) Note: Exception described in Rule 12 (b) and (c) .

rule 16 information and training
Rule 16 Information and Training
  • Required for all category A employees
  • At no cost
  • During work hours
  • At the time of initial assignment
  • Annual refresher
  • Appropriate for the educational level, literacy, and language of employees
rule 16 information and training continued
Rule 16 Information and Training Continued

Contents of the training program:

  • Accessibility and explanation of the BID Rules
  • Epidemiology and symptoms of bloodborne diseases
  • Modes of BID transmission
  • Exposure Control Plan with SOPs
  • Methods for recognizing tasks and procedures that involve exposure to blood or OPIM
rule 16 information and training continued29
Rule 16 Informationand Training Continued

Contents of the training program (continued):

  • Use and limitations of:
    • Engineering controls
    • Work Practices
    • PPE
  • PPE selection criteria
  • Hepatitis B vaccine including availability, efficacy, benefits and no cost
rule 16 information and training continued30
Rule 16 Informationand Training Continued

Contents of the training program (continued):

  • What actions to take in case of an emergency involving blood or OPIM
  • Follow-up procedures
  • Signs and labels or color coding
slide31
The next slide will provide questions to assist with reviewing the Bloodborne Infectious Diseases Standard:

Rule 16 Information and training

rule 16 information and training questions and answers
Rule 16 Information and TrainingQuestions and Answers:

Questions and answers will appear below. There will be delays to allow time to answer the questions.

True or False:

  • Training is required for Category A employees initially and at least annually.

True. Rule 16 (2).

  • This MIOSHA training program meets all the employee training provisions.

False. Refer to Rule 16 (5) (a)-(l) for all the required training elements.

slide33

Contact MIOSHA for Additional Information

  • Questions: www.michigan.gov/askmiosha
  • Consultation Education and Training Division: (517) 322-1809
  • General Industry Safety and Health Division (Compliance): (517) 322-1831
  • Link to additional online resources.
  • Return to the MIOSHA homepage.
thank you for participating
Thank you for participating

This completes the overview of the MIOSHA Bloodborne Infectious Diseases Standard.

Please take a moment to provide feedback related to your training experience:

MIOSHA Website Survey