osha s bloodborne pathogens standard and needlestick safety and prevention act and the osha 300 log n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
OSHA’s Bloodborne Pathogens Standard … and Needlestick Safety and Prevention Act … and the OSHA 300 Log PowerPoint Presentation
Download Presentation
OSHA’s Bloodborne Pathogens Standard … and Needlestick Safety and Prevention Act … and the OSHA 300 Log

Loading in 2 Seconds...

play fullscreen
1 / 36

OSHA’s Bloodborne Pathogens Standard … and Needlestick Safety and Prevention Act … and the OSHA 300 Log - PowerPoint PPT Presentation


  • 758 Views
  • Uploaded on

OSHA’s Bloodborne Pathogens Standard … and Needlestick Safety and Prevention Act … and the OSHA 300 Log. Bloodborne Pathogens Standard. Major Provisions by Paragraph (b) Definitions (c) Exposure Control Plan (ECP) (d) Engineering and Work Practice Controls

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'OSHA’s Bloodborne Pathogens Standard … and Needlestick Safety and Prevention Act … and the OSHA 300 Log' - lakia


Download Now An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
osha s bloodborne pathogens standard and needlestick safety and prevention act and the osha 300 log
OSHA’s Bloodborne Pathogens Standard… and Needlestick Safety and Prevention Act… and the OSHA 300 Log
bloodborne pathogens standard
Bloodborne Pathogens Standard

Major Provisions by Paragraph

(b) Definitions

(c) Exposure Control Plan (ECP)

(d) Engineering and Work Practice Controls

- Personal Protective Equipment (PPE)

(e) HIV and HBV Research Labs

(f) Vaccination, Post-Exposure Follow-up

(g) Labeling and Training

(h) Recordkeeping

methods of compliance
Methods of Compliance
  • Universal Precautions
  • Engineering and Work Practice Controls
  • Personal protective equipment
  • Housekeeping
since 1991
Since 1991…
  • Advancements in medical technology
  • September 1998, OSHA’s Request for Information (RFI)
    • Findings of RFI
  • Union and Congressional involvement
  • November 1999, CPL 2-2.44D
slide6
The Needlestick Safety and Prevention Act mandated… OSHA clarify and revise 29 CFR 1910.1030, the Bloodborne Pathogens Standard
needlestick safety and prevention act timeline
Needlestick Safety and Prevention Act Timeline
  • P. L. 106-430 signed; November 6, 2000
  • Revised Standard published in Federal Register; Jan. 18, 2001
  • Effective date; April 18, 2001
  • Enforcement of new provisions; July 17, 2001
  • Adoption in OSHA state-plan states; October 18, 2001
revisions to standard
Revisions to Standard
  • Additional definitions, paragraph (b)
  • New requirements in the Exposure Control Plan, paragraph (c)
  • Solicitation of input from non-managerial employees, paragraph (c)
  • Sharps injury log, paragraph (h)
additional definitions 1910 1030 b
Additional Definitions1910.1030(b)
  • Engineering Controls - includes additional definitions and examples:
    • Sharps with Engineered Sharps Injury Protections - [SESIP]
    • Needleless Systems
engineering controls new definition
Engineering ControlsNew Definition

“… means 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.”

needleless systems new definition
Needleless SystemsNew Definition
  • Device that does not use a needle for:
    • Collection of bodily fluids
    • Administration of medication/fluids
    • Any other procedure with potential percutaneous exposure to a contaminated sharp
sesip new definition
“SESIP”New Definition

Non-needle sharp or a needle with a built-in safety feature or mechanism that effectively reduces the risk of an exposure incident.

add on safety feature
“Add-on” safety feature

Attached to syringe needle

Attached to blood tube holder

retracting lancets with safety features
Retracting lancets with safety features

Before During After

Before During After

disposable scalpels with safety features
Disposable scalpels with safety features

Retracted position

Protracted position

Protracted position

additional information about safety devices available at

Additional Information About Safety Devices Available At…

www.med.virginia.edu/~epinet

www.tdict.org

www.ecri.org

www.premierinc.com

exposure control plan 1910 1030 c new provisions
Exposure Control Plan:1910.1030(c)New Provisions

The ECP must be updated to include:

  • changes in technology that reduce/eliminate exposure
  • annual documentation of consideration and implementation of safer medical devices
  • solicitation of input from non-managerial employees
solicitation of non managerial employees new provision
Solicitation of Non-Managerial EmployeesNew Provision
  • Identification, evaluation, and selection of engineering controls
  • Must select employees that are:
    • Responsible for direct patient care
    • Representative sample of those with potential exposure
engineering and work practice controls 1910 1030 d
Engineering and Work Practice Controls: 1910.1030(d)

Employers must select and implement appropriate engineering controls to reduce or eliminate employee exposure.

slide25
“Where engineering controls will reduce employee exposure either by removing, eliminating, or isolating the hazard, they must be used.”

CPL 2-2.44D

engineering and work practice controls
Engineering and Work Practice Controls

Selection of engineering and work practice controls is dependent on the employer’s exposure determination.

exposure determination
Exposure Determination
  • The employer must:
    • Identify worker exposures to blood or OPIM
    • Review all processes and procedures with exposure potential
    • Re-evaluate when new processes or procedures are used
engineering and work practice controls con t
Engineering and Work Practice Controls (con’t)
  • The employer must:
    • Evaluate available engineering controls (safer medical devices)
    • Train employees on safe use and disposal
    • Implement appropriate engineering controls/devices
engineering and work practice controls con t1
Engineering and Work Practice Controls (con’t)
  • The employer must:
    • Document evaluation and implementation in ECP
    • Review, update ECP at least annually
    • Review new devices and technologies annually
    • Implement new device use, as appropriate and available
engineering and work practice controls con t2
Engineering and Work Practice Controls (con’t)
  • The employer must:
    • Train employees to use new devices and/or procedures
    • Document in ECP
new cdc recommendations cpl 2 2 69 appendix e
New CDC RecommendationsCPL 2-2.69, Appendix E
  • Prevention
    • HBV vaccination
      • Antibody Test for ALL Healthcare Workers
      • ~25% non-responders
  • Prophylaxis
    • Rapid HIV Test
recordkeeping 1910 1030 h 1904 8
Recordkeeping: 1910.1030(h) 1904.8
  • Sharps Injury Log & OSHA 300 Log
    • Only mandatory for those keeping records under 29 CFR 1904
    • Confidentiality is maintained for Needlesticks
      • On 300 Log – stick must be recorded but privacy cases are to be considered 1904.8 (a) & 1904.29(b)(6) – (b)(9)
1904 8 bloodborne pathogens
1904.8 – Bloodborne Pathogens
  • Record all work-related needlesticks and cuts from sharp objects that are contaminated with another person’s blood or other potentially infectious material (includes human bodily fluids, tissues and organs; other materials infected with HIV or HBV such as laboratory cultures)
  • Record splashes or other exposures to blood or other potentially infectious material if it results in diagnosis of a bloodborne disease or meets the general recording criteria
  • An employer can use the 300 Log to meet the requirements for a sharps log. To do so, the employer must be able to segregate the sharps injury data and must include information on the type and brand of device that caused the injury.
sharps injury log
Sharps Injury Log

At a minimum, the log must contain, for each incident:

  • Type and brand of device involved
  • Department or area of incident
  • Description of incident
summary of new provisions
Summary of New Provisions
  • Additional definitions, paragraph (b)
  • New requirements in the Exposure Control Plan, paragraph (c)
  • Non-managerial employees involved in selection of controls, paragraph (c)
  • Sharps injury log, paragraph (h)
national bbp compliance issues
National BBP Compliance Issues
  • Engineering Controls
    • Nuclear Medicine
  • Work Practices
    • Blood Tube Holders
  • Multi-Employer, Contractors
  • HBV Antibody Test