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Revised Bloodborne Pathogens Standard WAC 296-823 Safer Medical Device and Sharps Injury Recordkeeping Requirements

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Revised Bloodborne Pathogens Standard WAC 296-823 Safer Medical Device and Sharps Injury Recordkeeping Requirements. Bloodborne Pathogens Standard. Federal 29 CFR 1910.1030, Occupational Exposure to Bloodborne Pathogens - Effective March 1992 WAC 296-823 Effective January 1993 Scope

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Presentation Transcript
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Revised Bloodborne Pathogens Standard WAC 296-823Safer Medical Device and Sharps Injury Recordkeeping Requirements
bloodborne pathogens standard
Bloodborne Pathogens Standard
  • Federal 29 CFR 1910.1030, Occupational Exposure to Bloodborne Pathogens - Effective March 1992
  • WAC 296-823 Effective January 1993
  • Scope

“This chapter applies to you if you have employees with occupational exposure to blood or OPIM, even if no actual exposure incidents have occurred”

bloodborne pathogens standard3
Bloodborne Pathogens Standard

Major Provisions by Section:

110 – Planning

120 – Training

130- Hepatitis B (HBV) Vaccinations

140 – Control Employee Exposure

150- Personal Protective Equipment

160- Post Exposure Requirements

170 – Records

180 Additional Requirements for HIV and HBV Research Labs and Production Facilities

occupational exposure
Occupational Exposure

“Means reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or OPIM that may result from the performance of an employee’s duties”

methods of compliance
Methods of Compliance
  • Infection Control systems
  • Controlling exposure through selection and implementation of safer medical devices and administrative controls
  • Personal protective equipment
  • Housekeeping
  • Regulated waste management
  • Laundry handling
  • Signs and labeling
use of safer medical devices
Use of Safer Medical Devices
  • Since 1992:
    • Advancements in medical technology
    • Union and Congressional involvement
    • November 1999, OSHA releases

CPL 2-2.44D

    • November 2000, Needlestick Safety and Prevention ACT P.L. 106-430
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
  • Federal enforcement of new provisions; July 17, 2001
  • WISHA enforcement: Aug. 6, 2001
2001 revisions to standard
2001 Revisions to Standard
  • Further clarifies the definition of Safer Medical devices
  • Requirements to document evaluation of and changes in the use of safer medical devices
  • Requires solicitation of input from non-managerial employees
  • Maintenance of a Sharps Injury Log
safer medical devices
Safer Medical Devices

“Medical devices that have been engineered to reduce the risk of needlesticks and other contaminated sharps injuries. These include not only sharps with engineered sharps injury protections and needleless systems but also other medical devices designed to reduce the risk of sharps injury exposures”

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
sharps with engineered sharps injury protections sesip new definition
“Sharps with Engineered Sharps Injury Protections (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

In use After use

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.osha.gov

www.lni.wa.gov/wisha/

exposure control plan
Exposure Control Plan:

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
Solicitation of Non-Managerial Employees
  • Identification, evaluation, and selection of safer medical devices
  • Must select employees that are:
    • Responsible for direct patient care
    • Representative sample of those with potential exposure
controlling employee exposure
Controlling Employee Exposure

Employers must select and implement appropriate safer medical devices to reduce or eliminate employee exposure.

slide22
“Where safer medical devices will reduce employee exposure either by removing, eliminating, or isolating the hazard, they must be used.”

CPL 2-2.44D

safer medical devices23
Safer Medical Devices
  • The employer must:
    • Evaluate available safer medical devices
    • Train employees on safe use and disposal when needed
    • Implement appropriate devices
controlling employee exposure24
Controlling Employee Exposure

Selection of safer medical devices 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
safer medical devices26
Safer Medical Devices
  • 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
safer medical devices con t
Safer Medical Devices (con’t)
  • The employer must:
    • Train employees to use new devices and/or procedures
    • Document in ECP
phlebotomy needles
Phlebotomy Needles
  • Section 823-14010 prohibits bending, recapping, or removal of needles or other contaminated sharps unless you can demonstrate that there is no feasible alternative
  • Routine removal of phlebotomy needles from the holder is prohibited.
recordkeeping
Recordkeeping
  • Sharps Injury Log
    • Documents all contaminated sharps exposures
    • Must also be documented on OSHA 300 Log
    • Confidential record
    • Sharps exposure must be documented separately from other injuries
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

(may be documented on the

301 form)

summary
Summary
  • Additional definitions
  • New requirements to evaluate existing medical devices and implement safer technologies
  • Non-managerial employees involved in selection of safer medical devices
  • Sharps injury log
slide32
Department of Labor and Industries

WISHA Services Division

Policy and Technical Services

John Furman (360) 902-5666

Furk235@lni.wa.gov