bloodborne pathogens exposure control plan template

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METHODS OF COMPLIANCE Standard precautions All blood or other potentially infectious materials shall be handled as if contaminated by a bloodborne pathogen. The vaccine will be offered within 10 working days of their initial assignment to work involving the potential for occupational exposure to blood or other potentially infectious materials unless the employee has previously had the vaccine or who wishes to submit to antibody testing which shows the employee to have sufficient immunity. Sample Bloodborne Pathogens Exposure Control Plan Standard Number: 1910.1030 NOTICE: This is an OSHA Archive Document, and may no longer represent OSHA Policy. (Employers should list here any equipment which it is felt can not be decontaminated prior to servicing or shipping. The job classifications and associated tasks for these categories are as follows: 2. THIS EXPOSURE CONTROL PLAN: Was prepared by: Date prepared: Review dates: _______ PAGE BBP Template: Page PAGE 2 of NUMPAGES 9 BBP Template: Page PAGE 1 of NUMPAGES 9 * + 3 4 r BBP Exposure Control Plan (Construction).docx, Bloodborne Pathogens Exposure Control Plan (Construction), N.C. Department of LaborPhysical Address4 West Edenton St. minimize exposure to bloodborne and airborne pathogens in recognition of OSHA Standard 29 CFR 1910.1030, "Occupational Exposure to Bloodborne Pathogens," as well as the Centers for . A written opinion shall be obtained from the health care professional who evaluates employees of this facility. )________________________________, Gloves shall be worn where it is reasonably anticipated that employees will have hand contact with blood, other potentially infectious materials, non-intact skin, and mucous membranes. written to comply with requirements contained in federal OSHA's Bloodborne Pathogens Standard, All garments which are penetrated by blood shall be removed immediately or as soon as feasible. To learn more, view our full privacy policy. Form #2 Bloodborne Pathogen Exposure Employee History and Consent Forms. HEPATITIS B VACCINATION POLICY General statement of policy All employees who have been identified as having exposure to bloodborne pathogens will be offered the hepatitis B vaccination series at no cost to them. Eating, drinking, smoking, applying cosmetics or lip balm, and handling contact lenses are prohibited in work areas where there is a reasonable likelihood of occupational exposure. Universal Precautions means an approach to infection control in which all human blood and certain human body fluids are treated as if known to be infectious with HIV, hepatitis B, and other bloodborne pathogens. At this facility recapping or removal is only permitted for the following procedures: (list the procedures and also list the mechanical device to be used or alternately if a one-handed technique will be used), Contaminated sharps that are reusable are to be placed immediately, or as soon as possible, after use into appropriate sharps containers. Employees who initially decline the vaccine but who later wish to have it may then have the vaccine provided at no cost. C. 1. under the subheading, Communication of Hazards, Warning Signs/Labels will be attached to the equipment stating which portions remain contaminated. Employers will need to add information relevant to their particular facility in order to develop an effective, comprehensive exposure control plan. x[o; N o1@->8~-6~=S3aSS]]S57//~_y|yy|/n^? Employees are separated into two categories by job description and patient contact. All laundry shall be placed in the container/bag where it was used. Model Exposure Control Plan Template for Laboratories This is a model for developing your written blood borne pathogens exposure control plan. Third, if your workers are at risk for a bloodborne pathogens exposure, you are required by the law to have a written Exposure Control Plan. Georgia Institute of TechnologyNorth Avenue, Atlanta, GA 30332, Georgia Environmental Compliance Assistance (GECAP) Program, Professional Masters in Occupational Safety and Health (Online), Safety and Health Webinars and No-Cost Training, Control of Silica Exposure in Engineered Stone Fabrication Facilities, Bloodborne Pathogens for First Aid Providers Program Template, Laboratory Chemical Hygiene Program Template, Guidance Document for Recording Hearing Loss on the OSHA 300 log, COVID-19 Pandemic Continuity of Operations Program Template, OSHA Quick Card Permit-required confined space in General Industry, OSHA Quick Card Procedures for Atmospheric Testing in Confined Spaces, Permit-Required Confined Space Program Template, Permit-Required Confined Space Program TemplateConstruction Industry, Permit-Required Confined Space Reclassification Form, Appendix B: Sample Qualitative Fit Test Record, Appendix C: Medical Questionnaire English, Appendix C: Medical Questionnaire Spanish, Appendix D: Voluntary Use English & Spanish. The protective equipment will be considered appropriate only if it does not permit blood or other potentially infectious materials to pass through or reach the employees' clothing, skin, eyes, mouth, or other mucous membranes under normal conditions of use and for the duration of time which the protective equipment will be used. Written opinions will be obtained in the following instances: 1) When the employee is sent to obtain the Hepatitis B vaccine. Bloodborne Pathogens Policy. Training for all employees will be conducted to initial assignment to tasks where occupational exposure may occur. The training approach will be tailored to the educational level, literacy, and language of the employees. OSHA's Bloodborne Pathogens Standard (29 CFR 1910.1030) as amended pursuant to the 2000 Needlestick Safety and Prevention Act, is a regulation that prescribes safeguards to protect workers against health hazards related to bloodborne pathogens. ). 10,000,000+ 303. Gloves shall be worn when it can be reasonably anticipated that hands will contact blood or other potentially infectious materials, mucous membranes, or non-intact skin; will contact mouth, nose, or eyes; when handling or touching contaminated items or surfaces; and/or when handling or touching food or other items to be ingested. (The employer could use a checklist as follows: All personal protective equipment will be cleaned, laundered, and disposed of by the employer at no cost to employees. Purpose The purpose of this exposure control plan is to: 1. Employees who decline the Hepatitis B vaccine will sign a waiver which uses the wording in Appendix A of the OSHA standard. Below are model program templates, checklists, logs, and other useful documents in an editable format (MS Word). At this facility the sharps containers are puncture resistant, labeled with a biohazard label, and are leak proof. The intent of this model is to provide employers with an easy-to-use format that may be used as a template to develop a written exposure control plan tailored to the Communication of hazards to employees: Employees will be informed of regulated waste hazards through a system of color-coded (red) labels, and through a training program as discussed in Section VI of this written plan. Create your signature and click Ok. The purpose of the plan is to eliminate or minimize the risk of infection should exposure occur. PROCEDURES A. Contaminated work surfaces shall be cleaned and decontaminated with an appropriate disinfectant after completion of procedures; immediately or as soon as feasible when surfaces are overtly contaminated or after any spill of blood or other potentially infectious materials; and at the end of the work shift if the surface may have become contaminated since the last cleaning. All laboratory tests will be conducted by an accredited laboratory at no cost to the employee. The Model Exposure Control Plan is intended to serve employers as an example exposure control plan which is required by the Bloodborne Pathogens Standard. Highlights directives and letters of interpretation related to bloodborne pathogens and needlestick prevention. The purpose of this exposure control plan is to eliminate or minimize employee exposure to bloodborne pathogens in accordance with OSHA standard 29 CFR 1910.1030, "Occupational Exposure to Bloodborne Pathogens." II. }oO_%urIo^(%ty!f-qU)"o+ulS;%eKfTyik8LIP2hy0' The schedule for reviewing the effectiveness of the controls is a follows: (list schedule such as daily, once/week, etc. RMLP25 Date: July 26, 2014 Prepared by: Loss Prevention Team Background The Occupational Safety and Health Administration (OSHA) regulates facilities where employees may be exposed to bloodborne pathogens (BBP). mJl[Bl{]% S}+&Ynzo-qVD:*RjTf.fIpk These work areas include but are not limited to: Medication carts Countertops and desk areas in medication rooms Countertops and desk areas in nurse stations Food preparation and food serving or beverage dispensing surface areas Procedures involving blood or other potentially infectious materials All procedures involving blood or other potentially infectious materials shall be performed in such a manner as to minimize splashing, spraying, spattering, and generation of droplets of these substances. __________, _________________________________________). There are three variants; a typed, drawn or uploaded signature. A lock icon or https:// means youve safely connected to the official website. The purpose of the standard is to prevent occupational exposure to bloodborne pathogens and to reduce the chances of infection when exposure does occur. If such action is required then the recapping or removal of the needle must be done by the use of a mechanical device or a one- handed technique. Bloodborne Pathogens Plan - Alabama Department of Public Health At this facility the following engineering controls will be utilized: (list controls, such as sharps containers, etc. Such laundry will not be sorted or rinsed in the area of use. The vaccination series will not be made available to employees who have previously received the complete hepatitis B vaccination series; to any employee who has immunity as demonstrated through antibody testing; or to any employee for whom the vaccine is medically contra-indicated. Form #2a Physician's Statement and Written . Blood from the source individual will be tested as soon as feasible after consent is obtained for HBV, HCV, and HIV testing. The attached document, which is being provided for your information, is a copy of a sample bloodborne pathogens exposure control plan developed by the Philadelphia Regional Office of Technical Support to assist employers in developing an exposure control plan as required by 29 CFR 1910.1030(c). The following protocol has been developed to facilitate leaving the equipment at the work area: (list where employees are expected to place the personal protective equipment upon leaving the work area, and other protocols, etc. The plan defines the measures and procedures taken to prevent exposure to bloodborne pathogens. This section applies to all occupational exposure to blood or other potentially infectious materials as defined by subsection (b) of this section . The written opinion will be limited to the following information: The employee has been informed of the results of the evaluation; The employee has been told about any medical conditions resulting from exposure to blood or other potentially infectious materials which require further evaluation or treatment. Bloodborne Pathogen Exposure Control Plan 4.1 Exposure Determination a) All employees who may reasonably be anticipated to be at risk for exposure to human blood, body fluids, or OPIM are included in this plan and must be offered the hepatitis B vaccine and must be retrained annually in infection control. Also the employer should indicate who is responsible for conducting the training. PURPOSE One of the major goals of the Occupational Safety and Health Administration (OSHA) is to promote safe work practices in an effort to minimize the incidence of illness and injury experienced by employees. It should be noted that this model program does not include provisions for HIV/HBV laboratories and research facilities which are addressed in section (e) of the standard. Please complete the Exposure Control Plan template to create a site-specific Exposure Control Plan. This medical care will be performed by or under the supervision of a licensed physician, physicians assistant, or nurse practitioner. endobj A general explanation of the epidemiology and symptoms of bloodborne diseases. If the employee consents to baseline blood collection, but does not give consent at the time for HIV serologic testing, the sample shall be preserved for at least 90 days. It is presented here as historical content, for research and review purposes only. If outside contamination of the primary container occurs, the primary container shall be placed within a second container that prevents leakage during handling, processing, storage, transport, or shipping and is labeled or color-coded according to the OSHA requirements. j j 8 4 - t p_ X i i i _ _ _ _ _ _ _ Ra c _ i a e i i _ h *_ i v _ i _ W ] y5 R Y : ^ @_ 0 p_ Y . The employee shall be provided with a copy of the healthcare professionals written opinion within fifteen (15) days of the completion of the evaluation. 1101 Mail Service Center Date: October 15, 2010. Impacting more than 5.6 million healthcare workers, OSHA's Bloodborne Pathogens Standard outlines procedures to protect employees from hazards associated with exposure to blood and potentially infectious materials (needles, blades, other sharps, etc. Model Exposure Control Plan (WORD, 52KB) Model Exposure Control Plan (PDF, 179KB) Sample Sharps Injury Log (PDF, 20KB) The following pages contain sample forms that may aid your company in compliance with the bloodborne pathogens standard. Provides information for evaluating and controlling bloodborne pathogens and needlestick hazards. Employers operating these laboratories need to include provisions as required by the standard. Bloodborne Pathogen Exposure Control Plan Program This is a sample written program whose intended usage is to serve only as a convenient guide for obtaining compliance with the applicable OSHA standard. Updated February 2020 Bloodborne Pathogens Exposure Control Plan Page 1 Bloodborne Pathogens Exposure Control Plan I. If employees incur exposure to their skin or mucous membranes than those areas shall be washed or flushed with water as appropriate as soon as feasible following contact. That is the point of our facility's Bloodborne Pathogens Exposure Control Program and that is the point of this program. Decide on what kind of signature to create. Copies of this plan are available for review by any employee. Bloodborne Pathogens Exposure Control PlanWAC 296-823-11010 Respiratory Protection ProgramWAC 296-842-12005 Vermin Control Program (for agriculture)WAC 296-307-24036 Chemicals General Chemical Hazard Communication ProgramWAC 296-901-14010 Emergency Response PlanWAC 206-824-20005 Respiratory Protection ProgramWAC 296-842-12005 Hazardous Waste X [ o ; N o1 @ - > 8~-6~=S3aSS ] ] S57//~_y|yy|/n^ for research and review purposes only website! 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