OSHA Bloodborne Pathogens Standard

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to reduce the risk to employees of exposure to infectious diseases

Purpose of the BBP standard

any employee with exposure to pathogens

Who must follow the BBP standard

to reduce needlestick and other sharps inuries

Needlestick Safety and Prevention Act

any reasonalby anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious material

Occupational Exposure

refers to the piercing of the skin barrier or mucous membranes

Parenteral

human blood, blood components, and products made from blood

Blood

pathogenic microorganisms in human blood that can cause disease

Bloodborne Pathogens

semen and vaginal secretions, cerebrospinal, synovial, pleural, paricardial, peritoneal, and amniotic fluids, any body fluid that is visibly contaminated with blood, any body fluid that has not been identified, saliva in dental procedures, any unfixed human tissue, any tissue culture, cells, or fluid know to be HIV infected

OPIM

Exposure Control Plan, Labeling Requirements, Communication of hazards to employees, Record-keeping

Components of the OSHA Standard

a written document stipulating the protective measures that must be followed to eliminate or minimize the risk of exposure to bloodborne pathogens and OPIM

Exposure Control Plan - definition

exposure determination, method of compliance, postexposure evaluation and follow-up proceures

Exposure Control Plan - elements

requires that containers and appliances be labeled with a biohazard warning label

Labeling Requirements

all medical office employees with risk of exposure to BBP participate in a ECP training program

Communicating Hazards to Employees

requires that the employer maintain an accurate OSHA record of every medical office employee

Record-keeping

Specific health and safety measures to eliminate or minimize the risk of exposure

Control Measures - definition

Engineering Controls, Safer Medical Devices, Work Pratice Controls, Personal Protective Equipment, Housekeeping, Hepatitis B Vaccination

Control Measures - List

control measures that isolate or remove health hazards from the workplace

Engineering Controls - definiton

readily accessible handwashing facilities, safer medical devices, biohazard sharps containers and biohazard bags, autoclaves

Enginering Controls - List

a device that based on resonable judgement, would make a sharps incident less likely

Safer Medical Devices

sharp with engineered sharps injury protection SESIP, needleless system,

Safer Medical Devices - List

reduce the likelyhood of exposure by altering the manner in which the procedure is performed

Work Practice Controls - definition

minimize splashing, spraying, spattering, and generation of droplets, observe warning lablels, bandage cuts, sanitize hands after removing gloves, if skin is exposed to potentially infected material wash hands with soap and water, if mucus membranes come in contact flush with water, do not break or shear contaminated needles,

Work Practice Controls - List

clothing or equipment that protects one from blood or other potentially infectous materials

Personal Protective Equipment - definition

gloves, face shields, eye protection devices, gowns, aprons, laboratory coats

Person Protective Equipment - List

clean and disinfect equipment and work surfaces

Housekeeping

closable, punture reisistant, leak proof, bear a biohazard label, located close to work area, upright position, do not reach inside, replace when 3/4 full

Biohazard Container Guidelines

OSHA standard requires employers to offer the hepatitis B vaccination series free of charge

Hepatitis B Vaccination

all human blood and certain human bodily fluids are treated as though they are know to be infectous for HIV, HBV, HCV, and other bloodborne pathogens

Universal Precautions

any liquid or semiliquid blood or OPIM, items contanminated with blood, or OPIM, that would release the substances in a liquid or semiliquid if compressed, items that are caked with blood or other OPIM,

Regulated Medical Waste

6-30%, 2%, 0.3%, .01%

chance of developing HBV, HCV, AIDS after exposure

treatment administerd to an individual after exposure to an infectous disease, to prevent disease

Postexposure Prophylaxis (PEP)

provides temporary immunity to HEP B giving the active agent a chance to take effect, the passive agent is hepatitis B immune globulin, (HBIG), which contain anitbodies that provide immunity for 1-3 months

Passive Immunizing Agent

produced from genetically altered yeast cells, contains antigens

Active Immunizing Agent

0, 1, 6

HEP B Vaccination schedule

Acute HIV infection, Asymtomatic Period, Symtomatic Period, AIDS

Stages of AIDS

transient flulike illness known as acute HIV infection, occurs 1-4 weeks after exposure, fever, sweats, fatigue, loss of appetite, diarrhea, pharyngitis, myalgia, artralgia, and adenopathy, last 1 week to 1 month

Acute HIV Infection

incubation period lasts months to years, production of antibodies by the body that are detectable by blood tests.

Asymptomatic Period

lymph nodes remain enlarged for longer than 3 months, lympphadenopathy, lack of energy, unexplained weight loss, recurrent fevers and sweats, diarrhea, yeast infections, skin rashes or flaky skin,

Symptomatic Period

opportunistic infections, and unusual cancers known as AIDS-defining conditions, rare type of pneumonia, Kaposi sarcoma, dementia,

AIDS

HIV positive and a CD4+ T cell count below 200 cells/uL, presence of one or more AIDS-defining conditions

CDC Definition of AIDS

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