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40 terms

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