Jackson State Community College Exposure Control Plan May 1, 2005

1. Jackson State Community CollegeExposure Control Plan May 1, 2005 Complete training within 10 days of employment (Question 4) Training updates annually

2. Exposure Control Plan Purpose • To comply with the OSHA standard regarding bloodborne pathogens (1992) • To reduce occupational exposure to bloodborne pathogens (BBP) • BBP’s include HBV (the agent responsible for Hepatitis B infection), HCV (the agent responsible for Hepatitis C infection), HIV (the agent responsible for AIDS) and others • Purpose of training: protect workers from life-threatening infections which they may encounter in the workplace while completing their normal job duties. (Question 6)

3. Primary Objectives of BBP Training • To protect our employees from the health hazards associated with bloodborne pathogens • To provide appropriate treatment and counseling should an employee be exposed to bloodborne pathogens (HBV, HCV, HDV, HIV, syphilis, malaria, & others) [Question 5]

4. Program Statement • JSCC is concerned about providing a place of employment which is free of recognized hazards that are causing or likely to cause death or serious physical harm to its employees. This policy/program applies to any occupational exposure to bloodborne pathogens present in human blood that can cause disease in humans

5. Exposure Control Program General Management • There are three major categories of responsibility that are central to the effective implementation of the plan: • The Exposure Control Officer • Division and Department managers • Our employees • To assist the EC Officer, the college has an Exposure Control Committee

6. Exposure Control committee • Medical Advisor - Dr. Jackie Taylor • Exposure Control Officer – Celeste Osgood • Chairman of Nursing - Dr. Leslie West-Sands • Safety Director – Nick Trent • MLT Program Director - Glenda Jones • Human Resources Director - Diane Harris

7. Availability of the Plan • A copy of the ECP is available: • Health Services Office across from the JSCC Bookstore • Night Office on the main campus, the Lexington and the Savannah Centers. • Health Services Web page: Go to “Student Services” from JSCC main page [www.jscc.edu]; then to “Health Services”; then click on “BBP” [Question 1]

8. Review and Update • To maintain a current approach to Exposure Control, the committee will review and update the ECP under the following circumstances: • Annually • Whenever new or modified tasks and procedures are implemented affecting the risk for exposure to our employees • Whenever job descriptions are revised, affecting risk for exposure • Whenever new functional positions are established that involve BBP exposure

9. Director of JSCC Health Services & staff Nursing Faculty Health Sciences Faculty Biology Faculty Athletic and PE Faculty Physical Plant Staff: Maintenance, Custodians and Security Guards Engineering and Technology Faculty Exposure Determination: Who is covered in the JSCC ECP?

10. Methods of Compliance • General: • The basic rule for handling potentially infectious materials will be to assume that all blood and body fluids are contaminated with HIV or HBV. Body Substance Isolation precautions will be taken as appropriate to the specific risk of exposure. [Question 14] • “BSI” replaces “universal precautions” & “standard precautions”

11. Methods of Compliance • Engineering Controls: • Hand washing facilities accessible to all employees who have the potential for exposure • Containers for contaminated sharps & specimens leak proof & puncture resistant • Commercially manufactured BBP Protection and Clean-up Kits should be used for clean up of BBP [Question 13]

12. Methods of Compliance • Work Practice Controls: • Appropriate barrier precautions to prevent exposure (gloves, gowns, goggles, etc) • Safety engineered needles & sharps • Hand washing or antiseptic hand cleansers • Eating, drinking, smoking, applying cosmetics or lip balm and handling contact lens are prohibited in any work area where there is potential for exposure to BBPs. • Proper labeling of potentially infectious materials (color coded or biohazard sign) • Decontaminating equipment that may be contaminated.

13. Methods of Compliance • Personal Protective Equipment • Will be provided at no cost to the employee, appropriate equipment including but not limited to gloves, gowns, masks, face shields, lab coats, eye protection, mouthpieces, resuscitation bags, pocket masks, etc. (Students who are not student workers must provide their own PPE.). • Must be worn based on the degree of anticipated exposure (latex or nylon free materials are available for those who need latex or nylon free gloves) [Questions 10 & 11]

14. Personal Protective Equipment • Appropriate only if it does not permit blood or other potentially infectious materials to pass through or reach the person’s work clothes, street clothes, undergarments, skin, eyes, mouth, or other mucous membranes under normal conditions of use.

15. Personal Protective Equipment • Any employee failing to use appropriate PPE after completion of the initial training shall be considered to have committed a willful safety violation as defined by OSHA and therefore are subject to disciplinary action.

16. Personal Protective Equipment • Any person with supervisory authority failing to enforce the use of appropriate PPE by his or her personnel after completion of the initial training shall be considered to have committed a willful safety violation as defined by OSHA and therefore subject to disciplinary action. • It will be the responsibility of the department to provide, repair or replace all PPE.

17. Methods of Compliance • Housekeeping: • Maintaining the college in a clean and sanitary condition is an important part of our BBP compliance program & is everyone’s concern, not just the housekeeping staff [Question 9] • A written schedule for cleaning and decontamination of the various areas of the facility has been developed and implemented under the supervision of the Physical Plant Managers. A copy is available in the Physical Plant Office. • Details in ECP Manual

18. Hepatitis B Vaccination • HBV is highly infectious, not easily cured • HBV is preventable by vaccine in 85-97% of cases. • Hepatitis B vaccination is available at no cost to the employee who has been identified as “potentially at risk for exposure to bloodborne pathogens” in their tour of duty. • Vaccine will be administered through Health Services. It is the responsibility of the employee to keep appointments to receive the vaccine. [Questions 7 & 12]

19. Is This Vaccine Safe? • June 2002: Institute Of Medicine finds no link between the Hep B vaccine & Multiple Sclerosis http://www.iom.edu/iom/iomhome.nsf/WFiles/HepatitisB_ExecSummary/$file/HepatitisB_ExecSummary.PDF • A vaccine, like any medicine, is capable of causing serious problems, such as severe allergic reactions, but the risk of the Hep B vaccine causing serious harm, or death, is extremely small http://www.cdc.gov/nip/publications/vis/vis-hep-b.pdf • Local soreness 1 – 2 days (25% of adults) • Mild to moderate fever (1 out of 100 adults) http://www.cdc.gov/nip/publications/vis/vis-hep-b.pdf • Report if severe symptoms within a few minutes to a few hours of injection: difficulty breathing, hoarseness, wheezing, hives, paleness, weakness, rapid pulse or dizziness http://www.cdc.gov/nip/publications/vis/vis-hep-b.pdf

20. What If I Have Been Exposed to BBP or OPIM? • Wash immediately with soap & water • Report to your supervisor immediately • Contact the Exposure Control Officer if questions (24 hour cell: 695-0911) • Report to ER within 2 hours • To determine risk • To receive treatment if indicated • To receive medication if indicated • [Questions 3 & 8]

21. Post-Exposure Evaluation & Follow-Up • All potential exposure incidents shall be reported to the immediate supervisor. • An Exposure Incident Report will be completed. • The report will be submitted to the Exposure Control Officer no later than the next working day following exposure. • Determination will be made as to the exposure of BBP, etc.

22. Communication of Hazards to Employees • Labels and signs: Containers marked with the biohazard symbol should only be handled or processed by employees who are assigned to this task within their department. These employees complete a separate training within their department especially for this purpose. [Question 2] • Biohazard containers are not emptied, moved or processed as regular waste. • Biohazard containers & liners can be red or orange-red and will be stamped with the biohazard symbol • Information & Training

23. Recording Needlesticks • Requires employers to record all needlestick and sharps injuries involving contamination by another person’s blood or other potentially infectious material 1904.8

24. Tuberculosis & Medical Removal • Includes separate provisions describing the recording criteria for cases involving the work-related transmission of tuberculosis • Requires employers to record cases of medical removal under OSHA standards 1904.11 & 1904.9