COASTWIDE LABORATORIES Presents. . .

1. COASTWIDE LABORATORIES Presents. . . Protecting Custodians From Bloodborne Pathogens Including Spill Cleanup Procedures Complying With OSHA Bloodborne Pathogens Standard

2. Purpose of the OSHA Standard To protect workers from the deadly bloodborne pathogens including HIV and HBV.

3. Bloodborne Pathogens: Exposure Control Plan PURPOSE: To limit occupational exposure to blood and other potentially infectious materials because any exposure could result in transmission of bloodborne pathogens which could lead to disease or death.

4. Who Is Affected? • ANY employee having occupational • exposure to blood or other potentially • infectious materials. • Not limited to only medical or health • care personnel.

5. Key Definitions • Bloodborne Pathogens • Occupational Exposure • Potentially Infectious Materials • Engineering Controls • Work Practice Controls • Universal Precautions • Appropriate Disinfectants • Routine Cleaning vs. Decontamination

6. Bloodborne Pathogens "pathogenic microorganisms that are present in human blood and can cause disease in humans. Hepatitis B Virus (HBV) and HIV are of primary concern"

7. Occupational Exposure “reasonably anticipated skin, eye, mucous membrane or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee’s customary duties”

8. Potentially Infectious Materials "human blood along with other specific human body fluids including semen, feces and urine"

9. Engineering Controls Technology and devices that isolate or remove hazards from the workplace.

10. Work Practice Controls Ongoing evaluation of the manner in which a task is performed in an effort to reduce the likelihood of a worker’s exposure to blood or other potentially infectious material.

11. Universal Precautions "an infection control concept, where all human blood and certain human body fluids are treated as if known to be infected with HIV or HBV"

12. Routine Cleaning Versus Gross Contamination Routine cleaning and disinfecting of environmental surfaces can be washed using a low level disinfectant Gross contamination requires special methods of decontamination. Use of a mid-level disinfectant is acceptable.

13. Overview of Microorganisms Bacteria Pseudomonas aeruginosa Salmonella chloreraesuis Staphylococcus aureus MRSA and VRE Mycobacteria Mycobacterium tuberculosis (TB) Viruses HIV, HBV, Herpes Fungi Trichophyton mentagrophytes Bacterial endospores Bacillus subtilis

14. Active Antimicrobial Ingredients • Sodium Hypochlorite • Quats • Phenolics • Iodophors • Isopropyl Alcohol • Ethylene Oxide Gas • Glutaraldehyde • Hydrogen Peroxide

15. Four Different Processes • Cleaning • Sanitizing • Disinfecting • Sterilization 4

16. Cleaning Cleaning is the process of removing pollutants from the environment and putting them in their proper place.

17. Sanitizing Sanitizing reduces the microbial population to a safe level as determined by local public health standards. For example, in dairy and food processing plants, the equipment is usually sanitized.

18. Disinfecting Disinfecting removes and destroys targeted pathogenic microorganisms.

19. Sterilization Sterilization causes the destruction or removal of all forms of life.

20. What is Appropriate Personal Protective Equipment? Apparel and devices which do not allow blood or body fluids to pass through to reach work clothes, street clothes, undergarments, skin, eyes or mucous membranes under normal conditions of use. This includes gloves, gowns, laboratory coats, fluid-resistant aprons, head and foot coverings, face shields, masks, eye protection, mouthpieces, resuscitation bags and other ventilation devices.

21. What is the Purpose of Using Personal Protective Equipment? To prevent and minimize exposure of personnel to infectious materials in the working environment.

22. When to Use Appropriate Personal Protective Equipment? Personal protective equipment should be used when there is a possibility of exposure to blood and other infectious materials, or if there a hazards to the employee’s health & safety. Gloves Goggles Mask

23. When to Wear Gloves? Use gloves when there is reasonable anticipation that there may be hand contact with blood, other body fluids, mucous membranes or non-intact skin.

24. Gloves and Allergies Hypoallergenic gloves, powderless gloves or other alternatives are available to employees who are allergic to the gloves normally provided.

25. When to Wear Eye Protection? Wear mask, eye protection or face shield if splashes, spray, splatters or droplets are anticipated.

26. Personal Protective Equipment Policies and Procedures • Wear PPE at all times when required • Remove PPE immediately or as soon as feasible when garment is contaminated. • Remove PPE prior to leaving work area and placed in designated area for storage, washing, decontamination or disposal. • Replace single use disposable gloves as soon as feasible when contaminated or punctured, and when task is completed. Do not wash or decontaminate disposable gloves for reuse. • Decontaminate non-disposable gloves if intact. Discard when cracked, peeled, torn, punctured, or show signs of deterioration.

27. Contaminated Sharps Policy Statement Precautions shall be observed when handling contaminated disposable or reusable sharps. PURPOSE: To prevent exposure to blood or other potentially infectious material by sharp objects.

28. Contaminated Sharps Procedures • Learn where sharps containers are located in your work area. • Dispose of sharps container when 3/4 full and place in designated area for pickup. Do not allow containers to be overfilled. • Place contaminated disposable sharps directly into sharps container. • Never compact trash into wastebaskets with hands or feet.

29. Infectious Wastes Policy Statement Infectious wastes shall be identified, segregated where it is generated and contained during collection, transportation and storage. PURPOSE: To prevent injury and exposure to blood or other potentially infectious materials.

30. Infectious Wastes Waste Designations • Sharps -- Dispose into sharps container. • Infectious Waste -- Dispose into red bag (biohazard bag). • Solid Waste -- Dispose into regular garbage.

31. Infectious Wastes Procedures • Sharps -- Dispose into sharps container. • Here at the MU, we have a Sharps Container in the tool-shop and • another in the Ballroom Custodial Closet. Notify your Coordinator • when it is more than ¾ filled. • Infectious Waste -- Dispose into red bag (biohazard bag). • Here at the MU, we have a “Bio-Bucket” in the Ballroom Custodial • Closet. It contains bags and some PPE you might need to clean up • a bio-hazard mess. The red bag of mess gets placed in the bucket • and you notify your Coordinator or Building Manager that we need • an EH&S pickup. • Solid Waste -- Dispose into regular garbage.

32. Infectious Wastes Procedures • Wear gloves when handling infectious waste containers. • Segregate infectious waste from regular garbage at the point of use. • Place infectious waste into red bag. • Close infectious waste containers or red bags prior to transport. • Place into a second bag if the outside of the container is contaminated. • Transport directly to designated area for pickup by infectious waste contract service. (OSU Environmental Health Services) • Never place red bags into regular garbage.

33. Biohazard Communication Policy Statement Biohazard signs or red/orange color coding shall be used to identify containers of blood or other infectious materials. PURPOSE: To provide a warning of a potential bloodborne pathogens hazard to employees.

34. Biohazard Communication Procedures • Wear gloves when handling containers marked with biohazard markings. • Handle all containers marked with biohazard markings according to policies and procedures. • Never place any containers marked with biohazard markings into regular garbage.

35. Bloodborne Pathogen Cleanup Procedures -- Minor Spills Install warning signs like wet floor signs or floor cones to warn others of the potential danger. Put on the appropriate PPE including gloves. Apply the appropriate disinfectant and follow label directions. (Hepastat 256) Contain and remove the spill using an absorbent barrier like a paper towel. Dispose of the towel into a biohazard bag once it has absorbed the fluid.

36. Bloodborne Pathogen Cleanup Procedures -- Minor Spills continued… Once the fluid has been removed, clean the area again using Hepastat Dispose of all contaminated materials into the biohazard bags. Carefully remove dispose of gloves. Remove warning tape and/or wet floor signs. Wash hands properly with antiseptic hand soap.

37. Bloodborne Pathogen Cleanup Procedures Major Spills on Hard Floors Install warning signs like wet floor signs or warning tape to warn others of the potential danger. Put on the appropriate PPE including gloves, boots, coveralls etc…. Apply the disinfectant solution to the spill using the mop without allowing the mop head to touch the spill. Allow solution time to work. Using the mop, pick up the spill until it is gone. (the Hepastat has neutralized the BBP so it is now ok for the mop to make contact with the mess).

38. Bloodborne Pathogen Cleanup Procedures Major Spills on Hard Floors continued… • Dispose of the contaminated solution in the mop bucket. • Pour it down the drain on the dock, followed by a water & Hepastat rinse. • Mop the soiled area again using a clean mop and disinfectant solution. • Dispose of all contaminated materials into the biohazard bags. • Carefully remove and properly clean, store or dispose of gloves and PPE. • Remove warning tape and/or wet floor signs. • Properly cleanup mop bucket, mop and other equipment. • Wash hands properly with antiseptic hand soap.

39. Bloodborne Pathogen Cleanup Procedures Major Spills on Carpets • Install warning signs like wet floor signs or warning tape to warn others of the potential danger. • Wash hands properly with antiseptic hand soap. • Put on the appropriate PPE including gloves. • Apply the disinfectant solution to the spill using the mop without allowing the mop head to touch the spill. Allow solution time to work. • Using a wet-dry vacuum or extractor to pick up the spill until it is gone. • Apply the disinfectant solution and wet-dry vacuum or extractor again until the spill is gone. • Empty and cleanup the mop bucket, extractor or wet-dry vacuum. • Dispose of all contaminated materials into the biohazard bags. • Carefully remove and properly clean, store or dispose of gloves. • Remove warning tape and/or wet floor signs. • Wash hands properly with antiseptic hand soap.

40. Sanitary Guidelines • Use a "quat" hospital strength, disinfectant-cleaner for most surfaces. • Use intermediate level (TB or HIV/HBV effective) disinfectant cleaner when gross contamination is present. • Use universal precaution when approaching surfaces with gross contamination of blood or body fluids. • Require good cleaning and hygiene practices be followed at all times. • Require wearing of appropriate PPE at all times during cleaning and disinfection.

41. Clean-Up Procedures for Gross Contamination • Wear appropriate PPE • Remove gross contamination • Dispose of gross contamination • Use TB or HIV/HBV effective product • Dispose of PPE • Wash hands thoroughly

42. Ways Workers Can Protect Themselves • Watch for hazard warning labels • Read product labels • Follow Safety Guidelines • Ask for assistance • Review the MSDS

43. Hand and Skin Protection • Wear appropriate gloves • Inspect gloves before use • Discard damaged gloves immediately • Keep gloves washed and clean

44. Chemical Safety Guidelines • Never remove or deface labels • Label all secondary containers • Never mix chemicals • Measure chemicals accurately • Avoid spraying fine mists • Wear PPE at all times during work • No food or drink while using chemicals

45. Some Additional Protection Guidelines • Store chemicals safely and securely • Beware storing chemicals above eye level • Never take chemicals home from work • Don't inhale chemicals from container • Never remove and leave lids off containers • Don't allow access to chemicals by untrained or unauthorized personnel

46. This is the end of our presentation about the OSHA Bloodborne Pathogens Standard It is now time for your questions!