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Bloodborne Pathogens Standard, 29 CFR 1910.1030. NJ Department of Health and Senior Services PEOSH Program (609) 984-1863. Bloodborne Pathogens Standard. 29 CFR 1910.1030, Occupational Exposure to Bloodborne Pathogens Published December 1991 Effective March 1992 (Private Employers)
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Bloodborne Pathogens Standard, 29 CFR 1910.1030 NJ Department of Health and Senior Services PEOSH Program (609) 984-1863
Bloodborne Pathogens Standard • 29 CFR 1910.1030, Occupational Exposure to Bloodborne Pathogens • Published December 1991 • Effective March 1992 (Private Employers) • Adopted Under NJ PEOSHA July 1993 • Scope • ALL with occupational exposure to blood and other potentially infectious material (OPIM)
Routes of Exposure • Exposure incident means a specific contact with blood or OPIM through: • Cuts, Cracks or Abrasions in the Skin • Splashing or Spraying of Blood or OPIM in the Eyes, Mouth, or Nose • Puncture Wounds from Contaminated Sharps (needles, broken glass, or other medical devices)
Methods of Compliance • Universal Precautions • Engineering and Work Practice Controls • Personal protective equipment • Housekeeping
Universal Precautions • An infection control concept that requires all blood and OPIM to be handled as if it were infected with bloodborne pathogens.
Work Practice Controls • Wash Hands Immediately After Glove Removal • Decontaminate Equipment Before Servicing • Use labeled or Color-Coded Bio Hazard Containers • Do Not Eat, Drink, Smoke, etc. in Work Areas • Do Not Recap, Bend or Break Needles
Exposure Control Plan • Written plan to eliminate or minimize exposures to bloodborne pathogens • List job classifications at risk (exposure determination) • ID procedures in which occupational exposure can occur • Explain how the Standard will be complied with • How employees will be protected • How employees will be trained • Person to contact if an exposure occurs
Hepatitis B Vaccination • Made available to employees after training and within 10 working days of initial assignment • A declination form must be signed if vaccination is refused by the employee • Post-exposure follow-up is required to be provided to an employee after an exposure incident
Hepatitis B Vaccination • Current Recommendations • For HCP who are in contact with patients and/or blood and continues to be at risk for percutaneous exposure, they must be: • tested 1-2 months after completion of the vaccination for antibody titer. Source: CDC, MMWR, June 29, 2001/Vol.50/No. RR-11
Hepatitis B Vaccine • 3 – Dose Series • How long the protective effect in healthy adults last is unknown at present; currently no booster is required.
Bloodborne Pathogens Standard, 29 CFR 1910.1030 • Review of Facility-Specific Exposure Control Plan • Additional Question and Answer Period