This section discusses background information on bloodborne pathogens, why training is necessary and takes a closer look at the importance of the Exposure Control Plan. Most chronically-infected people are unaware of their infection because they are not showing symptoms of clinical illness. Diseases that are not typically transmitted directly by blood contact, but instead by insect or other vector, are more commonly classified as vector-borne disease, despite the causative agent can be found in the blood. Common BBP include: Human immunodeficiency virus (HIV); hepatitis B Virus (HBV); hepatitis C virus (HCV). Bloodborne pathogens and workplace sharps injuries. Controlling Exposure to Bloodborne Pathogens. As it is difficult to determine what pathogens are within any given blood sample, and since some bloodborne diseases are lethal, the universal precautions rule regarding blood and any bodily fluid states, "treat all human blood, bodily fluids, and other potentially infectious materials as if they are infectious." The form may be found at https://biosafety.utk.edu/emergency-response/, or by contacting the Biosafety Office at 974-5547. Paid employees must complete the Worker’s Compensation forms as soon as possible. If an exposure incident does occur, it is important to immediately clean and sanitize the area of contact, write down what happened, and notify proper personnel before seeking immediate medical attention. This plan is a workplace-specific document that outlines jobs/tasks with BBP risk, methods of exposure control, and employer and employee administrative responsibilities. Workers in many professions, including first aid personnel, housekeeping employees, nurses and other healthcare personnel, and teachers and educators may be at risk of exposure to bloodborne pathogens. ); and a sharps injury log must be maintained. For a person to protect themselves it is essential to have a barrier between them and the potentially infectious material. A health care facility is made up of many more people than direct-care staff. Although many employees may not be directly involved with patients, the potential for exposure to pathogens is always present. These microorganisms include but are not limited to human immunodeficiency virus (HIV), hepatitis B (HBV), and hepatitis C (HCV). Good laboratory and personal hygiene practices. These include: urine, feces, vomit, sweat, tears, saliva, or nasal secretions. The Occupational Safety and Health Administration defines bloodborne pathogens as: “Infectious microorganisms in human blood that can cause disease in humans. If you are aware of a hazard, communicate it to fellow lab personnel. The symptoms of HIV infection can mirror many of the symptoms of the flu. Without it, physicians are likely to take the most conservative approach and start antiviral therapies (some of which can have serious side effects). Refer to the manufacturer’s instructions for proper dilution, contact time, and use of the disinfectant. phlebotomy, finger sticks, etc. Individuals not listed on the UT payroll may be personally responsible for medical costs. A briefing of personnel who may be exposed to pathogens directly. Bloodborne pathogens, infectious microorganisms, are found in human blood that can lead to disease in humans. All employers with workers who have a reasonably anticipated risk for BBP exposure must provide an ECP. Training 5 or more people? For additional information, see http://riskmanagement.tennessee.edu or contact (865) 974-5409. These steps can teach you how to respond (Figure 1). The table below summarizes key features of the most commonly occurring BBP (in the U.S.): Researchers and lab personnel are among the occupations that are at risk of being exposed to BBPs and will fall under the specific OSHA regulations designed to reduce occupational risk of infection. Most bloodborne pathogens do not cause immediate symptoms, but they can still be transmitted to other individuals. ); unfixed tissues/organs (other than intact skin of human origin); cell or tissue cultures that may contain BBPs; organ cultures, culture medium or other solutions that may contain BBPs; experimental animals infected with BBPs. This helps to inform the medical risk assessment and course of treatment. Clean the surfaces of visible debris before disinfection with a 1:10 bleach solution or with a disinfectant that is EPA-registered for the destruction of HIV and HBV. However, there are … Proactive vaccination protocols for Hepatitis B. Communication measures used to educate employees, such as this course. It is important because it: It is important to take any information that you may have regarding the materials to which you were exposed. Bloodborne Pathogens: Questions and Answers about Occupational Exposure, Bloodborne Pathogens Training Self Study Guide, What to do When Someone is Having an Asthma Attack. present in human blood that can cause disease. Moreover, HIV infection increases the risk of contracting other diseases and developing acquired immune deficiency syndrome (AIDS). Furthermore, some bloodborne pathogens can result in death. If you have started the series and failed to complete it, your employer may send you for a blood draw to verify the presence of Hepatitis B antibodies. The risk of infection through a needlestick exposure for HBV is much higher than for HIV or HCV. It is part of the three-set series, and each dose must be spaced out by approximately one month. Universal precautions approximate BSL-2 practices and include the following: All employers are required to minimize the risk of needlesticks under the authority of the Needlestick Safety and Prevent Act which is part of the Bloodborne Pathogens standard. Eliminate or reduce the use of sharps devices if possible. ; 2) splashes of blood or OPIM come into contact with mucous membranes around the eyes, nose or mouth; or 3) transmission occurs through sexual intercourse or from the mother to the unborn child. Allows accurate evaluation of exposure risk by a medical professional; Increases the chance of identifying and testing the source of blood/OPIM; and. Contact the Biosafety Office for more information about the Hepatitis B vaccine if interested. Forms are to be remitted to the Risk Management Office. Exposure to bloodborne pathogens in the workplace can literally happen anywhere, including bathrooms, patient rooms, hallways, and laboratories. Unpaid volunteers may report to the health care provider of their choice. Employees in a facility may include nurses, unit coordinators, quality-assurance personnel, administrative professionals, sanitation workers and more. OPIMs in clinical or lab settings include: human blood products (serum, plasma, albumin, various factors, etc. The plan should describe how a workplace or employer will ensure proper training, medical training, vaccinations when availaible, appropriate labels for hazardous materials, and the use of personal protective equipment (PPE). Some human body fluids are not considered to be a BBP hazard unless they are visibly contaminated with blood. Rules regarding research or production of antibodies of deadly bloodborne pathogens, such as Hepatitis B and the human immunodeficiency virus (HIV). Safer sharps resources and evaluation forms can be found in the Exposure Control Plan or on the Biosafety website. It is imperative that all lab personnel working with human derived materials know the location of and be able to access the current year’s ECP. These pathogens may be transmitted by any substance that may contain blood, including sneeze droplets, urine, feces, seminal fluid, and all other bodily fluids. Environmental Health & Safety, 1425 Tee Martin Drive OSHA mandates initial and annual recurrent training for all affected personnel.