Michigan Virtual Bloodborne Pathogens
29 community-sourced questions and answers. Free — no login.
what is the federal standard for blood borne pathogens?
29 CFR 19.10.1030
what is the state standard for blood borne pathogens?
part 554 blood borne infectious disease
what is the scope of blood borne pathogens?
to protect workers against possible contamination form blood borne infectious diseases
when should you comply with the blood borne pathogen(BBP) regulations?
if there is an actual or reasonable anticipated risk of exposure to blood/ opim during routine tasks
what are the 2 primary BBP mentioned in regulations?
HIV and hepatitis B (HBV)
what is an OPIM?
other potentially infectious material
what are some examples of OPIM
semen, vaginal secretions, amniotic fluid, pleural fluid, pericardial fluid, synovial fluid, cerebrospinal fluid
what are sharps?
contaminated objects that can penetrate the skin (needles, lancets, broken glass)
What is category A??
reasonable anticipated exposure- non routine tasks as a condition of employment
what is category B?
no anticipated exposure- not everyone in a large health care facility is covered by standard
what are the elements of an exposure control plan?
1) exposure determination 2) implementation of the rules 3) training outline 4) incident reporting and evaluation 5) SOP 6) annual review 7) available to employees
what are universal precautions
- blood and OPIM are treated as infectious material - treat all body fluids in a health care setting as contaminated with a pathogen
what are engineering controls?
reduce exposure by design
examples of engineering controls
- self sheathing needles - sharps containers -sinks, water, soap, towels
work practices
reduce exposure by work habits - wearing gloves - wash hands -use sharps container -no food in BBP area
What is a SOP?
standard operating procedure -each task should have a written procedure to reduce risk of exposure
examples of PPE
-gloves protective eyewear - face shield -gown etc
what does Don mean?
put on PPE
what does doff mean?
take off PPE
what SOP are used in housekeeping?
-wear PPE - recordkeeping
how is regulated waste determined?
michigan medical waste regulatory act- part 138 - determines each item to go into medical waste or non regulated waste,( regular trash)
Regulated waste
-liquified blood/semiliquid blood - contaminated items that would release blood/fluid if compressed - caked w/ sharps - contaminated sharps
non regulated waste example
- gauze, stained with blood - sanitary napkins saturated with blood -gloves stained with blood
who is responsible for employee's personal protective equipment ( such as a lab coat)
-employers responsibility
what are the requirements for the HBV vaccine?
-employers provide vaccination -offered within 10 days -employee may decline
what is a waiver? what does it mean?
piece of paper the employee signs saying they were offered vaccine, protective for employment agency
what should be included in a post-exposure plan?
- evaluation -confidential -route of exposure -source of individual testing -exposed individual blood test -post exposure prophylaxis -counseling -evaluation of illnesses -follow up
what should be included in record keeping?
- training - post exposure -sharps injury log
what should be included in training?
-outline - qualifications of trainer - law - access to plan - annual retraining
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