1910.1030, Bloodborne pathogens

Bloodborne pathogens

• This is the most frequently requested and referenced OSHA standard affecting medical and dental offices.

Basic Requirements

• A written exposure control plan, to be updated annually
• Use of universal precautions
• Consideration, implementation, and use of safer, engineered needles and sharps

Basic Requirements

• Use of engineering and work practice controls and appropriate personal protective equipment (gloves, face and eye protection, gowns)
• Hepatitis B vaccine provided to exposed employees at no cost
• Medical follow-up in the event of an “exposure incident”

Basic Requirements

• Use of labels or color-coding for items such as sharps disposal boxes and containers for regulated waste, contaminated laundry, and certain specimens.
• Employee training
• Proper containment of all regulated waste

PPE

• General standards: 29 CFR 1910 General Industry, subpart I - PPE, subparts with additional requirements F-H, J, N, Q-T & Z. Consensus standards incorporated by reference: Eye, face, Head, Foot, and Electrical Protection

PPE

• General standards: 29 CFR 1910 General Industry, subpart I - PPE, subparts with additional requirements F-H, J, N, Q-T & Z. Consensus standards incorporated by reference: Eye, face, Head, Foot, and Electrical Protection

PPE

• Assessment to determine what PPE is required, each employer must conduct a certified assessment of the workplace for hazards and job activities that necessitate the use of PPE.

PPE - safety glasses

• used to protect from moderate impact from particles and flying objects
• Not good for protection against fine dust, liquid, splashes and vapors

PPE - safety glasses

• Need to be comfortable, durable, easy to clean, and not restrict vision or movement must not interfere with the function of other required PPE most come with side shields and some available with magnifiers
• Impact resistant glasses will have the ANSI Z87.1 symbol

PPE - Other

• Respiratory Protection
• Hearing Protection
• Hand and Arm Protection must protect against the specific hazard(s) encountered by employees should be durable, easy to clean or disposable

PPE - Other

• Employee comfort and dexterity may be important factors in choosing gloves multiple sizes may be required for the same glove typel

Needle stick Protocol

Sterilization

Waterlines

Tuberculosis

1910.1030, Bloodborne pathogens

Housekeeping