Difference between revisions of "Bloodborne Pathogens"

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== Medical Records ==
 
== Medical Records ==
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== Exposure Control Plan ==
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=== Required elements: ===
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# Exposure determination identifying job classifications with occupational exposure and the specific tasks/procedures where exposure occurs.
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# Procedures for evaluating circumstances of exposure incidents.
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# A schedule of how other provisions of the BBP standard are implemented.  Methods of compliance include:
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## Universal Precautions
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## Engineering and work practice controls
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## PPE
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## Housekeeping (decon. & waste removal)
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# Documentation of:
 +
## Annual consideration/implementation of safer medical devices
 +
## Solicitation of non-managerial employees representing all areas where exposure can occur in updating engineering and work practice controls.
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# Reviewed and updated annually and when tasks/procedures/positions change.
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== Removing BBP ==
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=== Sources of Terminology ===
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* http://www.cdc.gov/oralhealth/infectioncontrol/glossary.htm
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* http://www.midsussex.gov.uk/8172.htm?pageID=1783
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* Wikipedia
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=== Terms Related to Removal of BBP ===
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{| class="wikitable"
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|'''Surfaces (non-living)'''
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|'''Living Tissue'''
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|'''Both'''
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|-
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|Disinfectants
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|Antibiotics
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|Biocides
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|-
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|Sanitizers
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|Antiseptics
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|
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|-
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|Sterilization
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|
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|
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|}
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'''Sterilization'''
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* Destroys all microorganisms including large numbers of resistant bacterial spores.
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'''Disinfection'''
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* Destroys most microorganisms but not necessarily all microbial forms, such as bacterial spores.
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'''Sanitization'''
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* Combination of cleaning and disinfecting the surface.
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Sterilization  >  Disinfection  ≈  Sanitization
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=== Types of Removing Agents ===
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[add]
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* http://www.health.ny.gov/professionals/protocols_and_guidelines/antibiotic_resistance/docs/hospital_disinfectants_for_general_disinfection_of_environmental_surfaces.pdf
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== Modifications to the BBP standard required under the Needlestick Safety and Prevention Act ==
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Categorized into four categories:
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# Modification of definitions relating to engineering controls;
 +
# Revision and updating of the Exposure Control Plan;
 +
# Solicitation of employee input; and
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# Recordkeeping
 +
 +
=== 1.  Modification of definitions relating to engineering controls ===
 +
* Added "Sharps with Engineered Sharps Injury Protections"
 +
* Added "Needleless Systems"
 +
* Modified "Engineering Controls" by adding "safer medical devices…."
 +
 +
=== 2.  Revision and updating of the Exposure Control Plan ===
 +
* During annual review and update of the ECP, consider new technology that may be safer and document this consideration and, if applicable, implementation.
 +
 +
=== 3.  Solicitation of employee input ===
 +
* Solicit non-managerial  employees who are responsible for direct patient care for input on engineering controls and work practice controls.
 +
* Not all employees but a representation of all ranges of exposure types.
 +
* Document this solicitation.
 +
 +
=== 4.  Recordkeeping ===
 +
* Require a sharps injury log; except for those not required to keep injury and illness logs (OSHA-300/301).
 +
* Minimum info: Device involved, location of incident, description of events
 +
* Log can contain personal info but only if employee's personal info is withheld when sharing data with other parties.
 +
* No specific format required.
 +
* OSHA-300 logs and 301 forms can be used as long as:
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** Type and brand of device is included (either 300 or 301)
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** Recorded in such a way that it segregates sharps sticks from other illness/injuries; or allows them to be easily separated (e.g., computer filter; separate page of paper; etc.)
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* [https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=9639 1904.8] already requires sharps injuries involving contaminated instruments to be recorded in 300/301 forms.
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== Miscellaneous ==
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* If any potentially infectious material is released on to a surface that may be contacted by employees, that surface must be disinfected. (''Diane's email 1/29/2014'')
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[[Category:Health]]

Latest revision as of 01:56, 12 August 2017

Medical Records

Exposure Control Plan

Required elements:

  1. Exposure determination identifying job classifications with occupational exposure and the specific tasks/procedures where exposure occurs.
  2. Procedures for evaluating circumstances of exposure incidents.
  3. A schedule of how other provisions of the BBP standard are implemented.  Methods of compliance include:
    1. Universal Precautions
    2. Engineering and work practice controls
    3. PPE
    4. Housekeeping (decon. & waste removal)
  4. Documentation of:
    1. Annual consideration/implementation of safer medical devices
    2. Solicitation of non-managerial employees representing all areas where exposure can occur in updating engineering and work practice controls.
  5. Reviewed and updated annually and when tasks/procedures/positions change.

Removing BBP

Sources of Terminology

Terms Related to Removal of BBP

Surfaces (non-living) Living Tissue Both
Disinfectants Antibiotics Biocides
Sanitizers Antiseptics
Sterilization

Sterilization

  • Destroys all microorganisms including large numbers of resistant bacterial spores.

Disinfection

  • Destroys most microorganisms but not necessarily all microbial forms, such as bacterial spores.

Sanitization

  • Combination of cleaning and disinfecting the surface.

Sterilization  >  Disinfection  ≈  Sanitization

Types of Removing Agents

[add]

Modifications to the BBP standard required under the Needlestick Safety and Prevention Act

Categorized into four categories:

  1. Modification of definitions relating to engineering controls;
  2. Revision and updating of the Exposure Control Plan;
  3. Solicitation of employee input; and
  4. Recordkeeping

1.  Modification of definitions relating to engineering controls

  • Added "Sharps with Engineered Sharps Injury Protections"
  • Added "Needleless Systems"
  • Modified "Engineering Controls" by adding "safer medical devices…."

2.  Revision and updating of the Exposure Control Plan

  • During annual review and update of the ECP, consider new technology that may be safer and document this consideration and, if applicable, implementation.

3.  Solicitation of employee input

  • Solicit non-managerial  employees who are responsible for direct patient care for input on engineering controls and work practice controls.
  • Not all employees but a representation of all ranges of exposure types.
  • Document this solicitation.

4.  Recordkeeping

  • Require a sharps injury log; except for those not required to keep injury and illness logs (OSHA-300/301).
  • Minimum info: Device involved, location of incident, description of events
  • Log can contain personal info but only if employee's personal info is withheld when sharing data with other parties.
  • No specific format required.
  • OSHA-300 logs and 301 forms can be used as long as:
    • Type and brand of device is included (either 300 or 301)
    • Recorded in such a way that it segregates sharps sticks from other illness/injuries; or allows them to be easily separated (e.g., computer filter; separate page of paper; etc.)
  • 1904.8 already requires sharps injuries involving contaminated instruments to be recorded in 300/301 forms.

Miscellaneous

  • If any potentially infectious material is released on to a surface that may be contacted by employees, that surface must be disinfected. (Diane's email 1/29/2014)
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