Text For Citation: 01 Item/Group: 001 Hazard: BLOODBORNE

SECTION 1-20(A) PF THE EXECITOVE PRDER 12196 OF FEBRUARY 26, 1980: THE HEAD OF THE AGENCY DID NOT FURNISH EMPLOYEES PLACES AND CONDITIONS OF EMPLOYMENT THAT WERE FREE FROM RECOGNIZED HAZARDS THAT WERE CAUSING OR WERE LIKELY TO CAUSE DEATH OR SERIOUS PHYSICAL HARM TO EMPLOYEES IN THAT: A) HEALTH CARE WORKERS WERE EXPOSED TO THE HAZARDS OF EXPOSURE TO AND CONTRACTION OF HEPATITIS B VIRUS (HBV) AND/OR HUMAN IMMOUNODEFICIENCY VIRUS (HIV), THROUGH POSSIBLE DIRECT CONTACT WITH INFECTIOUS BLOOD OR OTHER BODY FLUIDS. HEALTH CARE WORKERS POTENTIALLY EXPOSED INCLUDE THE DOCTOR, NURSES AND CUSTODIAL EMPLOYEES. FEASIBLE AND USEFUL ABATEMENT METHODS FOR REDUCING THIS HAZARD, AMONG OTHERS, ARE: 1) PROVIDE SUFFICIENT TRAINING TO EMPLOYEES IN THE UTILIZATION OF UNIVERSAL PRECAUTIONS AS DESCRIBED IN CDC GUIDELINES, FOR PROTECTION AGAINST HIV AND HBV. TRAINING SHOULD PROVIDE EMPLOYEES INFORMATION NECESSARY TO DETERMINE WHEN APPROPRIATE UNIVERSAL PRECAUTIONS SHOULD BE FOLLOWED. 2) PROVIDE TRAINING REGARDING THE LOCATION AND PROPER USE OF PERSONOL PROTECTIVE EQUIPMENT SUCH AS; LATEX OR INTACT VINYL GLOVES, GOWNS, MASKS AND EYE PROTECTION WHEN NEEDED. 3) PROVIDE TRAINING ON NECESSARY EQUIPMENT, SUCH AS, MOUTHPIECES, RESUSCITATION BAGS, OR OTHER MOUTH TO MOUTH DEVICES PROVIDED ADMINISTRATION OF MOUTH TO MOUTH RESUSCITATION ON POTENTIALLY INFECTED PATIENTS. 4) PROVIDE HOUSEKEEPING GUIDELINES AND ADDRESS THE PROPER PRECAUTIONS TO BE TAKEN WHILE CLEANING BLOOD SPILLS INVOLVING SUBSTANTIAL RISK OF DIRECT EXPOSURE TO BODY FLUIDS. FOLLOW CDC GUIDELINES REGARDING USE OF APPROPRIATE DISINFECTANT SOLUTIONS FOR SANITARY CLEANING OF CONTAMINATED SURFACES. 5) TRAINING SHALL BE DEVELOPED BASED UPON WORK PROCEDURES FOR EMPLOYEES ASSIGNED JOBS. THE TRAINING SHALL BE GIVEN TO ALL EMPLOYEES POTENTIALLY EXPOSED TO BLOOD BORNE INFECTIOUS AGENTS AND MANAGEMENT PERSONNEL AFFECTED. THE TRAINING PROGRAM SHALL BE REPEATED ON AN AS NEEDED BASIS. 6) EMPLOYEES SHALL BE INSTRUCTED THAT OBJECTS SUCH AS BLOOD SOAKED CLOTHING, MOPS, RAGS AND LARGE BANDAGES THAT ARE CONTAMINATED WITH POTENTIALLY INFECTIOUS MATERIAL SHALL BE PLACED IN AN IMPERVIOUS BAG THAT IS TAGGED AS A BIOHAZARD OR HAS A SIMILAR DESIGNATION. 7) EMPLOYEES SHALL BE INFORMED THAT AFTER REMOVING GLOVES, HANDS OR OTHER SKIN SURFACES SHALL BE WASHED THOROUGHLY AND IMMEDIATELY AFTER CONTACT WITH BODY FLUIDS. 8) ALL EMPLOYEES WHO MAY BE POTENTIALLY EXPOSED TO HEPATITIS B SHALL BE OFFERED THE HEPATITIS B VACCINATION IN AMOUNTS AND AT TIMES PRESCRIBED BY STANDARD MEDICAL PRACTICE.