OSHA Bloodborne Pathogens Standard Training

Safety Training
OSHA
Bloodborne Pathogens Standard
2006 - 2007
What You Should Learn
From This Training Program
 Upon completion of this training program, you should be

able to:
– Describe at least four (4) components of our Exposure
Control Plan;
– Understand terms related to Bloodborne Pathogens;
– Identify our Engineering and Work Practice Controls;
– Understand the types and concepts of using Personal
Protective Equipment (PPE);
– Understand the concepts of reporting exposure incidents;
– Understand our Hepatitis B Vaccination program;
– Identify our warning labels and signs; and
– Review and obtain copies of our Exposure Control Plan
and OSHA’s Bloodborne Pathogens Standard.
© 2006 The Compliance Store, LLC 2

What is an
Exposure Control Plan?
 Our company’s Exposure Control Plan is a written

document that outlines how we eliminate or
minimize an occupational exposure to blood, body
fluids, and/or other potentially infectious materials
at work.
 There are many components to our Exposure
Control Plan. Each will be reviewed during this
training program.
 Be sure to ask your instructor to explain any areas
that you do not understand.

Who Requires us to Have an
Exposure Control Plan?
 In 1991, OSHA passed a law called the

Bloodborne Pathogens Standard.
 The primary purpose of the law is to protect
employees from an occupational exposure to
blood, body fluids, and other potentially
infectious materials while at work.
 Since it is our goal to provide you with a safe
and healthful workplace, the OSHA standard
has been adopted by us and was used in the
development of our Exposure Control Plan.

What do you mean by
“Occupational Exposure?”
 “Occupational Exposure” means reasonably

anticipated skin, eye, mucous membrane, non-
intact skin, or parenteral contact with blood or
other potentially infectious materials that may
result from the performance of your duties.
 This definition also includes the “potential” for
contact as well as “actual” contact with blood
or other potentially infectious materials.

What is “Other Potentially
Infectious Materials?”
 “OPIM”, as it is sometimes referred to, are

materials in addition to human blood that may be
capable of transmitting bloodborne pathogens.
These include:
 Semen, Vaginal Secretions, Cerebrospinal Fluid,
Synovial Fluid, Pleural Fluid, Pericardial Fluid,
Amniotic Fluid, and Saliva in Dental Settings.
 It also includes any body fluid that is visibly
contaminated with blood, and all body fluids in
situations where it is difficult or impossible to
differentiate between body fluids.
What is “Other Potentially
Infectious Materials?”
OPIM also includes:

 Any unfixed tissue or organ (other than intact skin)
from a human (living or dead);
 HIV-containing cell or tissue cultures, organ cultures,
and HIV or HBV-containing culture media or other
solutions as well as human cell / tissue / organ
cultures not shown to be free of bloodborne
pathogens.
 Blood, organs, or other tissues from experimental
animals infected with human bloodborne pathogens.
Are There Other Terms I
Need to Know?
Other terms that may be helpful to you include:

 Blood -
– Means human blood, human blood components, and
products made from human blood.
 Contaminated -
– Means the presence or the reasonably anticipated
presence of blood or other potentially infectious
materials on an item or surface.

More Helpful Terms
 Contaminated Laundry -
– Means laundry which has been soiled with blood or
other potentially infectious materials (OPIM) or may
contain sharps.
 Contaminated Sharps -
– Means any contaminated object that can penetrate
the skin including, but not limited to, needles,
scalpels, broken glass, broken capillary tubes, and
exposed ends of dental wires.

And More Helpful Terms
 Decontamination -
– Means the use of physical or chemical means to
remove, inactivate, or destroy bloodborne pathogens
on a surface or item to the point where they are no
longer capable of transmitting infectious particles
and the surface or item is rendered safe for handling,
use, or disposal.
 HBV -
– Means Hepatitis B Virus.

 HIV -
– Means Human Immunodeficiency Virus.
 Exposure Incident -
– Means a specific eye, mouth, other mucous
membrane, non-intact skin, or parenteral contact
with blood or other potentially infectious materials
(OPIM) that results from the performance of an
employee’s duties.

 Parenteral -
– Means piercing mucous membranes or the skin
barrier through such events as needlesticks, human
bites, cuts, and abrasions.
 Personal Protective Equipment -

– Means specialized clothing or equipment worn by an
employee for protection against a hazard. General
work clothes (e.g., uniforms, pants, shirts or
blouses) not intended to function as protection
against a hazard is not considered personal
protective equipment.
 Source Individual -
– Means any individual, living or dead, whose blood or
other potentially infectious materials may be a
source of occupational exposure to the employee.
 Universal/Standard Precautions -
– Means an approach to infection control. According
to the concepts of Universal/Standard Precautions,
all human blood and certain human body fluids are
treated as if known to be infectious for HIV, HBV, and
other bloodborne pathogens.
What Kind Of Information Is In
Our Exposure Control Plan?
Our Exposure Control Plan is separated into

the following components:
 Exposure Determinations;
 Engineering and Work Practice Controls;
 Personal Protective Equipment;
 Housekeeping Procedures;
 Hepatitis B Vaccination;
And MORE Components of our
Exposure Control Plan
 Post-Exposure Follow-Up;
 Labels and Signs;
 Information and Training; and
 Recordkeeping.
 Each of these components will be
reviewed during this program.
Our Company and
Exposure Determinations
 We have identified all the job classifications

and the tasks and procedures in which our
employees perform that may have an
actual/potential for exposure to blood or OPIM.
 We have committees and other individuals who
conduct, evaluate, and periodically review
exposure determinations.
 We conduct exposure determinations without
regard to the use of personal protective
equipment.
Our Company and
Exposure Determinations
 Because our profession has constant changes in the

method(s) in which we perform certain tasks and
procedures, exposure determination is a company-
wide process.
 You are encouraged to help us in this evaluation by
reporting the types of tasks or procedures you
perform in which exposure to blood or OPIM
occurred.
 Your supervisor will review your job description with
you and will review tasks and procedures in which
actual/potential for exposure to blood or OPIM exits.
Engineering Controls
 One of the most effective methods we use in protecting you

from potential exposure to blood or OPIM, is the use of
engineering controls. These controls include:
 Handwashing Facilities:
– Handwashing facilities are provided throughout our
building and are easily accessible.
– Should a situation arise where running water is not
readily available to you, waterless antiseptic hand
cleaners or antiseptic towelettes must be used.
– When waterless antiseptic hand cleansers or antiseptic
towelettes are used, you must wash your hands with
soap and water as soon as can.
More Engineering Controls
 Emergency Eyewash Stations:

– Eyewash stations are located near areas where you
perform tasks that may produce splashes of potentially
infectious materials.
– It is very important that Emergency Eyewash Stations
be kept clear of items that hinder accessibility or proper
function.
– Promptly report problem areas to your supervisor.
– You will be trained on the proper use of eyewash
stations before performing tasks that may produce
splashes or sprays of blood or OPIM.
 Safe Sharps Devices:

– To aid in preventing needlestick injuries, we use a
variety of safe sharps devices to include:
 Self-sheathing needles / syringes.
 Hypodermic syringes with “Retractable
Technology” safety feature.
 Phlebotomy needles with “self-blunting” safety
feature.
 Retracting lancets with safety features.
 Disposable scalpels with shield and other safety
features.
Biohazardous Sharps Containers:

 We us biohazardous containers to properly store
and dispose of contaminated sharps.
 Our disposable biohazardous sharps containers
are designed to isolate the cut or puncture
hazard associated with handling sharp items
such as needles, scalpels, etc.
 We also use similar types of containers for our
reusable contaminated sharps.

 Our Biohazardous Sharps Containers are:

– Puncture-resistant;
– Red in color (or labeled with a biohazard warning
label);
– Leak-proof on the sides and bottom; and
– Closable.
 Should you observe a problem with our sharps
containers, promptly report it to your supervisor.

 Storage and Transport Containers:

– Should it become necessary to store or
transport potentially infectious waste, our
company will use containers designed
specifically for transporting or long-term
storage.
 Should you have questions concerning our
engineering control practices, please ask your
supervisor.

Work Practices
 In order to provide you with a safe and healthful work

environment, we have implemented work practices
that all employees must follow.
 Prior to your being assigned tasks or procedures that
may involve an actual/potential for exposure to blood
or OPIM, you will be trained on how to safely perform
such tasks or procedures.
 As a part of your responsibilities, you will be required
to follow our company’s established policies and
procedures as well as safety measures outlined in our
exposure control plan.
 If you are uncertain about a task, procedure, or other
work practice, be sure to ask your supervisor for
clarification before performing the task or procedure.
Work Practices
(Handwashing)
 Handwashing must be performed:

– After removal of gloves or other personal protective
equipment;
– When visible contamination with blood, body fluids, or
other potentially infectious materials is present;
– Before leaving treatment or exam rooms;
– Before and after contact with patients;
– Before eating, drinking, smoking, applying makeup, and
changing contact lenses.
– After going to the restroom;
– Before leaving the premises; and/or
– Other times when dictated by policy or when hands
become soiled.
Work Practices
(Contaminated Needles/Sharps)
 Contaminated needles and other contaminated

sharps must not be bent, recapped, or removed
unless it can be demonstrated that there is no
feasible alternative.
 In this event, such bending, recapping or
needle removal must be accomplished through
the use of a mechanical device or one-handed
technique.
 Be sure that you contact your supervisor
before performing any task or procedure that
may involve the bending, recapping or needle
removal.
Work Practices
(Contaminated Reusable Sharps)
 Immediately or as soon as possible after use,

contaminated reusable sharps must be placed in
appropriate containers until they can be properly
reprocessed.
 Our containers are:
– Labeled with the biohazard symbol or color-
coded in red;
– Designed in such a manner that you will NOT
have to reach by hand into the container.
Work Practices
(Disposable Contaminated Sharps)
 You must place disposable contaminated

sharps into designated containers immediately,
or as soon as possible, after use.
 Our containers are:
– Closable;
– Labeled with the biohazard symbol or color-
coded in red;

Work Practices
(Personal Protective Equipment)
 Personal Protective Equipment (PPE) is available to

you at no cost.
 Available PPE items include--
– Gloves; -- Gowns;
– Masks; -- Face Shields;
– Lab Coats; -- Safety Glasses;
– Goggles; -- Mouthpieces;
– Caps; -- Shoe Coverings.
 All PPE items are easily accessible and of the
appropriate type and size to safely perform the task or
procedure.
Work Practices
 When using PPE, you must:

– Inspect PPE prior to use to verify that it is in good
condition;
– Remove and discard all PPE before leaving the work
area;
– Wear gloves when—
 Hand contact with potentially infectious
materials is anticipated.
 Handling or touching contaminated items or
surfaces.
 Whenever in doubt.

Work Practices
 Other important issues relative to PPE are:

– Replace disposable gloves as soon as possible after
contamination or immediately when torn, punctured
or otherwise rendered unable to function as an
exposure barrier.
– Report ANY adverse reactions to glove material, or
any known latex allergy to your supervisor so that
appropriate alternative protective devices can be
provided to you.
– Decontaminate reusable gloves (e.g., heavy gauge
nitrile or vinyl) before reuse.
– If utility gloves are cracked, peeling, torn or exhibit
other sign of deterioration, they must be discarded.

Work Practices
 More important issues relative to PPE are:

– Wear eye protection and masks whenever there
is a chance that a splash or spray may generate
droplets of infectious materials.
– Wear protective clothing (e.g., lab coat)
whenever splashes or aerosols of human blood
or OPIM are anticipated.
– Remove and replace compromised or
moderately contaminated PPE as soon as
feasible.
– Wash hands after removal of Personal
Protective Equipment (PPE).
Work Practices
(Housekeeping)
 Established housekeeping guidelines must be followed

to aid in minimizing potential exposure incidents:
– All surfaces and equipment must be cleaned and
decontaminated after contact with blood or other
OPIM.
– Visible contamination must be removed before
applying disinfectants to surfaces.
– Inspect and clean all pails, bins, cans and other
receptacles weekly. Clean and disinfect these items
when visibly soiled.
– Never pick up broken glassware with your hands.
Use tongs, dustpan and brush, etc.
– Immediately clean up spills of blood, body fluids, or
OPIM.
Hepatitis B Vaccination
 If your job position involves an actual/potential exposure

to blood, body fluids, or other potentially infectious
materials, you will be offered the Hepatitis B Vaccine and
vaccination series.
 This vaccination will be:
– Made available to you at no cost;
– Made available at a reasonable time and place;
– Provided by a licensed healthcare professional; and
– Provided according to current recommendations of
the U. S. Public Health Service.
 If you decline this vaccination, you must sign a
mandatory declination statement.
Post-Exposure Evaluation
and Follow-Up
 You must report any exposure incident to blood, body

fluids, or OPIM to your supervisor promptly.
 You will be provided with a confidential medical
evaluation and follow-up.
 Certain information will be obtained and provided to
your physician or healthcare professional. This
information is confidential and may not be disclosed to
others without your written consent.
 Information concerning Post-Exposure Evaluation and
Follow-Up are outlined in our established policies and
procedures.
 Copies of this information is available to you. Please
direct your inquiries to your supervisor.
Warning
Labels and Signs
 We use the biohazard warning labels and red-bags to
help you quickly identify potential hazardous areas or
items.
 The biohazard warning label is affixed to all containers in
which we store regulated waste such as needles,
contaminated specimens, etc.
 Labels and signs are positioned on or near contaminated
items. Should you discover that labels and signs are
missing, you must promptly report this to your
supervisor.
 Contaminated items not stored in regulated waste
containers are placed in RED BAGS.
 Your supervisor will provide further training on our
warning labels and signs.
Information and Training
 If your position involves an actual/potential exposure to

blood or OPIM, you are required to complete certain
training requirements before performing such tasks or
procedures.
 Your training will be provided:
– At no cost to you.
– At or before initial assignment to tasks where occupational
exposure may take place;
– When new or modified procedures are introduced into our
work place.
– During work hours.
 In addition to the above training requirements, you must
undergo a training refresher course annually.
Content of Training
Program
 Your training program will contain at least the
following information:
– OSHA’s Bloodborne Pathogens Standard and its
availability to you;
– A general explanation of the epidemiology and
symptoms of bloodborne diseases;
– An explanation of the modes of transmission of
bloodborne diseases;
– Information relative to our Exposure Control Plan
and its availability to you.
– Methods for recognizing tasks and other activities
that may involve exposure to blood and OPIM.

Content of Training
Program (continued)
– Review of our established engineering and work
practice controls and personal protective equipment
(PPE);
– Proper selection and use of PPE;
– Warning labels and signs;
– Acceptance or Decline of the Hepatitis B Vaccine and
Vaccination series;
– Incident Reporting; and
– Post-Exposure Evaluations and Follow-Up
 In addition, training will be provided relative to our
company’s established policies and procedures
governing our Safety Program.

Recordkeeping
(Training Records)
 A record of training will be maintained which include:
– The dates of each training session;
– The contents or a summary of each training
session;
– The names and qualifications of persons
conducting each training session; and
– The names and job positions for all persons
attending the training session.
 Records will be maintained for three years from the
date of the training session.
 Copies of your training records are available to you
upon your written request.
Recordkeeping
(Medical Records)
 We are required to establish and maintain records of
employees with an occupational exposure to blood,
body fluids, or OPIM.
 This record includes:
– Your name and Social Security Number;
– A copy of your Hepatitis B Vaccination Status including
the dates of all Hepatitis B vaccinations and any
medical records relative to your ability to receive the
vaccination.
– A copy of all results, examinations, medical testing, and
follow-up procedures;
– A copy of the healthcare professional’s written opinion;
– A copy of information we provided to the healthcare
professional.
Recordkeeping
(Medical Records)
 All medical records will be kept confidential.
 Medical records will not be disclosed or reported
WITHOUT your written consent except as
required by law.
 We will maintain your medical records
throughout your employment with us PLUS thirty
(30) years.
 Copies of your medical records are available to
you upon your written request.
 Please direct questions regarding your training
and medical records to your supervisor.
Wrap Up
 Your responsibilities to our company and to our

Exposure Control Plan include:
– Following our established policies and
procedures;
– Reporting exposure incidents;
– Attending and completing training programs;
– Performing all tasks and procedures safely; and
– Making suggestions and recommendations that
will be beneficial in providing a safe and
healthful working environment.

Wrap Up
 Our Exposure Control Plan is available to you for
your review.
 Currently a copy of our Plan is located in the
business office.
 Please inform your supervisor if you wish to obtain
a copy of our plan. It will be provided to you within
15 days of your request.
 We review and update our plan at least annually.
 You will be required to attend an annual training
program that will provide you with a review of our
Plan and any changes or revisions.

Wrap Up
 Should you have any questions concerning

this training session, please ask your
instructor now.
 Be sure that you sign and date the
recordkeeping forms provided by your
instructor.
End of Training Program


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Safety Training

 Upon completion of this training program, you should be

© 2006 The Compliance Store, LLC 2

 Our company’s Exposure Control Plan is a written

© 2006 The Compliance Store, LLC 3

 In 1991, OSHA passed a law called the

© 2006 The Compliance Store, LLC 4

 “Occupational Exposure” means reasonably

© 2006 The Compliance Store, LLC 5

 “OPIM”, as it is sometimes referred to, are

OPIM also includes:

Other terms that may be helpful to you include:

© 2006 The Compliance Store, LLC 8

© 2006 The Compliance Store, LLC 9

© 2006 The Compliance Store, LLC 10

© 2006 The Compliance Store, LLC 11

 Personal Protective Equipment -

Our Exposure Control Plan is separated into

 We have identified all the job classifications

 Because our profession has constant changes in the

 One of the most effective methods we use in protecting you

 Emergency Eyewash Stations:

 Safe Sharps Devices:

Biohazardous Sharps Containers:

© 2006 The Compliance Store, LLC 21

 Our Biohazardous Sharps Containers are:

© 2006 The Compliance Store, LLC 22

 Storage and Transport Containers:

© 2006 The Compliance Store, LLC 23

 In order to provide you with a safe and healthful work

 Handwashing must be performed:

 Contaminated needles and other contaminated

 Immediately or as soon as possible after use,

 You must place disposable contaminated

© 2006 The Compliance Store, LLC 28

 Personal Protective Equipment (PPE) is available to

 When using PPE, you must:

© 2006 The Compliance Store, LLC 30

 Other important issues relative to PPE are:

© 2006 The Compliance Store, LLC 31

 More important issues relative to PPE are:

 Established housekeeping guidelines must be followed

 If your job position involves an actual/potential exposure

 You must report any exposure incident to blood, body

 If your position involves an actual/potential exposure to

© 2006 The Compliance Store, LLC 38

© 2006 The Compliance Store, LLC 39

 Your responsibilities to our company and to our

© 2006 The Compliance Store, LLC 43

© 2006 The Compliance Store, LLC 44

 Should you have any questions concerning

End of Training Program

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