BEAUFORT COUNTY COMMUNITY COLLEGE Bloodborne Pathogens ...

BEAUFORT COUNTY COMMUNITY COLLEGE Bloodborne Pathogens/Exposure Control Plan

Approved by Senior Staff 7/8/2015 Revised 6/1/2015

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A. Purpose .........................................................................................2 B. Responsibility ...............................................................................3 C. Accessibility of the Exposure Control Plan ...............................3 D. Definitions .....................................................................................3 E. Exposure Determination ..............................................................5 F. Recordkeeping...............................................................................6 G. Methods of Compliance ...............................................................8 H. Work Practices ..............................................................................9 I. Personal Protective Equipment ..................................................10 J. Sharps ..........................................................................................11 K. Specimens ...................................................................................12 L. Laundry ........................................................................................13 M. Housekeeping .............................................................................13 N. Regulated Waste .........................................................................14 O. Hazard Communication .............................................................15 P. Blood Spills..................................................................................15 Q. Hepatitis and Hepatitis B Vaccine .............................................15 R. Post-Exposure ............................................................................16 S. Training ........................................................................................18 T. Revision History ..........................................................................20 U. BCCC Exposure Control Plan....................................................22 V. BCCC Hepatitis B Vaccine Record Form ..................................25 W. BCCC Letter to Physician Evaluating Employee Injured From Possible Blood Exposure ..............................................................26 X. BCCC Exposure Incident Form ................................................27 Y. BCCC Pandemic Preparedness Plan.........................................28 Z. Bloodborne Pathogens/Infection Control Plan/Pandemic Flu Procedure .........................................................................................40

A. Purpose

The purpose of the Beaufort County Community College (BCCC) Exposure

Control Plan is to significantly reduce the risk of infection for employees with

potential to be exposed to blood or body fluids. The targeted diseases include

Approved by Senior Staff 7/8/2015 Revised 6/1/2015

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Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), Methicillin-Resistant Staphylococcus Aureus (MRSA), and Human Immunodeficiency Virus (HIV).

This plan and noted procedures are in compliance with the standards U.S. Department of Labor in 29 CFR 1910.1030 Occupational Safety and Health Administration (OSHA), pertaining to employees who may be subject to occupational exposure to bloodborne pathogens.

This plan identifies the job classifications that have been determined to have potential exposure to blood and other potentially-infectious materials at BCCC. This plan also describes the methods of compliance with applicable requirements of the Standard and a procedure for evaluating exposure incidents. All full- and part-time employees of the BCCC who may be at risk for exposure to bloodborne pathogens are required to comply with this plan and with requirements of the Standard.

BCCC employees involved in the instruction of students at off-campus clinical sites will comply with the plan established by that facility as well as the Exposure Control Plan of BCCC.

Divisions utilizing on-campus sites for instruction in which there is a high risk of exposure to bloodborne pathogens will establish specific exposure control policies and procedures as applicable to the situation in conjunction with the Program Coordinator.

B. Responsibility

The Program Coordinator, identified in Appendix A, is responsible for implementing the Exposure Control Plan and ensuring compliance with it and the Standard. The plan will be reviewed annually and revised as necessary.

C. Accessibility of the Exposure Control Plan

? The Exposure Control Plan may be examined by employees during the employee's regular working hours or at such other time as is reasonable. Copies of this Plan are available in areas designated in Appendix A, Section A.

? Employees are informed of the location of this and other safety plans as designated in Appendix A.

D. Definitions

Bloodborne Pathogens: pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), and Human Immunodeficiency Virus (HIV), and/or various sexually transmitted diseases.

Clinical Laboratory means a workplace where diagnostic or other screening procedures are performed on blood or other potentially infectious materials . Contaminated: the presence, or reasonably-anticipated presence, of blood or other potentially-infectious materials on an item or surface.

Approved by Senior Staff 7/8/2015 Revised 6/1/2015

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Contaminated Laundry means laundry which has been soiled with blood or other potentially infectious materials or may contain sharps.

Contaminated Sharps: any contaminated object(s) that can penetrate the skin.

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.

Engineering Controls: controls (e.g., sharps disposal containers) that isolate or remove the bloodborne pathogen hazard from the workplace.

Exposure Incident means a specific eye, mouth, other mucous membrane, nonintact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee's duties.

Hand washing Facilities means a facility providing an adequate supply of running potable water, soap, and single-use towels or air-drying machines.

Licensed Healthcare Professional is a person whose legally permitted scope of practice allows him or her to independently perform the activities required by paragraph (f) Hepatitis B Vaccination and Post-exposure Evaluation and Followup.

HBV means hepatitis B virus.

HCV means hepatitis C Virus

HIV means human immunodeficiency virus.

Occupational Exposure: any reasonably-anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially-infectious materials that may result from the performance of an employee's duties.

Other Potentially Infectious Materials: The following fluids:

semen, vaginal secretions, cerebrospinal fluid (CSF), synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, 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.

An unfixed organ or tissue (other than intact skin) from a human.

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HIV-containing cells or tissue cultures, organ cultures, and HIV- or HIV-containing culture medium or other solutions, blood, organs, or other tissues from experimental animals infected with HIV or HBV.

Personal Protective Equipment (PPE): specialized clothing or equipment worn by an employee for protection against a hazard. General work clothes (e.g., uniforms, pants, shirts, blouses) are not considered to be personal protective equipment.

Parenteral means piercing mucous membranes or the skin barrier through such events as needle sticks, human bites, cuts, and abrasions.

Regulated Waste: contaminated items that would release blood or other potentially-infectious materials in a liquid or semi-liquid state if compressed; items that are caked with dried blood or other potentially-infectious materials and are capable of releasing these materials during handling; contaminated sharps; and pathological and microbiological wastes containing blood or other potentiallyinfectious materials.

Sharps with engineered sharps injury protections means a non-needle sharp or a needle device used for withdrawing body fluids, accessing a vein or artery, or administering medications or other fluids, with a built-in safety feature or mechanism that effectively reduces the risk of an exposure incident.

Sterilize means the use of a physical or chemical procedure to destroy all microbial life including highly resistant bacterial endospores.

Universal Precautions: an approach to infection control. According to the concept of Universal Precautions, all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV, or other bloodborne pathogens.

Work Practice Controls: controls that reduce the likelihood of exposure by altering the manner in which a task is performed.

E. Exposure Determination

The Program Coordinator is responsible for classifying tasks performed in their areas of responsibility that have a potential of exposure to blood or other infectious body fluids. Whenever possible, additional procedures are established to eliminate or reduce task-associated risks.

The Program Coordinator shall ensure that all position descriptions, including administrative and support personnel, whether paid or volunteer, have been evaluated by the appropriate division deans and that a Risk of Exposure has been identified.

For jobs with a potential exposure, a list of tasks or procedures which present a

potential occupational exposure to those employees will be prepared.

Approved by Senior Staff 7/8/2015 Revised 6/1/2015

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