PROGRAM OUTLINEBloodborne Pathogens (BBP)- Acquired Immunodeficiency Syndrome (AIDS) is an infectious disease. It is a sexually transmitted disease.- AIDS is caused by Human Immunodeficiency virus (HIV).- The risk of AIDS is small for workers with occupational exposure. - Only one percent of healthcare workers become infected with HIV.- Another bloodborne pathogens is Hepatitis B (HBV).- The precautions taken to prevent exposure to HIV and HBV can be used for all other BBP.- Viruses can be transmitted by blood and body fluids.- Occupational exposure for those people working in the healthcare field who are most likely to come in contact with blood and body fluids.- An assembly worker, crane operator or office worker would not be exposed unless they are designated first aid or CPR personnel.- Cosmetologists and barbers are included in OSHA's list of at-risk workers.- Personal service workers should be trained in the precautions of BBP, but they are not considered a risk for exposure.- Transmission of pathogens can be from exposure to skin cuts and abrasions.Exposure Control Plan- A written exposure control plan contains guidelines to reduce exposure to BBP.- Some of the basics of a plan include:o identificationo trainingo engineering controlso administrationo personal protective equipmento recordkeepingo good housekeepingo immunization- Identification must include the task, procedure and job class where occupational exposure to blood can occur.- Specify procedure for evaluating causes of exposure incidents.- Plan must be available to OSHA and employees.- Review and update plan annually.Engineering Controls- Engineering controls is another means of controlling or eliminating hazards.- Engineering controls include biological safety cabinets and approved waste containers for contaminated needles and sharps.- Controls also include sterilization of instruments and disinfectants for killing bacteria.Preventive Measures and Work Practices- Employees must follow specific procedures to reduce exposure to BBP.- Practices can include: personal hygiene, proper handling and storage of blood and blood products and proper waste disposal.- Biological waste must be placed in closeable, leak-proof containers with proper labeling.- Disposal of sharps, such as needles or glass, must be placed in approved and color-coded containers. - Do not shear, bend, break or recap used needles by hand.- Sharp containers must be installed so the top of the container can be seen by the shortest employee. - Use tongs or a broom and dustpan to pick up broken glass.- Transmission of diseases can be from skin punctures with contaminated blood products.- Wash hands with germicidal or anti-bacterial soap after removing protective equipment.- Keep personal protective equipment clean, sanitized, properly stored and free of contaminated products.- Selection of PPE depends on the nature of exposure.- Wear gloves, lab coats and gowns for skin protection.- Wear eye and face protection for splashes and spatters to the eyes or mouth.- For first aid emergencies, wear rubber gloves, face masks and eye protection.- In the case of an exposure accident, wash the exposed area with soap and water, report the incident to the supervisor and seek medical attention as soon as possible.- Sharps containers and regulated waste must be color-coded with appropriate labels.- Warning labels include orange or orange-red biohazard symbol affixed to containers.- Red bags or containers may be used with biohazard labels and signs.- According to Universal Precautions, all human blood and certain body fluids are treated as infected with BBP.Housekeeping- Housekeeping is part of the exposure control plan.- Contaminated surfaces, equipment, PPE must be cleaned and sanitized.- A disinfectant recommended by U.S. Public Health Service and the CDC is one-quarter cup of bleach to a gallon of water.- Contaminated clothing muse be sanitized.- Be prepared to find sharp objects to be left on clothing in the laundry.Hepatitis B Vaccine- If routinely exposed to BBP, the employer must make the Hepatitis B vaccine available.- If an employee chooses not to take the vaccine, a declination form must be signed.- The vaccine is three injections given over a six-month period.Medical Records- Medical records are confidential. Only certain information can be provided to your employer.