COASTWIDE LABORATORIES
Presents. . .
Protecting Custodians
From Bloodborne Pathogens
Including Spill Cleanup Procedures
Complying With
OSHA Bloodborne Pathogens Standard
Purpose of the
OSHA Standard
To protect workers from
the deadly bloodborne pathogens
including HIV and HBV.
Bloodborne Pathogens:
Exposure Control Plan
PURPOSE:
To limit occupational exposure to blood and other
potentially infectious materials because any exposure
could result in transmission of bloodborne pathogens
which could lead to disease or death.
Who Is Affected?
•ANY employee having occupational
exposure to blood or other potentially
infectious materials.
Not limited to only medical or health
care personnel.
Key Definitions
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Bloodborne Pathogens
Occupational Exposure
Potentially Infectious Materials
Engineering Controls
Work Practice Controls
Universal Precautions
Appropriate Disinfectants
Routine Cleaning vs. Decontamination
Bloodborne Pathogens
"pathogenic microorganisms that are present
in human blood and can cause disease in
humans. Hepatitis B Virus (HBV) and HIV
are of primary concern"
H
I
V
Occupational Exposure
“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 customary duties”
Potentially Infectious Materials
"human blood along with other specific
human body fluids including semen,
feces and urine"
Engineering Controls
Technology and devices that isolate or
remove hazards from the workplace.
Work Practice Controls
Ongoing evaluation of the manner in
which a task is performed in an effort to
reduce the likelihood of a worker’s
exposure to blood or other potentially
infectious material.
Universal Precautions
"an infection control concept, where all
human blood and certain human body
fluids are treated as if known to be
infected with HIV or HBV"
Routine Cleaning Versus
Gross Contamination
Routine cleaning and disinfecting of
environmental surfaces can be washed
using a low level disinfectant
Gross contamination requires special
methods of decontamination. Use of a
mid-level disinfectant is acceptable.
Overview of Microorganisms
Bacteria
Pseudomonas aeruginosa
Salmonella chloreraesuis
Staphylococcus aureus
MRSA and VRE
Mycobacteria
Mycobacterium tuberculosis (TB)
Viruses
HIV, HBV, Herpes
Fungi
Trichophyton mentagrophytes
Bacterial endospores
Bacillus subtilis
Active Antimicrobial Ingredients
•Sodium Hypochlorite
•Isopropyl Alcohol
•Quats
•Ethylene Oxide Gas
•Phenolics
•Glutaraldehyde
•Iodophors
•Hydrogen Peroxide
Four Different Processes
•Cleaning
4
•Sanitizing
•Disinfecting
•Sterilization
Cleaning
Cleaning is the process of removing
pollutants from the environment and
putting them in their proper place.
Sanitizing
Sanitizing reduces the microbial population to a safe
level as determined by local public health standards.
For example, in dairy and food processing plants, the
equipment is usually sanitized.
Disinfecting
Disinfecting removes and
destroys targeted pathogenic
microorganisms.
Sterilization
Sterilization causes the
destruction or removal of all
forms of life.
What is Appropriate
Personal Protective Equipment?
Apparel and devices which do not allow blood or
body fluids to pass through to reach work clothes,
street clothes, undergarments, skin, eyes or
mucous membranes under normal conditions of
use. This includes gloves, gowns, laboratory coats,
fluid-resistant aprons, head and foot coverings,
face shields, masks, eye protection, mouthpieces,
resuscitation bags and other ventilation devices.
What is the Purpose of Using
Personal Protective Equipment?
To prevent and minimize exposure of
personnel to infectious materials in the working
environment.
When to Use Appropriate
Personal Protective Equipment?
Personal protective equipment should be used
when there is a possibility of exposure to blood
and other infectious materials, or if there a hazards
to the employee’s health & safety.
Gloves
Goggles
Mask
When to Wear Gloves?
Use gloves when there is reasonable anticipation
that there may be hand contact with blood, other
body fluids, mucous membranes or non-intact
skin.
Gloves and Allergies
Hypoallergenic gloves, powderless gloves or
other alternatives are available to employees who
are allergic to the gloves normally provided.
When to Wear Eye Protection?
Wear mask, eye protection or face shield
if splashes, spray, splatters or droplets are
anticipated.
Personal Protective Equipment
Policies and Procedures
*Wear PPE at all times when required
*Remove PPE immediately or as soon as feasible when garment
is contaminated.
*Remove PPE prior to leaving work area and placed in designated
area for storage, washing, decontamination or disposal.
*Replace single use disposable gloves as soon as feasible
when contaminated or punctured, and when task is completed.
Do not wash or decontaminate disposable gloves for reuse.
*Decontaminate non-disposable gloves if intact. Discard when
cracked, peeled, torn, punctured, or show signs of deterioration.
Contaminated Sharps
Policy Statement
Precautions shall be observed when handling
contaminated disposable or reusable sharps.
PURPOSE:
To prevent exposure to blood or other potentially
infectious material by sharp objects.
Contaminated Sharps
Procedures
Learn where sharps containers are located in your work area.
Dispose of sharps container when 3/4 full and place in designated
area for pickup. Do not allow containers to be overfilled.
Place contaminated disposable sharps directly into sharps container.
Never compact trash into wastebaskets with hands or feet.
Infectious Wastes
Policy Statement
Infectious wastes shall be identified, segregated
where it is generated and contained during collection,
transportation and storage.
PURPOSE:
To prevent injury and exposure to blood or
other potentially infectious materials.
Infectious Wastes
Waste Designations
Sharps -- Dispose into sharps container.
Infectious Waste -- Dispose into red bag (biohazard bag).
Solid Waste -- Dispose into regular garbage.
Infectious Wastes
Procedures
Sharps -- Dispose into sharps container.
Here at the MU, we have a Sharps Container in the tool-shop and
another in the Ballroom Custodial Closet. Notify your Coordinator
when it is more than ¾ filled.
Infectious Waste -- Dispose into red bag (biohazard bag).
Here at the MU, we have a “Bio-Bucket” in the Ballroom Custodial
Closet. It contains bags and some PPE you might need to clean up
a bio-hazard mess. The red bag of mess gets placed in the bucket
and you notify your Coordinator or Building Manager that we need
an EH&S pickup.
Solid Waste -- Dispose into regular garbage.
Infectious Wastes
Procedures
Wear gloves when handling infectious waste containers.
Segregate infectious waste from regular garbage at the point of use.
Place infectious waste into red bag.
Close infectious waste containers or red bags prior to transport.
Place into a second bag if the outside of the container is contaminated.
Transport directly to designated area for pickup by infectious waste
contract service. (OSU Environmental Health Services)
Never place red bags into regular garbage.
Biohazard Communication
Policy Statement
Biohazard signs or red/orange color coding shall be used
to identify containers of blood or other infectious materials.
PURPOSE:
To provide a warning of a potential bloodborne
pathogens hazard to employees.
Biohazard Communication
Procedures
Wear gloves when handling containers marked with
biohazard markings.
Handle all containers marked with biohazard markings
according to policies and procedures.
Never place any containers marked with biohazard markings
into regular garbage.
Bloodborne Pathogen
Cleanup Procedures -- Minor Spills
1. Install warning signs like wet floor signs or floor cones to warn others of
the potential danger.
2. Put on the appropriate PPE including gloves.
3. Apply the appropriate disinfectant and follow label directions. (Hepastat 256)
4. Contain and remove the spill using an absorbent barrier like a paper towel.
5. Dispose of the towel into a biohazard bag once it has absorbed the fluid.
Bloodborne Pathogen
Cleanup Procedures -- Minor Spills
continued…
6.
Once the fluid has been removed, clean the area again using Hepastat
7.
Dispose of all contaminated materials into the biohazard bags.
8.
Carefully remove dispose of gloves.
9.
Remove warning tape and/or wet floor signs.
10. Wash hands properly with antiseptic hand soap.
Bloodborne Pathogen
Cleanup Procedures
Major Spills on Hard Floors
1. Install warning signs like wet floor signs or warning tape to warn others of the
potential danger.
2. Put on the appropriate PPE including gloves, boots, coveralls etc….
3. Apply the disinfectant solution to the spill using the mop without allowing the
mop head to touch the spill. Allow solution time to work.
4. Using the mop, pick up the spill until it is gone. (the Hepastat has neutralized
the BBP so it is now ok for the mop to make contact with the mess).
Bloodborne Pathogen
Cleanup Procedures
Major Spills on Hard Floors
continued…
5. Dispose of the contaminated solution in the mop bucket.
Pour it down the drain on the dock, followed by a water & Hepastat rinse.
6. Mop the soiled area again using a clean mop and disinfectant solution.
7. Dispose of all contaminated materials into the biohazard bags.
8. Carefully remove and properly clean, store or dispose of gloves and PPE.
9. Remove warning tape and/or wet floor signs.
10. Properly cleanup mop bucket, mop and other equipment.
11. Wash hands properly with antiseptic hand soap.
Bloodborne Pathogen
Cleanup Procedures
Major Spills on Carpets
Install warning signs like wet floor signs or warning tape to warn
others of the potential danger.
Wash hands properly with antiseptic hand soap.
Put on the appropriate PPE including gloves.
Apply the disinfectant solution to the spill using the mop without allowing
the mop head to touch the spill. Allow solution time to work.
Using a wet-dry vacuum or extractor to pick up the spill until it is gone.
Apply the disinfectant solution and wet-dry vacuum or extractor again until
the spill is gone.
Empty and cleanup the mop bucket, extractor or wet-dry vacuum.
Dispose of all contaminated materials into the biohazard bags.
Carefully remove and properly clean, store or dispose of gloves.
Remove warning tape and/or wet floor signs.
Wash hands properly with antiseptic hand soap.
Sanitary Guidelines
Use a "quat" hospital strength, disinfectant-cleaner for most
surfaces.
Use intermediate level (TB or HIV/HBV effective) disinfectant
cleaner when gross contamination is present.
Use universal precaution when approaching surfaces with gross
contamination of blood or body fluids.
Require good cleaning and hygiene practices be followed at all
times.
Require wearing of appropriate PPE at all times during cleaning
and disinfection.
Clean-Up Procedures
for Gross Contamination
•Wear appropriate PPE
•Remove gross contamination
•Dispose of gross contamination
•Use TB or HIV/HBV effective product
•Dispose of PPE
•Wash hands thoroughly
Ways Workers Can
Protect Themselves
•Watch for hazard warning labels
•Read product labels
•Follow Safety Guidelines
•Ask for assistance
•Review the MSDS
Hand and Skin Protection
•Wear appropriate gloves
•Inspect gloves before use
•Discard damaged gloves immediately
•Keep gloves washed and clean
Chemical Safety
Guidelines
•Never remove or deface labels
•Label all secondary containers
•Never mix chemicals
•Measure chemicals accurately
•Avoid spraying fine mists
•Wear PPE at all times during work
•No food or drink while using chemicals
Some Additional
Protection Guidelines
•Store chemicals safely and securely
•Beware storing chemicals above eye level
•Never take chemicals home from work
•Don't inhale chemicals from container
•Never remove and leave lids off containers
•Don't allow access to chemicals by
untrained or unauthorized personnel
This is the end of our
presentation about the
OSHA Bloodborne Pathogens
Standard
It is now time for your questions!