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HomeMy WebLinkAboutN-355 - Bloodborne Pathogen Policy CITY OF PASCO ADMINISTRATIVE ORDERS Administrative Order No. 355 Risk Management Subject: Bloodborne Pathogen Policy Initial Effective Date:April 26, 1993 Revised 9/7/12 Approved 9 This Administrative Order is effective September 7, 2012 and supersedes Administrative Order No. 70 dated April 26, 1993 . I. PURPOSE: The purpose of this Administrative Order is to protect employees from exposure to blood or other potentially infectious materials and to comply with the Bloodborne Pathogens standard, WAC 296-823 . II. DEPARTMENTS AFFECTED: All. 1II. DEFINITIONS: 1 . Bloodborne Pathogen: Pathogenic microorganisms present in human blood which can cause disease in humans. 2. Contaminated: The presence, or the reasonably anticipated presence, of blood or other potentially infectious materials on an item or surface. 3 . Decontamination: The use of chemical means to remove the bloodbome pathogen from a surface or item to the point where they are no longer capable of transmitting bloodborne pathogens and the item or surface is safe for handling, use or disposal. 4. Exposure Incident: A specific eye, mouth, other mucous membrane, cut to skin, or contact with blood or other potentially infectious materials that result from the employee's duties. 5. HBV: Hepatitis B Virus. 6. HIV: Human Immunodeficiency Virus. 7. Licensed Healthcare Professional: A person who is legally permitted to practice and perform the Hepatitis B vaccination and post-exposure evaluation and follow-up. 8 . Parenteral: Piercing the skin barrier with needlesticks, human bites, cuts or abrasions. 9. Personal Protective Equipment (PPE): Always wear PPE (i.e., gloves, eye protection) when there is a potential for exposure to blood or body fluids. This is proven to be the single-most effective precaution to avoid exposure. PPE should be readily accessible. 10. Universal Precautions: Universal Precautions is an approach to infection control . According to the concept of Universal Precautions, all human body fluids (blood, saliva, and bodily fluids) should be treated as if they contaminated with HIV/HBV. IV, POLICY: It shall be the responsibility of each department to implement this policy and to ensure all training, personal protective equipment, reporting and follow-up after exposure incident are compliant with the Exposure Control Plan, listed below: 1 . Exposure Determination: The employees in departments/divisions listed below may be occupationally exposed to blood and other potentially infectious materials. These departments include, but are not limited to : a. Fire b. Facilities c. Police d. Public Works e. Recreation The City will evaluate other positions for exposure as applicable. 2. Hepatitis B Vaccination: The Hepatitis B vaccination series will be available, without cost to employees who have occupational exposure and who wish to receive the vaccination series. The three-shot series is given one month and six months after the first shot. Employees at risk of Hepatitis B should be tested (tittered) for antibodies to the Hepatitis B virus no sooner than 30 days after completion of the three-shot vaccination series. If the titer is negative, an additional shot ("booster") is given. The employee is then tittered 30 days following the booster. If titers are positive no further action is needed unless there is an exposure. Employees who decline to accept the Hepatitis B vaccination series shall sign the attached declination form. This declination may be rescinded at any time during employment if the employee is still in an at risk assignment. Hepatitis B series will not be offered to an employee who: a. Has previously received the series. b. Antibody testing reveals that the employee is immune. c. Medical reasons prevent taking the vaccination. The Hepatitis B vaccination and medical evaluation or follow up will be performed by the City' s designated health care provider, Lourdes Occupational Health. 3 . Universal Precautions/Control Measures: Supervisors of at-risk employees are to ensure their staff is trained in proper work practices for Universal Precautions, PPE, and proper disposal techniques. a. Provide disposable gloves, usually latex or vinyl. They must be used in the following situations: i. When an employee has cuts, chapped hands, or dermatitis. AO No. 355 "Bloodbome Pathogen Policy" Page 2 ii. When performing any first aid procedures. iii. When cleaning up after an injury involving blood or other body fluids. iv. Employees who have risk of exposure should follow universal precautions, and treat all blood and other potentially infectious materials as if they are infected. b. Employees must wash their hands immediately, or as soon as possible, after removal of gloves or other personal protective equipment and after hand contact with blood or other potentially infectious materials. c. Employees shall utilize the required personal protective equipment (i.e. gloves, glasses and/or goggles, face shield, filtering facemask, and apron). d. Employees shall treat all human body fluids and items soiled with human body fluids as if contaminated with HBV/HIV. e. All personal protective equipment and clothing contaminated with human body fluids will be properly discarded. 4. Employee Training: All employees who have potential exposure to bloodborne pathogens will receive training at the time of initial assignment, and at least annually thereafter. Training will include: a. Information on the symptoms, and transmission ofbloodbome diseases. b. Information on the Hepatitis B vaccine, including information on its safety, and benefits of being vaccinated. c. An explanation of the types, uses, location, removal, handling, decontamination, and disposal of PPE. d. Information on post-exposure evaluation and follow-up for exposure incidents. Training records will be kept on each applicable employee. Each department is responsible for training. The training records shall be forwarded to Human Resources and be kept in the employee's personnel file. Information to be kept includes: a. Dates of the training sessions. b. Contents of training. c. Names and job titles of all persons attending the training. d. Training records will be kept for three (3 ) years from the date of training. 5 . Post Exposure Evaluation and Follow-up: All exposure incidents shall be reported, investigated, and documented. When the employee incurs an exposure incident, it shall be reported immediately to his/her supervisor. Following a report of an exposure incident, the exposed employee shall go to Lourdes Occupational Health for a confidential medical evaluation and follow- up, including the following elements: a. Documentation of the route(s) of exposure. b. A description of the circumstances under which the exposure occurred. c. Identification and documentation of the source individual. (Identification is not required if the employer can establish that identification is impossible or prohibited by state or local law.) AO No. 355 "Bloodborne Pathogen Policy" Page 3 d. Collection and testing of the source individual 's blood for HBV and HIV serological status (if available). e. Post-exposure treatment for the employee, when medically indicated, in accordance with the U. S. Public Health Service. f. Counseling. g. Evaluation of any reported illness. 6. Exposure Evaluation: The healthcare professional evaluating an employee will be provided with the following information: a. A copy of this plan. b. A copy of the Bloodborne Pathogen WAC 296-823- 100. c. Documentation of the route(s) of exposure. d. A description of the circumstances under which the exposure occurred. e. Results of the source individual's blood testing, if available. f All medical records applicable to treatment of the employee, including vaccination status. The Infection Control Officer (ICO) should receive a copy of the evaluating healthcare professional' s written opinion with 15 days of the completion of the evaluation. (The healthcare evaluator should send the opinion to Pasco Fire Department, Infection Control Officer/EMS Officer, P.O. Box 293, Pasco, WA 99301 .) The ICO shall provide a copy of the written opinion to the employee. The healthcare professional's written opinion for Hepatitis B vaccination is limited to the following: (1 ) whether the employee needs Hepatitis B vaccination; (2) whether the employee has received such a vaccination. The healthcare professional's written opinion for post-exposure evaluation and follow-up is limited to the following information: a. That the employee was informed of the results of the evaluation. b. That the employee was informed about any medical conditions resulting from exposure to blood or other infectious materials that require further evaluation or treatment. AO No. 355 `Bloodborne Pathogen Policy" Page 4 Exposure Evaluation Form This form to be used when an employee reports an on-the-job exposure to blood and or other potentially infectious materials. Employee's Name: Date of Incident: Date of Evaluation: Health Professional' s Address: Health Professional Telephone: ❑ The employee named above has been informed of the results of the evaluation for exposure to blood and other potentially infectious materials. ❑ The employee named above has been told about any health conditions resulting from exposure to blood or other potentially infectious materials which require further evaluation or treatment. ❑ Hepatitis B vaccination is _ is not indicated Health Care Professional ' s Name Health Care Professional' s Signature Date Use with 296-823-160 WAC, Exposure to Bloodborne Pathogens Return this form to the Employer AO No. 355 'Bloodborne Pathogen Policy" Page 5 Hepatitis B Vaccine Declination 1 understand that due to my potential for occupational exposure to blood or other infectious materials I may be at risk of acquiring Hepatitis B virus infection. I have been given the opportunity to be vaccinated with the Hepatitis B vaccine at no charge to myself. However, I decline the Hepatitis B vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring Hepatitis B, a serious disease. If in the future if I continue to have the potential of an occupational exposure to blood or other potentially infectious materials and I want the Hepatitis B vaccine, I may receive the vaccination series at no charge to me. Print name: Title: Signature: Date: AO No. 355 `Bloodborne Pathogen Policy" Page 6