MIOSHA Part 554 Bloodborne Infectious Diseases Train the Trainer Program Module 2

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MIOSHAPart 554 Bloodborne Infectious
DiseasesTrain the Trainer ProgramModule 2

• Presented By
• Consultation Education Training (CET) Division
• Michigan Occupational Safety Health
  Administration www.michigan.gov/miosha
• [phone]

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Welcome

• Welcome to the MIOSHA Bloodborne Infectious
  Diseases Online Training Module 2.
• This is a continuation of the MIOSHA program
  designed to provide an overview of the MIOSHA
  bloodborne standard.
• It does NOT fullfill all the training
  requirements in the Bloodborne Standard nor is it
  intended to replace facility specific training.

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Intended Use Train the Trainer

• Provide bloodborne infectious diseases
  information to those who provide training to
  employees who are at risk of occupational
  exposure.
• Provide additional resources to assist trainers
  in becoming more knowledgeable in topics related
  to bloodborne infectious diseases.

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Module 2

• This is a continuation of the MIOSHA Bloodborne
  Infectious Diseases online training program. This
  module will provide an overview of Rules 10-16.
• Note Rule 12 covers HIV and HBV research
  laboratories and productions facilities. Due to
  limited application, this rule will not be
  included in this overview.

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Overview of the Bloodborne Standard
Module 1
Module 2

• Rule 1 Scope
• Rule 2 Definitions
• Rule 3 Exposure determination
• Rule 4 Exposure control plan
• Rule 5 Universal precautions
• Rule 6 Engineering controls
• Rule 7 Work practices
• Rule 8 Protective work clothing and equipment
• Rule 9 Housekeeping

• Rule 10 Regulated waste
• Rule 11 Laundry
• Rule 12 HIV and HBV research laboratories and
  production facilities
• Rule 13 Vaccinations and postexposure follow-up
• Rule 14 Communication of hazards to employees
• Rule 15 Recordkeeping
• Rule 16 Information and training
• Appendices

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Rule 10 Regulated Waste Disposal

• Regulated Waste shall be placed into containers
  or bags that are
• Closable
• Leakproof
• Color-coded or labeled
• For contaminated sharps all the above plus
  puncture-resistant

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Rule 11 Laundry

• Minimize agitation
• Bag at the location where it is generated
• Color-coded bags or containers

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• The next slide will provide questions to assist
  with reviewing the Bloodborne Infectious Diseases
  Standard
• Rule 10 Regulated Waste
• Rule 11 Laundry

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Rule 10-11 Waste and LaundryQuestions and
Answers
Questions and answers will appear below. There
will be delays to allow time to answer the
questions.

• True or False
• This container is acceptable for disposal of
  contaminated sharps
• False. Improper label and/or color.
• See Rule 10 (2)
• Employees may launder their contaminated work
  clothes at home.
• False. Rule 11 (5) states that the employer is
  responsible to laundry contaminated clothing.

Detergent
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Rule 13 Vaccinations and postexposure follow-up

• Performed by a licensed health care professional
• Provided at no cost by the employer
• Provided according to U.S. public health service
  (Centers for Disease Control and Prevention).
• Counseling

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Rule 13 Vaccinations and postexposure follow-up
Continued

• Hepatitis B Vaccine
• Offered within 10 days
• HBV antibody testing offered after new employee
  vaccination
• Employees may decline the series

Note Clarification related to offering the HBV
vaccination to 1st Aid providers is available
through a Federal OSHA letter of interpretation
(External link)
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HBV Antibody Testing

• According to Current CDC recommendations
  healthcare workers (new employees)
• Must offer antibody titre within 60 days of the
  last vaccine in series.
• If not responder, offer series of 3 again and
  titre as described above.
• If still non-responder, follow CDC guidelines as
  appropriate.
• Guidelines for the Management of Occupational
  Exposures to HBV, HCV, and HIV and
  Recommendations for Postexposure Prophylaxis
  (External link)

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• The next slide will provide questions to assist
  with reviewing the Bloodborne Infectious Diseases
  Standard
• Rule 13 Vaccinations and postexposure follow-up

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Rule 13 HBV Vaccination and TitreQuestions and
Answers
Questions and answers will appear below. There
will be delays to allow time to answer the
questions.

• True or False. Antibody testing is to be offered
  to new employees who accept the HBV vaccine
  within 30-60 days following administration of the
  HBV vaccination series.
• True. Rule 13(2) states that an employer shall
  provide according to the current recommendations
  of the U.S. public health service CDC.
• Note Current CDC recommendations can be found
  in the Guidelines for the Management of
  Occupational Exposures to HBV, HCV, and HIV and
  Recommendations for Postexposure Prophylaxis
  (External link)

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Rule 13 Vaccinations and postexposure follow-up
Continued

• Medical Evaluation
• Confidential
• Route of exposure (i.e. needlestick, splash to
  eyes, etc.)
• Source individual identification and testing
• Exposed individual blood testing
• Postexposure prophylaxis as recommended by U.S.
  public health service (CDC)
• Counseling
• Evaluation of illnesses

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Rule 13 Vaccinations and postexposure follow-up
Continued

• Updated U.S. Public Health Service Guidelines for
  the Management of Occupational Exposures to HBV,
  HCV and HIV and Recommendations for Postexposure
  Prophylaxis
• Guidelines for the Management of Occupational
  Exposures to HBV, HCV, and HIV and
  Recommendations for Postexposure Prophylaxis
  (External link)

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Rule 13 Vaccinations and postexposure follow-up
Continued

• Employers shall provide to health care
  professionals a copy of the BID Rules and
  appendices

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Rule 13 Vaccinations and postexposure follow-up
Continued

• Employers shall ensure that health care
  professionals who evaluate employees after an
  exposure have been given the following
  information
• Description of employees duties as related to the
  exposure incident
• Documentation of the route and circumstances
  surrounding the exposure
• Results of the source individuals blood testing
• Relevant medical records (including vaccine)
• Description of PPE used or to be used

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Rule 13 Vaccinations and postexposure follow-up
Continued

• Employer shall obtain and provide to exposed
  employee a copy of the health care professionals
  written opinion limited to
• HBV vaccine information
• Statement that employee has been informed of test
  results and medical conditions that may have
  resulted from exposure

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• The next slide will provide questions to assist
  with reviewing the Bloodborne Infectious Diseases
  Standard
• Rule 13 Vaccinations and postexposure follow-up

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Rule 13 Post-exposure Follow-upQuestions and
Answers
Questions and answers will appear below. There
will be delays to allow time to answer the
questions.

• True or False
• Employee medical evaluations and test results are
  confidential.
• True. Rule 13 (5)
• Employers have the right to know the HIV status
  of their employees.
• False. Rule 13 (7) (b) states that the employer
  has the right to receive a statement that
  employee has been informed of test results and
  medical conditions that may have resulted from
  exposure

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Rule 14 Communication of Hazards to Employees

• Signs posted in work areas
• Labels affixed to containers of blood or OPIM

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Rule 15 Recordkeeping

• Employer shall establish and maintain medical
  records for each category A employee for duration
  of employment plus 30 years.
• Training records shall be maintained for 3 years

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Rule 15 Recordkeeping Continued

• Sharps Injury Log for contaminated sharps
  injuries must contain
• Type and brand of device
• Work unit or area where the incident occurred
• Explanation of how it happened
• Must protect employee confidentiality
• Applies to employers required to maintain a log
  under Part 11 Recording and Reporting of
  Occupational Injuries and Illnesses

Note Employers are permitted to use the 300 Log
to record sharps injuries and are encouraged to
use separate page(s) of the log just for
recording sharps injuries.
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• The next slide will provide questions to assist
  with reviewing the Bloodborne Infectious Diseases
  Standard
• Rule 14 Communication of hazards to employees
• Rule 15 Recordkeeping

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Rule 15 RecordkeepingQuestions and Answers
Questions and answers will appear below. There
will be delays to allow time to answer the
questions.

• True or False
• Employee medical records shall be kept for 5
  years.
• False. Rule 15 (4) states that an employer shall
  establish and maintain medical records for each
  employee for duration of employment plus 30
  years.
• Employers shall establish and maintain a log of
  contaminated sharps injuries.
• True. Rule 12 (A) Note Exception described in
  Rule 12 (b) and (c) .

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Rule 16 Information and Training

• Required for all category A employees
• At no cost
• During work hours
• At the time of initial assignment
• Annual refresher
• Appropriate for the educational level, literacy,
  and language of employees

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Rule 16 Information and Training Continued

• Contents of the training program
• Accessibility and explanation of the BID Rules
• Epidemiology and symptoms of bloodborne diseases
• Modes of BID transmission
• Exposure Control Plan with SOPs
• Methods for recognizing tasks and procedures that
  involve exposure to blood or OPIM

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Rule 16 Informationand Training Continued

• Contents of the training program (continued)
• Use and limitations of
• Engineering controls
• Work Practices
• PPE
• PPE selection criteria
• Hepatitis B vaccine including availability,
  efficacy, benefits and no cost

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Rule 16 Informationand Training Continued

• Contents of the training program (continued)
• What actions to take in case of an emergency
  involving blood or OPIM
• Follow-up procedures
• Signs and labels or color coding

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• The next slide will provide questions to assist
  with reviewing the Bloodborne Infectious Diseases
  Standard
• Rule 16 Information and training

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Rule 16 Information and TrainingQuestions and
Answers
Questions and answers will appear below. There
will be delays to allow time to answer the
questions.

• True or False
• Training is required for Category A employees
  initially and at least annually.
• True. Rule 16 (2).
• This MIOSHA training program meets all the
  employee training provisions.
• False. Refer to Rule 16 (5) (a)-(l) for all the
  required training elements.

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Contact MIOSHA for Additional Information

• Questions www.michigan.gov/askmiosha
• Consultation Education and Training Division
  [phone]
• General Industry Safety and Health Division
  (Compliance) [phone]
• Link to additional online resources.
• Return to the MIOSHA homepage.

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Thank you for participating

• This completes the overview of the MIOSHA
  Bloodborne Infectious Diseases Standard.