Bloodborne Pathogen Exposure Control (Sample Outline)

This applies to medical and clinical settings. For a non-medical/non-clinical setting, the plan would be much less involved.

Plan purpose and Scope

Limited to employee’s occupational exposure to blood and other potentially infectious materials. Plan applies to any employee who can be reasonably expected to have contact with blood or other bodily fluids in performance of their job duties.

Employees

List employees and volunteers (these could include volunteer medical providers in free clinics) who meet requirements listed in the scope.

Written Plan

List job classifications (or titles) that fall under the scope of the plan. Methods of compliance (Universal Precautions, OSHA standard, other) Engineering controls (hand sinks in areas/departments where affected employees/volunteers work; antiseptic hand cleaner and paper towels in other situations; limiting personal activities in areas where bloodborne pathogen exposure likely; how to reach professional medical attention when needed; who will train employees new to the job or the organization.) Personal protective equipment (who provides and maintains it; requirements for the PPE; what type of PPE is to be used for what job Disposal of contaminated items (how to disinfect work surfaces or PPE, where to place contaminated PPE; where to place regulated waste — needles, I.V. tubing, used gloves; state, federal and local laws regarding disposal; use of biohazard bags and labels; sample of biohazard label). Housekeeping (how to maintain work areas in a clean and sanitary condition; how to pick up potentially contaminated broken glass; specifics for handling contaminated laundry; how to handle reimbursement for contaminated uniforms or personal clothing). Exposure incident (definition; who to contact and how; post-exposure evaluation and follow-up per OSHA Training (when provided; when repeated; when it’s offered; contents of the session) Recordkeeping (medical records per OSHA standards: confidential and retained for employment period plus 30 years).

Labels and Marking Systems

Include special labels and markings for blood contaminated material, biohazardous waste and medical waste.

Emergency Procedures

Information about emergency procedures: general and site-specific.

Vaccination

According to OSHA Standard, Hepatitis B vaccine must be offered to employees who may come into contact with contaminated body fluids as part of their job responsibilities. The employee has the right to decline. Identify who to contact to arrange for HBV.

Vaccination Information

Provide sample chart for documenting acceptance or rejection of HBV by employee name and date. The actual data could be kept electronically.

Training Records

Keep class rosters, sign-in sheets and tests.

Adapted from Mesa Community College, Occupational Health & Safety

Protect Staff From Bloodborne Pathogen Contamination