Policy Code: JHC-R2
Adoption Date: Tuesday, September 21st, 1993
Review Date: Tuesday, March 22nd, 2005
BLOODBORNE PATHOGENS STANDARD
This policy covers all employees who could be "reasonably anticipated", as the result of performing their job duties, to face contact with blood and other potentially infectious materials. "Good Samaritan" acts such as assisting a co-worker or student with a nosebleed would not be considered occupational exposure.
EXPOSURE CONTROL: Among school personnel who may be covered are:
- School medical personnel
- Persons working with the developmentally disabled
- Coaches and physical education teachers
- Persons trained in first aid
- Custodians whose duties include cleaning locker and training areas
- School bus drivers who transport developmentally handicapped students Coverage of the rule is not necessarily limited to these personnel. Each school principal will make a list of the employees in their school that they feel qualify for training and submit it to the Superintendent.
In the event that an incident occurs in which the identified employee inadvertently has contact with blood or other infectious body fluids through a puncture wound, non-intact skin, or a splash or spatter to the eyes, nose or mouth, the following procedure will be followed:
- Wash area as thoroughly and quickly as possible.
- Identify and test the source individual, if feasible.
- Seek medical advice and evaluation including blood test, if necessary.
- When needed, get post-exposure prophylaxis, counseling, and evaluation of related illnesses.
METHODS OF COMPLIANCE: All blood, synovial fluid, spinal fluid, vaginal secretions and semen will be treated as if infected with HBV and HIV, regardless of the individual's identity. The following protective measures must be taken when these fluids are present:
- All employees identified in the Exposure Control Plan should have the Hepatitis B Vaccination. Employees may choose not to accept the vaccination but must sign a declination form (see JHC-E).
- Use of protective gloves in all cases. Protective body clothing, eyewear and masks may also be required if the situation warrants their use.
- Properly clean and decontaminate all surfaces, clothing, etc. with a sterilizing agent.
- Disposable towels should be used.
- If engineering controls need to be implemented (like disposal of needles or wastes), the Public Health Services should oversee the procedures.
- Regulated waste must be properly labeled and/or placed in red bags or red containers
INFORMATION AND TRAINING: All employees that fall under the scope of this standard must receive training within 90 days of the start of school and be provided an annual review. The training must include: an explanation of the content of the Blood borne Pathogens Standard; a general discussion of blood borne diseases and how they are transmitted; the exposure control plan (what the plan is and how to obtain a copy); a description and the purpose of engineering and work practice controls; how to choose and use, as well as the limitations of, personal protective clothing and equipment; the purpose of the hepatitis B vaccine and its effectiveness; how to respond to incidents involving blood; how to handle incidents of employee exposure to blood and infectious body fluids; the post-exposure evaluation and follow-up program; and the purpose and meaning of signs/labels/color coding. Training may be accomplished using a videotape or computer program as long as a qualified individual is present to answer questions.
RECORDKEEPING: Medical records for each employee covered under the Standard must be kept for the duration of employment plus 30 years and be kept confidential. The content of these records must include the following: name and social security number; hepatitis B vaccination status (including dates); results of any examinations, medical testing and follow-up procedures; a copy of the healthcare professional's written opinion; and a copy of any information provided to the evaluating healthcare professional.
Training records must be kept for three years from the date of the training session. The records must include the dates of training, the name and qualifications of the trainer, names and job titles of personnel in attendance, and the contents of the training session.