Jackson State Community CollegeExposure Control Plan

May 1, 2005

• Complete training within 10 days of employment (Question 4)

• Training updates annually

Exposure Control Plan Purpose

To comply with the OSHA standard regarding bloodborne pathogens (1992)To reduce occupational exposure to bloodborne pathogens (BBP)BBP’s include HBV (the agent responsible for Hepatitis B infection), HCV (the agent responsible for Hepatitis C infection), HIV (the agent responsible for AIDS) and othersPurpose of training: protect workers from life-threatening infections which they may encounter in the workplace while completing their normal job duties. (Question 6)

Primary Objectives of BBP Training

To protect our employees from the health hazards associated with bloodborne pathogensTo provide appropriate treatment and counseling should an employee be exposed to bloodborne pathogens (HBV, HCV, HDV, HIV, syphilis, malaria, & others) [Question 5]

Program Statement

JSCC is concerned about providing a place of employment which is free of recognized hazards that are causing or likely to cause death or serious physical harm to its employees. This policy/program applies to any occupational exposure to bloodborne pathogens present in human blood that can cause disease in humans

Exposure Control Program General Management

There are three major categories of responsibility that are central to the effective implementation of the plan:

The Exposure Control Officer Division and Department managersOur employees

To assist the EC Officer, the college has an Exposure Control Committee

Exposure Control committee

Medical Advisor - Dr. Jackie TaylorExposure Control Officer – Celeste OsgoodChairman of Nursing - Dr. Leslie West-SandsSafety Director – Nick Trent

MLT Program Director - Glenda JonesHuman Resources Director - Diane Harris

Availability of the PlanA copy of the ECP is available:

Health Services Office across from the JSCC BookstoreNight Office on the main campus, the Lexington and the Savannah Centers.Health Services Web page: Go to “Student Services” from JSCC main page [www.jscc.edu]; then to “Health Services”; then click on “BBP” [Question 1]

Review and UpdateTo maintain a current approach to Exposure Control, the committee will review and update the ECP under the following circumstances:

AnnuallyWhenever new or modified tasks and procedures are implemented affecting the risk for exposure to our employeesWhenever job descriptions are revised, affecting risk for exposureWhenever new functional positions are established that involve BBP exposure

Exposure Determination: Who is covered in the

JSCC ECP?Director of JSCC Health Services & staff

Nursing Faculty

Health Sciences Faculty

Biology Faculty

Athletic and PE Faculty

Physical Plant Staff:Maintenance, Custodians and Security Guards

Engineering and Technology Faculty

Methods of ComplianceGeneral:

The basic rule for handling potentially infectious materials will be to assume that all blood and body fluids are contaminated with HIV or HBV. Body Substance Isolation precautions will be taken as appropriate to the specific risk of exposure. [Question 14]

“BSI” replaces “universal precautions” & “standard precautions”

Methods of Compliance

Engineering Controls:Hand washing facilities accessible to all employees who have the potential for exposureContainers for contaminated sharps & specimens leak proof & puncture resistantCommercially manufactured BBP Protection and Clean-up Kits should be used for clean up of BBP [Question 13]

Methods of ComplianceWork Practice Controls:

Appropriate barrier precautions to prevent exposure (gloves, gowns, goggles, etc)

Safety engineered needles & sharps

Hand washing or antiseptic hand cleansers

Eating, drinking, smoking, applying cosmetics or lip balm and handling contact lens are prohibited in any work area where there is potential for exposure to BBPs.

Proper labeling of potentially infectious materials (color coded or biohazard sign)

Decontaminating equipment that may be contaminated.

Methods of Compliance

Personal Protective EquipmentWill be provided at no cost to the employee, appropriate equipment including but not limited to gloves, gowns, masks, face shields, lab coats, eye protection, mouthpieces, resuscitation bags, pocket masks, etc. (Students who are not student workers must provide their own PPE.).Must be worn based on the degree of anticipated exposure (latex or nylon free materials are available for those who need latex or nylon free gloves) [Questions 10 & 11]

Personal Protective Equipment

Appropriate only if it does not permit blood or other potentially infectious materials to pass through or reach the person’s work clothes, street clothes, undergarments, skin, eyes, mouth, or other mucous membranes under normal conditions of use.

Personal Protective Equipment

Any employee failing to use appropriate PPE after completion of the initial training shall be considered to have committed a willful safety violation as defined by OSHA and therefore are subject to disciplinary action.

Personal Protective Equipment

Any person with supervisory authority failing to enforce the use of appropriate PPE by his or her personnel after completion of the initial training shall be considered to have committed a willful safety violation as defined by OSHA and therefore subject to disciplinary action.It will be the responsibility of the department to provide, repair or replace all PPE.

Methods of Compliance

Housekeeping:Maintaining the college in a clean and sanitary condition is an important part of our BBP compliance program & is everyone’s concern, not just the housekeeping staff [Question 9]

A written schedule for cleaning and decontamination of the various areas of the facility has been developed and implemented under the supervision of the Physical Plant Managers. A copy is available in the Physical Plant Office.Details in ECP Manual

Hepatitis B VaccinationHBV is highly infectious, not easily cured HBV is preventable by vaccine in 85-97% of cases.Hepatitis B vaccination is available at no cost to the employee who has been identified as “potentially at risk for exposure to bloodborne pathogens” in their tour of duty.Vaccine will be administered through Health Services. It is the responsibility of the employee to keep appointments to receive the vaccine. [Questions 7 & 12]

Is This Vaccine Safe?June 2002: Institute Of Medicine finds no link between the Hep B vaccine & Multiple Sclerosis http://www.iom.edu/iom/iomhome.nsf/WFiles/HepatitisB_ExecSummary/$file/HepatitisB_ExecSummary.PDF

A vaccine, like any medicine, is capable of causing serious problems, such as severe allergic reactions, but the risk of the Hep B vaccine causing serious harm, or death, is extremely small http://www.cdc.gov/nip/publications/vis/vis-hep-b.pdf

Local soreness 1 – 2 days (25% of adults)Mild to moderate fever (1 out of 100 adults) http://www.cdc.gov/nip/publications/vis/vis-hep-b.pdf

Report if severe symptoms within a few minutes to a few hours of injection: difficulty breathing, hoarseness, wheezing, hives, paleness, weakness, rapid pulse or dizziness http://www.cdc.gov/nip/publications/vis/vis-hep-b.pdf

What If I Have Been Exposed to BBP or

OPIM?Wash immediately with soap & waterReport to your supervisor immediatelyContact the Exposure Control Officer if questions (24 hour cell: 695-0911)Report to ER within 2 hours

To determine riskTo receive treatment if indicatedTo receive medication if indicated

[Questions 3 & 8]

Post-Exposure Evaluation & Follow-Up

All potential exposure incidents shall be reported to the immediate supervisor.

An Exposure Incident Report will be completed.

The report will be submitted to the Exposure Control Officer no later than the next working day following exposure.

Determination will be made as to the exposure of BBP, etc.

Communication of Hazards to Employees

Labels and signs: Containers marked with the biohazard symbol should only be handled or processed by employees who are assigned to this task within their department. These employees complete a separate training within their department especially for this purpose. [Question 2]

Biohazard containers are not emptied, moved or processed as regular waste.Biohazard containers & liners can be red or orange-red and will be stamped with the biohazard symbolInformation & Training

Recording Needlesticks

Requires employers to record all needlestick and sharps injuries involving contamination by another person’s blood or other potentially infectious material

1904.8

Tuberculosis & Medical Removal

Includes separate provisions describing the recording criteria for cases involving the work-related transmission of tuberculosisRequires employers to record cases of medical removal under OSHA standards

1904.11 & 1904.9