Bloodborne Pathogen exposure/incident packet - Spokane Public ...

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05PURPOSEIn accordance with the WISHA Blood borne Pathogens standards,Spokane Public Schools (SPS) has developed the following ExposureControl Plan (ECP) to eliminate or minimize employee occupationalexposure to blood or other potentially infectious materials as detailed inthe Blood borne Pathogens (BBP) standard.ADMINISTRATION ROLESSafety Services · Ensure that the ECP is written, implemented, and updatedannually· Remain accessible to all staff members to answer questionsrelated to this ECP or BBP training· Provide training support of required employees· Maintain BBP/ECP training files· Maintain BBP Sharps Injury Log· Conduct ongoing evaluations of tasks and medical devices thatcarry a risk of exposure and implement safer medical deviceswhenever feasibleHuman Resources · Conduct BBP awareness training for new employees· Maintain BBP medical records of those employees who receiveimmunizations or have had exposure incidents requiringimmunization.· Maintain BBP training records of Category I and II employees asdefined in this documentSite Managers/PrincipalsDepartment Heads· Contact Safety Services if questions or comments regarding thisECP arise· Ensure a copy of this ECP is accessible to staff members· Ensure that required BBP training is conducted· Contact Safety Services if BBP/ECP questions or commentsarise· Ensure that Category I employees comply with procedures andwork practices outlined in this ECP. Initiate disciplinary action ifemployees knowingly fail to follow the rules and work practicesoutlined in this ECPDEFINITIONSFor purposes of this section, the following shall apply:Assistant Secretary means the Assistant Secretary of Labor for

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05Occupational Safety and Health, or designated representative.Blood means human blood, human blood components, and productsmade from human blood.Blood borne Pathogens means pathogenic microorganisms that arepresent in human blood and can cause disease in humans. Thesepathogens include, but are not limited to, hepatitis B virus (HBV) andhuman immunodeficiency virus (HIV).Clinical Laboratory means a workplace where diagnostic or otherscreening procedures is performed on blood or other potential infectiousmaterials.Contaminated means the presence or the reasonably anticipatedpresence of blood or other potentially infectious materials on an item orsurface.Contaminated Laundry means laundry that has been soiled with bloodor other potentially infectious materials or may contain sharps.Contaminated Sharps means any contaminated object that canpenetrate the skin including, but not limited to, needles, scalpels, brokenglass, broken capillary tubes, and exposed ends of dental wires.Decontamination means the use of physical or chemical means toremove, inactivate, or destroy blood borne pathogens on a surface oritem to the point where they are no longer capable of transmittinginfectious particles and the surface or item is rendered safe for handling,use, or disposal.Director means the Director of the National Institute for OccupationalSafety and Health, U.S. Department of Health and Human Services, ordesignated representative.Engineering Controls means controls (e.g., sharps disposal containers,self-sheathing needles) that isolate or remove the blood borne pathogenshazard from the workplace.Exposure Incident means a specific eye, mouth, other mucousmembrane, non-intact skin, or parenteral contact with blood or otherpotentially infectious materials that results from the performance of anemployee’s duties.Hand Washing Facilities means a facility providing an adequate supplyof running potable water, soap and single use towels or hot air dryingmachines.HBV Means hepatitis B virus.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05HIV means human immunodeficiency virus.Licensed Healthcare Professional is a person whose legally permittedscope of practice allows him or her to independently perform the activitiesrequired by the Hepatitis B Vaccination and Post-exposure Evaluationand Follow-up.Occupational Exposure means reasonably anticipated skin, eye,mucous membrane, or parenteral contact with blood or other potentiallyinfectious materials that may result from the performance of anemployee’s duties.Other Potentially Infectious Materials (OPIM) means1) The following human body fluids: semen, vaginal secretions,cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritonealfluid, amniotic fluid, saliva in dental procedures, any body fluid that isvisibly contaminated with blood, and all body fluids in situations where itis difficult or impossible to differentiate between body fluids;2) Any unfixed tissue or organ (other than intact skin) from a human(living or dead); and3) HIV-containing cell or tissue cultures, organ cultures, and HIV- or HBVcontainingculture medium or other solutions; and blood, organs or othertissues from experimental animals infected with HIV or HBV.Parenteral means piercing mucous membranes or the skin barrierthrough such events as needle-sticks, human bites, cuts, and abrasions.Personal Protective Equipment is specialized clothing or equipmentworn by an employee for protection against a hazard. General workclothes (e.g., uniforms, pants, shirts or blouses) not intended to functionas protection against a hazard is not considered to be personal protectiveequipment.Phlebotomy is the act of drawing or removing blood from the circulatorysystem through a cut (incision) or puncture in order to obtain a sample foranalysis and diagnosis. Phlebotomy is also done as part of the patient’streatment for certain blood disorders.Production Facility means a facility engaged in industrial-scale, largevolumeor high concentration production of HIV or HBV.Regulated Waste means liquid or semi-liquid blood or other potentiallyinfectious materials; contaminated items that would release blood orother potentially infectious materials in a liquid or semi-liquid state ifcompressed; items that are caked with dried blood or other potentiallyinfectious materials and are capable of releasing these materials duringhandling; contaminated sharps; and pathological and microbiologicalwastes containing blood or other potentially infectious materials.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05COMPLIANCEResearch Laboratory means a laboratory producing or using researchlaboratory-scaleamounts of HIV or HBV. Research laboratories mayproduce high concentrations of HIV or HBV but not in the volume found inproduction facilities.Source Individual means any individual, living or dead, whose blood orother potentially infectious materials may be a source of occupationalexposure to the employee. Examples include, but are not limited to,hospital and clinic patients; clients in institutions for the developmentallydisabled; trauma victims; clients of drug and alcohol treatment facilities;residents of hospices and nursing homes; human remains; andindividuals who donate or sell blood or blood components.Sterilize means the use of a physical or chemical procedure to destroyall microbial life including highly resistant bacterial endospores.Universal Precautions is an approach to infection control. According tothe concept of Universal Precautions, all human blood and certain humanbody fluids are treated as if known to be infectious for HIV, HBV, andother blood borne pathogens.Work Practice Controls means controls that reduce the likelihood ofexposure by altering the manner in which a task is performed (e.g.,prohibiting recapping of needles by a two-handed technique).Exposure DeterminationWISHA requires employers to perform an exposure determination toidentify employees who have occupational exposure to blood or otherpotentially infectious materials. Occupational exposure means”reasonably anticipated skin, eye, mucous membrane or parenteralcontact with blood or other potentially infectious material that may resultfrom the performance of an employee’s duties.” For purposes of thedetermination, employees are considered to have occupational exposureeven if they utilize PPE while performing duties that put them at risk forexposure.SPS has divided all employees into three categories (Category I, II & III).Category I employees are those employees who were determined tohave occupational exposure or “reasonably anticipated” and shall meetfull compliance of the WISHA WAC. Category II employees are thosethat do not have anticipated exposure but on occasion may come acrossblood or body fluid. Therefore SPS believes that this category requiressome type of BBP training. Category III employees are unlikely to comeacross blood or body fluid and do not need BBP training as part of theirjob duty. Below is a list of Category I, II, & III employees.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05Category I Job TitlesThis category includes all employees who have routine exposure to bloodor other potentially infectious material as a function of their employment.‣ School Nurses‣ Teachers of the developmentally impaired, multiple handicapped,or orthopedically handicapped‣ Special education instructional assistants for the developmentallyimpaired, multiple handicapped, or orthopedically handicapped‣ Assistant & Head Coaches of Contact Sports (Football &Wrestling)‣ Teachers of Athletic Training Classes‣ Custodians‣ Elementary School Office Staff Members‣ Middle School & High School Student Office Staff Members‣ PlumbersCategory II Job TitlesThis category includes all employees who do not have reasonablyanticipated exposure but may on occasion encounter blood or body fluid.‣ Teachers not identified above‣ School staff members not identified above‣ Certified staff working as playground monitors‣ Classified staff working as playground aides‣ Classified staff working as school crossing guards‣ Express Program Staff (located at school sites)‣ LES program specialists, bilingual assistants, and tutors‣ Vocational education teachers not identified as Category I‣ Coordinator of Health Services‣ Athletic referees‣ Classified and certificated substitutes‣ Food service workers‣ Grounds keepers‣ HVAC workers‣ Carpenters‣ Electricians‣ Security Officers‣ STRIVE SpecialistsCategory III Job TitlesThis category includes all employees who do not have any likely orforeseen exposures. It includes primarily faculty, administrators, andsupport staff not mentioned in Category I & II.COMPLIANCEUniversal PrecautionsUniversal precautions will be observed by SPS in order to prevent contactwith blood or other potentially infectious materials. This means that allblood or OPIM will be treated as infectious regardless of the perceivedstatus of the source individual.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05Avoid contact with blood and body fluids, if possible. Get assistance fromCategory I employees if necessary. When blood or body fluid contactcannot be avoided, protect yourself. Disposable gloves arerecommended, but they are not always available. Rubber gloves andplastic bags are helpful in providing some protection. Wheneverpossible, have the person control their own bleeding by applying directpressure to the wound with paper towels, tissues or other cleandisposable towels.All health care workers should routinely use appropriate barrierprecautions to prevent skin and mucous membrane exposure duringcontact with any blood or body fluids.Gloves should be worn:‣ for touching blood and body fluids requiring universalprecautions, mucous membranes, or non-intact skin of allpatients, and‣ for handling items or surfaces soiled with blood or body fluids towhich universal precautions apply.Gloves should be changed after contact with each patient. Hands andother skin surfaces should be washed immediately or as soon as patientsafety permits if contaminated with blood or body fluids requiringuniversal precautions.Masks and protective eyewear or face shields may be worn by to preventexposure of mucous membranes of the mouth, nose, and eyes duringprocedures that are likely to generate droplets of blood or body fluidsrequiring universal precautions.Gowns or aprons should be worn during procedures that are likely togenerate splashes of blood or body fluids requiring universal precautions.All workers should take precautions to prevent injuries caused byneedles, scalpels, and other sharp instruments or devices duringprocedures; when cleaning used instruments; during disposal of usedneedles; and when handling sharp instruments after procedures.General infection control practices should further minimize the alreadyminute risk for salivary transmission of HIV. These infection controlpractices include the use of gloves for digital examination of mucousmembranes and endotracheal suctioning, hand-washing after exposureto saliva, and minimizing the need for emergency mouth-to-mouthresuscitation by making mouthpieces and other ventilation devicesavailable for use in areas where the need for resuscitation is predictable.Engineering ControlsSafety Services shall conduct ongoing evaluation of tasks and medical

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05devices that carry a risk of exposure and direct the implementation ofsafety medical devices whenever necessary.The following engineering controls have been developed to prevent orminimize exposure to blood borne pathogens. New technology will beimplemented and evaluated whenever possible. Engineering controls willbe evaluated and maintained as described below:Table 1 - Engineering ControlsControls in Use Location Evaluation/Service Interval Controls EvaluatedSharps ContainersSchool/Site Health orFirst Aid RoomInspected Weekly bySchool/Site RepresentativeSchool Staff report to SafetyServices when change outneededSafety Services inspectsat randomBiohazard BagsSchool/Site Health orFirst Aid Room,Custodian’s Office orStorage areaNot EstablishedCustodian re-stock asnecessaryRed TongsCustodian’s Office orStorage areaNot EstablishedEvaluated by SafetyServicesRed Sharps RetrievalConesSchool/Site Health orFirst Aid Room,Custodian’s Office orStorage areaNot EstablishedSafety ServicesBBP Spill KitsSchool/Site Health orFirst Aid Room,Custodian’s Office orStorage areaNot EstablishedEvaluated by CustodialServicesExempted Task or DevicesWORK PRACTICECONTROLSIt is required that tasks that utilize non-safer devices or allow exceptionsto define work practices be identified and documented. No such taskshave been identified at this time.Work practice controls are categorized as “general” and “specific” in thisECP. All SPS employees shall observe “general” work practice controls.“Specific” work practice controls will be observed by only specific jobtitles.General Work Practice ControlThe following work rules apply where there is a potential for contact withblood or OPIM.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05Hand and Body Washing‣ Hand-washing facilities are available to employees who areexposed to blood or other potentially infectious materials‣ Employees shall wash hands after removal of personal protectivegloves and whenever there is a likelihood of contamination. Inaddition, any contaminated skin area will be washed as soon aspossible.‣ When hand-washing facilities are not readily available. The useof waterless hand-washing products is permitted as an interimmeans of washing the hands or other parts of the body aftercontamination with blood or OPIM.‣ If blood or other potentially infectious material contacts mucousmembranes then those areas shall be washed or flushed withwater as appropriate as soon as possible following contact.Other Work Practices‣ Contaminated needles may not be recapped, bent or broken off.Shearing or breaking of contaminated needles is prohibited.They must be deposited in a sharps container immediately or assoon as possible after use. If recapping is a necessary part of aprocedure, such recapping must be accomplished through theuse of a recapping device or a one-handed technique.‣ To prevent needle-stick injuries, needles should not be recappedby hand, purposely bent or broken by hand, removed fromdisposable syringes, or otherwise manipulated by hand. Afterthey are used, disposable syringes and needles, scalpel blades,and other sharp items should be placed in puncture-resistantcontainers for disposal. The puncture-resistant containers shouldbe located as close as practical to the use area. All reusableneedles should be placed in a puncture-resistant container fortransport to the reprocessing area.‣ Sharps containers must be closed prior to removal orreplacement to prevent spilling or protrusion of the contentsduring handling or storage.‣ Eating, drinking, smoking, applying cosmetics or lip balm, andhandling contact lenses are prohibited in work areas where thereis a reasonable likelihood of occupational exposure.‣ Food and drink must not be kept in refrigerators, freezers,shelves, and cabinets or on countertops or bench tops whereblood or other potentially infectious materials are present.‣ All procedures will be conducted in a manner, which will minimize

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05will receive training on the appropriate use of PPE provided for specifictasks.The following PPE shall be provided for Category I employees:‣ Disposable Gloves, Utility Gloves‣ Safety Glasses‣ Utility Gloves‣ Mask‣ Apron, Gown‣ Safety GlassesPPE RequirementsThe following PPE shall be provided for Category II employees:‣ Disposable GlovesIf required PPE is not available, contact your Principal, Site Manager orDepartment Head to insure that supplies are replenished.GlovesGloves shall be worn where it is reasonably anticipated that employeeswill have hand contact with blood, other potentially infectious materials,non-intact skin, and mucous membranes.Disposable gloves used at this facility are not to be washed ordecontaminated for re-use and are to be replaced as soon as practicalwhen they become contaminated or as soon as possible if they are torn,punctured, or when their ability to function as a barrier is compromised.Utility gloves may be decontaminated for re-use provided that the integrityof the glove is not compromised. Utility gloves will be discarded if theyare cracked, peeling, torn, punctured, or exhibit other signs ofdeterioration or when their ability to function as a barrier is compromised.Other PPEAppropriate face and eye protection must be worn when splashes,sprays, spatters, or droplets of blood or other potentially infectiousmaterials pose a hazard to the eyes, nose or mouth.Gowns, aprons, and other protective body clothing shall be wornwhenever there is a risk of splash to the body.Surgical caps or hoods and shoe covers or booties shall be worn whengross contamination can be reasonably anticipated.All garments, which are penetrated by blood, shall be removedimmediately or as soon as possible. All personal protective equipmentshall be removed and placed in a designated area or container prior toleaving the work area.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05HousekeepingWork surfaces must be decontaminated with an approved disinfectant assoon as possible after contamination with blood or OPIM; and at the endof the work shift if the surface may have become contaminated since thelast cleaning.Handling of Waste Material‣ Disposal of used sharps containers will be conducted by SafetyServices after site/building notification.‣ Contaminated sharps disposal containers shall not be re-used,manually opened, emptied, or cleaned.‣ Other potentially infectious waste shall be placed in biohazardbags. If waste fluid is not known to be infectious it may bepoured down drain. No more than one quart of waste fluid shallbe put in biohazard bags. Absorbent material may be used tominimize solution.‣ Mechanical means such as tongs, forceps or a brush anddustpan shall be used to pick up contaminated broken glassware.Hands shall never be used.Laundry‣ Contaminated laundry shall be handled as little as possible, withminimal agitation.‣ Contaminated laundry shall be placed in leak-proof, labeled orcolor-coded containers before transporting to the laundry facility.‣ Appropriate PPE shall be worn when handling and/or sortingcontaminated laundry.‣ Contaminated linens shall be washed with detergent in water atleast 140F - 160F for 25 minutes. If low temperature laundrycycles are used, chemicals suitable for low temperature washingat proper use concentration must be used.‣ Home laundering of contaminated clothing is prohibited.Signs and LabelsWarning labels shall be placed on containers of regulated waste,refrigerators containing blood or other potentially infectious materials andother containers used to store or transport blood or infectious materials.Labels shall be fluorescent orange, orange-red with lettering in a

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05contrasting color. Pre-labeled biohazard bags can be ordered from thedistrict warehouse.HEPATITIS B VACCINEAll employees who have been identified as Category I, will be offered theHepatitis B vaccine series at no cost to the employee, within 10 days ofinitial assignment unless:‣ the employee has previously received the series‣ antibody testing reveals that the employee is immune‣ medical reasons prevent taking the vaccination; or‣ the employee chooses not to participateEmployees will be provided with information on Hepatitis B vaccinationsaddressing its safety, benefits, efficacy, methods of administration andavailability. Please see the Hepatitis B Information Packet located inAppendix E.Evaluation and Managementof Exposure IncidentsEmployee TrainingSPS shall respond to potential and actual BBP exposure incidencesappropriately. Please see the Site Manager’s Packet for a Blood bornePathogen Occupation Exposure Incident located in Appendix F.All Category I employees shall receive training at the time of initialassignment and at least annually thereafter. Training may be coordinatedthrough Safety Services.Training shall include:‣ information regarding epidemiology, symptoms, and transmissionof blood borne pathogen diseases.‣ a copy and explanation of the standard‣ an explanation of our exposure control plan and how to obtain acopy‣ an explanation of methods to recognize tasks and other activitiesthat may involve exposure to blood and OPIM, including whatconstitutes an exposure incident‣ an explanation of the use and limitations of engineering controls,work practices, and PPE‣ an explanation of the types, uses, location, removal, handling,decontamination, and disposal of PPE‣ an explanation of the basis for PPE selection

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05‣ information on the Hepatitis B vaccine, including information onits efficacy, safety, method of administration, the benefits of beingvaccinated, and that the vaccine will be offered free of charge‣ information on the appropriate actions to take and persons tocontact in an emergency involving blood or OPIM an explanationof the procedure to follow if an exposure incident occurs,including the method of reporting the incident and the medicalfollow-up that will be made available‣ information on the post-exposure evaluation and follow-up thatthe employer is required to provide for the employee following anexposure incident‣ an explanation of the signs and labels and/or color codingrequired by the standard and used at this facility‣ an opportunity for interactive questions and answers with theperson conducting the training sessionTraining records will be completed for each employee upon completion oftraining. These documents will be kept with the employee’s recordsmaintained by Human Resources and will include:‣ dates of the training sessions‣ contents or a summary of the training sessions‣ names and qualifications of persons or module conducting thetraining‣ names and job titles of all persons attending the training sessionsTraining records will be maintained for a minimum of three (3) years fromthe date on which the training occurred.Employee training records will be provided upon request to the employeeor the employee’s authorized representative within 15 working days.RECORD KEEPINGMedical RecordsThe Human Resources Department is responsible for maintenance of therequired medical records. They are kept on the second floor of theAdministration Building located at 200 N. Bernard.Medical records are maintained for each employee with occupationalexposure in compliance with WAC rules, “Access to Employee Exposureand Medical Records” and will include:‣ the name and social security number of the employee‣ a copy of the employee’s hepatitis B vaccinations and anymedical records relative to the employee’s ability to receive

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05vaccinations‣ a copy of all results of examinations, medical testing, and followupprocedures as required by the blood borne pathogensstandard‣ a copy of all health care professional’s written opinions asrequired by the blood borne pathogens standardAll employee medical records will be kept confidential and will not bedisclosed or reported without the employee’s express written consent toany person within or outside the workplace except as required by thestandard or other legal provisions.Employee medical records shall be maintained for at least the duration ofemployment plus 30 years.Employee medical records will be provided upon request of the employeeor to anyone having written consent of the employee within 15 workingdays.Sharps Injury LogSafety Services is responsible for maintenance of the confidential SharpsInjury Log. The log is located in Safety Services files located at theScience Resource Center, 2525 N. Cincinnati.The Sharps Injury Log shall contain, at a minimum:‣ The routes of exposure‣ An explanation of and circumstances under which the incidentoccurred‣ The type and brand of device involved in the incident, and‣ The department or work area where the exposure occurredAttachments Appendix A Custodian Exposure Control Work PracticesAppendix BAppendix CAppendix DAppendix EAppendix FSpecial Ed, BI, & DI Exposure Control Work PracticesSchool Office Manager / Health Room WorkerExposure Control Work PracticesContact Sport Coaches / & Athletic Trainers ExposureControl Work PracticesHepatitis B Information PacketSite Manager’s Packet for a Blood borne PathogenOccupational Exposure Incident

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05APPENDIX ACustodian Exposure Control Work Practices

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05Custodial Services Blood/Body Fluid Cleanup ProceduresSince human blood/body fluid has the potential for being an infectious material, exposure to theblood of another person must be avoided using controls and procedures that reduce thelikelihood of exposure. The following procedure should be followed whenever you are requiredto cleanup blood from a surface such as floors, walls, furniture, etc.Supplies Needed:– Virex 256 Spray Bottle– Disposable gloves– Red Tongs– Disposable cloth or absorbable sheets– Disposable red “Biohazard” bagsCleanup Steps:A. When notified of the need for clean up of human blood or body fluid obtain the suppliesneeded above from the custodial closet.B. Place caution signs around the spill if it is on the floor.C. Put on the disposable glovesD. Apply the Virex 256 onto the blood and allow it to stand for a few minutes.E. Cover the blood with absorbent sheets and allow it to soak in. Use as many sheets asnecessary to absorb the body fluid and disinfectant.F. Use tongs and place soaked absorbent sheets into the red “Biohazard” bags.G. Repeat steps D and E if necessary.H. Remove gloves by turning them inside out, beginning at the wrist and peeling them off.When removing the second glove, do not touch the soiled surfaces with your bare hand.Hook the inside of the glove at the wrist and peel the glove off.I. Place used gloves and other supplies in the red “Biohazard” bag.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05J. Dispose of “Biohazard” bag in dumpster but do not compact.K. Wash hands thoroughly with soap and water.Note: If blood or other potentially infectious materials is present on carpet, paper towels orgauze should be used to soak up any excess fluids in the area. A germicide should be used todisinfect the area and allowed to dry overnight before final cleanup.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05Custodial Services Sharps Retrieval ProceduresSince human blood/body fluid has the potential for being an infectious material, exposure to theblood of another person must be avoided using controls and procedures that reduce thelikelihood of exposure. The following procedure should be followed whenever you encounter apotentially contaminated sharp object. These objects may include but not limited to syringes,needles, blood testing strips, razor blades, and knives.Supplies Needed:– Virex 256 Spray Bottle– Disposable gloves– Red Sharps Retrieval Cone– Disposable cloth or absorbable sheets– Disposable red Biohazard BagsCleanup Steps:A. When the need to clean up a potentially contaminated sharp object obtain the suppliesneeded above from the custodial closet.B. Place caution signs around the object.C. Put on the disposable glovesD. Apply the Virex 256 onto the object and allow it to stand for a few minutes.E. Pick up the sharp object with the Retrieval Cone and snap the lid shut.E. Wipe up residual Virex and place into Biohazard BagF. Transport cone that consists of sharp object to disposable sharps container located inhealth room.G. Remove gloves by turning them inside out, beginning at the wrist and peeling them off.When removing the second glove, do not touch the soiled surfaces with your bare hand.Hook the inside of the glove at the wrist and peel the glove off.H. Place used gloves in red “Biohazard” bag.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05I. Dispose of “Biohazard” bag in dumpster but do not compact.J. Wash hands thoroughly with soap and water.K. Contact Safety Services if the sharps container needs changed out.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05APPENDIX BSpecial Ed, DI, BI, Exposure Control WorkPractices

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05Special Ed, DI, BI, Exposure Control Work PracticesGeneral Cleanup Practices– Disposable gloves should be worn for all cleanup practices– If a blood or body fluid cleanup is necessary follow the procedures outlined in AppendixA or immediately contact a custodian.– Tables used should be disinfected daily and as needed with Virex 256 following themanufacturer recommendations.– If blood or other potentially infectious materials are present on the tables, counters, orgymnasium floor, it should be cleaned off then disinfected with Virex 256.Laundry – Potentially contaminated or contaminated.– Use disposable gloves when handling potentially contaminated laundry.– Wash potentially contaminated laundry separately from other laundry.– Use a wash water temperature of at least 160 o F. Use the heavy-duty or super-wash cycle toachieve a longer washing. Add household detergent and household bleach according to themanufacturer’s recommendations based on the size of the load. If the laundry is heavilysoiled a “pre-wash” cycle should be used or do a second washing. Non-chlorine bleach maybe used for non-colorfast clothing.– Send student clothing home for laundering whenever possible unless contaminated withanother person’s blood or body fluids; wash those on site. Use a clearly identifiedimpervious plastic bag to transport clothing. The warehouse stocks red bio-hazard bags forthis purpose although any sturdy plastic bag will do. Advise parents accordingly.– When shipping laundry off site to a secondary facility, place potentially contaminatedlaundry in labeled or color-coded containers or in clearly identified impervious plastic bags.The warehouse stocks red bio-hazard bags for this purpose.– Place gloves and all other disposable waste from laundering procedures in a red bio-hazardbag. Sharps, such as needles or syringes need to be placed in red “Sharps” container locatedin the health room.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05– Wash hands thoroughly for a minimum of 30 seconds with soap and warm water afterremoving gloves.– Do not take potentially contaminated laundry home to be washed unless it is your personallaundry.– Dry clothes in a hot dryer.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05APPENDIX CHealth RoomExposure Control Work Practices

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05Health RoomExposure Control Work PracticesThe following materials should be available for Health Room Workers to ensure an occupationalexposure will not occur.– Stocked First Aid Kit– Virex 256 Spray Bottle– Disposable gloves– Red Tongs– Disposable cloth or absorbable sheets– Disposable red “Biohazard” bagsGloves shall be worn when it can be reasonably anticipated that the employee may havehand contact with blood, other potentially infectious materials, mucous membranes, andnon-intact skin.Disposable (single use) gloves shall be replaced as soon as practical when contaminatedor as soon as feasible if they are torn, punctured or when their ability to function as abarrier is compromised.Remove gloves by turning them inside out, beginning at the wrist and peeling them off.When removing the second glove, do not touch the soiled surfaces with your bare hand.Hook the inside of the glove at the wrist and peel the glove off.Gloves should be removed and discarded into a red biohazard bag.Biohazard containers are located in the wound care and taping area of the athletic trainingroom.Gloves are located in coaches offices and the athletic training roomIf a blood or body fluid cleanup is necessary follow the procedures outlined in AppendixA or immediately contact a custodian.Tables used by should be disinfected daily and as needed with Virex 256 following themanufacturer recommendations.If blood or other potentially infectious materials are present on the tables, counters, orgymnasium floor, it should be cleaned with Virex 256

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05If blood or other potentially infectious materials is present on carpet, paper towels or gauzeshould be used to soak up any excess fluids in the area. A germicide will be used to disinfectthe area that should be allowed to dry overnight.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05APPENDIX DContact Sports Coaches & Athletic TrainersExposure Control Work Practices

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05Contact Sports Coaches & Athletic TrainersExposure Control Work PracticesSince human blood/body fluid has the potential for being an infectious material, exposureto the blood of another person must be avoided using controls and procedures that reducethe likelihood of exposure.The following materials should be available for Contact Sport Coaches & Trainers to ensure anoccupational exposure will not occur.– Stocked First Aid Kit– Virex 256 Spray Bottle– Disposable gloves– Red Tongs– Disposable cloth or absorbable sheets– Disposable red “Biohazard” bagsGloves shall be worn when it can be reasonably anticipated that the employee may havehand contact with blood, other potentially infectious materials, mucous membranes, andnon-intact skin.Disposable (single use) gloves shall be replaced as soon as practical when contaminatedor as soon as feasible if they are torn, punctured or when their ability to function as abarrier is compromised.Remove gloves by turning them inside out, beginning at the wrist and peeling them off.When removing the second glove, do not touch the soiled surfaces with your bare hand.Hook the inside of the glove at the wrist and peel the glove off.Gloves should be removed and discarded into a red biohazard bag.Biohazard containers are located in the wound care and taping area of the athletic trainingroom.Gloves are located in coaches offices and the athletic training roomIf a blood or body fluid cleanup is necessary follow the procedures outlined in AppendixA or immediately contact a custodian.Tables used by athletic training staff should be cleaned daily and as needed with Virex 256following the manufacturer recommendations.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05If blood or other potentially infectious materials are present on the tables, counters, orgymnasium floor, it should be cleaned with Virex 256If blood or other potentially infectious materials is present on carpet, paper towels or gauzeshould be used to soak up any excess fluids in the area. A germicide will be used to disinfectthe area that should be allowed to dry overnight.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05APPENDIX FHepatitis B Vaccine Information Packet

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05HEPATITIS B VACCINEINFORMATION PACKETCATEGORY 1 EMPLOYEES· School Nurses· Teachers of the developmentally impaired, multiplehandicapped, or orthopedically handicapped· Special education instructional assistants for thedevelopmentally impaired, multiple handicapped, ororthopedically handicapped· Assistant & Head Coaches of Contact Sports (Football &Wrestling)· Teachers of Athletic Training Classes· Elementary School Office Staff Members· Middle School & High School Student Office Staff Members· PlumbersREVISEDJUNE 2005In response to both the federal OSHA Standard and Washington State’s own approved plan toreduce the occupational transmission of infections through blood borne pathogens, yourposition classification has been identified as eligible to receive, at District expense, PRE-EXPOSURE HEPATITIS B VACCINE. (There are three (3) separate vaccinations required.)

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05You may also elect to waive the pre-exposure vaccine and still remain eligible for District-paidvaccines POST-EXPOSURE.Please carefully read the attached:1. HEPATITIS B FACT SHEET2. PRE-EXPOSURE TO HEPATITIS B3. POST-EXPOSURE TO HEPATITIS BAll of the color-coded forms you need to decide and to proceed are included in this packet.Please read this information carefully. Return the forms as requested to Human Resources,Administration Building. You need to either:1. Consent to be vaccinated,-OR-2. Waive the District’s offer to pay for vaccinations.Any questions should be directed to either Human Resources (for questions about theprocedure), 354-7264, or to Larry Hagel, Industrial Hygienist, Safety Services (for specifichealth or vaccine related questions), 353-5274.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05Hepatitis B Vaccine: What You Need to Know1. Why get vaccinated?Hepatitis B is a serious disease.The hepatitis B virus (HBV) can cause short-term (acute) illness that leads to:- loss of appetite- diarrhea and vomiting- tiredness- jaundice (yellow skin or eyes)- pain in muscles, joints, and stomachIt can also cause long-term (chronic) illness that leads to:- liver damage (cirrhosis)- liver cancer- deathAbout 1.25 million people in the U.S. have chronic HBV infection.Each year it is estimated that:- 80,000 people, mostly young adults, get infected with HBV- More than 11,000 people have to stay in the hospital because of hepatitis B- 4,000 to 5,000 people die from chronic hepatitis BHepatitis B vaccine can prevent hepatitis B. It is the first anti-cancer vaccine because it canprevent a form of liver cancer.2. How is hepatitis B virus spread?Hepatitis B virus is spread through contact with the blood and body fluids of an infected person.A person can get infected in several ways, such as:- by having unprotected sex with an infected person- by sharing needles when injecting illegal drugs- by being stuck with a used needle on the job- during birth when the virus passes from an infected mother to her babyAbout one third of people who are infected with hepatitis B in the United States don't know howthey got it.3. Who should get hepatitis B vaccine and when?1) Everyone 18 years of age and younger

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/052) Adults over 18 who are at riskAdults at risk for HBV infection include:- people who have more than one sex partner in 6 months- men who have sex with other men- sex contacts of infected people- people who inject illegal drugs- health care workers and public safety workers who might be exposed to infected blood or bodyfluids- household contacts of persons with chronic hepatitis B virus infection- hemodialysis patientsIf you are not sure whether you are at risk, ask your doctor or nurse.People should get 3 doses of hepatitis B vaccine according to the following schedule. If youmiss a dose or get behind schedule, get the next dose as soon as you can. There is no need tostart over.For an infant whose mother is infected with HBV:- First Dose: Within 12 hours of birth- Second Dose: 1 to 2 months of age- Third Dose: 6 months of ageFor an infant whose mother is not infected with HBV:- First Dose: Birth to 2 months of age- Second Dose: 1 to 4 months of age (at least 1 month after the first dose)- Third Dose: 6 to 18 months of ageFor an older child, adolescent, or adult:- First Dose: Any time- Second Dose: 1 to 2 months after the first dose- Third Dose: 4 to 6 months after the first doseFor anyone:- The second dose must be given at least 1 month after the first dose.- The third dose must be given at least 2 months after the second dose and at least 4 months afterthe first.- The third dose should not be given to infants younger than 6 months of age, because this couldreduce long-term protection.Adolescents 11 to 15 years of age may need only two doses of hepatitis B vaccine, separated by4 to 6 months. Ask your health care provider for details.Hepatitis B vaccine may be given at the same time as othervaccines.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/054. Some people should not get hepatitis B vaccine or should waitPeople should not get hepatitis B vaccine if they have ever had a life-threatening allergicreaction to baker's yeast (the kind used for making bread) or to a previous dose of hepatitis Bvaccine.People who are moderately or severely ill at the time the shot is scheduled should usually waituntil they recover before getting hepatitis B vaccine. Ask your doctor or nurse for moreinformation.5. What are the risks from hepatitis B vaccine?A vaccine, like any medicine, is capable of causing serious problems, such as severe allergicreactions. The risk of hepatitis B vaccine causing serious harm, or death, is extremely small.Getting hepatitis B vaccine is much safer than getting hepatitis B disease.Most people who get hepatitis B vaccine do not have any problems with it.Mild problems- soreness where the shot was given, lasting a day or two (up to 1 out of 11 children andadolescents, and about 1 out of 4adults)- mild to moderate fever (up to 1 out of 14 children and adolescents and 1 out of 100 adults)Severe problems- serious allergic reaction (very rare)6. What if there is a moderate or severe reaction?What should I look for?Any unusual condition, such as a serious allergic reaction, high fever or unusual behavior.Serious allergic reactions are extremely rare with any vaccine. If one were to occur, it would bewithin a few minutes to a few hours after the shot. Signs can include difficulty breathing,hoarseness or wheezing, hives, paleness, weakness, a fast heart beat or dizziness.What should I do?- Call a doctor or get the person to a doctor right away.- Tell your doctor what happened, the date and time it happened, and when the vaccination wasgiven.- Ask your doctor, nurse, or health department to file a Vaccine Adverse Event Reporting System(VAERS) form, or call VAERS yourself at 1-800-822-7967.7. The National Vaccine Injury Compensation Program

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05In the rare event that you or your child has a serious reaction to a vaccine, a federal program hasbeen created to help you pay for the care of those who have been harmed.For details about the National Vaccine Injury Compensation Program, call 1-800-338-2382 orvisit the program's website at http://www.hrsa.gov/bhpr/vicp8. How can I learn more?Ask your doctor or nurse. They can give you the vaccine package insert or suggest other sourcesof information.Call your local or state health department's immunization program.Contact the Centers for Disease Control and Prevention (CDC): - Call 1-800-232-2522 or 1-888-443-7232 (English)- Call 1-800-232-0233 (Espanol)- Visit the National Immunization Program's website at http:/www.cdc.gov/nip or CDC'sDivision of Viral Hepatitis website at http://www.cdc.gov/hepatitis

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05SPOKANE PUBLIC SCHOOLSHEPATITIS B IMMUNIZATION CONSENT OR WAIVER FORMEmployee’s Name (PRINT):Social Security #:Position: ______________________Location: ______________________Do you have a known sensitivity to yeast? YES NO1) I understand a series of three injections of Hepatitis B vaccine is needed to become protected.(Occasionally, more vaccine is needed if the first series does not result in immunity.)2) I understand that due to my occupational exposure to blood or other potentially infectiousmaterials I may be at risk of acquiring hepatitis B virus (HBV) infection. I have been given theopportunity to be vaccinated with hepatitis B vaccine, at no charge to myself.3) I understand that if I wish to receive the vaccine pre-exposure, I must follow Districtprocedures using District vouchers for payment to the Spokane Regional Health District only.4) If I do not become protected from receiving this vaccine, or if I choose not to receive thevaccine at this time, I understand I will need post-exposure treatment if I have direct contact atwork with blood or other body fluids.5) If in the future I continue to have occupational exposure to blood or other potentially infectiousmaterials and I want to be vaccinated with hepatitis B vaccine, I can receive the vaccination seriesat no charge to me by contacting the Human Resources Department to request the vaccine and toobtain the forms necessary to be vaccinated at District expense.I have read and understand the above information and my options. I wish to receive the HepatitisVaccine Series (three doses) at District expense and request that you send me the forms I needand the procedures I am to follow.Vaccine ConsentSignature: ____________________________Date: _________________________________ORI have read and understand the above information and my options. I decline hepatitis Bvaccination at this time.Vaccine WaiverSignature: _____________________________ Date: ________________________________

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05SPOKANE SCHOOL DISTRICTHuman Resources DepartmentRELEASE FOR IMMUNIZATION SERVICESI, _____________________________________, hereby release and waive any claimagainst the Spokane School District related to the provision of vaccines and/or immunizationservices through the Spokane Regional Health District which are available to me at no costas an employee of the District.By requesting such services from the Spokane Regional Health District andpresenting an authorization form from the District to confirm my status as a Districtemployee, I do so volunteer recognizing that the vaccines and/or immunization may or maynot be effective or may itself instigate illness. I understand that the fact of the immunizationwill be recorded in medical records that because of the very nature of medical records,confidentiality cannot be absolutely guaranteed.If I have any questions about the safety or risks of immunization, I will ask questionsof the Spokane Regional Health District to secure answers to my satisfaction.My signature indicates that I am voluntarily assuming the responsibility for usingsuch services and that I will not hold the District liable for any adverse consequence to myhealth or otherwise resulting from or relating to the vaccines, immunizations and medicalservices provided by the Spokane Regional Health District.____SignatureDate

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05APPENDIX FSite Manager’s Packet for a Blood bornePathogen Exposure Incident

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05SITE MANAGER’S PACKETFOR ABLOODBORNE PATHOGEN EXPOSUREINCIDENTREVISED 2005

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05EMPLOYEE POST-EXPOSURE TO BLOODBORNE PATHOGENSPROCEDURES(Hepatitis, HIV)Employee Potential Exposure Incident. While performing your job responsibilities, you come incontact with another person’s blood or potentially infectious fluids by direct contact to your eyes,mouth, other mucous membranes, or a break in your skin. In such an event, you may have beenexposed to a blood borne pathogen. Your personal or professional health care provider (doctor) willmake the final determination. If such an event occurs do the following:• Wash “exposed” area immediately and report the incident to your supervisor.• Remind your supervisor or site manager to immediately inform the Human ResourcesDepartment.• Immediately schedule an appointment to see your personal doctor within 24 hours.Complete the following forms immediately and before you visit your doctor:Obtain and complete the SPOKANE SCHOOL DISTRICT SELF-INSURER ACCIDENT REPORT(the SIF-2). These yellow forms are available in the office of every location. Turn this is to the sitemanager for a signature. The completed and signed form will be forwarded to Safety Services.Obtain a white PHYSICIAN’S INITIAL REPORT FORM (PIR) from the school or facility office andtake this form with you to your doctor or clinic. Do not go to a hospital or emergency room. Yourdoctor will forward the completed form to district Safety Services.If you cannot or do not get the PIR form to take to your doctor, BE SURE TO PROVIDE YOURDOCTOR with the following information:1. You are an employee of the Spokane School District – a self insured employer.2. You believe you have been exposed to blood borne pathogens on the job (EXPLAIN THEEXPOSURE INCIDENT.)3. Advise the doctor if you have taken the Hepatitis ‘B’ vaccine (a 3-shot series).4. Ask for the post-exposure vaccine series and medical follow-up.By following the above procedures and providing the above information to your doctor, the districtwill receive invoices to pay the expenses for your medical treatment and follow-up.Your potential exposure incident will be handled confidentially and as an on-the-job injury. Ifyou have any questions about reporting an exposure, contact Human Resources at 354-7264.If you have questions regarding Worker’s Compensation process or preventative safetyconcerns, please contact Safety Services at 353-5251 and 353-5274 respectively.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05EXPOSURE DOCUMENTATON FORM(to be completed by the Site Manager and returned immediately to Human Resources)EXPOSED EMPLOYEE INFORMATION:Name of EmployeeDate of IncidentSocial Security NumberJob Position heldSOURCE INFORMATION:Name of IndividualPosition (student, grade, employee, position)Other Source: _______________________________________Consent form given to the source individual? Yes NoDate the consent form was provided to the source individual -- to be signed & returned withinthree (3) days to the District:Date the consent form was signed and returned to the District:If the Source Individual Consent Form was NOT signed and returned, document all attempts tosecure the signed form:Name and position of the person who attempted to secure the signed form:SITE MANAGER’S SIGNATURE:______________________________Date

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05SOURCE INFORMATION CONSENT FORMNOTE: This form MUST BE SIGNED AND RETURNED within THREE DAYS of thedate on which it was received. This signed document will be placed in the exposedemployee’s confidential medical record. THE TEST RESULTS REMAINCONFIDENTIAL BETWEEN THE PHYSICIAN AND PATIENT.On (date of incident)a school district employee came in contact with theblood or other potentially infectious material of the person designated below as the sourceindividual. The exposure incident occurred in this way:_____INDIVIDUAL CONSENT:I give my consent to have the blood of (name of source individual)tested for Hepatitis B virus (HBV) and/or human immunodeficiencyvirus (HIV) as needed. I understand that the test will be done at no cost to myself. I alsounderstand that the results of the test will be made available to the exposed employee, who will beinformed of the applicable laws and regulations concerning disclosure of the identity and infectiousstatus of the source individual named above, including the following statement:“This information has been disclosed to you from records whose confidentiality isprotected by state law. State law prohibits you from making any further disclosure ofsuch records without the specific written consent of the person to whom it pertains,or as otherwise permitted by state law. A general authorization for the release ofmedical or other information is not sufficient for this purpose.”RCW 70.24.205 (5)Signature of source individual:______________________________________________OR if under age 14, signature of source individual’s parent or guardian:Date signed:________________________

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05CONSENT FOR RELEASE OF INFORMATION:I give my consent to have the results of the blood tests for Hepatitis B Virus (HBV) and/or humanimmunodeficiency virus (HIV), which were performed on the blood of (name of source individual)______________________________________________as a result of the exposure incidentdescribed above in this document, made available to the exposed employee and his/herprofessional health care provider. I understand that the exposed individual will be informed of theapplicable laws and regulations concerning disclosure of the identity and infectious status of thesource individual named above, including the following statement:“This information has been disclosed to you from records whose confidentiality is protectedby state law. State law prohibits you from making any further disclosure of such recordswithout the specific written consent of the person to whom it pertains, or as otherwisepermitted by state law. A general authorization for the release of medical or otherinformation is not sufficient for this purpose.”RCW 70.24.205 (5)I further understand that the results of my blood tests will not be released to the schooldistrict.Exposed employee’s professional health care provider to whom blood tests will be released:Name:___________________________________________________________Address:_________________________________________________________Telephone number:________________________________________________________Signature of source individual (If under age 14 then signature of source individual’s parent orguardian):______________________________ Date signed:________________________REFUSAL:I refuse to give consent to have blood tested for Hepatitis B virus (HBV) and/or humanimmunodeficiency virus (HIV) at this time.Signature of source individual (If under age 14 then signature of source individual’s parent orguardian):______________________________ Date signed:________________________

STATEMENT OF THE LAW:Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05WAC 296-62-08001, Section (2), defines an “exposure incident” as a “specific eye, mouth, or other mucousmembrane, non intact skin, or parenteral contact with blood or other infectious materials that results fromthe performance of an employee’s duties”: defines a “source individual” as “any individual, living or dead,whose blood or other potentially infectious materials may be a source of occupational exposure to theemployee”; and defines “occupational exposure” as “reasonably anticipated skin, eye, mucous membrane,or parenteral contact with blood or other potentially infectious materials that may result from theperformance of an employee’s duties.”WAC 926-62-08001, Section (6) -(c)-ii-A, states that if an employee of Spokane Public Schools comes incontact with blood or other potentially infectious material as a result of the performance of the employee’sduties, the school district must:1. Identify and document the source individual, the person whose blood or other potentiallyinfectious material may be a source of exposure for the employee;2. Ask the source individual for consent to have his/her blood tested for the presence of theHepatitis B virus (HBV) or the human immunodeficiency virus (HIV); and3. If consent is not obtained, establish that legally required consent cannot be obtained.WAC 296-62-08001, Section (6)-(c)-ii-B, states that “when the source individual is already known to beinfected with HBV or HIV, testing for the source individual’s known HBV or HIV status need not berepeated.”WAC 296-62-08001, Section (6)-(c)-ii-C, states that “results of the source individual’s testing shall be madeavailable to the exposed employee, and the employee shall be informed of applicable laws and regulationsconcerning the disclosure of the identity and infectious status of the source individual.”EXPLANATION OF THE LAW:School district employees may be exposed to blood or other potentially infectious materials as a part oftheir assigned duties. For example, school district employees frequently provide first aid to injured studentsor fellow employees. If an employee comes in contact with blood or other potentially infectious materialthrough his/her broken skin or mucous membrane (found in the eyes, mouth, and nose), the employee hasbeen exposed to any infectious agent found in that blood or in those potentially infectious materials.< The law requires that the school district ask the source individual (the person whose blood or otherpotentially infectious body materials were shed, leading to the employee’s exposure) to consent to ablood test in order to discover if there are infectious viruses present in the source individual’s blood.The source individual could be a student or another employee. If the source individual is below theage of fourteen years, his/her parent or guardian must be asked to consent to the blood test. Theconsent must be given in writing and will be placed in the exposed employee’s medical record. Theschool district will pay for the cost of the source individual’s blood test.The source individual or his/her parent or guardian is free to refuse the blood test, in which case theschool district must document the refusal and place that information in the employee’s medical file.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05If the source individual was known to be infected with HBV or HIV a test for that known virus wouldnot be required. However, it would be necessary to test for viruses that were not known to bepresent.If the source individual or his/her parent or guardian consents to a blood test for HBV or HIV, theresults of the blood test will be told to the exposed employee so that the employee may consult withhis/her private physician to arrange for any needed follow-up or treatment. The results of the bloodtest will otherwise remain confidential. The school district will not be told the blood test results, andthe employee receiving the results will be informed about the laws, which require that thisinformation remain confidential.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05EMPLOYEE EXPOSURE DOCUMENTATON FORM(To be completed by the Site Manager and returned immediately to Human Resources)EXPOSED EMPLOYEE INFORMATION:Name of Employee:____________________Date of Incident:______________Social Security Number:_________________Job Position held______________SOURCE INFORMATION:Name of Individual_____________________Position (student, grade, employee)____________Other Source: ________________________Consent form given to the source individual? “ Yes “ NoDate the consent form was provided to the source individual -- to be signed & returned within three(3) days to the District:Date the consent form was signed and returned to the District:If the Source Individual Consent Form was NOT signed and returned, document all attempts to securethe signed form:Name and position of the person who attempted to secure the signed form:SITE MANAGER’S SIGNATURE:____________________ _______________ __________________Signature Position Date

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05STUDENT POST-EXPOSURE TO BLOODBORNE PATHOGENSPROCEDURES(Hepatitis, HIV)In the event that a student comes into contact with another person’s blood or body fluids by directcontact to their eyes, mouth, mucous membranes, or a break in skin, do the following:1. Wash “exposed” area immediately and thoroughly with soap and water and report the incident tothe supervisor or site manager.Note: For areas that cannot be washed with soap such as the mouth and eyes, rinse repeatedlywith copious amounts of water as soon as possible.2. Immediately contact parents of students affected. Inform them that their child was involved in a“potential BBP exposure incident” and that they should contact their doctor as soon as possible fordirection. Details of the exposure incident should be shared with the parent including potentialexposure route(s).Note: The name of involved students is not shared with other parents without parent permission asobtained by the building administrator or designee. Contact the school nurse or the Coordinator ofHealth Services if any confidential health information is requested.3. The following information must be submitted on the district’s incident report:A brief description of the exposure incident.The specific potential blood exposure route(s) such as the eyes, mouth, break in skin, mucousmembranes or other routes.Identify both the source individual(s) and the exposed individual(s).Document that parents were notified and advised to contact their doctor.Student to Student Potential Blood borne Pathogen (BBP) Exposure IncidentIMPORTANT NOTE: In various encounters among students, individuals may need to be considered bothas sources and as parties at risk for blood-borne pathogen exposure, particularly those involving bloodyinjuries, lacerations, or puncture wounds.Some examples are:FightsBiting incidentsContact-sport athletic injuriesAccidental, traumatic events with multiple victims (e.g., hallway collisions, parking lot motor vehiclecollisions, site structure failures)Events in which one student comes to the aid of another injured studentIf you have questions please contact: Larry Hagel at 353-5274.

Safety Regulations and ProceduresOccupational HealthBlood borne Pathogens Exposure Control Plan - S80.10 - New 6/05