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General Description
Requirements
Overview of Steps
Detailed Steps
Subject Experts
Exposure Control Plan for Universal Precautions and Bloodborne Pathogens
Procedure

Document Number: EMER--121p Revision #: 1.0
Document Owner: Executive VP Date Last Updated: 07/11/2013
Primary Author: Executive Director of Facilities and Safety Status: Approved
Date Originally Created: 02/13/2012

General Description
Description / Scope:

Information about exposure control plan for universal precautions and bloodborne pathogens relative to emergency services policies and procedures.


Purpose:

Delineation of procedures.


Who Performs / Responsibility: All faculty, staff, students, and administrators

When to Perform: As needed

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Requirements
Pre-Knowledge: Before performing this task you must know:
Current University policy
Standards of good practice

Terms and Definitions: Additional training

Corrective Action

Equipment: Policy and Procedure Handbook

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Overview of Steps
1.

Principles of Compliance

2.

Exposure Records

3.

Hazard Communication

4.

Personal Protective Barriers

5.

Safe Work Practices

6.

Training

7.

Table of Exposure to Bloodborne Pathogens

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Detailed Steps
1.

Principles of Compliance


How to Do:

Cumberland University will provide the procedures, training, equipment, and environment employees and students need to work safely.

 

Cumberland University observes the use of Universal Precautions to prevent contact with blood or other potentially infectious materials.

 

Under circumstances in which differentiation between body fluid types is difficult or impossible, all body fluids shall be considered potentially infectious material. Specifically, these body fluids are defined as including, but not limited to: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids.


2.

Exposure Records


How to Do:

The university maintains records on all exposure incidents, and post-exposure follow up. These records are kept confidential and are housed within the Cumberland University Human Resources Office.

 


3.

Hazard Communication


How to Do:

Specific labeling is required to warn employees and students of potential hazards from chemicals.

 

Special containers for sharps are available in all labs.

 


4.

Personal Protective Barriers


How to Do:

All employees and students who have the possibility of occupational exposure must wear personal protective equipment, (gloves, protective eye ware, mask/gown), as appropriate.

 


5.

Safe Work Practices


How to Do:

Eating, drinking, smoking, applying cosmetics and handling contact lenses are prohibited in work areas where there is a reasonable likelihood of occupational hazard.

 

All departments who have the possibility of occupational exposure to waste must follow certain procedures for handling the waste.

 

All departments must follow certain procedures for cleaning and decontaminating the environment, equipment and work surfaces.


6.

Training


How to Do:

When appropriate, employee and student training will include but not be limited too:

 

1. An explanation of the university’s Exposure Control Plan for Universal Precautions and Bloodborne Pathogens.

2. An explanation of the modes of transmission, epidemiology and symptoms of blood borne pathogens.

3. The personal protective equipment policy on Universal Precautions and hand washing

4. An explanation of the recommendations for prevention of HIV/Hepatitis transmission

5. An explanation of the Hazard Communication Program

6. An explanation of reporting and record keeping procedures for exposure incidents and post exposure follow-up.

7. The exposure determination/classification for tasks that may involve exposure to blood and other potentially infectious materials

 

The Exposure Control Plan for Cumberland University is designed to provide employees and students with a recognition of task and procedure that present a potential occupational exposure to bloodborne pathogens and a means of eliminating or minimizing exposure in the performance of their duties.


7.

Table of Exposure to Bloodborne Pathogens


How to Do:

The following table is a guide to bloodborne pathogen exposure delineated by job classification in respect to potential bloodborne pathogen exposure and work-related tasks.

 

A - Job classifications in which employees have routine occupational exposure

B - Job classifications in which employees have occasional exposure

 

Work Related Tasks

 

Category I--Tasks that involve exposure to blood or body fluids and that require protective equipment. Adherence to Universal Precautions is Mandatory.

 

Category II--Tasks that do not involve exposure to body or body fluids but may require performance of Category 1 tasks unexpectedly or on short notice. Protective equipment must be available if person shifts to Category I

 

NOTE: Any exposure incident needs to be reported to department supervisor immediately. If this incident should occur when the supervisor is not available, administration is to be notified.


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Subject Experts
The following may be consulted for additional information.
Executive Director of Facilities and Safety

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