EXPOSURE CONTROL PLAN *

Effective Date: 
Wed, 12/01/2004
Reviewed: 
Fri, 06/11/2021
Revised: 
Fri, 06/11/2021

OBJECTIVE

To prevent or minimize the occupational exposure and potential infection of employees to hazards and blood-borne pathogens or other potentially infectious materials, (OPIM) and to assure compliance with the applicable provisions of policies set forth.
The Exposure Control Plan identifies and classifies jobs and tasks where occupational exposure to blood or other potentially infectious material may occur. Jobs are classified according the likelihood or potential for exposure. The Plan describes how the employer will:

  1. Use engineering and work practice controls to minimize the employee‟s exposure
  2. Ensure use of personal protective equipment
  3. Provide training
  4. Provide medical surveillance
  5. Provide Hepatitis B vaccinations
  6. Use signs and labels

POLICY

  1. The campus Exposure Control Plan is found on-line via the Environmental Health & Safety department.
  2. A copy of the Exposure Control plan is accessible and readily available to each employee while at work.
  3. A summary of the plan will be reviewed annually with employees who are "at-risk‟.

KEY POINTS

  1. Control of Blood Borne Pathogens (BBP) and Other Potential Infectious Materials (OPIM) consists of preventive actions and an exposure plan.
  2. Preventive actions include staff training in prevention of workplace injuries including and involving blood and OPIM, engineering controls such as Sharps Safety devices, needleless systems, and appropriate disposal of Sharps, the use of PPE and preventive immunizations and surveillance for disease exposure.
  3. Signs and labels are clearly affixed for Biohazards on receptacles for sharps, bagging of contaminated linens and grossly contaminated trash.

DEFINITIONS

Occupational Exposure: In accordance with 29 CFR 1910.1030 (b), “occupational exposure means reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee's duties.”

Exposure Determination: All employees, whose formal or informal duties lead to a risk of exposure to biohazardous material (e.g., blood, saliva, semen, tears, urine, vaginal secretions, exudates, discharge, and other potentially infectious materials) through direct or indirect patient care activities, spill cleanup procedures, soiled linen handling, or waste handling in either direct or ancillary patient care areas, are considered to have occupational exposure or to be "at-risk.‟

EXPOSURE DETERMINATION

Class I: all employees have HIGH RISK for potential occupational exposure

  1. Nursing/Medical Assistant/Physician Assistant/Nurse Practitioner/
  2. Physicians
  3. Radiology Personnel
  4. Laboratory staff including phlebotomists
  5. Student workers in any area associated with clinical or other listed staff
  6. Volunteers in any area associated with clinical or other listed staff (rare)

Class II: Some employees have MODERATE RISK for occupational exposure (and may have sub-optimal awareness of their risk)

  1. Housekeeping or facilities personnel
  2. Pharmacy personnel
  3. Transport staff
  4. Receptionists
  5. Security personnel

Class III: Limited or LOW RISK for occupational exposure

  1. Office personnel not in direct contact with patients

HIGH RISK ACTIVITIES FOR EXPOSURE
Tasks and procedures in which occupational exposure may occur include, but are not limited to:

  1. Handling of blood, blood products or body fluids and excreta or objects contaminated thereof
  2. Invasive procedures
  3. Phlebotomy or vascular access procedures and the care thereof
  4. Contact with laboratory or pathological specimens
  5. Wound care
  6. Contact with mucous membranes or non-intact skin
  7. Handling/disposal of medical waste
  8. Cleaning/processing of contaminated equipment
  9. Suctioning/sputum induction
  10. CPR and intubation
  11. Cleaning/decontamination of environmental surfaces
  12. Handling hazardous chemicals

PROCEDURE

Methods of Compliance include but are not limited to:

  1. Standard Precautions: PPE use appropriate to the task and degree of potential exposure
  2. Work Practice Control: includes personal protective equipment
  3. Hand Hygiene Policies and Procedures
  4. Isolation Practices
  5. Medical Waste Policies and Procedures
  6. Maintenance of current immunizations (e.g. influenza, MMR, hepatitis B, Varicella, Pertussis, or other as may be appropriate for a given employee or as related to the potential exposure by the patient population and/or recommendation by state, local, and/or federal authorities)
  7. Staff are trained upon hire and annually on applicable safety measures.

Link (UCSC EH&S):

https://ehs.ucsc.edu/programs/research-safety/biosafety/bloodborne-patho...