3505 Exposure Control Plan for Bloodborne Pathogens (ems Operations)

Question 1

This document is in accordance with?

Answer 1

Washington Industrial Safety & Health Act

(WISHA) Bloodborne Pathogens Standard

Question 2

According to (OSHA) how many workers in health care and public safety occupations could be potentially exposed to viruses?

Answer 2

5.6 million

Question 3

What is the most common means of exposure for health care workers?

Answer 3

Needlestick injuries

Question 4

Besides needle sticks bloodborne pathogens also can be transmitted through contact with

Answer 4

the mucous membranes and non-intact skin.

Question 5

The Deputy Chief of Operations shall be responsible for?

Answer 5

1. Functioning as TFD’s Infectious Disease Control Officer (IDCO).
2. Administering this plan.
3. Ensuring that this plan is implemented.
4. Reviewing all exposure incidents in accordance with the guidelines set forth in this document (IDCO or his/her designee).
5. Consulting the Tacoma-Pierce County Health Department in the event that consent for source testing cannot be obtained (IDCO or his/her designee).

Question 6

Who is responsible for Maintaining and updating this document annually to reflect changes in WISHA regulations and in technology that will help eliminate or reduce exposure to bloodborne pathogens.

Answer 6

The EMS Training Program Manager

Question 7

Who is responsible for
- Providing initial and annual exposure control training to TFD personnel in
accordance with the guidelines set forth in this document.
- Maintaining the employee medical records required by this plan.

Answer 7

The EMS Training Program Manager

Question 8

Who is responsible for:

• Establishing and posting at their stations a cleaning and decontamination schedule in accordance with the guidelines set forth in this document.
• In March of each year, evaluating TFD’s engineering controls and exempted tasks or devices.

Answer 8

Station Captains

Question 9

Station 4 personnel shall be responsible for?

Answer 9

1. Assisting personnel with operation of the commercial washer for laundering contaminated uniform items.
2. Placing items in the dryer when decontaminating/laundering is complete.

Question 10

Who responsible for responsible for handling the routine washing and decontamination (OPIM) of turnout gear in accordance with TFD Policy 5016.

Answer 10

Stations 8 and 9 personnel

Question 11

Define

Engineering controls

Answer 11

Controls (e.g., sharps disposal containers, self-sheathing needles, safer medical devices, such as sharps with engineered sharps injury protections and needleless systems) that isolate or remove the bloodborne
pathogens hazard from the workplace.

Question 12

Define

HBIG

Answer 12

Hepatitis B immune globulin.

Question 13

Define

IDCO

Answer 13

The Deputy Chief of Operations functions as TFD’s Infectious Disease
Control Officer.

Question 14

Define

Needleless systems

Answer 14

A device that does not use needles for:
1. The collection of bodily fluids or withdrawal of body fluids after initial
venous or arterial access is established;
2. The administration of medication or fluids; or
3. Any procedure involving the potential for occupational exposure to blood-borne pathogens due to percutaneous injuries from contaminated sharps.

Question 15

Define

Occupational exposure

Answer 15

A 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.

Question 16

Define

Other Potentially Infectious Materials (OPIM)

Answer 16

1. The following human body fluids: Semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal 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. Any unfixed tissue or organ (other than intact skin) from a human (living or dead).

Question 17

Define

Parenteral

Answer 17

Piercing mucous membranes or the skin barrier through such events as needlesticks, human bites, cuts, and abrasions.

Question 18

What ARE considered exposures

Answer 18

a. Stuck or cut by a contaminated needle or other sharp
b. Blood or body fluids (semen, vaginal secretions; CSF, synovial,
pleural, pericardial, amniotic, peritoneal fluids; any fluid with visible blood) sprayed or splashed into the eyes, nose or mouth, or on open cuts or sores
c. Human bite with broken skin

Question 19

What are NOT considered exposures

Answer 19

a. Puncture/cut with an uncontaminated sharp
b. Exposure to urine, stool, vomit, tears, saliva, sweat (unless visibly bloody)
c. Human bite without broken skin

Question 20

Latex and Nitrile Gloves provide a barrier, but?

Answer 20

are not completely impermeable.

Question 21

What locations require cleaning and decontamination on a scheduled basis

Answer 21

Gurney - Beginning of shift

Patient Compartment - Beginning of shift

Question 22

All employees shall be offered the HB vaccine series at no cost to the
employee within 10 days of initial assignment unless

Answer 22

a. The employee has previously received the series
b. Antibody testing reveals that the employee is immune
c. Medical reasons prevent taking the vaccination or
d. The employee chooses not to participate

Question 23

If the employee does not give consent for HIV serological testing
during collection of blood for baseline testing, the IDCO or his/her designee shall request?

Answer 23

that the lab preserve the baseline blood

sample for at least 90 days.

Question 24

The health care professional will provide the IDCO and the employee with a copy of the health care professional’s written
opinion within?

Answer 24

15 days after completion of the evaluation.

Question 25

Training records will be maintained for a minimum of

Answer 25

three (3) years from the date on which the training occurred.

Question 26

Employee training records will be provided upon request to the employee or
the employee’s authorized representative within?

Answer 26

15 working days.

Question 27

Medical records are maintained in the EMS division for each employee
with occupational exposure in compliance with WAC?

Answer 27

296-823.

Question 28

Employee medical records shall be maintained for at least?

Answer 28

the duration of employment plus 30 years.

Question 29

Immediate On-scene Treatment of Exposed Personnel?

Answer 29

1. Eyes: Rinse with running water for at least five minutes. Be sure to remove contact lenses.
2. Face: Blow nose and wash face with warm, soapy water.
3. Mouth: Spit discreetly then rinse mouth with 50:50 Hydrogen Peroxide and water mixture.
4. Skin: Wash any affected skin with warm, soapy water.
5. Dirty needlestick: Milk site immediately then clean with betadine or soap and water.

Question 30

What policy number is Exposure Control Plan for Bloodborne Pathogens?

Answer 30

3505 ems operations

Question 31

What is the washing procedure for contaminated uniforms?

Answer 31

Items shall be washed TWICE in the commercial washing machine at
Station 4 as follows:
a. Water temperature at 140 degrees.
b. Run one complete wash cycle using one cup of Lysol and NO SOAP.
c. Run a second complete wash cycle using one cup of liquid soap.
i. Do not use powdered soap.

Question 32

What are the Required Reports to Be Completed By Exposed Personnel?

Answer 32

1. Complete Exposure Report (HRE 003).
2. Ask supervisor to complete Supervisor’s Report of Employee’s Occupational Injury or Illness (HRE 002).
3. If applicable, complete “Source Patient Consent Form for Antibody Blood Test.”
4. If you were evaluated by a physician for the exposure complete SIF-2,
5. Self Insurer Accident Report.

Question 33

Before going off duty, route completed reports to?

Answer 33

the Deputy Chief of Operations.

Question 34

Before going off duty, who do you phone?

Answer 34

the Medical Services Officer or the Deputy
Chief of Operations and leave a voice message about the exposure incident.
a. Provide incident number and information about what treatment or testing was done.