These workers must be responsible for direct patient care and be potentially exposed to injuries from contaminated sharps. Laundry Q48. Phlebotomy in volunteer blood donation centers is the only instance where some flexibility is permitted and even then certain requirements must be fulfilled. Guam and the Northern Mariana Islands) Reference to products in this publication is not intended to be an endorsement to the exclusion of others which may be similar. Maybe I am missing something here, but I have a question about the human risk associated with handling thyroid medications. When must the hepatitis B vaccination be offered to employees? The employer does not have to make the hepatitis B vaccination available to employees who have previously received the vaccination series, who are already immune as their antibody tests reveal, or for whom receiving the vaccine is contraindicated for medical reasons. Yes. Can tasks and procedures be grouped for certain job classifications? Although the standard does not apply to animal blood unless it comes from an experimental animal infected with HIV or HBV, persons handling animals or animal blood should follow general precautions recommended by the Centers for Disease Control/National Institutes of Health Publication, Biosafety in Microbiological and Biomedical Laboratories. Q26. This Act set forth in greater detail (and made more specific) OSHA's requirement for employers to identify, evaluate and implement safer medical devices. Q71. When handling pigs, remember to DO: Possible hazards to workers in a farrowing house include electrocution, power washing, stressed animals, washing and moving sows into the farrowing area, and fire. If you have to, use your legs, not your back 5. 525 Griffin Street, Room 602 If an employee declines the hepatitis B vaccination, the employer must ensure that the employee signs a hepatitis B vaccine declination. San Francisco, CA 94103 A47. 61 Forsyth Street SW, Room 6T50 What if consent cannot be obtained from the source individual? In the context of OSHA's standard on Bloodborne Pathogens, 29 CFR 1910.1030, your company would be required, for example, to provide the general training outlined in the standard; ensure that employees are provided with the required vaccinations; and provide proper follow-up evaluations following an exposure incident. Treat any sign of illness promptly. Because your company maintains a continuing relationship with its employees, but another employer (your client) creates and controls the hazard, there is a shared responsibility for assuring that your employees are protected from workplace hazards. Shearing or breaking contaminated needles is completely prohibited by the standard. If OSHA determines, on a case-by-case basis, that sufficient evidence of reasonably anticipated exposure exists, the employer will be held responsible for providing the protections of 29 CFR 1910.1030 to the employees with occupational exposure. These safety measures are known as ‘Universal Precautions’ and must be followed when handling human … Anyone working with sheep must be appropriately trained or experienced for the task 2. There is no specific requirement to autoclave waste before disposal. The Act also mandated additional requirements for maintaining a sharps injury log and for the involvement of non-managerial healthcare workers in evaluating and choosing devices. The boar may fall off and injure a worker, if he or she is standing too close. Your clients would be responsible, for example, for providing site-specific training and personal protective equipment, and would have the primary responsibility regarding the control of potential exposure conditions. Treat any sign of illness promptly. A worker’s hand or fingers could get crushed without warning. Copies of the OSHA Bloodborne Pathogens standard are available from the OSHA website. HIV and HBV Research Laboratories and Production Facilities. What type of counseling is required following exposure incidents? The exposure control plan is the employer's written program that outlines the protective measures an employer will take to eliminate or minimize employee exposure to blood and OPIM. Wearing appropriate personal protective equipment (PPE) as well as appropriate clothing under the PPE – i.e. The declination's wording is found in Appendix A of the standard. A31. Housekeeping workers in healthcare facilities may have occupational exposure, as defined by the standard. All other findings or diagnoses must be kept confidential and not included in the written report. Workers should always perform proper lifting techniques to prevent back injuries. Safety, Health and Wellbeing Laboratory handling of human biological specimen. Stay calm and touch animals gently. Gene therapy, also often referred to as 'gene transfer,' uses carriers called 'vectors' to deliver genes to tissues where they are needed. How should sharps containers be handled? Deaths and severe medical reactions have been reported after accidental injections by humans of certain medications meant for animals. The standard requires that PPE be "appropriate." Are academic HIV and HBV research laboratories included in the definition of a research laboratory under the standard? What are my responsibilities under the Bloodborne Pathogens standard? How can I protect myself from zoonotic diseases? the solicitation of non-managerial healthcare workers (who are responsible for direct patient care and are potentially exposed to injuries from contaminated sharps) in the identification, evaluation, and selection of effective engineering and work practice controls. The procedures for evaluating the circumstances surrounding exposure incidents; A schedule of how other provisions of the standard are implemented, including methods of compliance, HIV and HBV research laboratories and production facilities requirements, hepatitis B vaccination and post-exposure evaluation and follow-up, communication of hazards to employees, and recordkeeping; Engineering and work practice controls, e.g., safer medical devices, sharps disposal containers, hand hygiene; Housekeeping, including decontamination procedures and removal of regulated waste. Containers of blood, blood components, and blood products bearing an FDA-required label that have been released for transfusion or other clinical uses; Individual containers of blood or OPIM that are placed in secondary labeled containers during storage, transport, shipment, or disposal; Specimen containers, if the facility uses Universal Precautions when handling all specimens, the containers are recognizable as containing specimens, and the containers remain within the facility; Laundry bags or containers containing contaminated laundry may be marked with an alternative label or color-coded provided the facility uses Universal Precautions for handling all soiled laundry, and the alternative marking permits all employees to recognize the containers as requiring compliance with Universal Precautions. A36. As long as they meet the definition of a sharps container (i.e., containers must be closable, puncture-resistant, leakproof on sides and bottom and labeled or color-coded), OSHA would consider them to be acceptable. [29 CFR 1910.1030(g)(2)(vii)]. Q35. All medical records relevant to the appropriate treatment of the employee, including vaccination status, which are the employer's responsibility to maintain. According to the current guidelines, employees who have ongoing contact with patients or blood and are at ongoing risk for percutaneous injuries should be tested for anti-HBs one to two months after the completion of the three-dose vaccination series. Q13. A53. For example, counseling should include USPHS recommendations about the transmission and prevention of HIV. A60. Q53. Then secure your grip on the outside leg and use the second hand on the other leg. Boston, MA 02203 Halters, hobbles or other restraints can also be utilized.     Engineering Controls Are volunteers and students covered by the standard? 90 7th Street, Suite 18100 Workers should use a sorting board to move and direct the pigs. Maintain even lighting. (CT*, ME, MA, NH, RI, VT*) What type of disinfectant can be used to decontaminate equipment or working surfaces which have come in contact with blood or OPIM? The decontamination and laundering of protective clothing are governed by the laundry provisions of the standard in paragraph (d)(4)(iv). Suite 740 West Room 3244 When entering the wash area, be aware of your position so you do not get pushed or stepped on by other sows. Keep the panel in front and away from their body, especially their knees. Reusable sharps must be placed in containers which are puncture-resistant, leakproof on the sides and bottom, and properly labeled or color-coded until they are reprocessed. Q4. The Exposure Control Plan must document annual consideration and implementation of appropriate, commercially-available and effective engineering controls designed to eliminate or minimize exposure. The client, of course, may specify what qualifications are required for supplied personnel, including vaccination status. Q49. Some producers use a floor covering to minimize slippage. Universal Precautions is OSHA's required method of control to protect employees from exposure to all human blood and OPIM. (212) 337-2378, Region III Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-up Procedures. Do employers have to buy a washer and dryer to clean employees' personal protective equipment? This standard is designed to protect workers from the risk of exposure to bloodborne pathogens, such as the Human Immunodeficiency Virus (HIV) and the Hepatitis B Virus (HBV). The responsibility lies with the employer to make the hepatitis B vaccine and vaccination, including post-exposure evaluation and follow-up, available at no cost to the employees. Pigs are under a great deal of stress when they are being transported. Also, from time to time we update our guidance in response to new information. The healthcare professional's written opinion for hepatitis B is limited to whether hepatitis B vaccination is indicated and if the employee received the vaccination. Are feminine hygiene products considered regulated waste? However, OSHA will consider it a de minimis violation - a technical violation carrying no penalties - if employees, who administer first aid as a collateral duty to their routine work assignments, are not offered the pre-exposure hepatitis B vaccination, provided that a number of conditions are met. Chicago, IL 60604 This should also include training on the appropriate methods for inspecting the worksite for related hazards and then the development of procedures to report the issues. Sharps containers are made from a variety of products from cardboard to plastic. The process of loading and unloading them can result in human and animal injury if appropriate techniques are not used. BSI is an acceptable alternative to Universal Precautions, provided facilities utilizing BSI adhere to all other provisions of the standard. A research laboratory produces or uses research laboratory-scale amounts of HIV and HBV. At the same time, the employer must determine if employees can come into contact with blood during the normal handling of such products from initial pick-up through disposal in the outgoing trash. Handling Healthy, Even-Tempered Animals. A. The learner will gain an understanding of the health and safety implications of handling, restraining and moving animals. Workers should not attempt to remove a dead animal by themselves. A34. The second container shall be: Constructed to contain all contents and prevent leakage during handling, storage, transport, or shipping; and. BSI incorporates not only the fluids and materials covered by the standard but expands coverage to include all body substances. A74. (DE, DC, MD*, PA, VA*, WV) Pigs also have a tendency to move from a dimly lit area to a brightly lit area; directing a spotlight onto a ramp may facilitate entry. Some major causes of animal handling accidents are: fearful, agitated animals faulty equipment male dominance aggression maternal aggression REDUCING FEAR IMPROVES BOTH WELFARE AND SAFETY. Ultimately the lab director (faculty/lab manager/supervisor) is responsible for the safety of anyone entering their laboratory – faculty, staff, student, or visitor. What type of eye protection do I need to wear when working with blood or OPIM? Q54. What type of personal protective equipment (PPE) must employees in a dental office wear? A29. The de minimis classification for failure to offer hepatitis B vaccination in advance of exposure does not apply to personnel who provide first aid at a first-aid station, clinic, or dispensary, or to the healthcare, emergency response or public safety personnel expected to render first aid in the course of their work. Academic HIV and HBV research laboratories are regarded as research laboratories under the standard. Who has the responsibility for training workers employed by agencies which provide personnel (e.g., nurses) to other employers? Post-screening? Q14. In February 2, 2000, European Commission Communication (ECC) released a note on the Precautionary Principle: the “precautionary principle” applies where scientific evidence is insufficient, inconclusive, or uncertain, and preliminary scientific evaluation indicates of there are reasonable grounds for concern that the potentially dangerous effects on the environment, human, animal, or plant health EC [2000]. A biological hazard, or biohazard, is a biological substance that poses a threat to the health of living organisms, primarily humans.This could include a sample of a microorganism, virus or toxin that can adversely affect human health.A biohazard could also be a substance harmful to other animals. Encourage your workers to remember these safety tips to prevent injuries while lifting weaned piglets: Lifting the larger pigs in the nursery and moving them from pen to pen exposes workers to back injury risk. The label must be either an integral part of the container or affixed as close as feasible to the container by a string, wire, adhesive, or other method to prevent its loss or unintentional removal. Patients who are not well socialized or accustomed to human contact, will become easily stressed in a new environment; Young animals must always be … A27. Q44. A14. However, in order for the plan to be accessible to employees, it must be a cohesive entity by itself or there must be a guiding document which states the overall policy and goals and references the elements of existing separate policies that comprise the plan. However, any additions to that language should be made for the sole purpose of improving employee comprehension. The hepatitis B vaccination must be made available within 10 working days of initial assignment, after appropriate training has been completed. Veterinary medicine and animal care workers are at risk of exposure to zoonoses, infectious diseases that spread from animals to humans. Can employees of an ambulance medical rescue service eat or drink inside the cab of the unit? Using, when applicable, good engineering controls such … Injuries during breeding may occur because the tasks being performed put you in close contact with the pigs, the pigs are very large, or the workspace is tight. Tasks and procedures that are closely related may be grouped. A49. The information represented herein is believed to be accurate but is in no way guaranteed. If an employer in a volunteer blood donation center judges that routine gloving for all phlebotomies is not necessary then the employer must (1) periodically reevaluate this policy; (2) make gloves available to all employees who wish to use them for phlebotomy; (3) not discourage the use of gloves for phlebotomy; and (4) require that gloves be used for phlebotomy when the employee has cuts, scratches, or other breaks in the skin; when the employee judges that hand contamination with blood may occur (e.g., performing phlebotomy on an uncooperative source individual); or when the employee is receiving training in phlebotomy. Q25. A15. The worker will then insert the AI rod into the sow. What does OSHA mean by the term "regulated waste"? Animal Handling Safety Tips Safe, effective animal handling demands total concentration on the animal you are handling and the knowledge to read the body language that animal is displaying. In addition to a slippery floor, a boar may have trouble locking up with a sow. The genes in gene therapy vectors code for specific proteins that may treat disease. The intended function of products such as sanitary napkins is to absorb and contain blood. Q67. Secure your grip on the outside leg with the hand you are using to lift, and use the second hand on the other leg if the pig is heavy. The training record contains the dates of the training, the contents or a summary of the training sessions, the names and job titles of all persons attending the training, and the names and qualifications of the persons conducting the training. A78. The findings also offer an opportunity to compare some work-related injuries incurred during nonhuman-primate handling (such as needle sticks and mucous-membrane exposures) with injuries incurred by persons employed in human hospitals and other health-care settings, which could lead to improvements in safety-training and injury-prevention programs. Excess fertilizers allowed to run into ponds and waterways may, at a minimum, pollute water or cause algae problems. For example, placing a spotlight on loading ramps can often facilitate entry of the pigs. Q15. Safe practices when removing a dead breeding animal include: Workers should be cautious when moving the sows to the breeding area because they can become aggressive. A71. Q51. Workers are exposed to zoonotic agents most commonly by contact with infected animals or their waste products. DOT labeling is required on some transport containers (i.e., those containing "known infectious substances"). Position yourself alongside and behind a boar during mounting and semen collection. Animals in health-care facilities traditionally have been limited to laboratories and research areas. Lift the pig with your legs and arms, NOT with your back. Q57. Injecting sows in stalls often leads to hand injuries. Before working with sheep in the yards, leave them for 30 minutes to calm down 4. Yes. OSHA requirements are set by statute, standards and regulations. The effects can be severe. The hepatitis B vaccination series must be made available to all employees who have occupational exposure, except as provided. Animal handling techniques should be taught to inexperienced workers and used consistently by everyone. Employees are not permitted to take their protective equipment home and launder it. If contact occurs, workers should first wash the affected area with soap and water. After consent is obtained, the exposed employee's blood is collected and tested as soon as feasible for HIV and HBV serological status. How should reusable sharps (e.g., large bore needles, scalpels, saws, etc.) What does OSHA mean by the term "contaminated laundry"? All personnel handling human material must first have read and signed that they have understood the laboratory safety manual. Gloves must be worn by employees whenever any vascular access procedure is performed, including phlebotomy. Postal Service labeling requirements (39 CFR Part III) or the Department of Transportation's Hazardous Materials Regulations (49 CFR Parts 171-181). (NJ*, NY*, PR*, VI*) Also, if the specimen could puncture the primary container, a secondary puncture-resistant container is required. Table of Contents Q41. A13. A45. You can avoid this by eliminating unfamiliar objects from the view of the pigs. Does protective clothing need to be removed before leaving the work area? Be extremely cautious when working around boars. Listing of Regional Offices. Does the Bloodborne Pathogens standard apply to employees in the agriculture, maritime and construction industries? Regulated waste that has been decontaminated. A16. A3. Safety Precautions for Handling Human Brain Tissue. (972) 850-4145, Region VII Denver, CO 80202-5716 The information on the source individual's HIV and HBV testing must be provided to the evaluating healthcare professional. Q. Laboratory biorisk management for laboratories handling . The risks associated with handling human tissue can be managed by: 1. treating all human specimens, body fluids and blood as potentially infectious.     Universal Precautions Pig Handling and Transport Considerations http://www.gov.mb.ca/agriculture/livestock/pork/swine/bab10s06.html, PQA Plus: http://www.pork.org/Producers/PQA/PQAPlus.aspx. Region I Although research laboratories may not have the volume found in production facilities, they deal with solutions containing higher viral titers than those normally found in patients' blood. In addition, contaminated equipment which is to be serviced or shipped must have a readily observable label attached which contains the biohazard symbol and the word "biohazard" along with a statement relating which portions of the equipment remain contaminated. A18. The Bloodborne Pathogens standard uses the term, "regulated waste," to refer to the following categories of waste which require special handling: (1) liquid or semi-liquid blood or OPIM; (2) items contaminated with blood or OPIM and which would release these substances in a liquid or semi-liquid state if compressed; (3) items that are caked with dried blood or OPIM and are capable of releasing these materials during handling; (4) contaminated sharps; and (5) pathological and microbiological wastes containing blood or OPIM. Zoonoses . General Precautions The following precautionary measures can help employers and employees remain safe and healthy while handling human remains. What are the qualifications that a person must possess in order to conduct employee training regarding bloodborne pathogens? It is not required on all containers for which 29 CFR 1910.1030 requires the biohazard label. A7. When removing sharps containers from the area of use, the containers shall be: Upon closure, duct tape may be used to secure the lid of a sharps container as long as the tape does not serve as the lid itself. Possible routes of transmission include aerosol, droplet spray, ingestion (oral), direct contact, indirect contact (e.g., fomite), or vector-borne. Whose responsibility is it to pay for the hepatitis B vaccine? Yes. Many diseases can be transferred from animal to human through contact with skin, wool, hair, blood, saliva, faeces, urine and fetal products. The source individual's blood must be tested as soon as feasible, after consent is obtained, in order to determine HIV and HBV infectivity. Q38. Seattle, WA 98101-3212 Yes, the exposure control plan must be accessible to employees, as well as to OSHA and NIOSH representatives. When laundering personal protective equipment, no citations will be issued of gloves as... 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