TITLE:	ES&H Manual
DOCUMENT ID:	6800 Appendix T3 Protection from Bloodborne Pathogens

1.0 Purpose

Jefferson Lab considers occupational exposure to blood and/or other potentially infectious materials a medical emergency as it could transmit bloodborne pathogens (including hepatitis B, hepatitis C, and human immunodeficiency virus (HIV) infections). This appendix describes the process steps used to minimize and/or prevent exposure to blood and/or other potentially infectious material. The process steps for a post-exposure medical evaluation are also provided in the event that exposure does occur.

2.0 Scope

Only individuals trained and authorized by Occupational Medicine handle regulated medical waste (i.e., any solid or residue waste contaminated by blood or other potentially infectious material) at Jefferson Lab.

Jefferson Lab’s Bloodborne Pathogens Exposure Control Plan can be obtained by contacting Occupational Medicine and requesting a copy.

The process steps in this appendix are performed in coordination with ES&H Manual Chapter 6800 Occupational Medicine.

3.0 Responsibilities

NOTE: Management authority may be delegated at the discretion of the responsible manager.

3.1 Everyone at Jefferson Lab

· Follow the process steps as outlined below to avoid contact with blood and/or other potentially infectious material.

3.2 Bloodborne Pathogens Protection Program Participants

· Ensure that required Bloodborne Pathogens Protection Program training is current and authorized by Occupational Medicine.

· Prior to clean-up, position signs and/or barriers to demarcate areas where blood and/or other potentially infectious material is present.

· Use appropriate personal protective equipment (PPE), engineering controls, and work practices to prevent exposure when handling regulated medical waste. Refer to ES&H Manual 6800 Appendix T4 Regulated Medical Waste Management for appropriate disposal procedures.

· Receive the hepatitis B vaccination or sign a declination form.

3.3 Supervisor/Subcontracting Officer’s Technical Representative (SOTR)/Sponsor

· Ensure that individuals exposed to blood and/or other potentially infectious materials receive prompt first aid and medical attention. Refer to ES&H Manual 6800 Appendix T2 Injuries and Illnesses Requiring First Aid or Emergency Medical Response.

3.4 Occupational Medicine

· Maintain and provide Bloodborne Pathogens Protection training.

· Facilitate post-exposure medical evaluations, when appropriate.

· Maintain a medical record for individuals exposed to bloodborne pathogens.

· Ensure that first-aid cabinets contain appropriate PPE.

· Receive and store regulated medical waste and associated cleanup materials for off-site disposal (see ES&H Manual Chapter 6800 Appendix T4 Regulated Medical Waste Management).

4.0 Process Steps

Unless otherwise stated, anyone at Jefferson Lab may perform the process steps outlined below.

4.1 Minimize and/or Prevent Exposure

Step 1 Clean up

· Set-up physical barriers and post signs to prevent others from coming in contact with a blood and/or other potentially infectious material spill.

· Report the blood and/or other potentially infectious material spill to Occupational Medicine (x7539) for cleanup assistance and follow their instructions. Contact Industrial Hygienist if Occupational Medicine is not available.

OR

· Call Security (x5822) outside of normal working hours.

Step 2 Wash the Affected Area

After an inadvertent exposure to someone else’s blood and/or other potentially infectious material immediately wash the affected area with generous amounts of soap and water. Go to Section 4.2 Post-Exposure Medical Evaluation.

4.2 Post-Exposure Medical Evaluation

NOTE: Jefferson Lab provides a medical evaluation and follow-up for any employee who has been exposed to blood and/or other potentially infectious material at work.

Step 1 Immediate Notification

Immediately notify Occupational Medicine of exposure to someone else’s blood and/or other potentially infectious material and follow their instructions.

If after hours: Go to the nearest emergency medical facility[1]. If possible take the person whose blood you were exposed to with you. Notify Occupational Medicine as soon as possible, but not later than the next business day.

5.0 References

5.1 Bloodborne Pathogens Protection Program Participants

The following list identifies job classifications and tasks that require individuals to receive Bloodborne Pathogens Protection training.

Job Classification	Task/Procedure
Occupational Medicine	CPR/AED, emergency responders, and clean up blood and other potentially infectious material spills
Industrial Hygiene	Clean up blood and other potentially infectious material spills

6.0 Revision Summary

Periodic Review – 05/20/13 – No substantive changes required.

Revision 1 – 05/10/10 – Revised to reflect current laboratory operations.

ISSUING AUTHORITY	TECHNICAL POINT-OF-CONTACT	APPROVAL DATE	REVIEW REQUIRED DATE	REV.
ESH&Q Division	Smitty Chandler	05/10/10	05/10/16	1

This document is controlled as an on line file. It may be printed but the print copy is not a controlled document. It is the user’s responsibility to ensure that the document is the same revision as the current on line file. This copy was printed on 6/3/2013.

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[1] Port Warwick Medical Center, 1031 Loftis Boulevard, Newport News, VA 23606. From Jefferson Lab take a left onto Jefferson Avenue, a right onto Loftis Boulevard.