- 1 Medical Records
- 2 Exposure Control Plan
- 3 Removing BBP
- 4 Modifications to the BBP standard required under the Needlestick Safety and Prevention Act
- 5 Miscellaneous
Exposure Control Plan
- Exposure determination identifying job classifications with occupational exposure and the specific tasks/procedures where exposure occurs.
- Procedures for evaluating circumstances of exposure incidents.
- A schedule of how other provisions of the BBP standard are implemented. Methods of compliance include:
- Universal Precautions
- Engineering and work practice controls
- Housekeeping (decon. & waste removal)
- Documentation of:
- Annual consideration/implementation of safer medical devices
- Solicitation of non-managerial employees representing all areas where exposure can occur in updating engineering and work practice controls.
- Reviewed and updated annually and when tasks/procedures/positions change.
Sources of Terminology
Terms Related to Removal of BBP
|Surfaces (non-living)||Living Tissue||Both|
- Destroys all microorganisms including large numbers of resistant bacterial spores.
- Destroys most microorganisms but not necessarily all microbial forms, such as bacterial spores.
- Combination of cleaning and disinfecting the surface.
Sterilization > Disinfection ≈ Sanitization
Types of Removing Agents
Modifications to the BBP standard required under the Needlestick Safety and Prevention Act
Categorized into four categories:
- Modification of definitions relating to engineering controls;
- Revision and updating of the Exposure Control Plan;
- Solicitation of employee input; and
1. Modification of definitions relating to engineering controls
- Added "Sharps with Engineered Sharps Injury Protections"
- Added "Needleless Systems"
- Modified "Engineering Controls" by adding "safer medical devices…."
2. Revision and updating of the Exposure Control Plan
- During annual review and update of the ECP, consider new technology that may be safer and document this consideration and, if applicable, implementation.
3. Solicitation of employee input
- Solicit non-managerial employees who are responsible for direct patient care for input on engineering controls and work practice controls.
- Not all employees but a representation of all ranges of exposure types.
- Document this solicitation.
- Require a sharps injury log; except for those not required to keep injury and illness logs (OSHA-300/301).
- Minimum info: Device involved, location of incident, description of events
- Log can contain personal info but only if employee's personal info is withheld when sharing data with other parties.
- No specific format required.
- OSHA-300 logs and 301 forms can be used as long as:
- Type and brand of device is included (either 300 or 301)
- Recorded in such a way that it segregates sharps sticks from other illness/injuries; or allows them to be easily separated (e.g., computer filter; separate page of paper; etc.)
- 1904.8 already requires sharps injuries involving contaminated instruments to be recorded in 300/301 forms.
- If any potentially infectious material is released on to a surface that may be contacted by employees, that surface must be disinfected. (Diane's email 1/29/2014)