University of Rochester
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Bloodborne Pathogens
Exposure Control Plan
In Compliance with 29 CFR 1910.1030
OSHA Standard for Occupational Exposure to Bloodborne Pathogens



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Table of Contents

  1. GENERAL PRINCIPLES

  2. RESPONSIBILITIES

    1. Deans, Administrators, and Department Heads
    2. Supervisors and Principal Investigators
    3. Industrial Hygiene Unit, Environmental Health & Safety
    4. Infection Control, Strong Memorial Hospital (SMH)
    5. Infection Control, Eastman Dental Center (EDC)
    6. University Health Service
    7. Occupational & Environmental Medicine Program
    8. Medical Center’s Materials and Waste Management Committee
    9. All Employees Identified in the Exposure Determination


  3. EXPOSURE DETERMINATION

  4. METHODS OF COMPLIANCE

    1. Universal Precautions
    2. Engineering & Work Practice Controls
      1. Handwashing
      2. Sharps, Sharps Disposal, and Sharps Containers
      3. Sharps Safety Devices
      4. Recapping Policy
      5. Reusable Sharps
      6. Biosafety Cabinets
      7. Eating, drinking, smoking, applying cosmetics, or handling contact lenses
      8. Food and drink
      9. Laboratory Procedures
      10. Patient Care Procedures
      11. Specimen containers and transport
      12. SMH pneumatic tube system
      13. Equipment decontamination
    3. Personal Protective Equipment (PPE)
      1. General
      2. Gloves
      3. Face Protection
      4. Gowns and Aprons
      5. Laboratory Coats
      6. Surgical caps/hoods
      7. Shoe covers, leg covers, or boots
      8. Resuscitation Equipment
    4. Housekeeping Practices
      1. General
      2. Contaminated Items
      3. Contaminated Work Surfaces
      4. Reusable instruments/equipment
      5. Disposable instruments/supplies
      6. Laundry
    5. Spills
    6. Waste Disposal
      1. Definition of Regulated Medical Waste
      2. Infectious Waste
      3. Unbroken Blood Tubes
      4. Sharps
      5. Guidelines
    7. Hepatitis B Vaccination
    8. Labels
    9. Training
    10. Recordkeeping
    11. Monitoring For Compliance
    12. Enforcement


  5. POST-EXPOSURE, EVALUATION AND FOLLOW-UP


REFERENCES

APPENDIX 1, 29 CFR 1910.1030

APPENDIX 2, University Safety Policy

APPENDIX 3, Definitions

APPENDIX 4, Exposure Determination

APPENDIX 5, Medical Waste Disposal

APPENDIX 6, Important Telephone Numbers

APPENDIX 7, Research Labs

APPENDIX 8, Blood Exposure Reduction Committee

APPENDIX 9, Approved Sharps & Product Evaluation Worksheet

APPENDIX 10, Exposure Control Plan Updates

APPENDIX 11, Glove Recommendations

QUESTIONS? Contact EH&S at (585) 275-3241 or e-mail EH&S Questions.

This page last updated 3/1/2006. Disclaimer