Environmental Health & Safety

In Compliance with 29 CFR 1910.1030 OSHA Standard for Occupational Exposure to Bloodborne Pathogens

Bloodborne Pathogens Exposure Control Plan

Printable files are available in two parts with Adobe Acrobat Reader:

• PDF Version of Exposure Control Plan for Bloodborne Pathogens
• PDF Version of Appendices

---

8. APPENDICES / FORMS
5. Appendix 5 Blood Exposure Reduction Committee
1. Mission

The mission of the Blood Exposure Reduction Committee is to prevent blood and body fluid exposures among the University of Rochester/Strong Memorial Hospital staff and student population through the use of engineering and work practice administrative controls, work practices, education and training. The committee meets on a regular basis to carry out its mission. Documentation of committee activities and deliberations are recorded and distributed to committee participants, and to those groups charged with protecting the health and safety of the University Community.

2. Evaluation Process

Engineering controls used to prevent sharps injuries are initially evaluated by the University’s Blood Exposure Reduction Committee. On the basis of this review, a recommendation for trial is forwarded to the SMH Value Analysis Advisory Board for consideration.

3. Committee Representation

This committee includes representation from the following departments and disciplines:

1. University Health Services Occupational Health Practitioners - provide clinical expertise about institutional post-exposure follow-up, including medical evaluation / treatment / follow-up of all blood exposures. Maintain tracking database (NaSH) and provides data analysis of all blood/body fluid exposures
2. Environmental Health & Safety - maintainance of the Exposure Control Plan, provides guidance for research laboratory situations, liaison for employee/student safety
3. Hospital Epidemiologist - MD clinical expert and liaison to MD leadership groups for changes in practice, education or safety engineered equipment
4. Nursing Education - clinical experience, liaison with nursing educators to ensure that any educational changes are incorporated in nursing practice and policies
5. Nursing - clinical experience, liaison for Union membership (PCT)
6. Patient Care Technicians - guidance on PCT job tasks and day-to-day unit and safety engineered equipment issues.
7. Surgery/OR - clinical experience, provides guidance on surgical issues, how safety engineered equipment can be implemented, and educational opportunities.
8. Nursing Management - clinical experience, liaison with nursing leadership.
9. SMH Value Analysis Advisory Board - clinical experience, liaison for trial process, primarily responsible for introducing new products for evaluation and institutional conversion of products.
4. Employee Participation

All University employees are actively encouraged to participate in the evaluation process through their committee representative, through their supervisor, or through UHS Occupational Heath, Occupational Medicine and the Occupational Safety Unit of Environmental Health & Safety.

5. Evaluation Checklist

A checklist was developed to assist with the evaluation process. This checklist was developed according to the NIOSH (National Institutes of Occupational Safety and Health) recommendations for preventing needlestick injuries.

For a printable version of the checklist - click here Checklist
6. Sharps Safety Devices

See Appendix 6 for sharps safety devices addressing needlestick prevention that are currently in use at SMH.

7. Sharps Safety Device Training
1. Training for existing employees is conducted initially by the manufacturer and their representatives. Records of general education on new products are kept at the unit level.
2. Annual Competencies on using phlebotomy safety engineered sharps are done at the unit level and records are maintained by the Nurse Managers.
3. Training for new employees is conducted upon hire by Nursing. Records of training from orientation are kept in individual personnel files on Masters Competency checklists.
4. Safety Sharp Re-training / exposure prevention training is done by UHS/OH at time of all exposure reporting. Records of this training are kept with the exposure follow-up.

Continue to Appendix 6 Product Evaluation Worksheet

---

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

This page last updated 8/23/2019. Disclaimer