Bloodborne Pathogens Written Exposure Control Plan Checklist
Below is a sample checklist for your agency's bloodborne pathogens written exposure control plan.
Exposure determination (c) (2) Bloodborne Pathogens Written Exposure Control Plan Checklist
List of all job classifications with potential for exposure without regard for PPE
Who has potential exposure to blood or other body fluids?
What tasks or procedures may create an exposure?
What are the potential routes of exposure?
Exposure Incident means a specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee's duties.
Schedule and method of implementation for Methods of Compliance (d)
Universal Precautions
Engineering and Work Practice Controls
Methods for dealing with handwashing, contaminated needles, eating etc.
Methods for ensuring employees are trained and will comply
Provision of PPE
Schedule and methods for implementation of Hepatitis B Vaccination and Post-Exposure Evaluation and Follow up (f)
Make vaccine available to all employees who have occupational exposure
Make post exposure evaluation and follow up available to all employees who have an exposure incident at no cost to the employee
Make vaccination available after training and within 10 working days of initial assignment
The procedure for evaluation of circumstances surrounding exposure incidents as required by paragraph (f) (3) (i)
Documentation of the routes of exposure, and the circumstances under which the exposure incident occurred
Identification and documentation of the source individual
Testing of the source individual’s blood as soon as feasible and after consent is obtained from source to test for HBV and HIV unless already known to be infected.
Results of the source individual’s testing shall be made available to the exposed employee
Information and Training (g)(2) Initial, Annual, and when there are changes
Accessible copy of the std and an explanation of it's contents
General explanation of epidemiology and symptoms of BB diseases
Explanation of modes of transmission
Explanation of plan and where he can get a copy
Explanation of appropriate methods for recognizing tasks or activities that may involve exposure
Explanation of the use and limitations of methods that will prevent or reduce exposure
Information on types, use, location, removal, handling, decontamination and disposal of PPE
Explanation of the basis for selection of PPE
Information on hepatitis B vaccine
Information on appropriate actions to take and persons to contact in an emergency involving blood
Explanation of procedure to follow if an incident occurs, how to report, etc.
Information on post exposure evaluation and follow up
Explanation of signs and labels and color coding
Opportunity for questions and answers with trainer
Ensure that a copy of the Exposure Control Plan is accessible to employees
Recordkeeping:
Medical- maintain for duration of employment +30 years
Name and Social Security Number of employee
Copy of hepatitis B vaccine Status, dates of all vaccines and any relevant medical records
Copy of all examinations results, medical testing, and follow up procedures
Copy of health care professional's written opinion
Copy of info provided to health care professional
Training- maintain for 3 years
Dates of training sessions
Contents or summary of the training sessions
Names and qualifications of persons conducting training
Names and job titles of all persons attending training sessions
Sharps Log – 5 years
Type and brand of device
Work area
Explanation of how incident occurred
Document annual consideration and implementation of safer medical devices and employee input in consideration
Annually review Plan and update whenever necessary. This review will include changes in technology and solicit input from non managerial employees who care directly for patients