Infection Prevention Manual

EXPOSURE CONTROL PLAN blood contaminated secretions or excretions and have not been sterilized or disinfected by an approved method. Other contaminated solid waste materials which represent a significant risk of infection because they are generated in medical facilities which care for persons suffering from diseases requiring strict isolation criteria and listed by the U.S. Department of Health and Human Services, Centers for Disease Control, "CDC Guideline for Isolation Precautions in Hospitals", July/August 1983. Blood - Human blood, human blood components and products made from human blood. Bloodborne Pathogens - Pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, Hepatitis B virus (HBV) and Human Immunodeficiency virus (HIV). Contaminated - Soiled by any biomedical waste as defined in 64E-16, F.A.C. Department - the Department of Health and Rehabilitative Services or its representative county or public health unit. Contaminated laundry - Laundry which has been soiled with any biomedical waste or may contain sharps. Contaminated sharps - Any contaminated object that can puncture, lacerate or otherwise penetrate the skin including, but not limited to needles, scalpels, intact or broken glass or hard plastic, broken capillary tubes and exposed ends of dental wires. Decontamination - The use of physical or chemical means to remove, inactivate, or destroy bloodborne or other potentially infectious pathogens on a surface or item. Disinfect - To inactivate virtually all recognized pathogenic microorganisms but not necessarily all microbial forms (e.g., bacterial endospores) on inanimate objects. Engineering controls means controls (e.g., sharps disposal containers, self-sheathing needles, safer medical devices, such as sharps with engineered sharps injury protections and needleless systems) that isolate or remove the bloodborne pathogens hazard from the workplace. Exposure incident - A specific eye, mouth, other mucous membrane, non-intact skin or parenteral contact with blood or other potentially infectious materials that result from the performance of a health care worker's duties. Needleless systems means a device that does not use needles for: (1) The collection of bodily fluids or withdrawal of body fluids after initial venous or arterial access is established; (2) The administration of medication or fluids; or (3) Any other procedure involving the potential for occupational exposure to bloodborne pathogens due to percutaneous injuries from contaminated sharps. Occupational exposure - Reasonably anticipated skin, eye, mucous membrane or parenteral contact with blood or other potentially infectious body fluids that may result from the performance of health care worker's duties. This definition excludes incidental exposures that may take place on the job and that are neither reasonable nor routinely expected and that the worker is not required to incur in the normal course of employment. Other potentially infectious body fluids: The following body fluids: semen, vaginal secretions, cerebrospinal fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures and any body fluid that is visibly contaminated with blood. Any unfixed tissue or organ (other than intact skin) from a human (living or dead). HIV or HBV containing cell or tissue cultures, and culture medium or other solutions; and blood, organs or other tissues from experimental animals infected with HIV or HBV. Parenteral - Piercing mucous membranes or the skin barrier through needlestick, human bites, cuts, abrasions, etc. Personal Protective Equipment (PPE) - Specialized clothing or equipment worn by a health care worker for protection against a hazard. Sharps with engineered sharps injury protections means a nonneedle sharp or a needle device used for withdrawing body fluids, accessing a vein or artery, or administering medications or other fluids, with a built-in safety feature or mechanism that effectively reduces the risk of an exposure incident. Source individual - Any individual, living or dead, whose body fluids, tissues, or organs may be a source of exposure to the health care worker. Examples include but are not limited