Infection Prevention Manual

EXPOSURE CONTROL PLAN to: home health and hospice clients, hospital and clinic patients, clients in institutions for the developmentally disabled, trauma patients, clients of drug and alcohol treatment facilities, residents of hospices and nursing homes, human remains and individuals who donate or sell blood or blood components. Sterilize - The use of physical or chemical procedure to destroy all microbial life including highly resistant bacterial endospores. Universal Precautions - A method of infection control in which all human blood and body fluid are treated as if known to be infectious for HIV, HBV and other bloodborne pathogens. Unvaccinated employee - an exposed worker (employee) who has not been immunized with a Hepatitis B vaccine, or an employee who had a negative HBsAB when tested after receiving the Hepatitis B vaccine. Vaccinated employee - an exposed worker (employee) who has received the Hepatitis B vaccine and has documented antibody response. V. EXPOSURE DETERMINATION To determine exposure categories for health care workers who may experience occupational exposure to blood and other potentially infectious body fluids. The following list is a guideline of positions and occupations which pose a risk of occupational exposure to blood and other potentially infectious body fluids. A. Job classification in which all home care field workers have occupational exposure : A. Skilled Nurses C. Supervisors E. Occupational Therapists G. Respiratory Therapists B. Home Health Aides D. Physical Therapists F. Speech Therapists H. Administrators (nurse) B. Job classifications in which home care workers have some occupational exposure : A. Social Workers D. Couriers* G. Security J. Companions B. Clerical* E. Volunteers H. Students K. Sitters M. Administrators (non-nurse) C. Housekeeping F. Chaplin I. Homemakers L. Dieticians * 2XU $JHQF\ GHWHUPLQH WKDW WKLV MRE FODVVLILFDWLRQV KDYH QR ULVN RI RFFXSDWLRQDO H[SRVXUH WKH RIILFH HPSOR\HH DUH LQ FRQWDFW ZLWK ILHOG VWDII WKDW DUH FOHDUHG E\ 0' &HUWLILFDWH WR EH IUHH RI FRPPXQLFDEOH GLVHDVH The above lists are not meant to be all inclusive but are representative of those jobs which could reasonably anticipate occupational exposure. VI. METHODS OF COMPLIANCE Universal Precautions, Engineering and Work Practice Control, Personal Protective Equipment and Environment. A. UNIVERSAL PRECAUTIONS Universal Precautions shall be observed by every health care worker for all patients receiving care. Universal Precautions is a system of infection control developed and based on the degree of exposure , not diagnosis. Such a system is an "interaction driven" system. This method is consistent with the Centers for Disease Control recommendations to consider all blood and body fluids as potentially infectious regardless of the diagnosis. Therefore, the need to use personal protective equipment must focus on health care worker's interaction with patient's blood and/or body fluids at the time of treatment or procedure, rather than on the diagnosis. Universal Precautions are utilized to prevent reasonably anticipated parenteral, skin, eye and mucous membrane exposure to blood and other potentially infectious body fluids that may result during the performance of a health care worker's duties. The Agency shall assure that health care workers implement and use Universal Precautions. The implementation of Universal Precautions in the care of all