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Bloodborne Pathogen Information

Background

Confidential Information

Exposure to Blood/What to Do

Mandated Training

Hepatitis Vaccination

Hand Washing

Biohazard Waste

Housekeeping and Daily Facility Cleaning Guidelines

Cleaning Procedures

MCPS Bloodborne Pathogens Exposure Control Plan

 

 

Bloodborne Pathogen Information

Background

Bloodborne pathogens are defined as 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).  All blood and other potentially infectious materials will be handled as if contaminated by bloodborne pathogens. When differentiation between body fluids (if they contain blood) is difficult or impossible, all body fluids will be considered potentially infectious materials.

Maryland Occupational Safety and Health (MOSH) Standard 29 CFR 1910.1030 requires employers to establish a control plan to eliminate or minimize employee exposure to bloodborne pathogens.  Information from MCPS Bloodborne Pathogens Exposure Control Guidelines is provided below.

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Confidential Information

Information regarding individuals who have been diagnosed with HIV is confidential, and this information must remain confidential.  It is a violation of one’s privacy to inform school staff, students, and/or the community of an individual who is HIV positive or who has auto immune deficiency syndrome (AIDS) without the permission from the individual, or in the case of a minor, permission from a parent/guardian.

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Exposure to Blood/What to Do

 Ensure employee notifies his/her supervisor immediately.

  • Have immediate supervisor call in a “First Notice of Loss” to CorVel (Montgomery County claims reporting program) at 1-888-606-2562.
  • Contact appropriate staff to clean up blood spills using universal precautions and a bloodborne pathogens clean-up kit.
  • Have appropriate staff dispose of blood-contaminated waste in the red biohazard box located in the school health room. 
  • When the red biohazard box is full, have the school health nurse contact Biomedical Waste Services, Inc. at 1-800-660-6581 for waste disposal pick-up and a replacement biohazard box, red bag, and lid.
  • Have the employee contact one of the two MCPS-contracted clinics listed below (within 24 hours) to receive a post-exposure medical evaluation and follow-up interview.
    • Medical Access, 12321 Middlebrook Road, Germantown, Maryland 20874, 301-428-1070
    • Concentra Urgent Care, 803 Russell Avenue, Gaithersburg, Maryland 20879, 301-869-0700
  • Have the employee complete MCPS Form 230-33: Bloodborne Pathogens Post-Exposure Report, as soon as possible.  The form should be provided to the examining physician.  Additional copies must be provided, within five days of the incident, to the Employee and Retiree Service Center (ERSC) and Systemwide Safety Programs.  The employee must also provide the examining physician MCPS Form 230-34: Health Care Professional's Written Opinion Form, which must be sent to Systemwide Safety Programs by the physician. 

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Mandated Bloodborne Pathogen Training

Annual online training must be completed by designated employees, including all teachers and other school-based employees, with the potential for occupational exposure to blood and other potentially infectious materials.  Required online bloodborne pathogen exposure prevention courses are available through SafeSchools. When designated employees log in to their SafeSchools training home page, assigned safety courses will appear in the 'Mandatory Training' section.  The online bloodborne pathogen courses replace all previous VHS and DVD-based training. Additional information about completing online training is available on the Online Safety Training page.

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Hepatitis Vaccinations

All employees required to receive bloodborne pathogen exposure prevention training are offered, but not required to receive, Hepatitis B vaccinations, at no cost.  To receive the vaccine, employees must submit MCPS Form 230-32: Hepatitis B Virus Vaccination Authorization Form to Systemwide Safety Programs.  After authorization is received, employees may contact one of the two MCPS-contracted clinics listed below for vaccination. Employees who received vaccination 10 or more years ago from an MCPS-contracted clinic should make an appointment with one of these two clinics to receive a titer test.  This test will determine if a booster vaccination is necessary.

  • Medical Access, 12321 Middlebrook Road, Germantown, Maryland 20874, 301-428-1070
  • Concentra Urgent Care, 803 Russell Avenue, Gaithersburg, Maryland 20879, 301-869-0700

All employees required to receive bloodborne pathogen exposure prevention training who decline to receive the Hepatitis B vaccination are required to submit MCPS Form 230-31: Mandatory Hepatitis B Virus Vaccination Declination Statement to Systemwide Safety Programs for compliance with MOSH regulations.

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Hand Washing

Hand washing is a critical deterrent to the transmission of infectious organisms.  Hand washing should be encouraged after using the toilet and immediately before eating.  Hand washing is essential before and after any situation when hands might come in direct contact with blood, human or animal body secretions, and excretions.  The importance of hand washing cannot be undermined by the belief that it is impractical.  Adequate hand washing facilities must be available at all times.  Good hand washing includes the following procedures:

  • Ensure that each hand sink is supplied with dispensed soap and disposable paper towels.
  • Alcohol-based (at least 60% alcohol) hand sanitizer should be provided where water is not available.  Hand sanitizer should not be used instead of hand washing when hands are visibly dirty or greasy.
  • Wet hands thoroughly with running water.
  • Dispense soap into wet hands; bar soap may be used if dispensed soap is unavailable.
  • Lather soap by vigorously rubbing hands together for at least 20 seconds, paying particular attention to the backs of the hands, nails, cuticles, spaces between the fingers, and under jewelry.
  • Wash hands above the wrist level.
  • Rinse hands thoroughly.
  • Dry hands using a disposable paper towel; avoid the use of common towels.
  • Use the paper towel to turn off the water.
  • Dispose of the paper towel in a waste receptacle.
 

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Biohazard Waste

Each school health room has a biohazard waste box and lid with red biohazard bag. A sign titled, Contaminated Blood/Body Fluid Disposal Procedures, is posted above the box (replacement signs may be requested from Systemwide Safety Programs). Biomedical Waste Services (the MCPS contractor for biohazard waste removal) can be reached at 1-800-660-6581 to request a pickup when the biohazard container and/or sharps container is full.

If you have questions or need assistance, please contact Mr. Peter Park, Team Leader, Systemwide Safety Programs, Department of Facilities Management, at 240-314-1070 or via e-mail.

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Housekeeping and Daily Facility Cleaning Guidelines

All equipment, materials, and environmental and working surfaces shall be cleaned and decontaminated immediately after contact with blood or OPIM. Contaminated work surfaces and reusable equipment shall be decontaminated with an appropriate disinfectant immediately after completion of a procedure/task/therapy and/or at the end of the school day if the surface may have become contaminated since the last cleaning. The surface shall be cleaned as soon as feasible when overtly contaminated, or after any spill of blood or OPIM.

Protective coverings, such as plastic wrap, aluminum foil, or imperviously backed absorbent paper used to cover equipment and environmental surfaces, shall be removed and replaced as soon as feasible when they become contaminated with blood or OPIM, or at the end of the school day if they have become contaminated since the last cleaning.

Daily facility guidelines are provided below.

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Cleaning Procedures

Non-Porous Surfaces (floors, walls, counter tops)

  • Wear disposable nitrile gloves, face mask and goggles or face shield. Wear additional PPE, as needed, to prevent exposure.
  • Wipe the surface with a paper towel. Disinfect the surface with a germicidal solution. A 10% bleach solution (1 part bleach, 9 parts water), properly-diluted Virex II 256 disinfectant cleaner, or properly-diluted 3M #5L Quat disinfectant cleaner is adequate when manufacturer's directions are followed.
  • For large quantities of contamination, cover with an absorbent material (such as paper towels) and then pour (do not spray) disinfectant solution onto saturate the area.
  • Allow the disinfectant to soak for the manufacturer-recommended contact time to effectively kill infectious agents. Re-apply solution, if needed, to keep the surface wet for the full contact time. Contact times are:
    • 10 minutes for bleach (use bleach solution within 24 hours)
    • 10 minutes for Virex II 256 and 3M #5L Quat
  • Keep unauthorized people away from the contaminated area.
  • Use tools, such as disposable scoops from a bloodborne pathogen spill kit, as much as possible to handle materials instead of gloved hands. Disposable tools should be discarded and reusable tools should be cleaned and disinfected using the provided procedure for cleaning objects.
  • Wash the area using a general-purpose cleaning agent, if necessary. Rinse with clean water.
  • Dispose of contaminated materials and disposable PPE in a lined waste container. Clean and disinfect reusable PPE and tools.
  • Draw the plastic liner out of the waste container, tie, and immediately dispose of using exposure control procedures (dispose of visibly contaminated waste in the cardboard biohazard box located in the school health room).
  • Wash hands thoroughly using the provided hand-washing procedures.
 

Objects

  • Wear disposable nitrile gloves, face mask and goggles or face shield. Wear additional PPE, as needed, to prevent exposure.
  • Discard contaminated objects that cannot be cleaned (such as porous materials that cannot be laundered) in the cardboard biohazard box located in the school health room.
  • Wash using a general-purpose cleaning agent. Use paper towels to wipe, as needed.
  • Disinfect with a germicidal solution. A 10% bleach solution (1 part bleach, 9 parts water), properly-diluted Virex II 256 disinfectant cleaner, or properly-diluted 3M #5L Quat disinfectant cleaner is adequate when manufacturer's directions are followed.
  • To effectively kill infectious agents, allow the disinfectant to soak for the manufacturer-recommended contact time. Re-apply solution, if needed, to keep the surface wet for the full contact time. Contact times are:
    • 10 minutes for bleach (use bleach solution within 24 hours)
    • 10 minutes for Virex II 256 and 3M #5L Quat
  • Keep the objects away from unauthorized people while cleaning and disinfecting.
  • Objects that might be placed in a person's mouth of have prolonged contact with skin or other exposed body surface should be rinsed thoroughly with clean water after disinfection.
  • Dispose of contaminated materials and disposable PPE in a lined waste container. Clean and disinfect reusable PPE and tools.
  • Draw the plastic liner out of the waste container, tie, and immediately dispose of using exposure control procedures (dispose of visibly contaminated waste in the cardboard biohazard box located in the school health room).
  • Wash hands thoroughly using the provided hand-washing procedures.
 

Persons

  • Ensure exposed individuals receive first aid, if needed. Request assistance from health room staff or call 911, as needed.
  • Wear disposable nitrile gloves, face mask and goggles or face shield. Wear additional PPE, as needed, to prevent exposure.
  • Use a paper towel to wipe material from exposed skin, paying particular attention to the face. Allow person to rinse mouth, nose, and eyes with running water, if feasible. Place soiled towels in a lined waste container.
  • If feasible, remove soiled clothing and place in a plastic bag for laundering at a later time. Assist in the cleansing of the affected body area. Put on clean clothing and/or notify parent or guardian. Soiled clothing should be laundered separately from the rest of the laundry. Use hot water and a cup of bleach in each load.
  • Do not apply disinfectant solution to body surfaces. Request assistance from health room staff or medical personnel, as needed.
  • Dispose of contaminated materials and disposable PPE in a lined waste container. Clean and disinfect reusable PPE and tools.
  • Pull the liner from the waste container, tie, and immediately discard using exposure control procedures. Dispose of visibly contaminated waste in the cardboard biohazard box located in the school health room.
  • Wash hands thoroughly using the provided hand-washing procedures.
  • For assistance with runny nose, coughing, and/or drooling, provide facial tissues and discard in a plastic-lined trash can. Wash hands after procedure is finished.
 

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MCPS Bloodborne Pathogens Exposure Control Plan

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