2018-574-E Emergency Svc - South orange Rescue Squad operational agreement

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DocuSign Envelope ID:79C5D167-B6CA-4E59-B4AC-AA38CC1B20BD Occupational Safety and Health Admin., Labor §1910.1030 such events as needlesticks, human microbial life including highly resist- bites, cuts, and abrasions. ant bacterial endospores. Personal Protective Equipment is spe- Universal Precautions is an approach cialized clothing or equipment worn by to infection control. According to the an employee for protection against a concept of Universal Precautions, all hazard. General work clothes (e.g., uni- human blood and certain human body forms, pants, shirts or blouses) not in- fluids are treated as if known to be in- tended to function as protection fectious for HIV, HBV, and other against a hazard are not considered to bloodborne pathogens. be personal protective equipment. Work Practice Controls means controls Production Facility means a facility that reduce the likelihood of exposure engaged in industrial-scale, large-vol- by altering the manner in which a task ume or high concentration production is performed (e.g., prohibiting recap- of HIV or HBV. ping of needles by a two-handed tech- Regulated Waste means liquid or nique). semi-liquid blood or other potentially (c)Exposure control—(1) Exposure Con- infectious materials; contaminated trol Plan. (i) Each employer having an items that would release blood or other employee(s) with occupational expo- potentially infectious materials in a sure as defined by paragraph (b) of this liquid or semi-liquid state if com- section shall establish a written Expo- pressed; items that are caked with sure Control Plan designed to elimi- dried blood or other potentially infec- nate or minimize employee exposure. tious materials and are capable of re- (ii) The Exposure Control Plan shall leasing these materials during han- contain at least the following ele- dling; contaminated sharps; and patho- ments: logical and microbiological wastes con- (A) The exposure determination re- taining blood or other potentially in- quired by paragraph(c)(2), fectious materials. (B) The schedule and method of im- plementation for paragraphs (d) Meth- ods of Compliance, (e) HIV and HBV tory producing or using research-lab- Research Laboratories and Production oratory-scale amounts of HIV or HBV. Facilities, (f) Hepatitis B Vaccination Research laboratories may produce and Post-Exposure Evaluation and Fol- high concentrations of HIV or HBV but low-up, (g) Communication of Hazards not in the volume found in production to Employees, and (h) Recordkeeping, facilities. of this standard, and Sharps with engineered sharps injury (C) The procedure for the evaluation protections means a nonneedle sharp or of circumstances surrounding exposure a needle device used for withdrawing incidents as required by paragraph body fluids, accessing a vein or artery, (f)(3)(i) of this standard. or administering medications or other (iii) Each employer shall ensure that fluids, with a built-in safety feature or a copy of the Exposure Control Plan is mechanism that effectively reduces the accessible to employees in accordance risk of an exposure incident. with 29 CFR 1910.20(e). Source Individual means any indi- (iv) The Exposure Control Plan shall vidual, living or dead, whose blood or be reviewed and updated at least annu- other potentially infectious materials ally and whenever necessary to reflect may be a source of occupational expo- new or modified tasks and procedures sure to the employee. Examples in- which affect occupational exposure and clude, but are not limited to, hospital to reflect new or revised employee po- and clinic patients; clients in institu- sitions with occupational exposure. tions for the developmentally disabled; The review and update of such plans trauma victims; clients of drug and al- shall also: cohol treatment facilities; residents of (A) Reflect changes in technology hospices and nursing homes; human re- that eliminate or reduce exposure to mains; and individuals who donate or bloodborne pathogens; and sell blood or blood components. (B) Document annually consideration Sterilize means the use of a physical and implementation of appropriate or chemical procedure to destroy all commercially available and effective 267