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

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268 29 CFR Ch. XVII (7–1–10 Edition) §1910.1030 safer medical devices designed to elimi- nate or minimize occupational expo- sure. (v) An employer, who is required to establish an Exposure Control Plan shall solicit input from non-managerial employees responsible for direct pa- tient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation, and selection of effective engineering and work practice controls and shall docu- ment the solicitation in the Exposure Control Plan. (vi) The Exposure Control Plan shall be made available to the Assistant Sec- retary and the Director upon request for examination and copying. (2) Exposure determination. (i) Each employer who has an employee(s) with occupational exposure as defined by paragraph (b) of this section shall pre- pare an exposure determination. This exposure determination shall contain the following: (A) A list of all job classifications in which all employees in those job classi- fications have occupational exposure; (B) A list of job classifications in which some employees have occupa- tional exposure, and (C) A list of all tasks and procedures or groups of closely related task and procedures in which occupational expo- sure occurs and that are performed by employees in job classifications listed in accordance with the provisions of paragraph (c)(2)(i)(B) of this standard. (ii) This exposure determination shall be made without regard to the use of personal protective equipment. (d) Methods of compliance—(1) General. Universal precautions shall be observed to prevent contact with blood or other potentially infectious materials. Under circumstances in which differentiation between body fluid types is difficult or impossible, all body fluids shall be con- sidered potentially infectious mate- rials. (2) Engineering and work practice con- trols. (i) Engineering and work practice controls shall be used to eliminate or minimize employee exposure. Where occupational exposure remains after institution of these controls, personal protective equipment shall also be used. (ii) Engineering controls shall be ex- amined and maintained or replaced on a regular schedule to ensure their ef- fectiveness. (iii) Employers shall provide handwashing facilities which are read- ily accessible to employees. (iv) When provision of handwashing facilities is not feasible, the employer shall provide either an appropriate an- tiseptic hand cleanser in conjunction with clean cloth/paper towels or anti- septic towelettes. When antiseptic hand cleansers or towelettes are used, hands shall be washed with soap and running water as soon as feasible. (v) Employers shall ensure that em- ployees wash their hands immediately or as soon as feasible after removal of gloves or other personal protective equipment. (vi) Employers shall ensure that em- ployees wash hands and any other skin with soap and water, or flush mucous membranes with water immediately or as soon as feasible following contact of such body areas with blood or other po- tentially infectious materials. (vii) Contaminated needles and other contaminated sharps shall not be bent, recapped, or removed except as noted in paragraphs (d)(2)(vii)(A) and (d)(2)(vii)(B) below. Shearing or break- ing of contaminated needles is prohib- ited. (A) Contaminated needles and other contaminated sharps shall not be bent, recapped or removed unless the em- ployer can demonstrate that no alter- native is feasible or that such action is required by a specific medical or dental procedure. (B) Such bending, recapping or needle removal must be accomplished through the use of a mechanical device or a one-handed technique. (viii) Immediately or as soon as pos- sible after use, contaminated reusable sharps shall be placed in appropriate containers until properly reprocessed. These containers shall be: (A) Puncture resistant; (B) Labeled or color-coded in accord- ance with this standard; (C) Leakproof on the sides and bot- tom; and (D) In accordance with the require- ments set forth in paragraph (d)(4)(ii)(E) for reusable sharps. VerDate Mar<15>2010 09:17 Aug 04, 2010Jkt 220114PO 00000Frm 00278Fmt 8010Sfmt 8010Q:\29\29V6.TXTofr150PsN: PC150 DocuSign Envelope ID: 79C5D167-B6CA-4E59-B4AC-AA38CC1B20BD