The OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030) applies to any employee who through the performance of their job may reasonably be expected to have exposure to human blood or other potentially infectious materials (OPIM).
OSHA defines Other Potentially Infectious Materials (OPIM) as:
- The following human body fluids: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids;
- Any unfixed tissue or organ (other than intact skin) from a human (living or dead); and
- HIV-containing cell or tissue cultures, organ cultures, and HIV- or HBV-containing culture medium or other solutions; and blood, organs, or other tissues from experimental animals infected with HIV or HBV.
At Vanderbilt, this includes the following employees:
- All medical center employees with direct patient contact and/or contact with blood or body fluids. Refer to Job Classifications in Which all Employees have exposure to blood or OPIM and Job tasks which may be performed by individuals in this job, which would cause them to have BBP exposure in edocs.
- Laboratory personnel who work with human blood or OPIM. In the medical center, this will include all Clinical Laboratory personel and almost all research laboratory personnel. On the University campus, this will apply to some of the School of Engineering and College of Arts & Science research laboratories.
- All medical center and university employees in jobs who handle biohazardous waste, such as Environmental Services staff and some Plant Operations staff.
Exposure Control Plan
A written Exposure Control Plan is required.
- The VUMC Bloodborne Pathogen Exposure Control Plan is available on the VUMC Policy web site.
- The VU Bloodborne Pathogen Exposure Control Plan is available on the VU Workplace Safety web site.
Many employees are exposed to bloodborne pathogens each year while using needles and other sharps such as scalpels. As a result, there are extensive requirements for safe sharps included in the Bloodborne Pathogen Standard. Information about safety sharps approved for use in VUMC are listed on the Department of Infection Prevention web site. For advice on safety sharps to use in your lab, see Using Sharps Safely in the Laboratory.
Hepatitis B Vaccine
OSHA requires that Hepatitis B vaccine be provided to any employee who may be exposed to bloodborne pathogens through the course of their work. The Vanderbilt Occupational Health Clinic (OHC) provides this service to any affected employee. If an employee decides not to be vaccinated, that employee must complete the Hepatitis B Vaccine Declination Form (available on the OHC web site), and submit the signed form to the OHC.
Work Practice Controls
Work Practice Controls refers to procedures that reduce the likelihood of exposure by performing work using safer methods. An example of this would be to use safe sharps, and if safe sharps cannot be used, then only recap a needle using a one-handed scooping technique.
Personal Protective Equipment
Personal Protective Equipment (PPE) is specialized clothing or equipment worn for protection against a hazard. Examples of PPE that may be worn to protect against exposure to bloodborne pathogens include gloves, faceshields, splash goggles, lab coats, surgical gowns, and similar clothing that can provide a protective barrier.
If you are exposed to blood, body fluids or other potentially infectious materials:
- Immediately clean skin with soap and water. If exposure was due to a splash to the eyes, nose or mouth, flush thoroughly with water or normal saline for 15 minutes. Remove contact lenses if exposure was to the eyes.
- Seek medical care as soon as possible.
- Employees should go to the Vanderbilt Occupational Health Clinic (640 Medical Arts Building). If exposure occurs after hours, report to the Emergency Department. Report to Occupational Health Clinic for followup the next business day.
- Students should report to the Vanderbilt Student Health Center. If exposure occurs after hours, report to the Emergency Department.
Employees or their supervisor must report a blood or body fluid workplace injury using the online form available through the Risk and Insurance Management web site. If online access is unavailable, or if you have difficulty accessing the online form, call them at 936-0660 to request assistance.
Clean up a blood or body fluid spill:
- VU Emergency Guide for Blood or Body Fluid Spill
- VUMC Emergency Operations Quick Reference for Blood or Body Fluid Spill
Bloodborne Pathogen Standard Training
- The OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030)
- Bloodborne Pathogens and Needlestick Prevention
- Sharps Injury Prevention (TOSHA 0800_01-10)
- OSHA Safety & Health Topics: Bloodborne Pathogens and Needlestick Prevention
- Needlestick/Sharps Injuries (Hospital eTool)
- Biological Hazards (Hospital eTool)
- Bloodborne Infectious Diseases: HIV/AIDS, Hepatitis B, Hepatitis C
- Universal Precautions for Preventing Transmission of Bloodborne Infections
- Preventing Needlesticks and Sharps Injuries
EPA Antimicrobial Products Tested
- Vanderbilt Occupational Health Clinic
- VUMC Department of Infection Prevention: Bloodborne Pathogens
- VUMC Policy - Bloodborne Pathogen Exposure Control Plan
- VUMC Safety SOP - Bloodborne Pathogen: Post Exposure Evaluation and Follow-up
- Vanderbilt IBC Policy: Best Practices for Use of Human-Derived Materials & Bloodborne Pathogens in Basic Research Applications
Questions about Bloodborne Pathogens
If you work in the Medical Center, please contact the Department of Infection Prevention.
If you work in a research lab, please contact the OCRS Biological Safety Section.
If you have questions about the Hepatitis B vaccine, please contact the Occupational Health Clinic.