Federal OSHA standards require that a Bloodborne Pathogens Program for employees who may have "reasonable exposure" to blood and certain other body fluids. This program is intended to prevent infection with bloodborne pathogens. The Bloodborne Pathogens Program applies to all individuals, including students, who may be exposed through District programs and activities.
For Southfield Public Schools, individuals with responsibilities for custodial, instructional, transportation, security or emergency response are examples of those who have potential exposure and are included in the program. "Good Samaritan" actions, however, such as an employee or student who provides assistance to another individual in the case of a nose bleed or other injury, are not covered under the Bloodborne Pathogens Program.
Specific requirements of the Bloodborne Program include:
- Developing a written exposure control plan
- Developing clean up procedures which assure the application of "Universal Precautions", engineering controls and personal protective equipment (PPE)
- Assure proper custodial practices
- Make available at no cost to employee the Hepatitis B vaccination
- Provide adequate, annual training to all potentially exposed individuals
- Provide approved labels and signs for marking potential hazards
- Provide post-exposure medical evaluation and follow-up
- Maintain appropriate prescribed records
Information and Training
Custodial, maintenance and other employees that may be exposed to human blood or other regulated body fluids shall receive annual training which includes the following:
- A general explanation of the epidemiology and symptoms of HIV and HBV.
- An explanation of the modes of transmission of HIV and HBV.
- An explanation of the infection control program used by the District. (I.e. the written program).
- An explanation of the importance of exposure precautions to reduce worker exposure.
- An explanation of how to determine if an activity will fall under this program.
- An explanation of the availability, proper use and disposal of personal protective equipment (PPE) including the specific circumstances under which the PPE is to be worn.
- An explanation of the follow-up procedure to implement if actual body contact occurs with blood or body fluids occurs.
- An explanation of the labels and signs used.
- An explanation of the proper clean-up of spills of blood or other regulated body fluids.
- An explanation of proper disposal of contaminated items.
Personal Protective Measures
Custodial (cleanup) supplies needed
(All of these supplies can be purchased through our custodial supplier)
Red liner bag
The use of disposable gloves is extremely indicated for procedures when body fluids are handled. Especially if...
- the individual handling the material has cuts, abraded skin, chapped hands, dermatitis or similar conditions;
- When contacting abraded or non-intact skin of individuals with active bleeding or drainage;
- During all cleaning procedures.
Gloves shall be of appropriate material, intact latex or intact vinyl of appropriate quality for the procedures performed and of appropriate size for each wearer. Gloves shall not be washed or disinfected for re-use. Gloves are not a substitute for proper hand-washing. Hands are to be washed, using standard hand wash procedures, using warm water and liquid soap immediately after removing gloves.
No gloves shall be used if they are peeling, cracking or discolored of if they have punctures, tears or other evidence of deterioration.
Spills and Cleanup Procedures
- Determine the nature of the event . Vomit, urine, feces, etc. are not considered Bloodborne events if blood is not visible to the eye. Disposable gloves and HDQC disinfectant cleaner are more than adequate for clean up.
- If you are not sure, follow the Bloodborne guidelines below.
- Where possible, keep the bleeding person contained in one area . Do not allow them to travel through the building until the bleeding is stopped.
- Before starting any clean up procedure, put on disposable gloves, at least, heavier duty gloves if available.
- If a large amount of blood, wear chemical splash goggles.
Small Area Clean Up:
- Spray area with Deo-Dis disinfectant and wipe with paper towel. Do not use a sponge or any other reusable item unless they can be laundered and dried through a dryer.
- Once area is cleaned, re-spray with the Deo-Dis and allow to sit for at least 10minutes. If necessary, wipe any remaining chemical with a paper towel and place in the red liner bag.
- Place excess waste into a red liner bag. Place paper towel in the same bag. Once clean up is completed, place disposable gloves in the red bag using proper procedure for removing gloves.
Large Area Clean Up
- For a major blood event, begin clean up with HDQC in a mop bucket or sprayer. The more dwell time the better (10 minutes minimum with Deo-Dis).
- Any disposable items, such as paper towels, should be placed in the red liner bag (needles or syringes must be placed in an approved (Sharps) container.
- Spray affected areas with Deo-Dis and allow to remain at least 10 minutes to properly disinfect the area.
- Mops should be removed from the handle and placed in a regular liner bag until they can be laundered.
- Empty the mop bucket and spray wringer and bucket with Deo-Dis. Allow to remain for (a minimum of) 10 minutes and flush with clear water.
Contaminated Supplies and Labeling Infectious Waste
Soiled items must be placed in an impervious (biohazard) bag. The tags applied to waste receptacles containing contaminated articles must have the signal word "BIOHAZARD" or the biological hazard symbol. If tags are not used, then other equally effective means of identification shall be used. Red bags are available through our custodial supplier. Disposal of bags or other biohazard containers shall be coordinated through the Buildings and Grounds office (248-746-8532). Arrangements for proper disposal have been made with an outside, environmental company.
Thorough hand-washing is to be performed before and after removal of gloves and immediately after any inadvertent contact with blood or body fluids. Individuals are not to use bar soap or cloth towels for hand-washing. The District will provide liquid soap, paper towels and waterless hand cleaner for hand-washing purposes.
Employees may request a medical checkup at no cost to them if they feel that they have been exposed to a blood-borne disease during normal, work activity. Remember that "Good Samaritan" actions, such as an employee or student who provides assistance to another individual in the case of a nose bleed or other injury, are not covered under the Bloodborne Pathogens Program.
Revised 3-27-07Lessie Smith, Manager Buildings and Grounds' Department Southfield Public Schools 248-746-8534