Environmental Engineering Reference
In-Depth Information
FIgure 23.4
Biological.hazard.symbol.
need. for. hepatitis. B. vaccination. must. follow. the. exposure.. Information,. such. as.
the. employee's. ability. to. receive. the. hepatitis. B. vaccine,. must. be. supplied. to. the.
employer..All.diagnoses.must.remain.conidential.
Warning.labels.are.required,.including.the.orange.or.orange-red.biohazard.symbol..
They.must.be.afixed.to.containers.of.regulated.waste,.refrigerators.and.freezers,.and.
other.containers.that.are.used.to.store.or.transport.blood.or.other.potentially.infectious.
materials.(see.Figure 23.4)..Red.bags,.or.containers,.may.be.used.instead.of.labeling..
When.a.facility.uses.universal.precautions.in.its.handling.of.all.specimens,.labeling.is.
not.required.within.the.facility..Likewise,.when.all.laundry.is.handled.with.universal.
precautions,.the.laundry.need.not.be.labeled..Blood.that.has.been.tested.and.found.
free.of.HIV.or.HBV.and.released.for.clinical.use,.and.regulated.waste.that.has.been.
decontaminated,.need.not.be.labeled..Signs.must.be.used.to.identify.restricted.areas.
in.HIV.and.HBV.research.laboratories.and.production.facilities.
There. is. a. mandate. requiring. training. initially. upon. assignment. and. annually.
(employees.who.have.received.appropriate.training.within.the.past.year.need.only.
receive.additional.training.in.items.not.previously.covered)..Training.must.include.
making.accessible.a.copy.of.the.regulatory.text.of.the.standard.and.an.explanation.
of.its.contents,.general.discussion.on.bloodborne.diseases.and.their.transmission,.the.
exposure.control.plan,.engineering.and.work.practice.controls,.personal.protective.
equipment,. hepatitis. B. vaccine,. response. to. emergencies. involving. blood,. how. to.
handle.exposure.incidents,.the.post-exposure.evaluation.and.follow-up.program,.and.
explanation. of. signs/labels/color-coding.. There. must. be. opportunity. for. questions.
and.answers,.and.the.trainer.must.be.knowledgeable.in.the.subject.matter..Laboratory.
and.production.facility.workers.must.receive.additional.specialized.initial.training.
The.maintenance.of.medical.records,.to.be.kept.for.each.employee.who.has.had.
occupational.exposure.for.the.duration.of.employment.plus.30.years,.must.be.coni-
dential.and.must.include.names.and.social.security.numbers;.hepatitis.B.vaccination.
status.(including.dates);.results.of.any.examinations,.medical.testing,.and.follow-up.
procedures;. a. copy. of. the. healthcare. professional's. written. opinion;. and. a. copy. of.
information.provided.to.the.healthcare.professional..Training.records.must.be.main-
tained. for. 3. years. and. must. include. dates,. contents. of. the. training. program. or. a.
summary,.trainer's.name.and.qualiications,.and.names.and.job.titles.of.all.persons.
attending. the. sessions.. Medical. records. must. be. made. available. to. the. employee,.
anyone. with. written. consent. of. the. employee,. and. OSHA. and. NIOSH. (they. are.
not.available.to.the.employer)..Disposal.of.records.must.be.in.accord.with.OSHA's.
.standard.covering.access.to.records.
