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University of Maryland, College Park Policy on Occupational Exposure to Bloodborne Pathogens

Consolidated USM and UMD Policies and Procedures

VI-11.00(B) UMCP POLICY ON OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS

APPROVED BY THE PRESIDENT, JUNE 19, 1996

  I.   Policy Statement
 
  A.   Purpose
 
  It is recognized that certain job activities at the University of Maryland at College Park may result in occupational exposure to
  human blood and other body fluids.  It is also recognized that
  some of these body fluids may contain bloodborne pathogens such
  as the hepatitis B virus (HBV) and the human immunodeficiency
  virus (HIV).  This is a statement of official University policy
  to describe the mechanism for compliance with the Occupational
  Safety and Health Administration (OSHA) regulation, "Occupational
  Exposure to Bloodborne Pathogens; Final Rule" (29 CFR Part
  1910.1030)" to insure worker safety and environmental protection.
 
  B.   Policy
 
  The University is dedicated to providing a safe workplace for
  employees, and to complying with federal and state occupational
  health and safety standards.  Laboratory administrators,
  managers, supervisors, faculty and staff share responsibility for
  minimizing their occupational exposure to human blood and other
  potentially-infectious materials.  For purposes of this policy,
  "human blood" is defined as human blood, human blood components,
  and products made from human blood; and "potentially-infectious
  materials" is defined as (1) semen, vaginal secretions,
  cerebrospinal fluid, synovial fluid, pleural fluid, pericardial
  fluid, peritoneal fluid, amniotic fluid, saliva in dental
  procedures, and body fluids that are visibly contaminated with
  blood, all body fluids in situations where it is difficult or
  impossible to differentiate between body fluids; (2) any unfixed
  tissue or organ (other than intact human skin) from a human
  (living or dead); and (3) 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.
 
  The Exposure Control Plan shall be implemented for all facilities
  at the University of Maryland College Park where performance of
  employees' duties can be expected to result in skin, mucous
  membrane or parenteral contact with human blood or other
  potentially-infectious material (which, for purposes of this
  Policy, shall be considered "occupational exposure").
 
  The Exposure Control Plan shall be reviewed and evaluated for its
  effectiveness at least annually.  It will be updated as needed to
  reflect new or modified procedures which affect occupational
  exposure and to reflect new or revised employee positions with
  occupational exposure.
 

  C.   Responsibilities
 
       1.   Department of Environmental Safety shall:
            a.   Prepare the Exposure Control Plan with annual
                 review, and revisions as necessary;
            b.   Distribute the Plan to each affected worksite;
            c.   Investigate, document and report to the University
                 Health Center, incidents of suspected exposure to
                 human blood or other potentially-infectious
                 material;
            d.   Collect and dispose of Biological, Pathological
                 and Medical Waste;
            e.   Provide or coordinate training for all affected
                 workers (including laboratory workers involved in
                 HIV or HBV research laboratories, as specified in
                 the "Training" section, below) concerning the
                 following:
                      i.   Applicable regulations and provisions of
                           the  Exposure Control Plan;
                      ii.  Epidemiology and symptoms of bloodborne
                           diseases;
                      iii. Measures to protect employees from
                           contact with potentially-infectious
                           materials;
                      iv.  Information about and availability of
                           effective vaccines; and
                      v.   Procedures to follow if exposure to
                           potentially-infectious materials occurs
                           or is suspected;
 
            f.   Prepare an exposure determination which shall
                 contain the following:
                      i.   A list of all job classifications in
                           which all employees in those job
                           classifications have occupational
                           exposure;
                      ii.  A list of job classifications in which
                           some employees have occupational
                           exposure; and
                      iii. A list of all tasks and procedures or
                           groups of closely related tasks and
                           procedures in which occupational
                           exposure occurs and that are performed
                           by employees in job classifications
                           listed in accordance with the provisions
                           of the OSHA standard.
 
            This exposure determination shall be made without
            regard to the use of personal protective equipment.
 
       2.   The University Health Center (UHC) shall:
            a.   Provide or direct all required or recommended
                 medical examinations, treatment and counseling
                 following an exposure incident;
            b.   Provide vaccinations, as required;
            c.   Maintain medical records relating to
                 consultations, examinations and medical
                 surveillance as required by law; and
            d.   Provide training to UHC and Athletic Department
                 employees, as required.
 
       3.   The University of Maryland Police Department (UMPD)
            shall:
            a.   Provide training to UMPD employees, as required.
 
       4.   Campus Recreation Services (CRS) shall:
            a.   Provide training to CRS employees, as required.
 
       5.   The affected department heads shall:
            a.   Ensure the provision of all necessary training,
                 equipment and medical services required by the
                 Exposure Control Plan;
            b.   Ensure that the Exposure Control Plan is
                 accessible to all employees in the worksite and
                 that the employees comply with the requirements of
                 the Plan;
            c.   Provide specific work practice training; and
            d.   Maintain copies of training records in
                 departmental personnel files.
 
       6.   UMCP employees with occupational exposure to human
            blood or other potentially-infectious materials shall:
            a.   Adhere to the requirements of the Exposure Control
                 Plan;
            b.   Complete all safety training requirements and
                 comply with documentation procedures; and
            c.   Report all suspected exposure incidents.
 
  D.   Information
 
       Assistance will be provided by the Department of
       Environmental Safety to any Department requesting guidance
       or training to satisfy implementation of this policy. A
       complete copy of the Exposure Control Plan can be obtained
       from the Department of Environmental Safety.