{"ref":"NC-HH-IC-02","title":"Bloodborne Pathogens Exposure Control Plan, Sharps, and Medical Waste","category":"Infection control","summary":"The Agency’s written exposure control plan under the OSHA bloodborne pathogens standard, which North Carolina has adopted: exposure determination, universal precautions and safer sharps, protective equipment at no cost, hepatitis B vaccination within 10 working days of initial assignment or a signed declination, immediate confidential post-exposure evaluation that follows North Carolina’s source-testing rules, training at assignment and every year, the sharps injury log and record retention, and North Carolina’s medical waste rules for sharps containers and regulated medical waste.","inShort":["Treat all blood and body fluids as infectious. Wear the protective equipment the Agency gives you at no cost.","Use the safety feature on needles and lancets, never recap by hand, and drop sharps at once into a sharps container. Bring full Agency containers back to the office.","The hepatitis B vaccine is free. It is offered within 10 working days of starting work with exposure. If you decline, you sign a declination and can still get it later.","After a needlestick or splash: wash with soap and water or flush with water, call the supervising nurse at once, and go for a medical evaluation right away.","Fill in the exposure incident report the same day. Your medical information stays confidential.","Bloodborne pathogens training is required when you start and every year."],"primaryCitation":"29 CFR §1910.1030","citations":["10A NCAC 13J .1003(a)","10A NCAC 13J .1003(d)","10A NCAC 13J .1003(f)","10A NCAC 41A .0202","10A NCAC 41A .0203","10A NCAC 41A .0206","13 NCAC 07F .0101","15A NCAC 13B .1200","15A NCAC 13B .1201","15A NCAC 13B .1202","15A NCAC 13B .1203","G.S. 131E-143"],"federalCitations":["29 CFR §1910.1030","29 CFR §1910.1020","29 CFR §1904.8","29 CFR §1904.33","42 CFR §484.70"],"surveyorAsks":["Show me your exposure control plan. When was it last reviewed, and how did frontline staff have a say in choosing safer devices?","Which job classifications in your agency have occupational exposure?"],"forms":[{"ref":"NC-HH-IC-02-A","title":"Hepatitis B Vaccine Declination"},{"ref":"NC-HH-IC-02-B","title":"Exposure Incident Report"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (29 CFR §1910.1030; 10A NCAC 13J .1003(a))","5. The Exposure Control Plan and Its Yearly Review","6. Exposure Determination","7. Universal Precautions, Engineering Controls and Work Practices","8. Protective Equipment, Housekeeping and Laundry","9. Sharps Containers","10. Regulated Medical Waste at the Agency’s Offices","11. Hepatitis B Vaccination","12. After an Exposure Incident","12.1 First aid and reporting","12.2 Confidential medical evaluation and follow-up","12.3 Testing the source patient under North Carolina rules","12.4 Information for the evaluating provider, the written opinion, and review of the incident","13. Biohazard Labels","14. Bloodborne Pathogens Training","15. Exposure Records and the Sharps Injury Log","16. Responsibilities","17. Records and Compliance Monitoring","18. Staff Training","19. References","20. Related Policies and Forms","21. Approval","22. Revision History"],"version":"1.0","sample":false,"pack":"nc-hha","state":"North Carolina","service":"Home health","guides":[{"path":"/guides/infection-control-policy/","h1":"What should a home care infection control policy include?"},{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}