Exposure Plan
In accordance with the Occupational Health and Safety Administration (OSHA), Bloodborne Pathogens standard 29 CFR 1910.1030, the following exposure control plan has been developed by The Bird’s Nest Day School.
Exposure Determinations
At The Bird’s Nest, specified childcare staff and director are designated first aid providers and carry a valid First Aid and CPR card. Provision of first aid is a collateral duty. A complete list of designated first aid providers is kept in the front office. All staff are required to have infant and adult CPR, First Aid and Fire Extinguisher Training.
Incidents where exposure may occur:
direct pressure to a bleeding wound, cleaning or bandaging a wound
assisting someone who is bleeding
cleaning spills of blood or other potentially infectious materials
rescue breathing or CPR
skin puncture due to a human bite
Compliance: Human Blood requires the use of Standard Precautions
Standard Precautions An approach to infection control in which all human blood and certain human body fluids are treated as if known to be infectious for HIV, Hepatitis B, Hepatitis C and other bloodborne pathogens.
Work Practice Controls
Handwashing: Use running water and soap. The use of an appropriate hand cleanser (such as Purell) is acceptable if running water is not available. Wash hands after removing gloves.
No eating, drinking, smoking, applying makeup, or handling contact lenses in areas where first aid is provided.
First Aid kits are available in every room, on the playground and in the office.
Disposable gloves will be available in all classrooms, the playground, the office and the lounge. Gloves will be used as needed to prevent contact with employee skin, mucous membranes, etc. Gloves must be worn when providing first aid or whenever blood is present. Gloves are also to be worn when changing soiled clothing. Only non-latex gloves are provided to all staff members to avoid allergies.
CPR resuscitation masks are available in each room, the lounge and the office.
Spill control kits are available and are kept at Bozard Ford with Duane. He can be reached at 904-824-1641.
Contaminated laundry will be cleaned at no cost to the employee. Laundry will be properly handled at the location of use, sent to a commercial laundry or safely discarded and replaced. The commercial laundry facility will be informed of the presence of blood.
Contaminated sharps (needles, glass) are placed in appropriate labeled containers and disposed of properly.
Cleaning and disinfecting (always wear gloves)
Clean using water to remove contamination; followed by a general cleaning using soap and water. When appropriate flush this solution down the drain.
Summary Exposure Plan for Spills
Disinfect surface using a solution mixed according to manufacturer’s instructions.
This solution must be made daily.
Dispose of all towels/tissues and gloves properly.
Hepatitis B Vaccination and Post Exposure Follow-up
Hepatitis B vaccination will be offered to an employee within 24 hours following a first aid incident in which blood or other body fluids were present.
Note: If an employee refuses the vaccination, then the employee will sign a form declining the offer of the Hepatitis B vaccination.
All first aid incidents involving the presence of blood or other body fluids must be reported and documented immediately to the person in charge. Refer to the Accident or Incident Report.
Post exposure follow-up will be made available to all employees who have had an exposure incident. Situations will be evaluated after every first aid incident to determine if an exposure has occurred.
An exposure incident means a specific eye, mouth, other mucous membrane, non-intact skin, or parental (needle or other sharp object) with blood or other potentially infectious material that results from the performance of an employee’s duties.
All medical evals/procedures, vaccine series, post exposure evaluation and follow-up will be made available to the employee at no cost, at a reasonable time and place.
Document and report any first aid incidents or exposures to the Center Director or Point Person.
Post Exposure Evaluation and Follow-up
Following a report of an exposure incident, the exposed employee will have a confidential medical evaluation and follow-up made available immediately.
Documentation of the route of exposure & evaluation of circumstances
Identify and document the source individual
Post exposure prophylaxis
Provide the healthcare professional with information
Health care professional’s written opinion
The employee who has an exposure incident will document the circumstances, including an evaluation of the policies being followed and “failures of controls” at the time of the incident. The written evaluation will be reviewed by the Center Director and passed onto the center’s Child Care Health Consultant for a second review.
Confidentiality will be maintained; Medical Records will be kept confidential.
A training program will be provided to all employees who are assigned any responsibility for providing first aid and at least annually.