Bloodborne Pathogens (BBP) (Needlesticks)
Bloodborne pathogens (BBPs) refers to infectious microorganisms - such as Hepatitis B Virus, Hepatitis C Virus, and Human Immunodeficiency Virus (HIV) - that can be transmitted through blood or other potentially infectious materials (for example, semen, vaginal secretions, synovial fluid (found in joints), and saliva in dental procedures) and can cause disease. Employers are required to protect workers who may be exposed to blood or OPIMs as a result of performing their job duties. Employers must develop and implement a written Exposure Control Plan with details on the protective measures in place to reduce or eliminate the hazards of occupational exposure to bloodborne pathogens.
Examples of workers who can get exposed to BBPs include the following:
- Medical and dental health care providers, including those in industrial, educational, and correctional facilities.
- Laboratory technicians.
- Housekeeping personnel and laundry workers in, or providing service to, health care facilities.
- Employees who handle or pick up regulated waste.
- Workers who handle human remains.
- Fire fighters, paramedics, first-responders.
- Law enforcement and correctional officers.
- Employees assigned to provide emergency first aid by their employer (as either a primary or secondary duty).
- Hotel/hospitality staff who perform housekeeping tasks.
- Restaurant workers with clean-up/custodial duties.
- Personal care service providers such as hair stylists.
- Tattoo artists and body piercers.
Rules
General Rules
- Recordkeeping and Reporting (Chapter 296-27, WAC)
- Employee Medical and Exposure Records (Chapter 296-802, WAC)
- Bloodborne Pathogens (Chapter 296-823, WAC)
Rules for Specific Activities or Workplaces
- Fire Fighters - Emergency medical protection. (WAC 296-305-02501)
- Fire Fighters Training (WAC 296-305-01515)
Policies
Law Enforcement (WRD 32.00)
Hazard Alerts, Bulletins & Notices
Training Materials
- Eye Protection Online Employee Training Course
- Hand Protection Online Employee Training Course
- Bloodborne Pathogens - the hazards of bloodborne pathogens in the workplace.
Videos
Please read an important message about videos in the DOSH Safety & Health Video
Library.
Important:
Some videos may contain code violations or information inconsistent with Washington State's Safety & Health rules.
Many commercially produced safety and health videos are based on Federal OSHA Standards. Federal OSHA standards may not be as stringent as the Washington State Industrial Safety and Health Standards. Every effort has been made by the library to evaluate the videos before purchasing them. Safety and Health Standards may have changed since the time of purchase. The user assumes the responsibility of previewing the videos before showing and using it with a knowledgeable instructor.
See videos about these subjects:
See these titles:
- Bloodborne Pathogens : Know the Risk
- Bloodborne Pathogens in Health Care Facilities
- Bloodborne Pathogens : Just the Facts
- Bloodborne Pathogens for Law Enforcement
- Bloodborne Pathogens : First Responder
- Bloodborne Pathogens : Think Before You Act
Other Resources
Please read an important message about links on this page.
Important:
"Links" to other information sources are provided as a courtesy, but we cannot vouch for or take responsibility for information contained beyond files administered by the Washington State Department of Labor and Industries. Links from this page do not represent or imply the endorsement of commercial products by the State of Washington, Labor and Industries, or by departmental staff. For more information, read L&I's Intended Usage policy.
- Accident Prevention Program Samples
- Bloodborne Infectious Diseases: Hiv/Aids, Hepatitis B, Hepatitis C (NIOSH Topic Page)
- Bloodborne Pathogens -- Occupational Exposure (CDC FAQ)
- Bloodborne Pathogens and Aerosols (CDC FAQ)
- Bloodborne Pathogens and Needlestick Prevention (OSHA Topic Page)
Bloodborne Pathogens For Emergency Responders (OSHA informational booklet)- Bloodborne Pathogens Training Kit
- Body Art (NIOSH Topic page)
- Correctional Health Care Workers: Lowering the risk of exposure (NIOSH information for workers and managers/administrators)
- Criminal Evidence, Bloodborne Pathogens
Disposal of Contaminated Needles and Blood Tube Holders Used for Phlebotomy (OSHA Safety and Health Information Bulletin)- Exposure Control Plan, Bloodborne Pathogens - Model written plan
Exposure to Blood: What Healthcare Personnel Need to Know (CDC Booklet)- Eye Protection for Infection Control (NIOSH)
- Glass Capillary Tubes: Joint Safety Advisory About Potential Risks (OSHA Standard Interpretation/Advisory bulletin).
- Hand Hygiene in Healthcare Settings (CDC topic page)
- Health Care Professional Written Opinion for Post-Exposure Evaluation, for use with Bloodborne Pathogens
- Health Care Professional Written Opinion, Bloodborne Pathogens
- Health Care Provider's Written Opinion for Hepatitis B Vaccination, Bloodborne Pathogens
- Hepatitis B Vaccination Declination Form, Bloodborne Pathogens
- Hospital e-tool: Bloodborne Pathogens (OSHA. Interactive web-based training tool)
- Hospitals: Solutions to Common Safety and Health Violations -- Helping Washington Hospitals With L&I Audits and Inspections
Human Remains: Health and Safety Recommendations for Workers Who Handle Human Remains (OSHA Fact Sheet)- Infection Control in Dental Settings (CDC)
Injection Safety Guidelines Pocket Card (CDC)
Minors and Bloodborne Pathogens in Non-Medical Settings, administrative policy.- Needlestick Injuries - A Nurse's Story (NIOSH video)
Personal Protective Equipment (PPE) Reduces Exposure to Bloodborne Pathogens (OSHA Fact Sheet)- Post Exposure Prophylaxis and Testing
- Potential for Occupational Exposure to Bloodborne Pathogens From Cleaning Needles Used in Allergy Testing Procedures. (OSHA Hazard Information Bulletin)
Preventing Exposures to Bloodborne Pathogens among Paramedics (NIOSH Workplace Solution)
Protecting Yourself When Handling Contaminated Sharps (OSHA Fact Sheet)- References for Bloodborne Pathogens, Bloodborne Pathogens, Chapter 296-823,
- Sharps Disposal Containers with Needle Removal Features (OSHA Hazard Information Bulletin)
- Sharps Injury Log, Bloodborne Pathogens
- The Safe Injection Practices video (CDC and Safe Injection Practices Coalition. On-line video for health care providers)
- Training Documentation Form, Bloodborne Pathogens
Use of Blunt-Tip Suture Needles to Decrease Percutaneous Injuries to Surgical Personnel (OSHA and NIOSH Safety and Health Information Bulletin)
What Every Worker Should Know: How to Protect Yourself From Needlestick Injuries (US Department of Health and Human Services (DHHS) and NIOSH. Pamphlet)
Workbook for Designing, Implementing and Evaluating a Sharps Injury Prevention Program (CDC)
Related Topics
- Accident Prevention
- Emergency Washing
- Eye Protection
- First Aid
- Hand Protection
- Latex Allergies
- Personal Protective Equipment
- Medical Records
- Biological agents
How can I get help from L&I?
- To request a confidential workplace safety or health consultation, call or visit http://www.lni.wa.gov/Safety/Basics/Assistance/Consultation/about.asp for no charge technical assistance.
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- Find information about filing a workplace safety & health complaint you may call or visit a local L&I office to file a complaint.
- Follow guidance in Steps To a Safe Workplace to create your safety program from scratch.
- For general information, call 1-800-423-7233.
