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Administrative Policy and Procedures Manual
Section 1000: Campus Policy
1003.4 Exposure Control
Effective: January 1, 1996

Purpose and Objectives

The purpose of this policy is to establish a comprehensive Exposure Control Policy which establishes requirements for protection against communicable diseases and infection for the campus community and the public it serves. MSU-Northern recognizes that exposure to communicable diseases is an occupational health hazard and that communicable disease transmission is possible during day-to-day activities. While each individual is ultimately responsible for his or her own health, MSU-Northern recognizes a responsibility to provide a safe work place.

Objectives:

Responsibility

Exposure Determination

Exposure Prevention and Control

Employee Training

Supervisors at all levels must provide notice of the likelihood of exposure to all employees upon commencement of employment and annually thereafter. Furthermore, supervisors must arrange for exposure prevention and minimization training to all employees upon commencement of employment and annually thereafter.

The Director of Student Health Services and the University Wellness Director will assist supervisors in developing training programs.

Training will be accomplished in compliance with OSHA regulation 29 CFR Part 1910.1030 and shall include:

Health Maintenance

Work restrictions for reasons of infection control may be initiated by the Department Chair/Supervisor or the Infection Control Officer. These may be temporary or permanent. As an example, individuals with extensive dermatitis or open skin lesions on exposed areas may be restricted from providing patient care or performing duties that would cause unnecessary exposure to body fluids.

All individuals are encouraged to receive annual health evaluations and are encouraged to be immunized against hepatitis B (HBV), influenza, measles, mumps, rubella, tetanus, and diphtheria. Employees of the Montana State University system are able to receive these immunizations as a benefit of their insurance coverage.

The Infection Control Officer will maintain records in accordance with OSHA's CFR 29, Part 1910.1030.

Personal Protective Equipment

Specification, purchase, storage, and issue of Personal Protective Equipment (PPE):

Selection and Use of Personal Protective Equipment

No emergency is predictable or controllable. While blood is the single most likely source of HIV and HBV infection in the work place, it is safest to assume that all body fluids are infectious. For this reason, PPE will be chosen to provide barrier protection against all body fluids.

Disposable latex gloves will be worn during any patient contact when the potential exists for contact with blood, body fluids, non-intact skin, or other infectious material. Gloves will be replaced as soon as possible when soiled, torn, or punctured. Wash hands after glove removal. Disposable latex gloves will not be reused or washed and disinfected for reuse. Where possible, gloves should be changed between patients in multiple injury situations.

Post-Exposure Protocols

Compliance and Quality Monitoring and Program Evaluation

Compliance and quality monitoring

Program Evaluation

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