1992/08/11 City Council ResolutionRESOLUTION NO. 92-135
A RESOLUTION OF THE CITY COUNCIL OF THE
CITY OF ROHNERT PARK ADOPTING AN INFECTIOUS DISEASE
CONTROL POLICY AND PROCEDURE
WHEREAS, the United States Department of Labor Occupational
Safety and Health Administration (OSHA) recently issued a new
rule on protecting workers from the dangers of bloodborne
pathogens; and
WHEREAS, the federal standards for same became effective on
March 6, 1992; and
WHEREAS, OSHA requires a written exposure plan be developed
that, among other things, identifies the jobs at risk and how to
limit potential exposure; and
WHEREAS, the City of Rohnert Park is required to have a
recordkeeping plan and training program in place; and
WHEREAS, in compliance with federal standards, the City will
continue to provide the required protective clothing and
equipment as well as a Hepatitis B Vaccination Program; and
WHEREAS, the City of Rohnert Park is committed to complying
with all applicable laws providing for the safety and welfare of
its employees and /or volunteers.
NOW, THEREFORE, BE IT RESOLVED that the City Council of the
City of Rohnert Park hereby adopts the attached "Infectious
Disease Control Policy and Procedure" to ensure compliance.
DULY AND REGULARLY ADOPTED this 11th day of August
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1992.
CITY OF ROHNERT PARK
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CITY OF ROHNERT PARK
INFECTIOUS DISEASE CONTROL POLICY AND PROCEDURES
TABLE OF CONTENTS
PURPOSE....................... ..............................2
ARTICLE I ......... ........... ..............................3
Exposure Determination and Follow -Up
ARTICLE II .................... ..............................6
Vaccinations
ARTICLE III ................... ..............................6
Personal Protective Equipment
ARTICLEIV .................... ..............................8
Work Practice Controls
ARTICLE V ..................... ..............................9
Labeling
ARTICLE VI .................... ..............................9
Training
ARTICLE VII ................... ..............................9
Housekeeping
ARTICLE VIII ................... .............................10
Recordkeeping
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CITY OF ROHNERT PARK
INFECTIOUS DISEASE CONTROL POLICY AND PROCEDURE
PURPOSE
It is the intent of the City of Rohnert Park to minimize or
eliminate employee risk of exposure to potentially infectious
diseases by establishing guidelines for the use of universal
precautions for all incidents involving occupational exposure to
infectious diseases; establishing standard procedures for the
reporting of incidents involving occupational exposure to
infectious diseases; and, to provide training and vaccinations to
all employees who are considered to have occupational exposure to
potentially infectious diseases.
For purposes of this policy, all bodily fluids, including blood,
semen, vaginal secretions, blood contaminated bodily fluids or
any other bodily fluid, shall be treated as potentially
infectious.
The following job classifications and all employees in those
classifications will be considered to have occupational exposure:
Public Safety Officer Trainee
Public Safety Officer
Public Safety Reserve Officer
Public Safety Sergeant
Public Safety Supervisor (Lt.)
Community Services Officer
community Services Officer Assistant
Emergency Medical Technician
Evidence Technician /Property Specialist
Fire Equipment Maintenance Worker
Volunteer Auxiliary Firefighter
Fire Service Specialist
Maintenance Helper
Maintenance Worker I, II and III
Arborist
Senior Equipment Mechanic
Equipment Mechanic
K
The following job classifications and all employees in those job
classifications will be considered to have some occupational
exposure:
Public Safety Division Commander
Director of Public Safety
Animal Health Technician
Part -Time Animal Shelter Assistant
Superintendent of Public Works
Assistant Superintendent of Public Works
Part -Time Laborer
Volunteer Police Service Aide
Lifeguard /Cashier I & II
Instructor /Lifeguard I & II
Pool Cashier
Senior Lifeguard
Pool Manager
Administrative Assistant I (Public Safety)
Recreation Activities
Recreation Aide
Recreation Coordinator
Recreation Program Specialist
Recreation Supervisor
Water System Supervisor
Sports Center Coordinator
ARTICLE I
Exposure Determination and Follow -Up
A. In order to determine if exposure has occurred, the employee
must come into contact with blood, semen, vaginal
secretions, bodily fluids contaminated with blood, or any
other bodily fluids from a person with an infectious
disease. Further, there must be a portal of entry by which
contaminated bodily fluids can enter the human body.
Portals of entry can be through needlesticks, lacerations,
open wounds (non- intact skin), weeping lesions, the mouth
and mucous membranes (eyes and nose).
B. If exposure to an infectious disease is determined, the
employee shall wash the affected area with soap and water.
If the affected area is the nose or eyes (mucous membranes),
flush with lukewarm water.
C. Report exposure incident to a supervisor.
D. The employee shall be sent or taken to Santa Rosa Memorial
Hospital, Petaluma Valley Hospital or North Bay Corporate
Health Services for medical follow -up and appropriate
treatment.
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1) If the employee was exposed to droplets of sputum,
concern will be in regard to the transmission of an
airborne disease such as Tuberculosis.
2) If the employee was bitten and the skin broken, minimum
treatment will be to test the employee for Hepatitis B
antibodies.
3) If the employee was exposed to blood or other bodily
fluids contaminated with blood, the employee will be
strongly encouraged to ask for HIV and HBV testing to
establish a baseline status.
4) Employees refusing blood collection and testing of
blood will sign a refusal form.
5) If the employee consents to blood collection but not
testing, the blood sample will be preserved at the
Department of Public Safety's Evidence Room for ninety
(90) days. Employee may elect within that time to have
blood tested.
6) If employee requests HIV testing, Santa Rosa Memorial
Hospital or Petaluma Valley Hospital, Sonoma County
Health Department,-North Bay Corporate Health Services,
or the employee's private physician may perform the
test and provide pre -test counseling (as required) and
prevention information.
7) If the HIV test is performed by Santa Rosa Memorial
Hospital, Petaluma Valley Hospital or North Bay
Corporate Health Services, results will be sent to the
employee's personal physician or healthcare provider
who will provide post -test counseling (as required).
8) Employees who are tested for HIV are encouraged to seek
counseling /information provided by the Sonoma County
Health Department, hospital or clinic.
9) Evaluation of infectious diseases reported shortly
after any exposure will be provided to the exposed
employee.
10) The employee shall complete the Infection Control Log
Book at Santa Rosa Memorial Hospital or Petaluma Valley
Hospital or clinic.
E. To insure timely submission of forms, the Supervisor will
fill out and submit the Supervisor's Report of Injury and
accompanying Claim Form (Workers' Compensation Form).
F. The employee's supervisor shall:
1) Insure that first aid and medical evaluation are
obtained for the exposed employee.
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G.
2) Make every effort to ascertain the identity and status
of the source person.
3) If known, provide identity and status of source person.
4) Advise the employee of the confidentiality of such
identity and status information. Medical condition or
status shall not be disclosed to non -peace officer or
non - medical personnel, except as provided by law.
Willful or negligent disclosure to unauthorized persons
may result in civil or criminal penalties and
departmental discipline.
5) Provide necessary information to the healthcare
professional evaluating the exposed employee such as, a
copy of this policy; a documented description of the
manner in which the employee was exposed; source
person's infectious status, if known.
6) Insure that the status of the source person, if known,
is relayed to other medical or law enforcement
personnel who may have contact with such person
(hospital and /or jail personnel).
7) Complete or insure the completion of the following
forms; Occupational Injury or Illness (Form 5020);
Supervisor's Report of Injury; Employer's Report of
Injury; Report of Request and Decision for HIV Testing
(DHS 8559) Infection Control Log at Santa Rosa Memorial
Hospital or Petaluma Valley Hospital; Sonoma County
Department of Health (Form 332).
The Supervisor of the exposed employee and /or the Personnel
Office shall follow -up on the first business day after the
exposure incident by:
1) Insuring exposed employee is provided with a Workers'
Compensation Claim Form, that the Immediate
Supervisor's Report of Injury has been completed and
the appropriate parties are informed, i.e. the
Personnel Office.
2) Insuring the follow -up evaluation for the exposed
employee is handled adequately in compliance with
confidentiality "Privacy Reportt°, State of California
Department of Health Services Code 199.20.
3) Making every effort to determine the identity and
status of the source person, if not already known.
4) Assisting the exposed employee in obtaining a forced
blood test of the source person in accordance with
Section 199 -97 of the Health and Safety Code or Section
1524.1 of the Penal Code.
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5) obtaining and providing the exposed employee with a
copy of the evaluating healthcare professional's
written opinion within fifteen (15) days of the
completion of the evaluation.
ARTICLE II
Vaccinations
A. The City shall make the Hepatitis B antibody vaccination
series available to all employees who have occupational
exposure unless such employees have already received the
complete series, antibody testing reveals the employee has
immunity to Hepatitis B, the employee signs a waiver that
they don't want the series at the present time, or the
vaccination is inadvisable for medical reasons.
B. The Hepatitis B antibody vaccination series will start
within ten (10) days of the employee's assignment to the
position having occupational exposure. The first
vaccination will be followed in one month by the second
vaccination, five months following the first vaccination,
the third and final vaccination will be given.
C. An employee who begins the Hepatitis B antibody vaccination
series but does not complete the series will be responsible
for reimbursing /paying for the entire series.
D. Employees who refuse the Hepatitis B antibody vaccination
series will be required to sign a waiver.
E. An employee who initially refuses the vaccination series may
begin the series at a later date at no cost to the employee.
F. If an additional booster, vaccination is recommended, such
booster will be provided at no cost to the employee.
ARTICLE III
Personal Protective Equipment
A. The City of Rohnert Park provides to all Public Safety
personnel the following personal protective equipment;
disposable exam gloves; gowns, masks, and eye protection;
pocket masks with one -way valves and /or oxygen powered
resuscitators, and bag valve masks.
B. All personnel shall use the provided personal protective
equipment. However, an employee may decline its use if
based on the employee's professional judgment, that in a
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specific incident, the protective equipment would prevent
the delivery of emergency care and would pose a hazard to
the safety of the employee, co- worker, or victim. The non-
use of personal protective equipment will be investigated
and documented to determine whether procedural changes can
be made to prevent future occurrences of non -use.
C. The City shall provide and have accessible in appropriate
sizes personal protective equipment including alternate
gloves such as vinyl or hypoallergenic gloves for such
employees who need them.
D. When personal protective equipment has been contaminated by
blood or other bodily fluids, it will be placed in an
infectious waste bag and turned over to ambulance staff, if
present. If there is no ambulance staff in attendance,
employees will dispose of contaminated personal protective
equipment by placing equipment in a plastic bag properly
labeled as infectious waste and transport it to Santa Rosa
Memorial Hospital or Petaluma Valley Hospital for disposal.
E. The City will repair or replace personal protective
equipment as needed.
F. If a garment is contaminated by blood or other bodily
fluids, the garment shall be removed as soon as practical
and placed in a properly marked infectious waste bag.
G. After an incident, all personal protective equipment shall
be removed prior to leaving the scene. Employees shall wash
their hands and store contaminated equipment in a properly
marked infectious waste bag.
H. Employee shall wear disposable exam gloves when contact with
blood or other bodily fluids, mucous membranes, and non -
intact skin can be reasonably anticipated. Gloves shall
also be worn when handling or touching contaminated
surfaces.
I. Disposable gloves shall be replaced as soon as practical
when contaminated with blood or other bodily fluids or when
they are torn, punctured or their barrier protection is
otherwise compromised.
J. Disposable gloves are for single use only. Do no wash or
decontaminate for re -use.
K. Masks in combination with eye protection devices such as
goggles or glasses with solid side shields shall be worn
whenever splashes, spray, spatter, or droplets of blood or
other bodily fluids may be generated and eye, nose, mouth,
or non - intact skin contamination can reasonably be
anticipated.
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L. Gowns shall be worn whenever splashes, spray, or spattered
blood or other bodily fluids may be generated and
contamination to uniform clothing can reasonably be
anticipated.
ARTICLE IV
Work Practice Controls
A. Employees shall wear personal protective equipment provided
by the City when contact with blood or any other bodily
fluids can be reasonably anticipated.
B. Employees shall wash their hands immediately after removal
of gloves or other personal protective equipment.
C. Employees shall wash with soap and water or appropriate
disinfectant or flush with water any mucous membranes
(mouth, nose, eyes) immediately following contact with blood
or any other bodily fluid.
D. Employees shall use precaution when handling needles,
scalpels or any other sharp instrument contaminated by blood
or other bodily fluids. Needles shall not be recapped, bent
or broken. Contaminated needles or other sharps shall be
placed in an appropriate sharps container and given to the
ambulance staff, if present, or taken to Santa Rosa Memorial
Hospital or Petaluma Valley Hospital for disposal.
E. Bandages, disposable gloves, etc. that have been
contaminated by blood or other bodily fluids will be placed
in red bags marked "Infectious Waste." The bags shall be
properly sealed to prevent leakage while handling or
transporting. The infectious waste bag shall be transported
to a hospital, with ambulance if possible, and turned over
to emergency department staff for disposal. If the
infectious waste bag becomes contaminated, place inside a
second infectious waste bag and seal prior to releasing for
transport.
F. Equipment that has been contaminated by blood or other
bodily fluids shall be thoroughly examined and
decontaminated as necessary before placing the equipment
back in service. Appropriate personal protective equipment
shall be worn during decontamination of equipment.
G. Equipment that remains contaminated shall be clearly labeled
to insure that all employees are aware of status of
equipment, see Article V of this policy. Such contaminated
equipment shall be decontaminated or disposed of as quickly
as possible.
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ARTICLE V
Labeling
A. Warning labels shall be affixed to containers of regulated
waste, refrigerators or freezers containing blood or other
bodily fluids that are potentially infectious material as
well as other containers used to store, transport or ship
blood or other bodily fluids.
B. Warning labels shall be fluorescent orange or orange red
with lettering or symbols in a contrasting color.
C. The lettering will say "BIOHAZARD" and the symbol will be
the standard for that type hazard.
D. Red bags or red containers may be substituted for labels.
E. Labels shall also be placed on any contaminated equipment.
ARTICLE VI
Training
A. Training shall be provided annually to all employees who are
incumbents of occupational exposure positions.
B. Training shall be conducted at an understandable level.
C. Training shall include an explanation of the symptoms and
modes of transmission of bloodborne and other infectious
diseases.
D. Training shall include handling and disposal of contaminated
materials and cleaning and sterilization techniques.
E. Training shall include information related to legal
requirements, standards, and expectations.
F. Training shall include review and explanation of this
policy.
G. Training instruction shall be provided by appropriate
professional personnel.
ARTICLE VII
Housekeeping
A. All equipment, environment, and work surfaces shall be
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cleaned and decontaminated after contact with blood or other
bodily fluids.
B. Immediately after completion of any incident involving blood
or other bodily fluids, contaminated equipment surfaces
shall be decontaminated with the proper disinfectant.
C. It shall be the shift supervisor's responsibility to insure
that all bins, pails, cans or any other receptacle intended
for re -use shall be inspected for contamination and that
such receptacles are decontaminated immediately, or as soon
as practical after being contaminated by blood or other
bodily fluids.
D. Contaminated sharps shall be disposed of immediately or as
soon as practical in a sharps container.
E. Sharps containers shall remain upright throughout use,
replaced regularly and not allowed to overfill.
F. When moving containers of contaminated sharps, the
containers shall remain closed to prevent spillage or
protrusion of contents during handling or transporting.
G. Reusable sharps containers shall not be opened, emptied, or
cleaned manually or in any other manner that would expose
employees to the risk of injury.
H. Contaminated laundry shall be placed in an infectious waste
bag at the site of use or as soon as is practical.
I. Employees shall use appropriate personal protective
equipment when handling contaminated laundry.
J. When the contaminated laundry is sent to an off -site
cleaner, the bagged laundry shall be clearly labeled as
contaminated by blood or other bodily fluid, if known.
ARTICLE VIII
Recordkeeping
A. Medical records will be maintained by the Personnel Office
and /or North Bay Corporate Health Services and shall include
a copy of the employee's Hepatitis B antibody vaccination;
medical validation of employee's inability to receive such
vaccinations; and, if vaccinations are declined, a copy of
employee's waiver form.
B. Medical records will also contain copies of results of
testing examinations, follow -up procedures, written
opinions /evaluations, and any other information provided by
healthcare professionals in regard to an exposure incident.
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C. Medical records shall be kept confidential and may not be
disclosed or reported without the employee's written consent
or as may be required by law.
D. Medical records shall be kept for the duration of the
employee's employment with the City of Rohnert Park plus
thirty (30) years.
E. Training records will be maintained by each department and
shall include the dates of annual training sessions;
contents or summary of training sessions; the names,
addresses, and qualifications of training instructors; and,
the names and titles of all employees receiving the
training.
F. Training records will be made available in accordance with
existing law.
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