/ SISK & CO.
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CPR, FIRST AID AND BLOOD BORNE PATHOGEN SAFETY

INTRODUCTION AND PURPOSE

This procedure contains information on cardiopulmonary resuscitation (CPR) and first aid. The procedure is not mandatory but provides information on CPR and First Aid training and supplies.

This procedure also contains information on blood borne pathogens and outlines steps that employees can take to eliminate or minimize the risk of exposure.

Due to the fact that our operations are generally located at remote locations and often miles from the nearest medical or emergency facilities, all employees of the Company need to know what to do in the event of an accident or any type of emergency. All company employees shall be required to complete CPR/First Aid training. Blood borne Pathogen training will be required as well. After an accident, the first aid care given to an individual before professional help arrives, is often life saving.

Being prepared to help others, the first aid provider is better prepared to care for himself and others if he remains knowledgeable in the procedures of the company, its facilities, and the basic first aid techniques.

At all rig locations, the qualified first aid provider should have access to the following items to render first aid, a minimum of the following:

  • Thirty-six (36) unit first aid kit.
  • Snakebite kit.
  • Appropriate eye wash facilities.
  • Emergency response procedures.

Company facilities such as company offices, shops, and company vehicles shall be equipped with a minimum of the following:

  • Thirty-six (36) unit first aid kit.
  • Appropriate eye wash facilities.
  • Emergency response procedures.

DEFINITIONS

BLOODBORNE PATHOGENS -Microorganisms present in human blood that can cause disease in humans. These include, but are not limited to hepatitis B virus (HBV) and human immunodeficiency virus (HIV).

EXPOSURE INCIDENT - A specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious material that results from doing one’s job.

OCCUPATIONAL EXPOSURE - A reasonably anticipated skin, eye, mucous membrane or parenteral contact with blood or other potentially infectious material that may result from doing one’s job.

PARENTERAL - A piercing of the mucous membranes or the skin barrier by means of a needle stick, human bite, cut and/or abrasion.

UNIVERSAL PRECAUTIONS - An infection control approach whereby all human blood and certain body fluids are treated as if they were known to be infectious for HIV, HBV, or other blood borne pathogens.

POTENTIALLY INFECTIOUS MATERIALS -Materials that may be present in a first aid emergency include blood, urine or other body fluids, and vomit especially when you see blood.

CPR - CPR can be a lifesaving procedure on a person who has stopped breathing and whose heart may have stopped. CPR training will be provided to company employees. Certified personnel from organizations such as the American Red Cross or the National Safety Council will conduct the training. Employees are encouraged to remain current on their training by participating in refresher courses as prescribed by the certifying organization. Employees are not required to provide CPR however if they do they are encouraged to use the barrier masks supplied in company first aid kits.

FIRST AID - First Aid is immediate care given to a person who has been injured or suddenly taken ill. First Aid training will be provided to company employees. Certified personnel from organizations such as the American Red Cross or the National Safety Council will conduct the training. Employees are not required to provide First Aid however, if they do they are encouraged to use the protective barriers such as gloves provides in company first aid kits. In the absence of an infirmary, clinic, or hospital in near proximity to the workplace, which is used for the treatment of all injured employees, at least one employee shall be adequately trained to render first aid.

FIRST AID KITS All staffed company facilities and field vehicles must have adequately supplied first aid kits. The kits must contain at a minimum items recommended by American National Standards Institute (ANSI) Standard Z308.1-1978. These items are:

  • Adhesive bandages.
  • Sterile gauze squares or dressings of assorted sizes.
  • Elastic wraps.
  • Forceps.
  • Scissors.
  • Safety pins.
  • Eye dressing packet.
  • Eye wash solution.
  • Antiseptic swabs.
  • Burn treatments.
  • Cold packs.
  • Adhesive tape.
  • Antiseptic.
  • Latex gloves.
  • CPR mask.
  • First aid and CPR booklet.

BLOODBORNE PATHOGENS In accordance with the OSHA Blood borne Pathogens Standard, 29 CFR 1910.1030, the following exposure control plan has been developed.

Blood Borne Pathogens Disease InformationBlood borne pathogens are pathogenic organisms in human blood and certain body fluids that can cause disease in humans. The most common are Human Immunodeficiency Virus (HIV) and Hepatitis B (HBV). Body fluids that can contain infectious agents are:

  • Blood.
  • Body fluids containing blood.
  • Open body tissues.
  • items contaminated with these fluids.

Exposure occurs when these fluids come into contact with skin, eye, mucous membrane, or parenteral contact (piercing of mucous membranes or the skin).

BLOOD BORNE PATHOGENS EXPOSURE CONTROL Since it is impossible to identify every person who may be infected, controlling exposure to blood borne pathogens assumes that all blood or certain body fluids are infected. This approach is called Universal Precautions. Universal precautions mean that you will protect yourself in every situation. Methods of protection include barrier protection such as:

  • Gloves.
  • Masks.
  • Protective eyewear.
  • Hand washing.
  • Proper work practices.

Universal PrecautionsUniversal precautions include providing a barrier between you and the potentially infected material. They may include the following PPE or equipment:

  • Gloves whenever contact with blood can reasonably be expected.
  • Eye protection shall be worn whenever splashes, spatters, or droplets of blood may be generated.
  • Rescue breather shall be utilized during CPR.
  • In addition, the following work practices must be followed.
  • Replace PPE whenever it becomes punctured or damaged.
  • Decontaminate the area before removing PPE.
  • Any blood-soaked material that cannot be decontaminated should be appropriately disposed.
  • Avoid picking up broken glass or other sharp objects with your hands.

Decontamination and DisposalWork surfaces, clothing or other areas that are contaminated with blood or body fluids must be decontaminated and/or properly disposed. To decontaminate non-porous surfaces use agents provided in your first aid kit or a 10:1 bleach solution.

  • Wear appropriate PPE including goggles, disposable gloves, and clothing.
  • Wet the contaminated surface by spraying them with the disinfectant and soak for 15 minutes.
  • Wipe contaminated surfaces clean and place disinfected materials in a red biohazard bag. Any porous materials such as clothing should be disposed in a biohazard bag. The EHS Manager should be contacted for proper disposal methods.
  • Any contaminated PPE must be carefully removed and bagged for disposal.
  • Wash face and hands or affected body parts with soap and water.

Post-Exposure Control

If you come in contact with blood:

  • Thoroughly wash the contaminated area.
  • Contact your supervisor immediately
  • As directed, see a physician immediately (within 24 hours).
  • If you decline the HBV vaccination, you must sign the declination form. The form can be found in Appendix A.

When an employee incurs an exposure incident, it should be reported to management. All employees who incur an exposure incident may request post-exposure evaluation and follow-up in accordance with the OSHA standard. This follow-up will include the following:

  • Documentation of the route of exposure and the circumstances related to the incident.
  • If possible, the identification and status of the source individual. The blood of the source individual will be tested after consent if obtained for HIV/HBV infection.
  • Results of testing of the source individual will be made available to the exposed employee and informed about the applicable laws and regulations concerning disclosure of the identity and infection status of the source individual.
  • The employee may request the option of having their blood collected for testing of the employees HIV/HBV serological status. The blood sample will be preserved for at least 90 days to allow the employee to decide if the blood should be tested for HIV serological status. However, if the employee decides prior to that time the testing will be conducted, then the appropriate action can be taken and the blood sample discarded.

Hepatitis B Vaccine

All employees who have been identified as having exposure to blood or other infectious material will be offered the Hepatitis B Vaccine, at no cost to the employee. All first aid providers who render assistance in any situation involving the presence of blood or other potentially infectious materials, regardless of whether or not a specific exposure incident occurs, may request the full immunization series as soon as possible.

Employees who decline the Hepatitis B Vaccine will sign a waiver. Employees, who initially decline the vaccine but later wish to have it, may then have the vaccine at no cost.

TRAINING

Blood borne Pathogens training will include, but not be limited to, information on the following topics:

  • Explanation of the diseases that can be transmitted in human blood.
  • A description of the modes of exposure to blood borne pathogens.
  • An explanation of the appropriate methods for recognizing tasks and other activities that may involve exposure to potentially infectious materials.
  • An explanation of the use and limitations of methods that will prevent or reduce exposure including appropriate work practice controls and personal protective equipment (PPE).
  • Information on the types, proper use, location, removal, handling, decontamination, and disposal of PPE.
  • An explanation of the basis for selection of PPE.
  • Information on the post-exposure medical evaluation and follow-up to which employees are entitled to receive following an exposure incident.

Training records will be maintained in accordance with paragraph (h)(2)(I) and be retained for 3 years from the date on which the training occurred. These training records shall be available upon request to employees or their representatives.

HEPATITIS B VACCINE DECLINATION

I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring hepatitis B virus (HBV) infection. I have been given the opportunity to be vaccinated with hepatitis B vaccine, at no charge to myself. However, I decline hepatitis B vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring hepatitis B, a serious disease. If in the future I continue to have occupational exposure to blood or other potentially infectious materials and I want to be vaccinated with hepatitis B vaccine, I can receive the vaccination series at no charge to me.

Print Employee Name: ______

Employee Signature: ______

Date: ______

EXPOSURE INCIDENT FORM

Date of Incident: ______

Source Individual: ______

Individual Exposed: ______

The routes of exposure for this incident are determined to be:

The circumstances under which this exposure incident occurred are:

Report completed by: ______

Safety manualPage 1 of 9

September 2006

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written permission of the MSEA and Sisk and Company.