To protect Buckeye Residential Solutions ("Company") employees from exposures to blood and other potentially infectious materials since any exposure could result in transmission of bloodborne pathogens, which could lead to disease or death. The diseases of primary concern are Hepatitis B (HBV) and Human Immunodeficiency Virus (HIV).

Covers "Company" employees who could be "reasonably anticipated" as the result of performing their job duties to have contact with blood and other potentially infectious materials.

1. Bloodborne Pathogens means pathogenic microorganisms that are present in human blood and can cause disease in humans.
2. Occupational Exposure means reasonably anticipated broken skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from performance of the employee's duties.
3. Universal Precautions is an approach to infection control. According to the concept of Universal Precautions, all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV, and bloodborne pathogens.

All "Company" employees who perform services in the following job categories are included in this plan:

• First-Aid Responders/ Direct Care Providers

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• Maintenance Personnel
• Administrative Team Members

The following job tasks are included in this plan:

• Treatment of wounds, burns, abrasions
• Resuscitation
• Cleaning up of blood or body fluid spills

• Cleaning up of blood or body fluid spills
• Making repairs to broken plumbing

• General contact through proximity

Universal Precautions shall be followed at all times to prevent contact with blood or other potentially infectious materials.

• Vinyl or latex gloves in various sizes will be available and shall be worn when:
  • Examining, cleaning, and/or treating wounds
  • Cleaning contaminated instruments or equipment
  • Cleaning up any blood or body fluid
  • Gloves shall also be worn when performing any procedure where there is likelihood of contact with blood or other body fluid.
• Running water, soap, and paper towels shall be available and hands shall be washed immediately after gloves are removed and dried with paper towels.
• Sharps containers are available in designated locations. Sharps containers are red, leak proof, hard plastic, and puncture resistant. When filled they shall be disposed of by an approved medical waste transporter and disposer.

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• Cleaning and disinfecting of work surfaces shall be performed whenever they become laden with blood or OPIM.
• Hands and other skin surfaces shall be washed immediately and thoroughly if contact with blood or other body fluids is made.
• Mouthpieces, resuscitation bags or other ventilation devices shall be used for resuscitation.
• All incidents of occupational exposure to blood or other body fluids shall be reported to your supervisor immediately after the occurrence.
• All contaminated sharps incidents shall be reported to your supervisor immediately.
• All spills of blood or other body fluids shall be cleaned up immediately. Personnel Protective Equipment and a disinfecting solution shall be used in any spill clean up.

• Hepatitis B vaccines shall be made available to all employees identified in the Exposure Determination that are determined to be at risk of exposure.
• The vaccine shall be available at no cost to the employees. An informed consent form shall be filled out by the employee receiving the vaccine.
• If employees do not choose immunization, they will sign the statement as published in for declination.
• Employees may initially decline immunization and choose to accept immunization at a later date at no cost.
• If routine immunization boosters are recommended at a future date, vaccine shall be made available to employees at no cost.
• The immunization program shall be under the supervision of the human resources team.
• Each employee's immunization status shall be maintained in a confidential manner in his or her employee health record.

• If there is exposure to blood or potentially infectious fluids, the exposed employee shall immediately have a medical evaluation under the direction of a physician chosen by this company. The evaluation and follow-up shall include:
  • Incident report including site and route of entry (Accidental Exposure Contamination Report)
  • Identification and documentation of source - Source blood shall be tested as soon as consent is obtained to determine HBV and HIV status.

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• If consent is not obtained, this shall be documented. If the source is known to be HIV or HBV positive, retest is not necessary.
• The exposed employee shall be informed of source individual's results.
• The exposed employee shall have blood tests done as soon as consent is obtained. If consent is not given for HIV and HBV testing, the specimen shall be maintained for 90 days. If the exposed employee decides to have a baseline test done within the 90-day period, it shall be completed as soon as possible.
• The Occupational Health Doctor shall counsel the exposed employee and evaluate any reported illness. The doctor shall provide a written opinion with 15 days stating:
  • Whether Hepatitis B vaccine is needed and if immunization has begun.
  • What post-exposure evaluation and follow-up is needed.
  • That the employee has been informed of the results of the evaluation and of any medical conditions resulting from exposure.
  • All other findings shall be held confidential and shall not be included in the report.

• All employees identified in the Exposure Determination shall participate in a training program on the Bloodborne Pathogens Standard and company procedures.
• Training shall be conducted for new employees prior to job assignments identified in the Exposure Determination.
• Training shall be repeated/updated annually.
• A copy of the Bloodborne Pathogens Standard 29 CFR 1910.1030 shall be available from the Safety Department.
• Training shall include review of universal precautions, protective equipment, cleaning procedures.
• A record of training sessions shall be prepared and maintained. The record shall include:
  • The trainer's name and qualifications.
  • Names of the participants and their signatures.
  • An outline of the training program.

A copy of training records shall be available to employees on request, to any person having written consent of the employee and to the Assistant Secretary of Labor or OSHA and the Director of NIOSH.

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The Human Resources Team shall establish and maintain an accurate record of each employee with occupational exposure. The record shall include:

• The name and social security number of the employee.
• A copy of the employee's hepatitis B vaccination status including the dates of all the Hepatitis B vaccinations and any medical records relative to the employee's ability to receive vaccination.

• A copy of all results of examinations, medical testing, and follow-up procedures.
• The company's copy of any health care professionals written opinions and copies of any information provided to the health care professional.

The company shall ensure that any employee records required under this standard are kept confidential and are not disclosed or reported without the employee's expressed written consent.

The company shall maintain records for the length of employment plus 30 years.

• Where there has been contamination due to injury, etc. the affected area shall be washed immediately with soap and water, then sprayed with a 10% chlorine bleach solution and wiped dry.
• Broken glassware that may be contaminated shall be flicked up with forceps. Small fragments shall be picked up with wet paper towels.
• Non-sharp waste (bandages, swabs, dressings, etc.) that does not meet the criteria described in "regulated wastes" shall be disposed of as domestic waste.
• Non-sharps waste that is considered 'regulated waste" will be placed in red bags and marked as biohazard waste. It shall be disposed of in accordance with EPA regulations.

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I understand that it is in my best interest to receive the Hepatitis B Vaccine. With the hazards of Hepatitis B having been completely explained to me I am requesting that I receive the Hepatitis B vaccine at this time, at no cost to me.

I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring the hepatitis B virus infection. I have been given the opportunity to be vaccinated with hepatitis B vaccine, at no charge to myself. However, I decline the hepatitis B vaccine 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.