OSHA guidelines for needle and other sharp injuries requires all, Except
Correct Answer: Pre-exposure prophylaxis
Description: Pre-exposure prophylaxis (Ref: Workers in many different occupations are at risk of exposure to bloodborne pathogens, including Hepatitis B, Hepatitis C, and HIV/AIDS. In 1991, OSHA. (Occupational Safety and Health Administration) issued the Bloodborne Pathogens Standard to protect workers from this risk. In 2001, in response to the Needlestick Safety and Prevention Act, OSHA revised the Bloodborne Pathogens Standard. The standard requires that employees he provided: - Adequate protective equipment and clothing (gloves, face masks, aprons etc.); - Hepatitis B vaccine at no cost to the employee; - confidential medical evaluation and counseling after an incident (employees must be offered training, testing and post exposure prophylaxis at no cost) ; and - training on an annual basis on all aspects of bloodborne hepatitis, HIV and other bloodborne diseases (i.e., modes of transmission, effective preventive measures -- equipment, clothing and work practices, and the medical evaluation available after an exposure). Revisions to Blood Borne Pathogen standards as a result of the Needlestick Safety and Prevention Act: According to the revised standards the employers must keep a Sharps Injury Log for the recording of percutaneous injuries from contaminated sharps. The log must documet at a minimum, the type and brand of device involved in each incident; the depament or work area in which the exposure occurred; and an explanation of how the incident happened. The information would be recorded and maintained in a way that would protect the confidentiality of injured employees. The log would serve as an impoant source of data to help determine the relative effectiveness and safety of currently used devices and to guide the development of future products. It requires the use of engineering and work practices to control and eliminate or minimize employee exposure to bloodborne pathogens. the employer should use safer needle devices, (e.g.syringes with a sliding sheath that shields the attached needle after use; needles that retract into a syringe after use;) and to involve employees in identifying and choosing these devices
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