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Wiki source code of AF 02 Communicable Disease

Last modified by Ryan Larkin on 2022/03/08 21:34
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Ryan Larkin 1.1 1 **Washington County Sheriff's Office**
2
3 **ADMINISTRATIVE DIVISION**
4
5 Policy Manual
6
7
8 Volume:
9
10 Health and Safety
11
12 Chapter:
13
14 AF 02
15
16 Communicable Disease
17
18
19 Replaces and/or Supersedes:
20
21 PC 30, PC 31, PC 32, PE 06
22
23 Published:
24
25 08/23/2011
26
27 Review Date:
28
Ryan Larkin 2.1 29 03/08/2022
Ryan Larkin 1.1 30
31
Ryan Larkin 2.1 32 Sheriff Nate Brooksby
Ryan Larkin 1.1 33
Ryan Larkin 2.1 34 Undersheriff Barry Golding
Ryan Larkin 1.1 35
36
37 __**TABLE OF CONTENTS**__
38
Ryan Larkin 1.2 39 AF 02_101 Definitions
Ryan Larkin 1.1 40
Ryan Larkin 1.2 41 AF 02_102 References
Ryan Larkin 1.1 42
Ryan Larkin 1.2 43 AF 02_103 General
Ryan Larkin 1.1 44
Ryan Larkin 1.2 45 AF 02_104 Training
Ryan Larkin 1.1 46
Ryan Larkin 1.2 47 AF 02_105 Baseline Testing
Ryan Larkin 1.1 48
Ryan Larkin 1.2 49 AF 02_106 Prevention
Ryan Larkin 1.1 50
Ryan Larkin 1.2 51 AF 02_107 Vaccination
Ryan Larkin 1.1 52
Ryan Larkin 1.2 53 AF 02_108 Exposure
Ryan Larkin 1.1 54
Ryan Larkin 1.2 55 AF 02_109 Prisoners with HIV
Ryan Larkin 1.1 56
Ryan Larkin 1.2 57 AF 02_110 Corrective Action
Ryan Larkin 1.1 58
59
Ryan Larkin 1.2 60 **AF 02_101 __DEFINITIONS__**
Ryan Larkin 1.1 61
62 1. WCSO: Washington County Sheriff's Office
63 1. PCF: Purgatory Correctional Facility
64 1. Communicable Disease: Any illness due to a specific infectious agent or its toxic products which arises through transmission of that agent or its products to a susceptible host, either directly (as from an infected individual or animal) or indirectly, through an intermediate plant or animal host, vector, or the inanimate environment.
65 1. Sharps: Any item having a thin cutting edge or fine point.
66
Ryan Larkin 1.2 67 **AF 02_102 __REFERENCES__**
Ryan Larkin 1.1 68
69 1. Utah Counties Insurance Pool:
70 11. WC-III.B
71 11. WC-III.G
72
Ryan Larkin 1.2 73 **AF 02_103 __GENERAL__**
Ryan Larkin 1.1 74
75 1. Policy:
76 11. The WCSO shall establish and maintain an occupational safety and health program which will include communicable disease training, prevention practices, and exposure procedures.
Ryan Larkin 1.3 77 11. Staff shall be informed that all WCSO job positions are at risk of communicable disease.
Ryan Larkin 1.1 78 1. Rationale:
79 11. Appropriate safety and health training, practices, and procedures may help reduce exposure risk, increase timely exposure reporting and treatment, minimize medical costs, and minimize staff sick leave.
80
Ryan Larkin 1.2 81 **AF 02_104 __TRAINING__**
Ryan Larkin 1.1 82
Ryan Larkin 1.2 83 1. Policy:
84 11. All WCSO staff shall receive formal training regarding communicable disease prevention practices and exposure procedures within the first year of employment.
85 11. All WCSO staff shall receive formal, annual, follow-up, training regarding communicable disease prevention practices and exposure procedures.
86 11. Training material, content, and presentation shall be overseen by the Medical Branch Director.
Ryan Larkin 1.1 87
Ryan Larkin 1.2 88 **AF 02_105 __BASELINE TESTING__**
Ryan Larkin 1.1 89
Ryan Larkin 1.2 90 1. Policy:
91 11. All staff will be provided baseline testing for:
92 111. Hepatitis-B and C;
93 111. HIV;
94 111. Tuberculosis.
Ryan Larkin 1.1 95
Ryan Larkin 1.2 96 **AF 02_106 __PREVENTION__**
Ryan Larkin 1.1 97
Ryan Larkin 1.2 98 1. Policy:
99 11. Staff shall take preventative precautions by assuming that every direct contact with body fluids will result in the spread of infection (e.g., HIV, AIDS, Hepatitis-C, etc.).
100 11. Hand Washing:
101 111. Even if gloves are worn, staff should wash hands before and after working with offenders as patients, in the distribution of food, after searches, after body fluid collection, or any other event likely of infectious material contact.
102 111. At locations where blood is drawn or samples of other potentially infectious materials are collected, an easily accessible sink supplied with warm running water, soap, and clean paper towels should be available.
103 111. If a sink is not available, antiseptic towelettes or an antiseptic hand cleanser and clean paper towels shall be available. Antiseptic shall be used for a temporary cleaning and hands shall be washed as soon as possible in a sink with warm running water and soap.
104 111. Staff shall ensure that they wash their hands or use antiseptic hand cleanser immediately or as soon as feasible after the removal of gloves or personal protective equipment.
105 11. Needles and Sharps:
106 111. All sharp items should be considered potentially infectious and handled carefully.
107 111. Only disposable needles and sharps shall be used. Reprocessing of disposable equipment is prohibited.
108 111. Immediately after use, or as soon as possible, contaminated needles and sharps shall be placed into a sharps container. In order to prevent accidental exposure, needles and sharps shall not be bent or recapped.
109 111. Lids shall be kept closed on sharps containers during transportation and when not in active use.
110 111. Sharps containers shall be replaced when they are filled to the level recommended by the manufacturer to prevent overfilling of the container.
111 11. Work Areas:
112 111. Eating, drinking, smoking, applying cosmetics or lip balm, and handling contact lenses are prohibited in work areas where there is a reasonable likelihood of exposure. This includes any area where blood or other potentially infectious materials are processed, tested, collected, or stored until disposal.
113 111. Food and drink shall not be kept in refrigerators, coolers, freezers, cabinets, or on shelves, counter tops, or bench tops where blood or other potentially infectious materials are present.
114 111. Equipment such as refrigerators and coolers used for storage or transport of biological samples shall not be used for any other purpose.
115 11. Phlebotomy, Blood Handling, and Specimen Collection:
116 111. Phlebotomy and handling of blood or other potentially infectious materials shall occur in designated areas only. If blood or other potentially infectious fluid must be processed in large quantities an area may temporarily be designated as a handling area by a Chief or designee for the collection or packaging of samples.
117 111. If a local health department or clinic is used for performing outbreak testing, the exposure control plan and procedures for that department shall be used, if available.
118 111. Specimens of blood shall be placed in labeled containers that prevent leakage during collection, handling, processing, and storage. Laboratory samples of potentially infectious materials shall be placed in labeled coolers or mailing packages immediately or as soon as feasible in order to prevent leakage or breaking.
119 111. Specimens for transport shall be placed in a double container if a container is leaking or is contaminated on the outside.
120 111. Equipment which becomes contaminated with blood or other potentially infectious material shall be decontaminated, if possible, before shipping or repair. Portions that remain contaminated shall be identified by a readily observable label or tag which includes the term "biohazard.”
121 111. Maintenance staff or other repairmen shall be advised when equipment requiring repair may be contaminated with blood or body fluids.
122 111. Broken glass that is potentially contaminated with blood or other potentially infectious material shall be collected only by mechanical means, such as a broom and dust pan. The broom and dust pan shall be disinfected afterward with a detergent washing followed by a soak in a 1:10 sodium hypochlorite solution for at least five minutes (other EPA approved intermediate level disinfectants may be used).
123 11. Staff should wear gloves and protective clothing if contact with contaminated materials is expected. Staff should wear face protection if there is a possibility of splashing. Staff should wear a breathing mask if the offender has TB (alternatively, a cooperative offender with TB should wear a mask).
124 11. Clothing which becomes soiled with blood or other potentially infectious body fluids shall be changed immediately.
125 11. Resuscitation Equipment:
126 111. Policy:
127 1111. Staff should avoid mouth-to-mouth resuscitation without protective equipment.
128 1111. Staff shall not use mouth-to-mouth resuscitation without protective equipment on prisoners.
129 1111. Resuscitation breathing barriers (one way valves) shall be made readily available and located in every Public Safety vehicle, prisoner transportation vehicle, and at every PCF prisoner housing unit control center.
130 111. Rationale:
131 1111. Prisoner populations maintain high ratios of infectious disease.
132 1111. Breathing barriers should be readily available at all locations where prisoners are in custody.
133 11. Labeling:
134 111. All blood, other body fluids, and infected wastes shall be clearly labeled.
135 111. High-risk areas should be identified and marked.
136 11. Blood Spills:
137 111. All spills shall be immediately cleaned up (after crime scene processing has occurred, if necessary) with an approved blood spill kit.
138 111. Blood spill kits shall be approved by the Medical Branch Director.
139 11. Linens:
140 111. All known infected laundry items shall be bagged, labeled, and processed accordingly (decontaminated or disposed of).
141 111. All linen should be considered potentially infectious and handled accordingly.
142 11. Eating Utensils:
143 111. Eating utensils shall be sanitized after each use (if not disposed of).
144 11. Disposable and Non-Disposable Articles:
145 111. Disposable items that come into contact with an insignificant amount of blood or body fluids, may be disposed of via standard trash procedures.
146 111. Disposable items that come in contact with substantial amounts of blood or body fluids shall be placed in red, labeled, plastic bags specifically designed for disposal or processing of infectious wastes and then placed in a designated dumpster.
147 111. Non-disposable items shall be clearly marked and bagged and sent to the designated decontamination location.
148 11. Staff and prisoners known to be infected with hepatitis shall not be allowed to work in culinary.
149 11. Isolation precautions shall be taken as necessary.
150 11. Each housing area, dental area, medical treatment room, or any other area that can be expected to routinely accumulate contaminated items, shall have the following items available:
151 111. Gloves, paper gowns or scrub suits, masks, and other protective attire;
152 111. Disposable breathing barriers;
153 111. Disinfectant solutions;
154 111. Blood spill clean up kits;
155 111. Bio-hazard collection bags (red and clearly marked); and
156 111. Sharps containers.
Ryan Larkin 1.1 157
Ryan Larkin 1.2 158 **AF 02_107 __VACCINATION__**
Ryan Larkin 1.1 159
Ryan Larkin 1.2 160 1. Policy:
161 11. The WCSO shall make available, at no cost to the staff member, the Hepatitis-B vaccine and vaccination series.
162 11. The vaccine shall be made available as soon as possible after start of employment.
163 11. Staff may decline the Hepatitis-B vaccination. However, declining requires the staff member to sign the OSHA declination statement. Signing the declination statement does not preclude the staff member from obtaining the vaccination at a later date with no charge or penalty. The declination statement should be received and forwarded to the staff member's personnel file by the Undersheriff.
164 11. The vaccine shall be administered by, or under the supervision of, a licensed physician or another licensed health-care professional at a time and place which is convenient for staff.
165 11. Staff shall not be required to participate in a pre-screening program as a prerequisite for receiving Hepatitis-B vaccine.
166 11. If a routine booster dose of Hepatitis-B vaccine is recommended at a future date, the booster dose shall be made available to the member at no cost.
Ryan Larkin 1.1 167
Ryan Larkin 1.2 168 **AF 02_108 __EXPOSURE__**
Ryan Larkin 1.1 169
Ryan Larkin 1.2 170 1. Policy:
171 11. To maximize protection, staff exposed directly to body fluids shall react as though such body fluids were infected (e.g., HIV, AIDS, Hepatitis-C, etc.); even when such information is unknown.
172 11. Staff exposed to a communicable disease, shall:
173 111. Get immediate medical assessment and treatment;
174 111. Inform on-duty supervisor (and direct supervisor, if not the same);
175 111. Inform the division chief;
176 111. Complete an exposure report with their supervisor as soon as possible. The supervisor shall forward the report to the Undersheriff (who will then forward a copy to Worker's Compensation); and
177 111. Complete an incident report.
Ryan Larkin 1.1 178
Ryan Larkin 1.2 179 **AF 02_109 __PRISONERS WITH HIV__**
Ryan Larkin 1.1 180
Ryan Larkin 1.2 181 1. Policy:
182 11. Unless offenders have infections that require special precautions or there is a risk of blood or body fluid contamination, HIV offenders may use the same facilities as other offenders.
Ryan Larkin 1.1 183
Ryan Larkin 1.2 184 **AF 02_110 __CORRECTIVE ACTION__**
Ryan Larkin 1.1 185
Ryan Larkin 1.2 186 1. Policy:
187 11. Shift supervisors are responsible for instructing and encouraging the use of precautions.
Ryan Larkin 3.1 188 11. Instances of non-compliance of following precautions should be reflected in the non-compliant staff's personell file.