Operating Procedures

[David]

Do you have procedures in place to deal with the following.

1. Power Outage

2. On-Premise Assault and Battery

3. Off-Premise Assault and Battery

4. Shooting or Stabbing

5. Blood Bourne Pathogens

6. Robbery During Business Hours

7. Robbery Before or After Operating Hours

8. Massive Injuries

9. Drug Overdose

10. Accidents That Require Emergency Action

11. Mechanical Failure (H.V.A.C, Liquor Dispensing Equipment, Beer Dispensing Equipment and so on)

12. Opening and Closing Cash Handling

These are just a few. Post what procedures that you use in your establishment. Feel free to add to the list.

[Joeoriginal]

Boy, that list will make you PANIC!!!

I'll have to work tonite to update my at the bars.

Yikes.

[David]

The items that I mentioned are not meant to put you into a panic. They are only items that we need to be aware of. I try not to take anything as an assumption. If you are prepared, your actions will only make the situation less of an emergency. I will post a Procedure that I wrote for Blood Bourne Pathogens tonight. This will be a general Procedure. The others that I have will mainly apply to our business and our building.

I will also post an Incident Investigation Form and Procedure. This item was developed to help document incidents that occur on the premises. They will also help if the incident goes to court.

I feel that training is one of the most important issues that we have to address along with the protection of our staff and the general public.

[David]

Page 1 of 4

This is a really long procedure and I had to do it in sections. I suggest that you print it out and read it at your convince. My collogues and I wrote this a few years ago. We used resources from the Centers for Disease Control (CDC) and OSHA. It's looks kind of funky because I did a Cut and Paste to the site. Sorry.

This is to be used as an eductional tool. There is some info that won't apply to everyone. I just thought that you'd like to see a Procedure and how it is formatted.

Blood Bourne Pathogens

TABLE OF CONTENTS

PURPOSE 2

REFERENCES 3

DEFINITIONS 3

PROCEDURE 6
Program Administration 6
Exposure Determination 6
Schedule and Method of Implementation 7
Method of Implementation 7
Universal Precautions 7
Engineering and Work Practice Controls 8
Personal Protective Equipment (PPE) 9
PPE Equipment Locations 10
Housekeeping 10
Regulated Waste Requirements 11
Contaminated Laundry 11
Sharps……………………………………………………………………….. 12
Hepatitis B Vaccine and Post Exposure Evaluation and Follow Up 13
Hepatitis B Vaccine 13
Exposure Incidents 13
Counseling and Evaluation of Reported Illnesses 14
Medical Requirements/Information Provided to Health Care Professionals 15
Communication of Hazards to Employees 16
Labels 16
Information and Training 16
Record Keeping Requirements 17
Medical Records 18
Medical Record - Maintenance 18
Transfer of Medical Records 18
Procedures for Evaluation of Circumstances Surrounding Exposure Incidents 19
Evaluation Procedure 19

List of Attachments

Attachment 1 -- Responsible Personnel
Attachment 2 -- Decontamination Procedure
Attachment 3 -- Declination of HBV Vaccine
Attachment 4 -- Occupational Exposure to Blood Borne Pathogens Exposure Control Plan audit checklist


PURPOSE


This procedure describes the Excalibur Entertainment Groups Exposure Control Plan for Blood Borne Pathogens, it:

• Identifies those tasks and procedures where occupational exposure to Blood Borne Pathogens may occur.

• Identifies the positions whose duties include those tasks and procedures identified with occupational exposure.

The Exposure Control Plan is a key provision of the OSHA standard on Occupational Exposure to Blood Borne Pathogens (29 CFR 1910.1030), because it requires the employer to identify the individuals who will:

• Receive the training

• Receive protective equipment

• Receive vaccination

• Participate in other provisions of the standard

The plan is designed to eliminate or minimize employee exposure to blood and other potentially infectious materials.

It will be reviewed annually or:

• Updated whenever necessary to reflect new or modified tasks and procedures which reflect occupational exposure

• To reflect new or revised employee positions at this facility with occupational exposure


REFERENCES


Department of Labor (OSHA) 29 CFR 1910 Occupational Safety and Health Standards

• 1910.1030 – Blood borne Pathogens

· OSHA Directive CPL 2-2.44D Enforcement Procedures for the Occupational Exposure to Blood borne Pathogens

• 1910.1020 - Access to Employee Exposure and Medical Records

U. S. Public Health Services (USPHS)

Center for Disease Control (CDC) Immunization Practices Advisor Committee

Attachment 1 -- Decontamination Procedure

Attachment 2 -- Declination of HBV Vaccine

DEFINITIONS


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

CONTAMINATED -- The presence or the reasonably anticipated presence of blood or other potentially infectious materials on an item or surface.

CONTAMINATED LAUNDRY -- Laundry that has been soiled with blood or other potentially infectious material or may contain sharps which consists of, but not limited to: needles, scalpels, or medical instruments with sharp edges.

CONTAMINATED SHARPS -- means any contaminated object that can penetrate the skin including, but not limited to, needles, scalpels, broken glass, broken capillary tubes, and exposed ends of dental wires.

DECONTAMINATION -- The use of physical or chemical means to remove, inactivate, or destroy Blood Borne Pathogens on a surface or item to the point where they are no longer capable of transmitting infectious particles, and the surface or item is rendered safe for handling, use, or disposal.


ENGINEERING CONTROLS -- Controls that isolate or remove Blood Borne Pathogen hazards from the workplace (i.e., sharps, disposal containers).

EXPOSURE INCIDENT -- A specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee's duties.

• Exposure determinations are made without regard to use of personal protective equipment

HBV -- Hepatitis B virus.

HCV—Hepatitis C virus.

HIV -- Human immunodeficiency virus.

OCCUPATIONAL EXPOSURE -- Reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee's duties.

OTHER POTENTIALLY INFECTIOUS MATERIALS ARE:

• The following human body fluids: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids

• Any unfixed tissue or organ (other than intact skin) from a human (living or dead)

• HIV containing cell or tissue cultures, organ cultures, and HIV or HBV/HCV containing culture medium or other solutions and blood, organs, or other tissues from experimental animals infected with HIV or HBV/HCV

PARENTERAL -- Piercing mucous membrane or the skin barrier through such events as needle sticks, human bites, cuts, and abrasions.

PERSONAL PROTECTIVE EQUIPMENT (PPE)-- Specialized clothing or equipment worn by an employee for protection against a hazard. PPE consists of, but is not limited to gloves, glasses, face shields, mouthpieces, resuscitation bags, and pocket masks.

REGULATED WASTE -- Liquid or semi-liquid blood or other potentially infectious materials:

• Contaminated items that would release blood or other potentially infectious materials in a liquid or semi-liquid state if compressed

• Items that are caked with dried blood or other potentially infectious materials and are capable of releasing these materials during handling

• Contaminated sharps

• Pathological and microbiological wastes containing blood or other potentially infectious material

SOURCE INDIVIDUAL -- means any individual, living or dead, whose blood or other potentially infectious materials may be a source of occupational exposure to the employee. Examples include, but are not limited to, hospital and clinic patients; clients in institutions for the developmentally disabled; trauma victims; clients of drug and alcohol treatment facilities; residents of hospices and nursing homes; human remains; and individuals who donate or sell blood or blood components.

STERILIZE -- means the use of a physical or chemical procedure to destroy all microbial life including highly resistant bacterial endospores.


UNIVERSAL PRECAUTIONS -- An approach to infection control. According to the concept of Universal Precautions, all human blood and certain human body fluids are treated as if know to be infectious for HIV, HBV, HCV and other blood borne pathogens.

WORK PRACTICE CONTROLS -- Controls that reduce the likelihood of exposure by altering the manner in which a task is performed.




PROCEDURE


The Exposure Control plan will be located in the Excalibur Entertainment Groups Safety Departments Information Management System (IMS) and in the Managers office.

• In addition, this Exposure Control Plan will be made available to the Assistant Secretary of OSHA and the Director of NIOSH upon request for examination and copying.


Program Administration


The Safety Department is responsible for the following program administration issues:
· Implementation of the BBP Exposure Control Procedure
· Maintaining, reviewing and updating the BBP Exposure Control Procedure annually and whenever necessary to include new or modified tasks, procedures or job functions
· Maintaining and providing necessary PPE, engineering controls, disposal containers
· Ensure all required medical actions are performed and appropriate documents are maintained
· The Training Coordinator is responsible for the following administration issues:
· Ensure appropriate training is conducted and documented


Exposure Determination


1. This plan applies to all employees who are current members of the Excalibur Entertainment Groups Emergency Response Team (ERT).

• The ERT members have various potential responsibilities including fire protection, emergency response, CPR, First Aid response, and Emergency Assessment

• Due to the nature of the potential ERT responsibilities, members face possible exposure to blood and other potentially infectious materials


Schedule and Method of Implementation


The implementation schedule will comply with that required by 29 CFR 1910.1030(i):

• Exposure Control Plan Effective 5/5/92
.
• Information and Training

- Record keeping Effective 6/4/92

• All other requirements Effective 7/6/92

[David]

Page 2 of 4

Method of Implementation


1. Controls shall be used to eliminate or minimize employee exposure to blood or other potentially infectious materials.

2. Controls include but are not limited to:

• Universal precautions

• Decontamination procedures

• Proper use of Personal Protective Equipment (PPE)

Universal Precautions


1. Universal precautions shall be observed to prevent contact with blood and/or other potentially infectious materials.

2. The term "universal precautions" means all blood and body fluids are treated as if known to be infectious for HIV, HBV, HCV and other Blood Borne Pathogens, this would include:

• Contaminated laundry equipment

• Contaminated surfaces

• Contaminated clothing

3. All employees covered by this standard should familiarize themselves with Universal Precautions.

Engineering and Work Practice Controls


1. Engineering controls and work practice controls will be regularly evaluated to provide current information, examined, and repaired or replaced as often as necessary to ensure that each control is maintained and provides the intended protection.

2. Any area of the Club can be the primary workplace location that may come in contact with a Blood Borne Pathogen hazard.

• In an emergency situations, potentially infectious body fluid may be present on equipment

2. In order to isolate and/or remove the Blood Borne Pathogens hazard (from the workplace and the ERT member) the following steps will be taken:

a. All personnel will use the proper Personal Protective Equipment (PPE), such as gloves, glasses, face shields, or mouthpieces when performing first aid/emergency response functions.

b. Proper PPE will be used when handling potentially infectious laundry or regulated waste.

c. Contaminated clothing/regulated waste will be properly bagged and labeled as such.

4. Contaminated personal protective equipment shall be removed before leaving the work area.

• It is therefore not acceptable to wash contaminated personal protective equipment at home

5. Gloves shall be worn:

• When employees anticipate hand contact with blood and other potentially infectious materials, mucous membrane

• To protect non intact skin when vascular access procedures are performed.

• When handling or touching contaminated surfaces

6. Disposable (single use) gloves shall be replaced when contaminated, torn, or punctured.

Engineering and Work Practice Controls cont.

7. Utility gloves may be cleaned and reused as long as they continue to provide barrier protection for the employee.

8. Blood Borne Protection Kits will be located in the office and behind the main bar.

Personal Protective Equipment (PPE)


1. PPE provided at this facility:

• Is readily available to identified employees for potential exposure to blood and other potentially infectious materials

• Consists of but are not limited to gloves, glasses, face shields, gowns, mouth pieces and booties

• Will be sealed in pouches at locations listed above

• Will be replaced or repaired at no cost to the employee

All employees using PPE for protection from Blood Borne Pathogens must observe the following precautions:

· Wash hands immediately or as soon as possible after removal of gloves or other PPE. (If hand-washing facilities are not immediately available in emergencies, alternative methods of disinfection, i.e., disinfectant wipes, are provided in the field)
· Remove PPE after it becomes contaminated, and before leaving the work area
· Used disposable PPE is to be considered contaminated and discarded in red “BIOHAZARD”-labeled bags
· Wear appropriate gloves when it can be reasonably anticipated that there may be hand contact with blood or other infectious materials, and when handling, disinfecting or touching contaminated items or surfaces; replace gloves, if torn, punctured, contaminated, or if their ability to function as a barrier is compromised, or between patients if there is more than one
· Utility gloves, not labeled disposable, may be decontaminated for reuse, if their integrity is not compromised. Discard gloves showing wear. Never wash or decontaminate disposable gloves or any other disposable medical equipment for reuse
· Disinfection of eye glasses, resuscitation equipment, face shields and other non-disposables may be disinfected, after removing organic debris, with a solution of household bleach (sodium hypo chlorite) diluted 1:10 with water, submerged in the bleach solution for 15 minutes after cleaning, and then rinsed thoroughly with water

· Contaminated equipment or supplies should be labeled as contaminated with a biohazard sticker or other labeling notation
· Wear appropriate face and eye protection when splashes, sprays, spatters, or droplets of blood or other infectious material pose a hazard to the eye, nose, or mouth. Discard disposable masks, gowns, shields
· Remove immediately any garment contaminated by blood or other infectious material in such a way as to avoid contact with the outer surface. (Keeping a “spare pair” handy to wear should be encouraged). Place in appropriately labeled bags
· Disinfect skin if blood or other infectious material soaked through clothing with Vionexâ wipe or Bleach solutions


Housekeeping


1. The Excalibur Entertainment Group will ensure that all work sites (where potential exposure exists to blood and other potentially infectious materials) be maintained in a clean and sanitary condition in the first aid areas.

2. All work surfaces used that come in contact with blood or other potentially infectious materials will be decontaminated after any Emergency Response situation or accident in which blood or body fluid is released.

3. PPE should be disposed of in a Regulated Waste Container.

4. When the container is ready for disposal:

• The service provider shall be contacted

• The steps to take during decontamination are outlined in Attachment 1, Decontamination Procedure


Regulated Waste Requirements


1. Regulated waste requirements are:

a. Regulated waste must be placed in closable containers that are:

• Labeled or color coded

• Structured to prevent leakage

• Closed prior to removal

2. The BBP service will provide Club with a regulated waste container that will be:

• Labeled "infectious waste"

• Stored in a Safe area

• Lined with a red biohazard waste bag


Contaminated Laundry


Contaminated Laundry at the Club will be handled in accordance with the below prescribed requirements.

• Proper PPE disposable surgical type gloves shall be used when handling Contaminated Laundry

• Contaminated laundry shall be bagged or containerized at its location of use and shall not be sorted or rinsed there

• Contaminated laundry shall be placed and transported in bags or containers that are labeled or color coded

• Contaminated wet laundry shall be placed in a container that prevents soak through or leakage to the exterior

• Treatment of Contaminated Laundry will be contracted out to the proper facility

SHARPS

A. Sharps, as defined in the OSHA Handbook, should they become contaminated from a bodily fluid consist of the following:
· Needles used for liquid samples
· Any Broken Glass, e.g. Glassware, Liquor and/or Beer Bottles

1. The listed sharps are not intended for handling biological fluids. Work practices would include disposing used or broken item in appropriate glass containers.
2. When sharps are contacted with blood or other biological agents are they considered contaminated and therefore would need to be disposed of as regulated waste.

B. Sharp disposal containers are located in the Managers office.



Hepatitis B Vaccine and Post Exposure Evaluation and Follow Up

[David]

Page 3 of 4

Hepatitis B Vaccine and Post Exposure Evaluation and Follow Up


Hepatitis B Vaccine


All Emergency Response Team (ERT) members shall be offered the hepatitis B vaccine and vaccination series.

This vaccine and vaccination series in addition to post exposure evaluation and follow up will be made available at no charge to employees.

Exceptions to this requirement are when:

• Employees have previously completed the Hepatitis B vaccination series; or

• Immunity is confirmed through antibody testing; or

• The vaccine is inadvisable for medical reasons

• Immunization may be declined by the employee. In this case, the employee shall sign a declination form (see Attachment 2, Declination of HBV Vaccine)

• This form will be kept with the employees medical records

• If the employee changes his/her mind, they may then receive the vaccine or vaccination series at no personal cost

Exposure Incidents


1. In the event of an exposure incident, where an employee is exposed to blood, or other infectious materials, an immediate confidential medical evaluation and subsequent follow up of the incident shall be provided to the employee at no personal cost.

2. This evaluation and follow up shall be performed by or under the supervision of a licensed healthcare professional and available at a reasonable time and place.

3. Exposure incident evaluations will be performed based on current U. S. Public Health Services (USPHS) recommendations.

4. The confidential post evaluation and follow up must include the following:

• Documentation of the route(s) of exposure and the circumstances under which an exposure incident occurred

• Identification and documentation of the source individual.

• Collection and testing of blood for HCV/HBV/HIV serological status

• Post exposure prophylaxis where medically indicated, as recommended by USPHS

Counseling and Evaluation of Reported Illnesses


1. The employee who has had an exposure incident shall be tested as soon as possible to determine HIV and HBV infectivity and to document that persons blood test results.

2. Employers must make good faith efforts to:

• Identify the source of the exposure

• Identify the type of fluid

• Identify the amount of fluid

• Obtain consent of/from the source employee to do the blood test

- If the employee consent is not obtained the employer must document this in writing.

3. The employer must also have established a system that maintains the required medical records in a way that protects the confidentiality of the employee's identity and test results.

4. The employee's test results shall be made available to the employee and not the employer.


Counseling and Evaluation of Reported Illnesses cont.

5. The employee's blood shall be collected as soon as possible after consent is obtained.

6. If the employee consents to baseline blood collection, but does not give consent to HIV serological testing, the sample shall be preserved for 90 days.

7. The employee can later elect to have baseline HIV testing within 90 days of the exposure incident.

Medical Requirements/Information Provided to Health Care Professionals


1. The employer shall provide the healthcare professional who is responsible for the employee's Hepatitis B vaccination with a copy of the standard.

2. The healthcare professional who evaluates an employee after an exposure incident shall be provided with the following:

• A copy of the Blood Borne Pathogens Standard

• A description of the employees duties relevant to the exposure incident

• Documentation of the route of exposure and circumstances under which the exposure occurred

• If available, results of the source employee's blood tests

• All medical records relevant to the appropriate treatment of the employee.

3. Healthcare Professionals Written Opinion.

• Within 15 days after the evaluation is completed, the employer shall obtain and provide the exposed employee with a copy of the healthcare professional's written opinion

• The healthcare provider's written opinion for the Hepatitis B vaccination is limited to whether the exposed employee requires or has received the Hepatitis B vaccination

4. The health care provider's written opinion for post exposure evaluation and follow up shall be limited to:

• Information that the employee has been informed of the results of the exposure

Medical Requirements/Information Provided to Health Care Professionals cont.

• Information that the exposed employee has been told about any medical conditions that require further treatment

• All other findings or diagnoses shall remain confidential and shall not be included in the written report


Communication of Hazards to Employees


Labels


Warning labels shall be affixed to containers of regulated waste, and other potentially infectious materials such as contaminated clothing and other containers used to store, transport, or ship blood and other potentially infectious materials.

• These labels will be orange or red and include the universal biohazard symbol followed by the term BIOHAZARD, with lettering and symbols in contrasting color

Information and Training


All Emergency Response Team members will receive specific training during working hours which complies with the standard. Annual training and education shall include:

• A general explanation of the epidemiology and symptoms of HBV, HCV, and HIV

• An explanation of the modes of transmission

• An explanation of the exposure control program

• An explanation of the use and limitations of control methods, including universal precautions, engineering controls, work practices, and PPE

• An explanation of the basis for selection of PPE, its use, limitations, location, removal, decontamination, and disposal

• Information on the HBV vaccine, including its efficacy, safety, and the benefits of being vaccinated, method of administration, and that the vaccine and vaccination will be offered free of charge

• An explanation of the procedure for exposure incidents, including reporting and post exposure medical follow up

• An explanation of the signs, labels, tags, and/or color coding used to identify biohazards

• Access to a copy of the Blood Borne Pathogens Rule, 29 CFR 1910.1030

• An opportunity for INTERACTIVE discussion on the subject matter

The training must be appropriate in content and vocabulary to the educational level, literacy and language of the employee, and the person conducting the training shall be knowledgeable in the subject matter as it relates to the workplace.

Record Keeping Requirements


There are three types of required record keeping. They are:

1. Training record

2. Medical records

3. Incident/Exposure records

EMPLOYEE TRAINING RECORDS shall be maintained and kept 3 years from the date on which the training occurred and the training records at this site will be located in the Excalibur Entertainment Groups Employee Data Base. The Training Records shall include:

• Training dates

• Either a summary or the contents of the training

• Names and qualifications of trainers

• Name and job titles of all attendees

• Documentation of understanding



Medical Records


1. The employer shall establish and maintain a record for each employee with occupational exposure. These records shall include:

• Name and Social Security Number of the employee

• A copy of the employee's Hepatitis B vaccination status including the dates of all 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 related to post exposure evaluation

• The employer's copy of the healthcare professional's written opinion

• A copy of the information provided to the healthcare professional

The employee medical records are kept confidential and not disclosed without the written consent of the employee to any person except as required by law.

Medical Record - Maintenance


Medical records shall be kept for the duration of employment plus 30 years which is consistent with 29 CFR 1910.1020(d).

Transfer of Medical Records


The same requirements exist for transferring other medical records in accordance with 29 CFR 1910.1020

If the employer ceases to do business and there is no successor employer to receive and retain the records for the prescribed period, the employer shall notify the Director at least 3 months prior to their disposal and transmit them to the Director if so requested within that 3 month period.

[David]

Page 4 of 4

Procedures for Evaluation of Circumstances Surrounding Exposure Incidents


Exposure/Incident Record Keeping Requirements are:

• Each employee's reported exposure incident to blood or other potentially infectious materials shall be tracked and investigated as thoroughly as if it were an occupational injury

• It should also take into account the engineering and work practices in place, as well as PPE or clothing used at the time of the exposure incident

• The investigation should include evaluation of the policies and "failure of control" at the time of the exposure incident

Evaluation Procedure


1. Any employee who has potential mucous membrane or non intact skin contact with blood borne pathogens (such as needle sticks or through cuts or breaks in the skin) shall report the incident immediately to the Manager on Duty (MOD).

2. Wash the affected area thoroughly with soap and water.

3. Report site exposure to the Safety Department immediately.

4. Write an Incident Report describing the exposure.

5. Establish the relative infectivity of the source materials and route of exposure and circumstances under which exposure occurred.

6. If the exposure source is another employee, notify the employee of the incident and test for HIV, HBV and HCV infections after consent is obtained.

7. If employee refuses consent or tests positive, the worker shall be evaluated:

a. Clinically and by HIV antibody testing as soon as possible.

b. Advise the worker to report and seek medical evaluation of any acute febrile illness that occurs within 12 weeks after exposure.


8. HIV seronegative workers, workers that test negative for HIV, shall be retested 6 weeks post exposure and on a periodic basis thereafter (12 weeks and 6 months after exposure).

9. Ensure all results are kept confidential.

10. Perform follow up procedures for workers exposed or potentially exposed to HBV.

• The types of procedures depends on the immunization status of the worker, whether HBV vaccination has been received and antibody response is adequate and the HBV serologic status of the source patient

11. If an employee refuses to submit to the steps above when such procedures are medically indicated, no adverse action can be taken on that ground alone since the procedures are designed for the benefit of the exposed employee.

12. If an employee becomes infected or diseased, institute appropriate follow up such as antibody or antigen testing, counseling, illness reporting and treatment.

13. Inform the employee's private evaluating physician of the accident and of the follow up evaluations.

14. The Excalibur Entertainment Group shall keep a record of all incidents involving occupational injury/illness on file and reported to OSHA, the State, and corporately as required.

15. Provide a copy of the results of the medical evaluation and the evaluating physician's written opinion to the employee within 15 working days which shall include the following:

• The availability of Hepatitis B vaccine

• Information relating to medical conditions resulting from exposure to blood or other infectious materials

END




Attachment 1

RESPONSIBLE PERSONNEL



Local Medical Clinic Director:


Local Medical Facility:


Site Emergency Response Team Lead:


Site Manager:





SWP014.501 Rev. 0

Attachment 2

DECONTAMINATION PROCEDURE




All surfaces that come in contact with blood or other potentially infectious materials must be decontaminated after an Emergency response situation or accident in which blood or body fluid is releases.

The following steps should be taken when decontaminating any surfaces:

1. Don PPE (PPE includes but is not limited to gloves, gowns, safety glasses with side shields or other approved face protection, and booties).

2. Contain the blood using an absorptive material or by soaking it up with disposable towels.

3. Discard the absorptive material/towels used to contain the blood in an approved waste disposal container. (Bag labeled with the Biohazard sign or a Red bag.)

4. Clean the area using an approved disinfecting solution such as a 1-10 mixture of sodium hypo chlorite (Bleach).

5. Any contaminated material/PPE should be discarded in the approved waste container.

6. All employees should wash their hands immediately after removing PPE. If a hand washing facility is not available, antiseptic towelettes may be used.

7. Take away Contaminated material that has been discarded in approved bags to the First Aid Room in the Training Building and dispose of it in a the regulated waste container.










SWP014.502 Rev. 0

Attachment 3

DECLINATION OF HBV VACCINE



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 Date



Signature of Employee



Signature of Witness






SWP-014.503 Rev. 0

Attachment 4 SWP014.504 Rev. 0

OCCUPATIONAL EXPOSURE TO BLOOD BORNE PATHOGENS EXPOSURE CONTROL PLAN (SWP?014) Audit Checklist
Audit Performed by: Date:
Area: Unit Number: Name:
Job Position(s) Observed:
Instructions: Answer each question and check one response. For each NO response, write an action item with an explanation. Record both planned action items as well as any immediate actions you took to correct the problem. Use the reverse side of the form or attach additional pages if needed. All action items are tracked to document the audit program's value.
Documentation Review Yes No N/A
1. Have you reviewed the current revision of SWP-014, OCCUPATIONAL EXPOSURE TO BLOOD BORNE PATHOGENS EXPOSURE PLAN?
2. Are necessary permits, logs, forms, reports, and records correctly completed?
Personnel Interaction / Observation
3. Have you discussed the audit purpose and reviewed the SWP with employee(s) selected for observation?
4. Has the Exposure Control Plan been updated according to the procedure?
5. Do employees know what the Universal Precautions are, according to this procedure?
6. Is proper PPE being utilized according to the procedure?
7. Are Blood Borne Pathogen protection kits available at all first aid stations and control rooms?
8. Is training completed as required by the procedure?
Specific Questions Developed During the Audit (Optional - Use feedback from the observed employee)
9.
10.
11.
General Observations (List both strengths and weaknesses found and verbal feedback from the observed employee)



Action Items Ensure items corrected immediately are listed as well as future items. PSM Admin. Asst. assigns the item number and logs each item in the database. Action Item status is reported to the Business Leadership Team (BLT) monthly.
Item Number Recommended Action Assigned to: Perform by date:

[David]

Here's a copy of our Incident Report that I refered to in the previous post.

The Excalibur Entertainment Group
Initial Incident Investigation Report

Part One: Initiation-To be completed by the Person Involved in the Incident.

Name of the Incident Initiator (please print):_________________________
Employer (if other then EEG):____________________________________
Report Start Date:___________Time Report Started:_________am/pm
Date of Incident:____________Time of Incident:____________am/pm

Part Two: Incident Details-To be completed by the Initiator.

Type of Incident (check all that apply): __Injury __Fall __Altercation
__Fire __Cut __Assault
__Theft from Employee __Theft from Customer __Other (specify)_________

Location of Event:____________________________________________ ____________

Known Injuries (list all injuries by victim):_____________________________________

__________________________________________________ ______________________
Witness(s) (list name, address and relationship to the parties involved):_______________




Medical Attention Provided: ___Yes ___No
___First Aid ___Hospital Admission

Police Department Assistance: ___Yes___No Officers Name:_________________
Police Report Tracking Number:___________________________________________ __

Incident Details (describe the incident in your own words, circumstances leading up to the incident, what happened during the incident, what happened after the incident and any other pertinent information):_____________________________________ ___________









Part Three: Supervisory/Incident Commander Review-To be completed by the Facility Supervisor or the Incident Commander.

Signature of Supervisor/Incident Commander:_________________________________
Date that the Report was Received:_____Time that the Report was Received____am/pm.

Describe the steps taken to preserve evidence (if required):________________________



Describe any and all initial actions taken to prevent a recurrence of the incident:_______

__________________________________________________ ______________________

Part Four: Level of the Incident (check all that apply):
__Level 1 (death)
__Level 2 (injury to customer)
__Level 3 (injury to employee)
__Level 4 (interior property damage)
__Level 5 (exterior property damage)

Closing Statement (if any):_____________________________________________ _____



Distribution List: Operations Manager, Security Manager, Corporate Attorney, Human Resources Manager, Individual Employees that were Involved.

[MiB ATL]

David, yikes... I think ill print the book and read it later...
Why did I have to open this thread at 3am... LOL :D

[retroactive]

Great post . Sticking to business logistics ,,, making money is easy keeping it is hard . And those things take money real fast...

[mitch]

:D Great Post David

The Blood Policy is very comp.

security policy is always a good one
Guest List Policy
uniform policy


can you Post the cashing up cash handling policy you have?

many thanks

Mitch

[Crazy Mike]

:D Great Post David

The Blood Policy is very comp.

security policy is always a good one
Guest List Policy
uniform policy


can you Post the cashing up cash handling policy you have?

many thanks

Mitch

I guess I screwed up the last time we had a fight in the men's bathroom and there was blood all over the place. I just went in and cleaned it up.

[MainSqueeze]

Okay. Now, back to the top of the list: how do you deal deal with a power outage?

[David]

You need to have a plan in place in case any of the items in the previous posts occur.

* Do you have emergency lighting?

* Do you have enough flashlights and fresh batteries for all of you Security people and the Bartenders?

* Was the power outage planned by the local utility? Were you aware of it?

* Is your cash and your office and safe secured?

* Have you considered closing the business if the power outage lasts more then ????

Your Procedures should address all things that could and will happen in the course of operating a business. Especially a bar.