Occupational  Safety and  Health  Administration  (OSHA) 

(Federal & State Laws)

Centers for Disease Control & Protection (CDC) /National Institute for Occupational Safety and Health (NIOSH) /Food and Drug Administration (FDA)

VA
EPINet Information
General Accounting Office (GAO) and Union

OSHA 

OSHA has  six fact sheets concerning BBP, including one concer ning  securing medical catheters. 

Safer Needle Devices Packet: 

• Update OSHA staff's knowledge of current statistical data                 
• Provide technical assistance        
• Give guidance

Power Point Presentation - needle safety

Power Point Presentation - BBP

CDC/Public Health Service Publication:

• Sample Screening and Device Evaluation Forms 
• Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Postexposure Prophylaxis 

Dept. Veterans Affairs:

• VA needlestick prevention educational material -  Committee. 

• DASHO LTR 00S-92-1 -- Dated 05/18/92 titled   "OSHA’s Final Rule on Occupational Exposure to Bloodborne Pathogens" 

• Communicable Diseases   (12/16/02)

     The site includes a link to    open a special video window on how to use these safety devices.  

• Enforcement Procedures for the Occupational Exposure to Bloodborne Pathogens. - Directive CPL 2-2.69 - 11/27/01
                                      
• OSHA News Release   -  Most recent OSHA News Releases on Needlesticks: (11/28/2001)
  

• Excerpts from OSHA - appropriate and effective safer medical device - how to solicit input from employees - etc. 

• News Release dated 4/12/01

• OSHA  revised its' bloodborne pathogens standard in conformance with the requirements of the Needlestick Safety and Prevention Act.

• • Federal Register of Standard          

  • <OSHA News Release

• Glass Capillary Tubes 

• OSHA News Release  of OSHA, FDA, and NIOSH warning.    (Note:  This is an OSHA archived document.)

• OSHA Needlestick Injury Main Page

• OSHA Agreement with University to study, evaluate, procure and use safer needle devices.(Note:  This is an OSHA archived document.)

Serious Adverse Events Attributed to Nevirapine Regimens for Postexposure Prophylaxis After HIV Exposures.

• CDC   recommendations of HIV PEP
  

International Healthcare Worker Safety Center (University of Virginia):

• EPINet Materials - e.g., Checklists, publications, data, etc. 
• IHCWSC's "List of Safety-Engineered Sharp Devices"  - Midified 12/14/04
• Past Issues of Advances in Exposure Prevention  - Volume 7 , no. 4 contains a JCAHO to OSHA standard/requirements for occupational exposure prevention.

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OSHA Interpretations

• 06/12/2002 -  Re-use of blood tube holders - safe practice of phlebotomy and blood tube holder use. Standard No.: 1910.1030(d)(2)(vii)(A).                   
• Suture needles used to secure catheters on a patient constitute a hazard regulated by the standard .

DASHO Ltr. 00S-96-3, Dated 11/18/96 Reporting of Needle Stick Incidents  NOTE: This DASHO Letter contains graphics.

VHA --  Under Secretary for Health Information Letter (IL)            

• Needle Stick Prevention Program -- IL 10-98-009

• News Release  - OSHA CLARIFIES POSITION ON THE REMOVAL OF CONTAMINATED NEEDLES -- TRADE NEWS RELEASE -- Wednesday, June 12, 2002.                                  
• OSHA Interpretation: Employer's responsibility to provide time and transportation for Hepatitis B vaccinations.   07/07/99  Standard Number 1910.1030(f)(1)(ii).          
• OSHA Interpretation  - Needle Containers -- Standard No.: 1910.1030, dated 01/21/98, titled " Approval of use of needle disposal systems; incineration not prohibited."                      
• 11/ 27/01 -  Enforcement Procedures for the Occupational Exposure to Bloodborne Pathogens. - Directive CPL 2-2.69  --  Note CPL2-2.69  replaced  CPL 2-2.44D 

• This directive includes detailed instructions on inspections of multi-employer worksites, including:    

  • Employment agencies   
  • Personnel services    
  • Home health services   
  • Physicians             
  • Health care professionals in independent practices, and                       
  • Independent contractors.
    
  • Also included are:  Engineering control evaluation forms            
    • Website resource list; and             
    • A model exposure control plan.
      
• News Releases
• Public Law 106- 430,  Needlestick Safety and Prevention Act.
  
• President’s Statement   
• Recent OSHA News Releases  Needlesticks:
  http://www.osha-slc.gov/needlesticks/index.html
  
• Excerpts from OSHA - appropriate and effective safer medical device - how to solicit input from employees - etc.                           

• OSHA  has revised its bloodborne pathogens standard in conformance with the requirements of the Needlestick Safety and Prevention Act.   

  • Federal Register of Standard      
  • OSHA News Release             
  • Power Point Presentation
    
• Glass Capillary Tubes --  OSHA news release of OSHA, FDA, and NIOSH warning.   
  
• OSHA Needlestick Injury Main Page

• Center for Devices 
  and Radiological Health -  Safety Advisory
  

• Needle free Devices   
• Manufacturer and User Facility Device Experience Database MAUDE) 

• Needles Immunization      
•  VA Needle Device Data Collection Tool     
  • Text  version  (This is the complete set of data for 3 facilities)  
  • Devices Used at 3 Facilities 

• OSHA agreement with University to study, evaluate, procure and use safer needle devices.

• OSHA Instruction on BloodBorne Pathogens (BBP) -- Effective 11/5/99 --  As of 2/20/01, OSHA is referring to this document for safer needle devices. 

Centers for Disease Control and Prevention (CDC):

• CDC  Publication 10/16/98 -Recommendations for the Prevention & Control of Hepatitis C.              
• CDC --  General Information on Needlesticks
  

• GAO Report:  Occupational Safety: Selected Cost and Benefit Implications of Needlestick Prevention Devices for Hospitals.  GAO-01-60R    .  12 pp. plus 2 enclosures (6 pp.)  November 17, 2000. 
  

  • Summary:  While the use of more expensive safety needles would be an extra cost for hospitals "...the use of needles with safety features is cost efficient..." 

• CPL 2-2.69 - Effective date 11/27/01.  Enforcement Procedures for the Occupational Exposure to Bloodborne Pathogens .
  
• See  DASHO LTR 00S-96-3 
  Dated November 18, 1996. 
  

Food and Drug Administration (FDA):

• FDA -- May require targeted look-back of those that may have been infected with HCV.          
• FDA -  When an event involving needlesticks is reportable.

• Healthcare Analysis and Information Group (HAIG) -- Formerly the National Center for Cost Containment (NCCC)
       Adobe Acrobat File.

• OSHA News Release on needlestick injuries:  OSHA will require additional recording, provide compliance officers information concerning newer and safer technologies, take steps to amend the bloodborne pathogens standard.
  
• OSHA's Request for Information  -  on Occupational Exposure to Bloodborne Pathogens includes a question on controls to eliminate needlesticks.
  Fed. Register Notice of 09/09/98 --  Information request extended
  
• OSHA's Executive Summary of Responses

National Institutes for Occupational Safety and Health (NIOSH):

• Main Page - Bloodborne Infectious Diseases  
• NIOSH Publication 2000-135 -- How to Protect Yourself From Needlestick Injuries.  
• Sharps Disposal 
  NIOSH  Publication:  "Selecting, Evaluating, and Using Sharps Disposal Containers" 
  Pub. No. 97-111, dated January 1998.  
• NIOSH Alert -- Preventing Needlestick Injuries in Health Care Settings (November 1999 -  DHHS (NIOSH) Publication No. 2000-108)    

• Association for Professionals in Infection Control and Epidemiology 
  American Hospital Association -  12 steps to sharps safety   

• General Information On EPINet - A computer program to document needle sticks       

• EPINet Forms 

• EPINet Manual

• Checklist for exposure prevention

State Laws:

• Status of State Laws for Safer Needle Devices  California Bloodborne Pathogen Standard requiring emergency regulation implemented by 08/01/99.  This proposal concerns the compilation of a list of needle stick prevention devices - see  AB 1208.                    
• California list of needless systems and needles with engineered sharps injury protection.

• UNION INFORMATION

  • Union campaign - SEIU 

  • National Alliance for the Primary Prevention of Sharps Injuries (NAPPSI)

UNIVERSITY OF WISCONSIN-MILWAUKEE - Biosafety and Bloodborne Pathogens Exposure Control

• LINDA ROSENSTOCK, M.D., M.P.H., DIRECTOR, National Institute for NIOSH  -- Statement Before the U.S. House of Representatives  -- dated 06/22/00. 

• Safety Feature Evaluation Forms
• VA Hepatitis C Page      

• HIV InSite - 30,000 pages of AIDS and HIV information, including a complete database of anti-retroviral drugs and how they should be used. 
  

• Canadian Hepatitis page