Page 28 - PHLEBOTOMY STUDY GUIDE

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18. The right to request information about advance directives regarding your
decisions about medical care.
19. Make known your wishes in regard to anatomical gifts. You may document
your wishes in your health care proxy or on a donor card, available from the
hospital.
20. Understand and use these rights. If for any reason you do not understand or
you need help, the hospital will attempt to provide assistance, including an
interpreter.

Needle Stick Prevention Act
OSHA has put into force the Occupational Exposure to Bloodborne Pathogen (BBP)
Standard when it was concluded that healthcare employees face a serious health risk
as a result of occupational exposure to blood and other body fluids and tissues. The
standards outline necessary engineering and work practice controls that OSHA
believes will help minimize or eliminate exposure to employees. The standard was
revised in 2001 to conform to the Needlestick Safety and Prevention Act passed in
November 2000. The Act directed OSHA to revise the BBP standard in four key
areas:
▪ Revision and updating of the exposure control plan.
▪ Solicitation of employee input in selecting engineering and work practice
controls.
▪ Modification of definitions relating to engineering controls (i.e., sharps
disposal containers, self-sheathing needles, needleless systems.
▪ New record-keeping requirements.
The employer must establish and maintain a sharps injury log for percutaneous
injury from contaminated sharps and it must be done in such a manner to protect the
confidentiality of the injured employee.

The sharps injury log must contain, at a minimum:
a. The type and brand of device involved in the incident.
b. The department or work area where the exposure incident
occurred.
c. An explanation of how the incident occurred.

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