In 1992, OSHA issued the BBP standard requiring employers to provide annual training, personal protective equipment (PPE), and hepatitis B vaccination to all employees with potential occupational exposures to BBPs. Telephone interviews were conducted with workers who had work-related exposures to blood or other at-risk biological substances treated in hospital emergency departments(EDs) from March 1, 2000 to August 31, 2001. The workers were identified through the National Electronic Injury Surveillance System, a stratified probability sample of hospital EDs in the U.S. and its territories. Of the 593 completed interviews, 377(64%) were from hospitals, 51(9%) from emergency medical service(EMS)/firefighting, 74(12%) from other healthcare settings (i.e., doctors' office, nursing homes, etc.), 22(4%) from law enforcement, and 69(12%) from non healthcare settings (i.e., schools, hotels, etc.). Significantly fewer workers in non-healthcare settings (59%; p<0.0001) reported that BBP training was available in their workplaces compared to hospitals (94%), EMS/firefighting (90%), other healthcare settings (85%), and law enforcement (86%). There were significant differences in worker reported PPE use at the time of exposure with only 25% from law enforcement and 36% from non-healthcare settings compared to 79% for hospitals, 80% for EMS/firefighting, and 57% for other healthcare settings. Workers from hospitals (84%), EMS/firefighting (92%), ather healthcare settings (81 %), and law enforcement (86%) were much more likely to report that hepatitis B vaccination was available in their workplaces compared to non-healthcare settings (57%;p<0.001). This study suggests that there is great variation in compliance with the OSHA BBP standard, especially in non-healthcare settings.
Best Practices in Occupational Safety and Health, Education, Training, and Communication: Ideas That Sizzle, 6th International Conference, Scientific Committee on Education and Training in Occupational Health, ICOH, In Cooperation with The International Communication Network, ICOH, Baltimore, Maryland, USA, October 28-30, 2002