Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) The following venipuncture technique and
specimen collection procedures shall be utilized in withdrawing blood:
(1) Proper hand-washing techniques before and
after drawing blood shall be observed.
(2) Gloves shall be worn at all times,
including when cleaning up blood spills.
(3) If non-gloved hands come into contact
with blood, hands shall be immediately and thoroughly washed with soap and
water. When hands are contaminated with blood, care shall be taken not to touch
any other part of the body.
(4)
Blood spills shall be cleaned up promptly with a disinfectant solution,
including but not limited to, sodium hypochlorite (household bleach), 5.25%
1:10 dilution, or 70 per cent alcohol. These disinfectants shall be readily
available.
(5) A separation tube
that provides a means of collecting and separating blood in a closed evacuated
glass tube shall be used where applicable.
(6) The test subject shall be positioned so
that if he or she faints, he or she will not fall. Use of a venipuncture chair
is recommended.
(7) 2-5 ml of blood
shall be withdrawn for the HIV test. The needle shall be immediately disposed
of in an appropriate container, as specified in subsection (b).
(8) The tube of blood shall be immediately
labeled with the number from the HIV laboratory form and the test subject
verify the lab number.
(b) Disposal of equipment shall be as
follows:
(1) To prevent needle stick
injuries, needles shall not be recapped, purposely bent or broken, removed from
disposable syringes, or otherwise manipulated by hand. Needles shall be placed
into puncture-resistant containers located as close as practical to the area in
which they are used.
(2) Used
cotton swabs and other disposable equipment soiled with blood or other bodily
fluids shall be placed in a covered container inside a red plastic
bag.
(3) Infectious and/or
biohazardous waste shall be placed in a container, treated and disposed of in
accordance with chapter 30, commencing with section 66835, article 13 of
division 4 of Title 22 California Code of Regulations.
(4) Liners soiled with blood shall be
promptly placed in an impervious bag which shall be labeled "Infectious Waste,"
in accordance with section 66840, division 4, Title 22, California Code of
Regulations.
(c) Needle
stick injuries shall be dealt with as follows:
(1) All injuries shall be immediately
reported through channels to the immediate supervisor and communicable disease
control personnel for appropriate evaluation.
(2) It is recommended that personnel who have
sustained a needle stick shall be tested for HIV antibody and hepatitis B
immediately after exposure to establish baselines. Pre-test counseling and
post-test counseling shall be provided by a physician, registered nurse, or
other health professionals who have knowledge of the transmission, prevention
and etiology of HIV infection and AIDS. If sero-negative, a re-test shall be
done after 6 weeks and on a periodic basis thereafter, (e.g., 3, 6, and 12
months following exposure) to determine if transmission has occurred. These
follow-up tests shall be completed regardless of the results of the source
patient because of the possibility the source patient is incubating the
virus.
(3) Personnel shall be
provided the opportunity to be treated with the hepatitis B vaccine for their
protection.
(d) Withdrawn
blood specimens shall be handled as follows:
(1) If refrigerated, the specimen shall
remain at room temperature for 30 minutes before refrigeration.
(2) Specimens shall be refrigerated at 40
degrees fahrenheit for no longer than 1 week.
(3) Specimens shall not be
frozen.
1. New
section filed 12-29-89 as an emergency; operative 12-29-89 (Register 90, No.
3). A Certificate of Compliance must be transmitted to OAL within 120 days or
emergency language will be repealed by operation of law on
4-30-90.
2. Certificate of Compliance as to 12-29-89 order
transmitted to OAL 4-27-90 and disapproved 5-29-90. New section refiled 6-8-90
as an emergency; operative 6-8-90 (Register 90, No. 31). A Certificate of
Compliance must be transmitted to OAL by 10-9-90 or emergency language will be
repealed the following day.
3. Editorial correction of HISTORY 2.
showing the correct transmittal date (Register 90, No. 50).
4.
Certificate of Compliance transmitted to OAL 10-9-90 and disapproved 11-8-90.
Emergency readoption filed 11-9-90; operative 11-9-90 (Register 90, No. 50). A
Certificate of Compliance must be transmitted to OAL by 3-11-91 or emergency
language will be repealed by operation of law on the following
day.
5. Certificate of Compliance including amendment transmitted to
OAL on 3-11-91 and filed 4-10-91 (Register 91, No.
18).
Note: Authority cited: Sections
7530(b)
and
7518, Penal
Code and Chapter 1579, Section 4, Statutes of 1988. Reference: Sections 208,
25150
and 25157.3, Health and Safety Code; and Section
7530(b),
Penal Code.
