Bloodborne Pathogens Resources

Equipment, Signs, and Labels:

The Harrisonburg Police provided a kit of protective disposable gear in each patrol car for its officers. A tool type containment box was obtained from Rocking "R" Hardware in Harrisonburg (1030 South High St., Tel. 434-9967).

Items in the kit ordered from a medical supply house consist of:

• Disposable wrap-around eye shield goggles.
• Disposable surgical face masks to cover mouth and nose.
• Disposable rubber gloves.
• Permanent belt mounted keepers for disposable gloves.
• Disposable absorbent towels.
• Disposable anti-septic towelets.
• Disposable medical waste bags with seals and warning signs.
• Disposable shoe coverings.
• Disposable orange one piece coveralls and biological hazard bag.

The Campus Police must equip patrol vehicles with equivalent equipment. Outfitting each patrol vehicle for compliance is estimated to cost approximately $150. The Campus Police must also secure a small refrigerator properly posted with warnings for the safe storage of blood and other body fluids such as semen to be used in evidence. The total cost for outfitting of equipment for the Campus Police (minus the refrigerator) is estimated to be $500.

An item not required but purchased by the Harrisonburg Police for each car was a mechanical resuscitator with disposable mouth piece. This item permits CPR without any personal contact with the victim's mouth and nose. The "Bag Easy" manual resuscitator is available from Respironics, Inc.

Zee Medical Service. 111 Quarry Rd., Chambersburg, PA 17201, Tel. (800)548-3920 supplies infectious control kits for police vehicles to ensure equipment compliance for $35. The local representative is Frank McMillan from Grottoes, VA.

United Ad Label Co., 650 Columbia Avenue, Brea, CA 92621, Tel. (800)225-2667 is a source for medical waste signs and labels.

MDI, Medical Devices International, a division of Plasco, Inc., Gurnee, IL 60031 markets a disposable CPR "Microshield."

Armstrong Medical Industries, Inc., 575 Knightsbridge Pkwy., P.O. Box 700, Lincolnshire, IL 60069-0700 (708)913-0101 produces the "Laerdal Pocket Mask," Cat. No. 82-00-03.

"ZEP" brand "Hand Sanitizer," Product No. 090800, for use in the field is produced by National Service Industries, Inc., Atlanta, GA 30301.

Rubbermaid, Inc., 1864 Enterprise Pkwy., Twinsburg, OH 44087 Tel. (800)362-1000 markets a wide range of protective gear, such as gloves, disposable outerwear, shoe covers, etc.

Veratex, Inc., 1306 West Maple Road, Troy, MI 48083 Tel. (800)837-9990 is the medical supply house from which the Harrisonburg Police purchased most of the protective items placed in its patrol vehicles.

Gall's Inc. (Police, Fire, and Emergency supply house), 2470 Palumbo Drive, P.O. Box 54658, Lexington, KY 40555-4658 Tel.(800)477-7766. Gall's has police belt mount basket weave leather disposable glove carriers 1 3/4" wide by 4 1/2" deep large enough for two sets of gloves plus towelettes, $14. Twenty would cost $280, this would be enough for each officer. A nylon type is available for $6 each ($120 for twenty).

Lyons Safety, Inc., W185 N11300 Whitney Drive, P.O. Box 1010, Germantown, WI 53022-9951 with a southeast distribution center in Greensboro, NC Tel. (800)326-3618, (919)230-2401, FAX (919)273-5290. Lyons supplies the following:

Sharps container needle sticks disposal systems, $2 for one quart size (in each patrol vehicle), $5 for five quart (on station).

Biohazard Safety Bags (dark red with black biohazard warning) 30" by 36" box of fifty, $16(for on station); 15" by 9" by 23" box of fifty, $7 (for in cars).

Disposable surgical mask/eye shield combination $1.25 each for twenty or more (twenty for each car).

Tyvek disposable non-skid elastic closure protective booties (for over street shoes) $1 a pair (twelve for each car).

Tyvek disposable elastic head covers 60 cents each (twelve of each for each car).

Tyvek disposable coveralls, extra large, $3.40 each; XXL $3.65 each (ten of each for each car).

BioSafety Systems, Ic., 8380 Camino Sante Fe, Sandiego, CA 92121 Tel. (800)421-6556 is a source for disposable gloves ($63 per case of 120 gloves--twelve pair to a box, ten boxes per case).

Emergency Medical Supply (EMS), Inc. P.O. Box 99, Shepherdsville, KY 40165 (800)264-2401 a source for infection control products, hand cleaners, etc..

Vaccines:

Recombinvax "HB," DNA derived, synthetically produced using recombinant technology, currently produced by Merck, Sharp, & Dohme Pharmaceutical. Low or no risk of inadvertent infection. Grown in yeast culture; may cause reaction in persons allergic to yeast. RMH's Center for Corporate Health administers this vaccine. "IM" injection, administered directly into deltoid muscle. Thought to be effective for about five years.

Heptavax, Blood Based, had been produced by Merck, Sharp, & Dohme Pharmaceutical, now out of production, but still available. Blood based serums may have a higher risk of inadvertent infection. "IM" injection, administered directly into deltoid muscle. Effective for about five years.

Engerix-B, DNA derived, synthetically produced using recombinant technology, Smith, Kline, & Beecham Pharmaceutical. Low or no risk of inadvertent infection. "ID" injection, administered under skin, requires booster within one year. Less effective than "IM" injection.

Inoculations (3) are given on day zero, day thirty, and day sixty. That is followed by a test of the employees' blood by a certified lab at the 120 day mark to determine the level of anti-bodies. The RMH Cancer Center has such a lab.

Training Practitioners and Other Resource People:

Human Resources and Titles	Addresses and Telephone Numbers
Mr. Gary Critzer, Director Emergency Operations Center	250 South Wayne Avenue Waynesboro, VA 22980 (540)942-6703
Ms. Ella Hunt, R.N., Director Employee Health Services	University of Virginia Charlottesville, VA (804)924-2013
Ms. Carolyn Prosise, R.N. Nurse Consultant Occupational Health	VA Dept. of Labor & Industry 2551 Eltham Avenue Norfolk, VA 23513 (804)858-6700
Ms. Pam Jones, R.N., Occupational Health Nurse	Martha Jefferson Hospital Charlottesville, VA (804)982-8446
Ms. Susan McHenry, Director Div. of Emergency Medical Services	VA Dept. of Health 1538 East Parham Road Richmond, VA 23228 (800)523-6091 (In VA) (804)371-3500
Ms. Linda Reid, R.N. Assistant Director, Center for Corporate Health	Rockingham Memorial Hospital 90 North Main Street Harrisonburg, VA 22801-3293 (540)433-0524
Ms. Dawn Kiser Infection Control Practitioner	Rockingham Memorial Hospital 235 Cantrell Avenue Harrisonburg, VA 22801 (540)433-4361
Mr. Richard Garber Safety Engineer	James Madison University Dept. of Public Safety Shenandoah Hall Harrisonburg, VA 22807 (540)568-6911
Mr. Houston Toman Police Officer Emergency Medical Technician/Instructor	James Madison University Dept. of Public Safety Shenandoah Hall Harrisonburg, VA 22807 (540)568-6911
Ms. Mary Jo Bowman, R.N. General Public Health Nurse	Harrisonburg-Rockingham Department of Health P. O. Box 26 226 East Elizabeth Street Harrisonburg, VA 22801 (540)434-1771
Mr. Clarence Wheeling, Director Occupational Health Enforcement	Dept. of Labor & Industry 205 North Fourth Street Richmond, VA 23219 (804)786-0574
Position Vacant Training Coordinator	Human Resources University Services Building James Madison University 181 Patterson Street Harrisonburg, VA 22807 (540)568-6727
Ms. Linda Smith, R.N. Associate Director	Health Center James Madison University Harrisonburg, VA 22807 (540)568-6177
Mr. Alan Minnich Assistant Director	Central Shenandoah Criminal Justice Training Center 211 Twelfth Street Waynesboro, VA 22980 (540)943-0532

Technical Assistance, Innoculation, and Training Programs:

The Center for Disease Control, 1600 Clifton Road, N.E., Atlanta, Georgia 30333, Tel. (404)639-3311.

National Institute of Occupational Safety & Health (NIOSH), 4676 Columbia Parkway, Cincinnati, OH 45226, Tel. (800)356-4674.

Rockingham Memorial Hospital markets its services to the Harrisonburg/Rockingham business community for a fee through its Center for Corporate Health. Contact person Linda Reid coordinates inoculations and provides a companion video from the pharmaceutical manufacturer at $175 per employee. Dawn Keiser, Infection Control Nurse, RMH (433-4361), provides required training for a fee.

The Harrisonburg-Rockingham Health Department (434-1771) provided Hepatitis B inoculations for the Harrisonburg Police Department. the service (Tel. 434-1771). Ms. Doris Witmer, R.N. coordinated the program. The series of shots and follow-up blood tests cost the city approximately $100 per officer.

In 1991 the Department of Health's Mary Jo Bowman, General Public Health Nurse whose area covers JMU, has worked with JMU's Health Center and the Nursing Dept. (academic program) in administration of inoculations for selected nursing students. Bowman states that the series of three shots are available from them for $108.57 per person (did not include follow-up lab tests of blood).

The University of Virginia Employee Health Services Office, Ella Hunt, Director (804)924-2013), is currently compiling, with assistance of UVA epidemiologists, the "Exposure Plans" for all employee classes "at risk." She has expressed willingness to provide "Exposure Plans." UVA's Health Services trainer, June Collmer, R.N., may be able to provide the training to our employees for a fee.

UVA's Employee Health Services provided "turn-key" assistance to the UVA Police Dept. The Police Administrators had to have the officers available for the training and series of inoculations. Employee Health Services wrote the compliance exposure plan for them and other protected classes of employees.

The Virginia Department of Labor and Industry, Office of Public Information, Tom Butler, Director, (804)786-4300; Virginia Occupational Safety and Health Office, VOSH Training, Leslie Cox, Coordinator, (804)786-5873.

Training Films and Manuals:

"Serious Bloodborne Infections Do Not Have to Come with the Job" This film demonstrates protective devices and gear, explains their use, and follows with a question and answer period conducted by an infection control consultant.

"Hepatitis B - The Vaccination Decision," produced by Merck, Sharp, & Dohme Pharmaceutical. Available on video tape.

For First Responders--"Bloodborne Pathogens" video, 19 minutes, $99; "Bloodborne Pathogens Compliance Manual," $99, Long Island Productions, 6787 Snowdon Ave., El Cerrito, CA 94530, Tel. (510)232-5215.

"Bloodborne Pathogen" training and compliance video and package (manual including forms, plans, recommended compliance tools, signs and labels), Zee Medical Service Co., 111 Quarry Rd., Chambersburg, PA 17201 (800)548-3920, $315.

"The Silent War: Infection Control for Law Enforcement" This video uses law enforcement scenarios. It includes videos and lesson plans that can be used in the classroom, roll call, or in an individual, self-paced format. It is available from OnGuard, call (800)544-3473.

In Conclusion:

JMU's Campus Police Department is in partial compliance. Over a year ago an Infectious Disease policy was inserted in the departmental S.O.P. Rubber surgical gloves and a CPR face shield were placed in each mobile unit. In view of the information summarized from the Federal Register of December 6, 1991, this policy and program is to be revised and expanded to ensure compliance with Bloodborne Pathogen regulations.

Be aware that a companion set of regulations covering Airborne Pathogens, commonly known as the "Ryan White Act" is being written and will provide the employee "Right to Know" rights post exposure. This act will also require employers to designate a "Communicable Disease Training Officer."

Contractual arrangements with vendors handling infectious wastes or contaminated articles generated by the university must provide Bloodborne Pathogen awareness information. For example vendors providing contractual or other dry cleaning services for the Campus Police and the Health Center should use "Universal Precautions" in the handling of contaminated uniforms.

Campus Police Officer Houston Toman, currently a certified instructor in first responder medical emergencies with the Central Shenandoah Criminal Justice Training Center (the regional police academy) has been assigned to work with the academy staff to become proficient in the Bloodborne Pathogen laws. He will be made available to the academy as an instructor in this subject. This will directly benefit James Madison University, as he will serve in that capacity for this department