Bloodborne Pathogens and Universal Precautions practice questions for the CHST exam

A demolition contractor's designated first-aid responders completed bloodborne pathogens training on June 5 of last year. In March of this year, the contractor assigns the same responders to a new task: cleaning up and disposing of sharps-contaminated debris from a vacated clinic, a task they have never performed and which creates new exposures. The safety technician plans to simply wait for the regularly scheduled refresher in the following June. What does the standard require?

1. A.Full repeat training is required immediately and the annual refresher cycle is then waived for the year
2. B.Training is required only if the responders have not received the hepatitis B vaccine, since vaccination replaces task-specific training
3. C.Additional training on the new exposures must be provided now because the new task changes their occupational exposure; the regular annual refresher is still due within one year of their previous training
4. D.No action is needed until June, because the annual refresher satisfies the training requirement even when new tasks are introduced

A clinic employee is about to start a shift in which she will draw blood from walk-in patients. The clinic manager says that precautions will be used only for patients who disclose a bloodborne infection or are known to have one, since "the rest are probably fine." The clinic's written Exposure Control Plan is to be built on the Universal Precautions approach. Which response correctly applies that approach to this practice?

1. A.The practice is acceptable, because precautions are needed only when a patient's infection status is documented in their record.
2. B.The practice is not consistent with Universal Precautions, because all human blood and certain body fluids are treated as if known to be infectious, regardless of the patient's disclosed status.
3. C.The practice is acceptable, because precautions are needed only when visible blood is present on the employee's skin or clothing.
4. D.The practice is acceptable as long as lab testing of each patient's blood is completed before the employee handles the samples.

An outpatient clinic completed its annual review of the written Exposure Control Plan five months ago. Last week it created a new phlebotomy technician position, whose duties include drawing blood. The plan does not list this position, and no exposure incidents have occurred. What does the standard require the clinic to do?

1. A.Wait until the next annual review, because the plan was reviewed within the past 12 months
2. B.Update the plan only if the new technician has an exposure incident
3. C.Update the plan now to reflect the new position with occupational exposure, even though the annual review is not yet due
4. D.Update the plan only when the agency requests it for examination