19 CSR 20-26.050 - Preventing Transmission of Human Immunodeficiency Virus (HIV) and Hepatitis B Virus (HBV) from Health Care Workers to Patients
PURPOSE: This rule establishes training requirements relating to the prevention of transmission of human immunodeficiency virus, hepatitis B virus and other bloodborne pathogens from infected health care workers to patients as defined in section 191.694, RSMo.
(1) The following definitions shall be used
in the interpretation of this rule:
(A)
Community-based means practice in any clinic, group practice or solo practice
not licensed under Chapters 197 and 198, RSMo where health care, including
dentistry and podiatry, is provided;
(B) Department means the Missouri Department
of Health;
(C) Director means the
director of the department or his/her designee;
(D) Employed means to be professionally
affiliated with a facility either by contract, direct employment or extension
of professional privileges;
(E) HBV
means hepatitis B virus;
(F) Health
care facilities means those facilities licensed under Chapters 197 and 198,
RSMo;
(G) Health care professional
means a member of any of the professional groups regulated by Chapters 330, 332
and 335, RSMo, and sections 334.010-334.265, RSMo;
(H) HIV means human immunodeficiency virus;
and
(I) Invasive procedures shall
be defined as in 191.650(9), RSMo. Phlebotomy and insertion of intravenous
lines which do not involve surgical incision are not considered invasive
procedures.
(2) Health
care professionals in both health care facility-based and community-based
practice settings shall adhere to the training requirements contained in
section 191.694, RSMo. The department shall investigate complaints of
noncompliance in facility-based practice settings. Complaints of non-compliance
in community-based practice settings shall be referred to the appropriate
licensing authority.
(3) Health
care professionals performing invasive procedures who do not receive training
in a health care facility regarding infection control procedures, universal
precautions and prevention of percutaneous injuries shall obtain that training
elsewhere on an annual basis. Training shall be in compliance with Occupational
Safety and Health Administration (OSHA) requirements in
29 CFR
1910.1030. Training shall be also be in
compliance with section 191.694, RSMo and with recommendations published by the
Centers for Disease Control and Prevention in the Morbidity and
Mortality Weekly Report: Recommendations for Prevention of HIV Transmission in
Health-Care Settings, August 21, 1987; Update: Universal
Precautions for Prevention of Transmission of Human Immunodeficiency Virus,
Hepatitis B Virus, and Other Bloodborne Pathogens in Health-Care
Settings, June 24, 1988; and Guidelines for Prevention of
Transmission of Human Immunodeficiency Virus and Hepatitis B Virus to
Health-Care and Public-Safety Workers, June 23, 1989. Documents that
validate the completion of that training shall be maintained by the health care
professional for a period of three (3) years and shall be made available to the
department upon request.
Notes
*Original authority: 191.694, RSMo 1992.
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