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Policy 714Santa Ana Police Department Custody Manual Copyright Lexipol, LLC 2024/01/12, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Communicable Diseases - 1Communicable Diseases 714.1 PURPOSE AND SCOPE This policy is intended to provide guidelines for facility staff to assist in minimizing the risk of contracting and/or spreading communicable diseases. The policy offers direction in achieving the following goals: (a)Managing the risks associated with bloodborne pathogens (BBP), aerosol transmissible diseases (ATD), and other potentially infectious substances. (b)Providing appropriate treatment for ill incarcerated persons while minimizing the risk of the spread of disease. (c)Making decisions concerning the selection, use, maintenance, limitations, storage, and disposal of personal protective equipment (PPE). (d)Ensuring proper reporting to local, state, and federal agencies. (e)Establishing procedures for the identification, education, immunization, prevention, surveillance, diagnosis, medical isolation (when indicated), treatment, and follow-up care for new incarcerated persons, and for incarcerated persons or employees who have contracted a communicable disease from an ill person. (f)Providing appropriate treatment, counseling, and confidentiality should an employee become exposed to a communicable disease. (g)Protecting the privacy rights of all personnel who may be exposed to or contract a communicable disease during the course of their duties. 714.1.1 DEFINITIONS Definitions related to this policy include: Aerosol transmissible disease (ATD) - A disease or pathogen for which droplet (whooping cough, influenza, streptococcus) or airborne (measles, chickenpox, tuberculosis) precautions are required. Aerosol transmissible disease (ATD) exposure - Any event in which all of the following has occurred: •An employee has been exposed to an individual who has or is suspected to have an ATD, or the employee is working in an area or with equipment that is reasonably expected to contain aerosol transmissible pathogens associated with an ATD. •The exposure occurred without the benefit of applicable exposure controls required by this section. •It reasonably appears from the circumstances of the exposure that transmission of disease is likely sufficient to require medical evaluation. Airborne precautions - Include the use of an Airborne Infection Isolation Room (AIIR) that meets the American Institute of Architects/Facility Guidelines Institute (AIA/FGI) standards for AIIRs, for Santa Ana Police Department Custody Manual Communicable Diseases Copyright Lexipol, LLC 2024/01/12, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Communicable Diseases - 2infectious agents such as measles, chickenpox, or tuberculosis in addition to medical personnel wearing masks or respirators. Bloodborne pathogens (BBP) - Pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include but are not limited to hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV). Bloodborne pathogen exposure - Includes but is not limited to the contact of blood or other potentially infectious materials with the eye, mouth, other mucous membranes, non-intact skin, needle sticks, human bites, cuts, abrasions, or any contact with blood or body fluids that is synonymous with bloodborne pathogen exposure as defined by the federal Centers for Disease Control and Prevention (CDC). Ectoparasitic infections - Parasites that live on the skin, such as lice (pediculosis) and scabies (sarcoptic mange). Both infections are communicable and may lead to secondary infections. HBV - Hepatitis B HIV - Human Immunodeficiency Virus Medical isolation - Housing in a separate room with a separate toilet, hand-washing facility, soap and single-service towels, and with appropriate accommodations for showering. NIOSH - National Institute for Occupational Safety and Health Nosocomial - Acquired during hospitalization. Nosocomial infections are infections that present 48 to 72 hours after admission to a hospital. OSHA - Occupational Safety and Health Administration Personal protective equipment (PPE) - Respiratory equipment, garments, gloves, and other barrier materials designed to reduce employee exposure to hazards. Source control measures - The use of procedures, engineering controls, and other devices or materials to minimize the spread of airborne particles and droplets from an individual who has or exhibits signs or symptoms of having an ATD. Standard precautions - Infection control practices used to prevent the transmission of disease that can be acquired by contact with blood, bodily fluids, non-intact skin (including rashes), and mucous membranes. Applies to all incarcerated persons receiving care, regardless of diagnosis or presumed infection status. Universal precautions - A set of precautions designed to prevent transmission of HIV, HBV, and other bloodborne pathogens when providing first aid or health care. 714.2 POLICY It is the policy of this department to maintain an effective program that focuses on the identification, education, immunization, prevention, surveillance, diagnosis, medical isolation (when indicated), treatment, follow-up and proper reporting to local, state and federal agencies of communicable Santa Ana Police Department Custody Manual Communicable Diseases Copyright Lexipol, LLC 2024/01/12, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Communicable Diseases - 3diseases. The program is designed to