Introduction

LifeCare Therapy Services, as an outpatient rehabilitation provider in Broward County, Florida, delivers physical, occupational, and speech therapy in both clinic and home-based settings. This program integrates OSHA-compliant Bloodborne Pathogen (BBP) training with CDC-based Standard Precautions, tailored to the unique challenges of outpatient and home-based therapy. Our policies and the associated training address regulatory requirements, infection transmission, practical application scenarios, and documentation, ensuring that all staff are equipped to protect themselves and their patients across diverse environments.

Regulatory Context

 

OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030)

The OSHA Bloodborne Pathogens Standard applies to all persons with reasonably anticipated occupational exposure to blood or other potentially infectious materials (OPIM), including therapists providing direct patient care in both clinic and home settings. Key definitions include:

Bloodborne Pathogens: Microorganisms in human blood that can cause disease (e.g., HBV, HCV, HIV).

Occupational Exposure: Anticipated skin, eye, mucous membrane, or parenteral contact with blood or OPIM.

Personal Protective Equipment (PPE): Specialized clothing or equipment for protection against hazards.

Engineering Controls: Devices that isolate or remove hazards (e.g., sharps containers, needleless systems).

Work Practice Controls: Procedures that reduce exposure risk by altering how tasks are performed (e.g., no recapping of needles).

Employers must establish a written Exposure Control Plan (ECP), provide initial and annual training, offer Hepatitis B vaccination, and ensure post-exposure evaluation and follow-up.

CDC Standard Precautions and Outpatient Guidance

CDC’s Standard Precautions are the minimum infection prevention practices that apply to all patient care, regardless of suspected or confirmed infection status, in any healthcare setting—including outpatient clinics and home care. These include:

•Hand hygiene

•Use of PPE based on anticipated exposure

•Respiratory hygiene/cough etiquette

•Safe injection practices

•Environmental cleaning and disinfection

•Safe handling of laundry and waste

CDC’s Guide to Infection Prevention for Outpatient Settings outlines the minimum expectations for safe care, emphasizing the importance of consistent application across all therapy environments.