BOP Program Statement 6190.05 § 20

REQUIREMENTS

§ 549.15 Infectious disease training and preventive measures.

(a) The HSA will ensure that a qualified health care professional provides training, incorporating

a question-and-answer session, about infectious diseases to all newly committed inmates, during

Admission and Orientation.

a. General Infectious Disease Training. All inmates entering Bureau facilities will receive

education on the following topics:

 Correctional standard precautions with emphasis on hand hygiene.

 Infectious diseases, including their transmission and prevention:

 Tuberculosis, including the importance of reporting a chronic cough to Health

Services.

 Sexually transmitted infections.

 Hepatitis B.

 Hepatitis C.

 HIV, including the Bureau’s opt out policy and pre-test counseling. See Section 15(a).

Human Immunodeficiency Virus (HIV) for additional information.

 Respiratory diseases, including influenza and COVID-19 with emphasis on the

importance of annual vaccination.

 Methicillin Resistant Staphylococcus Aureus (MRSA), including preventive measures

in recreation and sweat lodges.

 Other infectious diseases as indicated, based on geographic or population specific risk

factors.

 How to report potential infectious disease concerns.

b. Work-Related Infectious Disease Training.

(b) Inmates in work assignments which staff determine to present the potential for occupational

exposure to blood or infectious body fluids will receive annual training on prevention of work-related exposures and will be offered vaccination for Hepatitis B.

 The local Bloodborne ECP identifies inmates who have the potential for occupational

exposure. The training will include elements required by 29 CFR 1910.1030 (Bloodborne

Pathogens).

 The local Bloodborne ECP will identify the person or department responsible for

maintaining the training records as required by 29 CFR 1910.1030 (Bloodborne

Pathogens).

 Inmate Health Services orderlies must also be provided with initial and annual training on

hand hygiene, disinfection, and bloodborne pathogens using HSD IP&C Section training

materials found on the Bureau's intranet site.

c. Hepatitis B Vaccination. The institution Bloodborne Pathogens ECP identifies inmate

workers in high-risk details including those assigned to Health Services and blood spill clean-up

teams. Inmate workers in high-risk details must be offered hepatitis B vaccination within 10

calendar days of assignment.

Vaccination will be provided unless:

 The vaccination is declined.

 The individual has documentation of immunity.

 Medical contraindications exist.

Vaccinations are provided in accordance with guidance from the Medical Director. If an inmate

worker in a high-risk detail declines the HBV vaccine, they must sign the refusal form indicating

they are declining the vaccine. Inmates who refuse vaccination may request and obtain the

vaccination later.

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REFERENCES

Program Statements

Cut and Puncture Resistant Gloves

Employee Health Care

HIV-Positive Inmates Who Pose Danger to Other, Procedures for Handling of

Inmate Discipline Program National Occupational Safety and Health Policy

Management of Staff Exposure to Bloodborne Pathogens

Patient Care

Special Housing Units

Use of Force, Application of Restraints, and Firearms

Bureau Forms

BP-A0659 Medical Summary of Federal Prisoner/Alien in Transit

Federal Statutes

Correction Officers Health and Safety Act of 1998, Pub. L. 105-370, §1, November 12, 1998,

112 Stat 3374, Sec. 2. Testing for Human Immunodeficiency Virus.

Federal Regulations

28 CFR § 549.10 through § 549.15

28 CFR Part 549 Subpart A. Infectious Disease Management

29 CFR § 1910.134 (Respiratory Protection)

29 CFR § 1910.1030 (Bloodborne Pathogens)

Other References

Centers for Disease Control and Prevention Guidelines and Guidance Library.

Occupational Safety and Health Administration. Occupational safety and health standards:

Bloodborne Pathogens (OSHA Standard No. 1910.1030).

Occupational Safety and Health Administration. Occupational safety and health standards:

Respiratory protection (OSHA Standard No. 1910.134).

ACA Standards

Performance-Based Standards and Expected Practices for Adult Correctional Institutions (5th

Edition): 5-ACI-6A-09, 5-ACI-6A-12M, 5-ACI-6A-13, 5-ACI-6A-14M, 5-ACI-6A-15M, 5-

ACI-6A-16M, 5-ACI-6A-17M, 5-ACI-6A-20, 5-ACI-6B-05, 5-ACI-6B-06, 5-ACI-3D-08

Performance-Based Standards and Expected Practices for Adult Local Detention Facilities (5th

Edition): 5-ALDF-4C-09, 5-ALDF-4C-14M, 5-ALDF-4C-15, 5-ALDF-4C-16, 5-ALDF-4C-17,

5-ALDF-4C-18, 5-ALDF-4C-22, 5-ALDF-4C-23M, 5-ALDF-4D-06, 5-ADLF-4D-07

Standards for the Administration of Correctional Agencies, 2nd Edition: 2-CO-4E-01

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Records Retention Requirements

Requirements and retention guidance for records and information applicable to this program are

available in the Records and Information Disposition Schedule (RIDS) on the Bureau’s intranet

site.

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