BOP Program Statement 6190.05 § 3

PLANS

Each institution will develop, then annually update IP&C procedures and plans based upon

guidance from the HSD IP&C Section and/or the Medical Director. For each of the following

plans, the HSD IP&C Section will establish and make available on the Bureau's intranet site the

required template each HSU must complete, maintain, and follow. Each of these plans and

procedures must be approved annually by the Governing Body.

a. Health Services Unit IP&C Procedures. These procedures must be consistent with this

program statement and other Bureau policy and incorporate Centers for Disease Control and

Prevention (CDC) guidance and OSHA standards. They will cover:

 Program administration.

 Education and training.

 Infectious disease surveillance.

 IP&C-related reporting.

 Standard precautions.

 Transmission-based precautions.

b. IP&C Risk Assessment and Plan. Annually, an institution risk assessment will be

conducted, and an IP&C plan developed that includes programmatic goals. Evaluation of

progress toward these goals and of the implementation of IP&C strategies and interventions will

be reviewed and documented at least annually.

c. Tuberculosis (TB) Exposure Control Plan. The plan will include the following

components:

 Plan administration and responsibilities.

6190.05 5/7/2026 Federal Regulations from 28 CFR: this type. Implementing instructions: this type. 3

 Risk assessment.

 Education and training for staff.

 Staff screening and surveillance.

 Inmate screening and surveillance.

 Identification, medical isolation, and treatment of inmates with suspected or confirmed

TB.

 Contact investigations.

 Airborne Infection Isolation Rooms (AIIRs).

 Respiratory protections (consistent with 29 CFR 1910.134 (Respiratory Protection)).

 Plan evaluation.

d. Bloodborne Pathogen Exposure Control Plan. The plan must be consistent with 29 CFR

1910.1030 (Bloodborne Pathogens) and will contain the following components:

 Plan administration and responsibilities.

 Exposure determination.

 Methods of implementation and control.

 Annual sharps review.

 Hepatitis B virus (HBV) vaccination program.

 Engineering and work practice controls.

 Management of exposures for staff, contractors, volunteers, and inmate workers in high-risk details (see Section 15(c). Diagnostics).

 Procedures for evaluation of the circumstances surrounding an exposure incident.

 Training of staff, contract health care staff, and inmate workers in high-risk details.

 Recordkeeping.

For additional information, see Program Statements Management of Staff Exposure to

Bloodborne Pathogens and Employee Health Care.