Chicago Police DepartmentGeneral Order G04-09-01
Exposure Determination/Universal Precautions
Issue Date:06 November 2014Effective Date:06 November 2014
Rescinds:27 August 1995 Version
Index Category:Preliminary Investigations
I.Purpose
This directive:
  • A.establishes an exposure control plan based upon a particular member's assignment and the corresponding likelihood of an exposure to blood or other potentially infectious material.
  • B.outlines universal precautions to prevent disease transmission.
II.Exposure Determination
The Exposure Control plan has three categories based upon the type of duty assignment and responsibilities:
  • A.Risk Level I - Assignment in which responsibilities involve a potential for exposure to blood and other potentially infectious materials.
    • 1.All sworn members
    • 2.Civilian members assigned as:
      • a.Assistant Director, Crime Laboratory Division
      • b.Administrative Service Officer I (Medical Section)
      • c.Clerk III and IV (Medical Section)
      • d.Criminalist I, II, and III
      • e.Criminalistic Aide
      • f.Custodial Worker
      • g.Data Entry Operator (Medical Section)
      • h.Detention Aide
      • i.Director, Crime Laboratory Division
      • j.Inquiry Aide II (Medical Section)
      • k.Laboratory Technician III
      • l.Medical Administrator
      • m.Medical Records Administrator (Medical Section)
      • n.Senior Data Entry Operator (Medical Section)
      • o.Medical Technologist II
      • p.Occupational Health Nurse
      • q.Secretary (Medical Section)
      • r.Supervising Clerk (Medical Section)
      • s.Supervising Criminalist
  • B.Risk Level II - Assignment in which responsibilities do not generally involve exposure to blood or other potentially infectious materials, but exposure may occur.
    Civilian members assigned as:
    • 1.Assistant Forensic Photographer
    • 2.Fingerprint Technician I, II, III, IV and V
    • 3.Garage Attendant
    • 4.Physical Fitness Coordinator
    • 5.Property Custodian (Auto Pound Section)
    • 6.Property Custodian (Evidence and Recovered Property Section)
    • 7.Property Custodian (Police Document Section)
    • 8.Service Writer
  • C.Personnel Not Covered by the Bloodborne Pathogens Standard - Assignment in which exposure to blood and other potentially infectious materials should not occur, and where the normal routine never involves exposure to blood and other potentially infectious materials.
III.Universal Precautions
In every situation where biohazard waste or other potentially infectious material is present, members will use universal precautions which include the use of personal protective equipment (PPE) and will wash the affected area (e.g., hands, face, clothing, etc.) with soap and water immediately, or as soon as possible, following exposure. In the event that washing facilities are not readily available, members will decontaminate the affected area with the antiseptic wipes provided in the PPE kits. When appropriate and dependent upon the type and level of exposure, members will confer with their immediate supervisor and consider seeking medical attention/advice.
IV.Engineering Controls
The Department provides a variety of Engineering Controls to Department members to deal with low-level biohazard waste and potentially infectious material.
  • A.Personal Protective Equipment (PPE)
    • 1.PPE, under normal conditions, will help to prevent blood or other potentially infectious materials from reaching a member's clothing, skin, eyes, mouth, or nose. Members will use the necessary PPE items to reduce occupational exposure.
    • 2.Members will determine which PPE items to use based on the reasonably anticipated occupational exposure, the guidelines set forth in this plan and the training provided.
    • 3.The Department will provide the following PPE items:
      • a.disposable latex gloves
      • b.disposable eye shields/masks
      • c.impervious gowns
      • d.impervious shoe coverings
      • e.antiseptic wipes
      • f.biohazard waste bags
    • 4.PPE items (a) through (f) as listed above will be pre-packaged in a sealed polybag (PPE kit).
    • 5.Bulk PPE items (e.g., disposable gloves, antiseptic wipes, and biohazard waste bags) will also be available for use by all members, particularly those assigned to foot posts when carrying PPE kits is not practical.
  • B.Guidelines for the use of PPE
    • 1.A supply of PPE kits will be maintained in all districts/units responsible for field operations.
    • 2.Field supervisors will ensure that a supply of PPE kits are readily available in their vehicles to equip members in the field as needed. PPE kits should be sealed. Any PPE kits found to be opened should be properly disposed of and immediately replaced.
    • 3.In addition to PPE kits, districts/units will also be supplied with a bulk supply of latex gloves, antiseptic wipes, and biohazard waste bags.
    • 4.All used PPE items will be removed in such a manner as to prevent further contamination. Used PPE items will be placed in a biohazard waste bag, tightly closed and tied before leaving the scene. Biohazard waste bags will be disposed of in the appropriate container. If such a container is available onscene or through the Chicago Fired Department (CFD), such container will be used, if not the container located in each district/area facility will be used.
  • C.Contaminated Waste Disposal
    Contaminated waste of no evidentiary value will be disposed of in the biohazard waste container located in each district/area facility. Sharps of no evidentiary value will be sealed in a sharps container and labeled with a biohazard label prior to disposal in the biohazard waste container. Contaminated waste will be disposed of as soon as possible but no later than the end of the tour of duty. Biohazard waste will be collected from Department facilities by a licensed contractor.
    NOTE:
    To prevent accidental injury, all sharps will be sealed in a sharps container and secured in the cargo area of the vehicle while in transit. Sharps containers will be maintained in vehicles assigned to mobile field operations. Replacement sharps containers will be obtained from the member assigned to radio distribution for that watch.
  • D.Labeling of biohazards
    • 1.All Department facilities will stock an ample supply of Biohazard Labels and biohazard tape which are available through the Equipment and Supply Section.
    • 2.Labels will be affixed to containers holding biohazard waste in a manner that prevents their loss or unintentional removal.
    • 3.In the event of the contamination of an area and/or equipment, labels and/or biohazard tape warning of the biohazard will be posted until the area and/or equipment has been decontaminated.
      • a.Equipment which has been contaminated will be labeled with a biohazard label. Specific reference will be made to the area of the equipment which is contaminated.
      • b.Biohazard tape will be conspicuously displayed on the exterior of a contaminated vehicle.
      • c.An area within a facility which has been contaminated will be cordoned off with biohazard tape.
  • E.Collecting and packaging physical evidence
    • 1.Members will wear appropriate PPE when handling biological specimens and evidence.
    • 2.Members will not eat, drink, or smoke while processing evidence.
    • 3.Containers/packages containing contaminated physical evidence will be properly labeled with a Biohazard Label.
    • 4.Inventories and labels will be completed before handling evidence or after PPE removal and hand washing. Inventory receipts will be affixed to the outside of the evidence package.
    • 5.Sharps will be sealed in a sharps container, labeled with a biohazard label, and secured in the cargo area of the vehicle while in transit. Sharps containers will be maintained in vehicles assigned to mobile field operations. Replacement sharps containers will be obtained from the member assigned to radio distribution for that watch.
    • 6.Wet contaminated evidential clothing should be placed in a plastic bag to prevent fluid leakage. The plastic bag should be properly sealed, placed in a paper bag which is marked as "WET EVIDENCE" and hand carried to the Crime Laboratory.
      NOTE:
      Evidence requiring serological examination (blood, semen, etc.) will not be packaged in plastic bags or non-breathable containers. Members should contact the Forensic Services Division (e.g., Crime Lab, Evidence Technician) for guidance when uncertainty exists as to proper packaging.
    • 7.Staples will not be used to seal evidence containers. Members should use tape or heat sealers to secure packaged evidence.
  • F.Transporting and detaining contaminated persons
    • 1.Persons suspected of having a communicable disease or contaminated with potentially infectious bodily fluids will be isolated from other persons during transportation and detention. When practical, a person contaminated with potentially infectious material may be requested to wear PPE to contain the contamination.
    • 2.Contaminated persons taken into a Department facility will be placed directly in a designated holding area. The holding area will be posted with Biohazard Tape.
    • 3.Persons with a productive cough should be transported in a squadrol. When circumstances dictate the transporting of a person with a persistent cough in a passenger vehicle, members will ensure that the vehicle is well ventilated.
    • 4.Members will notify support personnel during a transfer of custody, when the person to be transferred is considered to be a potential biohazard risk.
    • 5.Members will document on the arrest report the fact that a suspect taken into custody has stated that he has a communicable disease or may be contaminated with bodily fluids.
  • G.Decontaminating vehicles, facilities, and equipment
    Members requiring decontamination of Department facilities, equipment and/or vehicles will contact the appropriate unit to request decontamination services.
    • 1.Vehicles/Electronic Equipment
      • a.The Department of Fleet and Facility Management (2FM) will decontaminate all Department vehicles and electronic equipment.
      • b.2FM will develop written decontamination procedures for members engaged in decontamination activities.
      • c.Contaminated vehicles will be taken to the unit's assigned garage for decontamination.
      • d.Contaminated vehicles WILL be thoroughly cleaned and decontaminated as soon as feasible. A contaminated vehicle that cannot be driven to its assigned garage due to the extent of the contamination will be towed. The member's supervisor will request a tow through the Control Board. The control board operator will be notified that the tow request is for decontamination purposes only.
      • e.Contaminated electronic equipment will be thoroughly cleaned. All equipment that cannot be decontaminated will be:
        • 1.disposed of as biohazardous waste, or
        • 2.shipped to the manufacturer for servicing. 2FM personnel will ensure that the servicing representative or manufacturer is notified that the piece of equipment may be biohazardous.
    • 2.Facilities
      • a.Contaminated areas within a Department facility will be cordoned off with biohazard tape and access to those areas will be prohibited until such time that the area can be decontaminated.
      • b.The Department of Fleet and Facility Management (2FM) will decontaminate all Department facilities.
      • c.2FM will develop written decontamination procedures for those members engaged in decontamination activities.
      • d.Members requiring decontamination services at a 2FM operated facility will notify the custodian at the facility. In the event a custodian is unavailable, notification will be made to the engineer at the area center in which the facility is located. The engineer will transport a custodian and decontamination supplies to the contaminated facility.
      • e.For those Department facilities that require decontamination and do not come under the responsibility of 2FM, the member will contact the individual building management (e.g., O'Hare Airport, Midway Airport, etc.).
    • 3.Personal Uniform/Equipment
      • a.2FM will maintain a location within Department facilities that will be stocked with cleaning materials. This will allow members to immediately decontaminate personal equipment items.
      • b.It is the member's responsibility for the decontamination of all personal uniform/equipment items.
(Items indicated by italics/double underline were added or revised.)
Garry F. McCarthy
Superintendent of Police
14-163 MWK