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Regulatory Compliance Information for Rutgers Patient Care & Clinical Research Sites

This website is meant to be used as a resource for Rutgers clinical and patient care sites to help ensure compliance with local, state, and federal regulations regarding occupational infection control.

Questions? Contact biosafety@rutgers.edu

Clinical Health and Safety Training

This online module is required for all Rutgers clinical personnel, including front reception staff (i.e., persons with both direct and non-direct patient contact) when hired and annually thereafter and satisfies the training requirement of the OSHA Bloodborne Pathogens Standard:

  • Myrehs.rutgers.edu - use NetID and password to access Main Menu
  • Select 'Training Calendar' tab at top of page
  • Scroll to table header, 'Online Training Links' - click on 'Clinical Health and Safety Training'
    • personnel will receive an email confirmation with a link to a certificate after completion - they can also access their certificates on the Main Menu, 'My Training Records', and may be instructed to add their Supervisor in this section to give them rights to view their training history.
Clinical Sites Safety Checklists

Clinical Managers (or equivalent) can use the Clinical Audit checklists below to help ensure site compliance with health and safety requirements for patient care areas, including those providing dental and chemo-therapy services:

Clinical Research

Refer to this guidance for information on the Rutgers institutional approvals and/or training that may be required for your human clinical research study:

Rutgers Bloodborne Pathogens Guide

The RU Bloodborne Pathogens Guide satisfies the requirements of the OSHA Bloodborne Pathogens Standard and provides guidance to clinical sites as follows:

  • Defines and establishes practices that minimize occupational exposure to human blood/body fluids and other potentially infectious materials (OPIM) among personnel at Rutgers University. 
  • Provides a template for a site-specific Exposure Control Plan (ECP), which is made accessible to site personnel, identifies those personnel and their respective job duties that place them at risk for exposure to human blood/body fluids and OPIM, the specific tasks involved, and the associated controls, work practices, and PPE made available and used for those tasks.
  • Contains appendices and forms related to the selection, evaluation and use of safety needle devices.
  • Requires annual review and updating, as necessary.

RU Exposure Control Plan (ECP) for Clinical/Patient Care Areas

Site-specific ECP for Clinical/Patient Care Areas

  • Appendix 1-A:  Each practice site must complete and maintain the ECP in a location accessible to site personnel. The ECP may cover multiple locations within a Practice. 

Examples of Commercially Available Safety Needle Devices

Site Managers and clinical personnel can click here to review commercially available safety needle devices. Sites can evaluate new devices using the device-specific evaluation Form Bs below!

Safety Needle Device Evaluation Forms

  • Comparison of Commercially Available Devices - Appendix 5, Form A: Sites may use this form to document that they have conducted required annual searches/comparisons of safety needle devices as commercially available.
     
  • Staff Device Evaluation Forms – Appendix 5, Form B: Sites may use device-specific evaluation forms to document clinician satisfaction/non-satisfaction of a specific make/model safety device that is new to the site or to document satisfaction of a current device being made available to new personnel. Completed Form Bs should be forwarded to the site’s Practice Manager and maintained with the completed ECP for annual review:
TB Infection Control Plan (TB ICP)

The Rutgers TB Infection Control Plan (ICP) Satisfies the requirements of the NJ PEOSH Requirements for Preventing Occupational Exposure to Tuberculosis and establishes procedures and training requirements for identifying and reducing the occupational risk for transmission of tuberculosis (TB) to potentially exposed personnel, such as healthcare workers (HCWs), which includes employees, students and volunteers who work in patient care areas and patient home care or outreach. The completed TB ICP must be maintained in an accessible location and used as follows:

  • Page 1: enter the name of the person who has overall responsibility to implement the ICP at the practice site.
  • Appendix A: complete the Risk Assessment, as directed, and maintain with the completed TB ICP for annual review by Practice Manager
  • Appendix B: refer to the Rutgers Respiratory Protection Plan for guidance and requirements on the use of respiratory protection (including N95s) at the clinical site
  • Appendix C: print and post the 'Recognition and Management of TB Disease' in an area easily accessible to front reception staff e.g., behind the front desk area.
Clinical Waste Management

Chemical Waste Disposal Guidance: See below for information on the collection, management, and disposal of chemical waste generated at clinical sites:

Use this link to place a chemical waste pickup request to REHS for the removal of chemical waste.

Regulated Medical Waste (RMW) Guidance:  See below for information on the collection, management, and disposal of RMW generated at Rutgers clinical sites:

Questions/Need supplies? Contact biosafety@rutgers.edu

Regulatory Standards and Guidelines