Q: Just where does it say that we have to use safety needles? We are opening a new medical practice and there is disagreement on this.
A: If the medical practice has employees who are at risk for exposure to bloodborne pathogens, then OSHA’s bloodborne pathogen standards applies, regardless of size, newness of the business, type of practice, etc.
This OSHA letter of interpretation, “Bloodborne Pathogens Standard application to small healthcare facilities and the annual review of the Exposure Control Plan,”  directly explains the requirement for a small healthcare facility, such as a medical or dental practice, to follow the bloodborne pathogen standard.
It specially addresses the requirements to:
- Provide safety-engineered sharp devices and needleless systems to employees
- Review any new technological developments with regards to safety devices at least annually
- Include input from non-managerial workers in the annual review of new safety devices
OSHA’s Medical & Dental Offices: A Guide to Compliance with OSHA Standards  identifies the standards that frequently apply to small healthcare facilities. They are:
- Bloodborne Pathogens Standard  (29 CFR 1910.1030)
- Hazard Communication Standard  (29 CFR 1910.1200)
- Ionizing Radiation Standard  (29 CFR 1910.1096)
- Exit Routes Standards (29 CFR Subpart E 1910.35  , 1910.36  , 1910.37 , 1910.38 , and 1910.39 )
- Electrical Standards (Subpart S – Electrical 29 CFR 1910.301 to 1910.399)
- OSHA Poster 
- Recording and Reporting Occupational Injuries and Illnesses  (29 CFR 1904)
Of course the Quality America Basic Medical OSHA Compliance Manual Kit  and the Medical Environment training videos on bloodborne pathogens  and hazard communication  will quickly get you started on OSHA compliance for a new office or identify compliance gaps with your current plan.