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Remember to Remember to Mute All Room Microphone.Mute All Room Microphone.
Place all Cell Phones Place all Cell Phones on Vibrate/Silenton Vibrate/Silent
Remember to Remember to Sign-In on the Attendance Sign-In on the Attendance
RosterRoster
HousekeepingHousekeeping
NYS DEC Health & Safety Unit
New York State Department of Environmental Conservation
This training material presents important information for NYS DEC employees. This program is neither a determination that the conditions and practices of your organization are safe nor a warranty that reliance upon this program will prevent injuries or illnesses.
Bloodborne Pathogens Bloodborne Pathogens are microorganisms are microorganisms (such as viruses)(such as viruses) transmitted through transmitted through blood, or other blood, or other potentially infectious potentially infectious material such as certain material such as certain bodily fluids bodily fluids (semen, (semen, breast milk, etc.)breast milk, etc.) or or tissues.tissues.
Bloodborne PathogensBloodborne Pathogens
Bloodborne Pathogens LawBloodborne Pathogens LawOSHA 29 CFR 1910.1030OSHA 29 CFR 1910.1030
Exposure Control Exposure Control Plan (ECP)Plan (ECP)
Engineering and Engineering and work practice work practice controlscontrols
Personal Personal protective protective equipment (PPE)equipment (PPE)
TrainingTraining
Bloodborne Bloodborne Pathogens Law Pathogens Law (cont.)(cont.)
Medical Medical screening/ screening/ surveillancesurveillance
Free hepatitis B Free hepatitis B vaccinationvaccination
Signs and labelsSigns and labels
RecordkeepingRecordkeeping
Primary WorkplacePrimary Workplace Bloodborne Pathogens Bloodborne Pathogens Human immunodeficiency Human immunodeficiency virus (HIV)virus (HIV)
Hepatitis B virus (HBV)Hepatitis B virus (HBV) Hepatitis C virus (HCV)Hepatitis C virus (HCV)
How Bloodborne Pathogens How Bloodborne Pathogens Can Spread on the JobCan Spread on the Job
Contaminated Contaminated sharp objects or sharp objects or needlesneedles
Broken skin, Broken skin, including rashesincluding rashes
Mucous Mucous membranesmembranes EyesEyes MouthMouth NoseNose
Recognize and Evaluate Your Recognize and Evaluate Your Exposure PotentialExposure Potential
HIVHIV
Four modes of transmission:
1. blood1. blood
2. semen2. semen
3. vaginal secretions3. vaginal secretions
4. breast milk4. breast milk
Virus lives outside the body Virus lives outside the body only a few hoursonly a few hours
HIV attacks your body’s HIV attacks your body’s ability to protect itself ability to protect itself against diseaseagainst disease
Initially no visible signs Initially no visible signs of having the virusof having the virus
Most people with HIV Most people with HIV develop AIDS develop AIDS (acquired (acquired immune deficiency immune deficiency syndrome)syndrome)
There is There is nono vaccination vaccination for HIVfor HIV
Human Immunodeficiency Human Immunodeficiency Virus (HIV)Virus (HIV)
Signs and Symptoms of HIVSigns and Symptoms of HIVSymptoms can include:
•Fever•Swollen glands•Sore throat•Rash•Fatigue•Muscle and joint aches and pains•Headache
A viral infection that A viral infection that causes inflammation of causes inflammation of the liverthe liver
Transmitted primarily Transmitted primarily through “blood to blood” through “blood to blood” contact.contact.
Can lead to serious Can lead to serious conditions such as conditions such as cirrhosis and liver cancer.cirrhosis and liver cancer.
Pathogen can survive in Pathogen can survive in dried blood for up to dried blood for up to seven days.seven days.
There is no “cure” for There is no “cure” for HBV.HBV.
Hepatitis BHepatitis B
Signs and Symptoms Signs and Symptoms Hepatitis B Hepatitis B
Fatigue, malaise, joint aches and low grade Fatigue, malaise, joint aches and low grade fever fever
Nausea, vomiting, loss of appetiteNausea, vomiting, loss of appetite AbdominalAbdominal pain pain Jaundice and dark urine Jaundice and dark urine Headaches Headaches
“…“…1 in 300 1 in 300 infected with infected with HIV”HIV”Milwaukee Journal/Sentinel, July 7, Milwaukee Journal/Sentinel, July 7, 19961996
““one in 20 people one in 20 people has or has had has or has had HepatitisHepatitis””
Hepatitis B StatisticsHepatitis B Statistics
Hepatitis B VaccinationHepatitis B Vaccination
Free to High-Risk EmployeesFree to High-Risk Employees Three doses over 6 monthsThree doses over 6 months Must receive all three dosesMust receive all three doses May decline vaccine (but must sign May decline vaccine (but must sign
waiver)waiver) May receive vaccine laterMay receive vaccine later Very low risk vaccineVery low risk vaccine >90% effective>90% effective
Liver disease caused by Liver disease caused by the Hepatitis C virus.the Hepatitis C virus.
The most chronic The most chronic bloodborne infection.bloodborne infection.
In most cases, Hep C In most cases, Hep C remains in the body and remains in the body and becomes a long-term or becomes a long-term or chronic infection. chronic infection.
Most people do not Most people do not have any symptoms.have any symptoms.
Symptoms may not Symptoms may not appear for many years.appear for many years.
Hepatitis CHepatitis C
Signs and SymptomsSigns and Symptoms Hepatitis C Hepatitis C
FeverFever FatigueFatigue Loss of appetite Loss of appetite Nausea Nausea VomitingVomiting Abdominal pain Abdominal pain Dark urine Dark urine Joint painJoint pain Jaundice Jaundice
Hepatitis CHepatitis C
3-4 million carriers Disease can incubate Disease can incubate
for decadesfor decades HCV not related to HCV not related to
the viruses that the viruses that cause HBA and HBVcause HBA and HBV
UNIVERSAL PRECAUTIONS/UNIVERSAL PRECAUTIONS/
STANDARD PRECAUTIONSSTANDARD PRECAUTIONS
How to Reduce Your RiskHow to Reduce Your Risk
Engineering ControlsEngineering Controls
SSharps with harps with EEngineered ngineered SSharps harps IInjury njury PProtection (SESIP)– a non-rotection (SESIP)– a non-needle sharp or needle with a built-in needle sharp or needle with a built-in safety feature or mechanism that safety feature or mechanism that effectively reduces the risk of an effectively reduces the risk of an exposure incident.exposure incident.
Examples include:Examples include:
Needles and other sharps must be Needles and other sharps must be discarded in rigid, leak-proof, puncture discarded in rigid, leak-proof, puncture resistance containers.resistance containers.
Engineering ControlsEngineering Controls
Work Practice ControlsWork Practice Controls
Don’t Recap NeedlesDon’t Recap Needles
Work Practice ControlsWork Practice Controls When emptying When emptying
trash containers, trash containers, do not use your do not use your hands to hands to compress the compress the trash in the bag.trash in the bag.
Lift and carry the Lift and carry the trash bag away trash bag away from your body.from your body.
Do not eat, drink, Do not eat, drink, smoke, apply smoke, apply cosmetics, or cosmetics, or handle contact handle contact lenses in areas lenses in areas where there is the where there is the possibility of possibility of exposure to BBPexposure to BBP
Work Practice ControlsWork Practice Controls
Use Spill Kit for Clean-upUse Spill Kit for Clean-upKit Includes:Kit Includes: Face Mask GlovesGloves Goggles Sharps Disposal Sharps Disposal
ContainerContainer Absorbent Powder Fluid Control SolidifierFluid Control Solidifier Personal Protective
Equipment Cleaning Pads
Personal Protective EquipmentPersonal Protective Equipment
GlovesGloves MasksMasks Eye protectionEye protection CPR micro shieldsCPR micro shields
Hand WashingHand Washing
Wash hands Wash hands immediately after immediately after removing PPEremoving PPE
Use a soft Use a soft antibacterial soapantibacterial soap
A hand sanitizer A hand sanitizer can be used but can be used but wash with soap wash with soap and water as soon and water as soon as possible.as possible.
First-aid Kits (Mandatory)
Gauze pads (4X4)Gauze pads (4X4) Two large gauze pads Two large gauze pads
(8X10)(8X10) Box of band-aidsBox of band-aids One package gauze One package gauze
roller bandageroller bandage Two triangular Two triangular
bandagesbandages Sealed moistened Sealed moistened
towelettestowelettes ScissorsScissors
At least one blanketAt least one blanket TweezersTweezers Adhesive tapeAdhesive tape Latex or Vinyl glovesLatex or Vinyl gloves Resuscitation Resuscitation
equipmentequipment Two elastic wrapsTwo elastic wraps SplintSplint Directions for Directions for
requesting emergency requesting emergency assistanceassistance
Chainsaw Operators
Unregulated Unregulated Waste LabelingWaste Labeling
Labels not Labels not typically typically required but a required but a good ideagood idea
Liquid or semi-liquid blood or OPIMLiquid or semi-liquid blood or OPIM Contaminated items that would release blood Contaminated items that would release blood
or OPIM in a liquid or semi-liquid state if or OPIM in a liquid or semi-liquid state if compressedcompressed
Items caked with dried blood or OPIM that are Items caked with dried blood or OPIM that are capable of releasing these materials capable of releasing these materials during handlingduring handling
Contaminated sharpsContaminated sharps
Pathological and microbiological Pathological and microbiological wastes containing blood or OPIMwastes containing blood or OPIM
Regulated Waste Regulated Waste
Label All Regulated Label All Regulated Waste ContainersWaste Containers
Labels Labels communicate communicate a hazarda hazard
Place regulated Place regulated waste in containers waste in containers that have the that have the universal universal biohazard symbolbiohazard symbol
The term The term “Biohazard” must “Biohazard” must be on the labelbe on the label
Image Credit: OSHAImage Credit: OSHA
Get Spill Kit from Get Spill Kit from Janitorial ClosetJanitorial Closet
Put on gloves. Put on gloves.
Body Fluid Cleanup Body Fluid Cleanup ProceduresProcedures
If splashing isIf splashing is
anticipated, wearanticipated, wear
protective protective eyeweareyewear
and maskand mask
Body Fluid Cleanup ProceduresBody Fluid Cleanup Procedures
Remove Remove visible visible material material with with absorbent absorbent towelstowels
Body Fluid Cleanup Body Fluid Cleanup ProceduresProcedures
Area should be Area should be decontaminated decontaminated for 10 minutesfor 10 minutes
Once the area Once the area has been has been disinfected, dry disinfected, dry area with area with absorbent towels absorbent towels and dispose of and dispose of towels in regular towels in regular trashtrash
Body Fluid Cleanup Body Fluid Cleanup ProceduresProcedures
Glove Glove removalremoval
and disposaland disposal
techniquetechnique
Body Fluid Cleanup Body Fluid Cleanup ProceduresProcedures
Glove Removal and DisposalGlove Removal and Disposal Grip one glove near the cuff and peel it down until it comes
off inside out. Cup it in the palm of your gloved hand. Place two fingers of your bare hand inside the cuff of the
remaining glove.
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Glove Removal and DisposalGlove Removal and Disposal Peel that Peel that
glove down glove down so that it so that it also comes also comes off inside out off inside out and over the and over the first glove.first glove.
Properly Properly dispose of dispose of the gloves.the gloves.
EHSRM (v. 10/01)EHSRM (v. 10/01)
Wash hands well.Wash hands well.
Body Fluid Cleanup Body Fluid Cleanup ProceduresProcedures
Proper Disposal of Proper Disposal of Contaminated ItemsContaminated Items
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Emergency ActionsEmergency ActionsFollowing ExposureFollowing Exposure
Wash with soap and water or disinfectant Wash with soap and water or disinfectant
If water not available, use antiseptic toweletteIf water not available, use antiseptic towelette
Seek Medical Attention ImmediatelySeek Medical Attention Immediately
Notify supervisor Notify supervisor
Post Exposure Evaluation Post Exposure Evaluation
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Accident/Injury ReportAccident/Injury Report
Complete Complete report as soon report as soon as possible as possible after incidentafter incident
Turn in to your Turn in to your supervisorsupervisor
Call ARS Call ARS 1 (888) 800-1 (888) 800-00290029
Post-Exposure EvaluationPost-Exposure Evaluation
Confidential medical Confidential medical
evaluationevaluation
Document route of exposureDocument route of exposure
Identify source individualIdentify source individual
Test source person’s bloodTest source person’s blood Post exposure prophylaxis Post exposure prophylaxis
(PEP)(PEP) Provide results to source and Provide results to source and
exposed employeesexposed employees
Record KeepingRecord Keeping MaintainMaintain duration of the employment duration of the employment
PLUS 30 yearsPLUS 30 years
Records must be kept Records must be kept CONFIDENTIAL!CONFIDENTIAL!
Records are available to the employee and the Records are available to the employee and the employees designated representativeemployees designated representative
Record all needlesticks and sharps injuriesRecord all needlesticks and sharps injuries
as an injury on SH 900 log as an injury on SH 900 log
Bloodborne Pathogen QuizBloodborne Pathogen Quiz
1. HIV, HBV, and HCV can be transmitted 1. HIV, HBV, and HCV can be transmitted when infected bodily fluids directly when infected bodily fluids directly contact the eyes or nonintact skin.contact the eyes or nonintact skin.
True or FalseTrue or False2. The risk of exposure to bloodborne 2. The risk of exposure to bloodborne
pathogens is only possible when blood pathogens is only possible when blood is present in the bodily fluid.is present in the bodily fluid.
True or FalseTrue or False
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Bloodborne Pathogen QuizBloodborne Pathogen Quiz
3. Treating all blood/body fluids as infected is known as _______________Precautions.
4. HIV stays alive in dried blood. True or False
5. Name three of the most common bloodborne pathogens: ___________, ______________ and ____________.
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Universal
HIV/AIDS Hepatitis BHepatitis C
For Additional Assistance, For Additional Assistance, Contact the Health & Safety Contact the Health & Safety
Unit StaffUnit StaffMichelle Glover-Brown, MPH - Director, H&S UnitMichelle Glover-Brown, MPH - Director, H&S Unit
Nanette Geary, BA – Associate Industrial HygienistNanette Geary, BA – Associate Industrial Hygienist
Edward Kusckar, MS – Associate Industrial HygienistEdward Kusckar, MS – Associate Industrial Hygienist
Mary Lanzi, BS – Senior Industrial HygienistMary Lanzi, BS – Senior Industrial Hygienist
Email: Email: [email protected]
Phone: (518) 402-9381Phone: (518) 402-9381
Bloodborne DiseasesBloodborne DiseasesAny Questions?Any Questions?