Southern Seven Health Department and Head Start …...Protect yourself from exposure through prevention Respond appropriately if exposed ... HIV and AIDS •HIV leads to AIDS •HIV

© BLR®—Business & Legal Resources

Southern Seven Health Department

and Head Start

Bloodborne Pathogens Training

© BLR®—Business & Legal Resources 1610

Teresa Wilburn, RNDirector of Nursing


© BLR®—Business & Legal Resources 1610


Identify bloodborne pathogens (BBPs)

Understand how diseases are transmitted

Determine your risk of exposure

Protect yourself from exposure

through prevention

Respond appropriately if exposed

Understand your right to medical

evaluations

Session Objectives



What Are Bloodborne Pathogens?

Microorganisms present in human blood that can cause disease

• Viruses, bacteria, parasites, fungi

Primary workplace pathogens

• Human immunodeficiency virus (HIV)

• Hepatitis B virus (HBV)

• Hepatitis C virus (HCV)


HIV and AIDS

• HIV leads to AIDS

• HIV attacks and depletes immune system

• Early HIV symptoms resemble flu virus

• HIV antibody test only sure diagnosis

• HIV does not survive long outside body

• No cure yet



• 1.4 million people infected

• Symptoms

• Jaundice, fatigue, and abdominal pain

• No appetite, nausea, and vomiting

• Vaccine is available

• Can survive outside the body

Hepatitis B Virus (HBV)



Most common chronic bloodborne infection

Symptoms can take years to manifest

• Flu-like symptoms, jaundice, dark urine, and fatigue

• Loss of appetite, nausea and vomiting, and abdominal pain

Treatment is becomingmore effective

Hepatitis C Virus (HCV)



Transmission of Pathogens

• Contaminated sharp objects or needles

• Broken skin, including rashes

• Mucous membranes

Eyes

Mouth

Nose


Contact with bleeding coworker?

Contact with blood?

Touching a contaminated surface?

Clean up of blood?

Contact with contaminated restroom products?

Using tool covered in dried blood?

Routes of Exposure



Bloodborne Diseases— Any Questions?

Do you understand:

• Bloodborne diseases?

• The definition of bloodborne pathogens?

• Transmission of bloodborne pathogens?

• How you could be exposed?


29 CFR 1910.1030 requires:

• A written Exposure Control Plan (ECP)

• Engineering and work practice controls

• Personal protective equipment (PPE)

• Training

Bloodborne Pathogens Law



• Medical surveillance

• Free hepatitis B vaccination

• Signs and labels

• Other equipment and procedures

Bloodborne Pathogens Law (cont.)



• Review the ECP and OSHA regulation

• Take universal precautions

• Use personal protective equipment

• Follow safe work practices

• Get the hepatitis B vaccination

• Follow decontamination and disposal procedures

Protect Yourself



• Identifies jobs with potential exposure

• Describes safe work practices

• Outlines training requirements

• Identifies use of signs and labels

• Explains how to decontaminate

What Is the Exposure Control Plan?



• Describes how biohazard waste is handled

• Explains recordkeeping requirements

• Changes as practices and technology change

Exposure Control Plan (cont.)



• Treat all blood and bodily fluids as infected

• Use barrier protection

• Decontaminate surfaces and equipment

Take Universal Precautions



• Barrier protection prevents exposure

• Gloves

• Eyewear or masks

• Protective clothing or aprons

Use Personal Protective Equipment



• Use a mask for nose and mouth protection

• Use a CPR mask

• Use impromptu barriers such as a garbage bag, or plastic

PPE (cont.)



Is This a Safe Work Practice?Yes or No?

Removing contaminated PPE and clothing before leaving the work area

Seeking immediate medical attention

Eating, drinking, applying cosmetics, or handling contact lenses in any work areas where there is the possibility of exposure to blood

Wearing double gloves to reduce contamination risk


Is This a Safe Work Practice?Yes or No? (cont.)

Disposing of contaminated items properly

Storing food in any work area where blood or bodily fluids may be present

Disinfecting contaminated equipment and work surfaces

Washing up immediately after exposure


BLEACH: WATER1:10

• Wear appropriate gloves, eye and face protection

• Use a bodily fluid disposal kit

• Use 10% bleach or EPA-approved disinfectant for spills

• Dispose of contaminated items

General Decontamination



Decontamination Involving Sharp Objects

• Remove glass using brush, dust pan, or tongs

• Do not use hands

• Use paper/absorbent towels to soak up liquids

• Disinfect surfaces



• Liquid or semi-liquid blood or body

fluids

• Contaminated items releasing

blood or body fluids if

compressed

• Contaminated sharp objects

• Items with dried blood or body

fluids, that could release/leak

during handling

• Pathological and

microbiological wastes

containing blood or body fluids

Biohazard Disposal— Regulated Waste



• Labels communicate a hazard

• Place waste in containers with biohazard symbol

• “Biohazard” must be on label

Label All Regulated Waste Containers



• Blood or body fluid absorbed without the release of liquid when compressed

• Adhesive bandages or tissues

• Gauze, paper towels, and disposable PPE

• Absorb all liquid

• Double-bag waste

Biohazard Disposal—Unregulated Waste



Unregulated Waste Labeling

Labels not typically required but a good idea


• Wash cuts and skin thoroughly

• Rinse nose and mouth

• Flush eyes with water or sterile solution

• Clean all contaminated surfaces

• Report all incidents

Exposure Incident



Post-Exposure Evaluation

• Confidential medical evaluation

• Document route of exposure

• Identify source individual

• Test source person’s blood

• Provide results to source and exposed employees



Steps Should You Take If You Have an Exposure Incident?

Clean and decontaminate all infected surfaces.

Rinse your nose and mouth to remove any potential splashes of blood or body fluid.

Report the incident.

Flush your eyes with clean water or sterile solution if you were not wearing goggles or safety glasses.

Wash cuts and skin thoroughly with soap and water.1.

2.

3.

4.

5.


• Endorsed by medical communities

• Safe for infants, children, and adults

• Offered to all potentially exposed employees

• No cost

• Can decline and reconsider

Hepatitis B Vaccination



Key Points to Remember

Bloodborne pathogens can cause fatal disease

Be aware of exposure at work

Take universal precautions

Use PPE and safe work practices

Decontaminate yourself and equipment

Understand and follow exposure incident procedures

Report exposure incidents


Questions?

Or…

Questions can be emailed to:

Teresa [email protected]


Quiz Time

1. Workplace bloodborne pathogens include all but which of the following?

a. HIV

b. Hepatitis B

c. Hepatitis C

d. TB

Answer: d. TB


Quiz Time

2. Transmission of pathogens in the workplace is most likely to occur through contact with broken skin and mucous membranes.

True

False

Answer: TRUE


Quiz Time

3. HIV and Hepatitis B cannot be transmitted when infected bodily fluids directly contact the eyes or nonintact skin.

True

False

Answer: FALSE


Quiz Time

4. Many bodily fluids may be infectious without the visible presence of blood.

True

False

Answer: TRUE


Quiz Time

5. Treating all bodily fluids as though they are infected is known as

a. Infections Precautions

b. Cleaning Precautions

c. Universal Precautions

d. Common Sense

Answer: c. Universal Precautions


Quiz Time

6. Hepatitis B Vaccination is available for all employees.

True

False

Answer: TRUE


Quiz Time

7. Southern Seven Health Department has a written Exposure Control Plan.

True

False

Answer: TRUE


Quiz Time

8. Gloves should be worn in any situation involving potential contact with blood or bodily fluids.

True

False

Answer: TRUE


Quiz Time

9. The first step to take after an “exposure incident” is to wash the exposure area with soap and water and flush eyes and mucous membranes if involved with exposure.

True

False

Answer: TRUE


Quiz Time

10.Gauze, adhesive bandages, and paper towels that contain bodily fluids that are completely absorbed and will not release or leak when compressed may be placed in unregulated/regular trash.

True

False

Answer: TRUE


THANK YOU

Pass your quizzes to the front of the

room.

Documents

Southern Seven Health Department and Head Start …...Protect yourself from exposure through prevention Respond appropriately if exposed ... HIV and AIDS •HIV leads to AIDS •HIV