Transcript Bloodborne Pathogens ESD 101 - Home

School Safety Training
Revised WISHA Bloodborne Pathogens
WAC 296-62-Part J
1/05
Notice
 This presentation is provided to all Educational Service




District 101 (ESD 101) schools at no cost.
This presentation contains copyrighted materials purchased
by ESD 101 for the exclusive use of training school personnel
within ESD 101.
This presentation may not be reproduced except to print
“handouts” or “notes pages” for use during training within
ESD 101 school districts.
If the school district does not have Microsoft’s PowerPoint
software available, a PowerPoint viewer can be downloaded
from the internet at no cost.
Questions may be directed to the ESD 101 Risk Manager.
2
Could You Contract a
Disease at Work?






Administering first aid to
a student, staff member
or visitor?
A co-worker or student
sneezes on you?
Assisting a student with a
bloody nose?
Cleaning the restrooms?
Cleaning the bus?
Using a tool covered with
dried blood?
3
Bloodborne Pathogens Goals



Basics of Bloodborne Diseases
Exposure Prevention
Quiz
4
Bloodborne Pathogens




Pathogenic microorganisms present in
human blood that can
lead to diseases
Human
Immunodeficiency
Virus (HIV)
Hepatitis B (HBV)
Hepatitis C (HCV)
5
Human Immunodeficiency Virus
(HIV)




HIV is the virus that leads to AIDS
HIV depletes the immune system
HIV does not survive well outside the body
Saliva, tears, sweat
6
Hepatitis B (HBV)


1—1.25 million
Americans are
chronically infected
Symptoms include:
jaundice, fatigue,
abdominal pain, loss of
appetite, intermittent
nausea, vomiting



May lead to chronic
liver disease, liver
cancer, and death
Vaccination available
since 1982
HBV can survive for at
least one week in
dried blood
Hepatitis C (HCV)



Hepatitis C is the most common chronic
bloodborne infection in the United States
Symptoms include: jaundice, fatigue,
abdominal pain, loss of appetite,
intermittent nausea, vomiting
May lead to chronic liver disease and death
8
Potentially Infectious
Bodily Fluids





Blood
Saliva, vomit, urine
Semen or vaginal
secretions
Skin, tissue, cell
cultures
Other body fluids
9
Potential Transmission




Contact with another
person’s blood or
bodily fluid that may
contain blood
Mucous membranes:
eyes, mouth, nose
Non-intact skin
Contaminated
sharps/needles
10
Potential Exposure
Tasks and Procedures








Workplace accidents
Administering first aid
Post-accident cleanup
Custodial or
maintenance work
Athletic injuries
Bites
Handling Bio-wastes
Handling
contaminated laundry
11
Bloodborne Pathogens Goals



Basics of Bloodborne Diseases
Exposure Prevention
Quiz
12
Exposure Control Plan (ECP)




Review and update annually
Reflect changes in technology
Document use of safer medical devices
Ask employees for their input
13
Exposure Control Plan (ECP)
 Potential exposure determination
 Safe work practices
 Decontaminating equipment
 Selecting and using Personal Protective Equipment





(PPE)
Handling bio-waste
Handling Laundry
Labels and signs
Training requirements
Recordkeeping requirements
14
Who Must be Trained


All employees with occupational
exposure to blood or other potentially
infectious material (OPIM)
Employees who are trained in first aid
and CPR as responders
15
Category One Employees

All employees in this category may have
occupational exposure to BBP
• School Nurses
• Teachers & Aides providing physical care to disabled
students
• Bus Drivers transporting disabled students
• Anyone having contact with known HBV carriers
• Communication disorder specialists and physical
therapists
• All coaches in WA State schools
• Custodians who clean-up body fluid wastes.
• (See complete list in the district’s ECP)
16
Category Two Employees

Some of the employees in this category may
have occupational exposure to BBP
• Science teachers & aides
• Special Ed teachers and aides
• Preschool teachers
• Playground monitors
• School crossing guards
• P.E. & Voc-Ed teachers
• Maintenance personnel who repair plumbing
• (See complete list in the district’s ECP)
17
Universal Precautions



Treat all blood and
bodily fluids as if they
are contaminated
Proper cleanup and
decontamination
Custodial work—latex
gloves
18
Protective Equipment




Bleeding control—latex
gloves
Spurting blood—latex gloves,
protective clothing (smocks
or aprons), respiratory mask,
eye/face protection (goggles,
glasses, or face shield)
Post-accident cleanup—latex
gloves
Custodial work—latex gloves
19
Decontamination




Wear protective gloves
Disinfectant/cleaner
provided in bodily fluid
disposal kit
Solution of 1/4 cup
bleach per gallon of
water
Properly dispose of
contaminated PPE,
towels, rags
20
Safe Work Practices




Remove contaminated PPE or clothing as
soon as possible
Clean and disinfect contaminated
equipment and work surfaces
Thoroughly wash up immediately after
exposure
Properly dispose of contaminated items
21
Regulated Medical Waste




Liquid or semi-liquid blood or OPIM (other
potentially infectious materials)
Contaminated items that would release
blood or OPIM when compressed
Contaminated sharps
Pathological and microbiological waste
containing blood or OPIM
22
Labels and Signs

Labels must include the
Universal Biohazard
Symbol, and the term
“Biohazard” must be
attached to:
• containers of regulated
biohazard waste
• refrigerators or freezers
containing blood or OPIM
• containers used to store,
transport, or ship blood or
OPIM
23
Hepatitis B Vaccination





Strongly endorsed by
medical communities
Shown to be safe for
infants, children, and
adults
Offered to all potentially
exposed employees
Provided at no cost to
Category 1 & 2 employees
Declination form
24
Exposure Incident
 A specific incident of contact with potentially




infectious bodily fluid
If there are no infiltrations of mucous membranes
or open skin surfaces, it is not considered an
occupational exposure
Report all accidents involving blood or bodily fluids
Post-exposure medical evaluations are offered
Report all exposure incidents to ESD 101 W/C Rep
509-789-3516 or 1-800-531-4290
25
Post-exposure Evaluation





Confidential medical
evaluation
Document route of
exposure
Identify source individual
Test source individual’s
blood (with individual’s
consent)
Provide results to exposed
employee
26
Recordkeeping
Medical records include:
 Hepatitis B vaccination status
 Post-exposure evaluation and follow-up results
Training records include:
 Training dates
 Contents of the training
 Name and qualifications of trainer
Sharps Injury Log
27
OSHA 300 Log
School Districts
DO NOT
need to maintain an
“OSHA 300 Log.”
28
Bloodborne Pathogens Goals



Basics of Bloodborne Diseases
Exposure Prevention
Quiz
29
Summary




Universal Precautions
Personal Protective Equipment (PPE) and
safe work practices
Decontamination
Exposure incident
30
Quiz
1.
2.
3.
4.
5.
Name two of the most common bloodborne pathogens:
________________________________
After exposure to potentially infected bodily fluids, you
should immediately: ______________________
HIV and HBV can be transmitted when infected bodily
fluids directly contact the eyes or non-intact skin. True or
False
The risk of exposure to bloodborne pathogens is only
possible when blood is present in the bodily fluid.
True or False
Treating all body fluids as infected is known as
___________Precautions.
31
Quiz (cont.)
6. HIV stays alive in dried blood. True or False
7. Name one way you might be exposed to human
blood at your workplace:
_________________________
8. What minimum PPE should be worn when
controlling normal bleeding?
_________________________
9. Besides the disinfectant/cleaner provided in first
aid kits, what other solutions can be used to
decontaminate equipment or surfaces?_________
10.How do you dispose of absorbed bodily fluids?
11.
______________________________________
_
32
Quiz Answers
1. HIV and Hepatitis B (HBV).
2. You should immediately wash any exposed areas.
3. True. Infected bodily fluids need to directly contact
4.
5.
mucous membranes or non-intact skin.
True. Although many bodily fluids may be
infectious, they must contain blood to carry
bloodborne pathogens.
Treating all bodily fluids as infected is known as
Universal Precautions.
33
Quiz Answers (cont.)
6.
False. HIV dies almost immediately. HBV can live as
long as one week.
7. Administering first aid, decontaminating equipment,
doing janitorial work, etc.
8. Gloves must be worn, at a minimum, when controlling
normal bleeding. When controlling spurting blood,
additional PPE must be worn including: a face shield,
an apron, shoe covers, etc.
9. A solution of bleach and water.
10. Absorbed bodily fluids from a general industry facility
can usually be double bagged and discarded with the
normal garbage.
34