Transcript Bloodborne Pathogen Standard (BBP)

Bloodborne Pathogen
Standard (BBP)
29 CFR 1910.1030
Regulations
OSHA Standard on Blood Borne Pathogens (29
CFR 1910.1030)
• Covers all employees who could be "reasonably anticipated" as
the result of performing their job duties to face contact with
blood and other potentially infectious materials
• Written Exposure Control Plan – EHS website
– www.du.edu/ehs
Blood Borne Pathogens
• Blood Borne Pathogens (BBP) are infectious
materials in the blood that can cause disease in
humans, including but not limited to hepatitis B and
C and human immunodeficiency virus (HIV)
Your Role & Responsibilities
• Minimize the risk of BBP exposure to your coworkers and yourself
• Take proper precautions at all times
• When an incident occurs, respond quickly and
correctly
Transmission of Disease
• Blood Borne Pathogen Exposures:
– puncture from a contaminated sharp object
– blood or other potentially infectious material (OPIM) splash
to broken skin or mucous membrane of your eyes, nose or
mouth
• OPIM Includes:
– tissue, semen, vaginal secretions, cerebrospinal, synovial,
pleural, peritoneal, pericardial and amniotic fluids, and any
other body fluid visibly contaminated with blood .
Hepatitis B Virus (HBV)
• Hepatitis B (HBV)
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Attacks the liver causing inflammation
Can lead to cirrhosis, liver cancer, or death
There is a vaccine
Most people recover
• Symptoms include:
– Fatigue, abdominal pain, loss of appetite, jaundice, nausea and
vomiting
• HBV can be transmitted indirectly if you touch a contaminated
surface and then touch your nose, mouth, eyes, or broken skin
– HBV can survive dried and at room temperature on surfaces up to a
week
HBV Vaccinations
• The Hepatitis B vaccination is offered at no cost
to all employees who might receive occupational
exposure
• Routine HBV vaccinations began in children in
1991
• It is a series of three injections over 4-6 months
• Departments are responsible for the cost of the
vaccine
• Vaccines are usually effective for at least 23
years
• Employees anticipated to have a reasonable
chance of exposure who do not want the vaccine
should sign a declination form
Hepatitis C Virus (HCV)
• Hepatitis C (HCV)
– Inflammation of the liver
– Can lead to chronic liver disease and death
– People can carry the virus for years and
show no symptoms
– CDC estimates 3.2 million people in the
U.S. are living with chronic hepatitis C
Hepatitis C (HCV)
• The most common
blood borne infection
in the US
• Primary cause of liver
transplants
• Spread through large
or repeated exposures
to infected blood
HCV is not spread by kissing, hugging,
sneezing, coughing, food or water, sharing
eating utensils or drinking glasses, or
casual contact.
Human Immunodeficiency Virus
(HIV)
• Human immunodeficiency virus (HIV)
– HIV attacks the immune system
– People can carry the virus for years and show no
symptoms
• HIV can develop into Acquired Immune Deficiency Syndrome (AIDS)
Human Immunodeficiency Virus (HIV)
• HIV does not live well outside the
body and does not survive in dried
blood
• The virus destroys blood cells that
fight off illness
• The symptoms of AIDS are
primarily the result of infections
that do not normally develop in
individuals with healthy immune
systems
Protecting Yourself
• Infection control
– Hand washing
– Use of personal protective equipment
– Universal precautions
Universal Precautions
• A method of infection control in which all blood or bodily
fluids anyone comes in to contact with is assumed to be
infectious
• These precautions should be used in every workplace
because:
– You cannot tell if someone is a carrier of a BBP
– You cannot assume someone will alert you to the fact they are a
carrier of a BBP
– You may be a carrier of a BBP without knowing it
Universal Precautions
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Wash hands and work surfaces frequently
Avoid contact with sharp objects
Use gloves and other personal protective
equipment when you anticipate exposure to blood
or other bodily fluids
Dispose of hazardous material safely using
engineering controls like a sharps box for needle
disposal
Hand Washing
• Wet hands thoroughly under warm water
• Use non-abrasive soap on wet hands
• Vigorously rub hands together for 20 seconds – think
happy birthday
• Scrub all surfaces top and bottom
• Thoroughly rinse hands
• Dry hands with disposable towel
• Use towel to turn off water and dispose of towel
Alcohol Based Sanitizers
• Don’t require water
• Excellent alternative to hand washing
• Apply about one-half teaspoon of the product to the
palm of your hand
• Rub hands together covering all surfaces until they’re
dry
• Wash hands with soap and water when able
Personal Protective Equipment
• Gloves
– Use single use gloves when administering first aid
– Cover any cuts with bandages before putting on
gloves
– Make sure gloves fit snuggly not loosely
– Check for rips or tears
• Goggles should be used whenever there is a chance of
splashing
Sharp objects
• Never place sharp objects in trash containers
– Sharps containers for razorblades and needles
– Cardboard boxes for pipette tips and broken glass
• Never smash down overflowing trash containers with
your hands or feet
• Always carry a trash bag away from your body
• Never pick up broken glass with your hands
Contaminated Sharps
• Use a brush and dust pan or tongs/tweezers to pick
up sharps – never use your hand directly
• Place the item in a closable, leak-proof, puncture
resistant container
• Spray with disinfectant before closing the container
• Use regular trash for disposal
• Use a sharps container for needles and razor blades
Cleaning Blood/OPIM Spills
• Cover the spill with paper towels and carefully pour
an approved cleaning solution
– To determine if a cleaning solution is EPA
approved read the label
– 10% bleach solution
• Leave it for 10 minutes to kill any BBP
• Don Gloves before wiping up/absorbing
• Put waste in a leak-proof bag
• Dispose in regular trash
Soiled Clothing
• Although soiled clothing may harbor large numbers
of pathogenic microorganisms, the risk of actual
disease transmission is negligible
– Common sense hygienic practices are
recommended
Post Exposure Procedures
• If an employee is potentially
exposed to a BBP, they should
immediately alert their
supervisor
• Immediately clean the
affected body part with hot
water and soap
• Contact Risk Management
• Immediately disinfect
contaminated surfaces
• All incidents must be
recorded on an incident
investigation report
– www.du.edu/risk
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First Report of Injury
Supervisor’s Report
• The University will provide a
free post incident medical
evaluation
Post Exposure Evaluation &
Follow Up
Following a report of an exposure incident, the
employer shall provide a confidential medical
evaluation which will include:
• Documentation of route of exposure
• HIV/HBV status of the source individual
• Serological testing of the blood ASAP
• Post exposure vaccine (HBIG) if indicated
• Medical evaluation of a future reported illness
• Counseling of the exposed individual
Notification of all Injuries
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For emergencies call 911 and then Campus Safety 1-3000
For non life-threatening injuries contact a designated clinic
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Concentra 303-777-2777
Rocky Mountain Medical Group 303-762-0900
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Notify Department of Risk Management within 24 hours – 303871-2354
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Fill out Employee First Report of Injury and return via fax to 303871-4455 within 24 hours
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Have the supervisor fill out “Supervisor’s Report of Injury” and
return it to Risk Management
Additional Information
Environmental Health and Safety:
www.du.edu/ehs
Chris Short
[email protected]
1-7501
Risk Management:
www.du.edu/risk
Center for DiseaseControl(CDC)
http://www.cdc.gov/niosh/topics/bbp/
Quiz
• 12 questions
• Send completed quizzes to EHS to
receive credit for the training
• Keep a copy with your CHP if you are
laboratory personnel/student
Take the Quiz