Transcript Bloodborne Pathogens

Bloodborne Pathogens
School District of New Richmond
Joan Simpson, R.N, District School Nurse.
9-19-12
Why am I Here Today?

Annual training is required by OSHA
for all employees who are considered at
increased risk for occupational exposure
to bloodborne pathogens.
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To protect employees against exposure
to bloodborne diseases.
What is a bloodborne pathogen?

Bloodborne- carried in the blood
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Pathogen- germ
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Bloodborne pathogen- germ carried in
the blood
The OSHA regulation specifically
addresses three bloodborne
diseases:
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HIV- 0.5% risk of infection after exposure; dies
when fluid dries; no vaccine, no cure and recovery
rare.
Hepatitis B-30% risk of infection; may or may
not exhibit symptoms; may be unaware they are
contagious; flu-like symptoms; strong virus that
can live up to one week outside of the body in
old, dried blood.
Hepatitis C-Most people have no symptoms; no
vaccine; treatment effective in 15-30% cases;85%
develop chronic infection; leading indicator for
liver transplants.
Staff at increased Occupational Risk
to Bloodborne pathogens are those
whose job description includes one
or more of the following:
First aid
 Cleaning body fluid spills
 Delegated health / personal care
providers
 Monitoring altercations
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In New Richmond School District these
employees have been identified currently as:
Job Classifications
Reason for Occupational Exposure
Providing First
Aid
Cleanup of
Blood or
OPIM Spills
Contact /
Handling of
Materials
Contaminated
with Blood or
OPIM
X
X
Health Services (School Nurse and
Health Assistants)
X
CDB/ CDS Teachers and Assistants
(Cognitive Disability Borderline and
Severe)
X
X
Coaches (determined by AD) –
Football, Wrestling, Basketball, and
Hockey at this time
X
X
EBD Teachers and Assistants
(Emotional Behavioral Disability)
X
X
Early Childhood & Special
Education (Teachers and
Assistants)
X
X
Occupational Therapists
Kindergarten Teachers
Building Principals, Assistant
Principals
X
X
X
X
X
X
Custodial / Maintenance
Physical Education Teachers
Speech Therapists
Superintendent
Athletic Director
Front Office Administrative
Assistants
X
X
X
X
X
X
X
X
X
X
X
X
Hepatitis B Vaccination offered by the
District to staff on the previous page
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School District covers the cost
Three injections over 6 months
Booster doses are not recommended
80 - 95% effective after series is completed
Hepatitis B Immunization Acceptance/Declination
Record must be completed and on file for all staff
considered at increased risk of occupational
exposure to bloodborne pathogens.
If Hepatitis B vaccination was declined in the past,
it can be requested at a later date.
Reasons Not To Receive Vaccination
Previous infection would incur immunity
 Yeast sensitivity
 Thimerosal sensitivity
 Pregnancy
 Immunosuppressive therapy

Hepatitis B Vaccination
Most Common Side Effect
Slight soreness at the injection site (17%)
 More serious reactions may occur in 1%
of vaccinations given
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Exposure Control Plan
Blue Health Services Manual in each
school health office
 Contains District’s Exposure Control Plan
and exposure forms.

BE PROACTIVE NOT REACTIVE!!!
Universal Precautions

An approach to infection control where
all human body fluids of all persons are
treated as if known to be infectious for
communicable diseases
Personal Protective Equipment
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Gloves
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Goggles
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Available in the
health office
Disposable
As requested
Gowns
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As requested
Use of Disposable Gloves
Think about what you touch while your
wearing them!
 Properly dispose of contaminated gloves
in the trash.
 Wash hands after using them.
 Waterless hand cleaner as temporary
measure only.
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Handwashing

THE SINGLE MOST EFFECTIVE
BARRIER TO PREVENT THE TRANSFER
OF GERMS is to use soap and running
water. Scrub for at least 30 seconds, rinse
well, dry with paper towel (use to turn off
faucet)
Cleaning Up Body Fluid Spills Think
B-A-D-D
B arrier
 A bsorb
 D isinfect
 D iscard
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What Should I Do If I Have An
Accidental Contact With Body
Fluids?
Wash area thoroughly with soap and warm
water
 Contact your building Health Assistant to
complete an Exposure Investigation Report Right
Away. She will complete then notify the School
Nurse regarding further action.
 Notify your supervisor of the exposure.
 Complete a Workman’s Compensation Form in
the staff lounge and submit to Deb Newman
within 48 hours.
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Exposure Incident
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a specific eye, mouth , other mucous
membrane, non-intact skin, or parenteral
(contaminated needles and sharp
instruments), contact with blood or other
potentially infectious materials that
results from the performance of an
employee’s duties.
Three Things Necessary for Possible
Transmission
1. Source person must be infected
2. Source person must have a port of exit
3. Receiving person must have a port of
entry
Contact with infectious body fluids to broken
skin or mucous membranes
 Puncture wounds with used needles
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Moral of the story:
If it’s
Warm, Wet
and
Not Yours
Don’t Touch It!
For questions or concerns, please contact
Joan Simpson, District School Nurse, at
[email protected] or
243-7424.