Transcript UNIVERSAL PRECAUTIONS IN THE SCHOOL SETTING

UNIVERSAL PRECAUTIONS IN THE
SCHOOL SETTING
Training Objectives
• To provide information regarding blood borne
pathogens
• To assure that you have the necessary training
to protect yourself and others when providing
care to any student, whether or not the
student is known to be infectious
Universal Precautions Basis and
Concept
Universal Precautions are based on the concept
that blood and certain body fluids, such as
urine, stool, vomit, and saliva should be
considered potentially infectious for
pathogens.
Where are the risks?
 Playgrounds, classrooms, parking lots, sports, health rooms
Almost anywhere
School Employees’ Awareness
 It is important that personnel in the education setting be
aware of the potential risk of blood borne and infectious
pathogens (disease producing agents or microorganisms).
 Employees in the school setting can come in contact with
blood or body fluids while performing their job duties since
students of all ages sustain cuts, wounds, and nosebleeds.
 It is essential for each employee to know the safe procedures
that will minimize risk of transmission of disease.
Examples of Pathogens
Disease Producing agents or microorganisms
• Hepatitis B Virus-(blood borne)
• Hepatitis C Virus-(blood borne)
• HIV-(blood borne)
Other pathogens:
• Hepatitis A Virus
• Salmonella Bacteria
• Common Cold Viruses
• Gastro intestinal Viruses
Disease Transmission
• Many diseases are carried by blood and body fluids.
The three most serious are hepatitis B (HBV),
hepatitis C (HCV) and the human immunodeficiency
virus (HIV). Blood borne pathogens can cause
infection by entering the body in a variety of ways:
1. Open cuts
5.Knives
2. Skin abrasions
6. Mucous Membranes
3. Broken glass
4. Needles
Parent Obligation to Notify School
Personnel
A parent does not
have to inform the school if
his/her child is positive for
HBV, HCV, or HIV. This
information is strictly
confidential and provided
on a need to know basis
only.
*Refer to District Communicable
Disease Policy
Keys to Preventing Infection
• Understand the risks in the workplace
• Know how to protect yourself & others
• Classroom first aid kits contain supplies
needed to follow universal precautions.
• Cover your cough
How Do You Protect Yourself?
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HANDWASHING!
Gloves/barriers
Disinfectant
Proper waste disposal
Keep work area clean
Treat all blood and body fluids as if they are
contaminated.
• Don’t share toothbrushes, razors, or other
personal items
Treat all Blood and Bodily Fluids as if
they are Infectious
1. Assure that soap, running water, and paper towels, gloves,
and proper disinfectant solutions are available in the school
environment (classroom first aid kits)
2. Always wash contaminated area immediately with soap and
water
3. If mucous membrane splash (eye or mouth) or
contamination of broken skin occurs, irrigate or wash area
thoroughly
4. If a cut or needle stick injury occurs, wash the area
thoroughly with soap and water.
5. Report possible exposure to your Administrative Personnel
WASH YOUR HANDS…..
• Nearly all experts on infection control agree that
hand washing is the single most effective way to
prevent the spread of infections.
Wash your hands:
 Upon arrival of the day and before leaving for the day
 Before eating or handling food
 Before feeding a student or giving something they will put in their mouth
 Before and after restroom use or assisting a child with toileting, hygiene &
diapering
 After handling body fluids (mucous, blood, vomit) and after wiping nose, mouths
and sores. Before and after providing first aid
 After cleaning
 Before and after giving medication (Must be delegated by District RN to
administer meds)
 Before and after performing special health care procedures
HOW TO WASH
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Liquid soap is best
Use warm, running water
Rub hands vigorously for at least 20-30 seconds
Remember to wash all surfaces including thumbs,
back of hands, between fingers and around nails.
• Rinse well, letting water drain from wrist to fingers
• Dry hands then turn off faucet with paper towel
• Discard towel properly
Antibacterial Gels
• Waterless antibacterial hand sanitizers are
convenient for use when water and hand
washing is not available. However they are for
bacteria prevention only.
• Warm water and soap is the best, gels are
better than not washing at all.
When to Wear Gloves
 When changing soiled clothing (diaper, underwear,
feminine hygiene)
 Providing mouth, nose, care, wound care
 If caregiver has broken skin on hands
 When cleaning up spill of blood (nosebleeds) or
body fluids and wastes along with soiled supplies
 Delegated procedures-dependent on staff job
description (g-tube feeds, suction, catheterization)
Cleaning or Disposing of Infectious or
Bloody Material
• Wear gloves. Wipe up spill of blood or body fluids with a
paper towel and dispose of material in trash. Double-bag
the trash and dispose of immediately. Discard gloves.
• Clean and disinfect area with an approved disinfectant or
bleach solution. Follow product labeling.
• Send all soiled clothing home with student in double bag.
Exposure Incident
If non-intact skin or mucous membranes
(eyes, mouth) come in direct contact with
blood, wash or flush area with water
thoroughly.
Notify your building Administrator
Medical evaluation may be indicated
REVIEW
1. True or False: Bites from mosquitoes can
transmit HIV, Hep B, C?
2. True or False: Cuts, sores, and breaks in the
skin when exposed to infected blood can
transmit Hep B, C and HIV
3. True or False: infectious blood splashed into
the eyes or mucous membranes (mouth,
nose, eyes) CANNOT transmit disease?
REVIEW
1. True or False: Parents are obligated to notify
the school and teachers if their child is
infected with HIV or Hep B, C?
2. How long does proper hand washing take?
3. What should someone do immediately if his
or her skin or mucous membrane is exposed
to blood or body fluid?
QUESTIONS????
CHOOSE HEALTH & SAFTEY
THANK YOU FOR YOUR PARTICIPATION!