Transcript Bloodborne Pathogens Presentation

Bloodborne Pathogens (BBP)
29 CFR 1910.1030
Program Management
BBP Exposure Control Officer – Health Services: (715) 425-1800
Bloodborne Pathogen Training
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Bloodborne Pathogen Training
This training is designed to:
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Provide a basic understanding to bloodborne pathogens (BBP).
Discuss boodborne diseases, epidemiology, symptoms and common modes
of transmission in the District.
Explain the term “Universal Precautions”.
Example of typical tasks and other activities with exposure to blood or other
potentially infectious material.
Describe the District’s Exposure Control Plan.
Provide example’s of engineering and work practice controls including use of
personal protective equipment (PPE).
Review PPE and proper handwashing.
Provide guidance on how to obtain the hepatitis B vaccine.
Inform employees on the proper response surrounding medical emergencies.
Discuss post-exposure evaluations following an exposure event.
Explanation of signs, labels, and color-coding congruent to the rule.
Definition
A Bloodborne Pathogen (BBP) is defined to be a
pathogenic microorganism found in human blood. Such
pathogens can infect and cause diseases in humans.
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Bloodborne Diseases
“THE BIG TWO”
Human Immunodeficiency Virus (HIV)
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HIV is the virus that causes AIDS.
Since December 2001, there were 57 documented cases of
occupational HIV transmission from workplace exposure in the
U.S.– Centers for Disease Control (CDC). Health care
professionals are most at risk.
13 to 29 year olds made up more than a third of people with HIV in
the U.S. in 2006; the highest infection rate of any age group –
(CDC).
Hepatitis B Virus (HBV)
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HBV is a serious virus that attacks the liver. People who suffer
from HBV are susceptible to deadly infections and cancers.
HBV can survive dried and at room temperature on surfaces up to
a week.
Symptoms
Other Bloodborne Diseases
Hepatitis C Virus
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Affects liver; no vaccine.
 The most common bloodborne infection in the US.
Viral Hemorrhagic fevers (VHFs) - Ebola, Malaria
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Affects key organs produces extreme fevers and internal bleeding; no vaccine.
Syphilis
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Causes lesions, body nodes, hair loss, weight loss, headaches, fevers; no vaccine.
Routes of Exposure
Four Different Routes of Exposure
 Direct contact (non-intact skin AND contaminated blood or
other potentially infectious material (OPIM*))
 Mucus membrane (eyes)
 Injection (needle stick) or
Sharp (tooth – bite)
 Ingestion
*OPIM Includes:
tissue, semen, vaginal secretions, cerebrospinal, synovial, pleural, peritoneal, pericardial and
amniotic fluids, and any other body fluid visibly contaminated with blood .
Occupational Exposure
Because many different occupations have reasonably
anticipated or routine exposure to blood or other body
fluids, the Occupational Safety and Health Administration
(OSHA) has developed a rule for employers to follow
and comply.
OSHA Classification and Modes of Transmission
River Falls School District Administration has determined that the
following employee groups have reasonable, anticipated exposure to
blood or OPIM based on their essential job duties:
Classification 1:
Employees with an essential job function to administer first aid or medical care.
Classification 2:
Employees who clean up blood or OPIM, OR who may provide first aid, OR assisting with
toileting / diapering of students based on their limitations:
• Art Instructors
● Special Education Teachers
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Industrial Technology Teachers
• Bus Drivers
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Coaches
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Physical Education Teachers
• Custodians
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Building Administrators
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Athletic Trainers
• Secretaries
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Playground Paras
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Special Education Paras
• Kid’s Club Caregivers
All other positions within the District do NOT have a job assignment that has anticipated, routine exposure to blood or OPIM. During a medical
emergency, employees are instructed to inform the injured person to use self-care techniques, contact first responders, and avoid contact
with blood and OPIM. All of Classification 1 and 2 individuals were offered Hep B vaccination upon hire.
If you do not fall in Classification 1 or 2, please read slides. If you have questions, please contact Personnel Department or District Nurse.
OSHA Classification and Modes of
Transmission
Therefore, thru the District’s determination of positions that
have reasonable, anticipated exposure to occupational blood
or OPIM, these employees must (per OSHA rule):
• Be offered the Hepatitis B vaccination. Offered upon hire.
• Receive personal protective equipment to minimize
exposure.
• Per Employee Handbook, all school district staff member
are required to be trained annually about blood-borne
pathogens.
Body Fluid Exposures
District employees will most often be susceptible to BBP’s thru
contact with blood and non-intact skin. Other body fluids can
also transmit the diseases.
Bites (student to staff member) may also be a potential BBP
exposure. If the bite punctures the skin, additional medical
consultation is recommended.
River Falls School District Bloodborne Pathogen Exposure Control plan
establishes the safeguards in place to minimize exposure and provide postexposure follow-up information to staff.
Bloodborne Pathogen Exposure Control Plan
 Document in which potential exposures are listed
along with appropriate responses.
 Each control plan must be school specific.
 Established to limit occupational exposure to blood.
 The BBP Exposure Control Plan and
accompanying records are public documents and
are available by contacting: Health Services
Methods of Control
 Wear disposable gloves any time there’s a potential for contact with blood or
OPIM. Do not reuse disposable gloves and wash your hands with soap and
water after removing gloves.
 Wear safety goggles if there is potential for contaminants splashing in the eyes.
 Wear a mask if there is potential for contaminants splashing in the mouth or
nose.
 Mechanical devices such as tongs or dust pan and broom are available to pick
up contaminated sharps such as blood-covered broken glass, etc. to avoid any
direct contact. Broken glass will not be picked up by hand.
 Use an absorbent material (paper towel/cloth) as a barrier between you and the
blood source.
 Use an EPA registered microbial cleaner/disinfectant on blood or other
potentially infectious material.
 Use approved sorb-it chemicals for vomit.
 Readily accessible facilities (running water with soap and single-use towels or
hot-air drying machines) are available in all buildings, and shall be immediately
utilized upon contact with blood or OPIM.
 Where handwashing facilities are not feasible, we provide either an appropriate
antiseptic hand cleanser in conjunction with clean cloth/paper towels or
antiseptic towelettes. If an alternative for an acceptable handwashing facility is
used, the hands shall still be washed as soon as feasible after use of the
antiseptic towel or cleaner.
Hand Washing
 Wet hands thoroughly under warm water.
 Use non-abrasive soap on wet hands.
 Vigorously rub hands together for 20 seconds.
 Scrub all surfaces top and bottom.
 Thoroughly rinse hands.
 Dry hands with disposable towel.
 Use towel to turn off water and dispose of towel.
Hand Sanitizers
 Don’t require water.
 Alternative to hand washing when facilities are not readily
available (ex. coaches, bus drivers, etc.).
 Apply about one-half teaspoon of the product to the palm of
your hand.
 Rub hands together covering all surfaces until they’re dry.
 Always wash hands with soap and water when able.
Methods of Control
Responding to Medical Emergencies:
 Wear disposable gloves before administering first aid of any
kind. Do not reuse disposable gloves and wash your hands
with soap and water after removing gloves.
 Wear safety goggles if there is potential for contaminants
splashing in the eyes.
 Wear a mask if there is potential for contaminants splashing
in the mouth or nose if conducting CPR.
 Always protect yourself first, then help others.
Universal Precautions:
 Treat others as if known to be infected
with a harmful virus/disease.
Therefore, protect yourself always when
in contact with blood or other body fluids.
Vaccinations
HIV
NO vaccine for HIV.
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HBV
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The hepatitis B vaccination is
administered in a series of 3
injections:
1st shot - Immediate
2nd shot - One month
3rd shot - Six months
Vaccine is available through a select
number of medical clinics to District
employees that have “occupationally
exposed” professions. Human Resources
offered this to you upon hire. Contact
Human Resources with questions.
Methods of Control
Personal Protective Equipment (PPE)
Use appropriate personal protective equipment to
ensure minimal exposure to bloodborne pathogens.
Examples of PPE include:
 Disposable Gloves
 Face shields
 Face masks
 Safety glasses/goggles
Methods of Control
Biohazard Labels and Color Coding
Sharp containers must be red, rigid, closeable, and
marked appropriately with biohazard hazard
warning label.
Always dispose of needles or other contaminated
sharps in proper containers!
Forget to Wear PPE and
An Exposure Occurs….
Injured Person
First Aid Provider
No Exposure
Responding to medical
emergency with
gloves.
REPORT THE POTENTIAL EXPOSURE!
Post Exposure Follow Up
 Wash exposed area with soap and water.
 Contact Human Resources or Supervisor to report the
injury.
 Human Resources or Supervisor will assist employee with
completing appropriate forms, if needed.
 Additional Post-Exposure documents will need to be
completed by the Health Services.
 If an incident occurs in the evening and Health Services is
not available, drive to River Falls Medical Clinic (if able – or
have coworker drive you) and forms can be filled out at a
later date.
Post Exposure 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
 Exposure records are kept confidentially by District Human
Resources for duration of employment plus thirty years.
For an accessible copy of the regulatory text of this
standard please see OSHA 29 CFR 1910.1030
https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_id=10051&p_table=STANDARDS
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