Transcript HIPPAandOSHA - Diabetes Education & Camping Association

Infection Prevention at Camp
& Blood borne Pathogens
Many thanks to our friends at Camp Hertko
Hollow for providing this presentation.
Camp Hertko Hollow
101 Locust St.
Des Moines, IA 50309
Ann Wolf, Executive Director
515-471-8523
[email protected]
Vivian Murray, Camp Director
352-750-6759 or 888-437-8652 (Toll free)
[email protected]
This presentation is intended to be a general guide that will help you create a
thorough staff training tool for your camp. It is not intended to be a comprehensive
resource or to fully cover the topic. We hope you will take this presentation and
adapt it so that it fits your camp’s specific needs and meets the guidelines established
for the safe and effective operation of your program.
Each diabetes camp operates under detailed policies and procedures that follow
Board of Health and national accreditation standards that ensure the health and
safety of children with diabetes. It is essential that camp staff be trained according to
your camp’s policies and procedures. Staff should be encouraged to carefully review
materials before arriving at camp, participate fully in pre-camp training, ask questions
and use good judgment as they provide diabetes management supervision and
educate youth with diabetes at camp.
While doing so, it is equally important that camp staff not lose focus – camp is a
place for youth to have fun with peers – to feel supported and understood, and to
feel part of a passionate community. Good luck!
Agencies working to protect you
from blood borne disease
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Occupational Safety and Health
Administration (OSHA) Compliance with
law is required
The Center for Disease Control (CDC)
guidelines or standards of practice. Not
required by law.
OSHA Standard
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Copy & Explanation
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Exposure Control Plan
What are considered sharps
at camp?
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All needles
Lancet devices
Pen needles
Needle devices used establishing pump
sites
Ways you can be exposed at
camp
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Puncture wound
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A cut or break in the skin
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Mucus membranes exposure
Engineering Controls
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Dispose of all sharps in a sharps
container.
When the sharps container is full, close
the lid tightly and return to the Health
Lodge or Shoot ‘em Up Shack.
Never open a sharps container.
Wear gloves when checking a campers
blood sugar or administering first aid.
Work Practice Controls
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Do not recap needles
Use the lancet devices provided by
camp
Dispose of all sharps in the sharps
containers
Teach campers to use a one handed
scoop technique if they must recap a
needle
Safe Work Practices
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Wear gloves (PPE)
Use a resuscitation device for mouth to
mouth breathing
Clean up spills of blood or body fluids
promptly
Cover open wounds
Soiled Linens
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Hold soiled linens away from your body
Wear gloves with handling soiled linens
Place soiled linens in plastic bag for
transport to the laundry room
Wear gloves to place soiled linens in
washing machine
Glove use
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Gloves are single use only and must be
changed between campers
Gloves are to be disposed of
immediately after use and hand
hygiene performed
Shoot ‘em Up Shack Safety
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Only kids requiring insulin injections should
be in the building
Limit conversation between campers while
they are preparing and administering their
shots
Campers should dispose of their own syringes
and needles
Campers should never walk around with
uncovered needles
Blood Borne Diseases
Hepatitis B and C
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Are viruses that affect the liver and are
caused by blood borne pathogens
Both can cause serious liver disease
leading to liver failure and death
Differences between Hepatitis
B and C
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Hepatitis B
A vaccine is available
Easily spread through
Body fluids and blood
Commonly experience
“flu-like” symptoms
Approximately 1.2
million people have
Hepatitis B
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Hepatitis C
No vaccine
Spread blood-blood
Can develop into a
chronic form
Most do not show
symptoms
Approximately 4.5
million have Hepatitis C
HIV
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Human Immunodeficiency Virus
Virus that causes AIDS
No Vaccine
No cure, but treatment options have
improved.
Can have the virus for many years
before symptoms occur
Exposure Incident
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A specific eye, mouth, other mucous
membrane, non-intact skin, or
parenteral contact with blood or other
potentially infectious materials that
results from the performance of an
volunteer's duties.
What if you are exposed?
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Clean exposed area with soap and
water immediately
If a mucous membrane exposure has
occurred flush the area with large
amounts of water
Report to the Health Lodge immediately
or as soon as possible after the
exposure
Infection Prevention
Hand washing is the single
most important thing you can
do to prevention the spread of
infection.
Hand Hygiene
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Wash hands before checking blood
sugars
Wash before and after meals
Wash after using the rest room
Wash after coughing, sneezing or
blowing nose
After riding horses or touching other
animals
Hand Hygiene with soap & water
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Soap and water must be used when
hands a visibly soiled or before testing
blood sugars.
In order for hand washing with soap
and after to be effective it must be
done for 20 seconds
Hand Gels
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Should not be used when checking
blood sugars (the results can be
altered)
Do not use when hand a visibly soiled
Can be used after removing gloves
before meals/snacks
CA-MRSA
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Community Acquired Methicillin
Resistant Staphylococcus Aureus
Bacteria that is resistant to some
antibiotics
Easily transmitted person to person
CA-MRSA
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Presents as skin and soft tissue
infections
Often described as “spider bites”
CA-MRSA Risk Factors
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Youth
Contact sports
Sharing towels or athletic equipment
Weakened immune system
Living in crowed or unsanitary
conditions
Recent antibiotic use
How it is spread
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Person to person contact
Poor hygiene
Close skin to skin contact
Contaminated items such as athletic
equipment
In crowded living conditions
CA-MRSA Prevention
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Never share towels, clothing or linens
Keep all wounds covered
Shower daily
Continue to administer any antibiotics a
child is on while at camp
Hand hygiene
If necessary limit participation in
contact sports
CA-MRSA Treatment
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Incision and Drainage (I&D)
I&D plus antibiotics
Antibiotics alone
HIPAA
HIPAA
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Health Information Portability and
Accountability Act
Federal law
HIPAA compliance has several
requirements, but the one that applies
to all of us at camp is handling medical
information confidentially
HIPAA
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Do not remove medical records from
the health lodge and review them in a
private place
Do not share information about
campers with anyone
If you have a concern related to a
camper ask to speak to one of the
health lodge staff in private
Questions??