Transcript COOK® Incorporated

WHY THIS TRAINING?
OSHA & Texas Department of State Health Services
Bloodborne Pathogen Standard
OSHA and TDSHS requires anyone whose job may result in
exposure to BB pathogens to complete the training
(OSHA BBP regulations are found in 29CFR 1910.1030)
(TDSHS BBP regulations are found in TX Health & Safety Code
81.304)
WHY THIS TRAINING?
ACC also has a BBP Program that must be
followed. It can be found at the EHS Online Safety Manual in the Bio-hazard/
Blood Borne Pathogens section…
www.austincc.edu/ehs/safetymanual
Remember: The more you know, the better you will perform in
real situations!
6 Course Objectives
1. Know what Bloodborne pathogens are
2. Recognize potentially contaminated
material
3. Identify exposure routes
4. Know how to protect yourself
5. Know what to do if you are exposed
6. Know how to clean up a spill
What is a BB Pathogen?
Microorganisms that are
carried in the blood that can
cause disease in humans
Common BB Pathogen Diseases
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Malaria
Brucellosis
Syphilis
Hepatitis B (HBV)
Hepatitis C (HCV)
Human Immunodeficiency Virus (HIV)
Human Immunodeficiency
Virus - (HIV)
• The virus that cause AIDS
• Depletes your immune system
• Does not survive well outside the body
• Will not catch HIV through casual contact
Further information on HIV can be found at www.cdc.gov
Human Immunodeficiency
Virus - (HIV)
• Many people infected with HIV have no
symptoms for 10 years or more
• Following symptoms may be warning
signs of advanced HIV infection:
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Rapid Weight Loss
Dry Cough
Recurring Fever
Profuse Night Sweats
Fatigue
Swollen Lymph Glands
Diarrhea for more than 1 week
Pneumonia
Red, brown, pink, or purplish blotches on or under the skin or inside
the mouth nose or eyelids
– White spots or unusual blemishes on the tongue, or in the mouth or
throat
Hepatitis B (HBV)
Estimated over 1.2 million Americans
are chronically infected
May cause chronic liver disease, liver
cancer, and death
Virus can survive up to one week in
dried blood – sometimes longer!
Hepatitis B (HBV)
Symptoms can occur 1- 9 months
after exposure & include:
-jaundice
-fatigue
-vomiting
-loss of appetite
-intermittent nausea
-abdominal pain
Hepatitis B (HBV)
4 out of 100 people have the virus and can pass it
on to others
6 out of 100 who become infected develop a
life-long, chronic Hepatitis B infection
12 week incubation period
Impossible to diagnosis without a blood test
Can be prevented with a vaccine
HBV Vaccinations
Vaccine available since 1982
Yeast-based vaccine – not a live virus
Series of 3 shots given over 6 months –
– Get 1st shot
– 2nd shot - one month later
– 3rd shot - six months after first
Further information on HBV can be found at
www.cdc.gov
Hepatitis C (HCV)
• The most common chronic blood borne
infection in the United States
• Estimated over 3.2 million Americans have
Hepatitis C infection
• May lead to chronic liver disease and
death
• Symptoms include: jaundice, fatigue,
abdominal pain, loss of appetite,
intermittent nausea, vomiting
Hepatitis C (HCV)
• 75% of people have no symptoms
• Incubation period is about 7 weeks
• Most infected people are unaware until 20
years later when liver is severely scarred
• Impossible to diagnosis without blood test
Hepatitis C (HCV)
• 12 out of 100 people have HCV and
can pass the virus on to others
• Vaccine not available for hepatitis C
Further information on HBC can be found at www.cdc.gov
Potentially Infectious
Bodily Fluids
• Blood
• Vomit
• Skin tissue, cell
cultures
• Saliva
• Urine
• Semen or vaginal
secretions
• Any other bodily
fluids
• ‘OPIM’ (Other
Potentially
Infectious Material)
How are BBP transmitted?
When blood or OPIM contacts:
Cuts
Rashes
Eyes
Abrasions
Paper cuts
Burns
Hangnails
Puncture wounds
Mucous Membranes
Cuts from contaminated sharps
Any open skin surface !!
Acne
Possibility of Exposure
Incidents
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Administering first aid
Post-accident cleanup
Janitorial or maintenance work
Handling of any Bio-waste products
Industrial accidents
Universal
Precautions
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Treat ALL blood and bodily fluids as
if they are contaminated
Always use proper PPE, cleanup
procedures & decontamination
Dispose of all contaminated material
in the proper manner
Personal Protective Equipment
(PPE)
Anything used to protect
a person from exposure
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Latex or Nitrile gloves,
Goggles,
CPR mouth barriers,
Aprons
Respirators
PPE - Rules to Remember
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Always check gloves / PPE for defects or tears
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Replace torn or defective gloves immediately
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Remove PPE before leaving a contaminated area
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Do not reuse disposable equipment
o
Discard all contaminated PPE in red Bio-hazard bags
Choosing appropriate PPE
• For small spills & areas of contamination, use
safety glasses and butyl nitrile gloves
• For larger areas of contamination with greater
potential for contact from splashes, Tyvek
coveralls, face shields or face masks should
be worn along with gloves and safety
glasses.
Handling Sharps Safely
Never throw sharps in the trash
Dispose of sharps (needles, broken
glassware, scalpels, etc) in marked
containers immediately after done with
first aid or clean up activity
Decontamination
• When cleaning up surfaces use 10% bleach solution
or approved disinfectant
• Do an initial wipe up
• Spray spill or contaminated area, allow disinfecting
solution to stand for 15 minutes, and then wipe up
• Dispose of used rags in bio-hazard containers
Decontamination
• Put all wipes in biohazard containers
• Put PPE and any contaminated,
disposable cleaning equipment
biohazard containers
Biohazard Spill Clean-up
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Always wear appropriate PPE
Clean up spill immediately
Use tongs, broom and dust pan, or two pieces
of cardboard to pick up sharp objects – Don’t
use bare hands!
Dispose of absorbent material in Biohazard bag
Flood area with disinfectant solution
Let solution sit for at least 15 minutes
Hand Washing
• Wash hands immediately and thoroughly
after removing PPE
• Use a soft antibacterial soap
• A hand sanitizer can be used, but still wash
with soap and water as soon as possible
Hand Washing
• Always wash your hands:
– After touching any blood or OPIM
– After touching a contaminated item or surface
– As soon as removing gloves
– Before eating, drinking, smoking, or
using the restroom
Definition: Regulated Medical Waste
• Liquid or semi-liquid blood or other potentially
infectious material (OPIM)
• Contaminated items that would release blood
or OPIM when compressed or squeezed
• Contaminated sharps
• Pathological and microbiological waste
containing blood or OPIM
Signs & Labels
Labels must include the
universal biohazard symbol,
and the term “Biohazard” must
be attached to:
• containers of regulated
biohazard waste
• refrigerators or freezers
containing blood or
OPIM
• containers used to store,
transport, or ship blood
or OPIM
Using Sharps Containers
• Dispose of sharps containers when they are
2/3 full
• Never force an item into a sharps container
• Never reach into a sharps container
• Never open, empty, or reuse a sharps
container
Exposure Incident
• A specific incident of contact with
potentially infectious bodily fluid
• Infiltrations of mucous membranes
or open skin surfaces, as well as
puncture wounds from sharps, are
exposures
Exposure Incident
• Report all incidents involving blood
or bodily fluids to supervisor within
1 hour
• Post-exposure medical evaluations
and follow-up offered to employees
at no charge
ACC Post-exposure procedures
 Responsibility of employee to notify supervisor
within ONE (1) hour of exposure
 Responsibility of the supervisor is to contact EHS
within ONE (1) hour after notified of exposure
 Following the report of an exposure, the
employee will be sent for a confidential medical
evaluation and follow-up
Post Exposure Evaluation
• If exposed and sent for medical evaluation,
do not have the results sent to ACC’s EHS
department. We do not need to have access
to your personal medical records.
• DO follow up with your doctor to find out
results and recommended treatment, if any
What if you are exposed?
SKIN:
Wash the area with soap and water for an
extended time
MOUTH:
Rinse with water or mouthwash
EYES:
Flush with warm water for 15 minutes
What if you are exposed?
• A medical evaluation is to be made
immediately available to the employee
who has occupational exposure
– Evaluation SHALL be confidential
– It must protect your identity and test results
– There is no charge to employee
Post-exposure Evaluation
Procedures Consist of
• A confidential medical
evaluation
• Documenting routes of
exposure
• Identifying whose blood
was involved (source)
• Test source individuals
blood (with individuals
consent)
• Provide test results to
exposed employee
Recordkeeping Requirements
Medical Records include:
Hepatitis B vaccination status
Any post-exposure evaluation
and follow-up results
Training Records include:
Training dates
Contents of the training
Signature of trainer and trainee
Hepatitis B Vaccination
• Strongly endorsed by
medical communities
• Offered to all
potentially exposed
employees
• Provided free to
employees
• Declination form Must sign one if you
don’t want vaccine
Hepatitis B Vaccinations
• ACC Employees whose duties could result in
potential exposure to blood borne pathogens
are known as Category I or II employees.
• Category I or II employees are entitled to
receive the Hepatitis B Vaccine at no charge
ACC Category I & II Employees
1. All Campus Police Employees
7. Laboratory Animal Caretakers
2. Building Attendants/Supervisors
3. Childcare:
All Personnel & Students
4. EHS Personnel
5. Science Lab Assistants and
Biology Faculty teaching
courses involving human
blood or other tissues
6. Students in above biology
courses
8. Health Sciences Department
- Lab Technicians
- Surgery Tech
- Dental Hygiene
- EMS
- Med Lab
- Veterinarian Tech
- Kinesiology
- Faculty and Students
NOTICE TO CATEGORY I OR II
EMPLOYEES:
To receive credit for this on-line class, you must submit a
signed Vaccination Acceptance/Declination form with
your test score page to David Watkins at EHS!
Acceptance/Declination form Link:
Open link, Print form, Sign and Date
http://accweb.austincc.edu/ehs/pdf/HBVVaccinedeclinationacceptanceform22010.pdf
(NOTE: Form will open in a new browser window)
HBV Vaccine
Acceptance/
Declination Form
Complete the top portion
of the form...
PRINT your:
 Name
 Work Campus
 Job Title
 Supervisor’s Name
Hepatitis B Vaccinations
Employees who DO NOT wish to receive the
Hep B vaccination still must sign a declination
form stating they do not want the vaccination at
this time.
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NOTE: You may change your mind at any time –
Just contact the EHS Office and request a
Hepatitis B vaccination.
Don’t want the
vaccination?
If you do not want to receive
the Hepatitis B Vaccination at
this time
Sign and Date the
Declination Section at the
beginning of the form.
Remember:
Should you change your mind in
the future, simply contact the
EHS office and let us know
Hepatitis B Vaccinations
Those employees who DO wish to receive
the Hepatitis B vaccination –
Sign & Date the form as shown in next slide
Send to David Watkins, SVC 181 with test score
EHS will contact you
Want the
vaccination?
If you do want the Hepatitis B
Vaccine, or if you have already
been vaccinated but would like
to have blood drawn to see if
the vaccine is still working…
Sign and Date the
Acceptance Section in the
middle of the form.
Once received by the EHS Office
we will contact you to provide
further information and authorize
the vaccination.
Hepatitis B Vaccinations
Category I or II employees who wish to
be vaccinated will be contacted by EHS
with more information once we receive
your signed acceptance form.
We will arrange a meeting with you to provide
authorization to receive the vaccine and complete
the bottom section of the form at that time
In Conclusion….
This training should have
you prepared to –
 Know what Bloodborne pathogens are
 Recognize potentially contaminated material
 Identify exposure routes
 Know how to protect yourself
 Know what to do if you are exposed
 Know how to clean up a spill
In Conclusion….
BB pathogen policies are in place
for your safety and to protect your
health
Failure to follow them is a serious
risk that does not need to be taken
Remember: If it isn’t your body fluid, don’t touch it!!
In Conclusion….
Austin Community College’s Blood
Borne Pathogen Plan can be found at:
http://www.austincc.edu/ehs/pdf/ACC%20Bloodborne%20Pathoge
n%20Program%20Guideline-Procedure%20ASC%209.pdf
(NOTE: Policy will open in a new browser window)
Complete the Quiz
• Click on the URL below
– http://www.austincc.edu/hr/profdev/eworks
hops/bbp/quiz/bbp.html
QUESTIONS?
Call or email: David Watkins
Austin Community College
Environmental Health & Safety
512-223-1034
or
[email protected]