Transcript Bloodborne Pathogens

Bloodborne Pathogens
Cummins Southern Plains, Ltd.
Bloodborne Pathogens
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Who Is Covered?
Definitions
HIV
Hepatitis
Means of Transmission
Work Practice Controls
PPE
Clean-up and Decontamination
Exposure Incidents
Who is Covered by the Standard?
• All employees who could be “reasonably
anticipated” as the result of performing
their job duties to face contact with blood
and other potentially infectious materials
• “Good Samaritan” acts such as assisting a
co-worker with a nosebleed would not be
considered occupational exposure
Bloodborne Pathogens
• What is a Bloodborne Pathogen?
– Microorganisms such as viruses or bacteria
carried in blood or other body fluids which can
cause diseases in people. Included but not
limited to:
• HIV
• Hepatitis B
• Hepatitis C
• What is a “contaminated sharp”?
– any contaminated object that can penetrate the
skin
Human Immunodeficiency Virus
•Epidemiology of HIV:
–Viral infection that attacks
the immune system
–Can take up to 10 years
for HIV to turn into AIDS
–No known cure
–New treatments are
expensive and questionably
effective
•Symptoms:
–Any symptom related to
any other illness that the
body can no longer
effectively combat
–A person becomes
susceptible to infection by
bacteria and viruses that
were easily controlled by
the body prior to infection
–Persons who have had an
exposure to blood or other
potentially infectious
material, and contracted
illnesses that won’t go away
may have HIV
Hepatitis B Virus
•Epidemiology of HBV:
–80,000 people, in the
U.S. are infected annually
–5,000 people in the U.S.
die each year due to HBV
–This virus is very viable
and can live in dried
blood for up to seven
days
–No known cure
–A vaccination is available
to help prevent HBV
infection (highly
recommended)
•Symptoms, etc:
–Fatigue
–Stomach pain
–Jaundice
–Loss of appetite
–Symptoms may take up
to nine months to appear,
following an exposure
incident
–Liver cirrhosis
–Liver cancer
Hepatitis C Virus
•Epidemiology of HCV:
–This virus is very viable and
can live in dried blood for up
to seven days (similar to HBV)
–Even after interferon
treatments, most people will
remain infected
•Symptoms, etc:
–Fatigue
–Jaundice
–Loss of appetite
–Symptoms may take up
to three months to
appear, following an
exposure incident
–Chronic liver disease
–Liver cirrhosis
–Liver cancer
Means of BBP Transmission
Infected blood or body fluid can enter your body
through:
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Open sores
Cuts
Abrasions/rashes
Acne
Hang-nails
Damaged or compromised skin such as, but not limited
to, sunburns or blisters.
• Contact between mucous membranes (eyes,
nose, and mouth) and infected body fluids
• Accidental puncture from broken glass,
contaminated needles, or other sharps
Work Practice Controls
• Wash hands after removing gloves and as
soon as possible after exposure
• Minimize splashing, spraying, spattering, of
infectious materials
• Universal Precautions
– An approach to infection control which treats all
human blood and other potentially infectious
materials as if they were infectious for HIV and
HBV or other bloodborne pathogens
Examples of PPE
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Gloves
Gowns
Face shields
Eye protection
CPR mouth
barrier
Spill Clean-up Procedures
• Pick up sharps using mechanical
means such as a broom,
dustpan, or even cardboard (do
not use your hands)
• Place sharps in a sharps
container or other hard walled
container
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Carefully apply absorbent material to the spill
Place absorbent material into a disposal bag
Wash spill area with disinfectant cleaner
Disinfect / dispose all PPE
Decontamination of Surfaces or Equipment
•Incidental spills or work
surfaces that become visibly
contaminated with blood or
OPIM will be decontaminated
with a 10% Bleach solution
immediately
•1 ½ cups in 1 gallon H2O
RV Coach Care
• Dumping of black water may present a
hazard of contact with fecal matter
• Fecal-Oral transmission of Hepatitis A
• Cummins policy is to prevent the possibility
of exposure
– Have homeowner attach all hoses
Exposure Incidents
• Immediately clean the
affected area by flushing
with water for fifteen
minutes
• Report the incident to your
supervisor
• Obtain medical treatment
• Supervisors are to report all
exposure incidents by calling
Tisha Brookshire in the
corporate office.
Exposure Incidents
• As is the case with collateral duty, (e.g., a
designated first aid responder), the vaccination
may be deferred until the employee renders
assistance in a first aid incident involving the
presence of blood. At which time the hepatitis B
immune globulin (HBIG) must be offered within
72 hours of the exposure incident.
• For any exposure to blood either by accident or
providing of first aid/CPR the incident must be
recorded on the Exposure Incident Worksheet
found at the end of the BBP chapter in the health
and safety manual.
Questions?