Transcript Bloodborne Pathogens Training for School Personnel 2015-16

Bloodborne Pathogens Training
for School Personnel
Cal/OSHA BBP Regulation



CCR, Title 8, Section 5193
Covers occupations that may be exposed to blood
or other potentially infectious materials (OPIM)
Requires employers to have an Exposure Control
Plan
Exposure Control Plan





Available to all employees
Defines who is at risk
Outlines procedures to minimize or
eliminate exposures to bloodborne diseases
Procedures to follow in the event of an exposure
Who Is Covered?



Any employee that can anticipate coming in contact
with blood or body fluids
Your District is required to identify personnel whose
job duties may expose them to BBP’s
Information and training must be provided to these
employees
Bloodborne Pathogens—What Are They?



Pathogenic microorganisms that are transmitted via
human blood and cause disease in humans
Exposure can result in serious illness or death
Include, but aren’t limited too: Hepatitis B Virus
(HBV), Hepatitis C Virus (HCV) and Human
Immunodeficiency Virus (HIV)
Hepatitis B Virus




Infection of the liver
Can lead to cirrhosis, liver cancer and death
20% risk of infection by a contaminated sharp
Virus can survive in dried blood up to 7 days!
Symptoms of HBV







Fatigue
Loss of appetite, nausea
Jaundice (yellowing of skin and eyes)
Fever
Abdominal pain, joint pain
30% carriers, no symptoms
Preventable with vaccination series
Hepatitis B Vaccine





Recommended for high risk groups
Is offered free of charge to employees
Consent/waiver form available
3 shot series – initial, 1 month, 6 months
Safe and should provide life long immunity
Hepatitis C Virus




Most common chronic bloodborne infection in the
U.S.
Causes liver damage, cirrhosis and liver cancer
Leading reason for liver transplants
2% risk of infection by contaminated sharps
Symptoms of HCV




Same as HBV
May occur within 2 weeks, to many years
85% don’t know they are infected
There is no vaccine for HCV
Major Risk Factors for HBV & HCV





Sexual activity
I V drug use
HBV – neonatal transmission
HCV – blood transfusion prior to 1990
Accidental occupational exposure
HIV/AIDS




Attacks the body’s immune system
Unable to fight off other infections
No vaccine and no cure
6,000 new infections every day
Symptoms of HIV



Mild flu-like symptoms initially
May be free of symptoms for months or years
Eventually can lead to AIDS or possibly death
HIV Transmission




High risk sexual activity
IV drug use
Neonatal transmission
Accidental occupational exposure
These Diseases Are Not Spread By:

Casual contact

Telephones

Hugging or kissing

Sharing food

Mosquitoes or insects

Hot tubs or swimming

Donating blood

Being a friend
Risk Identification


What employee groups may be exposed to blood
or other body fluids?
What tasks may have the most exposure to
potential BBP’s?
Workplace Transmission






Special Ed. Employees
Nurses
Custodians
Maintenance
Playground
Supervisors
Any employee as first
aid responder





Accidental injuries –
bloody noses,
scratches, abrasions.
Needle sticks
Broken glass
First aid response
Working in restrooms,
sewer systems, etc.
How Do BBP’s Enter Your Body?






Indirect transmission
Open cuts
Skin abrasions
Dermatitis
Acne
Mucus membranes – eyes, nose or mouth
Universal Precautions



The term “universal precautions” refers to a concept
of infection control in which all human blood and most
body fluids are considered to be potential carriers
of infectious disease
You must take every precaution and treat all blood
and body fluids as if they are infected with BBP’s
Many have no symptoms or knowledge of their
condition…
Reducing Your Risk of Exposure



Personal protective equipment (PPE) – gloves,
protective eyewear, masks
Engineering controls
Work practice controls
Personal Protective Equipment




Gloves – any time contact with blood or body fluids
may occur. Cleaning procedures.
Protective eyewear – goggles or face shield if
there is a potential for blood splashing into eyes
Masks – if there is a chance of blood splashing into
mouth
Protective clothing – lab coat, smock, shoe covers
for large spill response
Engineering Controls




Devices that reduce employee risk by isolating or
removing the hazard
Sharps containers
Safety needles
Biohazard bags (red bags)
Work Practice Controls
You are responsible!





Hand washing
Proper disposal of bloodborne waste
Proper handling and disposal of sharps
Getting HBV vaccine
Wearing appropriate PPE
Hand Washing




After touching or handling potentially infectious
material
After removing gloves
After using the restroom
Before eating, smoking, applying cosmetics or
handling contact lens

Hand washing- Single most important means of preventing
the spread of infection
(Lather 15 sec.)
* Waterless hand cleaner-only if no soap and water available!
Spill Response and Cleanup





If blood or OPIM are present prevent exposure to
others
Wear appropriate PPE
Spray area with disinfectant to saturate
Absorb spill with absorbent powder or paper
towels
Dispose into trash bag or red bag for large spills
Biohazard Waste Disposal



Small quantities can be disposed into
normal waste stream
Large amounts must be disposed of as
biohazardous waste
Sharps must be disposed of into sharps containers.
If one is not available tongs and plastic bottle.
What To Do In The Event Of An Exposure




Wash area immediately with soap and water
Splash to mucous membranes rinse or flush with
water for 15 minutes
Call Company Nurse or designated medical
provider immediately
HBV vaccine can be provided within 24 hours after
an exposure
Questions?