Transcript bloodborne pathogens

BLOODBORNE
PATHOGENS’ TRAINING
WELCOME
 This training is intended for Jenks Public School employees
who have been identified as having a “reasonably
anticipated risk of coming in contact with blood or other
potentially infectious materials.” It will provide a basic
understanding of bloodborne pathogens (BBP),
transmission of BBP, methods of preventing exposure and
steps to take if you have an exposure.
 If you have any questions regarding any portion of the
following materials, please call Linda Parkhurst, RN at Ext.
2263. We will discuss your questions and schedule an
appointment to meet if needed.
BLOODBORNE PATHOGEN STANDARD
 OSHA (Occupational Safety and Hazard
Administration) published the Occupational Exposure
to Bloodborne Pathogens Standard on December 6,
1991.
 In January of 2001, OSHA issued a revised standard
which addressed the implementation of safer needle
devices.
 The BBP standard is located in Title 29 of the Code of
Federal Regulations (29cfr), Part 1919.1030.
 Click here to view OSHA’s BBP Standard.
JPS EXPOSURE CONTROL PLAN
 The Jenks Public Schools Exposure Control Plan is contained in
the district’s Employee Safety Plan
 The JPS Exposure Control Plan can be found:









Online at the District website
Nurse’s Office each site
Transportation
Warehouse
Student Services’ Office
Athletic Director’s Office
Board of Education Clerk’s Office
Human Resources’ Office
District Safety, Training and Compliance Office
 Click here to view the JPS Exposure Control Plan
 The Exposure Control Plan will identify “at risk” employees
BLOODBORNE DISEASES
 Bloodborne pathogens are microorganisms present in
blood and capable of causing diseases in humans.
 The most common of these diseases are:
 Human Immunodeficiency Virus (HIV)
 Hepatitis B (HBV)
 Hepatitis C(HCV)
BLOODBORNE PATHOGEN FLUIDS
 Bloodborne pathogens may be found in the following
body fluids:
 Blood
 Pericardial fluid
 Semen
 Peritoneal fluid
 Vaginal secretions
 Amniotic fluid
 Cerebrospinal fluid
 Saliva
 Synovial fluid
 Pleural fluid
Human Immunodeficiency Virus (HIV)
 HIV attacks the body’s immune system and causes




Acquired Immune Deficiency Syndrome (AIDS)
Thus far, AIDS eventually leads to death
No cure, no vaccine
HIV easily killed outside body, does not live in dried
body fluids
Transmitted from infected person through sharing of
blood, semen, vaginal secretions; during pregnancy,
childbirth or through breastfeeding.
HEPATITIS B (HBV)
 Causes inflammation of the liver
 Transmitted from infected person to others through
sharing of blood, semen, vaginal secretions or saliva.
The saliva must get into the other person’s blood or
mucous membrane
 Symptoms include nausea, vomiting, fatigue, jaundice
and abdominal pain.
 Infection may lead to chronic liver disease, liver cancer
or death
HBV (cont)
 HBV can survive for at least a week in dried blood or
other potentially infectious body fluids
 There is a vaccine available to prevent HBV
 The vaccine is a series of 3 injections given over a six
month period of time.
HEPATITIS C (HCV)
 Causes inflammation of the liver
 Most common means of transmission is through the
sharing of needles to inject drugs (blood transmission)
 Symptoms include nausea, vomiting, fatigue, jaundice
and abdominal pain
 Infection may be acute (short term) or chronic leading
to serious illness and/or death.
 No vaccine available
WORKPLACE TRANSMISSION
 Contact with another person’s blood (or body fluid
containing blood) that enters:
 An open cut, abrasion or other non intact skin
 Mucous membrane of the eyes, nose or mouth
 Skin through “stick” with contaminated sharps/needles
 Human bites that break the skin
RISK REDUCTION
 Standard (Universal) Precautions
 Personal Protective Equipment (PPE)
 Engineering controls
 Good Housekeeping
 Hepatitis B Vaccine
STANDARD (UNIVERSAL) PRECAUTIONS
 Must treat every person and all body fluids as though
they are infected with a bloodborne pathogen
 DO NOT put yourself in contact with anyone else’s
body fluids
 Cannot tell by looking if individual is infected with a
bloodborne pathogen.
 Person may be a carrier of a disease and have no signs
or symptoms.
PERSONAL HYGIENE
 Do not eat, drink, smoke, apply cosmetics or handle
contact lenses where you may potentially be exposed
to infectious materials
 Do not store food or drinks where blood or other
infectious materials may be present.
PERSONAL PROTECTIVE EQUIPMENT
 Personal protective equipment (PPE) protects you
from contact with potentially infectious materials and
includes:
 Masks/Eye Protection – always use when performing
procedures likely to generate splashes of blood or other
bodily fluids
 Gowns/aprons – use for procedures likely to generate
splashes of blood or other bodily fluids
 Gloves – always use if likely to come in contact with
blood or other bodily fluids or mucous membranes
GLOVES
 Most widely used form of personal protective equipment
 Must wear gloves when there is a reasonably anticipated
risk of exposure to blood or other potentially infectious
materials
 Vinyl, Nitrile or any other NON LATEX
 NO LATEX gloves used in JPS district due to possible
severe allergic reactions
 Gloves are all single use and disposable unless heavy duty
and cleanable (for custodial use)
GLOVE REMOVAL
 Grasp outside of first glove near wrist being careful not





to touch skin
Peel glove away from hand turning glove inside out
and hold in gloved hand
Slide ungloved finger under wrist of remaining glove
being careful not to touch outside of glove
Peel off from inside tucking the first glove inside the
second
Discard in proper receptacle
Wash hands thoroughly with soap and water
GLOVE REMOVAL
HANDWASHING
 Most important work practice in prevention of disease





transmission
Wash immediately after removing gloves, after toileting
and before eating. Use soap and running water. If soap
and water is not available, an antiseptic hand cleaner or
antiseptic towelettes may be used until soap and water is
available
Wash hands for at least 20 seconds
Rub hands together and scrub between fingers, knuckles,
backs of hands and under fingernails
Rinse soap from hands and dry with paper towel
Use paper towel to turn water off
ENGINEERING CONTROLS
 Engineering controls are the primary means of
minimizing or eliminating employees exposure to BBP
and include the use of safer medical devices. In the
school setting these include:
 Safety needles
 Sharps disposal containers
 Biohazardous waste bags for
items soaked or dripping
with blood
HOUSEKEEPING
 All equipment and environmental working surfaces
must be cleaned with an appropriate disinfectant as
soon as possible after contact with blood or other
potentially infectious material. During the day contact
the building custodian. All evening cleaning will be
done by the contracted cleaning service.
 Contaminated sharps must be placed in a color coded,
leak proof, puncture resistant container. These
containers should never be allowed to overfill.
 Never pick up glass or sharp objects with bare hands.
Use a broom and dust pan.
SIGNS AND LABELS
 Labels must include the universal biohazard symbol
and the term “Biohazard” must be attached to:
 Sharps containers
 Biohazardous waste containers
 Refrigerators containing blood or OPIM
HEPATITIS B VACCINE
 JPS employees whose job description gives them the
potential of exposure to HBV or other BBP will be
offered the Hep B vaccine at no cost.
 The vaccine series consists of three injections given
over a six month period of time.
 Identified employees who do not wish to receive the
vaccine must sign a declination.
EXPOSURE INCIDENTS
 An exposure incident consists of direct and





unprotected contact with blood or other potentially
infectious materials. This means the blood or OPIM
comes in direct contact with a cut or other non-intact
skin or the mucous membranes of the eyes, nose or
mouth.
Wash the area immediately with soap and water
If the exposure involves a mucous membrane, flush for
15 minutes with running water
Report exposure to your supervisor immediately
Report exposure to your site nurse immediately
You will be provided a confidential medical evaluation
RECORDKEEPING
 Medical records include:
 Hepatitis B vaccination status
 Exposure incident documentation
Training records include:
Training dates
Content of the training
Signature of the trainer and trainee
RECORDKEEPING (cont.)
 Training records must be maintained for three years
and must include dates, contents of the training
program, trainer’s names and qualifications and the
names and job titles of all persons attending the
training.
 Medical records for employees with occupational
exposure must be kept for the durations of
employment plus 30 years.