Transcript Proper Cleaning Procedures - Clovis Unified School District

Bloodborne Pathogens
Training
CUSD BP/AR 6314
Fall 2014
Sponsored by the Alliance of Schools for
Cooperative Insurance Programs (ASCIP)
Begin the Training
Course Welcome

Some slides may have audio narration
and others may have embedded video
clips

Press an arrow button to advance or
go back a slide
Course Welcome

ASCIP, in collaboration with CUSD’s
Nursing Services, developed this elearning course specifically for
Clovis USD

You are responsible for reading and
understanding information in this
module
Course Overview

Introduction

Bloodborne Pathogens

Definitions

Transmission & Workplace Safety

Exposure Response, Prevention & Control
◦ Exposure Control Plan
Course Overview

Methods of Compliance
o Engineering Controls
o Reducing Your Risk
Personal Protective Equipment
Housekeeping
Glove Removal
Blood or Other Potentially Infectious Materials (OPIM)
Gets on My Skin
 First Aid
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Course Overview

Communication of Hazards to Employees
oWarning & Signs
oBiohazardous Waste
oContaminated Laundry

Hepatitis B Vaccine Series

Post Exposure Follow-Up

Training
Introduction

Cal/OSHA Title 8 CCR, Section 5193 requires an
employer to educate employees and implement
practices to minimize or prevent exposure to
bloodborne pathogens
Introduction
BBP Standards

OSHA estimates approximately 8 million
healthcare workers and related industries
have exposure to BBP

The standard applies to all occupational
exposure to blood or other potentially
infectious materials (OPIM)
What is an Occupational
Exposure?

Any employee who could reasonably anticipate
coming into contact with blood or other
potentially infected materials while performing
assigned job duties
Definitions
Definitions

Bloodborne Pathogens
◦ Is defined as pathogenic microorganisms that are
present in human blood and can cause disease in
humans. These pathogens include, but are not
limited to, Hepatitis B, Hepatitis C, and Human
Immunodeficiency Virus.

Blood ~ means human blood, human blood
components, and products made from human
blood
Definitions Continued

Other Potentially Infectious Material (OPIM) ~
means the following fluids: semen, vaginal
secretions, saliva in dental procedures, any other
body fluid that is visibly contaminated with blood
such as saliva or vomit, and all body fluids in
situations where it is difficult or impossible to
differentiate between body fluids such as
emergency response
Or
Definitions Continued

Contaminated ~ means the presence or the
reasonably anticipated presence of blood or
OPIM on a surface/item

Contaminated Laundry ~ means laundry
which has been soiled with blood or OPIM or
may contain SHARPS
Definitions Continued

SHARPS ~ any object that can be reasonably
anticipated to penetrate the skin or any other part
of the body, and to result in a exposure incident
{needle devices, scalpels, lancets, broken glass, etc.}

Engineering Controls ~ means of controls to
isolate or remove the bloodborne pathogens
hazards from the workplace. Example - SHARPS
disposal containers.
Definitions Continued

Exposure Incident ~ A specific eye, mouth, or
other mucous membrane, non-intact skin, or
parenteral contact with blood or OPIM that
results from the performance of an employee’s
job duties

HBV ~ Hepatitis B can cause inflammation of the
liver (jaundice, fatigue, etc.)

HCV ~ Hepatitis C is similar to HBV but there is
no current vaccine

HIV ~ Human Immunodeficiency Virus
Exposure Incidents
Definitions Continued

Personal Protective Equipment ~ specialized
clothing or equipment worn or used by an
employee for protection against a hazard
(uniforms, pants, shirts, shoes, gloves, goggles,
etc.)

Universal Precautions ~ an approach to infection
control
◦ Treat all human blood & OPIM as if known to
be infectious for HBV, HCV, HIV
Exposure Incidents
Always Follow
Universal Precautions
Definitions Continued

Regulated Waste ~ waste that contains
oLiquid or semi-liquid blood or OPIM
oContaminated SHARPS
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Work Practice Controls ~ controls that reduce
the likelihood of exposure by defining the manner
in which a task is performed (no recapping of
needles, always wearing PPE, attend required
training, etc.)
Transmission & Workplace
Safety
Transmission & Workplace
Safety

On the job transmission to HBV, HCV, &
HIV occur the same way. You can be
exposed to contaminated blood if:
oContaminated blood or OPIM containing
visible blood contacts any break in your skin
(cuts, nicks, abrasions, etc.), or
oContaminated fluids come in contact with the
mucus membranes of your nose, eyes, or
mouth, or
Transmission & Workplace
Safety
o You are cut with a
sharp object that’s
contaminated with
these fluids, or
o You touch a
contaminated surface,
then touch your
mucous membranes or
broken skin
Hepatitis B (HBV)
A virus that infects the liver
HBV can survive outside the body at room
temperature for over 7 days
 HBV is more easily spread than HIV
 90% of adults contracting the disease recover
fully and develop immunity
 Up to 10% of adults contracting the disease
become carriers



6% - 30% SHARPS infection rate of unvaccinated person
 CDC, 2009
Hepatitis C (HCV)
One of the most
common causes of
chronic liver; disease,
cirrhosis and cancer
 Estimated 17,000 new
infections annually
 1.8% infection rate by
SHARPS

http://www.cdc.gov/hepatitis/hcv/pdfs/hepcgeneralfactsheet.pdf
Transmission of HIV

HIV is spread when infected blood, semen,
vaginal fluid, or breast milk gets into
bloodstream of another person
oSexual contact
oSharing needles
oBreastfeeding
oWorkplace exposure to blood and/or OPIM
Transmission of HIV



The average risk for HIV infection after a SHARPS
exposure to HlV-infected blood is 0.3% (about 1 in
300)
◦ Stated another way, 99.7% of needle stick/cut
exposures to HIV-contaminated blood do not
lead to infection
The risk after exposure of the eye, nose, or mouth
(splash) is estimated to be, on average, 0.1% (1 in
1,000)
There have been no documented cases of HIV
transmission due to an exposure involving a small
amount of blood on intact skin for a short period of
time
Exposure Response,
Prevention & Control
Exposure Determination

An employer with employees having an
occupational exposure to BBP must
prepare an exposure determination
oList of all job classifications in which
All employees have occupational exposure
Some employees have occupational exposures
A list of exposure tasks and procedures
Job Classification - Category 1
Job Classification
Task Procedures
Nursing Services Staff, Health Services
Assistants, and Children’s Health Services Staff.
Performance of health care duties as defined in
job descriptions.
Student Services Assistants I, Regional Learning
Center Staff; Police Officers, and Campus
Monitors.
Providing first aid for cuts or lacerations.
Special Education Teachers, Special Education
Aides, Special Education Instructional Aides;
Infant and Childcare Teachers, Infant and
Childcare Aides, Childcare/Daycare Staff;
Occupational Therapists, Kindergartner
Teachers, and First Grade Teachers.
Specialized health care procedures; feeding
students; responding to accidents or injuries to
students with blood spills or blood flow;
interaction which results in student spitting at,
biting or bleeding on an employee; toileting or
diaper changing students where blood may be
mixed with other bodily fluids; clean up of
blood, salvia or vomit.
Specialized District Program Staff:
Campus Catering.
Occupational exposure with Sharps.
Job Classification - Category 1
Job Classification
Task Procedures
Specialized Health/Allied Health Educational
Programs Instructors, Staff and in some
cases Students:
CUSD ROP: Courses in Health Pathways.
CUSD Adult Education: Health Careers (LVN,
Certified Nurse Assistant), Older Adult
Program, Career Technical Programs.
Occupational exposure with Sharps;
performance of health care duties as defined
in the educational programs.
Plumbers, Custodial, Grounds, Maintenance
Staff, and Bus Drivers.
Clean up of blood, saliva or vomit, or
handling tools or equipment that may be
contaminated with blood, saliva or vomit.
Athletic Trainers, Coaches, Lifeguards,
Playground Supervisors, and Disaster First
Aid Response Staff.
Responding to accidents or injuries to
students with blood spills or with blood flow;
or interaction with students which results in
student spitting, biting or bleeding.
Job Classification - Category 2
Job Classification
Task Procedures
All Instructional staff not specified
in Job Classification #1 above,
Campus Club Staff, School Office
Managers, School Administrators,
Secretaries, Business Support
Employees, and Psychologists.
Providing first aid for cuts or
lacerations.
ECP ~ Potential Hazards Of
Your Job

Coming into contact with a cut, abrasion, etc.

Possible contact with contaminated clothing
or first aid material

Cleaning up blood or OPIM

Contaminated needles, condoms, etc.
SHARPS & Needlestick Injuries
Methods of Compliance
Engineering & Work Practice
Controls
Personal Protective
Equipment
PPE’s should be worn in many task you
perform
 When cleaning and disposing of trash
you should wear latex gloves
 Other types of PPE ~ aprons, face
shields, eyewear, shoes, masks
 Always make sure your PPE fits and is
not damaged

Proper Gloving Procedures
Proper Hand-Washing
Procedures
ECP ~ Procedures to Follow if
You Are Exposed
Communication of Hazards
to Employees
Warnings & Signs
Red Bag – Hazardous
Materials

All gloves must be disposed
of in a biohazard bag

All masks must be disposed if
in a biohazard bag

Bags are red in color and
OSHA approved
o All biohazards bags must be
sealed and disposed of properly
Regulated Medical Waste

Sharps containers and
red bags are provided
for the collection of
regulated medical waste

Never use your hand or
foot to push down
biohazard waste
materials
Contaminated Laundry

Contaminated laundry shall be handled as little
as possible with a minimum of agitation

Contaminated laundry shall be bagged or
containerized at the location where it was used
and shall not be sorted or rinsed in the location
of use

Contaminated laundry shall be placed and
transported in bags or containers labeled or
color-coded
Cleaning Up Spills of
Bloodborne Pathogens
O The job of cleaning up a spill should be
limited only to those persons who are
properly trained
O If an untrained person encounters blood,
they should limit access and find someone
to help who is trained
Cleaning Up Spills of
Bloodborne Pathogens
O The following clean up procedures are
general guidelines
O When cleaning up spills of BBP be sure to
follow Clovis USD specific procedures
PPE
O ALWAYS wear gloves and other PPE as
needed
O Mask and/or face shield
O Disposable apron or other body covering
O Shoe covers
O If you’re using a commercial blood spill kit
use PPE as required in the kit’s instructions
Surface Disinfectants
O Clean contaminated
areas with
O 10% household bleach and
water; or
O EPA registered germicide
Proper Cleaning Supplies
O Disinfectant solution
O Spill bucket lined with a biohazard bag
O Absorbent material such as D-Earth, kitty litter,
absorbent pads or paper towels
O Appropriate PPE
Proper Cleaning Supplies
O Disposable dust pan, broom,
brush or tongs
O If a spill involved broken
glassware, always use
mechanical means such as
tongs or brush and a dustpan
O Broken glassware or other
SHARPs must be disposed of
in a rigid, puncture resistant
and leak proof container
Proper Cleaning Procedures
O Isolate the area
O Do not allow unauthorized
persons to enter until the
spill has been cleaned up
O Prepare disinfectant solution
O Line spill bucket with a
biohazard bag
O Cover the spill with absorbent
material
Proper Cleaning Procedures
O All surfaces to be cleaned must first be
cleared of all visible soil and blood before a
disinfectant is applied
O Carefully remove visible blood with
disposable towels by gently placing them
over the spill to absorb it
O If the blood spill has dried, soak the area, or
scrub the area with disposable towels and
disinfectant as needed
Proper Cleaning Procedures
O Place the towels in a bio-hazard bag
O After cleaning up visible blood and soil, the
area should be decontaminated a second
time with an appropriate disinfectant used
according to the manufacturer’s directions
O If using 1:10 household bleach solution
allow disinfectant to soak area for 20
minutes
Proper Cleaning Procedures
O All clean up materials, including PPE, should
properly disposed of
O Remove gloves inside out and also place
them in the disposal bag
O Wash your hands
O Contact your supervisor for proper disposal
procedures
Hepatitis B Vaccine Series
Hepatitis B Vaccine Series
1. No cost to the employee
 Employees in job category 1 & 2
2. Done by a physician
3. Conducted per the recommendations
of the US Public Health Service
4. Done by an accredited laboratory
5. If employee declines HBV series, there
must be a declination signed on file
Hepatitis B Vaccine Series
The vaccine is given in a
three dose series
 The vaccine is generally
well tolerated
 Prior to starting the series

◦ Contact your personal
medical provider
Post Exposure Procedures
CUSD Work Comp Reporting
Procedures

If you have been contaminated by blood or OPIM
wash off the exposed area

Immediately report the incident or exposure to
your supervisor

Your supervisor will assist you in receiving medical
treatment if necessary

Inform the physician of your BBP exposure
CUSD Work Comp Reporting
Procedures

The doctor will work with you to determine
which post exposure evaluation and care is
right for you

Notify your supervisor of your work status

Complete all required forms
Training Requirements
Training Requirements
Time of initial job assignment
 Annually

◦ Job Classifications
 Categories 1 & 2

Biennial
◦ All other Job Classifications

Changes to job or introduction to
administrative or work practices
CUSD Specific Items:
Job Category 1 & 2
You Submit 1 Item

Hep B Vaccine Routing Form
◦ Complete this form if you wish to begin the
vaccine series

Hep B Vaccination Series Verification
◦ Complete this form if you are already
vaccinated
 Must have completed three dose series

Hep B Vaccine Declination
◦ Complete this form if you have not received
the series and do not want to begin the series
Enroll in Hep B Series
You’ve Already Had the Series
You Don’t Want the Series
CUSD Specific Items:
Job Category 1 & 2
You Must Return 1 Item

If you decline the Hep B Vaccine series
but elect to begin the series in the future
◦ Contact the Benefits Office
◦ Remember, you must be in Job Category 1 or
2

Renewing employees must complete and
submit one of the three Hep B Vaccine
forms
CUSD Specific Items: All
Employees
Be sure you have read CUSD’s written
plan
 Review all appendices
 Complete and return EE
Acknowledgement of Training form

CUSD Specific Items: BBP
Contacts

Program Administrator
◦ Michael Clear, Assistant Superintendent,
Business Services

Program Manager
◦ Jeanne Prandini, Director of Nursing
Services

Job Safety Officer
◦ Shareen Crosby, Benefits
Return Paperwork
Hep
B form (only one)
Quiz Time
Thank You