Transcript Communicable Disease Training - Beech Acres Parenting Center

Communicable Disease
Policies and Procedures
Online Training
Version
4.2
Click here to begin
GREETINGS!
I’m Ned the Narrator.
Thanks for choosing the online
learning format for
Communicable Disease Control
at Beech Acres.
I’ll lead you through this learning
experience.
Click on the guide arrows
to advance or back up.
2
Throughout this session, you can
control your progress by clicking
on the buttons at the bottom of
the screen.
If your cursor disappears at
anytime, just roll the mouse
around till the cursor re-appears.
3
Goal of this presentation
Hmmmm…
Why would
someone need
to take this
training?
To provide a refresher training
about
Communicable Disease…
For all Beech Acres staff members
as per our policy which is :
“To ensure the health and safety of
its staff and clients and of those
persons with whom its staff and
clients have contact either at its
facilities or in its foster homes.”
4
A.
You can expect to
learn about…
B.
C.
D.
E.
5
Communicable Disease and
how it is transmitted
Universal Precautions
Facts regarding HIV,
Hepatitis and TB
Guidelines for Handling
Bodily Fluids and Medical
Records management and policy
for treatment planning at Beech
Acres.
Beech Acres policy regarding
Confidentiality, Disclosure of
information
Communicable Disease
HIV, Hepatitis and TB
The training will
be organized like
this…
Universal Precautions
Guidelines for Handling
Bodily Fluids, and
treatment planning
Confidentiality, Disclosure
of information
6
The blocks help you know
where you are…
For example…when you
are learning about HIV, TB
and Hepatitis… the blocks
look like this…
Check it out!
7
HIV, TB
Hepatitis
After each of these sections,
there will be a chance for you
to review your learning.
Choosing the correct response
will advance you to the next
section.
When you complete all the
sections, you will receive
credit for this mandatory
training.
8
Communicable
Disease
HIV, TB
Hepatitis
Universal
Precautions
Handling Body
Fluids
Confidentiality
One more thing…
Before you begin,
there are two more people you need to
meet…
May I introduce…
Richard, the Beech
Acres Privacy Officer
And…
Lenny the Lab Guy
9
Communicable
Disease
HIV, TB
Hepatitis
Universal
Precautions
Handling Body
Fluids
Confidentiality
Greetings!
I’m Richard, your
Beech Acres Privacy
Officer.
My job here at Beech Acres, is to insure
that the utmost care is given to protect the
confidentiality of all records, files, and
other information regarding the health
status of clients, staff members,
volunteers, and foster parents.
10
A very important part of my job is to…
Make sure that everyone at
Beech Acres is informed about
Communicable Disease and knows
what to do to protect themselves and
their clients.
11
I’ll be talking with you later about
some very important Beech Acres
policies and procedures.
Now, let me introduce a good friend to
help with the education part!
12
It’s great to meet you!
I am Lenny the Lab Guy… and
your EXPERT about communicable
diseases.
I know some folks find viruses and body
fluids really YUCKY… and sometimes
confusing.
Maybe I’m weird… but I am really into
learning about viruses and how they can be
transmitted from one person to another.
I’m here to help you will feel more
comfortable talking about
Communicable Diseases.
13
After Ned explains just what is a
communicable disease, I will lead
you through your learning about…
•The latest information about
HIV, Hepatitis and TB
•Universal Precautions
14
Communicable
Disease
Are you ready?
Let’s begin with an
exploration of
Communicable Diseases…
15
Communicable
Disease
What is a
Communicable
Disease?
16
A Communicable
Disease is a disease that
can be transmitted by
infectious bacteria or viral
organisms from one
person to another.
In other words, if someone
has a Communicable
Disease… you could catch
it by hanging out with them
unless you are careful…
17
Communicable
Disease
Other diseases
include…diphtheria,
scarlet fever, measles,
mumps, whooping
cough, and smallpox.
Most diseases are
spread through
contact or close
proximity because
the bacteria or
viruses are
airborne.
Examples are
influenza (“the flu”)…
and a recently
discovered disease…
SARS (Severe Acute
Respiratory
Syndrome)
18
Communicable
Disease
Communicable
Disease
Some bacteria require
specific circumstances
for their transmission…
19
Communicable
Disease
Here are
some
examples…
Tuberculosis may be
transmitted in several ways…
in the exchange of body fluids,
through food or eating utensils,
and by the air…
Syphilis and Gonorrhea
require sexual contact…
Hepatitis and Malaria are
passed through through
blood…
20
In the case of HIV…
(Human Immunodeficiency Virus),
A number of different circumstances
will transmit the disease but…
Each requires the introduction of a
contaminant into the bloodstream.
Your blood
must be
contaminated to
get it…
21
Communicable
Disease
The bottom line is, control
of Communicable Disease
depends upon…
1. Understanding how each
disease is transmitted
2. Each person using
Universal Precautions
every day
22
Communicable
Disease
Communicable
Disease
If you want to get
statistics on the incidence
of Communicable
Diseases here in our
area… Follow this Link
Communicable
Diseases in Ohio
23
Let’s Review…
Let’s review what
you’ve learned
about
Communicable
Diseases!
24
Communicable
Disease
Communicable
Disease
A communicable disease is…
A disease that can be transmitted by
means of using eating utensils.
A disease that can be transmitted by
means of exchanging body fluids.
A disease that can be transmitted by
contaminated blood.
All of the above.
25
Click on the
correct answer
Communicable
Disease
True, communicable diseases can
be spread this way, so let’s
remember not to share eating
utensils. There is a more
complete answer, so please try
again!
26
Communicable
Disease
True, a communicable disease can be
contracted by exchanging body
fluids, but also there are other ways
you can contract these diseases.
27
Communicable
Disease
Very good! Communicable Diseases
are transmitted by means of
contaminated blood, but let’s give this
question some more thought.
28
Communicable
Disease
Great Job!
Continue on…
29
Please choose the BEST answer…
How can you avoid getting a Communicable
Disease?
A. By understanding how each disease is
transmitted…
B. By using Universal Precautions
C. By NEVER having any human contact
Both A&B
30
Communicable
Disease
Almost right… but not quite…
Unfortunately… simply knowing
about how each disease is not
enough…
You need to DO something each
day to reduce your risk in
becoming infected.
Try Again!
31
Communicable
Disease
Soooo close…
Using Universal Precautions will
dramatically reduce your risk in
contracting a Communicable
disease…
BUT~ you can’t do Universal
Precautions until you are educated
about the transmission…
Try Again!
32
Communicable
Disease
Come on now…
Social Isolation will certainly
reduce the risk… but you know
you LOVE working with
others!!!!
Try Again!
33
Communicable
Disease
Great Job!
It is important that you
understand HOW each
Communicable Disease is
transmitted… AND practice
Universal Precautions every
day…
34
Communicable
Disease
Next, we’ll focus on three
specific Communicable
Diseases which have
particular relevance to
Beech Acres.
Let’s check in with
Lenny the Lab Guy…
35
HIV, TB
Hepatitis
Hello
again…
I will give you the latest
information about HIV,
Hepatitis and TB, and explain
Universal Precautions.
Then…
Richard the Privacy officer
can give you the Guidelines on
Handling Bodily Fluids here at
Beech Acres…
36
HIV, TB
Hepatitis
According to the CDC, blood
and certain body fluids are
considered potentially
infectious for HIV, HBV
(hepatitis) and other blood
borne pathogens.
LATER… I’ll explain how, by
following Universal
Precautions, you reduce the
risk of exposure.
37
HIV, TB
Hepatitis
HIV, TB
Hepatitis
Medical Terms can be
really complicated… and
make me feel
Topsy Turvy…
So here is how the
National Institute of
Health defines HIV…
38
Human
Immunodeficiency
Virus
(HIV)
HIV is the retrovirus isolated and recognized as the
agent causing or contributing to the cause of AIDS.
The genetic material of a retrovirus such as HIV is the
RNA itself. HIV inserts its own RNA into the host
cell’s DNA, preventing the host cell from carrying
out its natural functions and turning it into an HIV
factory.
39
HIV, TB
Hepatitis
ACQUIRED
IMMUNODEFICIENCY
SYNDROME
(AIDS)
The most severe manifestation of infection with HIV.
The Centers for Disease Control and Prevention (CDC)
lists numerous infections and cancers that, in the
presence of HIV infection, constitute an AIDS
diagnosis.
40
HIV, TB
Hepatitis
HIV and AIDS
AIDS was first reported in the United States in 1981 and
has since become a major worldwide epidemic. AIDS
is caused by the human immunodeficiency virus (HIV).
By killing or damaging cells of the body's immune
system, HIV progressively destroys the body's ability
to fight infections and certain cancers.
People diagnosed with AIDS may get life-threatening
diseases or infections, which are caused by viruses or
bacteria that usually do not make healthy people sick.
41
HIV, TB
Hepatitis
• More than 816,149 cases of AIDS have
been reported in the United States
since 1981.
Here are
some
interesting
facts. Don’t
worry
though, they
won’t be on
the quiz!
• As many as 950,000 Americans may be
infected with HIV, one-quarter of whom
are unaware of their infection.
• The epidemic is growing most rapidly
among minority populations and is a
leading killer of African-American males
ages 25 to 44.
• According to the U.S. Centers for
Disease Control and Prevention (CDC),
AIDS affects nearly seven times more
African Americans and three times
more Hispanics than whites.
42
HIV, TB
Hepatitis
How is
HIV
spread?
43
 HIV is spread most commonly by having
unprotected sex with an infected partner.
The virus can enter the body through the
lining of the vagina, vulva, penis, rectum,
or mouth during sex.
 HIV also is spread through contact with
infected blood. Before donated blood was
screened for evidence of HIV infection and
before heat-treating techniques to destroy
HIV in blood products were introduced,
HIV was transmitted through transfusions
of contaminated blood or blood
components. Today, because of blood
screening and heat treatment, the risk of
getting HIV from such transfusions is
extremely small.
HIV, TB
Hepatitis
 HIV frequently is spread among injection
drug users by the sharing of needles or
syringes contaminated with very small
quantities of blood from someone infected
with the virus. It is rare, however, for a
patient to give HIV to a health care worker
or vice-versa by accidental sticks with
contaminated needles or other medical
instruments.
 Women can transmit HIV to their babies
during pregnancy or birth. Approximately
one-quarter to one-third of all untreated
pregnant women infected with HIV will
pass the infection to their babies. HIV also
can be spread to babies through the breast
milk of mothers infected with the virus.
44
HIV, TB
Hepatitis
What are
the
symptoms
?
45
 Many people do not have any symptoms
when they first become infected with
HIV. Some people, however, have a flulike illness within a month or two after
exposure to the virus. This illness may
include fever, headache, tiredness and
enlarged lymph nodes.
 These symptoms usually disappear
within a week to a month and are often
mistaken for those of another viral
infection. During this period, people are
very infectious, and HIV is present in
large quantities in genital fluids.
HIV, TB
Hepatitis
 More persistent or severe symptoms may
not appear for 10 years or more after HIV
first enters the body in adults, or within two
years in children born with HIV infection.
 Even during the period where there are no
symptoms, the virus is actively multiplying,
infecting, and killing cells of the immune
system.
 The most obvious effect of HIV infection is
a decline in the number of called T4 cells
found in the blood -- the immune system's
key infection fighters. At the beginning of
its life in the human body, the virus
disables or destroys these cells without
causing symptoms.
46
HIV, TB
Hepatitis
Allow me
to
illustrate…
47
HIV travels through the bloodstream.
The immune system, which helps the body fight off illness,
sends killer T-cells to seek and destroy infected cells.
This defense is coordinated by these -- the helper T-cells.
HIV’s strategy is to attack these T cells, crippling the body's
defenses.
HIV has proteins called CD4 on its surface. These proteins fit
into receptors on the surface of helper T-cells. Here, the
AIDS virus is attaching to a CD4 receptor on a helper T-cell.
The virus's genetic information -- called RNA -- is transcribed
into a form that is identical to the cell's genetic information -called DNA. The virus, now in the form of DNA, hides out
inside the nucleus of the cell, escaping from the body's
defenses.
After a while, HIV comes out of hiding and begins to
reproduce.
The DNA is transcribed into many copies of RNA, which
produce proteins for the new viruses.
The proteins are cut into usable pieces and packaged with the
RNA.
The new viruses then bud from the cell. Each new virus may
then go on to infect and destroy other T cells, weakening the
immune system's defense.
Here, an infected T-cell is budding new viruses.
After a lot of T cells are destroyed, the person is said to
have AIDS. At this point a person will probably develop one
or more opportunistic infections. This illustrates
opportunistic infections in the bloodstream of a person with
AIDS.
Source: www.msichicago.org
 Because early HIV infection often
causes no symptoms, a doctor or other
health care provider usually can
diagnose it by testing a person's blood
for the presence of antibodies (diseasefighting proteins) to HIV.
 HIV antibodies generally do not reach
detectable levels in the blood for one to
three months following infection. It may
take the antibodies as long as six
months to be produced in quantities
large enough to show up in standard
blood tests.
58
HIV, TB
Hepatitis
How about
treatment?
59
 People exposed to the virus should
get an HIV test as soon as they are
likely to develop antibodies to the
virus - within 6 weeks to 12 months
after possible exposure to the virus.
 By getting tested early, people with
HIV infection can discuss with a
health care provider when they
should start treatment to help their
immune systems combat HIV and
help prevent the emergence of
certain infections.
 Early testing also alerts HIV-infected
people to avoid high-risk behaviors
that could spread the virus to others.
HIV, TB
Hepatitis
Want more
information
about HIV and
AIDS?
Try these sites.
 http://www.niaid.nih.gov/factsheets/hivinf.htm
 http://www.cdc.gov/hiv/pubs/facts.htm
 http://www.avoc.org/avocshell.html
60
HIV, TB
Hepatitis
Let’s Review…
HIV, TB
Hepatitis
Let’s review what
you’ve learned
about HIV and
AIDS!
61
How is HIV spread?
HIV can be spread through using dirty toilet
seats in public restrooms.
HIV is spread by having sex with an infected
partner.
HIV is most commonly spread through contact
with infected blood.
HIV can be spread by unprotected sex with an
infected partner, sharing contaminated needles,
contact with infected blood or through infected
mothers during pregnancy, birth or
breastfeeding.
62
HIV, TB
Hepatitis
No
chance!
HIV, TB
Hepatitis
Not
going to
happen!
Gross!
63
Yes, you can contract
HIV by having
unprotected sex with
an infected partner!
HIV, TB
Hepatitis
But, there is a
more complete
answer. Please
try again.
64
HIV can be spread through
contact with infected blood.
But, it’s not the most
common way. (The virus
most often enters the body
through unprotected sex.)
Sorry! Try again.
65
HIV, TB
Hepatitis
Right!
HIV, TB
Hepatitis
All of these
are ways HIV
can be spread.
66
Ok, now few
words about
Hepatitis…
 Hepatitis refers to
inflammation of the
Liver.
 There are three types of
hepatitis
67
HIV, TB
Hepatitis
Hepatitis A
 Spread through drinking water or
food that has been contaminated
with fecal matter
 Can survive up to 4 hours in fecal
matter at room temperature. on
any surface
 Can survive for 12 weeks to 10
months in water
68
HIV, TB
Hepatitis
Hepatitis B
 Most often spread through blood
or serum
 Can be passed through semen,
vaginal fluid or saliva
 May be spread through urine,
feces, sweat, tears or breast milk
69
HIV, TB
Hepatitis
Hepatitis C
 Spread through
contact with infected
blood or blood
products.
70
HIV, TB
Hepatitis
 A carrier is someone who
has had the virus in their
blood for more than six
months.
 Someone who is
chronically infected, has
not cleared the virus after
six months and has
elevated liver enzymes.
71
HIV, TB
Hepatitis
What are the
symptoms?
72
 Lasts 2 to 3 weeks
(complete recovery takes
about 9 weeks).
 Symptoms include: loss of
appetite, nausea and
vomiting, fever, exhaustion
lasting weeks/months,
abdominal pain, dark urine,
dark bowels, and jaundice.
 Hepatitis A and B have
high recovery rates, while
C has high chronic
infection rates.
HIV, TB
Hepatitis
Review
Hepatitis Symptoms include…
loss of appetite, nausea,
and vomiting, fever, and
exhaustion and could take
months for recovery.
True
False
73
True
Great Job, now
continue on!
74
HIV, TB
Hepatitis
Hmmm…
Let’s go over it
again.
75
HIV, TB
Hepatitis
Before we leave this
section, we need to
discuss TB…
• Tuberculosis (TB) is a
contagious disease.
• Like the common cold,
it spreads through the
air.
76
HIV, TB
Hepatitis
How is TB
spread?
HIV, TB
Hepatitis
77
 Only people who are sick with TB
in their lungs are infectious
 When infectious people cough,
sneeze, talk, sing or spit, they
propel TB germs, known as bacilli,
into the air.
 A person needs only to inhale a
small number of these to be
infected.
 Left untreated, each person with
active TB disease will infect on
average between 10 and 15 people
every year.
What if I’m
infected?
HIV, TB
Hepatitis
 People infected with TB bacilli will not
necessarily become sick with the disease.
 The immune system "walls off" the TB
bacilli which, protected by a thick waxy
coat, can lie dormant for years.
 Some people with TB infection never
develop TB disease. In others the
bacteria become active and cause TB
disease.
78
HIV, TB
Hepatitis
People with TB infection but not the
active disease:
• Have no symptoms
• Don’t feel sick
• Cannot spread TB to other people
• Usually have a positive skin test
• Can develop TB disease later in life if they
do not receive preventative therapy
79
What causes the
active disease?
HIV, TB
Hepatitis
 When someone's immune system is weakened, the
chances of becoming sick are greater.
 The bacteria that causes TB can become active if
your immune system can not stop them from
growing
 Some people develop TB disease soon after they are
exposed before their immune system can fight the
bacteria
 Other people become sick later when their immune
system becomes weak for some reason
80
Symptoms of TB disease
 A bad cough that lasts longer than 2
weeks
 Pain in the chest
 Coughing up blood or phlegm
 Weakness or fatigue
 Lack of appetite or weight loss
 Chills, fever or night sweats
81
HIV, TB
Hepatitis
Treatment for TB Disease
 If you have TB disease you
will need to take several
different medications
 Taking several drugs will
do a better job of killing all
the bacteria
82
HIV, TB
Hepatitis
The good news is, people with
TB infection but not the active
disease may never get the
active disease.
•Early screening is important for
those who may have been
exposed to the TB bacteria.
•Preventive medications can
minimize the chances of ever
getting the disease.
83
HIV, TB
Hepatitis
Early screening is readily
available.
 The test is an injection just under the
skin of the forearm
 It is read in 2 or 3 days
 A negative test means you probably do
not have the TB bacteria
 A positive test means you probably
have the TB bacteria and may need
treatment
 A positive test does not mean you have
TB disease
84
HIV, TB
Hepatitis
To minimize risk for
yourself and your clients,
 Use the universal precautions
discussed in this course.
 Participate in early and routine
screening programs. Be up-to-date on
your TB test.
 Those who have the active disease
should be isolated until treated.
 Anyone exposed to the TB bacteria
should see their health care
professional as soon as possible.
85
HIV, TB
Hepatitis
According to Beech
Acres policies,
Staff in our Partial Hospitalization, Every
Child Succeeds and Foster Care teams
who have direct contact with clients
will:
 Complete a medical history relating to
TB exposure,
 Be up-to-date on your TB test and
report any exposure or symptoms and
 Get treatment if test results are
positive.
86
HIV, TB
Hepatitis
Let’s Review…
HIV, TB
Hepatitis
Let’s review what
you’ve learned
about TB!
87
How do I contract the active TB
disease?
Inhale the air exhaled by someone who is
infected with TB bacteria.
Sing in the same choir with someone who is
infected with the TB bacteria.
Inhale bacteria that is not treated and later
activated due to a weakened immune system.
All of the above
88
HIV, TB
Hepatitis
True, inhaling the
bacteria may lead to
infection, but people
infected with TB bacilli
will not necessarily
become sick with the
disease.
HIV, TB
Hepatitis
But, there is a
more complete
answer. Please
try again.
89
Yes, the bacteria can be
spread by someone
singing, but people
infected with TB bacilli
will not necessarily
become sick with the
disease.
HIV, TB
Hepatitis
But, there is a
more complete
answer. Please
try again.
90
Right!
HIV, TB
Hepatitis
The active disease can
often be prevented even
if someone has been
exposed to the bacteria.
Preventive medications
and a strong and healthy
immune system are key.
91
There is some truth in each
answer, but one is better
than the others.
Is this a trick
question?
Of course not! Please try
again.
92
HIV, TB
Hepatitis
Lenny, after all this
focus on communicable
diseases, I’m really
worried.
Are my clients safe?
What should I do?
93
Universal
Precautions
It sounds like it’s time for
more education about what
YOU can do to protect
yourself and your clients…
Universal
Precautions
94
Universal
Precautions
What the heck are
UNIVERSAL
PRECAUTIONS?
95
Universal
Precautions
Universal Precautions
Are protective measures designed
to…
reduce the risk of exposure
of the worker's skin or mucous
membranes to potentially infective
materials.
96
Universal
Precautions
Universal Precautions Include
 Covering one’s mouth when coughing or
sneezing
 Vigorous hand washing with soap and
warm water before every meal and after
using the restroom
 NOT sharing food or eating utensils,
toothbrushes, razors, or other personal care
items which include towels and clothing
 Following the “Guidelines for handling
bodily fluids” that will follow…
97
Universal
Precautions
When you have to cough or
sneeze…
Universal
Precautions
 Cough or sneeze into a tissue and then
throw it away. Then, clean your hands,
and do so every time you cough or sneeze.
 Cough or sneeze into the sleeve of your
upper arm, and avoid passing the germs
directly to your hands
98
When you have to cough or
sneeze…
 When soap and water are not available,
alcohol-based disposable hand wipes or
gel sanitizers may be used. You can find
them in most supermarkets and drugstores.
If using a gel, rub the gel in your hands
until they are dry. The gel doesn't need
water to work; the alcohol in the gel kills
germs that cause colds and the flu.
99
Universal
Precautions
If you have a cold…
 Clean your hands often
 Avoid touching your eyes, nose or mouth
 Stay home when you are sick and check
with a health care provider when needed
100
Universal
Precautions
Universal
precautions, as
defined by the Center
for Disease Control
(CDC), include…
A set of precautions
designed to prevent
transmission of
disease or blood
borne pathogens
when providing first
aid or health care.
101
Universal
Precautions
Blood borne
Pathogens?
Do you mean that I
can get the virus if I
touch someone’s
blood?
102
Not
Exactly
Ned…
Universal
Precautions
According to
Universal
Precautions…
Blood and certain body
fluids of all people are
considered potentially
infectious for HIV,
hepatitis and other blood
borne pathogens.
103
Universal
Precautions
OK, now you have me
worried.
I work with kids, and was
spit on just the other day…
104
Universal
Precautions
Relax …
Universal
Precautions
Universal Precautions
do not apply to saliva
except when visibly
contaminated with
blood.
105
In addition…
Universal Precautions
do not apply to…
•Feces
•Urine
•Nasal secretions
•Sputum
•Sweat
•Tears
•Vomit
UNLESS they contain visible blood.
106
Universal
Precautions
Universal Precautions
do apply to…
 blood
 all other body fluids
containing visible
blood
 semen and vaginal
secretions
107
Universal
Precautions
If you worked in a
hospital…
you might be exposed to
other risky situations with
body tissues and the
following fluids:
cerebrospinal, synovial,
pleural, peritoneal,
pericardial, and amniotic
fluids.
108
Universal
Precautions
Why follow universal
precautions?
Universal
Precautions
It’s
Beech Acres
Policy…
For your
safety and the
safety of those
around you…
109
Universal Precautions
According to
Beech Acres
Policy…
110
for communicable disease
control MUST BE followed
by:
 Staff members
 Volunteers
 Clients
 Foster Families
 Any other visitors to a
Beech Acres facility
Universal
Precautions
Let’s Review
Universal
Precautions
Let’s review what
you’ve learned about
Universal
Precautions!
111
Please choose the BEST answer…
Universal Precautions are protective
measures designed to…
Reduce the risk of contracting influenza
Reduce the risk of exposure of the
worker’s skin or mucus membranes to
potentially infective materials
Reduce the risk of excessive bleeding and
excretion of body fluids.
112
Universal
Precautions
Sorry Try Again!
Universal
Precautions
In order to prevent certain strains
of influenza, you may benefit
from a flu shot. Check with your
health care provider.
113
You Got IT!!!
Universal
Precautions
114
Not Even Close!
So sorry, please try again.
115
Universal
Precautions
Please choose the BEST answer…
According to Beech Acres Policy…
Who must follow Universal Precautions?
Richard the Privacy Officer
Clients at Beech Acres
Employees at Beech Acres
Everyone involved with Beech Acres…
including staff and clients
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Universal
Precautions
Close Call!
Richard the Privacy Officer does
follow the Universal
Precautionary guidelines, but who
else follows as well?
Try Again!
117
Universal
Precautions
Try Again!
Universal
Precautions
True, Clients at Beech Acres do
well in following Universal
Precautions, but who else follow
these guidelines?
Hmmm?
118
Getting Close!
Universal
Precautions
Employees at Beech Acres take the
matter of following the rule of
Universal Precautions very
seriously.
You’re Getting Close, Try Again!
119
You Got IT
Good Job!!!
Universal
Precautions
120
Please choose the BEST answer…
Which of the following is NOT a part of
Universal Precautions?
Wash hands with soap and warm water before
every meal and after toileting
Avoid sharing personal care items such as
razors, toothbrushes, towels and also eating
utensils
Cover your mouth when coughing or sneezing
Wear a mask and rubber gloves at ALL
times…
121
Universal
Precautions
This is a Universal Precaution!
Universal
Precautions
Hand washing with soap and warm
water before every meal and after
toileting, is a top means of
avoiding the spread of disease.
Try Again!
122
This is an important
precaution!
Universal
Precautions
Using your own eating utensils,
razors, toothbrushes, towels and
similar personal care items can
avoid spread if infections disease.
Try Again!
123
This is a universal precaution!
We teach our children to cover their mouths
when coughing or sneezing for a good
reason!
Try Again!
124
Universal
Precautions
Universal
Precautions
Good
answer!
125
Communicable
Disease
Thanks Lenny!
I’ll take over
from here, for
the final two
sections.
HIV and
Hepatitis
Universal
Precautions
Handling Body
Fluids
Confidentiality
126
Guidelines for
Handling Bodily Fluids
This purpose of this part
of the training is to
provide an overview or
review of the
Guidelines for
Handling Body Fluids.
127
Handling Body
Fluids
Direct skin contact with
bodily fluids should be
avoided!
Contact
presents a risk
of infection!
128
Handling Body
Fluids
Body fluids include
Blood
 Semen or vaginal secretion
 Drainage from scrapes or cuts

Handling Body
Fluids
Or any of the following if
there is visible blood…
 Feces
 Urine
 Vomitus
 Respiratory secretions
 Saliva
129
Direct contact may include:
 Treating bloody noses
 Changing Diapers
 Cleaning small spills by
hand
130
Handling Body
Fluids
How do I
avoid direct
skin contact?
131
Handling Body
Fluids
 The best way to
avoid contact is to
wear disposable
gloves when direct
contact with
another person’s
body fluids is
anticipated.
132
Handling Body
Fluids
Each Beech Acres facility
has disposable gloves…
 Each building or site
 All service and program areas
 Foster Homes

133
Please make yourself aware of
the locations of disposable
gloves in the facilities in which
you work.
Handling Body
Fluids
Eeek! What if I
come into
contact with one
of these fluids?
134
Handling Body
Fluids
Treatment in the event that direct
contact with another person’s bodily fluids
occurs…
1.
2.
3.
4.
135
Wash all skin exposed areas as soon
as direct contact has ceased
Rinse (while wearing disposable
gloves) and place in bags clothing or
non-disposable items that are soaked
with body fluids
Seek prompt medical attention
All incidents of exposure to bodily
fluids must be reported the the
Beech Acres’ Vice President of
Professional Services.
Handling Body
Fluids
What about
spills?
Handling Body
Fluids
136
Removal of spilled body
fluids
 Wear gloves when cleaning
surfaces with body fluids
 Use a chlorine bleach solution
equal to 1 part bleach and 9 parts
water
Solution must be made as
needed as it looses its
effectiveness if stored
 Solution must have contact with
the surface for 10 minutes or
more

137
Handling Body
Fluids
 Use paper towels or other disposable
items whenever possible
 A mop or other cleaning equipment that is
not disposable needs to be rinsed in the
solution
 All disposable materials used for clean-up
must be double-bagged and tied before
disposal
 Always wash your hands vigorously after
such a procedure.
138
Handling Body
Fluids
Do it right away!!
 Surfaces contaminated with
body fluids must be cleaned
immediately with disinfectant
by the person who comes
across the spill.
 Do not wait for a facilities
worker to clean up the spill!
139
Handling Body
Fluids
You keep talking
about vigorous
hand washing.
What exactly does
that mean?
140
Handling Body
Fluids
Ah, let me
answer that
one, Richard.
I’ve had a lot
of practice,
what with
handling lab
rats and all.
141
Handling Body
Fluids
Effective hand washing
is key to controlling the
spread of disease!
 Use plenty of soap and warm
water
 Wash hands vigorously
 Use a stream of running water
 Wash for at least 10 seconds
142
Handling Body
Fluids
Which of the following is not proper
procedure for handling bodily fluids?
Avoid direct skin contact with bodily fluids
Use disposable gloves wherever possible
Handling Body
Fluids
Wash hands vigorously using soap and water
Call facilities staff to clean up any suspicious spills
Clean contaminated surfaces and implements with a
bleach solution
143
That’s a valid
procedure for
handling bodily fluids.
Better look a little
closer at that question
and try again!
144
Handling Body
Fluids
Right! If you come
across a spill, you take
care of it right away!
Excellent. Now
continue on!
145
Handling Body
Fluids
Great Job! In this last
section, I will lead
you through your
learning about…
Beech Acres policy regarding:
• Confidentiality
• Disclosure of information
• Medical Records management
146
Confidentiality
This policy is designed to
reduce the discrimination
people who become
infected with HIV could
otherwise experience.
Confidentiality
It’s mandatory… and
respectful… to our co-workers,
our clients and their families.
147
Confidentiality
According to
Beech Acres
Policy…
148
 Every precaution
will be taken to
protect the dignity
and right to privacy
of each child or adult
who has a
communicable
disease.
Confidentiality
According to
Beech Acres
Policy…
149
 Utmost care will be
given to protect the
confidentiality of all
records, files, and
other information
regarding the health
status of staff
members, volunteers,
clients, and foster
parents.
Confidentiality
Disclosure of Information
According to
Beech Acres
Policy…
150
 Information about a
person infected with a
communicable disease
must be protected and
will be shared only on
a “need to know basis”
and only to the extent
necessary to provide
care for the individual
and to prevent risk of
transmission to others.
Confidentiality
Well, who
needs to
know?
Great
Question
Ned!
Confidentiality
151
According to
Beech Acres
Policy…
152
 Information about a
person infected with a
communicable disease
will be shared only to
the extent necessary to
provide care for the
individual and to
prevent risk of
transmission to others.
Confidentiality
For the most part, if you
use Universal Precautions
you shouldn’t “need to
know.”
153
Confidentiality
What about testing children in
Beech Acres’ care who may
have been exposed to HIV?
Confidentiality
154
Criteria for Testing Children
in Placement
 HIV testing can only be
considered with the consent of
the parent or guardian and at
the direction of the child’s
primary care provider.
155
Confidentiality
What if my client
or my client’s
family tells me his
or her HIV status?
Confidentiality
156
Always keep in mind what
would be respectful to the
privacy of the client.
But in addition, I’ll review the
Beech Acres Policy for
Disclosure of Information.
157
Confidentiality
Disclosure of Information
 Disclosure of any
information regarding
the health of staff
member,volunteer,
client, or foster family
member shall be
grounds for
disciplinary action.
158
According to
Beech Acres
Policy…
Confidentiality
Medical Records Information
 Records of all HIV
testing including
names, dates, and
results of tests are
to be maintained
separately from
regular medical
records.
159
According to
Beech Acres
Policy…
Confidentiality
 These records
shall be
maintained in a
secure manner in
the personal
custody of the
Beech Acres
Privacy Officer
160
That’s
me!
Confidentiality
According to
Beech Acres
Policy…
161
 Test results will
be given only to
those
individuals with
a clear “need to
know” and will
be disclosed
only after
written approval
by the Beech
Acres Privacy
Officer.
Confidentiality
When is information about persons
with communicable disease shared?
 ONLY when person requesting it
expresses sincere interest.
 Information about a person infected with
a communicable disease will be shared
only to the extent necessary to provide
care for the individual and to prevent risk
of transmission to others.
162
Better dive
deeper and try
that question
again!
163
Handling Body
Fluids
Right!
Good choice!
164
Ok, Ned,
let’s wrap it
up.
165
Right! That’s it!
Click below if
you’ve met the
objectives.
I understand…
A.
B.
C.
D.
E.
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Communicable Disease and how it is
transmitted
HIV, Hepatitis and TB: the most
serious communicable diseases that
impact us at Beech Acres
The value and methods of Universal
Precautions
Guidelines for Handling Bodily
Fluids
Beech Acres policy regarding
Confidentiality and Disclosure of
information
Yes!
Oh yes,
one bonus
question...
 Who IS the
Privacy Officer
here at Beech
Acres?
167
Of course…
It’s Rick Sorg.
You can reach him at the Beechmont Campus
by calling 513 233-4694.
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