Spencer County Public Schools Bloodborne Pathogen Training

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Spencer County Public Schools Bloodborne Pathogen
Training
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When is training conducted?

• Within the first 30 days of employment for
  positions where occupational exposure may occur.
• Annually, as refresher training

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Who can conduct training?

• Registered nurses, athletic trainers, and others
  persons designated by the District who are
  knowledgeable in the Bloodborne Pathogen Exposure
  Plan.

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What must be included?

• The districts exposure control plan
• Points of the plan
• Lines of responsibility
• Implementation
• How to access the plan
• Procedures which might cause exposure to blood or
  potentially infectious material in the district

• Chapter 96. Bloodborne Pathogen Control (CFR)
• OSHA Bloodborne Pathogen Final Rule
• Epidemiology and symptomatology of bloodborne
  diseases
• Modes of transmission of bloodborne pathogens

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What are Bloodborne Pathogens?

• They are viruses, bacteria and other
  microorganisms that
• are carried in a persons bloodstream
• cause disease
• If a person comes in contact with blood infected
  with a bloodborne pathogen, he or she may become
  infected.

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How are Bloodborne Pathogens Spread in the
Workplace

• Blood from infected person can infect others by
• Into skin from contaminated needle
• By contact with broken skin (scratch, cut,
  chapped hands)
• Spray, splash into mouth, nose or eye (mucous
  membrane)

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Stop the Spread

• Break the Chain By
• Washing Hands
• Avoiding blood or other potentially infectious
  material
• Using barriers (gloves)

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Exposure Determination

• An employees risk of exposure to infected blood
  is determined by an evaluation of two variables
• 1. The employees risk of contacting blood,
  based on occupation group, and
• 2. The presence of persons infected with HIV or
  HBV.

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Category 1 Job Classifications

• Following occupations are identified at risk for
  exposure
• Health Service Personnel
• Coaches Athletic Trainers
• PE Teachers
• Special Ed Teachers
• Special Ed Bus Drivers Aides
• Health Occupation Teachers

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Category 2 Job Classifications

• Following occupations are identified as
  experiencing some exposure
• Custodians
• Secretaries
• Regular Education Teachers Aides
• Bus Drivers

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Employee Tasks which may cause exposure

• Breaking up fights
• Assisting with nose bleeds
• Cleaning up bloody waste

• Bites that break the skin
• Rendering first aid and other instances involving
  blood

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Training Program Includes

• Procedures to follow in an emergency involving
  blood or other potentially infectious materials
• Procedures to follow if an exposure incident
  occurs
• Post exposure prophylaxis guidelines

• Methods to control exposure to blood or other
  potentially infectious materials
• Personal Protective Equipment (PPE) available in
  the district
• Types
• Use
• Location

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Training also Includes

• Post exposure evaluation and follow up
• Signs and labels used in the district
• Biohazard containers with labels
• An opportunity to ask questions of the individual
  conducting the training

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Video Bloodborne Pathogens (School Version)

• The District has a video that is available
  through EncycloMedia.

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Procedures to follow if an exposure incident
occurs

• If there is an exposure, wash the exposed area
  immediately
• Contact your supervisor
• Your supervisor will provide proper paperwork
• Where to seek medical evaluation treatment
• Local city or county health department
• Private physician
• Local hospital emergency room

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Post Exposure Evaluation Follow Up

• Access to a health care professional for exam,
  treatment and evaluation
• Most likely will be handled as a workers
  compensation case
• Coordinate this information with Human Resources

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Work Area Practices

• In work areas where there is a reasonable
  likelihood of exposure to blood or other
  potentially infectious materials, employees are
  not to eat, drink, apply cosmetics or lip balm,
  smoke, or handle contact lenses, nor should they
  allow others to do so.
• Food and beverages are not to be kept in
  refrigerators, freezers, shelves, cabinets, or on
  counter/bench tops where blood or other
  potentially infectious materials are present.

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Additional Work Area Practices

• Employees will wear gloves where it is reasonably
  anticipated that employees will have hand contact
  with blood and other potentially infectious
  materials.

• Employees will wash their hands or other skin
  immediately or as soon as possible after removal
  of gloves or other personal protective equipment.

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More Work Area Practices

• Employees exposed to human bites should wear long
  sleeves or other protective clothing.
• Remove all garments that are penetrated by blood
  immediately. Place in plastic bag.

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Work Area Practices

• All procedures are conducted in a manner to
  minimize splashing, spraying, splattering, and
  generation of droplets of blood or other
  potentially infectious materials.

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Personal Protective Equipment

• All personal protective equipment used is
  provided at no cost to employees.
• Personal protective equipment is chosen based on
  the anticipated exposure to blood or other
  potentially infectious materials

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Gloves

• Gloves are worn where it is reasonably
  anticipated that employees will have hand contact
  with blood, other potentially infectious
  materials, non-intact skin, and mucous membranes.
• Latex sensitive employees are provided with
  suitable alternative personal protective
  equipment.

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Housekeeping

• It is important to remember that contaminated
  surfaces are a major cause of the spread of
  hepatitis. Hepatitis B virus can survive on
  environmental surfaces dried and at room
  temperatures for least 7 days.

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Housekeeping

• Employers shall ensure that the worksite is
  maintained in a clean and sanitary condition.
• Employees involved in decontamination of work
  surfaces or equipment, or who handle contaminated
  laundry, must wear gloves to prevent contact with
  blood or other potentially infectious materials.

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Housekeeping

• All contaminated work surfaces are decontaminated
  after completion of procedures, immediately or as
  soon as feasible after any spill of blood or
  other potentially infectious materials, and at
  the end of the work day if the surface or
  equipment may have been contaminated since the
  last cleaning.

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Specimen Collection

• Specimens of blood or other potentially
  infectious materials are placed in a container,
  which prevents leakage during the collection,
  handling, processing, storage, transport, or
  shipping of the specimens.
• The container used for this purpose is labeled
  with a biohazard label or color-coded unless
  universal precautions are used throughout the
  procedure and the specimens and containers remain
  in the facility.

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Laundry Procedures

• Use gloves and follow universal precautions when
  handling contaminated laundry or other
  potentially infectious materials.
• Bag all contaminated materials (towels, gauze,
  paper towels) at the area where contaminated.
  Place in leak proof bags with the biohazard
  label.
• Place laundry in appropriately marked bags at the
  location where it is used. The laundry may not
  be sorted or rinsed in the area of use.
• Contaminated laundry may be placed in
  plastic bag and sent home with student.

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Regulated Waste Disposal

• All contaminated sharps are discarded as soon as
  feasible in sharps containers located at each
  school office.
• Regulated waste other than sharps is placed in
  appropriate containers that are closable, leak
  resistant, labeled with a biohazard label or
  color-coded, and closed prior to removal.
• If outside contamination of the regulated waste
  container occurs, it is placed in a second
  container that is also closable, leak proof,
  labeled with a biohazard label or color-coded,
  and closed prior to removal.
• All regulated waste is properly disposed of in
  accordance with federal, state, county, and local
  requirements.