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Bloodborne Pathogens

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Bloodborne Pathogens Training for School Personnel * * * * * * * * * * * * * * * * * * * Objectives Define bloodborne pathogens (BBPs) Identify three most common BBPs ... – PowerPoint PPT presentation

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Title: Bloodborne Pathogens


1
Bloodborne Pathogens
  • Training for School Personnel

2
Objectives
  • Define bloodborne pathogens (BBPs)
  • Identify three most common BBPs
  • Describe mode of transmission of BBPs
  • Identify steps to take to reduce risk of exposure
    to BBPs
  • Describe procedures to follow if an exposure
    incident occurs

3
Exposure Control Plan
  • MINIMUM STANDARD
  • This plan is provided by the department to be
    analogous with Title 29 Code of Federal
    Regulation 1910.1030, Occupational Safety and
    Health Administration (OSHA), Bloodborne
    Pathogens Standard as specified in Health and
    Safety Code, 81.304.
  • PURPOSE
  • The Bloodborne Pathogens Exposure Control Plan is
    to reduce or eliminate occupational exposure to
    bloodborne pathogens and other potentially
    infectious material.
  • REVIEW
  • Employers review annually the exposure control
    plan, update when necessary, and document when
    accomplished. Annual training will be conducted
    for all district employees and for all new hires
    within 30 days.
  • Copies of this plan can be found in the main
    office and nurses office at each school campus.

4
Bloodborne Pathogens (BBPs)
  • Disease-causing organisms found in the blood or
    body fluids of an infected person.
  • Three most common BBPs
  • Human Immunodeficiency Virus (HIV)
  • Hepatitis B Virus (HBV)
  • Hepatitis C Virus (HCV)

5
Human Immunodeficiency Virus (HIV)
  • HIV is the human immunodeficiency virus. It is
    the virus that can lead to acquired immune
    deficiency syndrome, or AIDS. CDC estimates that
    about 56,000 people in the United States
    contracted HIV in 2006.
  • Primarily spread by having unprotected sexual
    contact, sharing needles/syringes used for
    illicit drug use or being born to an infected
    mother.
  • Young people aged 1329 accounted for 39 of all
    new HIV infections in 2009.
  • HIV cannot reproduce outside the human body. It
    is not spread by
  • Air or water, insects, including mosquitoes,
    saliva, tears, or sweat, casual contact like
    shaking hands or sharing dishes,
  • closed-mouth or social kissing.

6
Hepatitis B
  • Hepatitis B is a contagious liver disease that
    results from infection with the Hepatitis B
    virus.
  • Hepatitis B can live on surfaces for 7-10 days
  • Hepatitis B is usually transmitted
  • -Birth (spread from an infected mother to her
    baby during birth).
  • -Sex with an infected partner.
  • -Sharing needles, syringes, or other
    drug-injection equipment.
  • -Sharing items such as razors or toothbrushes
    with an infected person.
  • -Direct contact with the blood or open sores of
    an infected person.
  • -Exposure to blood from needle sticks or other
    sharp instruments.

7
Hepatitis B Vaccine
  • The best way to prevent Hepatitis B is by getting
    vaccinated.
  • Recommended for all high risk groups
  • Safe
  • 3 shots- initial , 1mo., 6mo.
  • Life long immunity

8
Hepatitis C
  • Hepatitis C is a contagious liver disease that
    results from infection with the Hepatitis C
    virus.
  • There is no vaccine for Hepatitis C.
  • Hepatitis C is usually transmitted
  • -Sharing needles, syringes, or other equipment
    to inject drugs.
  • -Needle stick injuries in health care
    settings.
  • -Being born to a mother who has Hepatitis C.

9
Transmission
  • BBPs at work are transmitted mostly by
  • A contaminated sharp puncture the skin
  • Contaminated blood coming into contact with
    broken skin or mucous membranes of eyes, nose or
    mouth

10
Transmission cont.
  • How BBPs are NOT spread
  • Through air, like cold or flu.
  • Through casual contact.
  • Through coughing, sneezing, kiss on the cheek,
    hugs, drinking fountains, mosquitoes or food.

11
Universal Precautions
  • Universal precautions are practices procedures
    that can help prevent the transmission of BBPs.
  • Consider every person a possible carrier of a
    bloodborne pathogen and treat his/her blood and
    body fluids as if they were infected.
  • Washing hands with soap and water is the best way
    to reduce the number of germs on them.

12
Good Handwashing
  • What is the right way to wash your hands?
  • Wet your hands with clean running water (warm or
    cold) and apply soap.
  • Rub your hands together to make a lather and
    scrub them well be sure to scrub the backs of
    your hands, between your fingers, and under your
    nails.
  • Continue rubbing your hands for at least 20
    seconds. Need a timer? Hum the "Happy Birthday"
    song from beginning to end twice.
  • Rinse your hands well under running water.
  • Dry your hands using a clean towel or air dry.

13
Personal Protective Equipment (PPE)
  • Equipment that protects you from contact with
    blood or other potentially infectious materials
    (OPIMs).
  • Gloves
  • Gowns, aprons, lab coats
  • Face shields, protective eyewear
  • Masks, mouth pieces, resuscitation bags

14
PPE cont. First Aid
  • Every school bus has a first aid and biohazard
    kit.
  • Every Automatic External Defibrillator (AED) in
    the school has an accessory pouch that includes
    gloves and a CPR mask.
  • For minor cuts and scrapes,
  • encourage the victim to
  • self-administer first aid.
  • For more serious injuries, put on a pair of
    gloves, available in the school nurses office,
    before you administer first aid.

15
PPE - Gloves
  • Slip each hand into a clean glove, pulling it
    snugly over the fingers to assure a good fit.
  • Pull glove over the wrist as far as it will go to
    maximize coverage.
  • Do not reuse gloves

16
PPE cont. Safe Removal of Gloves
  • Remove gloves by turning the glove inside out as
    it is pulled over the hand.
  • During the removal of the second glove, avoid
    touching the outer surface by slipping the
    fingers of the ungloved hand under the glove and
    pulling it inside out as it is pulled over the
    hand.
  • Throw away promptly in a lined waste container.
    Never touch the outside of the gloves with your
    bare skin.
  • Every time you remove your gloves, wash your
    hands with soap and running water as soon as you
    possibly can.

17
Cleaning Up
  • Cleaning up blood or body fluids on surfaces
  • Wear gloves
  • Call a custodian - Custodians will use germicidal
    cleaners which kill bloodborne pathogens (Quat,
    10 bleach solution, Saniwipes).
  • Carefully cover the spill with paper towels then
    carefully pour an EPA approved cleansing solution
    over the area and leave it for 10 minutes to
    kill any BBPs.
  • Items contaminated with blood should be disposed
    of in a plastic lined pail. If very large
    amounts of blood are present, biohazard disposal
    bags are used (available in the school health
    office).

18
Cleaning Up
  • Watch for fluorescent orange-red labels, red
    bags, and containers with a biohazard symbol.
    This symbol will warn you when the contents of
    containers are used for waste, storage, or
    shipping contain blood or OPIMs.
  • If you empty garbage cans or laundry bins, always
    pick up and carry by the top.
  • Never hold next to your body or support with your
    hand underneath
  • Sharp objects can penetrate bags and cut you.

19
Cleaning Up
  • Disposing of contaminated waste
  • Wear gloves
  • Place contaminated items in a leak proof bag
  • Place securely fastened bag in a plastic lined
    trash container
  • Contaminated waste that would release blood when
    compressed, must be placed in a biohazard bag and
    disposed of separate from regular trash notify
    supervisor and school nurse immediately
  • Discard gloves

20
Cleaning Up
  • Contaminated sharps
  • Use caution, wear gloves
  • Do not break, bend or recap the needle
  • Use a broom and dustpan to pick up and discard.
  • Place the items in a closable, leak proof,
    puncture resistant container.

21
Cleaning Up
  • Sports Equipment
  • Use an EPA-registered disinfectant solution to
    clean and decontaminate sports items and
  • equipment that has come in contact with blood and
    OPIM.

22
What to do if Exposed
  • DONT PANIC!
  • Immediately wash the affected area with soap and
    water
  • Flush eyes, nose, mouth with large amounts of
    water for 15 mins.
  • Report incident to your school nurse and
    principal
  • Ensure source of exposure remains available

23
Frequently Asked Questions
  • What if I need to give mouth-to-mouth
    resuscitation?
  • Use pocket mask found in AED accessory package OR
  • Hands-Only CPR has been shown to be as effective
    as conventional CPR for sudden cardiac arrest at
    home, at work or in public. It can double or even
    triple a victims chance of survival.
  • no documented cases of BBPs passed through CPR

24
Frequently Asked Questions
  • What if I am not near a sink or running
    water?

If soap and water are not available, use an
alcohol-based hand sanitizer that contains at
least 60 alcohol. Alcohol-based hand sanitizers
can quickly reduce the number of germs on hands
in some situations, but sanitizers do not
eliminate all types of germs.
Since this is only a temporary measure, wash the
area with soap and running water as soon a
possible.
25
Additional Tips
  • Keep soiled hands away from eyes, nose and mouth

26
Additional Tips
  • ALWAYS wash your hands
  • Before, during, and after preparing food
  • Before eating food
  • Before and after caring for someone who is sick
  • Before and after treating a cut or wound
  • After using the toilet
  • After changing diapers or cleaning up a child who
    has used the toilet
  • After blowing your nose, coughing, or sneezing
  • After touching an animal or animal waste
  • After handling pet food or pet treats
  • After touching garbage

27
Additional Tips
  • Wear gloves whenever you may be exposed to
    bloodborne pathogens.

28
Additional Tips
  • When assisting someone who is bleeding, try to
    get the person to stop the bleeding with direct
    pressure himself.

29
Conclusion
  • Your risk of being exposed to bloodborne
    pathogens at school is low.
  • Remember to use universal precautions if you do
    come into contact with blood- treat all as if
    infected.

30
Questions???
31
Documentation
  • Please print this slide (page 31). Sign, date,
    and turn in to the school nurse.
  • I have reviewed the presentation on Bloodborne
    Pathogens and have a full understanding of the
    safe practices that can assist me when dealing
    with situations that might have the potential
    danger of coming into contact with bloodborne
    pathogens and know what to do if I am exposed.
  • _____________________ __________
  • Signature of Employee Date

32
Resources
  • http//www.dshs.state.tx.us/idcu/health/infection_
    control/bloodborne_pathogens/plan/
  • http//www.cdc.gov/handwashing/
  • http//www.cdc.gov/nchhstp
  • http//info.sos.state.tx.us/pls/pub/readtacext.Vi
    ewTAC?tac_view4ti25pt1ch96rlY
  • http//www.heart.org/HEARTORG/CPRAndECC/HandsOnlyC
    PR/LearnMore/Learn-More_UCM_440810_FAQ.jsp
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