Springfield Public Schools:

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Springfield Public Schools Bloodborne Pathogen
Training
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This program meets the following guidelines

• OSHA Standards on Bloodborne Pathogens
• (29 CFR 1910.1030)
• Public sector workplaces in Massachusetts are
• not covered by OSHA standards, but
• Massachusetts Division of Occupational Safety
  dictates that public sector employers comply with
  the same requirements

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At the end of this lesson, you will be able to

• List the three most common bloodborne
• pathogens (BBPs)
• Identify and take appropriate actions to reduce
• risk of exposure to BBPs
• Describe how to respond if an injury occurs
  at your site

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Definition of BBP

• Bloodborne pathogens are infectious materials in
  blood that can cause disease in humans, including
  but not limited to hepatitis B and C and human
  immunodeficiency virus or HIV

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Your role and responsibilities

• Minimize the risk of BBP exposure for
• students, your co-workers, and yourself
• Take proper precautions at all times
• When an incident occurs, respond quickly
• and correctly

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3 Most Common BBPs

• 1. Hepatitis B
• inflammation of the liver, which can lead to
  cirrhosis, liver cancer or death
• Most people recover
• Can be indirectly transmitted
• There is a vaccine
• 2. Hepatitis C
• inflammation of the liver, which can lead to
  chronic liver disease and death
• May carry virus for years without visible
  symptoms
• HIV
• Attacks the immune system
• May carry virus for years without visible
  symptoms
• Develops into AIDS in some cases

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How it is spread

• BBPs are most commonly spread through
• high-risk activities like unprotected sex and
• sharing drug needles.
• At school sites your risk of exposure is low.
• Potential risks include infected blood or other
  bodily fluid that
• Spray, splash into mouth, nose or eye (mucous
  membrane)
• Contact with broken areas of skin, even tiny
  breaks you cant see
• Accidental injury with a sharp object like a
  needle, broken
• glass, or anything else that can pierce
  your skin.

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Protect yourself

• Hepatitis B virus (HBV) can be transmitted
• indirectly if you touch a contaminated
  surface and then touch your nose, mouth,
• eyes, or broken skin.
• HBV can survive dried and at room
• temperature on surfaces for up to a week

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Protect yourself

• Infection Control
• Standard Precautions
• Hand Washing
• Use of Disposable Gloves
• District Procedures/Guidelines

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PREVENTION

• Standard Precautions
• a method of infection control in which all blood
  or bodily fluids anyone comes in contact with is
  assumed to be potentially infectious
• People with BBPs may not know it
• You may be a carrier and not know it-preventive
  measures protect students also

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Five Universal Precautions

• Wash hands and work surfaces frequently
• Avoid contact with sharp objects
• Use gloves and other personal protective
  equipment when you anticipate exposure to blood
  or other bodily fluids
• Wash your hands immediately following exposure
• Dispose of hazardous material safely using
  engineering controls like a needle box for any
  sharp objects

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Handwashing

• Is far less glamorous than hi tech
• interventions, but it is known to be
• the SINGLE most important thing
• we can do to reduce the spread of
• disease

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Procedure is important

• Wet hands thoroughly under warm water
• Dispense non-abrasive soap into wet hands
• Vigorously rub hands together for 20 seconds,
  about the time it takes to sing Happy Birthday
• Be sure to scrub all surfaces...top and bottom
• Thoroughly rinse hands
• Dry hands with a disposable towel.
• Use towel to turn off the water and dispose of it

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Hand Sanitizers

• Do not require water
• Excellent alternative to hand washing when soap
  and water not available
• Apply about ½ tsp of sanitizer to palm of hand
• Rub hands together, covering all surface of your
  hands until they are dry
• Wash hands with soap and water when able

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Work surfaces

• Make sure work surfaces, particularly any public
  counters, are kept clean
• Use a disinfectant that kills germs
• Make this part of your daily routine

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SHARPS

• Be alert for sharp objects, like broken glass or
  needles, when emptying trash containers
• never smash down trash with hands or feet
• always carry trash away from your body
• never pick up broken glass with your hands

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Personal Protective Equipment

• Safety devices or safeguards worn by workers to
  protect against environmental hazards
• Designed to reduce the risk of disease
  transmission
• Always wear gloves
• when you anticipate
• touching blood, bodily
• fluids, or contaminated
• surfaces

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Using Gloves

• Use single-use, disposable gloves when
  administering first aid.
• Cover any cuts with bandages before putting on
  gloves
• Make sure gloves fit snugly
• When removing, be sure that your bare skin does
  not come into contact with exterior of the glove
  (peel inside out)
• Dispose of gloves in hazardous waste container

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Other protective equipment

• Resuscitation device- always use when
  administering mouth to mouth
• Smock or apron-use when cleaning up large amounts
  of blood or other bodily fluid
• Eyewear
• Face shield
• obtain equipment from school nurse or custodian

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Hazardous Waste

• Used needles should be immediately placed in a
  sharps container

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Sharps

• Protect Yourself and Others from Sharp Objects.
• If you have a needle or anything with a sharp
  point, dispose of it in the sharps container in
  the Nurses Office.

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SHARPS

• Any contaminated object that can penetrate the
  skin including, but not limited to, needles,
  scalpels, and broken glass.
• Use a brush and dustpan or tongs to pick up
  broken glass/sharp objects
• Never use your hands.
• Place the items in a closable, leak proof,
  puncture resistant container with a biohazard
  label attached.
• Never reach into a trash container or push trash
  down with hands or feet
• Use a properly labeled sharps container for
  needles.
• Never recap, bend, break, or shear needles.
• Wear gloves!
• Replace sharps containers when full never
  overfill.
• Sharps containers are stocked in the health room
  of each school.

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Accidental Exposure

• If you are exposed despite using precautions
• Immediately wash the exposed area with
  anti-bacterial soap and water
• Flush eyes, nose or mouth with running water if
  they have been exposed

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If an injury occurs

• Assess the situation
• Administer first aid
• Report incident to school nurse

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ASSESS THE SITUATION

• Your first instinct is to help an injured child
  immediately, but take a moment to think so you
  safely approach the situation
• BE CALM
• REASSURE VICTIM
• ASSESS SEVERITY OF INJURY
• AVOID EXPOSING YOURSELF TO BLOOD OR BODILY FLUIDS
  WITHOUT PRECAUTION

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FIRST AID

• For minor cuts and scrapes, encourage the victim
  to self-administer first aid.
• For more serious injuries, put on a pair of
  gloves before you administer first aid.

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When exposure occurs

• Report the incident to the school nurse
  immediately!
• If you experienced accidental exposure,
• complete an Incident Report form and submit
  it to your building principal.
• An Incident Report is required anytime an
• incident occurs in which there is potential
  exposure to a bloodborne pathogen.

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Occupations at RISK

• High Risk
• Health Service Personnel
• Coaches Athletic Trainers
• PE Teachers
• Special Ed Teachers
• Special Ed Bus Drivers Aides
• Some Risk
• Custodians, Secretaries, Regular Education
  Teachers Aides, Bus Driver

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CLEANING UP SPILLS

• If you are cleaning up a spill of blood,
  carefully
• cover the spill with paper towels or
  cloths then
• carefully pour an approved cleansing
  solution
• and leave it for 10 minutes to kill any
  bloodborne
• pathogens. Remember to decontaminate any
• mops, sponges, pails, etc. that were used
  in the
• clean up process.
• To determine if a cleaning solution is EPA
  Registered
• Read the label

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CLEANING UP (CONT)

• Wear gloves.
• Place contaminated items in a leak proof bag.
• Remove gloves using proper method never let
• bare skin touch contaminated gloves.
• Place securely fastened bag in a plastic lined
  trash
• container.
• Take to the school nurse for disposal.

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Contaminated sports items and equipment

• Use an EPA-registered tuberculocidal disinfectant
• solution to clean and decontaminate sports
  items
• and equipment that has come in contact with
  blood
• and other potentially infectious materials.
  Follow
• the clean up and decontamination guidelines.

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Summary

• You have explored
• Bloodborne pathogens (BBPs)
• The three most common BBPs
• Universal precautions for reducing risk of
  exposure
• What to do when an injury occurs
• Normal teaching and learning activities do not
  place anyone
• at risk for HIV infection, but accidents
  and injuries at school
• can produce situations where students or
  staff might be
• exposed to another persons body fluids.
• BE PREPARED!

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THE END
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Bloodborne pathogens post test

• 1. Which disease is not bloodborne?
• A. Hepatitis A
• B. Hepatitis B
• C. Hepatitis C
• D. HIV
• 2. Bloodborne pathogens may enter your
  bloodstream through
• A. skin abrasions
• B. open cuts
• C. accidental needle sticks
• D. all of the above
• 3. Observing universal precautions means
  treating all blood and body fluids as if
• infectious.
• True
• False

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Post test

• 4. Wearing gloves is one of the most important
  personal protective measures for
• preventing an exposure to blood borne
  pathogens.
• True
• False
• 5. If you wear gloves when cleaning up blood or
  body fluids, it is not necessary to wash
• your hands afterwards.
• True
• False
• 6. If antiseptic wipes or gels are used, it is
  not necessary to wash your hands
• afterwards.
• True
• False
• 7. Personal Protective Equipment includes which
  of the following?
• A. Gloves
• B. Goggles
• C. Aprons
• D. All of the above

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Post test

• 8. When cleaning up a blood borne pathogens
  spill, which of the following should you NOT do?
• A. Use disposable gloves
• B. Dispose of waste in an unlined waste
  container
• C. Wash hands thoroughly with warm water and
  soap
• D. Contact the school nurse and custodian
• 9. You should complete an incident report if you
  have been exposed to blood borne pathogens.
• True
• False
• 10. A person with a blood borne pathogen will
  always look sick.
• True
• False

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Post test

• What would you do??????? Circle the correct
  response.
• 11. A student, Angie, comes to you with a bloody
  nose. She is upset and needs your
• assistance cleaning up. Would you
• A. Tell Angie that you are busy and send
  her off to class
• B. Rush to help Angie and do your best not
  to touch the blood
• C. Encourage Angie to clean herself up,
  even though she is upset
• D. Call Angies parents and tell them they
  need to come to clean her up
• 12. You notice that Angie has dripped blood down
  the hall. Would you
• A. Grab some paper towels and quickly wipe
  up the blood
• B. Call your custodian and ask them to
  clean up the blood and disinfect the area
• using the appropriate precautions
• C. Give Angie paper towels and instruct her
  to clean up after herself

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Bloodborne pathogen answer sheet

• Name/Title_______________________Date____________
• School__________________________
• 1. ? A ? B ? C ? D
• 2. ? A ? B ? C ? D
• 3. ? T ? F
• 4. ? T ? F
• 5. ? T ? F
• 6. ? T ? F
• 7. ? A ? B ? C ? D
• 8. ? A ? B ? C ? D
• 9. ? T ? F
• 10. ? T ? F
• 11. ? A ? B ? C ? D
• 12. ? A ? B ? C ? D