Remember to Mute All Room Microphone.

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Housekeeping

• Remember to Mute All Room Microphone.
• Place all Cell Phones on Vibrate/Silent
• Remember to Sign-In on the Attendance Roster

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New York State Department of Environmental
Conservation
Bloodborne Pathogens
NYS DEC Health Safety Unit
This training material presents important
information for NYS DEC employees. This program
is neither a determination that the conditions
and practices of your organization are safe nor a
warranty that reliance upon this program will
prevent injuries or illnesses.
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Bloodborne Pathogens

• Bloodborne Pathogens are microorganisms (such as
  viruses) transmitted through blood, or other
  potentially infectious material such as certain
  bodily fluids (semen, breast milk, etc.) or
  tissues.

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Bloodborne Pathogens LawOSHA 29 CFR 1910.1030

• Exposure Control Plan (ECP)
• Engineering and work practice controls
• Personal protective equipment (PPE)
• Training

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Bloodborne Pathogens Law (cont.)

• Medical screening/ surveillance
• Free hepatitis B vaccination
• Signs and labels
• Recordkeeping

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Primary Workplace Bloodborne Pathogens

• Human immunodeficiency virus (HIV)
• Hepatitis B virus (HBV)
• Hepatitis C virus (HCV)

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How Bloodborne Pathogens Can Spread on the Job

• Contaminated sharp objects or needles
• Broken skin, including rashes
• Mucous membranes
• Eyes
• Mouth
• Nose

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Recognize and Evaluate Your Exposure Potential
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HIV

• Four modes of transmission
• 1. blood
• 2. semen
• 3. vaginal secretions
• 4. breast milk
• Virus lives outside the body only a few hours

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Human Immunodeficiency Virus (HIV)

• HIV attacks your bodys ability to protect itself
  against disease
• Initially no visible signs of having the virus
• Most people with HIV develop AIDS (acquired
  immune deficiency syndrome)
• There is no vaccination for HIV

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Signs and Symptoms of HIV

• Symptoms can include
• Fever
• Swollen glands
• Sore throat
• Rash
• Fatigue
• Muscle and joint aches and pains
• Headache

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Hepatitis B

• A viral infection that causes inflammation of the
  liver
• Transmitted primarily through blood to blood
  contact.
• Can lead to serious conditions such as cirrhosis
  and liver cancer.
• Pathogen can survive in dried blood for up to
  seven days.
• There is no cure for HBV.

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Signs and Symptoms Hepatitis B

• Fatigue, malaise, joint aches and low grade fever
  
• Nausea, vomiting, loss of appetite
• Abdominal pain
• Jaundice and dark urine
• Headaches

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Hepatitis B Statistics

• 1 in 300 infected with HIV
• Milwaukee Journal/Sentinel, July 7, 1996
• one in 20 people has or has had Hepatitis

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Hepatitis B Vaccination

• Free to High-Risk Employees
• Three doses over 6 months
• Must receive all three doses
• May decline vaccine (but must sign waiver)
• May receive vaccine later
• Very low risk vaccine
• gt90 effective

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Hepatitis C

• Liver disease caused by the Hepatitis C virus.
• The most chronic bloodborne infection.
• In most cases, Hep C remains in the body and
  becomes a long-term or chronic infection.
• Most people do not have any symptoms.
• Symptoms may not appear for many years.

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Signs and Symptoms Hepatitis C

• Fever
• Fatigue
• Loss of appetite
• Nausea
• Vomiting
• Abdominal pain
• Dark urine
• Joint pain
• Jaundice

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Hepatitis C

• 3-4 million carriers
• Disease can incubate for decades
• HCV not related to the viruses that cause HBA and
  HBV

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How to Reduce Your Risk

• UNIVERSAL PRECAUTIONS/
• STANDARD PRECAUTIONS

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Engineering Controls

• Sharps with Engineered Sharps Injury Protection
  (SESIP) a non-needle sharp or needle with a
  built-in safety feature or mechanism that
  effectively reduces the risk of an exposure
  incident.
• Examples include

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Engineering Controls

• Needles and other sharps must be discarded in
  rigid, leak-proof, puncture resistance containers.

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Work Practice Controls

• Dont Recap Needles

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Work Practice Controls

• When emptying trash containers, do not use your
  hands to compress the trash in the bag.
• Lift and carry the trash bag away from your
  body.

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Work Practice Controls

• Do not eat, drink, smoke, apply cosmetics, or
  handle contact lenses in areas where there is the
  possibility of exposure to BBP

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Use Spill Kit for Clean-up

• Kit Includes
• Face Mask
• Gloves
• Goggles
• Sharps Disposal Container
• Absorbent Powder
• Fluid Control Solidifier
• Personal Protective Equipment
• Cleaning Pads

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Personal Protective Equipment

• Gloves
• Masks
• Eye protection
• CPR micro shields

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Hand Washing

• Wash hands immediately after removing PPE
• Use a soft antibacterial soap
• A hand sanitizer can be used but wash with soap
  and water as soon as possible.

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First-aid Kits (Mandatory)
Chainsaw Operators

• Gauze pads (4X4)
• Two large gauze pads (8X10)
• Box of band-aids
• One package gauze roller bandage
• Two triangular bandages
• Sealed moistened towelettes
• Scissors

• At least one blanket
• Tweezers
• Adhesive tape
• Latex or Vinyl gloves
• Resuscitation equipment
• Two elastic wraps
• Splint
• Directions for requesting emergency assistance

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Unregulated Waste Labeling

• Labels not typically required but a good idea

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Regulated Waste

• Liquid or semi-liquid blood or OPIM
• Contaminated items that would release blood or
  OPIM in a liquid or semi-liquid state if
  compressed
• Items caked with dried blood or OPIM that are
  capable of releasing these materials during
  handling
• Contaminated sharps
• Pathological and microbiological wastes
  containing blood or OPIM

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Label All Regulated Waste Containers

• Labels communicate a hazard
• Place regulated waste in containers that have the
  universal biohazard symbol
• The term Biohazard must be on the label

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Clean-up Procedures
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Body Fluid Cleanup Procedures

• Get Spill Kit from Janitorial Closet
• Put on gloves.

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Body Fluid Cleanup Procedures

• If splashing is
• anticipated, wear
• protective eyewear
• and mask

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Body Fluid Cleanup Procedures

• Remove visible material with absorbent towels

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Body Fluid Cleanup Procedures

• Area should be decontaminated for 10 minutes
• Once the area has been disinfected, dry area with
  absorbent towels and dispose of towels in regular
  trash

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Body Fluid Cleanup Procedures

• Glove removal
• and disposal
• technique

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Glove Removal and Disposal

• Grip one glove near the cuff and peel it down
  until it comes off inside out. Cup it in the
  palm of your gloved hand.
• Place two fingers of your bare hand inside the
  cuff of the remaining glove.

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Glove Removal and Disposal

• Peel that glove down so that it also comes off
  inside out and over the first glove.
• Properly dispose of the gloves.

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Body Fluid Cleanup Procedures

• Wash hands well.

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Proper Disposal of Contaminated Items
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Emergency ActionsFollowing Exposure

• Wash with soap and water or disinfectant
• If water not available, use antiseptic towelette
• Seek Medical Attention Immediately
• Notify supervisor
• Post Exposure Evaluation

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Accident/Injury Report

• Complete report as soon as possible after
  incident
• Turn in to your supervisor
• Call ARS 1 [phone]

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Post-Exposure Evaluation

• Confidential medical evaluation
• Document route of exposure
• Identify source individual
• Test source persons blood
• Post exposure prophylaxis (PEP)
• Provide results to source and exposed employees

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Record Keeping

• Maintain duration of the employment
• PLUS 30 years
• Records must be kept CONFIDENTIAL!
• Records are available to the employee and the
  employees designated representative
• Record all needlesticks and sharps injuries
• as an injury on SH 900 log

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Bloodborne Pathogen Quiz

• 1. HIV, HBV, and HCV can be transmitted when
  infected bodily fluids directly contact the eyes
  or nonintact skin. True or False
• 2. The risk of exposure to bloodborne pathogens
  is only possible when blood is present in the
  bodily fluid. True or False

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Bloodborne Pathogen Quiz

• 3. Treating all blood/body fluids as infected is
  known as _______________Precautions.
• 4. HIV stays alive in dried blood. True or
  False
• 5. Name three of the most common bloodborne
  pathogens ___________, ______________ and
  ____________.

Universal
Hepatitis B
HIV/AIDS
Hepatitis C
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For Additional Assistance, Contact the Health
Safety Unit Staff

• Michelle Glover-Brown, MPH - Director, HS Unit
• Nanette Geary, BA Associate Industrial
  Hygienist
• Edward Kusckar, MS Associate Industrial
  Hygienist
• Mary Lanzi, BS Senior Industrial Hygienist
• Email hsmailbx_at_gw.dec.state.ny.us
• Phone [phone]

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Bloodborne DiseasesAny Questions?