Bloodborne Pathogens

1
BloodbornePathogens

• First Responder

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Know the regulation

• 29 CFR 1910.1030

1a
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Epidemiology symptoms of bloodborne diseases

• Bloodborne pathogens
• Decontamination
• Exposure incident
• Occupational exposure

2a
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Epidemiology symptoms of bloodborne diseases

• Parenteral
• Potentially infectious materials
• Universal precautions

2b
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How diseases are contracted

• Workplace situations
• Non-workplace situations
• Routes of occupational exposure

3a
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Exposure control plan

• Evaluation of risk
• Job classifications with
• Exposure to blood
• Potentially infectious materials

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Exposure control plan

• Control plans vary, but also have common elements
• Implementation schedules

4b
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Exposure control plan

• Communicating hazards to employees
• Hepatitis B
• Vaccination
• Post-exposure follow-up
• Recordkeeping

4c
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Exposure control plan

• Implementation of
• Engineering controls
• Work practice controls
• PPE
• Housekeeping procedures
• Evaluation of exposure incidents

4d
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Recognize potential exposures

• Blood and infectious materials at accident scenes
• Primary screening
• Primary assessment

5a
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Engineering and controls

• Primary methods of controlling transmission of
  HBV and HIV
• Disposable airway equipment
• Mouth-to-mouth resuscitation devices

6a
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Handwashing facilities

• Locations
• Portable facilities

7a
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Handwashing facilities

• Procedures
• Remove gloves
• Wash hands immediately
• Use antiseptic cleansers

7b
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Handwashing facilities

• Where there is a potential for exposure,
  prohibit
• Eating and drinking
• Applying cosmetics or lip balm
• Handling contact lenses

7c
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Work practices

• Reduce the likelihood of exposure by altering the
  manner in which a task is performed
• Follow universal precautions
• Handwashing
• Minimizing splashing and spraying of blood

8a
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Housekeeping

• Minimize the risk of occupational exposure
• Keep work areas and equipment clean and
  decontaminated
• Establish cleanup procedures for blood and bodily
  fluids

9a
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Housekeeping

• Establish procedures for handling sharps
• Watch for illegal injectionable drugs
• Parking lots
• Storage areas
• Construction sites

9b
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Personal protective equipment

• Best defense against unexpected hazards
• Must be used when possibility exists for exposure
  to blood or bodily fluids

10a
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Personal protective equipment

• Must not allow blood or infectious matter to pass
  through to employees
• Clothes
• Skin
• Eyes
• Mouth

10b
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Proper use of PPE

• Limitations of PPE
• Replacements
• Removal

11a
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Proper use of PPE

• Handling
• Decontamination and disposal
• Keep PPE clean

11b
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Hepatitis B vaccine

• Efficacy
• Safety
• Method of administration
• Benefits of the vaccine

12a
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Responding to an exposed worker

• Review worst-case scenario
• First responders may be involved
• as one who has been exposed or
• as a witness or participant where several
  employees have been injured

13a
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Responding to an exposed worker

• Arrange for immediate and confidential medical
  evaluation
• Document how the exposure occurred
• Identify and test the source individual, if
  possible

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Responding to an exposed worker

• Test the exposed employees blood, if consent is
  obtained
• Provide counseling
• Evaluate any reported illness

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Post-exposure evaluation and follow-up

• A confidential medical evaluation and follow-up
  is available to employees

14a
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Signs and labels

• Biohazard symbol
• Red bags and containers can be used as a
  substitute for labels

15a
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Medical records

• Must be made available to employee

16a
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Medical records should include

• Employee name and social security number
• Hepatitis B vaccination status
• Results of all exams, testing, follow-ups

16b
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Medical records should include

• Copy of physicians professional opinion
• Copy of information provided to healthcare
  professional

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Regulatory information

• 29 CFR 1910.1030(c)(1)(iii)
• Exposure control plans

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Summary of key points

• Written exposure control plan
• Training
• Engineering controls
• Work practices

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Summary of key points

• PPE
• Housekeeping
• Hepatitis B vaccine
• Exposure incident response

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Summary of key points

• Routes of exposures
• Methods of assessment for bloodborne pathogen
  risk
• Methods of protection while delivering first aid

18c