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Round Rock ISD Bloodborne Pathogen Training Date of most recent revisions: 6701 In accordance with H

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Special Ed Teachers. Special Ed Bus Drivers & Aides. Health Occupation Teachers ... Bus Drivers. Employee Tasks which may cause exposure. Breaking up fights ... – PowerPoint PPT presentation

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Title: Round Rock ISD Bloodborne Pathogen Training Date of most recent revisions: 6701 In accordance with H


1
Round Rock ISD Bloodborne Pathogen Training
Date of most recent revisions 6-7-01 In
accordance with Health and Safety Code, Chapter
81, Subchapter H, and Analogous to OSHA
Bloodborne Pathogens Standard, the following
exposure control plan exists
2
When is training conducted?
  • Within the first 30 days of employment for
    positions where occupational exposure may occur.
  • Annually, as refresher training

3
Who can conduct training?
  • Registered nurses, athletic trainers, and others
    persons designated by the District who are
    knowledgeable in the RRISD Bloodborne Pathogen
    Exposure Plan.

4
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

5
What are Bloodborne Pathogens?
  • They are viruses, bacteria and other
    microorganisms that
  • 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.

6
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)

7
Stop the Spread
  • Break the Chain By
  • Washing Hands
  • Avoiding blood or other potentially infectious
    material
  • Using barriers (gloves)

8
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.

9
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
  • Students in clinical rotations

10
Category 2 Job Classifications
  • Following occupations are identified as
    experiencing some exposure
  • Custodians
  • Secretaries
  • Regular Education Teachers Aides
  • Bus Drivers

11
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

12
Training Program Includes
  • Hepatitis B vaccine program in the district
  • 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

13
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

14
Video Bloodborne Pathogens (School Version)
  • The District has a video that is available
    through the Health Services Department.

15
Hepatitis B Vaccine
  • All employees who have been identified as having
    occupational exposure to blood or other
    potentially infectious materials are offered the
    hepatitis B vaccine, at no cost to the employee,
    under the supervision of a licensed physician or
    licensed healthcare professional.

16
Hepatitis B Vaccine Offered
  • The vaccine is offered at the beginning of every
    school year, after bloodborne pathogens training
    and within 30 working days of their initial
    assignment to work unless the employee has
    previously received the complete hepatitis B
    vaccination series, antibody testing has revealed
    that the employee is immune, or that the vaccine
    is contraindicated for medical reasons.

17
Hepatitis B Vaccine
  • Employees receive the vaccine from the Round Rock
    ISD, Health Services Department or from
    employees physician. For those employees
    requesting the Hepatitis B series, the vaccine
    series is started during the month of September.

18
Hepatitis B Vaccine Declination
  • Employees who decline the Hepatitis B vaccine
    sign a declination statement (See appendix A of
    this exposure control plan).
  •  
  • Employees who initially decline the vaccine but
    who later elect to receive it may then have the
    vaccine provided at no cost.

19
Procedures to follow if an exposure incident
occurs
  • If there is an exposure, wash the exposed area
    immediately
  • contact the school nurse.
  • School nurse will provide proper paperwork.
  • Where to seek medical evaluation treatment
  • Local city or county health department
  • Private physician
  • Local hospital emergency room

20
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/Benefits personnel

21
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.

22
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 shall wash their hands or other skin
    immediately or as soon as possible after removal
    of gloves or other personal protective equipment.

23
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.

24
Work Area Practices
  • Mouth pipetting/suctioning of blood or other
    potentially infectious materials is prohibited.
  • All procedures are conducted in a manner to
    minimize splashing, spraying, splattering, and
    generation of droplets of blood or other
    potentially infectious materials.

25
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

26
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.

27
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.

28
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.

29
Housekeeping
  • Decontaminate with the following materials
  • 10 bleach solution made fresh daily
  • District disinfectant
  • 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.

30
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.

31
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 washed at
    Athletic trainers room, Special Ed. self
    contained unit, or placed in plastic bag and sent
    home with student.

32
Regulated Waste Disposal
  • All contaminated sharps are discarded as soon as
    feasible in sharps containers located at each
    campus in the nurses office and athletic
    training room.
  • 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.

33
Signs Labels used by the district
  • Reminder School districts are not viewed by the
    state as generators of regulated medical waste
    and are not required to use red waste containers,
    bags or labels

34
Questions are Encouraged
  • If you have any questions or concerns about this
    program, please contact your school nurse and/or
    the Districts Health Services Department 464-5217

35
How to Obtain a Copy of the Plan
  • District safety web page
  • Health Services Department
  • School Nurse Office
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