East Carolina University Department of Recreational Services Student Leadership Seminar Program

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East Carolina UniversityDepartment of
Recreational ServicesStudent Leadership Seminar
Program

• BLOODBORNE PATHOGENS

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Definitions

• Blood borne pathogens are pathogenic
  micro-organisms that are present in human blood
  and can cause disease in humans. Examples include
  but are not limited to, Hepatitis B, Hepatitis
  C, and HIV

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Why do you need to know about Blood Borne
Pathogens ?

• Two Reasons
• For your own safety and protection
• The federal government mandates annual update
  training for anyone at risk of coming into
  contact with blood, or body fluids

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General Considerations

• Treat all body fluids as if they were infected.
• Follow Standard Precautions to ensure
  occupational safety
• Update training at least annually to maintain
  occupational safety

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Blood Borne Pathogens

• Examples of Potentially infectious body fluids
  include
• Blood
• Semen
• Spinal fluid
• Fecal Matter
• Any body fluid that is visibly contaminated with
  blood

• Common Modes of accidental transmission
• Accidental puncture
• Contact between broken skin and infected body
  fluids
• Contact between mucous membranes and infected
  body fluids

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Modes of Transmission

• BBPs can enter your system through
• OPEN SORES
• CUTS
• ABRASIONS
• ACNE
• SUNBURNS or BLISTERS

• BBPs may also be transmitted through mucous
  membranes of the
• EYES
• NOSE
• MOUTH

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Hepatitis B

• Dangers
• 20 chance of infection with percutaneous
  exposure to positive source
• Only 1/3 of patients have symptoms
• Replicates in the liver
• Cause liver dysfunction
• Risk Factors
• Sexual activity with multiple partners
• IV drug use
• A Hepatitis B vaccine is available

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Hepatitis C

• Risk Factors
• Sexual activity with multiple partners
• IV Drug use
• Tattooing
• Body piercing
• Shared nasal cocaine use
• Blood transfusion prior to 1990

• Dangers
• No vaccine or cure
• 8-10 thousand annual deaths
• Causes liver damage, cirrhosis and liver cancer
• Most common chronic BBP in the U.S.

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HIV

• What do I need to know about HIV?
• HIV is a blood borne disease. It is like
  hepatitis and syphilis in that it can be sexually
  transmitted.
• NC ranks in the top 10 states for reporting new
  cases of HIV. Pitt County is 2 in the state.
• THERE IS NO CURE OR VACCINE FOR HIV!

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Syphilis

• Things you need to know
• NC ranks in the top 5 states in the nation for
  the past 20 years in reporting case of Syphilis
• Transmitted by sexual contact or by infected
  human blood or tissue exposure
• Syphilis is treatable, but can persist long term
  if not treated

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Protecting Yourself

• Use Standard Precautions
• Learn the ECU Student Rec Center, Exposure
  Control Plan

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Standard Precautions

• MINIMIZE YOUR EXPOSURE BY ALWAYS KEEPING A
  BARRIER BETWEEN YOU AND THE VICTIM
• WEAR PROTECTIVE GEAR AT ALL TIMES
• UTILIZE POCKET MASKS
• WASH YOUR HANDS REGULARLY DURING YOUR SHIFTS
• PROPER DISPOSAL OF CONTAMINATED
  MATERIAL---BIOHAZARD CONTAINERS

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Body Fluid Spills

• In the event of a body fluid spill (blood or
  other fluid on the floor, pool deck or fitness
  machine)
• Remove customers from the immediate area
• Clean the area using appropriate cleaning
  solution
• Always utilize barriers to protect yourself from
  accidental exposure

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Disposal of Contaminated Materials

• Always use a protective barrier between you and
  the fluid and/or victim.
• All contaminated materials used in first aid and
  clean up (rags, towels, gauze, gloves, etc)
  should be placed in an orange BIOHAZARD BAG and
  properly disposed of in the BIOHAZARD CONTAINER.
• DO NOT PLACE SOILED RAGS AND TOWELS IN THE
  WASHER.
• Dispose of them in BIOHAZARD CONTAINERS.

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Exposure Control Plan

• When blood or body fluids are spilled you need to
  use the ECU Student Rec Center Exposure Control
  Plan

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Put up a Barrier

• Before you get near any blood or body fluid put
  on latex gloves, and any other needed protective
  gear

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First-Aid

• When giving first-aid you should wear gloves at
  all times and put on new gloves when you give
  first aid to a new victim

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Remove Customers

• Always keep members away from bloody or
  contaminated area until it can be clean

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Spray Area

• Spray area with the A-428 disinfect spray before
  you start to clean up the area (in case of a
  large spill first wipe up with regular soap
  water, then clean with disinfectant)

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Place In Biohazard Bag

• Place all towels, rags, etc with blood or body
  fluids on them in a orange biohazard bag

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Carefully Remove Gloves

• Slowly carefully remove gloves last, so that
  you do not touch the outer part of the gloves

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Biohazardous Bin

• After everything is in the orange bag, tie a knot
  in it and place it in the Biohazardous bin behind
  the customer service desk, field house, or
  equipment room of Christenbury

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Wash Your Hands

• Before your start back to work wash your hands
  with warm water and soap

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ACCIDENTAL EXPOSURE

• IF YOU ARE EXPOSED, YOU SHOULD
• Wash the exposed area thoroughly with copious
  amounts of soap and running water.
• Contaminated eyes and mucous membranes should be
  irrigated for 15 minutes using normal saline or
  water.
• Report Exposure to your supervisor and/or
  facility manager Immediately.
• Then call the Office of Prospective Health at
  744-2070.

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Accidental Exposure cont.

• Get the Name, phone number, address (local
  home) of the victim
• This information needs to be give to supervisor
  or Coordinator of Safety Services so they contact
  the person who had the body fluid spill and have
  them come in for testing

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RECAP

• ALWAYS USE A PROTECTIVE BARRIER BETWEEN YOURSELF
  AND POTENTIALLY INFECTIOUS MATERIALS!
• One careless mistake could expose you or our
  customers to deadly diseases.
• Dispose of contaminated material properly to
  ensure the safety of our customers and our staff.
• THINK BEFORE YOU ACT!
• PROTECT YOURSELF!

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Tuberculosis

• Tuberculosis is a disease which is spread when
  individuals with TB disease cough/sneeze, speak,
  or spit and release TB bacteria into the air
  where un-infected individuals can breathe it.

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cont.

• Whats the difference between TB infection TB
  disease?
• TB infection (called latent tb infection) means
  that you have, at some time, been exposed to
  someone with infectious TB and developed the
  infection. You will not show symptoms and you
  will not have the ability to infect others. Your
  TB skin test is positive.
• TB disease (called active tb disease) means you
  will show symptoms, and you will be infectious!
  (positive TB skin test, positive symptoms and
  positive chest x-ray).

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cont...

• How do you test for TB?
• A test called a TB skin test or PPD. The test
  will show if you have any TB bacteria in your
  body, even if you do not have TB disease.
• All employees or students that are potentially
  exposed to TB need to receive a skin test
  annually.
• What are symptoms of TB disease?
• Most common is a persistent cough lasting gt2
  weeks, fever, chills, weakness, weight loss, no
  appetite.

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cont...

• What if I have Latent TB infection?
• Many healthy people with TB infection will never
  develop TB disease. These people should be
  familiar with the signs and symptoms of TB
  disease.
• People need to be evaluated for prophylaxis
  medications at the health department or a private
  physician.

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cont.

• What if I am diagnosed with TB disease?
• You can not work until you are not infectious.
• You will receive several medicines which will
  eventually kill all the TB bacteria in your body.
• It is very important to take these medicines
  exactly as instructed by your physician- and it
  is required BY LAW!