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Anesthesia Medical Alliance Bloodborne Pathogen


Title: KAG OSHA & Infection Control Update Author: COMPAQ Last modified by: Nancy Gardner Created Date: 11/10/2004 9:56:48 AM Document presentation format – PowerPoint PPT presentation

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Title: Anesthesia Medical Alliance Bloodborne Pathogen

Anesthesia Medical Alliance Bloodborne Pathogen
OSHA Update
  • .

What are bloodborne pathogens?
  • Theyre disease causing organisms, including
    viruses and bacteria, that may be present in
    human blood, blood components or blood products.
    Bloodborne pathogens can make you very ill. Some
    can even kill.

Which ones are most common in health-care
settings ?
  • The pathogens of greatest concern for most
    health-care workers are
  • HIV (human immunodeficiency virus), the virus
    that causes AIDS it can take up to 10 years to
    progress into AIDS
  • HBV (hepatitis B virus), a virus that can cause
    serious liver damage
  • HCV (hepatitis C virus), another virus that can
    cause liver disease

Are there others I should know about ?
  • Yes. Many other bloodborne diseases pose a
    threat to people in both health-care and
    home-care settings.
  • Examples include
  • ? Hepatitis D ? Ebola(viral
    hemorrhagic fever)
  • ? Diphtheria ? malaria
  • ? Syphilis ? herpes

Other body substances may also spread bloodborne
  • These include
  • blood products (such as plasma)
  • tissue
  • semen
  • vaginal secretions
  • amniotic fluid
  • pericardial
  • synovial fluid
  • Some bloodborne pathogens are deadly.

Patients who are ill, injured or otherwise
  • may be especially vulnerable to infection.
    Taking steps to prevent transmission of
    bloodborne pathogens helps keep patients, their
    families and other visitors out of harms way.

How are bloodborne pathogens transmitted ?
  • Infections are most likely to occur when
    contaminated blood or other body substances come
    in contact with a persons
  • broken skin examples include skin thats been
    jabbed with a needle or cut with a sharp object,
    or skin with an existing cut, rash or burn
  • mucous membranes - splashing or spraying blood
    can cause infection through the delicate tissues
    of the eyes, nose and mouth.

Bloodborne Pathogen Standard
  • OSHAs Bloodborne pathogen standard introduced in
  • Outlines preventative measures to reduce the risk
    of transmission of bloodborne pathogens
  • Measures include protective barriers,
    engineering controls, work practice controls,
    prompt post exposure evaluation and treatment

Bloodborne Pathogen Standard Contd
  • Needlestick Safety and Prevention Act passed in
    2000 and it amended the OSHA Bloodborne Pathogen
    Standard to include stronger requirements for
    safety needles

Bloodborne Pathogens and Health Care Providers
  • 600,000-800,000 exposures annually
  • Sharp decline in incidence of HBV infection among
    HCP since OSHA regulations implemented
  • CDC reports 57 U.S. HCP with documented HIV
  • An additional 139 episodes are considered
    possible occupational HIV transmission

Summary of Actual BBP Risks
  • HIV 0.3 PEP
  • HCV 3 No vaccine or PEP
  • HBV 30 Vaccine

Primary Prevention
  • Consistent use of Universal / Standard
  • Education / retraining staff about occupational
  • Modification of procedures work practices

Primary Prevention, contd
  • Engineered controls - use of technological
  • Immunization

Protect Yourself from Bloodborne Pathogens
  • Use required equipment and labels for your
    job. These may include

Biological safety cabinets - which help protect
lab workers from airborne particles.
Autoclaves - for sterilizing equipment.
Special tools - such as needles designed to help
prevent needle-stick injuries.
Protect Yourself from Bloodborne Pathogens
  • Special containers
  • for potentially contaminated materials.
  • These include
  • used sharps (needles, broken glass or any object
    that can pierce the skin)
  • other regulated wastes (gloves contaminated with
    blood or other body substances, used dressings,
  • contaminated laundry.
  • Biohazard labels
  • which display the biohazard symbol with the word
    BIOHAZARD. (Red bags or containers may be used
    in place of labels.)

Use required personal protective equipment (PPE).
  • Wear gloves
  • if contact with blood, other body substances or
    contaminated objects is possible.
  • Never reuse disposable latex or nylon gloves.
  • Wash your hands
  • before putting on and after removing gloves.
  • Examine gloves
  • for tears, cracks and tiny holes before and
    during use. Replace damaged gloves as soon as
  • Remove gloves
  • so that the gloves outer surface never touches
    your skin.
  • 1. Grasp the outside of a glove near the wrist
  • 2. Pull down until the glove comes off
  • 3. Cup this glove in the palm of your gloved
    hand. Then, insert 2 fingers of your
  • bare hand inside the cuff of
    the remaining glove.
  • 4. Pull down so this glove also comes off
    inside-out -- with the first glove tucked

Wear other PPEs as needed
  • Wear a mask and eye protection, or a full face
    shield, if fluids could splash or spray into your
    eyes, nose or mouth.
  • Wear an apron or a gown if fluids could splash or
    drip onto your clothing. If fluid penetrates the
    apron or gown, change it as soon as possible.
  • Wear other PPE, such as a cap, a hood and shoe
    coverings, when exposure to a lot of fluids is
    possible (such as during surgery, autopsy or
  • Use a resuscitation device
  • or pocket resuscitation mask when providing
    rescue breathing.
  • Remove contaminated PPE
  • and other contaminated clothing carefullywhile
    wearing gloves. Remember to wash your hands
    after removing PPE.

Eliminate hazards with proper housekeeping.
  • Dont touch broken glass
  • Pick it up with tongs, or use a broom and
  • Dispose of sharps
  • in a covered, puncture-resistant, leakproof
    container that is red or labeled with the
    biohazard symbol.
  • Place other contaminated wastes
  • (linens, gloves, etc.) in a leakproof container
    or bag that is red or labeled with the biohazard
    symbol. (Bag linens where they were used.) If
    the outside of the container or bag becomes
    contaminated, place it in a second container or

Never reach into trash to retrieve an object.
Report full sharps containers and waste
containers see that theyre covered, removed and
replaced. Clean equipment and work surfaces at
the end of your shift, as well as when visibly
contaminated. Wear gloves. Use approved
disinfectant towelettes.
In the Event of BBP Exposure
  • Immediate first aid to site
  • Soap and water for wound and skin exposures (no
    back bleeding)
  • Flush with water for mucous membrane exposures
  • Phone Infection Control / Employee Health to
    report incident
  • Fill out facility incident occurrence report

In the Event of BBP Exposure
  • Draw 3 tubes of blood from source
  • Clearly mark blood tubes for needlestick
  • Take blood to Lab
  • Notify AMAET Human Resources Manager

  • Occupational exposures are crisis situations
    demanding immediate, decisive action.

Tuberculosis Control Plan
  • Annual TB skin test
  • Annual health questionnaire if previously
  • ? Employer has Exposure Control Plan
  • ? Respirator fit testing is available and is
    provided by facility

OSHA Might Ask.
  • Does your employer have an Exposure Control Plan?
  • Yes, AMAET has an Exposure Control Plan.
  • Where is it?
  • It can be found in the hospital anesthesia
    lounge, in the AMAET office, or online at
  • Are you provided with protected sharps / safer
    sharps products?
  • Yes, our facilities provide us with the
    necessary safe products.
  • Do you utilize them?

OSHA Might Ask.
  • Does anyone monitor your usage of PPE?
  • Our facilities monitor our PPE usage.
  • How do you get new / replacement PPE?
  • Simply by requesting new PPE at our facility.

OSHA Might Ask.
  • Did you receive training by your employer on the
    Bloodborne Pathogen Standard?
  • By reviewing this online module and completing
    the test, you have received training regarding
    BBP Standards.

Important Contact Numbers
  • St. Marys Stephanie Brooks 545-7592 or
  • Gail Beeler 545-8642
  • St. Marys ASC Bridgette Welch 545-3700
  • Fort Sanders Norma Sundberg 541-4921
  • Parkwest Trish Chaloux 373-1940
  • TVEC Kathy Brock or Susan Sams 251-0338
  • Fort Sanders West Erma Morgan 531-5048
  • GIA Gayle Mahan
  • Parkwest Surgery Center Mary Horton 531-0494
  • Physicians Surgery Center Sally Dargan

Hand Hygiene
  • Wash hands!!!!!
  • Wash hands some more!!!!!

  • Now that you have finished the AMAET Bloodborne
    Pathogen and OSHA Update, you must click below
    and take the 10 question test.
  • OSHA Test