Bloodborne Pathogens Training Program

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Bloodborne Pathogens Training Program
Collier County Public Schools
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What is OSHA? Purpose?

• OSHA is the Occupational Safety and Health
  Administration

• To establish safety and health standards which
  provide safe and healthful working conditions for
  every working man and woman.

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Training Agenda

• The OSHA standard for Bloodborne Pathogens
• Terminology
• What Bloodborne diseases do we have to protect
  ourselves from?
• How are these diseases transmitted?
• How do we recognize a potential exposure?
• What is our Exposure Control Plan?
• What are the methods to control accidental
  exposure?

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(agenda)

• HBV Vaccination Series
• Universal Precautions
• How to select PPE
• Warning Signs and Labels
• Procedures if accidental exposure occurs
• Exposure Follow-up
• Post Exposure Follow-up

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OSHA Standard 1910.1030

• Limit occupational exposure to blood or other
  potentially infectious materials (OPIMs)
• 29 CFR Part 1910.1030 States
• Workers who have the potential (who could
  reasonably anticipate) to be exposed to blood or
  other potentially infectious materials must be
  protected from the diseases associated with these
  materials.

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Terminology

• Biohazard
• Bloodborne Pathogens
• Contaminated (laundry, sharps)
• Engineering Controls
• Exposure (incident, risk)

• OPIM
• Parenteral
• Personal Protective Equipment
• Work Practice Controls

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Universal Precautions!!!!

• Universal Precautions - a method of infection
  control which requires you to assume that all
  blood and all body fluids are considered
  potentially infectious.
• Treat all blood and body fluids as if they are
  known to be infectious for HIV, HBV, or other
  bloodborne pathogens.
• Help prevent infection through the use of
  protective barriers (PPE) and safe work practices.

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(continued)

• Immediately wash any area of the body, and flush
  mucous membranes with water, after contact with
  blood or OPIMS.

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Engineering Controls

• are the primary methods used to prevent or reduce
  occupational exposure by either removing or
  isolating the hazard.

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Safe Work Practice Controls

• alter the manner in which a task is performed.

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What is Personal Protective Equipment?

• Specialized clothing or equipment
• Gloves (disposable latex)
• Face masks, eye protection
• Protective body clothing

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Personal Protective Equipment (PPE)

• The use of PPE helps prevent exposure to
  infectious materials.
• Gloves, eye protection, face shields, masks, gowns

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Housekeeping

• The work site must be maintained in a clean and
  sanitary condition.
• Use dust pan, broom, tongs, mop, scrapers to
  handle spills and pick up sharp objects.

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Diseases

• What are the diseases associated with blood and
  other potentially infectious bodily fluids?
• HIV - HUMAN IMMUNODEFICIENCY VIRUS
• HBV - HEPATITIS B VIRUS

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(No Transcript)
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Acquired Immunodeficiency Syndrome

• HIV is the virus which causes AIDS.
• Needs a route of entry into the body
• A virus which attacks the bodys immune system,
  making it difficult or impossible to fight off
  disease
• Resulting in illness from opportunistic
  infections, including pneumonia

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HIV

• Spread through sexual contact, shared drug
  needles, injuries from sharp objects causing
  parenteral exposure, a blood splash into mucus
  membranes (eyes, nose, mouth), or contact with
  non-intact skin.
• Can be spread by blood or OPIMs such as semen,
  vaginal secretions, human tissue or organs, or
  body fluids contaminated with infected blood

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HIV Symptoms

• Symptoms may not appear for years
• Fever
• Loss of appetite
• Weight Loss
• Chronic fatigue
• Skin rashes
• Currently there is no cure for AIDS

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HBV - HEPATITIS B

• 100 times easier to catch than HIV
• Inflammation of the liver
• Vaccine is Available

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HBV Symptoms

• Fatigue, loss of appetite, nausea
• Jaundice, mild fever, rash
• Pain in joints
• Inflammation of liver or colon
• Darkened urine, diarrhea
• Tenderness in abdomen

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HBV Immunizations

• Available to all CCPS employees
• A series of 3 injections over a six month period
• Vaccine is safe and very effective
• Consent / Declination form

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Means of Transmission

• Direct route of entry
• Parenteral exposure, scrapes, cuts, dermatitis,
  or mucous membranes
• Blood or OPIMs
• Semen, vaginal secretions, amniotic fluid,
  saliva, human tissue, human organs, other bloody
  fluids
• Lives in dried blood for up to 7 days

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HBV and HIV are NOT spread -

• Through casual contact, insect bites, by sharing
  food, or through the air.
• Sharing equipment, bathrooms, telephones,
  cafeterias, or water fountains with an infected
  person.
• Coughing or sneezing - the virus can only infect
  a person if it gets into his or her bloodstream.

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Exposure Control Plan

• Identifies WHO is at risk
• Set of actions followed to reduce the risk of
  exposure to BBP.
• Identifies tasks which may present a risk for BBP
• Identifies what to do in case of exposure

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Who?

• Those individuals who are reasonably anticipated
  to have contact with blood or other potentially
  infectious materials (OPIMs).

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Who?

• Incidental or Good Samaritan acts are not
  considered occupational exposure.

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When is there risk of exposure?

• When it is necessary to handle, clean or dispose
  of another's blood or any other potentially
  infectious body fluids, contaminated materials,
  objects, or surfaces.
• When encountering any body fluid under conditions
  that make it difficult to determine if it
  contains blood.

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What do I do if Im accidentally exposed to blood
or OPIMs?

• Wash area thoroughly, remove any contaminated
  clothing, and decontaminate!
• See your supervisor to report the exposure
  incident.
• Follow-up with Medical Evaluation.

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Potential Exposure
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How do I clean up a potentially infectious spill?

• With a 1 part bleach to 10 parts water solution
  (on surfaces)
• Absorbent materials
• Safe work practices
• Use of PPE

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How do I dispose of potentially infectious waste?

• For glass and other sharp objects
• SHARPS CONTAINER
• Puncture resistant, leak-proof, red in color or
  labeled
• Other infectious waste
• RED BAG (Biohazard)

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WARNING SIGNS LABELS
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More Ways to Protect Yourself

• Dont share personal care items such as
• Toothbrushes
• Razors
• Personal hygiene
• Nail clippers, scissors, files
• Pierced earrings

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Make these precautions a habit

• Practice Universal Precautions - treat ALL blood
  and potentially infectious materials as if they
  are infectious.
• Wash your hands with soap and water IMMEDIATELY
  after contact with blood or OPIMs and after
  removing gloves.
• Dispose of infectious waste carefully and in the
  appropriate RED or RED ORANGE biohazard
  containers or bags.

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(continued)

• Take steps to protect yourself
• Cover any broken skin
• Wear gloves (double glove)
• Use other appropriate PPE
• Get the Hepatitis B Vaccination Series.
• Report any exposure incidents immediately.
• Use the medical assistance youre offered.

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QUESTIONS????????

• The CDC National HIV/Aids Hotline
• 1-800-342-2437 (English)
• 1-800-344-7432 (Spanish)
• 1-800-243-7889 (TDD)
• American Liver Foundation
• 1-800-737-8300

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Video

• Bloodborne Pathogens Training Video (School
  Version) 15 min.

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Quiz

• Bloodborne Pathogens Employee Training Quiz
• Pass / Fail

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Thank you for your participation in this training
session. Please contact the Department of Code
Enforcement Permitting if you have additional
questions or concerns at 254-4000 extension
4372.