Bloodborne Pathogen Presentation 2014
- 1. Bloodborne Pathogens Training School Districtof JeffersonSchool District of Jefferson
- 2. Bloodborne Pathogens Training Overviewof BBP StandardOverview of BBP Standard Types of pathogensTypes of pathogens Exposure Control PlanExposure Control Plan
- 3. Purpose of ExposureControl Plan Eliminate or minimize employee occupationalEliminate or minimize employee occupational exposure to blood or certain other body fluidsexposure to blood or certain other body fluids Comply with the OSHA Bloodborne PathogensComply with the OSHA Bloodborne Pathogens Standard, 29 CFR 1910.1030 and incorporateStandard, 29 CFR 1910.1030 and incorporate changes in the OSHA Compliance Directivechanges in the OSHA Compliance Directive CPL 2-2.44D, dated November 5, 1999.CPL 2-2.44D, dated November 5, 1999. Provide a safe and healthful workingProvide a safe and healthful working atmosphere in The School District of Jeffersonatmosphere in The School District of Jefferson The School District of Jefferson has appointedThe School District of Jefferson has appointed an exposure control manager. The manager isan exposure control manager. The manager is the district nurse.the district nurse.
- 4. Bloodborne Pathogens HumanHuman immunodeficiencyimmunodeficiency virus(HIV)virus (HIV) Hepatitis B virusHepatitis B virus (HBV)(HBV) Hepatitis C virusHepatitis C virus (HCV)(HCV)
- 5. Bloodborne Pathogens Canacquire fromCan acquire from bloodblood body fluids containing visible bloodbody fluids containing visible blood other potentially infectious materialother potentially infectious material (OPIM)(OPIM) cerebral spinal fluid (CSF), synovial fluid,cerebral spinal fluid (CSF), synovial fluid, pleural fluid, peritoneal fluid, amnioticpleural fluid, peritoneal fluid, amniotic fluidfluid
- 6. Bloodborne Pathogens ExposureIncidentExposure Incident contact with blood or other potentiallycontact with blood or other potentially infectious material on the employee’s non-infectious material on the employee’s non- intact skin, eye, mouth, or other mucousintact skin, eye, mouth, or other mucous membrane.membrane.
- 7. Bloodborne Pathogens Occupationalexposure occurs by:Occupational exposure occurs by: percutaneous injury (ie: needle stick,percutaneous injury (ie: needle stick, cut, bite etc.)cut, bite etc.) contact with mucous membranescontact with mucous membranes contact with non-intact skincontact with non-intact skin
- 8. Bloodborne Pathogens HIVHIV virus that causes AIDSvirus that causes AIDS incubation period 1incubation period 1 to 3 monthsto 3 months person is infectious fromperson is infectious from onset of infection throughout lifeonset of infection throughout life all persons are susceptibleall persons are susceptible
- 9. Bloodborne Pathogens HBVHBV virus that causes hepatitis Bvirus that causes hepatitis B incubation period 45 to 180 daysincubation period 45 to 180 days person is infectious if test for antigenperson is infectious if test for antigen (HBsAG) is positive(HBsAG) is positive unvaccinated persons are susceptibleunvaccinated persons are susceptible vaccination is recommended for personsvaccination is recommended for persons with potential occupational exposurewith potential occupational exposure
- 10. Bloodborne Pathogens HCVHCV virus that causes hepatitis Cvirus that causes hepatitis C incubation period 6 to 9 weeksincubation period 6 to 9 weeks most persons are infectious for lifemost persons are infectious for life all are susceptibleall are susceptible
- 11. Exposure Control Plan universal/standard precautionsuniversal/standard precautions hand hygienehand hygiene PPE (Personal Protective Equipment)PPE (Personal Protective Equipment) engineering and controlsengineering and controls work practice controlswork practice controls HBV vaccinationHBV vaccination post-exposure managementpost-exposure management trainingtraining
- 12. Exposure Control Plan Available to allAvailable to all employeesemployees copies available incopies available in the main office ofthe main office of each building and ineach building and in District OfficeDistrict Office
- 13. Exposure Control Plan Exposure DeterminationExposure Determination The district has identifiedThe district has identified certain job classifications incertain job classifications in which employees may be atwhich employees may be at greater risk of exposure togreater risk of exposure to BBP in the course ofBBP in the course of fulfilling their jobfulfilling their job requirements.requirements.
- 14. Exposure Control Plan JobClassifications with greater risk of exposure:Job Classifications with greater risk of exposure: NursesNurses Building AdministratorsBuilding Administrators Administrative Assistants: Elementary andAdministrative Assistants: Elementary and SecondarySecondary Athletic Trainers/CoachesAthletic Trainers/Coaches Art/P.E. teachersArt/P.E. teachers CustodiansCustodians Health Room care givers/first aid providersHealth Room care givers/first aid providers Speech, Occupational and Physical TherapistsSpeech, Occupational and Physical Therapists and Assistantsand Assistants Those working with E.C., cognitively disabled,Those working with E.C., cognitively disabled, and physically handicapped studentsand physically handicapped students
- 15. Universal Precautions Usedon ALL individualsUsed on ALL individuals Used for ALL contact with:Used for ALL contact with: blood, body fluids, OPIM (Other Potentiallyblood, body fluids, OPIM (Other Potentially Infectious Material)Infectious Material) mucous membranesmucous membranes non-intact skinnon-intact skin To protect against blood borne pathogensTo protect against blood borne pathogens
- 16. Standard Precautions Usedon ALL individualsUsed on ALL individuals Used for all contact with:Used for all contact with: Blood, all body fluids, secretions, excretionsBlood, all body fluids, secretions, excretions (except sweat) considered infectious (regardless(except sweat) considered infectious (regardless of visible blood)of visible blood) Used to protect against all infectious agentsUsed to protect against all infectious agents Hand hygieneHand hygiene Use of PPEUse of PPE
- 17. Hand Hygiene WashhandsWash hands after touching blood, body fluids,after touching blood, body fluids, secretions, excretions, contaminatedsecretions, excretions, contaminated items, regardless if gloves are wornitems, regardless if gloves are worn immediately after removing glovesimmediately after removing gloves before leaving work areabefore leaving work area whenever hands are dirty orwhenever hands are dirty or contaminatedcontaminated
- 18. Hand Hygiene Handwashing techniqueHand washing technique turn on faucets to comfortable waterturn on faucets to comfortable water temperaturetemperature wet hands, apply soap, latherwet hands, apply soap, lather rub with friction for at least 15 seconds, makingrub with friction for at least 15 seconds, making sure to wash back of hands, fingers, fingertips,sure to wash back of hands, fingers, fingertips, in between fingersin between fingers rinse with fingertips pointing downwardrinse with fingertips pointing downward dry hands with paper toweldry hands with paper towel discard paper towel and turn off faucets withdiscard paper towel and turn off faucets with clean paper towelclean paper towel
- 19. PPE Personal Protective Equipment Gloves, safety glasses or goggles, gowns, andGloves, safety glasses or goggles, gowns, and masksmasks use when there is a reasonable anticipationuse when there is a reasonable anticipation of exposure to blood, body fluids, mucousof exposure to blood, body fluids, mucous membranes, non-intact skinmembranes, non-intact skin provides protection for clothing, skin, eyes,provides protection for clothing, skin, eyes, mouth, nosemouth, nose
- 20. PPE Employer responsibilitiesEmployerresponsibilities provide in appropriate sizesprovide in appropriate sizes make accessiblemake accessible require use by employeesrequire use by employees clean, repair, replace as neededclean, repair, replace as needed provide trainingprovide training
- 21. PPE Employee responsibilities:Employeeresponsibilities: use appropriatelyuse appropriately dispose of appropriatelydispose of appropriately
- 22. PPE GlovesGloves DisposableDisposable wear when it can be reasonably anticipatedwear when it can be reasonably anticipated that the employee may have hand contactthat the employee may have hand contact with blood, OPIM, mucous membranes, andwith blood, OPIM, mucous membranes, and non-intact skin; and when handling ornon-intact skin; and when handling or touching contaminated items or surfaces.touching contaminated items or surfaces. select correct sizeselect correct size have readily available at work stationhave readily available at work station
- 23. PPE Protective eyewear – safety glasses, goggles,Protective eye wear – safety glasses, goggles, masks, and/or solid eye shieldsmasks, and/or solid eye shields • To be worn whenever splashes, spray, spatterTo be worn whenever splashes, spray, spatter or droplets of blood or OPIM may be generatedor droplets of blood or OPIM may be generated and eye, nose or mouth contamination can beand eye, nose or mouth contamination can be reasonably anticipatedreasonably anticipated • All PPE used at this facility will be providedAll PPE used at this facility will be provided without cost to employees.without cost to employees. • PPE is located in the Custodial departmentPPE is located in the Custodial department and health rooms.and health rooms.
- 24. PPE Removal 1) Removegloves by grasping outside of gloved1) Remove gloves by grasping outside of gloved hand with other gloved hand and peel off.hand with other gloved hand and peel off. Hold removed gloveHold removed glove in gloved hand.in gloved hand. 2) Slide fingers of2) Slide fingers of ungloved hand underungloved hand under remaining glove atremaining glove at cuff and remove glovecuff and remove glove 3) Discard gloves.3) Discard gloves.
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- 26. Engineering and Work- PracticeControls Engineering & work-practice controls will be utilizedEngineering & work-practice controls will be utilized to eliminate or minimize exposure to employees at thisto eliminate or minimize exposure to employees at this facility. The following engineering controls will befacility. The following engineering controls will be utilized:utilized: Gloves and other necessary PPEGloves and other necessary PPE Bio-Hazard bagsBio-Hazard bags Sharps containersSharps containers Sharps definition: any object that can penetrate theSharps definition: any object that can penetrate the skin; including but not limited to, needles, scalpels,skin; including but not limited to, needles, scalpels, broken glass, and blades.broken glass, and blades.
- 27. Engineering Controls Placeused sharps in disposal containersPlace used sharps in disposal containers immediately after useimmediately after use Sharps containers areSharps containers are puncture resistantpuncture resistant leakproofleakproof labeled and red in colorlabeled and red in color Maintained in uprightMaintained in upright positionposition
- 28. Engineering Controls SharpscontainersSharps containers Replace sharps containersReplace sharps containers when 2/3 fullwhen 2/3 full Contact the District NurseContact the District Nurse to replace sharpsto replace sharps container when necessarycontainer when necessary
- 29. Work Practice Controls Do not place hands into used sharpsDo not place hands into used sharps containerscontainers Use a brush and dustpan or tongs or forcepsUse a brush and dustpan or tongs or forceps to pick up broken glass or other sharp itemsto pick up broken glass or other sharp items
- 30. Work Area Restrictions Do not eat, drink, apply make-up or lipDo not eat, drink, apply make-up or lip balm, smoke, or handle contact lenses inbalm, smoke, or handle contact lenses in areas with likely exposure to blood orareas with likely exposure to blood or OPIMOPIM Do not store food and beverages inDo not store food and beverages in refrigerators, freezers, shelves, cabinets,refrigerators, freezers, shelves, cabinets, or on counter tops or bench tops whereor on counter tops or bench tops where blood or OPIM are present.blood or OPIM are present.
- 31. Waste Disposal InfectiouswasteInfectious waste sharpssharps disposable items that are saturated withdisposable items that are saturated with blood or OPIM to the point where suchblood or OPIM to the point where such material can be squeezed, poured, dripped,material can be squeezed, poured, dripped, or flaked off the itemsor flaked off the items place in red biohazard bags, seal to preventplace in red biohazard bags, seal to prevent spillage during handlingspillage during handling Contact the Custodian to store in designatedContact the Custodian to store in designated areas for collection and appropriate disposalareas for collection and appropriate disposal
- 32. Labels Infectious waste:place in fluorescentInfectious waste: place in fluorescent orange or orange-red bag withorange or orange-red bag with biohazard labelbiohazard label Sharps containers:Sharps containers: red container withred container with biohazard labelbiohazard label
- 33. Cleaning/Disinfection Cleaning anddisinfection of all equipmentCleaning and disinfection of all equipment and environmental surfaces after contactand environmental surfaces after contact with blood or OPIM will be done by thewith blood or OPIM will be done by the Custodial staff as necessary.Custodial staff as necessary. use EPA registered disinfectant with activityuse EPA registered disinfectant with activity against HIV, HBV, HCV or 1:10 bleachagainst HIV, HBV, HCV or 1:10 bleach solutionsolution follow instructions on disinfectant labelfollow instructions on disinfectant label
- 34. Handling Blood Spills Procedure for Cleaning Blood SpillsProcedure for Cleaning Blood Spills wear PPE: gloves, goggles, and/orwear PPE: gloves, goggles, and/or maskmask wet cloth with the disinfectantwet cloth with the disinfectant wipe item/area with wet clothwipe item/area with wet cloth spray disinfectant on item/areaspray disinfectant on item/area wipe with clean cloth, let air drywipe with clean cloth, let air dry
- 35. Hepatitis B Vaccination Any one with potential occupationalAny one with potential occupational exposure to blood or OPIM should beexposure to blood or OPIM should be vaccinatedvaccinated recommended unless:recommended unless: employee has documentation ofemployee has documentation of receipt of seriesreceipt of series antibody testing shows immunityantibody testing shows immunity employee has medicalemployee has medical contraindicationscontraindications
- 36. Hepatitis B Vaccination available free of charge, within 10available free of charge, within 10 working days of work start dateworking days of work start date if employee declines, must signif employee declines, must sign statement of declinationstatement of declination employee may request the seriesemployee may request the series laterlater
- 37. Hepatitis B Vaccination SafetySafety very safe vaccinevery safe vaccine US: as of 2000 more than 100 million adultsUS: as of 2000 more than 100 million adults have received vaccine with few side effectshave received vaccine with few side effects serious reactions are rareserious reactions are rare mild symptoms may occur: soreness atmild symptoms may occur: soreness at injection site, low-grade feverinjection site, low-grade fever may be given during pregnancymay be given during pregnancy
- 38. Hepatitis B Vaccination EffectivenessEffectiveness at least 90% of adults are immuneat least 90% of adults are immune after completing the three doses ofafter completing the three doses of vaccinevaccine since 1985, 90% reduction of numbersince 1985, 90% reduction of number of health care workers infected withof health care workers infected with HBV, largely due to vaccineHBV, largely due to vaccine
- 39. Hepatitis B Vaccination vaccine provided by school nursevaccine provided by school nurse administered by deep intramuscularadministered by deep intramuscular injectioninjection 3 doses given: 1st two doses 1 month3 doses given: 1st two doses 1 month apart, last dose is given 5 months afterapart, last dose is given 5 months after second dosesecond dose
- 40. Post Exposure Management 1)Clean the site1) Clean the site percutaneous injuries:percutaneous injuries: wash with soap and waterwash with soap and water mucous membranes:mucous membranes: rinse copiously with waterrinse copiously with water 2) Inform building administrator or designee2) Inform building administrator or designee immediately of exposure.immediately of exposure.
- 41. Post Exposure Management 3)Complete School Injury Report and School Exposure3) Complete School Injury Report and School Exposure Incident Investigation Form (found in BBP ExposureIncident Investigation Form (found in BBP Exposure Control Plan Manual in Main Office).Control Plan Manual in Main Office). 4) Seek medical attention at Fort HealthCare Emergency4) Seek medical attention at Fort HealthCare Emergency Room or Business Health as soon as possible afterRoom or Business Health as soon as possible after incident.incident. 5) The full hepatitis B vaccination series shall be made5) The full hepatitis B vaccination series shall be made available as soon as possible, but in no event later thanavailable as soon as possible, but in no event later than 24 hours, to all unvaccinated employees.24 hours, to all unvaccinated employees.
- 42. Completion of BBP You have completed the BloodborneYou have completed the Bloodborne Pathogens program.Pathogens program. Please complete the quiz to verify youPlease complete the quiz to verify you have completed the program.have completed the program. Call Lynn Zaspel RN, District Nurse atCall Lynn Zaspel RN, District Nurse at x1094 with questions or concernsx1094 with questions or concerns..