Standard Precautions &
Bloodborne Diseases:
Prevention of transmission for School Staff
CONCORD PUBLIC SCHOOLS
CONCORD-CARLISLE REGIONAL SCHOOL DISTRICT
Bloodborne Disease: Examples
 Hepatitis B
 Hepatitis C
 AIDS (HIV)
Bloodborne Disease: Transmission
 potentially transmitted
when an infected
person’s body fluids
somehow get inside
another person’s body
 not transmitted through
casual contact - won’t
get them by shaking an
infected person’s hand
or by using the same
bathroom or kitchen
facilities
Transmission: Body Fluids
 Body fluids that potentially transmit these diseases:
 Blood
 Semen
 Vaginal secretions
 Breast milk
 Fluids that surround our internal organs
Transmission: Body Fluids (cont.)
 Body fluids or substances that, only if contaminated
with blood, would be considered potentially
infectious.
 According to Centers for Disease Control and
Prevention (CDC), these include:
 Saliva
 Urine
 Feces
 Vomitus
 Sweat
 Tears
Transmission: Survival Outside the Body
 These diseases may be
transmitted indirectly.
 This can happen when
you touch an object or
surface contaminated
with blood or infectious
materials and transfer
them to your
mouth, eyes, nose or
opening in your skin.
Modes of Transmission (Occupational)
 What are ways you can
be exposed at work?
 For workers, there are
generally three ways
that transmission can
occur:
 opening in the skin
 through the mucous
membranes
(eyes, nose, mouth)
 needle stick
Modes of Transmission (cont.)
 The skin, if intact, is a good barrier
 But, if infected body fluids get into broken skin, there
is a slight possibility of transmission
 If infected body fluids get in the eyes, mouth, or
nose, there’s a slight possibility of transmission
 Sharps injuries (for example needle sticks) are the
riskiest. Other sharps include broken
glass, knives, orthodontic wires.
Modes of Transmission (cont.)
 There is evidence that
Hep. B can be
transmitted through a
bite
 There is no evidence
that the AIDS virus can
 Hepatitis C – no
indication found at this
time
Prevention: Hepatitis B Vaccine
 For those anticipated to
be exposed, a series of
three shots is available.
 If you get the first one
today, the second would
be one month from
today, and the third
would be four to six
months after the first
shot.
Standard Precautions:
Body Substance Isolation
 To protect yourself &
your families, consider
all persons to be
potentially infectious &
take precaution.
 Body substance
isolation is when all
body fluids or
substances are
considered potentially
infectious.
Standard Precautions:
Personal Protective Equipment (PPE)
 Use gloves to prevent skin
contact with blood or other
body fluids.
 Available in different
sizes.
 If a person is allergic to
latex, use gloves of other
material (e.g., nitrile or
vinyl).
 Gloves are removed
inside out: don’t touch
outside of gloves with
bare hands.
 Wash hands after
removing gloves.
Personal Protective Equipment (cont.)
 Gloves should be
readily available
 They should be kept in
a universal location (for
example, in the upper
right hand drawer of the
teacher’s desk).
Standard Precautions: Personal Hygiene
 After removing gloves:
 Wash hands with soap
(liquid, if possible) and
running water
 Wash hands for at least
20 seconds.
 Use waterless hand
cleanser if soap and
running water not
immediately available.
Then, wash with soap
and running water as
soon as possible.
Standard Precautions: Tips to Consider
 To avoid
exposures, protect
yourself first
 If you have an open
wound or cut, make
sure you have on a
band-aid.
 Always have gloves on
hand (e.g., on field
trips, at sports
events, or on the
playground)
Standard Precautions:
Tips to Consider (cont.)
 Use your words instead
of your body.
 If necessary, you could
supply protective
covering
(e.g., tissue, gauze) to
the injured student or
employee but, tell
him/her to treat his/ her
own wound, if at all
possible.
Standard Precautions:
Tips to Consider (cont.)
 The student or
employee, if
possible, should hold
pressure on a wound and
wash wound himself.
 Have the individual pinch
her own nose if she has a
nose bleed.
 Remind the individual to
wash his or her hands.
 Remember, any barrier is
better than none.
If an incident occurs but you’re not
exposed…
 If a spill of blood occurs (e.g., a student cuts him or
herself or has a nose bleed) and you are not
exposed:
 Call the appropriate personnel (e.g., nurse) for treatment
of injured person
 Secure the area
 Call the appropriate personnel (e.g., custodian) for clean
up
If an incident occurs and you are exposed…
 If body fluids, particularly
blood, get into an opening
in the skin, wash the area
with soap and running
water
 If body fluids, particularly
blood, get into the
eyes, flush with water or a
saline solution
 Applying bleach to the
skin is not recommended
Steps to take if exposed:
 Report the incident to the appropriate personnel
(e.g., the nurse, principal, department head)
 Seek medical attention immediately
When is medical attention appropriate?
 Follow-up (medical attention) is needed if you have
an unprotected exposure.
 Examples are:
 Blood splashing into an open cut or into the eyes
 An accidental needle stick
 A bite that breaks the skin
Post-exposure follow-up:
 Whether you need treatment is dependent on
different factors, such as type of exposure.
 If necessary, medication is available that may
decrease an individual’s risk of becoming infected
with at least some of the diseases.
Treatment after an exposure:
 If medication is indicated, the sooner it is provided
after an exposure, the more effective it will be.
 Other treatment that may be appropriate include
blood test and counseling.
Please Remember…
 Even if you have been
exposed, the odds are
that you will not become
infected.
End of the presentation.

Standard Precautions

  • 1.
    Standard Precautions & BloodborneDiseases: Prevention of transmission for School Staff CONCORD PUBLIC SCHOOLS CONCORD-CARLISLE REGIONAL SCHOOL DISTRICT
  • 2.
    Bloodborne Disease: Examples Hepatitis B  Hepatitis C  AIDS (HIV)
  • 3.
    Bloodborne Disease: Transmission potentially transmitted when an infected person’s body fluids somehow get inside another person’s body  not transmitted through casual contact - won’t get them by shaking an infected person’s hand or by using the same bathroom or kitchen facilities
  • 4.
    Transmission: Body Fluids Body fluids that potentially transmit these diseases:  Blood  Semen  Vaginal secretions  Breast milk  Fluids that surround our internal organs
  • 5.
    Transmission: Body Fluids(cont.)  Body fluids or substances that, only if contaminated with blood, would be considered potentially infectious.  According to Centers for Disease Control and Prevention (CDC), these include:  Saliva  Urine  Feces  Vomitus  Sweat  Tears
  • 6.
    Transmission: Survival Outsidethe Body  These diseases may be transmitted indirectly.  This can happen when you touch an object or surface contaminated with blood or infectious materials and transfer them to your mouth, eyes, nose or opening in your skin.
  • 7.
    Modes of Transmission(Occupational)  What are ways you can be exposed at work?  For workers, there are generally three ways that transmission can occur:  opening in the skin  through the mucous membranes (eyes, nose, mouth)  needle stick
  • 8.
    Modes of Transmission(cont.)  The skin, if intact, is a good barrier  But, if infected body fluids get into broken skin, there is a slight possibility of transmission  If infected body fluids get in the eyes, mouth, or nose, there’s a slight possibility of transmission  Sharps injuries (for example needle sticks) are the riskiest. Other sharps include broken glass, knives, orthodontic wires.
  • 9.
    Modes of Transmission(cont.)  There is evidence that Hep. B can be transmitted through a bite  There is no evidence that the AIDS virus can  Hepatitis C – no indication found at this time
  • 10.
    Prevention: Hepatitis BVaccine  For those anticipated to be exposed, a series of three shots is available.  If you get the first one today, the second would be one month from today, and the third would be four to six months after the first shot.
  • 11.
    Standard Precautions: Body SubstanceIsolation  To protect yourself & your families, consider all persons to be potentially infectious & take precaution.  Body substance isolation is when all body fluids or substances are considered potentially infectious.
  • 12.
    Standard Precautions: Personal ProtectiveEquipment (PPE)  Use gloves to prevent skin contact with blood or other body fluids.  Available in different sizes.  If a person is allergic to latex, use gloves of other material (e.g., nitrile or vinyl).  Gloves are removed inside out: don’t touch outside of gloves with bare hands.  Wash hands after removing gloves.
  • 13.
    Personal Protective Equipment(cont.)  Gloves should be readily available  They should be kept in a universal location (for example, in the upper right hand drawer of the teacher’s desk).
  • 14.
    Standard Precautions: PersonalHygiene  After removing gloves:  Wash hands with soap (liquid, if possible) and running water  Wash hands for at least 20 seconds.  Use waterless hand cleanser if soap and running water not immediately available. Then, wash with soap and running water as soon as possible.
  • 15.
    Standard Precautions: Tipsto Consider  To avoid exposures, protect yourself first  If you have an open wound or cut, make sure you have on a band-aid.  Always have gloves on hand (e.g., on field trips, at sports events, or on the playground)
  • 16.
    Standard Precautions: Tips toConsider (cont.)  Use your words instead of your body.  If necessary, you could supply protective covering (e.g., tissue, gauze) to the injured student or employee but, tell him/her to treat his/ her own wound, if at all possible.
  • 17.
    Standard Precautions: Tips toConsider (cont.)  The student or employee, if possible, should hold pressure on a wound and wash wound himself.  Have the individual pinch her own nose if she has a nose bleed.  Remind the individual to wash his or her hands.  Remember, any barrier is better than none.
  • 18.
    If an incidentoccurs but you’re not exposed…  If a spill of blood occurs (e.g., a student cuts him or herself or has a nose bleed) and you are not exposed:  Call the appropriate personnel (e.g., nurse) for treatment of injured person  Secure the area  Call the appropriate personnel (e.g., custodian) for clean up
  • 19.
    If an incidentoccurs and you are exposed…  If body fluids, particularly blood, get into an opening in the skin, wash the area with soap and running water  If body fluids, particularly blood, get into the eyes, flush with water or a saline solution  Applying bleach to the skin is not recommended
  • 20.
    Steps to takeif exposed:  Report the incident to the appropriate personnel (e.g., the nurse, principal, department head)  Seek medical attention immediately
  • 21.
    When is medicalattention appropriate?  Follow-up (medical attention) is needed if you have an unprotected exposure.  Examples are:  Blood splashing into an open cut or into the eyes  An accidental needle stick  A bite that breaks the skin
  • 22.
    Post-exposure follow-up:  Whetheryou need treatment is dependent on different factors, such as type of exposure.  If necessary, medication is available that may decrease an individual’s risk of becoming infected with at least some of the diseases.
  • 23.
    Treatment after anexposure:  If medication is indicated, the sooner it is provided after an exposure, the more effective it will be.  Other treatment that may be appropriate include blood test and counseling.
  • 24.
    Please Remember…  Evenif you have been exposed, the odds are that you will not become infected.
  • 25.
    End of thepresentation.