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School Safety TrainingRevised WISHA Bloodborne Pathogens

WAC 296-62-Part J

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Notice

This presentation is provided to all Educational Service District 101 (ESD 101) schools at no cost.

This presentation contains copyrighted materials purchased by ESD 101 for the exclusive use of training school personnel within ESD 101.

This presentation may not be reproduced except to print “handouts” or “notes pages” for use during training within ESD 101 school districts.

If the school district does not have Microsoft’s PowerPoint software available, a PowerPoint viewer can be downloaded from the internet at no cost.

Questions may be directed to the ESD 101 Risk Manager.

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Could You Contract a Disease at Work?

Administering first aid to a student, staff member or visitor?

A co-worker or student sneezes on you?

Assisting a student with a bloody nose?

Cleaning the restrooms? Cleaning the bus? Using a tool covered with

dried blood?

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Bloodborne Pathogens Goals

Basics of Bloodborne Diseases Exposure Prevention Quiz

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Bloodborne Pathogens

Pathogenic micro-organisms present in human blood that can lead to diseases

Human Immunodeficiency Virus (HIV)

Hepatitis B (HBV) Hepatitis C (HCV)

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Human Immunodeficiency Virus (HIV)

HIV is the virus that leads to AIDS HIV depletes the immune system HIV does not survive well outside the body Saliva, tears, sweat

Hepatitis B (HBV)

1—1.25 million Americans are chronically infected

Symptoms include: jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea, vomiting

May lead to chronic liver disease, liver cancer, and death

Vaccination available since 1982

HBV can survive for at least one week in dried blood

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Hepatitis C (HCV)

Hepatitis C is the most common chronic bloodborne infection in the United States

Symptoms include: jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea, vomiting

May lead to chronic liver disease and death

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Potentially Infectious Bodily Fluids

Blood Saliva, vomit, urine Semen or vaginal

secretions Skin, tissue, cell

cultures Other body fluids

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Potential Transmission

Contact with another person’s blood or bodily fluid that may contain blood

Mucous membranes: eyes, mouth, nose

Non-intact skin Contaminated

sharps/needles

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Potential ExposureTasks and Procedures

Workplace accidents Administering first aid Post-accident cleanup Custodial or

maintenance work Athletic injuries Bites Handling Bio-wastes Handling

contaminated laundry

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Bloodborne Pathogens Goals

Basics of Bloodborne Diseases Exposure Prevention Quiz

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Exposure Control Plan (ECP)

Review and update annually Reflect changes in technology Document use of safer medical devices Ask employees for their input

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Exposure Control Plan (ECP)

Potential exposure determination Safe work practices Decontaminating equipment Selecting and using Personal Protective Equipment

(PPE) Handling bio-waste Handling Laundry Labels and signs Training requirements Recordkeeping requirements

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Who Must be Trained

All employees with occupational exposure to blood or other potentially infectious material (OPIM)

Employees who are trained in first aid and CPR as responders

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Category One Employees

All employees in this category may have occupational exposure to BBP• School Nurses• Teachers & Aides providing physical care to disabled

students• Bus Drivers transporting disabled students• Anyone having contact with known HBV carriers• Communication disorder specialists and physical

therapists• All coaches in WA State schools• Custodians who clean-up body fluid wastes.• (See complete list in the district’s ECP)

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Category Two Employees

Some of the employees in this category may have occupational exposure to BBP•Science teachers & aides•Special Ed teachers and aides•Preschool teachers•Playground monitors•School crossing guards•P.E. & Voc-Ed teachers•Maintenance personnel who repair plumbing• (See complete list in the district’s ECP)

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Universal Precautions

Treat all blood and bodily fluids as if they are contaminated

Proper cleanup and decontamination

Custodial work—latex gloves

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Protective Equipment

Bleeding control—latex gloves

Spurting blood—latex gloves, protective clothing (smocks or aprons), respiratory mask, eye/face protection (goggles, glasses, or face shield)

Post-accident cleanup—latex gloves

Custodial work—latex gloves

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Decontamination

Wear protective gloves Disinfectant/cleaner

provided in bodily fluid disposal kit

Solution of 1/4 cup bleach per gallon of water

Properly dispose of contaminated PPE, towels, rags

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Safe Work Practices

Remove contaminated PPE or clothing as soon as possible

Clean and disinfect contaminated equipment and work surfaces

Thoroughly wash up immediately after exposure

Properly dispose of contaminated items

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Regulated Medical Waste

Liquid or semi-liquid blood or OPIM (other potentially infectious materials)

Contaminated items that would release blood or OPIM when compressed

Contaminated sharps Pathological and microbiological waste

containing blood or OPIM

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Labels and Signs

Labels must include the Universal Biohazard Symbol, and the term “Biohazard” must be attached to:•containers of regulated

biohazard waste• refrigerators or freezers

containing blood or OPIM•containers used to store,

transport, or ship blood or OPIM

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Hepatitis B Vaccination

Strongly endorsed by medical communities

Shown to be safe for infants, children, and adults

Offered to all potentially exposed employees

Provided at no cost to Category 1 & 2 employees

Declination form

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Exposure Incident

A specific incident of contact with potentially infectious bodily fluid

If there are no infiltrations of mucous membranes or open skin surfaces, it is not considered an occupational exposure

Report all accidents involving blood or bodily fluids Post-exposure medical evaluations are offered Report all exposure incidents to ESD 101 W/C Rep

509-789-3516 or 1-800-531-4290

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Post-exposure Evaluation

Confidential medical evaluation

Document route of exposure

Identify source individual Test source individual’s

blood (with individual’s consent)

Provide results to exposed employee

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Recordkeeping

Medical records include: Hepatitis B vaccination status Post-exposure evaluation and follow-up results

Training records include: Training dates Contents of the training Name and qualifications of trainer

Sharps Injury Log

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OSHA 300 Log

School Districts

DO NOT

need to maintain an “OSHA 300 Log.”

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Bloodborne Pathogens Goals

Basics of Bloodborne Diseases Exposure Prevention Quiz

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Summary

Universal Precautions Personal Protective Equipment (PPE) and

safe work practices Decontamination Exposure incident

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Quiz

1. Name two of the most common bloodborne pathogens: ________________________________

2. After exposure to potentially infected bodily fluids, you should immediately: ______________________

3. HIV and HBV can be transmitted when infected bodily fluids directly contact the eyes or non-intact skin. True or False

4. The risk of exposure to bloodborne pathogens is only possible when blood is present in the bodily fluid.True or False

5. Treating all body fluids as infected is known as ___________Precautions.

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Quiz (cont.)

6. HIV stays alive in dried blood. True or False7. Name one way you might be exposed to human blood at your

workplace: _________________________8. What minimum PPE should be worn when controlling normal

bleeding? _________________________9. Besides the disinfectant/cleaner provided in first aid kits, what

other solutions can be used to decontaminate equipment or surfaces?_________

10.How do you dispose of absorbed bodily fluids? 11. _______________________________________

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Quiz Answers

1. HIV and Hepatitis B (HBV).

2. You should immediately wash any exposed areas.

3. True. Infected bodily fluids need to directly contact mucous membranes or non-intact skin.

4. True. Although many bodily fluids may be infectious, they must contain blood to carry bloodborne pathogens.

5. Treating all bodily fluids as infected is known as Universal Precautions.

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Quiz Answers (cont.)

6. False. HIV dies almost immediately. HBV can live as long as one week.

7. Administering first aid, decontaminating equipment, doing janitorial work, etc.

8. Gloves must be worn, at a minimum, when controlling normal bleeding. When controlling spurting blood, additional PPE must be worn including: a face shield, an apron, shoe covers, etc.

9. A solution of bleach and water.10. Absorbed bodily fluids from a general industry facility

can usually be double bagged and discarded with the normal garbage.