Southern Seven Health Department and Head Start …...Protect yourself from exposure through...
Transcript of Southern Seven Health Department and Head Start …...Protect yourself from exposure through...
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Southern Seven Health Department
and Head Start
Bloodborne Pathogens Training
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Teresa Wilburn, RNDirector of Nursing
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Identify bloodborne pathogens (BBPs)
Understand how diseases are transmitted
Determine your risk of exposure
Protect yourself from exposure
through prevention
Respond appropriately if exposed
Understand your right to medical
evaluations
Session Objectives
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© BLR®—Business & Legal Resources
What Are Bloodborne Pathogens?
Microorganisms present in human blood that can cause disease
• Viruses, bacteria, parasites, fungi
Primary workplace pathogens
• Human immunodeficiency virus (HIV)
• Hepatitis B virus (HBV)
• Hepatitis C virus (HCV)
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HIV and AIDS
• HIV leads to AIDS
• HIV attacks and depletes immune system
• Early HIV symptoms resemble flu virus
• HIV antibody test only sure diagnosis
• HIV does not survive long outside body
• No cure yet
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• 1.4 million people infected
• Symptoms
• Jaundice, fatigue, and abdominal pain
• No appetite, nausea, and vomiting
• Vaccine is available
• Can survive outside the body
Hepatitis B Virus (HBV)
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Most common chronic bloodborne infection
Symptoms can take years to manifest
• Flu-like symptoms, jaundice, dark urine, and fatigue
• Loss of appetite, nausea and vomiting, and abdominal pain
Treatment is becomingmore effective
Hepatitis C Virus (HCV)
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Transmission of Pathogens
• Contaminated sharp objects or needles
• Broken skin, including rashes
• Mucous membranes
Eyes
Mouth
Nose
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Contact with bleeding coworker?
Contact with blood?
Touching a contaminated surface?
Clean up of blood?
Contact with contaminated restroom products?
Using tool covered in dried blood?
Routes of Exposure
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Bloodborne Diseases— Any Questions?
Do you understand:
• Bloodborne diseases?
• The definition of bloodborne pathogens?
• Transmission of bloodborne pathogens?
• How you could be exposed?
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29 CFR 1910.1030 requires:
• A written Exposure Control Plan (ECP)
• Engineering and work practice controls
• Personal protective equipment (PPE)
• Training
Bloodborne Pathogens Law
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• Medical surveillance
• Free hepatitis B vaccination
• Signs and labels
• Other equipment and procedures
Bloodborne Pathogens Law (cont.)
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• Review the ECP and OSHA regulation
• Take universal precautions
• Use personal protective equipment
• Follow safe work practices
• Get the hepatitis B vaccination
• Follow decontamination and disposal procedures
Protect Yourself
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• Identifies jobs with potential exposure
• Describes safe work practices
• Outlines training requirements
• Identifies use of signs and labels
• Explains how to decontaminate
What Is the Exposure Control Plan?
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• Describes how biohazard waste is handled
• Explains recordkeeping requirements
• Changes as practices and technology change
Exposure Control Plan (cont.)
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• Treat all blood and bodily fluids as infected
• Use barrier protection
• Decontaminate surfaces and equipment
Take Universal Precautions
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• Barrier protection prevents exposure
• Gloves
• Eyewear or masks
• Protective clothing or aprons
Use Personal Protective Equipment
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• Use a mask for nose and mouth protection
• Use a CPR mask
• Use impromptu barriers such as a garbage bag, or plastic
PPE (cont.)
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Is This a Safe Work Practice?Yes or No?
Removing contaminated PPE and clothing before leaving the work area
Seeking immediate medical attention
Eating, drinking, applying cosmetics, or handling contact lenses in any work areas where there is the possibility of exposure to blood
Wearing double gloves to reduce contamination risk
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Is This a Safe Work Practice?Yes or No? (cont.)
Disposing of contaminated items properly
Storing food in any work area where blood or bodily fluids may be present
Disinfecting contaminated equipment and work surfaces
Washing up immediately after exposure
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BLEACH: WATER1:10
• Wear appropriate gloves, eye and face protection
• Use a bodily fluid disposal kit
• Use 10% bleach or EPA-approved disinfectant for spills
• Dispose of contaminated items
General Decontamination
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Decontamination Involving Sharp Objects
• Remove glass using brush, dust pan, or tongs
• Do not use hands
• Use paper/absorbent towels to soak up liquids
• Disinfect surfaces
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• Liquid or semi-liquid blood or body
fluids
• Contaminated items releasing
blood or body fluids if
compressed
• Contaminated sharp objects
• Items with dried blood or body
fluids, that could release/leak
during handling
• Pathological and
microbiological wastes
containing blood or body fluids
Biohazard Disposal— Regulated Waste
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• Labels communicate a hazard
• Place waste in containers with biohazard symbol
• “Biohazard” must be on label
Label All Regulated Waste Containers
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• Blood or body fluid absorbed without the release of liquid when compressed
• Adhesive bandages or tissues
• Gauze, paper towels, and disposable PPE
• Absorb all liquid
• Double-bag waste
Biohazard Disposal—Unregulated Waste
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Unregulated Waste Labeling
Labels not typically required but a good idea
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• Wash cuts and skin thoroughly
• Rinse nose and mouth
• Flush eyes with water or sterile solution
• Clean all contaminated surfaces
• Report all incidents
Exposure Incident
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Post-Exposure Evaluation
• Confidential medical evaluation
• Document route of exposure
• Identify source individual
• Test source person’s blood
• Provide results to source and exposed employees
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Steps Should You Take If You Have an Exposure Incident?
Clean and decontaminate all infected surfaces.
Rinse your nose and mouth to remove any potential splashes of blood or body fluid.
Report the incident.
Flush your eyes with clean water or sterile solution if you were not wearing goggles or safety glasses.
Wash cuts and skin thoroughly with soap and water.1.
2.
3.
4.
5.
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• Endorsed by medical communities
• Safe for infants, children, and adults
• Offered to all potentially exposed employees
• No cost
• Can decline and reconsider
Hepatitis B Vaccination
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Key Points to Remember
Bloodborne pathogens can cause fatal disease
Be aware of exposure at work
Take universal precautions
Use PPE and safe work practices
Decontaminate yourself and equipment
Understand and follow exposure incident procedures
Report exposure incidents
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Questions?
Or…
Questions can be emailed to:
Teresa [email protected]
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Quiz Time
1. Workplace bloodborne pathogens include all but which of the following?
a. HIV
b. Hepatitis B
c. Hepatitis C
d. TB
Answer: d. TB
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Quiz Time
2. Transmission of pathogens in the workplace is most likely to occur through contact with broken skin and mucous membranes.
True
False
Answer: TRUE
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Quiz Time
3. HIV and Hepatitis B cannot be transmitted when infected bodily fluids directly contact the eyes or nonintact skin.
True
False
Answer: FALSE
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Quiz Time
4. Many bodily fluids may be infectious without the visible presence of blood.
True
False
Answer: TRUE
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Quiz Time
5. Treating all bodily fluids as though they are infected is known as
a. Infections Precautions
b. Cleaning Precautions
c. Universal Precautions
d. Common Sense
Answer: c. Universal Precautions
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Quiz Time
6. Hepatitis B Vaccination is available for all employees.
True
False
Answer: TRUE
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Quiz Time
7. Southern Seven Health Department has a written Exposure Control Plan.
True
False
Answer: TRUE
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Quiz Time
8. Gloves should be worn in any situation involving potential contact with blood or bodily fluids.
True
False
Answer: TRUE
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Quiz Time
9. The first step to take after an “exposure incident” is to wash the exposure area with soap and water and flush eyes and mucous membranes if involved with exposure.
True
False
Answer: TRUE
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Quiz Time
10.Gauze, adhesive bandages, and paper towels that contain bodily fluids that are completely absorbed and will not release or leak when compressed may be placed in unregulated/regular trash.
True
False
Answer: TRUE