Title: Bloodborne Pathogens
1Bloodborne Pathogens
- Training for School Personnel
2Objectives
- Define bloodborne pathogens (BBPs)
- Identify three most common BBPs
- Describe mode of transmission of BBPs
- Identify steps to take to reduce risk of exposure
to BBPs - Describe procedures to follow if an exposure
incident occurs
3Exposure Control Plan
- MINIMUM STANDARD
- This plan is provided by the department to be
analogous with Title 29 Code of Federal
Regulation 1910.1030, Occupational Safety and
Health Administration (OSHA), Bloodborne
Pathogens Standard as specified in Health and
Safety Code, 81.304. - PURPOSE
- The Bloodborne Pathogens Exposure Control Plan is
to reduce or eliminate occupational exposure to
bloodborne pathogens and other potentially
infectious material. - REVIEW
- Employers review annually the exposure control
plan, update when necessary, and document when
accomplished. Annual training will be conducted
for all district employees and for all new hires
within 30 days. - Copies of this plan can be found in the main
office and nurses office at each school campus.
4Bloodborne Pathogens (BBPs)
- Disease-causing organisms found in the blood or
body fluids of an infected person.
- Three most common BBPs
- Human Immunodeficiency Virus (HIV)
- Hepatitis B Virus (HBV)
- Hepatitis C Virus (HCV)
5Human Immunodeficiency Virus (HIV)
- HIV is the human immunodeficiency virus. It is
the virus that can lead to acquired immune
deficiency syndrome, or AIDS. CDC estimates that
about 56,000 people in the United States
contracted HIV in 2006. - Primarily spread by having unprotected sexual
contact, sharing needles/syringes used for
illicit drug use or being born to an infected
mother. - Young people aged 1329 accounted for 39 of all
new HIV infections in 2009. - HIV cannot reproduce outside the human body. It
is not spread by - Air or water, insects, including mosquitoes,
saliva, tears, or sweat, casual contact like
shaking hands or sharing dishes, - closed-mouth or social kissing.
6Hepatitis B
- Hepatitis B is a contagious liver disease that
results from infection with the Hepatitis B
virus. - Hepatitis B can live on surfaces for 7-10 days
- Hepatitis B is usually transmitted
- -Birth (spread from an infected mother to her
baby during birth). - -Sex with an infected partner.
- -Sharing needles, syringes, or other
drug-injection equipment. - -Sharing items such as razors or toothbrushes
with an infected person. - -Direct contact with the blood or open sores of
an infected person. - -Exposure to blood from needle sticks or other
sharp instruments.
7Hepatitis B Vaccine
- The best way to prevent Hepatitis B is by getting
vaccinated. - Recommended for all high risk groups
- Safe
- 3 shots- initial , 1mo., 6mo.
- Life long immunity
8Hepatitis C
- Hepatitis C is a contagious liver disease that
results from infection with the Hepatitis C
virus. - There is no vaccine for Hepatitis C.
- Hepatitis C is usually transmitted
- -Sharing needles, syringes, or other equipment
to inject drugs. - -Needle stick injuries in health care
settings. - -Being born to a mother who has Hepatitis C.
9Transmission
- BBPs at work are transmitted mostly by
- A contaminated sharp puncture the skin
- Contaminated blood coming into contact with
broken skin or mucous membranes of eyes, nose or
mouth
10Transmission cont.
- How BBPs are NOT spread
- Through air, like cold or flu.
- Through casual contact.
- Through coughing, sneezing, kiss on the cheek,
hugs, drinking fountains, mosquitoes or food.
11Universal Precautions
- Universal precautions are practices procedures
that can help prevent the transmission of BBPs. - Consider every person a possible carrier of a
bloodborne pathogen and treat his/her blood and
body fluids as if they were infected. - Washing hands with soap and water is the best way
to reduce the number of germs on them.
12Good Handwashing
- What is the right way to wash your hands?
- Wet your hands with clean running water (warm or
cold) and apply soap. - Rub your hands together to make a lather and
scrub them well be sure to scrub the backs of
your hands, between your fingers, and under your
nails. - Continue rubbing your hands for at least 20
seconds. Need a timer? Hum the "Happy Birthday"
song from beginning to end twice. - Rinse your hands well under running water.
- Dry your hands using a clean towel or air dry.
13Personal Protective Equipment (PPE)
- Equipment that protects you from contact with
blood or other potentially infectious materials
(OPIMs). - Gloves
- Gowns, aprons, lab coats
- Face shields, protective eyewear
- Masks, mouth pieces, resuscitation bags
14PPE cont. First Aid
- Every school bus has a first aid and biohazard
kit. - Every Automatic External Defibrillator (AED) in
the school has an accessory pouch that includes
gloves and a CPR mask. - For minor cuts and scrapes,
- encourage the victim to
- self-administer first aid.
- For more serious injuries, put on a pair of
gloves, available in the school nurses office,
before you administer first aid.
15PPE - Gloves
- Slip each hand into a clean glove, pulling it
snugly over the fingers to assure a good fit. - Pull glove over the wrist as far as it will go to
maximize coverage. - Do not reuse gloves
16PPE cont. Safe Removal of Gloves
- Remove gloves by turning the glove inside out as
it is pulled over the hand. - During the removal of the second glove, avoid
touching the outer surface by slipping the
fingers of the ungloved hand under the glove and
pulling it inside out as it is pulled over the
hand. - Throw away promptly in a lined waste container.
Never touch the outside of the gloves with your
bare skin. - Every time you remove your gloves, wash your
hands with soap and running water as soon as you
possibly can.
17Cleaning Up
- Cleaning up blood or body fluids on surfaces
- Wear gloves
- Call a custodian - Custodians will use germicidal
cleaners which kill bloodborne pathogens (Quat,
10 bleach solution, Saniwipes). - Carefully cover the spill with paper towels then
carefully pour an EPA approved cleansing solution
over the area and leave it for 10 minutes to
kill any BBPs. - Items contaminated with blood should be disposed
of in a plastic lined pail. If very large
amounts of blood are present, biohazard disposal
bags are used (available in the school health
office).
18Cleaning Up
- Watch for fluorescent orange-red labels, red
bags, and containers with a biohazard symbol.
This symbol will warn you when the contents of
containers are used for waste, storage, or
shipping contain blood or OPIMs. - If you empty garbage cans or laundry bins, always
pick up and carry by the top. - Never hold next to your body or support with your
hand underneath - Sharp objects can penetrate bags and cut you.
19Cleaning Up
- Disposing of contaminated waste
- Wear gloves
- Place contaminated items in a leak proof bag
- Place securely fastened bag in a plastic lined
trash container - Contaminated waste that would release blood when
compressed, must be placed in a biohazard bag and
disposed of separate from regular trash notify
supervisor and school nurse immediately - Discard gloves
20Cleaning Up
- Contaminated sharps
- Use caution, wear gloves
- Do not break, bend or recap the needle
- Use a broom and dustpan to pick up and discard.
- Place the items in a closable, leak proof,
puncture resistant container.
21Cleaning Up
- Sports Equipment
- Use an EPA-registered disinfectant solution to
clean and decontaminate sports items and - equipment that has come in contact with blood and
OPIM.
22What to do if Exposed
- DONT PANIC!
- Immediately wash the affected area with soap and
water - Flush eyes, nose, mouth with large amounts of
water for 15 mins. - Report incident to your school nurse and
principal - Ensure source of exposure remains available
23Frequently Asked Questions
- What if I need to give mouth-to-mouth
resuscitation?
- Use pocket mask found in AED accessory package OR
- Hands-Only CPR has been shown to be as effective
as conventional CPR for sudden cardiac arrest at
home, at work or in public. It can double or even
triple a victims chance of survival. - no documented cases of BBPs passed through CPR
24Frequently Asked Questions
- What if I am not near a sink or running
water?
If soap and water are not available, use an
alcohol-based hand sanitizer that contains at
least 60 alcohol. Alcohol-based hand sanitizers
can quickly reduce the number of germs on hands
in some situations, but sanitizers do not
eliminate all types of germs.
Since this is only a temporary measure, wash the
area with soap and running water as soon a
possible.
25Additional Tips
- Keep soiled hands away from eyes, nose and mouth
26Additional Tips
- ALWAYS wash your hands
- Before, during, and after preparing food
- Before eating food
- Before and after caring for someone who is sick
- Before and after treating a cut or wound
- After using the toilet
- After changing diapers or cleaning up a child who
has used the toilet - After blowing your nose, coughing, or sneezing
- After touching an animal or animal waste
- After handling pet food or pet treats
- After touching garbage
27Additional Tips
- Wear gloves whenever you may be exposed to
bloodborne pathogens.
28Additional Tips
- When assisting someone who is bleeding, try to
get the person to stop the bleeding with direct
pressure himself.
29Conclusion
- Your risk of being exposed to bloodborne
pathogens at school is low. - Remember to use universal precautions if you do
come into contact with blood- treat all as if
infected.
30Questions???
31Documentation
- Please print this slide (page 31). Sign, date,
and turn in to the school nurse. - I have reviewed the presentation on Bloodborne
Pathogens and have a full understanding of the
safe practices that can assist me when dealing
with situations that might have the potential
danger of coming into contact with bloodborne
pathogens and know what to do if I am exposed. - _____________________ __________
- Signature of Employee Date
32Resources
- http//www.dshs.state.tx.us/idcu/health/infection_
control/bloodborne_pathogens/plan/ - http//www.cdc.gov/handwashing/
- http//www.cdc.gov/nchhstp
- http//info.sos.state.tx.us/pls/pub/readtacext.Vi
ewTAC?tac_view4ti25pt1ch96rlY - http//www.heart.org/HEARTORG/CPRAndECC/HandsOnlyC
PR/LearnMore/Learn-More_UCM_440810_FAQ.jsp