BLOODBORNE PATHOGEN PROGRAM

1
BLOODBORNE PATHOGEN PROGRAM

• To train personnel in the handling, cleanup and
  disposal process of infections waste. The use of
  personal protective equipment,
  housekeeping and reporting procedures.

2
DEFINITIONS

• Biological Hazards
• Biohazard is an infectious agent that presents a
  risk,or potential risk, to the well being of
  personnel
• Medical / Infectious Waste
• Human or animal tissue, blood or blood products
  or fluids. This includes bandages, syringes,
  sharps and material used in the cleanup of
  biohazards
• Universal Precautions
• The process used to control direct contact with
  body fluids or infectious material and prevent
  them from coming into contact with the body
• Hazards
• Unprotected exposure to body fluids - where the
  possible risk of infection from Hepatitis and HIV
  are possible

3
DEFINITIONS (continued)

• Hazard Controls
• Engineering Controls - prevention of exposure to
  bloodborn pathogens these controls include proper
  storage facilities, containers, disinfectant
  equipment cleanup equipment
• Administrative Controls - include universal
  precautions, assignment of PPE, training, use of
  spill kits, waste collection and disposal
  procedures
• Reporting Record Keeping - EHS will maintain
  all reports
• Training Certificates
• Notice of HBV vaccinations - exposure reports -
  30 years
• Occupational contracted HBV or HIV- OSHA 200 log
• Human Fluids semen, vaginal secretions,
  cerebrospinal fluid, saliva fluid ( dental) or
  any body fluids that visibly contain blood
  ie..vomit

4
Hepatitis - B Virus (HBV) Vaccinations

• Personal required to provide first aid, emergency
  response duties or duties that may expose them to
  bloodborne pathogens will be offered the HBV
  vaccination.
• at no expense to the employee
• within 10 days of assignment
• employee may refuse - or - request at a later
  date
• offer must be documented
• after exposure - three shots

5
Post Exposure Treatment Notification Procedures

• Affected employee or Good Samaritan exposed to
  HIV/HVC/ HBV will report exposure to the
  University Medical Department
• University Medical will contact the exposure
  source
• Work related injury - total care
• Must report within 24 hours

• Provide initial blood test - free
• zero-negative re-tested at 6 weeks, 12 weeks and
  6 months - and follow Dr. orders
• Everything is confidential
• request that person be tested - not mandatory -
  refusal no impact on employment
• tested for HIV or HBV after consent
• results provided to exposed/source within 5
  working days.
• Should start vaccination process

6
Blood Exposure Cuts

• Exposure to blood or blood products
• Needle stick, cut, or mucous membrane exposure to
  anothers body fluids
• An Occupational Exposure
• Is defined as blood or body fluid contact from an
  injured or ill person to the affected employee or
  injury by a contaminated sharp object.
• first aid
• decon / clean-up process
• daily routine

• MUST IMMEDIATELY REPORT to the University Medical
  Department. Possible Hepatitis B Vaccination
• MUST IMMEDIATELY REPORT to the University Medical
  Department
• The purpose is to protect the health and safety -
  of those directly involved

7
GENERAL PROCEDURES

• Personnel must adhere to the following
  procedures
• Supervisors must ensure that employees are
  trained in
• universal precautions, PPE, proper clean-up and
  disposal techniques
• no eating, drinking, smoking, applying
  cosmetics/lip balm or handling contact lenses
• never store food or beverages in refrigerators
• personal hygiene after possible exposure
• immediately after removal of PPE
• shower
• hand washing 5 minutes
• when the employee has cuts, chapped hands,
  dermatitis or similar conditions
• PPE storage, washing, decontamination or disposal
• contaminated clothing or PPE must never be worn
  outside of area
• perform procedures to minimize splashing and
  contact

8
WASTE DISPOSAL PROCEDURES

• Infectious waste must be segregated at point of
  origin
• sharps in puncture proof container
• fluids in BIOHAZARD bags
• containers must be labeled BIOHAZARD with emblem
• University Medical Center is the waste disposal
  sight
• Decontamination procedures is bleach and water
  mixed 1 to 4.
• all surrounding areas
• Never dispose of infectious material into the
  sewage system
• Infectious agents must be disinfected be for
  disposal

9
PERSONAL PROTECTIVE EQUIPMENT FOR WORKERS
PROTECTION

• Against HIV and HBV Transmission
• Task Gloves Apron Mask Eyewear
• Control of bleeding w/ spurting blood X
  X X X
• Bleeding control with minimal bleeding X
  
  
• Emergency Child Birth X X
  X X
• Blood Drawing X
  
• Handling Cleaning Instruments X
  
• Cleaning Bio Spills X
  
• Taking Temperature
  
• Giving Injection X
  
• Measuring Blood Pressure X

10
BLOOD FLUID SPILL DECON - CLEAN-UP PROCEDURES

• Clear the area - Do Not allow unauthorized
  personnel in the area
• Remove all items from the spill kit
• Mix bleach and water 1 to 4 ratio
• Put on all PPE, mask and eye protection, booties,
  gloves
• Apply bleach solution to all contaminated areas
• Apply Red Z to all contaminated areas - let
  stand 10 min.
• Open Biohazard bag scoop contaminated fluids
  into bag - using scope
• Wipe-up excess with towel - put into bag
• Repeat bleach solution wipe-up solution with
  second towel - put into bag

11
BLOOD FLUID SPILL CLEAN-UP PROCEDURES
(continued)

• Inspect area to ensure that all fluids have been
  removed
• If wearing booties remove first Do Not touch
  shoes - dispose of in bag
• Next remove gloves - dispose of in bag
• Remove face eye protection - dispose of in bag
• Close and secure bag with tie-tie
• Wash hands for five minutes with anti-bacteria
  soap
• Wipe hands with alcohol wipes
• Deliver waste to the University Medical
  Department
• NOTE No smoking, eating, drinking, applying
  cosmetics or working with contact lenses during
  clean-up operations

12
BLOOD FLUID SPILL CLEAN-UP PROCEDURES
(continued)

• Soiled feminine hygiene/sanitary napkins, soiled
  tissues, etc are not considered a biohazard or
  medical waste