Anesthesia Medical Alliance Bloodborne Pathogen

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Anesthesia Medical AllianceBloodborne Pathogen
OSHA Update

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What are bloodborne pathogens?

• Theyre disease causing organisms, including
  viruses and bacteria, that may be present in
  human blood, blood components or blood products.
  Bloodborne pathogens can make you very ill. Some
  can even kill.

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Which ones are most common in health-care
settings ?

• The pathogens of greatest concern for most
  health-care workers are
• HIV (human immunodeficiency virus), the virus
  that causes AIDS it can take up to 10 years to
  progress into AIDS
• HBV (hepatitis B virus), a virus that can cause
  serious liver damage
• HCV (hepatitis C virus), another virus that can
  cause liver disease

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Are there others I should know about ?

• Yes. Many other bloodborne diseases pose a
  threat to people in both health-care and
  home-care settings.
• Examples include
• ? Hepatitis D ? Ebola(viral
  hemorrhagic fever)
• ? Diphtheria ? malaria
• ? Syphilis ? herpes

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Other body substances may also spread bloodborne
pathogens

• These include
• blood products (such as plasma)
• tissue
• semen
• vaginal secretions
• amniotic fluid
• pericardial
• synovial fluid
• Some bloodborne pathogens are deadly.

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Patients who are ill, injured or otherwise
weakened

• may be especially vulnerable to infection.
  Taking steps to prevent transmission of
  bloodborne pathogens helps keep patients, their
  families and other visitors out of harms way.

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How are bloodborne pathogens transmitted ?

• Infections are most likely to occur when
  contaminated blood or other body substances come
  in contact with a persons
• broken skin examples include skin thats been
  jabbed with a needle or cut with a sharp object,
  or skin with an existing cut, rash or burn
• mucous membranes - splashing or spraying blood
  can cause infection through the delicate tissues
  of the eyes, nose and mouth.

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Bloodborne Pathogen Standard

• OSHAs Bloodborne pathogen standard introduced in
  1991
• Outlines preventative measures to reduce the risk
  of transmission of bloodborne pathogens
• Measures include protective barriers,
  engineering controls, work practice controls,
  prompt post exposure evaluation and treatment

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Bloodborne Pathogen StandardContd

• Needlestick Safety and Prevention Act passed in
  2000 and it amended the OSHA Bloodborne Pathogen
  Standard to include stronger requirements for
  safety needles

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Bloodborne Pathogens and Health Care Providers

• 600,000-800,000 exposures annually
• Sharp decline in incidence of HBV infection among
  HCP since OSHA regulations implemented
• CDC reports 57 U.S. HCP with documented HIV
  sero-conversion
• An additional 139 episodes are considered
  possible occupational HIV transmission

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Summary of Actual BBP Risks

• HIV 0.3 PEP
• HCV 3 No vaccine or PEP
• HBV 30 Vaccine

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Primary Prevention

• Consistent use of Universal / Standard
  Precautions
• Education / retraining staff about occupational
  risks
• Modification of procedures work practices

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Primary Prevention, contd

• Engineered controls - use of technological
  advances
• Immunization

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Protect Yourself from Bloodborne Pathogens

• Use required equipment and labels for your
  job.These may include

Biological safety cabinets - which help protect
lab workers from airborne particles.
Autoclaves - for sterilizing equipment.
Special tools - such as needles designed to help
prevent needle-stick injuries.
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Protect Yourself from Bloodborne Pathogens

• Special containers
• for potentially contaminated materials.
• These include
• used sharps (needles, broken glass or any object
  that can pierce the skin)
• other regulated wastes (gloves contaminated with
  blood or other body substances, used dressings,
  etc.)
• contaminated laundry.

• Biohazard labels
• which display the biohazard symbol with the word
  BIOHAZARD. (Red bags or containers may be used
  in place of labels.)

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Use required personal protective equipment (PPE).

• Wear gloves
• if contact with blood, other body substances or
  contaminated objects is possible.
• Never reuse disposable latex or nylon gloves.
  
• Wash your hands
• before putting on and after removing gloves.
• Examine gloves
• for tears, cracks and tiny holes before and
  during use. Replace damaged gloves as soon as
  possible.
• Remove gloves
• so that the gloves outer surface never touches
  your skin.
• 1. Grasp the outside of a glove near the wrist
• 2. Pull down until the glove comes off
  inside-out
• 3. Cup this glove in the palm of your gloved
  hand. Then, insert 2 fingers of your
• bare hand inside the cuff of
  the remaining glove.
• 4. Pull down so this glove also comes off
  inside-out -- with the first glove tucked
  inside.

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Wear other PPEs as needed

• Wear a mask and eye protection, or a full face
  shield, if fluids could splash or spray into your
  eyes, nose or mouth.
• Wear an apron or a gown if fluids could splash or
  drip onto your clothing. If fluid penetrates the
  apron or gown, change it as soon as possible.
• Wear other PPE, such as a cap, a hood and shoe
  coverings, when exposure to a lot of fluids is
  possible (such as during surgery, autopsy or
  embalming).
• Use a resuscitation device
• or pocket resuscitation mask when providing
  rescue breathing.
• Remove contaminated PPE
• and other contaminated clothing carefullywhile
  wearing gloves. Remember to wash your hands
  after removing PPE.

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Eliminate hazards with proper housekeeping.

• Dont touch broken glass
• Pick it up with tongs, or use a broom and
  dustpan.
• Dispose of sharps
• in a covered, puncture-resistant, leakproof
  container that is red or labeled with the
  biohazard symbol.
• Place other contaminated wastes
• (linens, gloves, etc.) in a leakproof container
  or bag that is red or labeled with the biohazard
  symbol. (Bag linens where they were used.) If
  the outside of the container or bag becomes
  contaminated, place it in a second container or
  bag.

Never reach into trash to retrieve an object.
Report full sharps containers and waste
containers see that theyre covered, removed and
replaced. Clean equipment and work surfaces at
the end of your shift, as well as when visibly
contaminated. Wear gloves. Use approved
disinfectant towelettes.
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In the Event of BBP Exposure

• Immediate first aid to site
• Soap and water for wound and skin exposures (no
  back bleeding)
• Flush with water for mucous membrane exposures
• Phone Infection Control / Employee Health to
  report incident
• Fill out facility incident occurrence report

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In the Event of BBP Exposure

• Draw 3 tubes of blood from source
• Clearly mark blood tubes for needlestick
  investigation
• Take blood to Lab
• Notify AMAET Human Resources Manager

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Summary

• Occupational exposures are crisis situations
  demanding immediate, decisive action.

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Tuberculosis Control Plan

• Annual TB skin test
• Annual health questionnaire if previously
• ? Employer has Exposure Control Plan
• ? Respirator fit testing is available and is
  provided by facility

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OSHA Might Ask.

• Does your employer have an Exposure Control Plan?
• Yes, AMAET has an Exposure Control Plan.
• Where is it?
• It can be found in the hospital anesthesia
  lounge, in the AMAET office, or online at
  AMAET.com
• Are you provided with protected sharps / safer
  sharps products?
• Yes, our facilities provide us with the
  necessary safe products.
• Do you utilize them?

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OSHA Might Ask.

• Does anyone monitor your usage of PPE?
• Our facilities monitor our PPE usage.
• How do you get new / replacement PPE?
• Simply by requesting new PPE at our facility.

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OSHA Might Ask.

• Did you receive training by your employer on the
  Bloodborne Pathogen Standard?
• By reviewing this online module and completing
  the test, you have received training regarding
  BBP Standards.

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Important Contact Numbers

• St. Marys Stephanie Brooks 545-7592 or
  631-1748
• Gail Beeler 545-8642
• St. Marys ASC Bridgette Welch 545-3700
• Fort Sanders Norma Sundberg 541-4921
• Parkwest Trish Chaloux 373-1940
• TVEC Kathy Brock or Susan Sams 251-0338
• Fort Sanders West Erma Morgan 531-5048
• GIA Gayle Mahan
• Parkwest Surgery Center Mary Horton 531-0494
• Physicians Surgery Center Sally Dargan
  522-2949

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Hand Hygiene

• Wash hands!!!!!
• Wash hands some more!!!!!

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FinishedAlmost

• Now that you have finished the AMAET Bloodborne
  Pathogen and OSHA Update, you must click below
  and take the 10 question test.
• OSHA Test