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Bloodborne Pathogens. What you need to know to stay safe ! ~Shanda Brewer, RN. Introduction. Whether in the classroom, on a playing field or on a school bus, all school employees must k now t he potential danger of Bloodborne Pathogens. WHAT ?.

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Bloodborne pathogens

Bloodborne Pathogens

What you need to know to stay safe!

~Shanda Brewer, RN


Introduction
Introduction

Whether in the classroom, on a playing field or

on a school bus, all school employees must

know the potential danger of Bloodborne

Pathogens.


WHAT ?

• Do not touch potentially infectious body fluids

• How to report an accident

• Who should clean up the blood, etc.


Occupational exposure to bloodborne pathogens,

such as hepatitis B virus (HBV), hepatitis C virus (HCV)

And human immunodeficiency virus (HIV), does occur.

Blood is the number one source of these viruses in

the workplace.

Your risk of contracting one of these viruses at

school is low because your contact with blood is

infrequent.

But when the need arises you must be prepared to deal

with blood safety.


Question 1
QUESTION 1

The most common sourceof workplace pathogen (Hepatitis B, Hepatitis C & HIV) exposure is:


Answer
Answer:

BLOOD


Osha regulations
OSHA Regulations

  • The Bloodborne Pathogens Standard (29 CFR 1910.1030) and the Bloodborne Pathogens Compliance Directive (CPL2-2.44D) require employers to identify the jobs, tasks, and activities that could expose employees to potentially infectious body fluids.


Montgomery county school job descriptions and tasks are divided into two categories
Montgomery County School JOB DESCRIPTIONS AND TASKS ARE DIVIDED INTO TWO CATEGORIES

High Risk for Exposure

This category indicates

That it is probable that the

staff members will come

Into contact with some

form of body fluids, at

some time while performing

their job task.

Minimal Risk for Exposure

This category indicates that

there is only a remote chance

that staff members will come

into contact with some form

of body fluids while

performing their job task.


What are bloodborne pathogens
What are Bloodborne Pathogens?

Blood-borne pathogens are microorganisms carried by human blood and other body fluids.

The three most common are:

  • Hepatitis B Virus (HBV)

  • Hepatitis C Virus (HCV)

  • Human Immunodeficiency Virus (HIV)

    Unfortunately, children are as prone to blood-borne

    diseases as adults. That means you are as much in

    danger of infection from the children you work with as

    any other group in society.


Hepatitis b
Hepatitis B

Hepatitis means “inflammation of the liver”. HBV poses a

Greater risk to you at school than either the hepatitis

C virus (HCV) or HIV, since it is more easily

transmitted.

HBV can survive for at least 1 week in dried blood on

environmental surfaces such as a desks, worktable, knife,

tools, broken glass, metal, etc…


Hepatitis b environmental contamination
Hepatitis B—Environmental Contamination

Environmental contamination is an effective

method of disease transmission for HBV.

This is the primary reason for the importance

Of properly cleaning and disinfecting any

blood-contaminated work surfaces, tools, etc.


Question 2
QUESTION 2

Hepatitis B Virus (HBV)

can survive for up to ____________ in dried

blood on hard surfaces.


Answer1
Answer:

One Week

This is why cleaning on a regular

basis is VITAL!


Hepatitis b1
Hepatitis B

  • An HBV vaccination has been available since 1982. The vaccine prevents hepatitis B disease and its serious consequences.

  • The vaccine has been shown to be very safe when given to infants, children, and adults.


The hepatitis b vaccine series is available to montgomery county school employees
The Hepatitis B Vaccine Series Is Available to Montgomery County School Employees…

1. If your job description falls in the high exposure risk category, and you have not previously received the series.

2. If you have a documented/reported exposure incident, and have not previously received the series.


All employees must have either a request/consent for the series or a decline/refusal on file with the personnel office.

Request/Consent

This indicates that you

Wish to receive the

series due to your job

description falling into

the high risk category.

Decline/Refuse

This indicates that you have

previously received the series;

your job description falls into

the minimal risk category; you

have a medical condition that

contraindicates the series; or

that you simply do not wish to

receive the series at that time.


Hepatitis c virus hcv
HEPATITIS C VIRUS ( series or a decline/refusal on file with the personnel office.HCV)

  • There is no vaccine for Hepatitis C Virus at this time.

  • 70 percent of infected persons will suffer from chronic liver disease. Hepatitis C is the leading indication for liver transplantation.


HIV series or a decline/refusal on file with the personnel office.

  • HIV is the virus that leads to Acquired Immunodeficiency Syndrome (AIDS). A person can carry HIV for many years and not have any symptoms until it becomes AIDS.

  • AIDS attacks the person’s immune system, which makes it difficult for the body to fight off common diseases.


HIV series or a decline/refusal on file with the personnel office.

  • HIV does not survive well outside the body. When HIV-infected human blood or other body fluid is dried, the risk of environmental transmission is essentially reduced to zero because the virus does not survive.

  • HIV is found in very low quantities in saliva and tears from some AIDS patients.

  • HIV has not been found in the sweat of HIV-infected persons. Contact with saliva, tears, or sweat has never been shown to result in the transmission of HIV


Identify potential exposure at work
Identify Potential Exposure at Work series or a decline/refusal on file with the personnel office.

Exposure to blood-borne pathogens or potentially

infectious body fluids in a school environment is

Very limited.

In general, the only time that any employee is

exposed is when a student or co-worker suffers an

injury that bleeds, or illness causing exposure to

bodily fluids with visible blood.


Identify potential exposure at work1
Identify Potential Exposure at Work series or a decline/refusal on file with the personnel office.

Employees working with special needs & medically

Fragile students should take extra caution. These

students may be more:

  • Vulnerable to injury

  • Likely to have special medical needs

  • Dependant on adults for personal care


Question 3
QUESTION 3 series or a decline/refusal on file with the personnel office.

In general school employees have

limited exposure to body fluids and

potential blood-borne pathogens.

The exception to this is _________


Answer2
Answer series or a decline/refusal on file with the personnel office.

Working with Children

having severe disability

and/or special medical

needs


You could be exposed
You could be exposed: series or a decline/refusal on file with the personnel office.

  • At the time of an injury if blood/body fluids splashes onto you,

  • when administering first-aid treatments, such as applying pressure to a wound, wrapping an injury, providing CPR, etc.


You could be exposed1
You could be exposed: series or a decline/refusal on file with the personnel office.

  • If a work surface, such as a table, tool, or machine control panel, is not cleaned/decontaminated immediately after an incident.

  • If your job description/task includes clean up after illness or injury.


You could be exposed2
You could be exposed: series or a decline/refusal on file with the personnel office.

By cutting yourself with a contaminatedsharp

object like:

  • Broken Glass

  • Sharp Metal

  • Needles

  • Knives

  • Exposed end of orthodontic wires


Transmission of bloodborne pathogens
Transmission of Bloodborne Pathogens series or a decline/refusal on file with the personnel office.

You CANNOT become infected with these viruses

Through casual contact, coughing, sneezing, a

kiss on the cheek, a hug or from drinking fountains

or food.

Common NON-SCHOOL RELATED transmission occurs with sexual

contact and shard needles for drug use.


How does it get in
How does it get in? series or a decline/refusal on file with the personnel office.

Non-intact skin—The infected blood must

make physical contact with skin that is

damaged or not completely intact.

Blood-borne pathogens could enter your

bloodstream through a cut in the skin, abrasions

or scratches on the skin, dermatitis or other skin

rashes, and even hangnails.

COVER CUTS AND OPEN SKIN WITH A

BANDAGE WHEN AT WORK!


How does it get in1
How does it get in? series or a decline/refusal on file with the personnel office.

  • Mucous membranes—The infected blood could enter your body’s bloodstream through a mucous membrane.

  • Infected blood that is splashed into your eyes, mouth, or nose could result in a transmission of blood-bornepathogens.


What are infectious body fluids
What are Infectious Body Fluids? series or a decline/refusal on file with the personnel office.

Body fluids that contain potentially infected blood

could result in the transmission of a blood-borne

pathogen.

Potentially infectious body fluids include blood and other

bodily fluids that can contain blood, such as:

  • Saliva

  • Vomit

  • Urine

    Other body fluids that could contain blood, but are not likely to be encountered in a school work

    environment, include semen, vaginal secretions, cell cultures, etc.


Universal precautions
Universal Precautions series or a decline/refusal on file with the personnel office.

Anticipating Potential Contact

  • The most important step in preventing exposure to and transmission of infections is the anticipation of potential contact with infectious materials in routine and emergency situations.

  • Universal precautions and infection control techniques should be used in all situations that present the hazard of infection.


Universal precautions1
Universal Precautions series or a decline/refusal on file with the personnel office.

  • Diligent and proper hand washing, the use of barriers (e.g., latex or vinyl gloves), appropriate disposal of waste products and needles, and proper care of spills are essential techniques of infection control.

  • When using universal precautions to prevent the spread of infection, all blood and body fluids are treated as if they contain blood borne pathogens, such as human immunodeficiency virus (HIV) and hepatitis B virus (HBV).


Question 4
Question 4 series or a decline/refusal on file with the personnel office.

The most important

step in preventing

exposure is?


Answer3
Answer series or a decline/refusal on file with the personnel office.

Anticipate contact

with potential

infectious materials


Question 5
Question 5 series or a decline/refusal on file with the personnel office.

All blood & body

fluids should be treated

like they…_________.


Answer4
Answer: series or a decline/refusal on file with the personnel office.

Contain blood-

borne pathogens.


Personal protective equipment ppe
Personal Protective Equipment ( series or a decline/refusal on file with the personnel office.PPE)

The concept of universal precautions includes avoiding

contact with all potentially contaminated blood or body

fluids.

Use protective barriers, including PPE, to avoid contact

with blood and body fluids.


Personal protective equipment ppe1
Personal Protective Equipment ( series or a decline/refusal on file with the personnel office.PPE)

Gloves

  • Staff members must wear gloves when applying bandages or putting pressure on wounds. Should be worn for all scenarios involving blood or body fluids.

  • Cleanup personnel must wear gloves when cleaning up and decontaminating blood or body fluids.


Personal protective equipment ppe2
Personal Protective Equipment ( series or a decline/refusal on file with the personnel office.PPE)

Impromptu Barriers:For many accidents in a school

environment, the staff responders do not feel that they have

time to get and then put on protective barriers such as

gloves or aprons

Impromptu barriers in your workplace might include

a piece of plastic, a clean plastic garbage bag, paper,

your shirt, etc.

The idea is to use something as a barrier between your

skin and the victim’s blood or body fluid.


Question 6
Question 6 series or a decline/refusal on file with the personnel office.

True or False:

You can use a clean plastic bag as a

blood/body fluid barrier if gloves or

other PPE is not available.


Answer5
Answer series or a decline/refusal on file with the personnel office.

  • True


Handwashing
HANDWASHING series or a decline/refusal on file with the personnel office.

Diligent and proper hand washing is a

key component of infection control.

Hands should be washed:

1.   Immediately before and after physical contact with a student (e.g., providing first aid, diaper changes, assistance with toileting, or assistance with Feeding)


Handwashing1
HANDWASHING series or a decline/refusal on file with the personnel office.

2.   Immediately after contact with blood or body fluids or garments or objects soiled with body fluids or blood

3.   After contact with used equipment (e.g., stethoscope, emesis basin, and gloves)

4.  After removing PPE such as gloves or clothing.


Hand washing
Hand Washing series or a decline/refusal on file with the personnel office.

Good hand washing keeps you from transferring

Contamination from your hands to other parts of

your body or to other surfaces you may come in

contact with later.

You should wash your hands with non-

abrasive soap and running water for at least

20 seconds:

When hand washing facilities are not available, such as on the

school bus, your employer will provide an antiseptic hand

Cleanser or antiseptic towelettes. Use these as a temporary

measure only. You must still wash your hands with soap and

running water as soon as you can.


Routine clean up
ROUTINE CLEAN UP series or a decline/refusal on file with the personnel office.

Routine environmental clean up of facilities (e.g., Health

unit, buses and bathrooms) do not require modification

unless contaminated with visible blood or body fluids.

  • If the area has been contaminated with visible blood or body fluids, the area should be decontaminated according to district policies.

  • Regular cleaning of non-contaminated surfaces, such as seats and tabletops, can be done using standard cleaning solutions.

  • Regular cleaning of obvious soil is more effective than extraordinary attempts to disinfect or sterilize surfaces


Cleaning tools
Cleaning Tools: series or a decline/refusal on file with the personnel office.

Brooms and dustpans must be rinsed in disinfectant. Mops must be soaked in disinfectant, washed and thoroughly rinsed. The disinfectant solution should be disposed of promptly down the drain.


Accidental exposure
ACCIDENTAL EXPOSURE series or a decline/refusal on file with the personnel office.

Procedure:

Always wash the contaminated area immediately with

soap and water.

If the mucous membranes (i.e., eye or mouth) are

contaminated by a splash of potentially infectious

material or contamination of broken skin occurs,

irrigate or wash area thoroughly.


Accidental exposure1
ACCIDENTAL EXPOSURE series or a decline/refusal on file with the personnel office.

For cuts or needle injuries, wash the skin thoroughly

with soap and water.

If broken skin or mucous membranes are

contaminated the staff should:

  • Notify their supervisor immediately.

  • Document the event

  • Follow the procedures in the blood-borne pathogen exposure control plan for the district.


Higher risk
Higher Risk? series or a decline/refusal on file with the personnel office.

Pregnant Women

Pregnant women are not at higher

risk for infection than other

caregivers provided that appropriate

precautions are observed.

There is, however, the possibility

of an in-utero transmission of

Viral infections, such as

cytomegalovirus (CMJ), HIV,

Varicella or HBV to unborn

children.


Do check list
series or a decline/refusal on file with the personnel office.DO” CHECK LIST


Remember
REMEMBER… series or a decline/refusal on file with the personnel office.

Do check PPE for damage before putting it on.

Do remove PPE carefully to prevent the spread of contamination.

Do place contaminated PPE, towels, etc. in closable, leakproof bags or

containers for disposal or decontamination.

Do wash exposed skin immediately and thoroughly with soap and

water.

Do wash thoroughly with soap and water after removing personal

protective equipment.

Do flush exposed eyes, nose, or mouth quickly and thoroughly with

water.


Remember1
REMEMBER… series or a decline/refusal on file with the personnel office.

Do minimize splashing or spattering of potentially Infectious materials.

Do cover open cuts, rashes, and other broken skin.

Do dispose of used needles carefully and immediately in Assigned

Puncture-resistant, leak proof containers identified by the biohazard

symbol. (Nurses)

Do clean and decontaminate pails and other reusable Containers

Regularly—immediately after contact with potentially infectious

materials.

Follow Bloodborne Pathogens Standard precautions to enable you to respond

to a situation without fear of infection.

Report any on-the-job exposure to blood or Other Body fluids promptly and

Get Medical attention.


Don t check list
“DON’T” series or a decline/refusal on file with the personnel office.CHECK LIST


Remember2
REMEMBER… series or a decline/refusal on file with the personnel office.

Don't worry that casual contact with an infected person will transmit a

blood-borne disease.

Don't let fear of exposure to blood-borne pathogens keep you from

Helping an injured person.

Don't mix contaminated clothing or linens with other laundry.

Don't eat, drink, smoke, apply makeup or lip balm, or handle contact

lenses in areas with exposure potential.

Don't touch any contaminated surfaces, clothing, or equipment without

appropriate PPE.


Remember3
REMEMBER… series or a decline/refusal on file with the personnel office.

Don't touch needles or other sharps that may be contaminated by

blood.

Don't bend, recap or remove sharps unless specifically instructed to do

so. (Nurses)

Don't EVER reach by hand into a container holding sharps.

Don't clean up broken glass by hand; use tongs, a brush and pan,

etc. FOLLOW CLEAN-UP PROCEDURES AS INSTRUCTED BY

YOUR SUPERVISOR. (Custodial/Maintenance Staff)

Don't practice unsafe sex, inject illicit drugs or share needles.


In summary
In Summary series or a decline/refusal on file with the personnel office.

Always have gloves readily available.

Remember:

If it’s wet, and it’s not yours,

don’t touch it without gloves!


In summary1
In Summary series or a decline/refusal on file with the personnel office.

Report any exposure incidents to your supervisor

immediately.

Forms required to properly report an exposure

incident, make arrangements for physician

assessment and treatment, and receive hepatitis b

vaccination (if needed) are in the BBP Exposure

Control Plan.

The Bloodborne Pathogen Exposure Control Plan is

readily available on the district website.


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