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Risk Management Department. Bloodborne Pathogens May, 2008. Bloodborne Pathogens. Introduction

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Risk management department
Risk Management Department

Bloodborne

Pathogens

May, 2008


Bloodborne pathogens
Bloodborne Pathogens

Introduction

In December of 1991, the Occupational Safety and Health Administration (OSHA) published the Occupational Exposure to Bloodborne Pathogens Final Rule (Standard 29 CFR 1910.1030). This standard provides guidelines for employers to reduce significant risk of infection for employees exposed to body fluids or tissue from infected persons.


Bloodborne pathogens1
Bloodborne Pathogens

Introduction

The standard addresses employee training and information on definitions, work practices, procedures, equipment, and policies relating to preventative and post-incident medical interventions.

The objective is to minimize the exposure risk or, if necessary, to effectively treat employees involved in an incident where there is a possibility of exposure.


Bloodborne pathogens2
Bloodborne Pathogens

Introduction

In this training we will cover:

  • Who does this apply to?

  • What is a pathogen?

  • Methods of transmission

  • Protection from exposure

  • What to do if exposed


Bloodborne pathogens3
Bloodborne Pathogens

Who does this apply to?

Employers are required to identify job categories that have a greater risk of exposure to bloodborne pathogens in the scope of their duties.

APS has conducted an analysis of job

categories and has determined that

certain positions are at greatest risk

of occupational exposure.


Bloodborne pathogens4
Bloodborne Pathogens

Who does this apply to?

The requirements of this program apply specifically to these job categories:

  • Athletic Trainers

  • School Nurses

  • Health Assistants

  • Employees Assigned to the Juvenile Detention Center

  • School Police Officers and Campus Security Assistants

  • Special Education Educational Assistants in ISP Programs

  • Special Education Teachers in ISP Programs


Bloodborne pathogens5
Bloodborne Pathogens

Who does this apply to?

The Hepatitis B vaccination series shall be offered to these employees after they have received the required training and within 10 working days of initial assignment unless:

  • The employee has previously received the complete Hepatitis B vaccination series

  • Antibody testing has revealed that the employee is already immune

  • The vaccine is contraindicated for medical reasons


Bloodborne pathogens6
Bloodborne Pathogens

Who does this apply to?

If the employee initially declines Hepatitis B vaccination but at a later date while still covered under the standard decides to accept the vaccination, the Hepatitis B vaccination series shall be made available at that time.


Bloodborne pathogens7
Bloodborne Pathogens

What is a Pathogen?

A pathogen is defined as an organism, either bacteria or virus, that can cause an illness or disease.

Pathogens of concern specifically include, but are not limited to:

Hepatitis B

Hepatitis C

HIV Virus


Bloodborne pathogens8
Bloodborne Pathogens

What is a Pathogen?

Pathogens of Concern:

Hepatitis B

A serious illness affecting the liver

Detectable by blood test

Vaccine available


Bloodborne pathogens9
Bloodborne Pathogens

What is a Pathogen?

Pathogens of Concern:

Hepatitis C

Another illness affecting the liver

Usually more severe than Hepatitis B

Detectable by blood test

No vaccine available


Bloodborne pathogens10
Bloodborne Pathogens

What is a Pathogen?

Pathogens of Concern

HIV Virus

A virus that attacks the immune system

Can lead to AIDS

Detectable by blood test

No vaccine available


Bloodborne pathogens11
Bloodborne Pathogens

Methods of Transmission

Transmission may be direct or indirect

DIRECT -

Immediate contact with a pathogen (blood)

INDIRECT -

Touching an item infected with the pathogen then touching a vulnerable area on self (mouth, nose, eyes, cut in skin)


Bloodborne pathogens12
Bloodborne Pathogens

Methods of Transmission

  • Pathogens may be present in the blood and other body fluids such as saliva, semen, and vaginal secretions.

  • Pathogens can also be present in cerebrospinal, synovial, pleural, peritoneal, pericardial, amniotic, and any other fluids contaminated with blood.


Bloodborne pathogens13
Bloodborne Pathogens

Methods of Transmission

  • Pathogens can enter and infect the human body through openings in the skin including cuts, nicks, abrasions, dermatitis, or acne

  • Infection can also result from punctures or cuts caused by sharp contaminated objects such as needles, broken glass, exposed ends of dental wires, or any other object that can puncture or cut skin


Bloodborne pathogens14
Bloodborne Pathogens

Methods of Transmission

  • Pathogens can also gain access to the body through mucous membranes of the eyes, nose, and mouth when these areas are touched with contaminated hands or implements.

  • Hepatitis B is particularly dangerous

    since it can survive on dried surfaces at

    room temperature for at least one (1) week.


Bloodborne pathogens15
Bloodborne Pathogens

Protection from Exposure

The concept of Universal Precautions requires us to consider every person a potential carrier of a bloodborne pathogen

Universal Precautions means we follow all applicable protection rules in every instance, no exceptions!

This way we minimize the possibility of exposure and infection


Bloodborne pathogens16
Bloodborne Pathogens

Protection from Exposure

We also need to follow these rules:

  • Engineering and work practice controls

  • Personal protective equipment

  • Housekeeping

  • Handling needles and sharps

  • Regulated waste

  • Communication of hazards


Bloodborne pathogens17
Bloodborne Pathogens

Protection from Exposure

Engineering and Work Practice Controls

  • Handwashing is the single most important means of preventing the spread of infection

  • Employees must wash hands and any other skin with soap and water and flush exposed mucous membranes with water immediately following contact with

    blood or other potentially infectious

    materials


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Bloodborne Pathogens

Protection from Exposure

Personal Protective Equipment

  • Gloves shall beworn when anticipated to have contact with blood, other potentially infectious materials, mucous membranes, non‑intact skin and when touching or handling contaminated items or surfaces


Bloodborne pathogens19
Bloodborne Pathogens

Protection from Exposure

Personal Protective Equipment

  • Disposable gloves shall not be washed or disinfected for re‑use

  • Face protection should be worn whenever eye, nose or mouth contamination can be reasonably anticipated

  • Other appropriate protective clothing

    should be worn in occupational

    exposure situations


Bloodborne pathogens20
Bloodborne Pathogens

Protection from Exposure

Housekeeping

  • The work site is to be maintained in a clean and sanitary condition

  • All equipment and working surfaces must be properly cleaned and decontaminated after contact with blood or other potentially infectious materials


Bloodborne pathogens21
Bloodborne Pathogens

Protection from Exposure

Handling Needles and Sharps

  • Handle sharp objects carefully!

  • Do not cut, bend, break, or routinely reinsert used needles into original sheath


Bloodborne pathogens22
Bloodborne Pathogens

Protection from Exposure

Handling Needles and Sharps

  • Discard sharp objects intact, immediately or as soon as possible after use into an OSHA-approved sharps disposal container

  • Sharps containers will be easily accessible to employees and maintained upright throughout use


Bloodborne pathogens23
Bloodborne Pathogens

Protection from Exposure

Regulated Waste

  • Regulated waste means contaminated items that are capable of releasing infectious materials during handling

  • Regulated waste shall be placed in containers to contain all contents and prevent leakage of fluids during handling, storage, transport or shipping


Bloodborne pathogens24
Bloodborne Pathogens

Protection from Exposure

Communication of Hazards

Warning labels shall be affixed to containers of contaminated sharps and regulated waste


Bloodborne pathogens25
Bloodborne Pathogens

What to do if exposed

Post-exposure medical consultation and care applies toall APS employees

This involves appropriate medical follow-up consultation and care for an exposure incident as a workplace accident

The most obvious exposure incident is a needle stick, however, any specific eye, mouth, other mucous membrane, non-intact skin or internal contact with blood or other

potentially infectious materials should be reported and treated


Bloodborne pathogens26
Bloodborne Pathogens

What to do if exposed

Any employee who believes they have been exposed to Bloodborne Pathogens must:

  • Call Company Nurse at 1-877-740-5017

  • Submit a Notice of Accident form to their supervisor


Bloodborne pathogens27
Bloodborne Pathogens

You are finished!

You have finished the Bloodborne Pathogens training

Download the quiz from the Risk Management website’s training page

Print the form and be sure to write your name, location and employee number in the spaces provided

Complete the ten questions and have your supervisor send it to the Risk Management office


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