standard precautions and bloodborne pathogens l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Standard Precautions and Bloodborne Pathogens PowerPoint Presentation
Download Presentation
Standard Precautions and Bloodborne Pathogens

Loading in 2 Seconds...

play fullscreen
1 / 43

Standard Precautions and Bloodborne Pathogens - PowerPoint PPT Presentation


  • 378 Views
  • Uploaded on

Standard Precautions and Bloodborne Pathogens A training for Child Care providers 2005 What are Standard Precautions?

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Standard Precautions and Bloodborne Pathogens' - Gabriel


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
standard precautions and bloodborne pathogens

Standard Precautions and Bloodborne Pathogens

A training for Child Care providers

2005

Virginia Department of Health

slide2

What are Standard Precautions?

Standard Precautions apply to blood, other body fluids containing blood, semen, and vaginal secretions. Standard Precautions do not apply to feces, nasal secretions, sputum, sweat, tears, urine, saliva and vomit unless these contain visible blood or are likely to contain blood.

Virginia Department of Health

slide3

Standard (Universal) Precautions:

  • MAY include protective barriers such as gloves, gowns, aprons, masks, or protective eyewear, which can reduce the risk of exposure of skin or mucous membranes that could come in contact with materials that may contain blood-borne pathogens while the child care provider is providing first aid or general care.

Virginia Department of Health

transmission based precautions
Transmission Based Precautions:
  • are required, in addition to Standard Precautions,where airborne, droplet and contact transmission of infectious organisms may occur. Common transmission based precautions include hand washing, cleaning and sanitation of surfaces.

Virginia Department of Health

four ways to spread germs transmission of germs
FOUR WAYS TO SPREADGERMS (Transmission of Germs)

1. Airborne or respiratory route

2 .Direct contact route

3. Fecal-oral route

4. Blood contact route

Virginia Department of Health

slide6
AIRBORNE OR RESPIRATORY GERMS are spread via droplets through:
  • NOSE
  • MOUTH
  • SINSUS
  • THROAT
  • LUNGS
  • CONTAMINATED TISSUES OR FABRIC

EXAMPLES: TB, Colds, Chicken Pox

Virginia Department of Health

slide7
DIRECT CONTACT GERMS are spread through directly touching an infected area or body fluid such as:
  • SALIVA
  • MUCUS
  • EYE DISCHARGE
  • PUS or WEEPING

EXAMPLES: Conjunctivitis (pink eye), impetigo, lice, chicken pox

Virginia Department of Health

slide8
FECAL-ORAL ROUTE GERMS are transferred from stool to host via:

HANDS

FOOD

MOUTHED TOYS

TOILET

DIAPERS, ETC.

EXAMPLES : Hand, foot and mouth disease

Hepatitis A

Rotavirus

Virginia Department of Health

slide9
BLOOD CONTACT transmission can occur when individual comes in contact with infected blood or infected body fluids

EXAMPLES: Hepatitis B

Hepatitis C

HIV/AIDS

Virginia Department of Health

hepatitis b hbv
HEPATITIS B (HBV)
  • Occurs when the HBV virus enters the body, multiplies in the blood and infects the liver
  • Can result in mild illness or permanent liver damage
  • Most individuals recover
  • Death does occur in rare cases due to liver failure
  • Hepatitis B is the cause of up to 80% liver cancer

Virginia Department of Health

symptoms of hepatitis b
SYMPTOMS OF HEPATITIS B
  • Weakness
  • Fatigue
  • Loss of appetite
  • Nausea
  • Abdominal pain
  • Fever
  • Headache
  • Occasional yellowing of skin and whites of eyes

Virginia Department of Health

hepatitis b
HEPATITIS B
  • Individuals may show no symptoms but may infect someone else
  • There is no cure for Hepatitis B
  • There is a vaccine available to help prevent Hepatitis B

Virginia Department of Health

hepatitis c hcv
HEPATITIS C (HCV)
  • The most common chronic blood-borne infection – modes of transmission include:
  • Injecting drug use account for 60% of cases
  • Other modes include sexual exposure
  • Shared cocaine straws
  • Occupation
  • Hemodialysis
  • Perinatal

Virginia Department of Health

hepatitis c hcv is not spread by
Sneezing

Hugging

Coughing

Food or water

Sharing eating utensils or

Drinking glasses or casual contact

There is no vaccine against hepatitis C

Hepatitis C (HCV) IS NOT SPREAD BY

Virginia Department of Health

how hepatitis is spread
HOW HEPATITIS IS SPREAD
  • Infected person to uninfected person during anal, vaginal, oral sexual intercourse
  • IV drug users that share needles
  • Tattooing with unspecialized equipment
  • HBV/HCV Infected mothers passing virus to their unborn child
  • HBV/HCV Infected mothers passing the virus in breast milk
  • Blood to Blood transmission thru blood transfusion, breaks in skin or thru mucous membranes

Virginia Department of Health

hiv aids
HIV/AIDS
  • An infection caused by several related retro viruses
  • HIV attacks T cells whose function is to protect the immune system
  • most people with HIV develop antibodies within 6-12 weeks after infection but can still transmit the virus during this “seroconverting” stage

Virginia Department of Health

slide17
Casual contact with infected people

Holding or hugging infected people

Sharing food, utensils, clothing, bed linens, art equipment, (play-dough, clay or water play)

Kissing on the lips or cheeks

Coming into contact with perspiration, tears, vomit, urine, or stool that does not contain visible blood

Shaking hands

Sharing restroom

Bathroom fixtures

Drinking fountains

Mosquitoes

Eating with carriers

HIV/AIDS is NOT spread through:

Virginia Department of Health

how hiv infection is spread
HOW HIVINFECTION IS SPREAD
  • Infected person to uninfected person during unprotected anal, vaginal, or oral sexual intercourse
  • Infected intravenous drug users when they share needles and syringes contaminated with blood
  • Women infected with HIV can pass the virus to theirunborn child. As the virus can be transmitted throughbreastfeeding, breastfeeding is NOTrecommended toinfants of infected mothers
  • Blood-to blood transmission when the infected bloodenters the blood stream by blood transfusion, breaks in the skin, mucous, or needle sticks

Virginia Department of Health

what are some tasks in childcare that may pose a risk to infection with blood borne infection
WHAT ARE SOME TASKS IN CHILDCARE THAT MAY POSE A RISK TO INFECTION WITH BLOOD-BORNE INFECTION?
  • Bleeding injuries
  • Biting
  • Loose tooth
  • Changing band-aids or dressings
  • Handling breast milk
  • Any task that involves visible blood
  • Performing CPR

Virginia Department of Health

standard precautions how to practice
STANDARD PRECAUTIONS: How to Practice

Handwashing

Gloves

Personal Protective Equipment (PPE)

Sanitizing

5. Waste Disposal

6. Immunization

Virginia Department of Health

handwashing when
HANDWASHING – WHEN?
  • upon arrival at work
  • Before handling food, preparing bottles, feeding children
  • After using toilet
  • After assisting child using toilet
  • After changing diapers
  • After contacting child’s body fluids, diapers, runny noses, spit, vomit

Virginia Department of Health

slide22

When to wash your hands (continued)

  • After handling pets or pet objects
  • After cleaning up a child, bathroom items or toys
  • Before giving medications to a child or self
  • After removing gloves used for anypurpose
  • Before going home

Virginia Department of Health

what about children
What about Children?
  • Upon arrival at daycare
  • Before and after eating
  • After using toilet or having diaper changed
  • After playing on playground
  • After handing pets or pet objects
  • Before going home

Virginia Department of Health

how to wash your hands
How to wash your hands
  • Use warm running water and a mild liquid soap
  • Wet hands and apply a small amount (dime or quarter size) of soap
  • Rub hands vigorously until a soapy lather appears (about 15 seconds)
  • Make sure to scrub between fingers, under fingernails, tops and palms of hands

Virginia Department of Health

slide25

How to wash your hands (continued)

  • Rinse hands under warm running water
  • Dry hands with a clean, disposable towel
  • Turn off the faucet using the towel as a barrier between your clean hands and the dirty faucet
  • Discard the towel in a plastic lined foot pedal operated trash can

Virginia Department of Health

slide26
VIDEO “ABC’S OF HANDWASHING”
  • HANDWASHING DEMONSTRATION

Virginia Department of Health

protection through gloves
Protection through Gloves
  • Offers a barrier to protect skin which may have small cuts or cracks
  • Gloves should be disposable and made of Latex, vinyl or heavy-duty rubber
  • Gloves can have microscopic holes or tears – WASH YOUR HANDS AS SOON AS YOU REMOVE THE GLOVES

Virginia Department of Health

when to wear gloves
When to wear Gloves
  • Whenever there is visible blood (first aid, changing bandages)
  • Unless there is visible blood, gloves are optional when changing diapers, wiping noses, cleaning up vomit or toileting accidents. Many people are more comfortable wearing gloves during these activities.
  • Gloves should be available for whoever wants to wear them for protection.

Virginia Department of Health

remember
Remember!

PROPER HANDWASING IS THE MOST EFFECTIVE WAY OF PROTECTING YOUR SELF, YOUR FAMILY AND THE CHILDREN AGAINST INFECTION

Virginia Department of Health

gloving
Gloving
  • Put glove on clean hand
  • Remover by grasping outside at wrist, pull inside out;with ungloved hand grasp on inside at the wrist and pull inside out over hand

Virginia Department of Health

gloves should be available
Gloves should be available:
  • In each classroom
  • At diaper changing area
  • With first aid supplies
  • On transportation vehicles

Virginia Department of Health

additional ppe
ADDITIONAL PPE
  • Mask
  • Aprons
  • Gowns
  • Face shields

Virginia Department of Health

sharps
SHARPS
  • All sharps must be disposed of in a container that is closable, puncture resistant, leak proof and labeled with bio-hazard label
  • All needles, broken glass should be discarded into this container

Virginia Department of Health

cleaning and sanitizing procedure for blood body fluids containing blood
Cleaning and sanitizing procedure for blood/body fluids containing blood
  • Gather all needed equipment – gloves, paper towels, plastic bags, cleaning solution and sanitizing solution
  • Put on disposable gloves
  • Use generous amount of paper towels to soak up the liquid part of the fluid.
  • Place the paper towels and gloves in a separate plastic bag, close and tie the bag
  • Place closed and tied bag in regular lined trash can.

Virginia Department of Health

cleaning and sanitizing procedures continued
Cleaning and Sanitizing procedures (continued)

6. WASH YOUR HANDS

7. Put on clean disposable gloves

  • Wash area with soap and water or other cleaning agent and rinse with water
  • NON POROUS SURFACES – spray with 10:1 bleach solution until glistening wet. Allow it to sit for 2 minutes before wiping dry, or let air dry.

Virginia Department of Health

cleaning sanitizing procedures continued
Cleaning Sanitizing procedures (continued)
  • POROUSSURFACES – Use paper towels to soak up the liquid. Carpets and rugs can be cleaned with standard carpet cleaning chemicals.
    • Either discard or launder other fabrics through the machine alone with laundry detergent, then again using the 10:1 bleach solution to soak the fabric and laundry equipment for at least 2 minutes

Virginia Department of Health

soiled clothing
Soiled Clothing
  • Place child’s or staff’s soiled clothing in plastic bag and labeled to be washed using proper laundering technique.
  • Child’s clothing should be sent home with parents.

Virginia Department of Health

be aware
Be Aware…..
  • The use of commercially pre-saturated bleach wipes to sanitize surfaces is not recommended.
    • These wipes have not been tested for effectiveness in sanitizing diaper changing surfaces found in child care
    • The contamination of the wipe during use may not be sufficiently controlled by the bleach solution in the wipe

Virginia Department of Health

what s your plan
What’s Your Plan?
  • An Exposure Control Plan will help you develop a plan to reduce exposure to germs in blood and other body fluids
  • OSHA requires employers to develop and implement plans and policies to protect employees from exposure to potentially infectious body fluids.
  • Download a model ECP at www.OSHA.gov under bloodborne pathogen standard Standard 29 CFR 1910.1030 or visit www.paaap.org/ECELS for an ECP adapted for child care

Virginia Department of Health

what should your ecp include
What should your ECP include?
  • Who is responsible for the overall implementation of the ECP?
  • What employees have occupational exposure (at least all who give direct care)
  • Methods of implementation and control (policies and procedures) including PPE’s, housekeeping, first aid, sharps care, laundry, etc.
  • Hepatitis B provision
  • Post exposure evaluation and follow up
  • Employee training
  • Record keeping

Virginia Department of Health

what else should your ecp include
What else should your ECP include?
  • Bloodborne Pathogen exposure control training log (all staff should receive training)
  • Exposure Incident Report form
  • Post Exposure Evaluation by health provider form
  • Post Exposure Referral to health provider form
  • Hepatitis B Vaccine Declination (Mandatory)
  • Sharps Injury Log

Virginia Department of Health

questions
Questions?

Virginia Department of Health

the end
THE END

Virginia Department of Health