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Bloodborne Pathogens

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    1. 1 Bloodborne Pathogens Grand Prairie Independent School District Exposure Control Plan Training Program

    2. 2 Bloodborne pathogen exposure can occur in the school setting or work environment. Exposure to blood is the most frequent source of transmission of the Hepatitis B virus, Hepatitis C virus and Human Immunodeficiency virus (HIV) in the work place. Our objectives are to: Educate employees about these diseases. Train you how to protect yourself. Continue the safety and good health of our personnel. Fulfill the law

    3. 3 Title 29 Code of Federal Regulation, Article 1910.1030, Occupational Safety and Health Administration (OSHA), Bloodborne Pathogens Standard as specified in Health and Safety Code, Article 81.304 mandates a program be developed to minimize employees exposure to bloodborne pathogens.

    4. 4 CDC,2004 Hepatitis B (HBV) Causes serious liver disease, cirrhosis, and cancer Jaundice (yellowing of eyes and skin due to toxins in the blood) Fatigue, abdominal pain, loss of appetite 50% have no symptoms at all Most people infected recover and clear the infection. 10% become chronically infected. Poses greatest risk of transmission Can live on a hard surface up to a week Can be prevented by a vaccination!!

    5. 5 Hepatitis B Continued Each year 5,000 people die from chronic liver disease and liver cancer caused by HBV. According to the Centers for Disease Control and Prevention (CDC), 1.25 million people are chronically infected with HBV. Risk for infection from a known carrier from single needle stick or cut is 6 30 %. Post exposure treatment should begin preferably within 24hrs, no later than 7 days. Treatment begins with vaccine immediately and or Hepatitis B Immune Globulin, (HBIG). Region 3 of CDC, Dallas, Denton and Tarrant Counties, 462 people died of viral hepatitis (all types) in 2002. The greatest death rate was in the 45-49 age group. Reference: Public Health Regions in Texas

    6. 6 CDC, 2004 HBV Vaccine The HBV vaccine is a three shot series completed over 4-6 months. The second dose must be one month from the first and at least two months from the third dose. The first and third doses must have at least four months between them. Most clinicians prefer six.

    7. 7 HBV Vaccine Continued Grand Prairie ISD provides these vaccines free of charge to at risk employees only. Other employees may receive the shots through their doctor or the Health Department.

    8. 8 Bloodborne Pathogens Exposure Control Plan,2001 At Risk Employees School nurse Clinic aide, Unlicensed Diabetic Care Assistant Principal designees who cover clinic when nurse is out. Athletic trainer Coaches Special Ed Teachers and Assistants Special Ed Bus Driver Special Ed Bus Monitor Principal, Assistant Principal, Admin. Intern, Dean of Instruction School resource officer PE teachers Selected maintenance personnel-plumber/custodian

    9. 9 Bloodborne Pathogens Exposure Control Plan, 2001 HBV Vaccine Continued Most people who get the Hepatitis B vaccine have no problems with it. Others complain of soreness at injection site and/or mild to moderate fever lasting a day or two. Serious allergic reaction is very rare. However, If you have ever had a serious or life-threatening reaction to bakers yeast or a previous dose of Hepatitis B you should not get the vaccine.

    10. 10 CDC, 2004 Hepatitis C (HCV) Causes serious liver disease Symptoms are similar to HBV 85% of people with HCV have chronic infections. About 3 million people are chronically infected in the U.S. 75% have no symptoms for more than 20 years while serious liver damage may be occurring.

    11. 11 CDC, 2004 HCV continued Leading cause for liver transplants Up to 10,000 people die annually from HCV related liver disease. Can be transmitted during tattooing and body piercing Risk for transmission from a needle stick or cut from a known carrier is 1.8%. No vaccine, no cure Antiviral drugs have been effective in treatment.

    12. 12 CDC, 2004 HIV The clinical picture of a person with HIV differs from person to person. The bodys immune system loses the ability to fight off infection. 900,000 are infected in the US according to the CDC. Persons are living longer with the disease due to many anti-viral drugs but many strains are showing resistance. However, there is no cure and no vaccine.

    13. 13 HIV/AIDS Cases and People Living with AIDS in Public Health Region 3 Health Region 3, 2005 and 2006 12,691 People Living with HIV/AIDS in Texas, in 2006 58,993 Texas Department of Health 2008

    14. (CDC,2004) 14 HIV continued Risk for infection from a known carrier from a needle stick or cut is 0.3% or 1 in 300. Treatment from a known exposure should start within hours. A 4 week regime of a combination of antiviral drugs are recommended by the CDC.

    15. 15 CDC, 2004 How are the Viruses Spread? The viruses are spread through contact with: 1. Blood 2. Semen 3. Vaginal Secretions 4. Other Bodily Fluids

    16. 16 CDC, 2004 Transmission Needles Intercourse Mom to unborn child during or after delivery Blood or other bodily fluid splashes to un-intact skin or the mucous membranes of the eyes, nose or mouth.

    17. 17 CDC, 2004 Standard Precautions Standard Precautions simply states that all blood and bodily fluids (except sweat) are considered to be infected with a bloodborne pathogen. Therefore, you must assume everyones blood is infected and protect yourself.

    18. 18 Protection Follow Standard Precautions. Get immunized against HBV Wear Personal Protective Equipment to prevent exposure. If able, allow the person whose blood is exposed to clean it up.

    19. 19 CDC, 2004 Think First!! In the event of a possible body fluid exposure always glove first. Cover any cuts or abrasions with a band aid or other appropriate material. Never reuse gloves Remove them appropriately (see demonstration) Wash your hands after removing

    20. 20 CDC, 2004 What is an exposure? An exposure occurs when another individuals blood or bodily fluids comes in contact with your un-intact skin or mucous membranes. If you contract a bloodborne pathogen disease, you risk spreading the disease to your family.

    21. 21 Bloodborne Pathogens Exposure Plan, 2001 Latex Be sure and notify your school nurse if you are allergic to latex. The school can provide you with vinyl gloves.

    22. 22 HANDWASHING The Number #1 Protective activity from all bacteria and viruses is thorough hand washing. Use soap and running water Wash vigorously for 10-15 seconds Wash under jewelry, front and backs of hands. Rinse hands thoroughly. Dry hands with a clean paper towel. Turn off water with another paper towel. Only use antimicrobial soap when indicated because it removes the skins natural defenses.

    23. 23 Bloodborne Pathogens Exposure Control Plan,2001 Good Housekeeping Its everyones responsibility 1. Clean and decontaminate surfaces with disinfectant after exposure to possible infectious fluids. Disinfect changing tables after each use. 2. Use broom and dust pan to pick up broken glass or call custodial staff. 3. Place all contaminated sharps in a sharps container (Nurses Office).

    24. 24 Bloodborne Pathogens Exposure Control Plan,2001 Housekeeping Cont. 4. All material used for clean-up should be double bagged. 5. Regularly inspect and disinfect pails, beds, bends, etc that may likely be infected. 6. Toys will be disinfected daily with a non-toxic hospital grade disinfectant. 7. Laundry contaminated with body fluids should be washed with commercial laundry soap and bleach in 160 degrees for at least 25 minutes. Dry on the hottest setting.

    25. 25 Bloodborne Pathogens Exposure Control Plan, 2001 Points to Remember Never eat, drink, smoke or apply make-up or contacts where exposure is likely. Clean all blood and bodily spills quickly (Notify your custodian). Wear gloves to carry soiled clothing, blankets, etc and carry them away from your body.

    26. 26 Bloodborne Pathogens Exposure Control Plan, 2001 Continued Never attempt to compact the trash with your hands or feet. Pull the bag up from the sides and gently shake the trash down. DOUBLE BAG any trash that is saturated with blood or other bodily fluids.

    27. 27 Personal Protective Equipment (PPEs) Gloves Gowns Lab coats Eyewear Masks Mouthpieces Respirator bags *All PPEs must fit, be worn correctly and may not be damaged.

    28. 28 Bloodborne, Pathogens Exposure Control Plan,2001 What do I do if I am Exposed? DO NOT PANIC! Wash hands immediately or flush eyes with large amounts of water (Do not use caustic materials to clean eyes). Report to the Nurse on your campus to fill out an exposure report. If nurse is not available report to the principals office or secretary. Remember exposure does not always lead to infection. A large dose of the virus must enter bloodstream and overcome bodys natural defenses first.

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    31. 31 Online Training Please see or e-mail your school nurse if you have questions about bloodborne pathogens. If this is your first training on bloodborne pathogens, you must complete a quiz provided by your school nurse. Each year you must complete refresher training. Thank you, GPISD Nurses