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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What you need to know to stay safe!
~Shanda Brewer, RN
Whether in the classroom, on a playing field or
on a school bus, all school employees must
know the potential danger of Bloodborne
• 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
Your risk of contracting one of these viruses at
school is low because your contact with blood is
But when the need arises you must be prepared to deal
with blood safety.
The most common sourceof workplace pathogen (Hepatitis B, Hepatitis C & HIV) exposure is:
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.
Blood-borne pathogens are microorganisms carried by human blood and other body fluids.
The three most common are:
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 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
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…
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.
Hepatitis B Virus (HBV)
can survive for up to ____________ in dried
blood on hard surfaces.
This is why cleaning on a regular
basis is VITAL!
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.
This indicates that you
Wish to receive the
series due to your job
description falling into
the high risk category.
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.
Exposure to blood-borne pathogens or potentially
infectious body fluids in a school environment is
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.
Employees working with special needs & medically
Fragile students should take extra caution. These
students may be more:
In general school employees have
limited exposure to body fluids and
potential blood-borne pathogens.
The exception to this is _________
Working with Children
having severe disability
and/or special medical
By cutting yourself with a contaminatedsharp
You CANNOT become infected with these viruses
Through casual contact, coughing, sneezing, a
kiss on the cheek, a hug or from drinking fountains
Common NON-SCHOOL RELATED transmission occurs with sexual
contact and shard needles for drug use.
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!
Body fluids that contain potentially infected blood
could result in the transmission of a blood-borne
Potentially infectious body fluids include blood and other
bodily fluids that can contain blood, such as:
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.
Anticipating Potential Contact
The most important
step in preventing
All blood & body
fluids should be treated
The concept of universal precautions includes avoiding
contact with all potentially contaminated blood or body
Use protective barriers, including PPE, to avoid contact
with blood and body fluids.
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.
True or False:
You can use a clean plastic bag as a
blood/body fluid barrier if gloves or
other PPE is not available.
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)
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.
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
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 environmental clean up of facilities (e.g., Health
unit, buses and bathrooms) do not require modification
unless contaminated with visible blood or body fluids.
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.
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.
For cuts or needle injuries, wash the skin thoroughly
with soap and water.
If broken skin or mucous membranes are
contaminated the staff should:
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
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
Do wash thoroughly with soap and water after removing personal
Do flush exposed eyes, nose, or mouth quickly and thoroughly with
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
Do clean and decontaminate pails and other reusable Containers
Regularly—immediately after contact with potentially infectious
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 worry that casual contact with an infected person will transmit a
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
Don't touch needles or other sharps that may be contaminated by
Don't bend, recap or remove sharps unless specifically instructed to do
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.
Always have gloves readily available.
If it’s wet, and it’s not yours,
don’t touch it without gloves!
Report any exposure incidents to your supervisor
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
The Bloodborne Pathogen Exposure Control Plan is
readily available on the district website.