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For Facilities Services Workers At UNC Chapel Hill. Bloodborne Pathogens (BBP) Exposure Control Program. In accordance with Occupational Safety and Health Administration (OSHA) Bloodborne Pathogen Standard 29 CFR 1910.1030. INTRODUCTION.

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bloodborne pathogens bbp exposure control program

For

Facilities Services Workers

At UNC Chapel Hill

Bloodborne Pathogens (BBP)Exposure Control Program

In accordance with Occupational Safety and Health Administration (OSHA) Bloodborne Pathogen Standard29 CFR 1910.1030

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

introduction
INTRODUCTION

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide3
Here are important phone numbers you need to know related to this training module:

Important Contact Numbers

UEOHC (Clinic): 966-9119

Emergency: 911

Questions regarding this training: 962-5507

We will review these numbers again during the training and we will learn when to use them.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide4

Why is bloodborne pathogen training required every year?

  • It’s the law
  • It’s UNC’s responsibility
  • Knowing this information can protect your health and the health of others

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

1 it s the law
1. It’s the law

The Occupational Safety and Health Administration (OSHA) is a federal agency charged with enforcing health and safety legislation. OSHA makes sure that employers such as UNC keep you, the Facilities Services Worker, safe from workplace hazards. Some occupations at UNC are more likely to come into contact with hazards than others. The hazards we are concerned about in this program are germs called “bloodborne pathogens.”

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

1 it s the law continued
1. It’s the law (continued)

Human blood and body fluids may contain bloodborne pathogens. So could materials or waste from certain laboratories. The germs are called bloodborne pathogens because they get into your blood (mostly by puncturing your skin) and make you sick.

On March 6, 1992 OSHA created the Bloodborne Pathogen (BBP) Standard to make sure all employers work to keep their workers safe from bloodborne pathogens.

A copy of the actual Bloodborne Pathogens Standard is available at the OSHA website: http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10051 or by contacting EHS.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

2 it s unc s responsibility
2. It’s UNC’s responsibility

Employers like UNC demonstrate they are following the Bloodborne Pathogens Standard by implementing an Exposure Control Plan. The Exposure Control Plan lists the steps the employer is taking to keep workers safe. It is the plan to control every worker’s exposure to bloodborne pathogens.

This training reviews UNC’s Exposure Control Plan for members of the Facilities Services department who are expected to have job-related exposures to bloodborne pathogens. Housekeeping staff have a separate exposure control plan and should refer to that document at www.ehs.unc.edu/ih/biological/bbp.shtml .

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

2 it s unc s responsibility continued
2. It’s UNC’s responsibility (continued)

All UNC employees identified with the potential for occupational exposure must be familiar with the Exposure Control Plan. They must know its location and comply with the Exposure Control Plan by completing bloodborne pathogens training every year and obtaining or declining the Hepatitis B vaccination.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

3 knowing this information can protect your health and the health of others
3. Knowing this information can protect your health and the health of others

Facilities Services workers are potentially exposed to bloodborne pathogens when they repair equipment or handle materials without a Safety Clearance Form as part of normal job duties in laboratories, clinics, or morgues. These areas also contain waste that may contain bloodborne pathogens .

To access the EHS approved Safety Clearance Form, click HERE.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

3 knowing this information can protect your health and the health of others continued
3. Knowing this information can protect your health and the health of others (continued)

Some buildings on campus are more likely than others to have BSL-2 laboratories and clinics. Brinkhous Bullitt also contains the morgue. In these areas, Facilities Services Workers may encounter contaminated needles, broken glass, or other contaminated laboratory materials or equipment.

Facilities Services Workers may be requested to work on plumbing fixtures that may be contaminated with biological waste.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

exposure determination for facilities services workers excluding housekeeping
EXPOSURE DETERMINATION FOR FACILITIES SERVICES WORKERS (excluding Housekeeping)

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

how do i determine occupational exposure
How do I determine“Occupational Exposure”?

The OSHA definition of Occupational Exposure is

Reasonably anticipated skin, eye, mucous membrane or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee’s job duties.

*Parenteral contact is:

piercing mucous membranes or skin barrier through needlesticks, human bites, cuts and abrasions.

…for definitions of blood or OPIM (other potentially infectious materials), read on

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide13

Bloodborne pathogens live and grow best in human blood. However, other human body fluids also may carry these germs. When making an Exposure Determination, Facilities Services Workers must also consider that these fluids are able to provide an environment for bloodborne pathogens to live and grow:

What are

Other Potentially Infectious Materials?

…so if you may come into contact with this material as part of my job description, you need to be enrolled in the Bloodborne Pathogens program.

  • Semen
  • Vaginal secretions
  • Any fluid surrounding organs in the body
  • Saliva in dental procedures
  • Also considered Other Potentially Infectious Materials are:
    • Any body fluid visibly contaminated with blood;
    • All body fluids when it is difficult to differentiate between body fluids;
    • Any unfixed organ or tissue from a human, living or dead (clinics & morgues) and;
    • Other experimental human material (from laboratories) whether purposely infected or otherwise.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

exposure determination
EHS, in cooperation with Facilities Services, identifies and tracks the status of occupational exposure determinations to bloodborne pathogens according to the OSHA Standard for all Facilities Services employees according to job duties and/or location.

Each determination must be made without regard to use of personal protective equipment and should be conducted upon orientation and “no later than 10 days after the date of employment” (OSHA).

Exposure Determination

This determination must made without regard to use of PPE.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

exposure determination15
Exposure Determination

All Facilities Services Positions must have a completed Appendix C of the Hazards Management Plan returned to EHS for enrollment in the UNC Bloodborne Pathogens program within 10 days from the date of hire.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide16

The following questions aid in making an Exposure Determination for Facilities Services trades workers:

  • 1. Does the Facility Services employee work as part of a spill clean-up crew for blood, sewage, or other potentially infectious materials?
  • 2. Is the Facilities Services employee expected to handle or otherwise manipulate the following items without a Safety Clearance Form as part of their job duties:
    • Biohazard Waste
    • Plumbing from a BSL-2 or BSL-3 laboratory, clinic or morgue.
    • Lab equipment from a BSL-2 or BSL-3 laboratory, clinic or morgue.
    • Lab equipment or materials labeled with the biohazard warning label or labeled with a red bag bearing the biohazard warning symbol 
  • 3. Do the job duties of the Facility Services employee require him/her to otherwise come in contact with blood or other potentially infectious materials?

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide17

As a Facilities Services Worker, if you have concerns about your exposure to bloodborne pathogens, you should discuss them with your supervisor and EHS.

  • Your supervisor and EHS can help determine ways to make your job safer.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

general risks and transmission
GENERAL RISKS AND TRANSMISSION

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

epidemiology
Epidemiology

Simply put, epidemiology is the science of tracking the spread of disease among a population.

The population of concern in this training is Facilities Services workers who are potentially exposed to bloodborne pathogens at UNC-CH.

And the diseases of concern here are those caused by bloodborne pathogens.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

what are bloodborne pathogens
OSHA defines bloodborne pathogens as:

Pathogenic microorganisms that are present in human blood that can cause disease in humans.

What are Bloodborne Pathogens?

Bloodborne Pathogens are germs that live and grow best in human material. They enter your body through a puncture in your skin or through your eyes, nose or mouth.

Many diseases are linked to bloodborne pathogens, but few bloodborne pathogens are frequently responsible for infections in the workplace.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide21

Only workers with documented training in bloodborne pathogens should handle the clean up of this type of spill or work in these areas.

As part of this training, the worker should know some basic concepts about these diseases so that s/he can discuss them with a supervisor, family members, and a doctor.

The risks and infections of the following bloodborne pathogens will be discussed in this training:

hepatitis B virus (HBV)

hepatitis C virus (HCV)

human immunodeficiency virus (HIV)

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

hepatitis b virus
Hepatitis B virus

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

viral hepatitis
Viral Hepatitis

“Hepatitis” means inflammation of the liver. Viral hepatitis is inflammation of the liver caused by a virus.

Your liver helps your body digest food, store energy, and get rid of poisons. It acts as a filtration system for your body.

As the filter begins to fail, impurities build up in your body and symptoms can occur such as jaundice (yellowing color of the skin and eyes), dark urine, extreme fatigue, anorexia, nausea, abdominal pain, and sometimes joint pain, rash, and fever.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide24

Viral Hepatitis

  • 5 types:
  • Hep A
  • Hep B Virus (HBV)
  • Hep C Virus (HCV)
  • Hep D
  • HepE

In the United States, HCV is the most common type related to occupational exposure to bloodborne pathogens.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

hepatitis b in the u s
Hepatitis B in the U.S.

Annually, there are 10,000 new cases of Hepatitis B virus (HBV) reported in the U.S., with an estimated one to two million carriers of HBV.

The hepatitis B virus takes about 2 months to show up in your blood. It may stay in your blood for months or years. Nine out of every 10 adults will get rid of the virus from their bodies after a few months. We say they have acute hepatitis B. One out of every 10 adults will never get rid of the virus from their bodies. We say they have chronic hepatitis B. They are called carriers.

Most people with chronic hepatitis B will remain carriers of the virus if they do not get treated. The best things carriers can do is make sure their babies get all of their hepatitis B shots, make sure they do not spread it to their sex partners, and get good medical care.

(Source: www.cdc.gov)

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

hepatitis b vaccination
Hepatitis B Vaccination

A safe and effective vaccine to prevent Hepatitis B has been available since 1982. All UNC employees enrolled in this Bloodborne Pathogens program must meet the requirements for Hepatitis B vaccination or sign a declination.

OSHA requires that vaccination or declination be made available within 10 working days of initial assignment.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide27

Do you still need to schedule or decline the Hepatitis B vaccine?

This requirement needs to be met within 10 working days after your exposure determination is made.

The vaccine is offered by UNC at no cost to you.

To obtain the Hepatitis B vaccination, complete these steps:

  • Fill out the Hepatitis B vaccination consent form available here.
  • If you don't have a medical record number, call 966-2555 to get one.
  • Schedule your appointment with the University Employee Occupational Health Clinic at 966-9119.

To Decline the Hepatitis B vaccination: Complete this form and follow the directions on the form to submit it to the University Employee Occupational Health Clinic.

Go on, do it now.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

hepatitis c virus
Hepatitis C Virus

Hepatitis C virus is the most frequently occurring bloodborne pathogen infection. At least 85 out of 100 people infected with HCV become chronically infected, and chronic liver disease develops in an average of 67 out of 100.

Symptoms include jaundice, loss of appetite, fatigue, intermittent nausea, abdominal pain and vomiting.

There is no vaccine for Hepatitis C.

A healthy and diseased human liver

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide29

--Common Practice--

  • Wash Your Hands Often!
  • Wash your hands with soap and water for 20 Seconds. The suds scrub dirt and germs away. Wash your hands front and back and between the fingers. Soap up your wrists too.
    • Hands are to be washed immediately or as soon as feasible after removal of gloves or other personal protective equipment.
    • Use a utility or restroom sink for handwashing, do not use sinks in food preparation areas.
    • If handwashing facilities are not immediately available use antiseptic hand cleanser and/or disposable wipes for the short term...
    • …but wash your hands as soon as handwashing facilities are available.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide30
HIV

The clinical symptoms of HIV infection ranges from those who have no symptoms to those with severe immunodeficiency or Acquired Immune Deficiency Syndrome (AIDS).

Initial infection can be followed by an acute flu-like illness with non-specific symptoms such as fever, swollen lymph nodes, rash, malaise, sore throat, and headache.

Other symptoms can include anorexia, chronic diarrhea, weight loss, and fatigue.

Opportunistic infections and malignant diseases without a known cause for immune deficiency can also be indicative.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide31
HIV

HIV can enter the bloodstream similarly to HBV: if potentially infectious materials (like blood) come into contact with an unprotected break in your skin such as an open wound, acne, rash, etc. or if you experience a splash into your eyes and/or nose.

HIV is a fragile virus. It cannot live for very long outside the body. As a result, the virus is not transmitted through day-to-day activities such as shaking hands, hugging, or a casual kiss. You cannot become infected from a toilet seat, drinking fountain, doorknob, dishes, drinking glasses, food, or pets. You also cannot get HIV from mosquitoes.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide32

As a properly trained UNC employee, when you come into contact with any material that you suspect is contaminated with human blood, body fluids, or OPIM, keep this information in mind. It will help you understand the importance of the following sections in this document.

BIOHAZARD

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

reporting an incident at unc
REPORTING AN INCIDENT AT UNC

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide34

REPORTING AN INCIDENT AT UNC

Now that we’ve discussed what it means to be exposed, let’s look what to do in the event of a potential exposure.

An important part of this training program is to make sure all employees know (1) if they have an exposure incident and (2) what to do after they have an exposure incident. An exposure incident could happen three ways:

When blood or other potentially infectious material (OPIM) get into an unprotected break in your skin, open wound, acne, rash or scratch.

When blood or OPIM splashes or gets into your eyes, nose, or mouth; or

If you are cut or stuck by an object (it must break the skin) that is contaminated with blood or OPIM.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

what is a bbp exposure
What is a BBP Exposure?

The OSHA Definition:

“A specific eye, mouth, other mucous membrane, non-intact skin or parenteral contact with blood or OPIM that results from the performance of an employee’s duties.”

BBP Exposure = Blood, OPIM contact with:

Eye,

Nose,

Mouth,

Shaving cut, rash, etc.

  • Also, remember:
    • UNC requires you to report ANY incident resulting in injury from the performance of your duties.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide36
What to do for needlesticks, cuts from contaminated objects, animal bites or scratches:

Remove contaminated gloves and if possible, allow the wound to bleed freely for a minute.

  • Wash the wound with soap and water for 5 minutes and apply sterile gauze or a bandage, if necessary.
  • Decontaminate and remove protective clothing and proceed immediately to UEOHC or call HealthLink. If the injury requires immediate medical attention, go to the Emergency Room.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide37
Rinse the area with continuous clean running water.

Eyes should be irrigated for at least 5 minutes using an emergency eyewash station if available or a sink.

Decontaminate and remove protective clothing and proceed immediately to UEOHC or call HealthLink.

What to do for splash to eyes, nose, or mouth:

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

report exposures immediately
Report Exposures Immediately

Immediately report the incident to your supervisor and/or call the University Employee Occupational Health (UEOHC) at 6-9119.

Emergency Contact Numbers

UEOHC Clinic: 966-9119

Emergency: 911

After any exposure event during work hours, employees must be seen by the University Employee Occupational Health Clinic (UEOHC) for treatment and documentation of exposure.

After hours, all calls to the UEOHC are routed to HealthLink (966-6900) through UNC Hospitals. You should request that the MD on call for UEOHC after hours bloodborne pathogen exposures be called. The on-call MD will determine the need for immediate treatment and if needed, direct the worker to meet him/her in the ER, or otherwise arrange for appropriate blood tests to be drawn and medications to be dispensed.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

post exposure evaluation
Following the incident, UNC will provide you with a post exposure medical evaluation.

This evaluation may include:

Documenting routes of exposure

Documenting circumstances of the incident

Identifying sources of contamination

Blood tests with consent from employee

Post exposure prophylaxis and counseling

Post-Exposure Evaluation

Employees are not billed for work-related injuries and medical records are kept separate and confidential from performance reviews.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

spill clean up for bloodborne pathogen training
Spill Clean Up for Bloodborne Pathogen Training

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

bloodborne pathogens spills
Bloodborne Pathogens Spills

Spills may occur when an injured person drips blood on the floor, when sewage overflows, or when containers of blood or other potentially infectious materials (OPIM) are dropped in the clinic or laboratory.

Employees designated to participate in emergency and decontamination procedures are exposed to blood or OPIM; they are to be thoroughly familiar with proper cleaning and decontamination procedures so that the contamination is contained and exposure to other people is minimized.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

remember your sharps precautions during a spill
Remember Your Sharps Precautions During a Spill

Contaminated broken glassware is cleaned up by mechanical means (e.g. tongs, forceps, pieces of cardboard).

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide43

BBP Spill Clean Up Kits typically include:

2 disposable towelettes (w/ MSDS),

2 scoops/scrapers,

2 biohazard bags with ties,

1 disposable towel,

1 instruction sheet,

1 can 12 oz. Disinfectant spray (w/ MSDS)

  • 1 pair disposable latex gloves,
  • 1 disposable faceshield,
  • 1 disposable face mask,
  • 1 pair disposable shoe covers,
  • 1 disposable apron, 1 absorbent pack (w/ MSDS),

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

spill clean up
Spill Clean Up…

--Steps--

First, evacuate the area and allow 30 minutes for germs in the air to settle prior to spill cleanup. Locate the Blood and Bodily Fluid Clean-Up Kit. Instructions are located on the inside top lid. Instructions are in English and Spanish.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

spill clean up45

1.

Spill Clean Up…
  • Open the kit and put on the following Personal Protection Equipment (PPE):
    • Disposable exam gloves
    • Disposable face mask
    • Disposable face shield
    • Disposable apron (unfold apron fully)
    • Disposable shoe covers

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

spill clean up46

2.

Spill Clean Up…

2. Open clean-up absorbent pack and sprinkle entire contents of absorbent material evenly over bodily fluid spill (will absorb 80-100 times its weight).

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

spill clean up47

3.

Spill Clean Up…

3. After the spill gels (1-2 minutes), use scoop/scraper to pick up material and put into Red Biohazard Bag and tie shut. Keep Personal Protection Equipment on.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

spill clean up48

4.

Spill Clean Up…

--Steps--

Follow the directions to apply the enclosed disinfectant (OSHA recommends a disinfectant registered to kill tuberculosis – e.g. phenolic) over the spill area and allow for the contact time indicated on the product.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

spill clean up49

5.

Spill Clean Up…

5. Use disposable wiping cloth to wipe up all the disinfectant, and then discard in second Red Biohazrd Plastic Bag.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

spill clean up50

6.

Spill Clean Up…

6. Place all items including PPE and first Red Biohazard Plastic Bag into the second Red Biohazard Plastic Bag. To minimize contamination to your face, remove PPE in the following order: (1) disposable shoe covers; (2) disposable apron and; (3) disposable exam gloves.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

spill clean up51

Decontaminate hands before putting them to the face

Spill Clean Up…

--Steps--

7. To minimize contamination to your face use antiseptic towelettes to clean hands before removing the disposable face shield and, lastly, the disposable face mask.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide52

Spill Clean Up…

  • Close the red/orange biohazard bag securely with twist tie to prevent leakage. Contact EHS to dispose of the waste in accordance with local regulations . Finally, wash hands as soon as possible.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

what to do with biohazard waste after you clean up a spill
What to do with Biohazard Waste after You Clean Up a Spill

Never throw untreated biohazard waste in the regular trash!

The disposal of this waste generated on the UNC campus is subject to federal, state, and local regulations and University policies. After spill clean-up is complete and you have closed the red/orange biohazard bag securely with twist tie to prevent leakage, place the waste in a low traffic area and contact your supervisor.

The supervisor is responsible for contacting the Department of Environment, Health and Safety at 962-5507. After the location and other pertinent information is given, EHS will remove the waste for proper disposal.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

biohazard waste
Biohazard Waste

Often, Biohazard waste and sharps are generated and collected in research labs on UNC campus. Researchers are responsible for properly treating this waste according to procedures outlined in the UNC Biological Waste Disposal Policy.

Most researchers treat their waste in an autoclave, a machine that acts like a large pressure cooker to steam sterilize the waste.

Autoclaving is the most dependable procedure for the destruction of all forms of germs including bloodborne pathogens. Prior to autoclaving, autoclave tape is placed over the biohazard symbol in an “x” pattern. This special tape initially looks like masking tape, but after it has been exposed to heat and moisture it changes color to indicate that treatment has occurred.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

biohazard waste55
Biohazard Waste

It is UNC policy that facilities workers never handle waste from a laboratory that has not yet been treated by the lab workers. If the waste is to be relocated, contact the lab or contact EHS (962-5507). Never handle untreated waste that is not in the white removal bins. Once the waste has been treated, the waste is placed in large white trash bins that indicate (1) the waste has been properly treated and, (2) the waste is ready for removal from this site.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

preventing incidents at unc
PREVENTING INCIDENTS AT UNC

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide57

PREVENTING INCIDENTS AT UNC

Now that we’ve discussed how to respond in the event of a potential exposure, let’s look at how to protect ourselves and others from exposure.

Make sure you know what’s expected to prevent exposures and protect the campus community. It all starts with universal precautions.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide58
These measures were included in annual training requirements and reduced incidents of work-related Hepatitis B infections.

In the mid-1980s, health care facilities began adopting “universal precautions” against exposure to body fluids. These were followed in 1992 with the OSHA BBP Standard.

(Source: CDC [2002a].)

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

what are universal precautions
What are Universal Precautions?

Universal Precautions is the basis of every Bloodborne Pathogens training program. It is a simple approach to protecting yourself on the job.

Because an Exposure Determination has already been made for your position, whenever you suspect the material is contaminated with bloodborne pathogens, you always respond as if bloodborne pathogens are present.

This means that if you anticipate human blood, body fluids (except sweat), or OPIM, you always wear appropriate personal protective equipment and follow the specific requirements designated for Facilities Services employees. You also follow universal precautions when handling equipment or material with a biohazard label.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

biohazard labels
Biohazard Labels

Biohazard labels are used to alert others of the potential presence of biohazardous materials such as human blood, body fluids, and OPIM.

These labels are fluorescent orange or red/orange with contrasting letters and have the universal biohazard symbol.

BIOHAZARD

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

biohazard labels61
Biohazard Labels

At UNC, biohazard labels are commonly used on:

  • Containers of biohazard waste
  • Refrigerators and freezers used to store human specimens
  • Containers used to store, transport and ship human specimens
  • Any equipment that could be potentially contaminated with human blood, OPIM, and other material that could allow bloodborne pathogens to live or to grow.

We use the biohazard symbol at UNC to provide a method for hazard communication between lab workers, visiting professors, Facilities Services workers, Housekeeping personnel, vendors, and others who may come into contact with this material.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

biohazard labels62
Biohazard Labels

The Universal Biohazard Symbol may be posted on entryways to laboratories on campus. These laboratories are called Biosafety Level 2 or BSL-2 labs. Posted BSL-2 areas are laboratories designated to work with bloodborne pathogens or with material that may allow germs that cause illness to humans, including bloodborne pathogens.

It is safe to enter areas that are labeled with a BIOHAZARD symbol. DO NOT handle anything labeled as biohazardous in these areas without special training. For example, it is very important that all open sores are covered and protected if work is required in these areas. Wear gloves and face protection when working in areas where contact with blood or OPIM is possible. Untreated waste in orange or red autoclave bags should never be handled by Facilities Services workers in BSL-2 areas.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide63

The OSHA Standard requires employers like UNC to minimize hazards to workers. These precautions are commonly called “controls.”

Facilities Services Workers must observe certain “controls” according to the bloodborne pathogen exposure control plan at UNC such as engineering controls and work practice controls.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

slide64

Engineering controls are equipment or devices used to control exposures and at UNC include sharps disposal containers, safer needle devices, and biological safety cabinets.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

engineering controls
Engineering Controls

Let’s face it, no matter how good we think our technique is, we are bound to have a bad day once in a while and make a mistake.

Engineering Controls are designed to minimize the impact of human errors when we are handling material that may contain bloodborne pathogens.

Engineering Controls specifically isolate or remove the hazard from the workplace.

Facilities Services workers should be familiar with three engineering controls used at UNC that isolate or remove the hazard of bloodborne pathogens:

  • Sharps disposal containers
  • Safe needle devices
  • Biological safety cabinets

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

disposal of biohazard waste sharps
Disposal of Biohazard Waste: SHARPS

Because percutaneous exposure (through the skin) is a primary route of transmission of bloodborne pathogens, extreme caution should be taken with contaminated needles or sharp instruments.

  • Needles/contaminated sharps:
    • Must never be bent, recapped or removed unless there is no alternative
    • May only be recapped using a mechanical device or one handed technique
    • Must never be sheared or broken
needles sharps precautions
Needles & Sharps Precautions

Contaminated sharps must be placed in hard walled plastic containers labeled with the biohazard symbol as shown.

When the container is no more than 2/3 full, place autoclave indicator tape over the biohazard symbol in an “X” pattern as shown.

Containers must be placed in biohazard bag prior to autoclaving.

safer needle devices
When possible, safer needle devices should be used in the laboratory.

Some examples of safer devices (including animation of how they work) can be found on the OSHA website at the Safer Needles Section:http://www.osha.gov/SLTC/etools/hospital/hazards/sharps/sharps.html#Safer

Safer Needle Devices

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

biological safety cabinets
Biological Safety Cabinets

Biological Safety Cabinets are used in laboratories when conducting procedures with a potential for creating aerosols or splashes of blood/OPIM.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

work practice controls
Work Practice Controls

Work Practice Controls specifically reduce the likelihood of exposure by altering the manner in which a task is performed.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

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Hand washing. Hands are to be washed immediately or as soon as feasible after removal of gloves or other personal protective equipment. Use a utility or restroom sink for handwashing, do not use sinks in food preparation areas. If handwashing facilities are not immediately available use antiseptic hand cleanser and/or disposable wipes. Wash your hands as soon as handwashing facilities are available.

Prevent Ingestion. Eating, drinking, smoking, applying cosmetics or lip balm, and handling contact lenses are prohibited during duties where there is reasonable likelihood of occupational exposure to blood or other potentially infectious material or in BSL-2 areas.

Storage of food and drink is prohibited in refrigerators, freezers, shelves, cabinets or on countertops or bench tops where blood or other potentially infectious materials are present.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

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Sharps Precautions. Disposing of sharps in the proper container helps keep others safe. Remember, any contaminated object that can penetrate the skin, including needles, scalpels and glass objects requires extra attention.

Contaminated needles. Contaminated needles are not to be bent, broken, recapped, or removed from the syringe. If you have no way to tell if the needle is contaminated or not, use Universal Precautions: assume the needle is contaminated. Contaminated needles are to be placed in the red plastic sharps containers described previously and autoclaved before disposal.

Broken glassware which may be contaminated with human blood or OPIM must not be collected directly with the hands. Wear gloves and use tongs or a brush and dust pan. While small shards of contaminated broken glass can be placed into the sharps cans identified above, large contaminated broken glass items must be autoclaved separately in a hard-walled container (such as a cardboard box) lined with an orange biohazard bag bearing an autoclave tape indicator “x”. The autoclaved glass waste is to be disposed of in a larger cardboard box lined with a plastic bag, clearly marked with the "GLASS AND SHARPS" label.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

work practice controls73
Work Practice Controls

Minimize Splashes. Your technique is important. Germs can spread more readily when we cause splashing, spraying, spattering, and airborne droplets of blood or other potentially infectious materials. A good approach to cleaning a spill of material that minimizes spread by airborne droplets is to: (1) place paper towels over the spill site, and then (2) douse the area with disinfectant. This will reduce further splashing any potentially infectious material.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

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PPE

Personal protective equipment (PPE) is specialized clothing or equipment worn by an employee for protection against a hazard.

General work clothes (including uniforms) are not PPE.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

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PPE

Whenever your duties create the potential for exposure to blood or OPIM, personal protective equipment such as gloves and eye protection for cleaning spills must be available and utilized.

It is UNC’s responsibility as an employer to provide PPE in the appropriate sizes that is readily accessible to your worksite or issued to you as a properly trained employee. If a garment(s) is penetrated by blood or OPIM, the garment(s) must be removed immediately or as soon as feasible.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

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PPE

All PPE must be removed and placed in a designated container (for storage, decontamination, or disposal) prior to leaving the spill work area.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

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PPE

  • PPE is NOT worn outside of the work area.
  • Gloves must be removed prior to washing hands and leaving the spill area.
  • DO NOT wear gloves on elevators (even if they are “clean”) or use them to open doors or touch equipment (i.e. phones, computers) that others will be handling without gloves.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

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LAUNDRY

Although soiled clothing or uniforms may contain organisms that cause disease, the risk of actual disease transmission is negligible. Therefore, these safe and simple measures for handling and washing linens are recommended:

1. Handle uniforms soiled with blood as little as possible, using gloves and appropriate protective clothing.

2. Place uniforms soiled with blood in bags that prevent leakage.

3. Contaminated uniforms cannot be taken home for cleaning. Facilities Services employees should contact Mark Baker (2-1261) so that arrangements can be made for laundering.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

safety resources
Safety Resources

Below is a list of Safety Resources that can provide you with more safety information.

OSHA Topics Page

http://www.osha.gov/SLTC/bloodbornepathogens/index.html

OSHA's Bloodborne Pathogens Standard http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10051

Exposure to Blood: What Health Care Workers Need to Know (CDC)

http://www.cdc.gov/ncidod/hip/Blood/Exp_to_Blood.pdf

Sharps Safety: Workbook for Designing, Implementing, and Evaluating a Sharps Injury Prevention Program (CDC)

http://www.cdc.gov/sharpssafety/

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

cdc osha standards
OSHA on Bloodborne Pathogens

Topics Page

http://www.osha.gov/SLTC/bloodbornepathogens/index.html

OSHA's Bloodborne Pathogens Standard http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10051

Exposure to Blood: What Health Care Workers Need to Know (CDC)

http://www.cdc.gov/ncidod/hip/Blood/Exp_to_Blood.pdf

Sharps Safety: Workbook for Designing, Implementing, and Evaluating a Sharps Injury Prevention Program (CDC

http://www.cdc.gov/sharpssafety/

CDC & OSHA Standards

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

questions
Questions??
  • If you have any questions, please contact Environment, Health and Safety at 962-5507 between 8 am and 5 pm.

Don’t forget to take the exam to get credit for this course!

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.

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Click here to complete the exam.

  • After completion, click here to complete the Sewage Spill Response Training for Facilities Services.
  • Sewage Spill response training is only required for workers that:
    • Conduct a live sewer tie-ins
    • Perform an unstoppage procedure from a sewer line, or
    • Participate in sewage spill clean-up.

Questions?? Call 962-0227 between 8 a.m. & 5 p.m.