3/23/2016. Managing Bloodborne Pathogen Exposures. Managing Bloodborne Pathogen Exposures

Transcription

1 This webinar begins at 11 a.m., Eastern. You will not hear anything over your telephone line until the program starts. If the system did not prompt you to enter your phone number and receive a call back, call the following number and enter the session number. Phone number for presentation access: (408) Session number: Password: Bloodborne Managing Bloodborne Pathogen Exposures 2016 LOSS PREVENTION SERVICES WEBINAR SERIES The contents of this presentation and all material provided are copyrighted by Coverys and its third party presenters unless otherwise indicated. All rights are reserved and content may not be reproduced, disseminated, or transferred, in any form or by any means, except with the prior written agreement of Coverys. (517) / dtyler@coverys.com 1

2 Your Presenter Coverys Objectives Articulate the importance of preventing exposure incidents before they happen. List established procedures that should be in place prior to managing exposure incidents. Describe established time frames for follow up post-exposure incidents. Bloodborne Pathogen Statistics 5.6 million healthcare workers at risk of exposure to bloodborne pathogens 400,000 HCW sustain sharps injuries each year percutaneous injuries per 100 licensed hospital beds Average daily census from EPINet NeedleSummary.pdf 16.5 sharps injuries per 100 licensed hospital beds in Massachusetts (517) / dtyler@coverys.com 2

3 Bloodborne Pathogens Review Human immunodeficiency virus (HIV) Hepatitis B virus (HBV) Hepatitis C virus (HCV) Others Risk of Infection to HC Workers HBV Decreased 95% since Hepatitis B Vaccine (available since 1982) HCV No exact estimates of HCW studies who that 1% hospital HCW have evidence of HCV (3% of US population has) HIV 58 Documented Cases/150 Possible Cases of Occupational HIV among HCW since 1985 Exposure to Blood: What Healthcare Personnel Need to Know Occupational HIV Transmission and Prevention Among Health Care Workers Varied Risk of Infection Pathogen Type of exposure Amount of blood Viral load in blood of source (517) / dtyler@coverys.com 3

4 Prevention Vaccines, when available Safety devices Isolation precautions Not recapping needles Appropriate disposal Personal protective equipment gloves, eye, face, gown More resources CDC Information for Employers: Complying with OSHA s Bloodborne Pathogen Standard Healthcare Worker Training Minimally initially & at least annually Training includes - BBP Standard (29 CFR ) - Epidemiology & symptoms of bloodborne diseases - Modes of transmissions of BBPs - Description of Exposure Control Plan & how to get a copy - Recognition of tasks involving exposures to blood or OPIM. - Use & limitations to reduce exposure (engineering controls, work practice, & PPE) - Hepatitis B vaccine - Contacts after an exposure - Post-exposure evaluation & follow up - Opportunity for interactive Q&A Immediate Action Wash with soap & water needlesticks & cuts Flush splashes eyes, nose, mouth, or skin Irrigate eyes clean water, saline or sterile irrigants No evidence that squeezing is helpful Caustic agent use not recommended Report (517) / dtyler@coverys.com 4

5 Post Incident Procedure Early treatment - within 1-2 hours Establish post-exposure evaluation & follow-up procedures Document incident & source Offer post-exposure medical evaluation Test source patient s blood Ensure post-exposure medication when medically indicated Conversion Timelines Average Incubation Period Incubation Range HIV 3 12 Weeks 6 Weeks 6 Months Hepatitis B 120 Days Days Hepatitis C 45 Days Days When in doubt send employee for medical evaluation (517) / dtyler@coverys.com 5

6 Splash Exposure Significance Splash of: Bloody Non Bloody Amniotic YES YES CSF YES YES Pericardial YES YES Pleural YES YES Synovial YES YES Feces YES NO IV Fluid YES NO Saliva YES NO Sputum YES NO Urine YES NO Vomit YES NO Sweat NO NO Tears NO NO Transfusion Blood NO NO Follow Up Process Encourage post-exposure follow up (6 Weeks, 12 Weeks, 6 Month, & up to 1 year after exposure date) Employer reminders to follow up encouraged Obtain copies of lab test results Submit test results immediately to Coverys If there is conversion a specialist in the field is recommended (517) / dtyler@coverys.com 6

7 For More Information (517) The survey is available here: LINK Recorded webinars are available in the Members Only section at: Questions? COPYRIGHTED (517) / dtyler@coverys.com 7