Bloodborne Pathogens Training Lakeville Area Public Schools

Transcription

1 Bloodborne Pathogens Training Lakeville Area Public Schools

2 Questions? Contact the District s Health & Safety Consultant Dan Fitch at IEA, Inc dan.fitch@ieasafety.com OR District s Exposure Control Officer Marsha Kalscheur, LSN marsha.kalscheur@isd194.org

3 Training instructions Read the information on each slide Click the link on the last slide to complete the quiz Answer all of the question on the quiz Please note, you will NOT receive a training certificate or other notification. If you read the slides and finish the quiz, then you have successfully completed this training. Answers to the quiz questions will be sent out at a later date. Questions? Questions? Contact Dan Contact Fitch Dan with Fitch IEA at or dan.fitch@isd194.org dan.fitch@ieasafety.com

4 Training Objectives Review the health risks associated with exposure to blood and other potentially infectious materials (OPIMs). Review universal precautions and safe work practices that minimize this risk and prevent occupational exposure to blood Review post-exposure procedures Satisfy OSHA requirement for annual refresher training

5 Definition of Bloodborne Pathogen Pathogenic or harmful microorganism Can be present in human blood Can cause bloodborne diseases like: Hepatitis B Hepatitis C HIV

6 Infectious Body Fluids Blood Other Potentially Infectious Materials (OPIMs) Semen Vaginal Secretions Cerebrospinal Fluid Pleural Fluid (or Lung Fluid) Synovial Fluid (or Fluid from Your Joints) Amniotic Fluid (or Uterine Fluid) Peritoneal Fluid (or Fluid that fills your body cavity) Saliva in Dental Procedures Any Body Fluid that is contaminated with blood

7 Purpose of OSHA Standard To reduce or eliminate occupational exposure to blood and other potentially infectious materials (OPIMs) which could cause disease. Designed to protect 5.6 million workers in healthcare and related occupations.

8 BBP Program Requirements Evaluate employee job descriptions Develop Exposure Control written plan Practice Universal Precautions Hepatitis B vaccinations and titers Post exposure procedures Personal protective equipment Training Annual review Recordkeeping

9 Exposure Control Written Plan Written plan that identifies which employees are considered to be at risk for exposure to blood/opim. Includes safe work practices and procedures Maintained in each school s health office Accessible to all employees Reviewed annually The Exposure Control Officer for ISD 194 is: Marsha Kalscheur, LSN at LSHS and KTMS marsha.kalscheur@isd194.org

10 Which employees are At Risk? All employees for whom exposure can be reasonably anticipated as part of their normal job duties Health care occupation primary focus Your employer is responsible for evaluating potential for exposure Excludes Good Samaritan activities (i.e. teacher breaking up a fight)

11 ISD 194 Employees Who Are At Risk Aquatics/Lifeguards Coaches/Trainers Custodians ECFE Assistants/Instructors Health Aides Industrial Tech Teachers Kids Zone Assistants/Instructors Nurses Phy Ed Teachers Playground Supervisors Small Wonders Assistants/Instructors SPED Assistants/Instructors

12 Employees Who Are At Risk Must Be Included in the district s BBP Exposure Control Plan Offered the Hepatitis B Vaccination at no cost Provided post-exposure medical evaluation at no cost following an exposure incident Provided personal protective equipment (i.e. gloves) at no cost Follow safe work practices and use engineering controls (i.e. sharps containers) outlined in the Exposure Control Plan Trained annually

13 BLOODBORNE DISEASES

14 Human Immunodeficiency Virus Virus that causes A.I.D.S Attacks immune system Not vaccine preventable Virus is killed easily outside the body (once blood is dry virus is no longer considered communicable)

15 Symptoms of HIV Weakness/Fatigue Fever Sore throat Nausea Headaches Swollen lymph glands Sometimes no immediate symptoms

16 Hepatitis B Virus (HBV) Attacks liver 90% of infected adults are ACUTE carriers (i.e. your immune system will eventually fight off the disease) Death occurs in 15-25% of chronically infected people Virus can survive for 7-14 days outside the body (must use proper disinfectant!) Vaccine preventable

17 Symptoms of Hepatitis B Fatigue Possible stomach pain Loss of appetite Nausea Jaundice Darkened urine Sometimes asymptomatic (~30%)

18 Hepatitis C (HCV) Attacks liver No vaccine 80% of infected people are chronic carriers 50-55% develop chronic liver disease Treatment with interferon but has side effects

19 Symptoms of Hepatitis C Fatigue Joint pain Stomach pain Itchy skin Sore muscles Dark urine 80% of carriers are asymptomatic and may be for years

20 Modes of Transmission Sexual contact Infected pregnant mother to child Exposure to another person s blood Contaminated needle sharing Blood contact with non-intact skin Blood contact with mucous membranes (i.e. eyes, nose, mouth) Blood transfusions

21 Common Occupational Transmissions 80% of cases are from skin being punctured by a used needle (mostly in healthcare field) Skin being punctured by other contaminated sharp objects (e.g. broken glass) Mucous membranes (eyes, nose, mouth) exposed to contaminated blood or OPIM Non-intact skin exposed to contaminated blood or OPIM NOTE: Non-intact skin may include an open wound, abrasions, skin rash, dermatitis broken cuticles, hang nails, chafing, and acne

22 METHODS OF PROTECTION

23 Universal Precautions Treat ALL blood/body fluids as potentially infectious!!! Avoid skin exposure to blood and OPIM Instruct injured on self care if injury is not serious Use an impervious barrier to keep fluids from contacting you skin (e.g. gloves) Used needles/lancets must be disposed of in the sharps containers in each schools health office Wash Hands for 20 seconds after contact with blood or bodily fluids (even when using gloves) Call a custodian for cleaning up blood/bodily fluids

24 Hepatitis B Vaccine Offered to all employees considered to be at risk (see slide 10 for complete list) Three shot series Administered at 0, 1, and 4-6 month intervals 95% effective when series is completed Series may continue even if you ve exceeded the scheduled interval time (i.e. you don t have to start over)

25 Hepatitis B Vaccine During the quiz at the end of this training you will be asked whether or not you wish to receive the Hepatitis B Vaccination. If you select YES, you will be contacted with further instructions. Preferred Clinic for ISD 194 employees is: Dakota County Public Health (Apple Valley Office) Galaxy Avenue. Apple Valley, MN 55124

26 Engineering Controls Sharps containers Closable, leak proof and puncture resistant Intended for proper disposal of used needles and contaminated sharps Located in school health offices Self-Sheathing Needles Avoid having to re-cap needles

27 Personal Protective Equipment (PPE) Gloves must be worn whenever you anticipate having: Hand contact with mucous membranes (eyes, nose, mouth) Hand contact with non-intact skin Hand contact with blood or bodily fluids Hand contact with contaminated surfaces Each department is responsible for assessing their own PPE inventory and needs Contact your supervisor if you need gloves or additional PPE.

28 Gloves Don prior to contact with blood Check for proper fit (should be snug) Check for punctures Peel off from wrist to fingers Dispose of in waste container (Do NOT REUSE) Wash hands after use

29 Cleaning Procedures Always call a custodian for clean-up when possible If a custodian is unavailable make sure to: Use gloves Use disposable towels to absorb spill Pre-clean spill area with soap and water Apply disinfectant and let sit wet for required kill time (see label) Dispose of waste in lined waste container

30 Disinfectants Must use an EPA-registered disinfectant Proven to be effective against HIV, HBV Must wear gloves and goggles Check label for required kill time (may be up to 10 minutes)

31 Disinfectants Bleach Solutions Looses effectiveness quickly must be made fresh before each use Must use gloves to prevent contamination Use 9 parts cool water and 1 part household beach (add bleach to water) Apply to contaminated surface and keep wet for 20 minutes (kill time) Check with your supervisor to see if bleach is allowed in your work area

32 Infectious Waste Materials used to clean up blood spills (e.g. absorbent material, gloves) typically can go in general trash as long as they are bagged separately first Contaminated sharp objects (e.g. used needles and broken glass) should always go in sharps container Red biohazard bags require special disposal procedures. Use only if absorbent material is: Saturated or dripping with blood Pourable (avoid blood pooling in bottom of waste container)

33 POST-EXPOSURE PROCEDURES

34 What qualifies as a blood exposure? Exposure Incident means a specific eye, mouth, other mucous membrane, non-intact* skin, or parenteral** contact with blood or other potentially infectious materials that results from the performance of an employee s duties. *Non-intact skin includes skin with dermatitis, hang-nails, cuts, abrasions, chafing, acne, etc. **Parenteral means piercing mucous membranes or the skin barrier though such events as needle sticks, human bites, cuts, and abrasions. When an employee experiences an exposure incident, the employer must institute the required follow-up procedures in their plan. Questions? Contact Dan Fitch with IEA at or dan.fitch@ieasafety.com

35 Post-Exposure Procedures 1. Wash exposed area IMMEDIATELY! 2. Flush splashes to nose, mouth, or skin with water 3. Irrigate eyes with water or saline solution 4. Report the incident to supervisor & school nurse 5. Fill out first report of injury and a copy of the Post Exposure Packet (obtain from Health Services) 6. Seek assistance of health care professional to determine recommended follow-up action

36 Recordkeeping Lakeville Area Public Schools is required to keep the following BBP-related records: Medical duration of employment + 30 years (confidential) Training 3 years Exposure Incident duration of employment + 30 years (confidential) Questions? Questions? Contact Dan Contact Fitch Dan with Fitch IEA at or dan.fitch@isd194.org dan.fitch@ieasafety.com

37 Quiz and Questions Please click on the link below for the BBP Quiz. That will be your documentation of training for this year. If you have any questions throughout the quiz, please contact Dan Fitch at or