PENTUCKET REGIONAL SCHOOL DISTRICT. Edited July 2014 by Kim Therrien

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1 PENTUCKET REGIONAL SCHOOL DISTRICT Edited July 2014 by Kim Therrien

2 This program meets the following guidelines: OSHA Standard of Bloodborne pathogens (29 CFR )

3 Bloodborne Pathogens Bloodborne Pathogens means pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, hepatitis B virus (HBV) and human immunodeficiency virus (HIV).

4 Hepatitis B (HBV) Hepatitis C (HCV) Human immunodeficiency virus (HIV) Hepatitis D (HDV) Hepatitis B Inflammation of the liver that can lead to cirrhosis, cancer or death. Can be indirectly transmitted on objects. May be transmitted through direct contact with infected blood or body fluids. Most people recover but some become carriers who have no symptoms of disease themselves but are able to spread he disease for many years. There is a vaccine for HBV It is many times more contagious then HIV HBV can live on dried surfaces at room temperature for up to a week The HBV virus can be transmitted indirectly if you touch a contaminated surface and then touch your nose, mouth, eyes, or broken skin.

5 Hep C can be spread through sexual activity between an infected and uninfected person. There is no vaccine against this virus A person could have this virus for many years without any symptoms. Can lead to chronic liver disease and death

6 Hep D appears only in conjunction with HBV It leads to the more serious cirrhosis, cancer and more commonly death.

7 Attacks the immune system Carried by human blood and or fluids Spread by contact with infected blood fluids Leads to Acquired Immunodeficiency Syndrome (AIDS) in some cases AIDS is always fatal despite medical advances that have lead to increased survival time. A person may have the virus for many years with out symptoms There is no vaccine available.

8 Assess the situation Reassure the victim Use universal precautions Avoid exposure to blood or bodily fluids Notify school nurse immediately!

9 For minor cuts and scrapes encourage the victim to self-administer first aid. More serious injuries please use gloves before administering any first aid. Report injury to the school nurse. If accidental exposure occurs complete an incident report and submit according to the school policies. An incident report is required if at any time there is a potential exposure with a bloodborne pathogen.

10 Any object that can penetrate skin Use brush or dustpan to pick up glass or sharp object Never use your hands to pick up a sharp object Place in a closable, leak proof, puncture resistant container Never reach into a continuer or push down trash Use properly labeled sharp container for needles (check with nurse) Never recap a needle

11 Be careful of sharp objects when emptying trash. Never smash down trash container with your hands or feet. Always carry trash bags away from your body Don t pick up broken glass with your hands Call the CUSTODIAN! Decontaminate any mops, sponges or pails used. Use EPA-registered solution, pour over spill, leave for 10 minutes to kill any BBPs.

12 Use a registered disinfectant solution to clean and decontaminate sports items and equipment that has come in contact with blood or other potentially infectious materials Follow the clean up guidelines Protect yourself from contamination Any questions ask the school nurse, athletic trainer or custodian

13 Online training Redo this training two times a year(fall and winter) All new employees within 30 days of hire must complete this training Post test to be printed and given to the nurse at your school Be able to list the four most common bloodborne pathogens Be able to take appropriate action if an injury occurs Minimize exposure for students, co-workers, and yourself Take proper precautions at all times

14 HIGH RISK Health service personal Coaches and athletic trainers PE Teachers Special Ed Teachers Special Ed paraprofessionals Special Ed bus drivers LOW RISK Custodians Secretaries Regular Education teachers Paraprofessionals Bus drivers

15 BBPs are most commonly spread through highrisk activities like unprotected sex and sharing drug needles. Exposure is low in schools Hepatitis A is highly contagious and is usually transmitted when the virus contaminates food or water. Hepatitis B however is transmitted by blood, human secretions and feces.

16 Infected blood or bodily fluid can be potentially dangerous if it: is sprayed or splashed into mucous membrane. ( mouth, eyes or nose) comes in contact with broken skin or even dry cracked skin enters body by an accident accidental injury

17 Wash hands and work surfaces frequently with soap and water. Hand washing is the single most important way to prevent the disease. Use an alcohol based hand sanitizer if there is no soap and water available. Use gloves if you anticipate an exposure Wash hands after you remove your gloves

18 Wash hands and surfaces Avoid contact with sharp objects Wash hand before putting gloves and after taking them off When removing your gloves remove them from the inside out Dispose of hazardous material in a sharps container

19 Assume any body fluids you are in contact with are infected People with BBPs may not know they are infected You may be a carrier and not know it so use preventative methods to protect yourself and students Use personal protective equipment Follow the district s procedures or guidelines Report and exposure to your supervisor after flushing and washing the exposed area

20 The best way to reduce the spread of disease Wash hand under warm water Use soap Rub hands for 20 seconds or sing the ABC song Rub all surfaces Rinse hands Dry hands on a disposable towel Use towel to shut off water and then dispose of towel

21 Use hand sanitizer Great alternative for hand washing if there is no water available Use about a quarter size of the product Rub hands together, covering all surfaces Wash hands with water when available.

22 These are safety devices worn by workers to protect against environmental hazards Reduces the risk of transmission Gloves should be worn at all times if you anticipate an exposure Resuscitation device should be used if doing mouth to mouth resuscitation Use a smock or apron if picking up large amounts of body fluids CALL CUSTODIAN! Eyewear Face shield

23 We have learned about: Bloodborne pathogens Normal daily activities in the school do not usually end up with any blood or bodily fluid exposure but it can happen, so if it does. Remember, you are prepared! Standard precautions Universal precautions Hand washing Reducing the risk of exposure What to do if there is an exposure

24 Please take the test, print it out with your name on it and give it to the school nurse in your building.

25 To document this training, enter your name, and the date you completed this test in the spaces below the test. Print out the test and submit to your school nurse for proof that you have completed the training. Any questions please be sure to ask your building nurse.

26 Joan Schleesweis-Connor Karen Turmel Massachusetts Division of Occupational Safety U.S. Department of labor

27 Enjoy your school year!

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