UCP Bloodborne Pathogens Recertification 1
The trainer is available to answer any questions. Please call UCP s number 602-943-5472 2
OSHA Occupational Safety and Health Administration: a. In 1991 OSHA established Bloodborne Pathogen Standard 29 CFR 1910.1030 b. Set code of conduct / limit & reduce exposure c. Protects employees from exposure to BBP or Other Potential Infectious Materials (OPIM) d. Must be re-certified once a year 3
Understanding BBP Hazards BBP are microorganisms (viruses and bacteria) that are present in blood and body fluids and can cause diseases in humans. The three most common BBP are: Human Immunodeficiency Virus (HIV) Hepatitis B Virus (HBV) Hepatitis C Virus (HCV) 4
Understanding BBP Hazards Other commonly recognized serious diseases: West Nile Virus Syphilis Tuberculosis Influenza 5
How Infection Occurs In order for pathogens to cause disease or Infection the conditions are: Pathogen must be present There must be adequate quantity to overwhelm the immune response Suitable entry site into the body (skin cut, mucous membranes-mouth, nose, eyes. Susceptibility to the pathogen weak immune system, pre-existing conditions 6
Understanding BBP Hazards Human Immunodeficiency Virus (HIV): Causes AIDS No vaccine for HIV/AIDS Attacks white blood cells (T) destroying them Destroys body s ability to fight infection Susceptible to opportunistic diseases such as certain forms of pneumonia, cancer & others Less contagious w/transmission of 1 in 300 7
Understanding BBP Hazards HIV Symptoms: It could take many years before symptoms Enlarged lymph nodes (swollen glands) Lack of energy, weight loss & frequent fever Persistent/frequent yeast infection of the mouth or vaginal area Persistent/frequent skin rashes Short-term memory loss 8
Understanding BBP Hazards Hepatitis B Virus (HBV): 45 to 180 days for Incubation (120 days avg.) It develops gradually It s discovered after fully developed. Only 50% to 60% infected show symptoms The most common & contagious virus 1 in 3 It is an inflammation of the liver 9
Hepatitis B Virus (HBV) cont: No specific treatment Understanding BBP Hazards It can lead to liver failure, cirrhosis (scarring) or cancer of the liver 90% of healthy adults recover on their own and develop antibodies It does not die as it comes in contact with air. Infectious on surface w/blood for up to 7 days 10
Understanding BBP Hazards Hepatitis B Virus (HBV) possible symptoms: Loss of appetite Fatigue & fever Nausea, vomiting Abdominal pain Jaundice (yellow skin) Joint pain 11
Hepatitis C Virus (HCV): Understanding BBP Hazards Incubation similar to HBV, w/45-75 days avg. Chronic patients rarely shows signs of infections & they may not be recognized. Possible symptoms similar to HBV No vaccine available but treatment is available to get rid of the virus 1 in 50 chance of getting infected 12
Semen Vaginal secretions Fluid in brain & spinal cord Fluid in joints Fluid in lungs Fluid surrounding the heart How BBPs are Spread Through exchange of blood and other body fluids Abdominal fluid Saliva in dental procedures Amniotic fluid Body fluids visibly contaminated w/ blood Any tissue or organ disconnected from body 13
How BBPs are Spread Body fluids not infectious unless with visible blood Urine Feces Saliva Vomit Tears Mucus The two most common ways to be infected: Sexual transmission Illegal IV (Intravenous) drug use 14
Other ways to be infected: How BBPs are Spread Needle stick, sharp object cut & non-intact skin exposure (abrasion, cut, pimple) Splash or splatter into mucus membrane eyes mouth and nose. An infected mother to baby Through materials contaminated with blood There is a greater risk of infection from HBV 15
The trainer is available to answer any questions. Please call UCP s number 602-943-5472 16
How BBPs are not Spread BBPs are NOT spread by: Casual contact by touching, hugging, drinking water, sharing cups or glasses, coughing, sneezing, wiping nose, changing diapers. Sharing equipment or facilities Not harbored in swimming pools, hot tubs or toilet seats. 17
Job classification or task: BBP Hazards in the Workplace First Aid/CPR responders (clean up spills of blood or body fluids &/or rescued breath) Physical aggression acts Self help skills assistance Contact with medical waste (sharp objects) Maintenance and janitor workers 18
HBV Vaccination Vaccine is produce in yeast and is very safe Approx. 95% of healthy adults develop protective antibodies with the vaccine Vaccine proven to be approx. 96% effective & protects you for 25 yrs + & possibly a life time Protective equipment (single-use latex gloves) is not enough UCP offers the vaccine free of charge as long as you remain employed w/ucp 19
HBV Vaccination Three arm inoculations over 6 month: 1 st inoculation ASAP 2 nd inoculation after one month 3 rd inoculation at 6 month If you decline UCP requires a signed form You can request the vaccine, free of charge. If you decline and in the future you change your mind you can request the vaccine The vaccine is effective 24hrs after exposure 20
Control the Hazard When in contact with human blood or body fluids you must: Understand hazards of BBP Follow control procedures Protect yourself from exposure: 1. Universal precautions 2. Personal protective equipment (PPE) 3. Engineering control 4. Work practice control 21
Universal Precautions Assuming that all blood and body fluids are infected with BBP Taking UP by avoiding any unnecessary contact or inappropriate actions that could cause infection 22
Personal Protective Equipment (PPE) Gloves (new pair every time you clean up body fluids) Eye protection Masks Gowns or other protective clothing CPR mask Personal hygiene is another exposure prevention 23
Engineering Control By removing the hazard or isolating employees from exposure as follow: Using self-sheathing needles Providing special containers for contaminated sharp instruments Using disposable equipment/resuscitation bag If it is wet and it comes from a human, don t touch it without wearing gloves 24
Work Practice Controls Know how tasks are performed to prevent infection Understand and use proper procedures during emergencies Know how to protect yourself from infection Know how to clean up blood, body fluids & contaminated materials: a. Wear gloves, use paper towels and disinfect with bleach and water diluted to 1:10 parts 25
Work Practice Controls b. Replace diluted bleach/water after 24 hours Dispose of gloves & towels in Biohazard bag Do not use mop to clean spills Properly handle & dispose of potentially infectious materials Follow procedures to minimize spattering, droplets, splashing & spraying of blood or other body fluids 26
Work Practice Controls Don t eat, drink, smoke, apply makeup, lip balm or handle contact lenses in these areas Wash hands before & after working with consumers Bending, recapping, or removing contaminated needles is prohibited except under special circumstances Shearing or breaking needles is prohibited 27
Puncture Wound: What to do if exposed Allow to bleed by milking the wound Wash the wound with soap & water Non-Intact Skin: Wash hands w/water & antiseptic soap or w/ waterless disinfectant hand cleaner Vigorously scrub exposed areas preventing further damaging the skin 28
What to do if exposed Mucous Membranes eyes, nose, mouth: Flush with large amounts or running water Bites: Run cool water for at least 5 minutes 29
Exposure Control Plan Outlines the strategies to eliminate or minimize Employees exposure to blood & body fluids. Sitespecific methods to reduce the risk of exposure: Training Vaccine Post-exposure evaluation & follow up Procedure for investigation & evaluation 30
Post-exposure Procedures All exposure incidents must be reported to your supervisor Reports will be treated with strict confidence When exposed you must go to Concentra Post-exposure evaluation & follow-up will be provided Written accident report & evaluation Testing & consulting w/physicians or health care professional for HIV, HBV & HCV infection 31
Housekeeping Regulated waste handling includes any body fluids, contaminated items/sharp objects Place them in special containers, leak-proof, labeled or color coded & closed Laundry wear gloves, label items in leakproof bags, don t take home for laundering Pickup broken glassware w/tongs or brush & dustpan Disinfect contaminated surface w/1 part bleach & 10 parts water 32
The trainer is available to answer any questions. Please call UCP s number 602-943-5472 33
To take the test for this class, please go back to UCP s intranet and look for : Recertification BBP Quiz The document will be locked. Please contact your trainer via email at ecastro@ucpofcentralaz.org for the password to open the Quiz, print and send it to trainer. 34