Pitt County Schools Training Agenda for Bloodborne Pathogens 1. Welcome/Program Overview 2. The OSHA Bloodborne Pathogens Standard 3. Bloodborne Pathogen Diseases (Video) 4. Our Exposure Plan: Engineering controls Universal precautions Hand washing Sharps and contaminated needles Housekeeping First responders in all schools 5. Hepatitis B Vaccine Free to identified at-risk employees or after employee exposure 6. The Standard Operating Procedures for Employee Inadvertent Exposure to Bloodborne Pathogens 7. Supervisor s Responsibility for Investigation and Follow-up of an Employee s Inadvertent Exposure to Bloodborne Pathogens 8. Biohazard Communications and Regulated Medical Wastes Bloodborne Pathogen protection kits Facility Services Warehouse Department ordering supplies 9. Questions/Answers/Discussion 10. Wrap-up/Evaluation 11. Adjourn SF-009 Rev 003
Pitt County Schools Documentation of Bloodborne Pathogens Training School/Site: Date: 1. 26. 2. 27. 3. 28. 4. 29. 5. 30. 6. 31. 7. 32. 8. 33. 9. 34. 10. 35. 11. 36. 12. 37. 13. 38. 14. 39. 15. 40. 16. 41. 17. 42. 18. 43. 19. 44. 20. 45. 21. 46. 22. 47. 23. 48. 24. 49. 25. 50. (Additional Space on Back) Please Return To Safety and Environment Section SF-012 Rev 002
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Pitt County Schools Bloodborne Pathogens / Universal Precautions Employee Safety Information Brief The Occupation Safety and Health Administration (OSHA) has published a standard to eliminate or reduce health risks associated with bloodborne pathogens. Bloodborne Pathogens are microorganisms (viruses/bacteria) in blood that can transmit disease in humans. Two diseases of primary concern are Hepatitis B and HIV, but it is not limited to these diseases. As a result of the OSHA bloodborne pathogens standard, school systems across the state have developed exposure control plans. These plans identify employees at high risk for exposure and include certain mandatory practices, which limit exposure to bloodborne pathogens. These practices are called universal precautions. Universal precautions are methods of infection control in which all human blood and certain other body fluids (i.e. semen, vaginal secretions, vomit, and feces) are treated as infectious. Methods of infection control include: wearing protective rubber gloves when cleaning up these body fluids, using disinfectants to clean surfaces exposed to body fluids, disposing of cleanup properly, and washing hands. If exposed to these body fluids, notify the principal, supervisor, or first responder at your school immediately. The principal will then contact the Safety Coordinator to evaluate the need for the Hepatitis B vaccination series and/or medical attention. This information is being provided to you as part of the OSHA Bloodborne Pathogens Standard and employee safety. We need to keep in mind that this can be done without losing focus of our responsibility to provide compassionate and attentive care to the children in our charge. If you have further questions, please forward them to your immediate supervisor. Bloodborne Pathogen kits are available at each work site. Please remember the following: 1. Use protective rubber gloves to assist children with bodily fluids present. 2. Call a custodian to disinfect. (Custodian needs to be contacted to disinfect contaminated areas caused by blood, vomit, or feces). 3. Dispose of gloves and other materials in trash and double bag. These materials are considered contaminated. Note: If materials are blood soaked and can be wrung out, they are considered REGULATED WASTE and must be put in a red biohazard bag. 4. Wash hands with soap and water. SF-014 Rev 003
HEPATITIS B FACT SHEET 1. Hepatitis B is a disease that affects the liver with complications resulting in cirrhosis or cancer of the liver, which can result in death. 2. HBV is the virus that causes Hepatitis B 3. There is NO CURE for Hepatitis B. There is a vaccination that can be taken to prevent Hepatitis B, and should be taken immediately if exposed. 4. Symptoms resemble flu symptoms and progress over a period of two to six months after exposure. Symptoms include: Fatigue Appetite loss Yellow skin (jaundice) Stomach pain Nausea Darkening of urine 5. HBV is transmitted by blood, semen, and vaginal fluids 6. High-risk behaviors: IV Drug use, sexual intercourse, and contact with infectious fluids through mucus membranes, openings in skin wounds, etc. 7. Prevention recommendations: Universal precautions, abstinence from IV drugs and sex, safer sexual intercourse 8. HBV will be detected in an infected person s blood on the average of 4 weeks (range 1-9 weeks) after exposure to the virus. About 1 out of 2 patients will no longer be infectious by 7 weeks after onset of symptoms and all patients, who do not remain chronically infected, will be HBsAg-negative by 15 weeks after onset of symptoms. 9. If symptoms occur, they occur on the average of 12 weeks (range 9-21 weeks) after exposure to hepatitis B virus. Symptoms occur in about 70% of patients. Symptoms are more likely to occur in adults than in children. Additional Notes: 1. HIV is a fragile virus and can only live outside the body for a short time. HBV is a strong virus and can live much longer, up to seven days, even on dry surfaces. SF-016 Rev 002
AIDS/HIV FACT SHEET 1. Acquired Immunodeficiency Syndrome (AIDS) is a disease that breaks down the body s immune system the body s defense against disease. 2. HIV is the virus that causes AIDS the Human Immunodeficiency Virus. Being infected with HIV does not necessarily mean you have AIDS. It does mean you will carry the virus in your body for the rest of your life. It also means you can infect other people if you do things - such as have unprotected sex - that can transmit HIV. You can infect others even if you feel fine and have no symptoms of illness. 3. There is NO CURE for HIV/AIDS. There is only treatment to extend life. 4. The only way to know if a person is infected is to be tested for HIV infection. You cannot rely on symptoms to know whether you are infected with HIV. The following may be warning signs of infection with HIV: rapid weight loss dry cough recurring fever or profuse night sweats profound and unexplained fatigue swollen lymph glands in the armpits, groin, or neck diarrhea that lasts for more than a week white spots or unusual blemishes on the tongue, in the mouth, or in the throat pneumonia red, brown, pink, or purplish blotches on or under the skin or inside the mouth, nose, or eyelids memory loss, depression, and other neurological disorders However, no one should assume they are infected if they have any of these symptoms. Again, the only way to determine whether you are infected is to be tested for HIV infection. AIDS is a medical diagnosis made by a doctor based on specific criteria established by the CDC. 5. HIV is transmitted by bodily fluids such as blood, semen, and vaginal fluids. 6. High-risk behaviors include IV Drug use, sexual intercourse, and contact with infectious fluids through mucus membranes, openings in skin wounds, etc. 7. Prevention recommendations: Universal precautions, abstinence from IV drugs and sex, safer sexual intercourse. SF-017 Rev 002