OVERVIEW OF PRESENTATION This training is required by the Texas Department of Health Ch. 96, Bloodborne Pathogen Control. Every employee of the district will be required to have some training on bloodborne pathogens every year they are employed in a public school district. For any questions, please contact your campus nurse.
WHAT ARE BLOODBORNE PATHOGENS? Any microscopic organism that is carried in blood and may cause disease in humans. They travel from person to person when the blood of an infected person gets inside another person. In the work place, the most commonly transmitted bloodborne diseases are: Hepatitis B and C and HIV.
BLOODBORNE PATHOGEN TRANSMISSION HBV, HCV and HIV are most commonly transmitted through: Sexual contact Sharing needles Blood transfusions Direct skin or mucous membrane contact with infected blood From mother to baby at birth
BLOODBORNE PATHOGEN TRANSMISSION Unbroken skin forms a barrier against bloodborne pathogens. However, infected blood can enter your system through: Open sores Cuts Abrasions Acne Any sort of damaged or broken skin such as sunburn or blisters Mucous membranes of the eyes, nose, and mouth.
BLOODBORNE PATHOGEN TRANSMISSION All human blood and certain human body fluids are to be treated as if known to be infected with bloodborne pathogens. Always use universal precautions when dealing with any body fluids.
HEPATITIS B The pathogen that causes one form of liver infection and is transmitted by blood and other body fluids containing blood such as semen and vaginal secretions Hepatitis B virus is very durable and can survive in dried blood for 7-10 days. 50% of people infected with HBV have no symptoms. For those that do have symptoms, they are very much like a mild flu. They include jaundice, fatigue, loss of appetite, abdominal pain, occasional nausea and vomiting. Most HBV infected people recover, however; at least 10% retain the disease for life. Life long infection can cause liver cancer, liver failure, and death. There is a vaccine which protects you against Hepatitis B. You can get these vaccines from your personal physician.
HIV Human Immunodeficiency Virus (HIV) is the pathogen that causes HIV infection and is transmitted from one person to another by blood, semen, vaginal secretions and breast milk. HIV attacks the immune system and cause AIDS. The infected person can be without symptoms or illness for 10-20 years and feel well. However, presence of the infection can be detected within a few weeks to six months with HIV antibody tests. There is no cure for HIV virus and there is no vaccine to protect against the virus.
UNIVERSAL PRECAUTIONS Universal Precautions are practices and procedures that assist in the prevention of contact with blood or other body fluids that could potentially have blood in them. Universal Precautions provide the first line of defense against the risks of exposure to bloodborne pathogens (ex: HIV, HBV, and other infectious agents).
PERSONAL PROTECTIVE EQUIPMENT (PPE) Examples Sharps Containers (for syringes) Gloves Masks/goggles Gowns Everyone should have access to gloves. See your school nurse for assistance with acquiring gloves.
PERSONAL PROTECTIVE EQUIPMENT (PPE) Always wear personal protective equipment (PPE) in exposure situations If the PPE is damaged or does not fit, DO NOT use the item. If the PPE is penetrated by blood or body fluid, remove the item and dispose of it appropriately. When taking contaminated gloves off, do so carefully so that the outside of the gloves do not come in contact with any bare skin. Replace disposable single use gloves as soon as possible if contaminated, torn, punctured or no longer effective. NEVER RE-USE THEM
HAND WASHING FREQUENT hand washing is the most important technique for preventing the transmission of disease/infection. EFFECTIVE hand washing requires the use of soap and water and vigorous scrubbing for at least 10-20 seconds to suspend easily removable soil and microorganisms. An antiseptic cleanser is acceptable, but the hands need to be washed with soap and water as soon as possible.
PERSONAL HYGIENE Do not eat, drink, apply cosmetics or lip balm, or contact lenses in work areas where there is a reasonable likelihood of exposure. Food or drink should not be stored in close proximity to where blood or other potentially infectious materials are present. Cover all exposed skin lesions, abrasions, or cuts to protect yourself from potential bloodborne pathogens exposure.
AFTER AN EXPOSURE Wash hands and any other exposed skin with soap and water. Flush mucous membranes with water, immediately following: Contact with blood or other potentially infectious materials With potentially contaminated surfaces After removing personal protective equipment such as gloves.
POST EXPOSURE PROCEDURES The employee must report the incident or injury to their supervisor/principal and complete an Employee Accident and Injury Report. The supervisor or school nurse must complete the Post- Exposure Medical Referral Form, which must accompany an injured employee to medical care. Copies of the reports must be sent to the District s head nurse as soon as possible. The source individual s blood shall be tested for documentation of HIV or HBV School Nurses are to be contacted for every exposure.
MEDICAL WASTE DISPOSAL The school district is exempt from regulated waste disposal guidelines. Therefore, all waste may be disposed of in an appropriate waste container and added to the general trash collection. Except syringes which must be disposed of in a SHARPS container.
HOUSEKEEPING All school employees will ensure that the worksite is maintained in a clean and sanitary condition. Broken glassware, whether contaminated or not, shall not be picked up directly with the hands All maintenance and custodians will have this same training.
QUESTIONS You have completed the Bloodborne Pathogens training and no test is required. You will acknowledge that you have had the training by logging into Search Soft and initialing beside the Bloodborne Pathogen training statement. Instructions to log into Search Soft: Go to frenship.us>staff links> Search Soft. User name: Email address Password: Last six numbers of your social security number