Bloodborne Pathogen Refresher Training This program will review your occupational risks and the steps that you and the County must take to reduce your risks of exposure.
Employees must report any occupational accident, illness, or hazardous exposure to their supervisor Complete the County s Worker s Compensation Injury or Illness Report Form Forward completed form to their supervisor Supervisor will forward completed form to Employee Resources Department
In addition to blood, other fluids may also present an infection risk. OSHA defines these as Other Potentially Infectious Materials or OPIM. Such as Semen Vaginal Secretions Unfixed Tissue Saliva Bloody Body Fluids
Bloodborne Pathogens are viruses or bacteria Carried in blood or other body fluids Can cause disease in people Transmitted by entering a non-immune person Workplace Setting Concerns: Hepatitis B Hepatitis C HIV (Human Immunodeficiency Virus)
MODES OF TRANSMISSION Contact with blood or body fluids of an infected person (through open skin, mouth, eyes or mouth) Needles sticks Bite which punctures/penetrates the skin Cuts from other contaminated sharps (broken glass, razor, etc.)
Potential Exposure At Work Administering first aid or CPR Coworker suffers a bleeding injury Touching a contaminated surface Contact with contaminated paper products or equipment in restrooms Using a tool covered with dried blood
Hepatitis B (HBV): The Facts Infection causing inflammation of the liver 300,000 are infected annually in US Most common in 20-49 years olds Transmitted through blood-to-blood contact No cure A vaccination is available
Hepatitis B (HBV): The Dangers Hardy disease Can survive on surfaces outside the body for 7 days, sometimes longer
Hepatitis B (HBV): The Symptoms Similar to mild flu Fatigue Abdominal pain Jaundice (yellowing of skin & eyes) Nausea, vomiting Loss of appetite Joint pain Often no symptoms for 1 to 9 months 30% of people who are infected have no signs or symptoms
Hepatitis B (HBV): Vaccination 3-shot series over a 6-month period All 3 shots should be received to achieve maximum protection Very safe vaccine Administered to infants and school age children on routine basis 90-95% effective if received before exposure to Hep B virus 70-75% effective if received after exposure PAID BY the County
Hepatitis B (HBV): Blood Titre Shows whether your series of shots were effective If not reactive, Hep B series is recommended along with another Titre The County offers and will pay
Hepatitis C (HCV): Another type of Bloodborne liver disease 2.7 Million Americans are chronically infected Most infections are due to illegal IV drug use There is NO CURE OR VACCINE
Hepatitis C (HCV): Symptoms Symptoms are similar to mild flu Fatigue Abdominal pain Loss of appetite Nausea Jaundice Dark urine Blood test is done to determine to identify Hep B or Hep C
Human Immunodeficiency Virus (HIV) Leads to AIDS Attacks the immune system, making the person vulnerable to other diseases Estimated 35,000 persons are infected annually in US Many people who are infected are unaware they have the disease
Human Immunodeficiency Virus (HIV) THE FACTS Very fragile virus Will only survive a few moments outside the human body Chances of person contacting HIV in the workplace are estimated at.04%. Those at highest risk are health care workers
Human Immunodeficiency Virus (HIV) The Symptoms Weakness Sore throat Headaches Weight loss Swollen lymph glands Fever Nausea Diarrhea
Universal Precautions: The Prevention Strategy Protect yourself from another person s blood and body fluids Treat all blood and body fluids as if infectious Where exposure is a risk, always use: Personal Protective Equipment (PPE) Safe Work Practices Good Engineering Controls
Personal Protective Equipment (PPE) Simple precaution that is your responsibility PPE provides a barrier between you and potentially infectious material (blood, body fluids) Examples: Gloves, Goggles, Face Shields, Aprons
PPE Should Always Be Worn Administering First Aid/CPR Touching contaminated surfaces Clean-up in restrooms Likelihood that you will come in contact with blood or body fluids
PPE Should always be readily accessible Know where it is located in your work areas Know how to properly dispose of / disinfect PPE if it becomes contaminated
Protecting Yourself From Exposure To Bloodborne Pathogens Making a PACT, Know How to Act
PROTECT yourself from blood or blood-containing materials - Wear PPE such as gloves - Use breathing barrier when performing CPR - Consider options if you don t have PPE
ACT quickly and safely Handwashing with soap and water It is simple measure that is VERY EFFECTIVE Thoroughly wash exposed areas immediately after any possible exposure to blood / bodily fluids & after removing gloves Scrubbing hands with waterless disinfectant solutions
CLEAN 1:10 bleach solution OR disinfectant spray Reformulate every 24 hours Leave disinfectant in place for 10 minutes Blood spill clean-up kits Red bags with biohazard symbol
Steps To Clean-Up Blood Or Body Fluids Put on PPE - minimally gloves Solidify large blood spills with solidifying powder Clean surface with appropriate cleaner Sanitize surface with fresh bleach solution or approved disinfectant Let air dry Dispose in red bag, if appropriate Clean and disinfect contaminated PPE / clean-up supplies Wash Hands!
This is the Universal Biohazard Symbol
Red Biohazard Bags Are: Universally used for waste contaminated with blood or body fluids Appropriate with or without the biohazard symbol Not to be disposed of in the regular trash Used only for contaminated items that are drippable, squeezable, or pourable items that are a risk to anyone who might come into contact with them
What Should NOT Be Placed In Red Biohazard Bags? Non-contaminated PPE Contaminated items that are NOT drippable, squeezable, or pourable and would not pose a risk to anyone who might come into contact (band aids, gauze, kleenex, paper towels, etc.)
Segregating Medical Waste
Clean-up any blood or body fluids no matter how small The first person on the scene should: Isolate the area Prevent onlookers from coming into contact with the blood or body fluids
TELL Report to supervisor, immediately Complete County s Worker s Compensation Injury / Illness Report Form If needed, seek medical treatment immediately
What If You Get Blood On Yourself Or Your Clothing Immediately remove contaminated clothing Wash skin thoroughly with soap and water Flush eyes or mucous membranes in the nose/lips/mouth for 15 minutes. Contact Supervisor
Significant Exposure At Work You were not wearing gloves You came into contact with blood or body fluids You had a open cut on your hand Blood or body fluids splashes into your eyes Performing CPR without using a barrier The disease need to have a way into your system
What Do To If Possible Significant Exposure Occurs Wash exposed area Go to Emergency Room for Medical Treatment Take the State Wis Determination of Exposure to Blood/Body Fluids found in your exposure kits, obtained from your supervisor OR available in ER room Complete the County Worker s Compensation Injury & Illness Report Form If source person is known, their blood may be tested The ER physician may recommended that your blood be tested initially and possibly follow-up testing along with treatment plan
QUIZZ Bloodborne Pathogens may enter your system through?
Open Cuts Skin Abrasions Dermatitis Mucous membranes eyes, nose, mouth
Handwashing is not necessary if glovers are worn?
Which Bloodborne Pathogens disease(s) can be prevented through vaccination?
Clean-up materials which are dripping and pouring of blood can be thrown away in regular garbage?
You should always treat all body fluids as if they are infections and avoid direct skin contact with them
What would you do if you had an possible significant exposure to blood or body fluids?