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TRANSCRIPT
BLOODBORNE
PATHOGEN
PROGRAM
TRAINING
Social Work Department
2013-2014
Why Are We Here Today?
Cal/OSHA requires the employers to provide
this training annually to all employees who
have potential exposure to any blood or
body fluids.
WHAT IS THIS LAW?
The law is found in the California Code of Regulations (CCR) Title 8, Section 5193. (OSHA 29 CFR 1910.1030 ) http://www.dir.ca.gov/title8/5193.html
It outlines all necessary components of the law written to protect employees from exposure to bloodborne pathogens.
A copy of this law is available in your Department Plan notebook or at the Health Center. Copies are available upon request, free of charge.
WHERE IS MY DEPT.
NOTEBOOK?
Athletic Training- AT Room
Biology Dept. – Lab Manager’s Office (Wynn 10)
Campus Safety – Chief’s Office
Custodial Services –Dennis Robins Office
Health Center – Manager’s Office
Facilities – Lead’s Office
Physical Therapy – Mary Hill - P.T. Room 103c
School of Nursing – Skills Lab
Social Work – Christine Guzman’s office
Human Resources – Safety Manager’s office / Occupational Health Nurse’s office
BBP Program Administrator &
Department Coordinators
Department Coordinators: Athletic Training – April Reed
Biology – Yun-Lan Chan
Campus Safety – Randy Richardson
Custodial Services – Dennis Robbins
Facilities – Richard Orr
Health Center – Billie Caldwell & Sarah Zabriskie
Physical Therapy – Michael Laymon
School of Nursing – Kathy Speck & Leslie Van Dover
Social Work – Christine Guzman
Human Resources – James Alcala & Sandy Van Iwaarden
Tasks With Possible
Exposure
Contact with saliva that might contain
blood
Exposure to open wounds
Clean, maintain, sterilize instruments
Clients with assaultive behavior
More Tasks With Possible
Exposure
Housekeeping (work surfaces, toilets, floor
biohazardous waste removal)
Laundry (contaminated linens)
Potential exposure during assaultive
behavior
Plumbing, exposure to sewer contents
Exposure to sharps (sharp instruments
such as hypodermic needles, scalpels, etc)
Modes of Transmission
Three Main Routes (Occupational) of Entry:
Unprotected openings on the skin-cuts,
scrapes, or dermatitis
Unprotected mucous membrane opening =
eyes, nose and mouth
Direct penetration into the body from
“sharps”: needles, broken glass
HIV Infection
Antibodies can be detected in the blood of an
infected person within 6-12 weeks of becoming
infected.
There is no cure for HIV/AIDS; treatment depends
on symptoms.
There is no vaccine available to prevent infection.
Infectivity of HIV &
Hepatitis B & C
If the source person is a member of the general population, the chance you will contract HIV is about 1 in 10 million.
If the source person has HIV the chance of transmission is <.5%(.3%)
Chances of getting Hepatitis B from an infected source person range from 6-30%, and up to 3 - 10 % for HCV.
Hepatitis HIV
No Symptoms
Fever/Fatigue
Joint Pain
Loss of Appetite
Nausea/Vomiting
Jaundice
Dark Urine
Abdominal Pain
Enlarged Liver
Hives
No symptoms
Mild symptoms – similar to mono: fever
swollen glands, fatigue
Progressive Symptoms - diarrhea, rash
- nausea, abd pain,
- enlarged liver
AIDS – neurological problems, opportunistic infections, cancer
Incubation Period
Hepatitis C
50 –160 days
Majority 4-8 weeks
Hepatitis B
15 – 160 days
Majority 4-8 weeks
HIV 6-12 wks.
Sometimes longer with
concurrent infection with
Hepatitis C
Patient is infectious
before blood test is
positive.
Hepatitis B Vaccine
The Health Center gives the immunizations free of charge to employees who wish to have the vaccine.
The Health Center gives the immunizations to students for a nominal cost.
There is a series of 3 immunizations – given at baseline, one month and 6 months.
You can chose to receive a lab test to see if you have developed antibodies after the series.
If you do not have antibodies, you should take the series again.
Additional Resources
Center for Disease Control
http://www.cdc.gov/ncidod/hip/Blood/blood.htm
Hepatitis B (HBV)
Hepatitis C (HCV)
HIV
Viral Hemorrhagic Fever (VHF)
Work Practices &
Engineering Controls
General Work Practices
Universal Precautions
Prohibited Work Practices
Engineering Controls
Safety Sharps
Employee Input
Universal Precautions
Treat ALL human blood and body fluids as
infectious.
This practice is called Universal Precautions
and is used by anyone exposed to any body
fluid on the job.
Universal Precautions are also required as
part of Cal/OSHA’s Bloodborne Pathogen
Standard.
Examples of Work Practices
& Engineering Controls
Work Practices (see plan)
Replace sharp’s container when 2/3 full or to the designated fill line.
Use dust pan for broken sharps and glass.
No food, drink or cosmetics where blood or OPIM is stored.
Engineering Controls (see plan)
Sharp’s Containers in all treatment areas.
Hand washing facilities provided close to work area or use of approved hand cleaners.
Decontamination
Each Department has a different plan for decontamination after patient treatments.
What is your department procedure? Call Campus Safety to transport patient.
Wearing gloves, put paper towels down on blood/fluid to absorb.
Disinfect with 1:10 bleach solution (call housekeeping).
Place all clean-up material in Biohazard bag.
Notify BBP Department Coordinator (Christine Guzman)
RED Biohazard Bag/
Sharps Container Disposal*
East Campus
Wynn Science Bldg.
901 East Alosta Ave
Azusa, CA 91702
(Outside of Building)
Contact:
Yun-Lan Chan
West Campus
Mary Hill Building
Physical Therapy Dept.,
Room 101a
701 E. Foothill Blvd, Azusa
CA 91702
Contact:
Dr. Michael Laymon
*All bags to be transported by rigid, wheeled containers.
Where Can You Find…
Red Bags/Sharps Container?
Gloves?
Spill Kits?
Human Resources?
Your Department Coordinator?
Bioprep Room / PT
office / Health Center
1st Aid kit
Call Housekeeping
Admin West
Christine Guzman at Ext. 5595
What is an Exposure
Incident?
An exposure incident is a specific eye,
mouth, nasal membrane, non-intact
skin or pierced skin contact with blood
or other body fluids or tissue.
What If I Have An
Exposure?
Report to your Manager or Dept. Coordinator.
If in a non-clinical setting on or off campus, get source’s name.
Wash skin with soap and warm water for 15 min. Irrigate mucous membranes for 15 min.
Campus Safety will take you to Irwindale Industrial Clinic or you may drive yourself to the nearest facility.
All employees needing care at Irwindale will need an authorization from Campus Safety, APU Health Center or Human Resources.
Treatment and Follow Up
At first visit, you will have a baseline blood sample drawn, usually for HIV, Hepatitis B & C at whatever facility you go to for care.
After that, unless otherwise assigned, you will report to Irwindale Industrial Clinic. You will return for blood tests generally at: 6 weeks
3 months
6 months
one year (possibly)
Employee Responsibilities
Follow all points of the plan and report
inconsistencies to the Dept. Coordinator.
Know where Exposure Control Plan is located.
Follow Universal Precautions.
Use work practices, engineering controls and
personal protective equipment (PPE) outlined in
the plan.
Report exposures as directed.
Attend annual training.