bloodborne pathogens · b) conduct yearly bloodborne pathogen training. employees will sign off on...

Program No: SP-005 Program Name: Bloodborne Pathogens Origination Date: 08/04/04 Revision Date: 07/25/11 Issued By: Mike Whitford Revision No.: 006

BLOODBORNE PATHOGENS

1.0 PURPOSE AND INTRODUCTION

The Bloodborne Pathogens program outlines steps to prevent occupational exposure and specific procedures to be followed if an inadvertent exposure occurs. Pitt County Schools complies with 29 CFR 1910.1030, the North Carolina OSHA Bloodborne Pathogens Standard, and any future additions or changes to the aforementioned standard. The purpose of this program is to eliminate or minimize exposure to bloodborne pathogens and/or other infectious materials. The objective is threefold:

• To educate all employees regarding policy and procedures related to exposure

and infection control, • To protect employees designated as "at occupational risk" from the health hazards

associated with bloodborne pathogens, and • To provide appropriate treatment and counseling should an employee be exposed

to bloodborne pathogens. 2.0 SCOPE

2.1 Below are listed the job classifications where all employees may come into contact with human blood or other potentially infectious materials, and may result in possible exposure to bloodborne pathogens:

Job Titles

• First Aid Responders • Plumbers • Exceptional Children Teachers and Teacher Assistants • Bus Drivers and Bus Monitors of exceptional children • School Health Nurses • Athletic Coaches and Trainers


Job Titles continued • Custodians

• Designated Violence Intervention Personnel

(Includes Principals, Assistant Principals, and other staff that break up fights) • Health Occupations Teachers • Social Workers

2.2 Below are listed the tasks and procedures in Pitt County Schools where

employees may come into contact with human blood or other potentially infectious materials and may result in exposure to bloodborne pathogens:

Task/Procedure Job Classification

Emergency first aid and/or assigned to attend to bleeding injuries.

First Aid Responders Athletic Coaches and Trainers School Health Nurses Health Occupations Teachers

Maintenance and repair of toilet equipment and sewer lines and/or exposure by uncontrolled splashes from potential bloodborne pathogens.

Plumbers Custodians

Assisting with hygiene and medically related procedures.

Exceptional Children Teachers Exceptional Children Teacher Assistants Bus Drivers and Monitors of exceptional children Athletic Coaches and Trainers Health Occupations Teachers Custodians

Breaking up fights in which bleeding injuries occur.

Designated intervention personnel

Emergency first aid and/or exposure by uncontrolled splashes from potential Bloodborne Pathogens

Social Workers

2.3 Employees whose job classifications are not identified as having possible

occupational exposure have an opportunity to appeal that exclusion with the Safety Coordinator.


3.0 RESPONSIBILITIES 3.1 Principals and Site Managers

a) Responsible for the oversight and adherence of all employees to the Bloodborne Pathogens Program.

b) Conduct yearly bloodborne pathogen training. Employees will sign off on the

Documentation of Bloodborne Pathogens Training form (SF-012) to be filed with the Safety Coordinator. A copy of the employee sign off form should be kept on file at the school/site.

Additionally, new employees will watch the appropriate video and sign off within 10 days of employment. This will be completed at the employee’s worksite.

3.2 Safety Coordinator

a) Responsible for evaluating and revising this procedure annually, as regulations change, and/or when:

• New or modified tasks and procedures are developed, which affect

occupational exposure of employees, • New instances of occupational exposure are detected that may occur

when employees' jobs are revised, or • New positions within Pitt County Schools are established and that may

involve exposure to bloodborne pathogens. b) Assist and support the Principals and Site Managers in determining needs

based on safety regulations. c) Responsible for overall management of the Pitt County Schools Bloodborne

Pathogens Program. d) Act as Pitt County Schools liaison during OSHA consultative visits and/or

inspections. e) Conduct periodic school safety inspections to ensure an up-to-date

Bloodborne Pathogens Program. f) Maintain training records.


g) Order bloodborne pathogens equipment and supplies.

3.3 Human Resources Department

a) Distribute the Consent and Release for Hepatitis B Vaccination (SF-013) to new or transferring employees that accept positions “at occupational risk” as noted in section 2.1.

b) Maintain any needed confidential employee medical files. 3.4 Facilities Services Department – Warehouse

Stock and distribute bloodborne pathogens equipment and supplies. 3.5 Employees

a) Responsible for abiding by this procedure. b) Understand tasks performed that have the potential for occupational

exposure. c) Attend the bloodborne pathogens training sessions. d) Plan and conduct all operations in accordance with the work practice controls. e) Maintain good personal hygiene habits. f) Accept or decline the Hepatitis B Vaccination series (Applicable employees).

4.0 TRAINING AND CERTIFICATION 4.1 Read and understand this procedure.

4.2 Annually the site manager will appoint an on-site employee to conduct a training session based on the Training Agenda for Bloodborne Pathogens (SF-009). The training video that is utilized will be kept at the school or site and will periodically be replaced with an updated video.

4.3 Additional training will be provided, when necessary, if employees take a new

position or new job functions are added to their current position.


4.4 Employees will sign off on the Documentation of Bloodborne Pathogens Training form (SF-012) and send the documentation form to the Safety Coordinator.

5.0 DEFINITIONS

Blood – Human blood, human blood components, and products made from blood.

Bloodborne Pathogens – Pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, the Hepatitis B Virus (HBV) and the Human Immunodeficiency Virus (HIV).

Contaminated – The presence or the reasonably anticipated presence of blood or other potentially infectious materials on an item or surface.

Contaminated Laundry – Laundry that is wet or soiled with blood or other potentially infectious materials and presents a reasonable likelihood of soak through or leakage from the bag or container. In addition, laundry that may contain sharps.

Contaminated Sharps – Any contaminated object that can penetrate the skin including, but not limited to: needles, broken glass, and diabetic testing equipment.

Decontamination – The use of physical or chemical means to remove, inactivate, or destroy bloodborne pathogens on a surface or item. Disinfectant – Any substance that kills bacteria. Usually the word "disinfectant" means the same thing as "germicide" or "bactericide".

Engineering Control – Measures designed into the work environment to prevent or isolate contact with a bloodborne pathogen.

Exposure Incident – An incident that results in contact with the eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee's duties.

Infection Control - Controls that minimize infection hazards from workplace.

Occupational Exposure – A skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the responsible performance of an employee's duties. This definition excludes incidental exposures that may take place on the job, and that are neither reasonably nor routinely expected and that the worker is not required to incur in the normal course of employment.


OSHA – Occupational Safety and Health Administration. A federal agency under the Department of Labor that publishes and enforces safety and health regulations. Other Potentially Infectious Materials – (1) The following body fluids: semen, vaginal secretions, cerebrospinal fluid, peritoneal fluid, amniotic fluid, and any body fluid that is visibly contaminated with blood; (2) any unfixed tissue or organ (other than intact skin) (3) HIV or HBV-containing culture medium or other solutions; and blood, organs or other tissues from experimental animals infected with HIV or HBV.

Parenteral – Piercing mucous membranes or the skin barrier through such events as needle sticks, human bites, cuts, and abrasions.

Personal Protective Equipment (PPE) – Specialized clothing or equipment worn by an employee for protection against a hazard.

Regulated Waste – Liquid or semi-liquid blood or other infection materials; contaminated items that would release blood or other potentially infectious materials if compressed; items that are caked with dried blood or other potentially infectious materials and are capable of being released during handling; contaminated sharps.

Source Individual – Any individual, living or dead, whose blood or other potentially infectious materials may be a source of occupational exposure to the employee.

Universal Precautions – A method of infection control in which all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV, and other bloodborne pathogens.

Work Practice Controls – Controls that reduce the likelihood of exposure by altering the manner in which a task is performed.

6.0 EQUIPMENT AND MATERIALS

• Small bloodborne pathogen kits (For teachers and classrooms)

• Large bloodborne pathogen kits (For nurses and administrative offices)

• Sharpie containers

• Vinyl gloves (Varying sizes)

• Pronto II (For disinfection and cleanup)


7.0 EXPOSURE DETERMINATION

7.1 Tasks that involve high-risk potential for exposure to blood or other bodily fluids are considered tasks that could cause exposure to bloodborne pathogens. All employees in this category have occupational exposure and shall be offered the Hepatitis B Vaccination (HBV).

7.2 Any employee who is not in a job that subjects him/her to occupational exposure,

but is exposed to potentially infectious body fluids should report the incident to his/her Principal or Site Manager immediately. The Principal/Site manager shall investigate the potential exposure. If certain exposure is determined, the employee should be evaluated by a physician as soon as possible and offered the Hepatitis B Vaccination.

8.0 MINIMIZING EXPOSURE

There are a number of areas that must be addressed in order to effectively eliminate or minimize exposure to bloodborne pathogens in Pitt County Schools. The following sections should be reviewed with employees during their bloodborne pathogens related training. By vigorously following the requirements of OSHA's bloodborne pathogens standard in each of the following areas, the risk of occupational exposure should be eliminated or minimized. 8.1 Universal Precautions

All human blood and body fluids such as semen and vaginal secretions shall be treated as if they are known to be infectious for HBV, HIV, and/or other bloodborne pathogens. In circumstances where it is difficult or impossible to differentiate between body fluid types, all body fluids are assumed to be potentially infectious. 8.1.1 The following bodily fluids are not anticipated to be infected with

bloodborne pathogens if no blood is visible: urine, feces, vomit, tears, sweat, sputum, and nasal secretions.

8.2 HIV and HBV Transmission Education

A training session will be conducted to assure knowledge of HIV and HBV transmission and prevention. Informational handouts for AIDS (SF-017), Hepatitis B (SF-016), and general bloodborne pathogens/exposure control (SF-014) will be included.


8.3 Engineering Controls and Work Practice Controls

One of the key aspects of the Bloodborne Pathogens Program is the use of engineering controls to eliminate or minimize employee exposure to bloodborne pathogens. The following engineering and work practice controls are to minimize or eliminate employee exposure:

8.3.1 Hand Washing

8.3.1.1 Employees shall wash their hands or any other skin with soap and water, or flush mucous membranes with water immediately, or as soon as feasible, following contact with blood or body fluids. When hand washing facilities are not available, employees should use antiseptic hand cleaners or towelettes. When antiseptic cleaners or towelettes are used, employees should still wash their hands with soap and water as soon as possible. (Hand washing facilities are located in the restrooms at all schools, in some classrooms at schools, and other Pitt County Schools facilities.)

8.3.1.2 Employees will wash their hands immediately or as soon as

feasible, after removal of gloves or other Personal Protective Equipment used in close proximity to bloodborne pathogens even if an exposure has not taken place.

8.3.2 Sharps and Other Waste Materials

8.3.2.1 Contaminated needles and other contaminated sharps (such as broken glass) shall not be bent, recapped, sheared, or broken before disposal.

8.3.2.2 Immediately or as soon as possible after use, contaminated

sharps shall be placed in appropriate containers for disposal. These containers shall be: (1) puncture resistant, (2) labeled or color-coded RED in accordance with this policy, and (3) leak proof on the sides and bottom.


8.3.2.3 Sharps containers are available upon request from Facility Services. Containers will be provided as needed. Principals and Site Managers can order sharps container (Part Number SA0004) on the Facility Services Work Order System: www.facserv.pitt.k12.nc.us

8.3.2.4 Warning labels shall be affixed to containers of regulated waste

and containers used to store, transport or ship blood or other potentially infectious materials. Bags/Labels shall include the following legend:

BIOHAZARD

These bags/labels shall be fluorescent orange or orange-red with lettering or symbols in a contrasting color. The labels shall be an integral part of the container or shall be affixed as close as feasible to the container by string, wire, adhesive, or other method that prevents loss or unintentional removal.

8.3.2.5 Waste materials such as diapers, bandages, and clean up from vomit should be disposed of in the regular trash unless there is obvious saturated blood in them. Although this waste is not considered to be regulated and can be disposed of in the regular trash, it should be handled with care.

8.3.3 General Work Practices Controls

8.3.3.1 Eating, drinking, applying cosmetics or lip balm, and handling contact lenses is not recommended in work areas such as nurse clinics and diaper changing stations, where there is potential for exposure to bloodborne pathogens.

8.3.3.2 Food and drinks should not be kept in refrigerators, freezers,

counter tops, or other areas where blood or other potential bloodborne pathogens are present.

8.4 Personal Protective Equipment (PPE)

Pitt County Schools will provide at no cost to the employee, appropriate Personal Protective Equipment (PPE) needed to protect employees against exposure.

http://www.facserv.pitt.k12.nc.us/


8.4.1 Accessibility

Personal Protective Equipment is readily accessible at each site in the following locations: • Principal or Site Manager’s Office • Individual classrooms/work stations (in Bloodborne Pathogen Kits) • First responders first aid kits

8.4.2 Ordering and Replacement

Pitt County Schools shall replace Personal Protective Equipment as needed to maintain its effectiveness, at no cost to the employee. Periodically, the Principal/Site Manager shall inspect the Bloodborne Pathogen Kits and contact Facility Services for replacement Bloodborne Pathogen Kits if needed. 8.4.2.1 To make sure that this equipment is used as effectively as

possible, employees should adhere to the following practices when using Personal Protective Equipment:

• Any garments penetrated by blood or other infectious

materials are to be removed immediately or as soon as feasible.

• Disposable gloves are to be replaced as soon as possible

after contamination, or if they are torn, punctured, or otherwise lose their ability to function as an "exposure barrier”.

• Personal Protective Equipment can be ordered from Facility

Services by utilizing the Pitt County Schools Work Order System at www.facserv.pitt.k12.nc.us

8.5 Housekeeping

Custodians are responsible for cleanup. The work site will be maintained in a clean and sanitary condition. All equipment and working surfaces shall be cleaned and decontaminated with a disinfectant after contact with blood or other potentially infectious materials. Pronto II is approved for use as a disinfectant by Pitt County Schools.

http://www.facserv.pitt.k12.nc.us/


8.5.1 All custodians should employ the following practices:

• All equipment and surfaces are cleaned and decontaminated after contact with blood or other potentially infectious materials with Pronto II.

• Protective coverings (such as plastic trash bags) are removed and

replaced. All trash containers, pails, bins, and other receptacles intended for use are routinely inspected, cleaned, and decontaminated as soon as possible if visibly contaminated.

• Potentially contaminated broken glassware is picked up using

mechanical means (such as dustpan and brush, tongs, etc.) 8.5.2 Part Time Cafeteria Employees

Pitt County Schools employs part time cafeteria employees that also work as part time custodians. If an incident occurs requiring cleanup while an employee is working as a cafeteria employee, the school shall contact another custodian to cleanup in order to prevent any possible food contamination.

8.5.3 Contaminated wastes are discarded or "bagged" in containers that are:

• Closable • Puncture-resistant if the discarded materials have the potential to

penetrate the container • Leak-proof if the potential for fluid spill or leakage exists

• Waste containers are maintained upright, routinely replaced and not

allowed to overfill

• Contaminated laundry is handled as little as possible and is not sorted or rinsed where it is used

8.5.4 Biohazard wastes are discarded in red bags or labeled with the

appropriate biohazard-warning label. Whenever employees move containers of regulated waste from one area to another, the containers should be immediately closed and placed inside an appropriate secondary container if leakage is possible from the first container.


Custodians are responsible for the collection and handling of each school site contaminated waste with the exception of laundry. Athletic Coaches and Trainers are responsible for the collection of laundry.

8.6 Hepatitis B Vaccination

All Pitt County Schools employees who have occupational exposure to bloodborne pathogens as defined in section 2.1 are given the opportunity to receive the Hepatitis B Vaccine, which is provided at no charge. The vaccination program consists of a series of three inoculations within a six-month period. The shots are followed up with a post vaccination serology test. As a part of the bloodborne pathogens training, employees will receive information regarding Hepatitis B vaccination, including its safety and effectiveness.

The Safety Coordinator is responsible for managing the treatment program.

8.6.1 The first vaccine dose is to be made available to employees within ten

working days of initial assignment. Subsequent doses are to be administered according to current Centers for Disease Control (CDC) recommendations. After the final shot, a post vaccination serology test will be conducted.

8.6.2 Vaccinations are performed under the supervision of a licensed physician

or healthcare professional. Employees who have occupational exposure to bloodborne pathogens as defined in 2.1 must choose to accept or decline the vaccination program and sign the Consent and Release for Hepatitis B Vaccination (SF-013). This information will be kept on file with the Safety Coordinator.

8.6.3 Vaccination Process for Newly Hired Employees

8.6.3.1 During the new hire orientation process, the Human Resources Department will give employees who may have occupational exposure to bloodborne pathogens, as defined in 2.1, the Consent and Release for Hepatitis B Vaccination (SF-013).

8.6.3.2 Human Resources will forward the signed original consent forms

to the Safety Coordinator.


8.6.3.3 Upon receipt of the above-mentioned consent form by the Safety

Coordinator, the employee will be sent a signed Hepatitis B Vaccination Verification (SF-015). This will serve as notification to the Pitt County Health Department that the employee is currently employed with Pitt County Schools.

8.6.3.4 When the employee receives the Hepatitis B Vaccination

Verification (SF-015), they will then contact the Pitt County Health Department (252-902-2449) to establish an appointment for the administration of the Hepatitis B vaccination.

8.6.3.5 The employee will take the Hepatitis B Vaccination Verification

and their insurance card with them to their appointment at the Pitt County Health Department. Without the Hepatitis B Vaccination Verification, the Pitt County Health Department will not administer the vaccine.

8.6.3.6 The vaccine is a series of three shots over months followed up with a

post vaccination serology test. Prior to the second, third, and fourth appointments, the employee will need to contact the Safety Coordinator to receive a new Hepatitis B Vaccination Verification for each appointment.

8.6.4 Vaccination Process for All Other Employees

8.6.4.1 Employees that have not previously received the Hepatitis B

vaccination or have transferred into a position that may have occupational exposure to bloodborne pathogens, as defined in 2.1, will contact their respective Principal or Site Manager requesting the Hepatitis B Vaccine.

8.6.4.2 The Safety Coordinator will give the affected employee who may

have occupational exposure to bloodborne pathogens, as defined in 2.1, the Consent and Release for Hepatitis B Vaccination (SF-013).

8.6.4.3 The employee will sign the Consent and Release for Hepatitis B

Vaccination form (SF-013) as either accepting or declining and send the signed original to the Safety Coordinator.


8.6.4.4 Upon receipt of the above-mentioned consent form by the Safety Coordinator, the employee will be sent a signed Hepatitis B Vaccination Verification (SF-015). This will serve as notification to the Pitt County Health Department that the employee is currently employed with Pitt County Schools.

8.6.4.5 When the employee receives the Hepatitis B Vaccination

Verification (SF-015), they will then contact the Pitt County Health Department (252-902-2449) to establish an appointment for the administration of the Hepatitis B vaccination.

8.6.4.6 The employee will take the Hepatitis B Vaccination Verification

and their insurance card with them to their appointment at the Pitt County Health Department. Without the Hepatitis B Vaccination Verification, the Pitt County Health Department will not administer the vaccine.

8.6.4.7 The vaccine is a series of three shots over months followed up with a

post vaccination serology test. Prior to the second, third, and fourth appointments, the employee will need to contact the Safety Coordinator to receive a new Hepatitis B Vaccination Verification for each appointment.

9.0 EXPOSURE TREATMENT

In order to assure that employees receive the best and most timely treatment, if an exposure to bloodborne pathogens should occur, Pitt County Schools has set up an exposure evaluation and follow-up process. It is recognized that much of the information involved in this process must remain confidential; Pitt County Schools is committed to protecting the privacy of the people involved. Post exposure evaluation procedures are for work related incidents only and are provided at no cost.


9.1 If an employee is involved in an incident where exposure to bloodborne pathogens may have occurred, there are several things that should immediately occur:

1. Determine who is exposed and who is the source of the potential bloodborne

pathogen. 2. Send the exposed employee to Pitt County Schools designated health

care provider as soon as possible. Testing and doctor visits will be paid at Pitt County Schools expense. Pitt County Schools designated physician will determine whether a full exposure occurred based on the facts from the employee. If needed, the Hepatitis B Vaccine will be administered and blood testing may begin.

3. Send the source employee or student to Pitt County Schools designated

health care provider as soon as possible.

If the source individual is a student, the Principal or School Administrator shall request permission from the student’s parent(s) or guardian(s) for the student to be evaluated for blood testing. Students are not required to submit to an evaluation. If the student’s parent(s) or guardian(s) does not want to use Pitt County Schools designated health care provider, they may use their own health care provider. Testing and doctor visits will be paid at Pitt County Schools expense. The source individual's blood shall be tested as soon as feasible and after consent is obtained in order to determine HBV and HIV infectivity. When the source individual is already known to be infected with HBV or HIV, testing for the source individual's known HBV or HIV status may not need to be repeated.

4. If the source individual is evaluated, the source individual’s doctor will need to

directly communicate the results to the exposed employee’s doctor. 5. Investigate and document the circumstances surrounding the exposure

incident. 6. Report the incident to the Safety Coordinator via the Bloodborne Pathogens

Exposure Investigation (SF-010).


10.0 REFERENCE DOCUMENTS

North Carolina Occupational Safety and Health Administration. Occupational Safety and Health Standards for General Industry: 1910.1030, Bloodborne Pathogens. Raleigh, NC: N.C. Department of Labor. Also available online: http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10051 North Carolina General Assembly. General Statute 130A, Article 6 – Communicable Diseases, Part I – In General, 130A-144: Investigation and Control Measures. Available online: http://www.ncleg.net/Statutes/GeneralStatutes/HTML/ByChapter/Chapter_130A.html North Carolina Administrative Code. 10A NCAC 41A .0201: Control Measures – General. Available online: http://ncrules.state.nc.us/ncadministrativ_/title10ahealtha_/chapter41epidem_/subchapterarule/content.htm Pitt County Board of Education. Policy 7.027: Bloodborne Pathogens Policy. Available online: http://www.pitt.k12.nc.us/boe/files/7/7.027_Bloodborne_Pathogens.doc

http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10051

http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10051

http://www.ncleg.net/Statutes/GeneralStatutes/HTML/ByChapter/Chapter_130A.html

http://www.ncleg.net/Statutes/GeneralStatutes/HTML/ByChapter/Chapter_130A.html

http://ncrules.state.nc.us/ncadministrativ_/title10ahealtha_/chapter41epidem_/subchapterarule/content.htm

http://ncrules.state.nc.us/ncadministrativ_/title10ahealtha_/chapter41epidem_/subchapterarule/content.htm

http://www.pitt.k12.nc.us/boe/files/7/7.027_Bloodborne_Pathogens.doc


APPENDIX

1. Training Agenda for Bloodborne Pathogens (SF-009)

2. Documentation of Bloodborne Pathogens Training (SF-012)

3. OSHA Bloodborne Pathogens / Universal Precautions Employee Safety Information Brief (SF-014)

4. Hepatitis B Fact Sheet (SF-016)

5. AIDS Fact Sheet (SF-017)

6. Consent and Release for Hepatitis B Vaccination (SF-013)

7. Bloodborne Pathogens Exposure Investigation (SF-010)

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 Mike Whitford – Safety Coordinator

SF-012 Rev 003

SF-012 Rev 003

51. 81. 52. 82. 53. 83. 54. 84. 55. 85. 56. 86. 57. 87. 58. 88. 59. 89. 60. 90. 61. 91. 62. 92. 63. 93. 64. 94. 65. 95. 66. 96. 67. 97. 68. 98. 69. 99. 70. 100. 71. 101. 72. 102. 73. 103. 74. 104. 75. 105. 76. 106. 77. 107. 78. 108. 79. 109. 80. 110.

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 • Stomach pain • Appetite loss • Nausea • Yellow skin (jaundice) • 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

Consent and Release for Hepatitis B Vaccination

Who Should Consider Receiving The Hepatitis B Vaccine? In accordance with OSHA’s regulations, Pitt County Schools is offering the HBV vaccine free of charge to all employees who may be exposed to human blood or other potentially infectious materials, and may result in possible exposure to bloodborne pathogens. The following job classifications are included:

• First Aid Responders • Plumbers • Health Occupations Teachers • Bus Drivers and Bus Monitors of exceptional children • School Health Nurses • Athletic Coaches and Trainers • Custodians • Designated Violence Intervention Personnel • Exceptional Children Teachers and Teacher Assistants • Social Workers Who Should Not Get The Hepatitis B Vaccine? • Anyone allergic to yeast • Pregnant or breast-feeding mothers • Employees that have already received the Hepatitis B Vaccine Vaccination Process 1. The employee will sign the Consent and Release for Hepatitis B Vaccination form as either accepting or declining. Please send the

completed form to Mike Whitford – Safety Coordinator. 2. Upon receipt of the above-mentioned consent form by the Safety Coordinator, the employee will be sent a signed Hepatitis B Vaccination

Verification sheet (SF-015). This will serve as notification to the Pitt County Health Department that the employee is currently employed with Pitt County Schools.

3. When the employee receives the Hepatitis B Vaccination Verification sheet (SF-015), they will then contact the Pitt County

Health Department (252-902-2449) to establish an appointment for the administration of the Hepatitis B vaccination. The employee will take the Hepatitis B Vaccination Verification sheet and their insurance card with them to their appointment at the Pitt County Health Department. Prior to both the second and third appointments, the employee will need to contact the Safety Coordinator to receive a new Hepatitis B Vaccination Verification for each appointment.

TO ACCEPT VACCINE

I understand that due to my potential occupational exposure to blood or other potentially infectious materials I may be at risk of being infected by the Hepatitis B Virus (HBV). This is to certify that I have been informed about the symptoms and the hazards associated with these viruses, as well as the modes of transmission of bloodborne pathogens. I have been given the opportunity to be vaccinated with Hepatitis B vaccine, at no charge to myself. In addition, I have received information regarding the Hepatitis B (HBV) vaccine. Based on the training I have received, I am making an informed decision to accept the Hepatitis B (HBV) vaccine. I understand I am responsible to schedule and complete the recommended series of shots. Printed Name: _________________________ Signature: _________________________ Date: __________

School: _________________________

TO DECLINE VACCINE I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring Hepatitis B virus (HBV) infection. I have been given the opportunity to be vaccinated with hepatitis B vaccine, at no charge to myself. However, I decline Hepatitis B vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring Hepatitis B, a serious disease. If in the future I continue to have occupational exposure to blood or other potentially infectious materials and I want to be vaccinated with Hepatitis B vaccine, I can receive the vaccination series at no charge to me. Printed Name: _________________________ Signature: _______________________ Date: __________

Please Send Completed Form To: Mike Whitford – Safety Coordinator SF-013 Rev 003

Pitt County Schools Bloodborne Pathogens Exposure Investigation

This form must be completed within 24 hours of a bloodborne pathogen exposure and forwarded to the Safety Coordinator. Name of injured person:_________________________________ Date:___________ Injured person is a: STUDENT STAFF MEMBER VISITOR (CIRCLE ONE) (If Student) Grade_________ Homeroom_________ Age_________ Date of Accident:_____________________________ Time______________AM/PM Place of Accident: _____ Classroom _____ Bathroom _____ Hallway _____ Cafeteria _____ Gymnasium _____ Outside _____ Other:_______________________________ 1. How did the accident occur? _______________________________________

2. What potentially infectious materials were involved and give source: ________

______________________________________________________________

3. What injuries were received? ______________________________________

4. What first aid was given? _________________________________________

5. By whom? _____________________________________________________

6. Was Personal Protective Equipment used? ________ Yes ________ No

________________________________ _________________________________

NAME of Person Filing Report SIGNATURE of Person Filing Report (Please Print) (Please Sign)

cc: Human Resources Department Principal Injured Party

SF-010 Rev 002

bloodborne pathogens · b) conduct yearly bloodborne pathogen training. employees will sign off on...

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