bloodborne pathogens training powerpoint149

7/30/2019 Bloodborne Pathogens Training Powerpoint149

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University of Toledo

Bloodborne Pathogen Program

Established under the provisions of the

Ohio Public Employment Risk ReductionProgramOSHA Bloodborne PathogenStandard.

Purpose is to protect employees from

health hazards associated with bloodbornepathogens.


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Bloodborne Pathogen Standard

Exposure Control Plan

Exposure Determination

Engineering and Work PracticeControls

Personal Protective Equipment

Housekeeping


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Bloodborne Pathogen Standard

(cont.)Regulated Waste Training

Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-upCommunication of Hazards to

Employees (signs and labels)

Record Keeping


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Bloodborne pathogens aremicroorganisms that are present in

blood, tissue, blood products, otherpotential infectious materials (OPIM)

What are Bloodborne Pathogens?


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Bloodborne Pathogens:

Other Potentially Infectious Materials: Spinal, pleural (lung), peritoneal

(abdomen), pericardial (heart), amniotic,and synovial (joint) fluids

Saliva from dental procedures

Any body fluid visibly contaminated withblood

Semen Vaginal secretions


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What Are Fluids NOT

Considered a Risk for BBP

Vomit

Feces Urine

Sweat

Nasal discharges

Saliva (non dental) Tears


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Bloodborne Pathogens of Most

Concern in the Workplace

Human Immunodeficiency Virus(HIV)

Hepatitis B Virus (HBV)

Hepatitis C Virus (HCV)


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Human Immunodeficiency Virus

HIV affects the bodys immune

system and can lead to AIDS Symptoms of early infectionnight

sweats, weight loss, swollen glands

Very fragile virus and will not survivefor a long period of time outside the

body

Risk of transmission through anexposure is 3-4%


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Hepatitis B Virus

Virus affects the liver

Symptoms include loss of appetite,

nausea, vomiting, fever, abdominalpain, jaundice

100 times more infectious than HIV

Can live on dried surfaces for up to

one week


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Hepatitis B Virus (cont.)

6-30% chance of infection from apuncture wound (contaminated

needle)

Up to 30% of infected individuals

can become carriers without having

symptoms Vaccine preventable


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Hepatitis C Virus

Virus affects the liver.

Symptoms include loss of appetite,nausea, abdominal pain, jaundice,fatigue, dark urine.

No vaccine to prevent HCV.


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Two Specific Criteria

for Infection to Occur

The blood/body fluid must be infected

AND

The virus must enter the body

exposure incident


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Tasks and Activities that

Might Involve Exposure

Emergency First Aid

Cleanup Blood/OPIM Contaminated Equipment

Handling of Blood or Blood Products

Needlesticks General Healthcare


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Exposure Incident

Virus enters the body:

Through a mucous membrane (eyes,mouth, or nose)

Through an opening in the skin (cuts,abrasions, open sores, acne)

Through a penetration of the skin by acontaminated sharp object (includesneedlesticks and human bites)


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Exposure Incident

Includes:

Blood getting on a recent cut

Blood splashing into the eye

Being stuck by a needleCleaning up a blood or OPIM spill

does not constitute an exposure

incident even if someone gets bloodon their skin unless the area of contactis unhealthy (cut, rash, etc.).


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UTs Responsibilities Under theBloodborne Pathogen Standard

Develop and implement an Exposure Control Plan

Identify employees/job duties at high risk forexposure (having occupational exposure)

Provide pre-exposure vaccinations for HBV to

those employees at no cost


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UTs Responsibilities (cont.) Assure all high risk employees are appropriately

trained

Assist departments/areas in developing internalstandard operating procedures (SOPs)

Establish procedures to protect all UT employees

regardless of risk


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Occupational ExposureHaving a reasonable anticipation

of coming into contact with bloodor other potentially infectiousmaterials (OPIM) as part of ones

job duties


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UT Exposure Determination

Allied Health ProfessionalsFaculty/Instructors (Cardiovascular, EMS,Medical Assisting, Nursing, Respiratory)

Athletic Physician, Trainers, Coaches,Equipment Managers

Laboratory/Research personnel handlingblood or OPIM

Biology Lab Coordinator and Technician Physicians, nurses, and other medical staff

who provide medical treatment


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UT Exposure Determination

Campus Police Officer Student Recreation Center staff who

provide first aid and blood or OPIMcleanup

Custodians and Plumbers Linen Department Other Clinical personnel in patient care

areas at the UT Medical Center


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Must be offered pre-exposure vaccine at no

cost3 doses, highly effective (90%)givenat: initial dose, 1 month, and 6th monthintervals. Employee may decline (declinationform)

Must complete bloodborne pathogen trainingat the time of initial assignment and annuallythereafter (new or changed rules)

Must follow provisions of individualdepartment/area SOPs.


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Methods of Control Standard Precautions

Engineering and Work Practice Controls Handwashing

PPE

Exposure and Post Exposure Procedures Infectious Waste Management


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Standard Precautions

This is a prevention strategy in which

all blood and other potentiallyinfectious materials are treated asthough they were infectious.


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CDC Recommendations Isolation Procedures

AirborneContact

Droplet

To be used in addition to StandardPrecautions


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Engineering and Work

Practice Controls

Engineering and Work Practice Controls

are procedures that are established tominimize or eliminate personal contactwith bloodborne pathogens including:


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Avoiding actions which may splash, spray,splatter, or create droplets

Never pipette or suction infectiousmaterials by mouth

Always using appropriate personalprotective equipment

Using approved sharps containerswhenever necessary

Disposing of glass, etc. in puncture

resistant containers

Engineering/Work Practices

Controls (cont.)


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Controls (cont.) Using needleless systems, if possible

Never eating, drinking, smoking, applyingcosmetics or lip balm, or handling contactlenses where blood or other potentiallyinfectious materials are present

Decontaminating all surfaces, tools, andequipment that come in contact with bloodor potentially infectious materials as soonas possible


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Preventing Needlesticks

E i i /W k P i


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Controls (cont.)

Decontamination Procedures:

Use biohazard spill kit if available!

Isolate and limit access to the area.

Wear gloves and other personalprotective equipment, as necessary.

E i i /W k P i


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Controls (cont.)

Decontamination Procedures (cont.):

Use a freshly prepared bleach solution

diluted 1:10 with water or other EPAregistered tuberculocidal disinfectant.

Cover the spill with paper towels, rags,or absorbent, gently pouring thedisinfectant over the spill, and let it setat least 10 minutes.


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Controls (cont.)

Decontamination procedures (cont.)

Assure that all areas of blood/OPIM

are in contact with the disinfectant.Use a NO TOUCH technique (i.e.

dust pan and sweeping tool)!!!

Dispose of contaminated materials inred bag.


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Controls (cont.)

Decontamination procedures (cont.)

Mop/wipe area clean with

disinfectant.Decontaminate mops and other

reusable equipment after use.

Thoroughly wash hands with waterand soap.


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Controls (cont.)

Sharps must be contained in puncture resistant

container!


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Use Safe Clean-up Practices:

Wear appropriate gloves and otherrequired PPE

Never pick up broken glass or similaritems with hands - use dust pan and broom

Put glass, etc. in puncture resistantcontainer and properly dispose

Always handle trash as if a sharp might bepresent


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Handwashing

One of the most important work practice

controls! Handwashing facilities should be readily

accessible and adequately stocked orutilize a waterless hand disinfection system


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Handwashing

(cont.)

Always wash hands after taking off gloves

If you are using an antiseptic hand cleaneror wipes, you must wash your hands withsoap and water as soon as possible aftercontact with blood or other body fluids


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Personal Protective Equipment

(PPE)

Personal protective equipment is

specialized clothing or equipmentworn or used by you for protectionagainst a hazard. Provides a barrier

between you and the hazard.


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PPE (cont.)

Examples of PPE:

Latex gloves Goggles

Non-Latex gloves Gowns

Lab coats CPR masksAprons Face shields

N-95 Respirators Surgical Mask

Isolation MasksREMOVE ALL PPE IN AREA OF USE !!!!


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PPE (cont.)

Latex, Synthetic Latex or nitrilegloves are probably the mostimportant protective apparel that can

be worn to protect yourself frombloodborne pathogens


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PPE (cont.)

Anytime there is a risk of splashingof contaminated fluids, gogglesand/or other eye protection should be

used to protect your eyes


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PPE (cont.)

Waterproof clothing such as lab coatsor aprons may be worn to protect yourclothing and to keep blood or othercontaminated fluids from soakingthrough to your skin.


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PPE (cont.)

Face shields may be worn in additionto goggles to provide additional face

protection. A face shield will protect

against splashes to the nose andmouth


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PPE (Cont.)

VOLUNTEER TO DEMONSTRATE

APPLICATION AND REMOVAL???


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Proper Glove Removal1. Before removing

disposable gloves,

gather anycontaminated materialsand dispose of in red

biohazard bag.

2. Strip off one glove

from the wrist, turningit inside out so theclean side is on theoutside.


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Proper Glove Removal3. Place the glove in the

other hand and strip

off the glove on thathand, turning it insideout.


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Proper Glove Removal4. Dispose of the

gloves/material in aregulated waste container.

Make sure bag is intact andthat there is no danger ofleaking. If the bag is tornor punctured or iscontaminated on theoutside, place the bag inside

a second biohazard bag.

DO NOT throw thebiohazard bag into theregular trash.


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Limitations Engineering controls,

work practices and

personal protectiveequipment all havelimitations.

Exposure incidents arereduced but still mayoccur.


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Exposure and Post-Exposure

Procedures for All EmployeesIf a potential exposure incident has

occurred:

Immediately care for the site ofexposure -either wash with soap andwater or if in eyes,nose or mouthflush with water

Notify supervisor immediately


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Procedures for All Employees Go to a healthcare provider (UT Medical

Center or University Health) for evaluationwithin 2 hours:To verify whether an exposure

incident has occurredTo receive HB vaccine, if indicated

To receive propylaxis within two hoursreduces chance of conversion to 1:2400


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Procedures for All Employees

Complete a UT Injury and Illness

Incidence/Occurrence Report form andsubmit it to Risk Management.

*There is no charge to the employee forthese services

I f ti W t M t


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Infectious Waste Management

Infectious waste (blood-soaked towels, clothing, applicablesharps, etc.) must be managed in accordance with UTsInfectious Waste Management Program. This means that:

Infectious wastes are stored separately from regular waste

Infectious wastes must be placed in containers that are leakproof, closable, puncture resistant and labeled with theuniversal biohazard label

Infectious wastes are transported by a licensed transporterto an approved infectious waste treatment and disposal

facility


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Hazard Communication

LABELS!!!

R dk i
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Recordkeeping

Medical Recordsincluding dates of Hepatitis B

vaccinations and related information as well asmedical evaluations and reports. These recordsmust be maintained for the duration ofemployment plus 30 years and must be kept

confidential.

Training Recordsincluding the dates of trainingand the name(s)/title(s) of the individual's) whoprovided the training. These records must bemaintained for three years. A copy of these recordsmust also be maintained by Safety and Health.

Exposure Control:


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Exposure Control:

Protect Yourself

Read the Exposure Control Plana copyis available to you

Use engineering and work practicecontrols

Use personal protective equipment

Know what to do in case of an exposure

bloodborne pathogens training powerpoint149

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