UNIVERSAL PRECAUTIONS Protecting Yourself From Bloodborne Pathogens Presentation Prepared by: Laurie G. Combe, MN, RN Klein ISD Health Services Coordinator OSHA requires that all employees be advised of the potential risk of exposure to bloodborne pathogens. The agency also requires that you be advised of precautionary measures and exposure reporting procedures.

How Do I Know When To Be Careful? Every contact should be considered potentially harmful, because not everyone knows they are ill or is willing to share their health information. The law does not allow us to notify you of potential sources of infection; therefore, you should take precautions every time you come in contact with a possible source of infection.

How Do I Know When To Be Careful? Take precautions every time you are in contact with the body fluids or tissues of another person.

Potential Sources Of Infection Blood Vomit Mucous Urine Feces Body tissues Saliva Torn or loose skin Genital secretions

How Do Germs/Pathogens Enter My Body? Open cuts & scratches Abrasions or scrapes Dermatitis Acne Mucous membranes of mouth, eyes, & nose Be aware of surfaces you may touch, splashing of materials into your face, people touching you while bleeding, etc.. If you have an open wound, it is advisable to keep it covered with a bandage.

Hepatitis B Can Survive On Environmental Surfaces For Up To One Week You are probably at greatest risk for this disease as opposed to any of the others discussed in this presentation.

Hepatitis B - Modes Of Transmission Contact with contaminated surfaces Eyes Mouth Broken Skin Tattoo Body Piercing Shared razor, earrings, toothbrush Sexual Contact As you can see many of the activities teenagers engage in also put them at risk of contracting Hepatitis B.

HIV - Modes Of Transmission Not a very resilient virus Sexual contact Blood Some body fluids Body tissues

Hepatitis A - Modes Of Transmission Fecal - oral route Improper food handling Clothing Raw, contaminated shellfish Poor hand washing after restroom use Handwashing in food preparation areas is critical to prevention of Hepatitis A. If you work with students on food preparation projects, please make sure that they wash their hands thoroughly before preparation and consumption of food.

Hepatitis C - Modes Of Transmission Blood Transfusion Organ transplant Remember that Hepatitis B can remain virulent on surfaces for up to one week. Be cognizant of the surfaces you touch and their potential for infection.

Where Can I Find These Pathogens? Hands Desks Floors Scissors Exacto Blades Door knobs Books Diapers Broken glass Sharp metal Needles Knives Orthodontic wires Restroom surfaces And more

How Do I Prevent Transmission? Hand washing vigorously for at least 20 seconds with soap and warm water Gloves Disinfect with KISD approved cleaners Double bag contaminated articles Remove contaminated materials from work area ASAP Dispose of sharps in appropriate container

Soap and Water Hand Washing Wet hands with warm water Apply soap For at least 20 seconds, rub hands together, making sure to spread soap foam on palms, between fingers, fingertips and backs of hands Rinse hands under running water Pat hands dry with paper towels Turn of water using paper towel to prevent recontamination of hands

Hand Sanitizers Use Apply a dime sized portion of hand sanitizer to the palm of your hand Wet the fingertips of each hand with the sanitizer Rub hands palm to palm, between fingers, and the back of hands Continue rubbing until your hands are dry

To prevent illness wash hands frequently and: BEFORE You eat Treat a break in skin Care for ill person/animal Insert or remove contact lenses AFTER Use restroom Handle uncooked foods Change a diaper Sneeze, cough or blow your nose Handle garbage Care for ill/injured Touch an animal Remove gloves used as personal protective equipment

Job Specific Exposure Protection Plan Refer to the Klein ISD Bloodborne Pathogen Exposure Control Plan attached to this eCourse to review your Job Specific Exposure Plan.

Job Specific Exposure Plan Review you exposure plan to determine: What work tasks put you at risk Safe work practices Personal Protective Equipment you should use

What To Do If You Are Exposed? Report to your supervisor Report to campus school nurse If needed, complete Workman’s Comp form and KISD Employee Exposure Report. Take reports to your doctor. Give copy of report to your supervisor.

Where Can I Find the KISD Bloodborne Pathogen Plan? http://knet/handbooks/bloodexpos.pdf Attached to this eCourse Principal Secretary’s Office Department Offices School Clinic There are several place you can view the KISD Bloodborne Pathogen Plan. It can be accessed via Kleinet or in the school clinic Mrs. Clark’s office.

REVIEW... Consider every contact potentially harmful. Wash your hands frequently. Personal Protective Equipment Report exposures to your supervisor Report to campus school nurse Complete Workman’s Comp form See your doctor

QUESTIONS???? Contact you campus nurse if you have questions related to the content of this presentation. If you are not assigned to a school campus, direct questions to: lcombe@kleinisd.net.

Bibliography Bloodborne Pathogen Plan. Klein ISD. (Online) http://knet/handbooks/bloodexpos.pdf. January, 2001. Guide to the five types of viral hepatitis. Harris County Health Department. Circa 1995. Manual of Information on Acquired Immunodeficiency Syndrome. Klein Independent School District. December, 1986. OSHA Fact Sheets: Bloodborne Pathogens Final Standard. (Online) http://www.osha-slc.gov/OshDoc/Fact_data/FSNO92-46.html. Jun. 16. 2000. Persons reported to be living with HIV infection and with AIDS, by state and age group, reported through December, 1999. Center For Disease Control. (Online) http://www.cdc.gov/hiv/stats/hasr1102/table 1.htm. Jun. 29, 2000. Grey Bruce Public Health Unit, Ontario, Canada. Hand Washing Video

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