BLOODBORNE PATHOGENS’ TRAINING JENKS PUBLIC SCHOOLS BLOODBORNE PATHOGENS’ TRAINING

WELCOME This training is intended for Jenks Public School employees who have been identified as having a “reasonably anticipated risk of coming in contact with blood or other potentially infectious materials.” It will provide a basic understanding of bloodborne pathogens (BBP), transmission of BBP, methods of preventing exposure and steps to take if you have an exposure. If you have any questions regarding any portion of the following materials, please call Linda Parkhurst, RN at Ext. 2263. We will discuss your questions and schedule an appointment to meet if needed.

BLOODBORNE PATHOGEN STANDARD OSHA (Occupational Safety and Hazard Administration) published the Occupational Exposure to Bloodborne Pathogens Standard on December 6, 1991. In January of 2001, OSHA issued a revised standard which addressed the implementation of safer needle devices. The BBP standard is located in Title 29 of the Code of Federal Regulations (29cfr), Part 1919.1030. Click here to view OSHA’s BBP Standard.

JPS EXPOSURE CONTROL PLAN The Jenks Public Schools Exposure Control Plan is contained in the district’s Employee Safety Plan The JPS Exposure Control Plan can be found: Online at the District website Nurse’s Office each site Transportation Warehouse Student Services’ Office Athletic Director’s Office Board of Education Clerk’s Office Human Resources’ Office District Safety, Training and Compliance Office Click here to view the JPS Exposure Control Plan The Exposure Control Plan will identify “at risk” employees

BLOODBORNE DISEASES Bloodborne pathogens are microorganisms present in blood and capable of causing diseases in humans. The most common of these diseases are: Human Immunodeficiency Virus (HIV) Hepatitis B (HBV) Hepatitis C(HCV)

BLOODBORNE PATHOGEN FLUIDS Bloodborne pathogens may be found in the following body fluids: Blood Semen Vaginal secretions Cerebrospinal fluid Synovial fluid Pericardial fluid Peritoneal fluid Amniotic fluid Saliva Pleural fluid

Human Immunodeficiency Virus (HIV) HIV attacks the body’s immune system and causes Acquired Immune Deficiency Syndrome (AIDS) Thus far, AIDS eventually leads to death No cure, no vaccine HIV easily killed outside body, does not live in dried body fluids Transmitted from infected person through sharing of blood, semen, vaginal secretions; during pregnancy, childbirth or through breastfeeding.

HEPATITIS B (HBV) Causes inflammation of the liver Transmitted from infected person to others through sharing of blood, semen, vaginal secretions or saliva. The saliva must get into the other person’s blood or mucous membrane Symptoms include nausea, vomiting, fatigue, jaundice and abdominal pain. Infection may lead to chronic liver disease, liver cancer or death

HBV (cont) HBV can survive for at least a week in dried blood or other potentially infectious body fluids There is a vaccine available to prevent HBV The vaccine is a series of 3 injections given over a six month period of time.

HEPATITIS C (HCV) Causes inflammation of the liver Most common means of transmission is through the sharing of needles to inject drugs (blood transmission) Symptoms include nausea, vomiting, fatigue, jaundice and abdominal pain Infection may be acute (short term) or chronic leading to serious illness and/or death. No vaccine available

WORKPLACE TRANSMISSION Contact with another person’s blood (or body fluid containing blood) that enters: An open cut, abrasion or other non intact skin Mucous membrane of the eyes, nose or mouth Skin through “stick” with contaminated sharps/needles Human bites that break the skin

RISK REDUCTION Standard (Universal) Precautions Personal Protective Equipment (PPE) Engineering controls Good Housekeeping Hepatitis B Vaccine

STANDARD (UNIVERSAL) PRECAUTIONS Must treat every person and all body fluids as though they are infected with a bloodborne pathogen DO NOT put yourself in contact with anyone else’s body fluids Cannot tell by looking if individual is infected with a bloodborne pathogen. Person may be a carrier of a disease and have no signs or symptoms.

PERSONAL HYGIENE Do not eat, drink, smoke, apply cosmetics or handle contact lenses where you may potentially be exposed to infectious materials Do not store food or drinks where blood or other infectious materials may be present.

PERSONAL PROTECTIVE EQUIPMENT Personal protective equipment (PPE) protects you from contact with potentially infectious materials and includes: Masks/Eye Protection – always use when performing procedures likely to generate splashes of blood or other bodily fluids Gowns/aprons – use for procedures likely to generate splashes of blood or other bodily fluids Gloves – always use if likely to come in contact with blood or other bodily fluids or mucous membranes

GLOVES Most widely used form of personal protective equipment Must wear gloves when there is a reasonably anticipated risk of exposure to blood or other potentially infectious materials Vinyl, Nitrile or any other NON LATEX NO LATEX gloves used in JPS district due to possible severe allergic reactions Gloves are all single use and disposable unless heavy duty and cleanable (for custodial use)

GLOVE REMOVAL Grasp outside of first glove near wrist being careful not to touch skin Peel glove away from hand turning glove inside out and hold in gloved hand Slide ungloved finger under wrist of remaining glove being careful not to touch outside of glove Peel off from inside tucking the first glove inside the second Discard in proper receptacle Wash hands thoroughly with soap and water

GLOVE REMOVAL

HANDWASHING Most important work practice in prevention of disease transmission Wash immediately after removing gloves, after toileting and before eating. Use soap and running water. If soap and water is not available, an antiseptic hand cleaner or antiseptic towelettes may be used until soap and water is available Wash hands for at least 20 seconds Rub hands together and scrub between fingers, knuckles, backs of hands and under fingernails Rinse soap from hands and dry with paper towel Use paper towel to turn water off

ENGINEERING CONTROLS Engineering controls are the primary means of minimizing or eliminating employees exposure to BBP and include the use of safer medical devices. In the school setting these include: Safety needles Sharps disposal containers Biohazardous waste bags for items soaked or dripping with blood

HOUSEKEEPING All equipment and environmental working surfaces must be cleaned with an appropriate disinfectant as soon as possible after contact with blood or other potentially infectious material. During the day contact the building custodian. All evening cleaning will be done by the contracted cleaning service. Contaminated sharps must be placed in a color coded, leak proof, puncture resistant container. These containers should never be allowed to overfill. Never pick up glass or sharp objects with bare hands. Use a broom and dust pan.

SIGNS AND LABELS Labels must include the universal biohazard symbol and the term “Biohazard” must be attached to: Sharps containers Biohazardous waste containers Refrigerators containing blood or OPIM

HEPATITIS B VACCINE JPS employees whose job description gives them the potential of exposure to HBV or other BBP will be offered the Hep B vaccine at no cost. The vaccine series consists of three injections given over a six month period of time. Identified employees who do not wish to receive the vaccine must sign a declination.

EXPOSURE INCIDENTS An exposure incident consists of direct and unprotected contact with blood or other potentially infectious materials. This means the blood or OPIM comes in direct contact with a cut or other non-intact skin or the mucous membranes of the eyes, nose or mouth. Wash the area immediately with soap and water If the exposure involves a mucous membrane, flush for 15 minutes with running water Report exposure to your supervisor immediately Report exposure to your site nurse immediately You will be provided a confidential medical evaluation

RECORDKEEPING Medical records include: Hepatitis B vaccination status Exposure incident documentation Training records include: Training dates Content of the training Signature of the trainer and trainee

RECORDKEEPING (cont.) Training records must be maintained for three years and must include dates, contents of the training program, trainer’s names and qualifications and the names and job titles of all persons attending the training. Medical records for employees with occupational exposure must be kept for the durations of employment plus 30 years.