Bloodborne Pathogens Training Program 01 Collier County Public Schools

What is OSHA? Purpose? OSHA is the Occupational Safety and Health Administration To establish safety and health standards which provide safe and healthful working conditions for every working man and woman.

Training Agenda The OSHA standard for Bloodborne Pathogens Terminology What Bloodborne diseases do we have to protect ourselves from? How are these diseases transmitted? How do we recognize a potential exposure? What is our Exposure Control Plan? What are the methods to control accidental exposure?

(agenda) HBV Vaccination Series Universal Precautions How to select PPE Warning Signs and Labels Procedures if accidental exposure occurs Exposure Follow-up Post Exposure Follow-up

OSHA Standard 1910.1030 Limit occupational exposure to blood or other potentially infectious materials (OPIMs) 29 CFR Part 1910.1030 States: Workers who have the potential (who could reasonably anticipate) to be exposed to blood or other potentially infectious materials must be protected from the diseases associated with these materials.

Terminology * Biohazard Bloodborne Pathogens Contaminated (laundry, sharps) Engineering Controls Exposure (incident, risk) OPIM Parenteral Personal Protective Equipment Work Practice Controls

Universal Precautions!!!! Universal Precautions - a method of infection control which requires you to assume that all blood and all body fluids are considered potentially infectious. Treat all blood and body fluids as if they are known to be infectious for HIV, HBV, or other bloodborne pathogens. Help prevent infection through the use of protective barriers (PPE) and safe work practices.

(continued) Immediately wash any area of the body, and flush mucous membranes with water, after contact with blood or OPIMS.

Engineering Controls are the primary methods used to prevent or reduce occupational exposure by either removing or isolating the hazard.

Safe Work Practice Controls* alter the manner in which a task is performed.

What is Personal Protective Equipment? Specialized clothing or equipment Gloves (disposable latex) Face masks, eye protection Protective body clothing

Personal Protective Equipment (PPE) The use of PPE helps prevent exposure to infectious materials. Gloves, eye protection, face shields, masks, gowns

Housekeeping The work site must be maintained in a clean and sanitary condition. Use: dust pan, broom, tongs, mop, scrapers to handle spills and pick up sharp objects.

Diseases What are the diseases associated with blood and other potentially infectious bodily fluids? HIV - HUMAN IMMUNODEFICIENCY VIRUS HBV - HEPATITIS B VIRUS

Acquired Immunodeficiency Syndrome HIV is the virus which causes AIDS. Needs a route of entry into the body A virus which attacks the body’s immune system, making it difficult or impossible to fight off disease Resulting in illness from opportunistic infections, including pneumonia

HIV Spread through sexual contact, shared drug needles, injuries from sharp objects causing parenteral exposure, a blood splash into mucus membranes (eyes, nose, mouth), or contact with non-intact skin. Can be spread by blood or OPIMs such as semen, vaginal secretions, human tissue or organs, or body fluids contaminated with infected blood

HIV Symptoms Symptoms may not appear for years Fever Loss of appetite Weight Loss Chronic fatigue Skin rashes Currently there is no cure for AIDS

HBV - HEPATITIS B 100 times easier to catch than HIV Inflammation of the liver Vaccine is Available

HBV Symptoms Fatigue, loss of appetite, nausea Jaundice, mild fever, rash Pain in joints Inflammation of liver or colon Darkened urine, diarrhea Tenderness in abdomen

HBV Immunizations Available to all CCPS employees A series of 3 injections over a six month period Vaccine is safe and very effective Consent / Declination form

Means of Transmission Direct route of entry Blood or OPIM’s Parenteral exposure, scrapes, cuts, dermatitis, or mucous membranes Blood or OPIM’s Semen, vaginal secretions, amniotic fluid, saliva, human tissue, human organs, other bloody fluids Lives in dried blood for up to 7 days

HBV and HIV are NOT spread - Through casual contact, insect bites, by sharing food, or through the air. Sharing equipment, bathrooms, telephones, cafeterias, or water fountains with an infected person. Coughing or sneezing - the virus can only infect a person if it gets into his or her bloodstream.

Exposure Control Plan Identifies WHO is at risk Set of actions followed to reduce the risk of exposure to BBP. Identifies tasks which may present a risk for BBP Identifies what to do in case of exposure

Who? Those individuals who are reasonably anticipated to have contact with blood or other potentially infectious materials (OPIMs).

Who? Incidental or “Good Samaritan “ acts are not considered occupational exposure.

When is there risk of exposure? When it is necessary to handle, clean or dispose of another's blood or any other potentially infectious body fluids, contaminated materials, objects, or surfaces. When encountering any body fluid under conditions that make it difficult to determine if it contains blood.

What do I do if I’m accidentally exposed to blood or OPIMs? Wash area thoroughly, remove any contaminated clothing, and decontaminate! See your supervisor to report the exposure incident. Follow-up with Medical Evaluation.

Potential Exposure

How do I clean up a potentially infectious spill? With a 1 part bleach to 10 parts water solution (on surfaces) Absorbent materials Safe work practices Use of PPE

How do I dispose of potentially infectious waste? For glass and other sharp objects SHARPS CONTAINER Puncture resistant, leak-proof, red in color or labeled Other infectious waste RED BAG (Biohazard)

WARNING SIGNS & LABELS

More Ways to Protect Yourself Don’t share personal care items such as: Toothbrushes Razors Personal hygiene Nail clippers, scissors, files Pierced earrings

Make these precautions a habit: Practice Universal Precautions - treat ALL blood and potentially infectious materials as if they are infectious. Wash your hands with soap and water IMMEDIATELY after contact with blood or OPIMs and after removing gloves. Dispose of infectious waste carefully and in the appropriate RED or RED ORANGE biohazard containers or bags.

(continued) Take steps to protect yourself: Cover any broken skin Wear gloves (double glove) Use other appropriate PPE Get the Hepatitis B Vaccination Series. Report any exposure incidents immediately. Use the medical assistance you’re offered.

QUESTIONS???????? The CDC National HIV/Aids Hotline 1-800-342-2437 (English) 1-800-344-7432 (Spanish) 1-800-243-7889 (TDD) American Liver Foundation 1-800-737-8300

Video Bloodborne Pathogens Training Video (School Version) 15 min.

Quiz Bloodborne Pathogens Employee Training Quiz Pass / Fail

Thank you for your participation in this training session Thank you for your participation in this training session. Please contact the Department of Code Enforcement & Permitting if you have additional questions or concerns at 254-4000 extension 4372.