Victory Christian School Bloodborne Pathogen Training

WHY ARE WE HERE? OSHA Blood Borne (BB) Pathogen Standard anyone who can reasonably anticipate contact with blood or potentially infectious body fluids while at work is required to complete training Not every school employee is occupationally exposed to BB pathogens. However, every school employee must understand the dangers of infection and safe practices to minimize risk.

Written Exposure Control Plan The Occupational Safety and Health Administration (OSHA) requires every school system to create one. The ECP must be made available to every school employee upon request Contact Health Services to read VCS Exposure Control Plan

What is a BB Pathogen? Microorganisms that are carried in human blood and other body fluids that can cause disease in humans

BB Pathogens May Be Present In: Blood Saliva Vomit Urine Any other bodily fluid Torn or open skin tissue

Blood Borne Pathogens Can Enter The Body Through:

DIRECT TRANSFER Blood or bodily fluid contacting: Open cuts and nicks Skin abrasions Dermatitis Sexual contact Mucous membranes of mouth, eyes or nose Cutting yourself with a contaminated sharp object like: Broken glass Sharp metal Needles Knives Exposed ends of orthodontic wires

INDIRECT TRANSFER Eyes Nose Mouth Non-intact skin Touching a contaminated object or surface and then transferring the infection to your: Eyes Nose Mouth Non-intact skin

Common Bloodborne Diseases Human Immunodeficiency Virus (HIV) Hepatitis B (HBV) Hepatitis C (HCV) Malaria Brucellosis Syphilis

Human Immunodeficiency Virus (HIV) HIV is the virus that leads to AIDS HIV attacks the body’s immune system HIV does not survive well outside the body No threat on contracting HIV through casual contact

Hepatitis B (HBV) “Inflammation of the liver” Approx. 500,000 people in the U.S become infected each year. (CDC) 1—1.25 million Americans are chronically infected HBV can survive in dried blood for at least one week

Hepatitis B Symptoms Symptoms can occur 1-9 months after exposure Symptoms include: jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea , vomiting A person may not exhibit any symptoms, being unaware that they are a carrier.

Hepatitis C (HCV) Hepatitis C is the most common chronic blood borne infection in the United States Symptoms include: jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea, vomiting May lead to chronic liver disease and death

Transmission Potential Contact with another person’s blood or bodily fluid that may contain blood Mucous membranes: eyes, mouth, nose Non-intact skin Contaminated sharps/needles

Your Exposure Potential Accidental Injury Administering first aid Post-accident cleanup Handling of trash/waste Janitorial or maintenance work Handling of any waste products

Reducing Your Risk Work Practice Controls Personal Protective Equipment (PPE) Engineering Controls Housekeeping Hepatitis Vaccine

Universal Precautions Treating all blood and bodily fluids as if they are infected with a bloodborne disease. All age groups Every socioeconomic class Every state and territory Rural areas and inner cities Many people who carry infectious disease have no visible symptoms and no knowledge of their condition

Work Practice Controls A person trained in bloodborne pathogens safety to give first-aid treatment to students on a regular basis A facilities technician or trained person responsible for cleaning up all body fluid spills on a regular basis

More Work Practice Controls Minimize splashing, spraying, spattering and generation of droplets when attending to an injured student or co-worker, especially where blood is present Don’t eat, drink, apply cosmetics or lip balms, or handle contact lenses where there is likelihood of exposure Don’t keep food and drink in refrigerators, shelves or on surfaces where blood or other potentially infectious materials are present

Personal Protective Equipment (PPE) Anything that is used to protect a person from exposure Latex or Nitrile gloves, goggles, masks, CPR mouth barriers, aprons, gowns, etc.

PPE Rules to Remember Always check PPE for defects or tears before using If PPE becomes torn or defective remove and get new Remove PPE before leaving a contaminated area Do not reuse disposable equipment

Hand Washing Wash hands immediately after removing PPE Use a soft antibacterial soap A hand sanitizer can be used but wash with soap and water as soon as possible.

Engineering Controls Sharps containers to dispose of needles, sharp objects. Biohazard labels to mark waste and towels soaked with blood or body fluids Hand sanitizer available in all restrooms and many work stations. Numerous hand washing facilities

Good Housekeeping Clean and decontaminate all equipment and environmental working surfaces as soon as possible after contact with blood or infectious material Never pick up broken glass with gloved or bare hands. Place contaminated sharps and infectious wastes in labeled container

Decontamination When cleaning up surfaces use Virex® or a solution of one part bleach to 9 parts water. Do an initial wipe up Spray and allow it to stand for ten minutes then wipe up Dispose of all wipes in biohazard containers PPE should be removed and disposed of in biohazard containers

Know This Symbol Watch for fluorescent orange-red label, red bags and containers with biohazard symbol. Warns you that the container holds blood or other potentially infectious materials.

Hepatitis B Vaccination 85 to 97% effective Offered to those who are exposed to blood or other infectious materials as part of their job Recommended for all potentially exposed employees

Exposure Incident A specific incident of contact with potentially infectious bodily fluid If there are no infiltrations of mucous membranes or open skin surfaces, it is not considered an occupational exposure Report all accidents involving blood or bodily fluids Post-exposure medical evaluations are offered

Post-exposure Evaluation Confidential medical evaluation Document route of exposure Identify source individual Test source individuals blood (with individuals consent) Provide results to exposed employee

Recordkeeping Medical records include: Hepatitis B vaccination status Post-exposure evaluation and follow-up results Training records include: Training dates Contents of the training Signature of trainer and trainee

In Conclusion Know the facts. Take time to protect yourself while helping a child or co-worker. As a school employee, you must react to an emergency not only with your heart, but with your head.

Questions? VCS Health Services 491-7729