1/05 School Safety Training Revised WISHA Bloodborne Pathogens WAC Part J

2 Notice  This presentation is provided to all Educational Service District 101 (ESD 101) schools at no cost.  This presentation contains copyrighted materials purchased by ESD 101 for the exclusive use of training school personnel within ESD 101.  This presentation may not be reproduced except to print “handouts” or “notes pages” for use during training within ESD 101 school districts.  If the school district does not have Microsoft’s PowerPoint software available, a PowerPoint viewer can be downloaded from the internet at no cost.  Questions may be directed to the ESD 101 Risk Manager.

3 Could You Contract a Disease at Work?  Administering first aid to a student, staff member or visitor?  A co-worker or student sneezes on you?  Assisting a student with a bloody nose?  Cleaning the restrooms?  Cleaning the bus?  Using a tool covered with dried blood?

4 Bloodborne Pathogens Goals  Basics of Bloodborne Diseases  Exposure Prevention  Quiz

5 Bloodborne Pathogens  Pathogenic micro- organisms present in human blood that can lead to diseases  Human Immunodeficiency Virus (HIV)  Hepatitis B (HBV)  Hepatitis C (HCV)

6 Human Immunodeficiency Virus (HIV)  HIV is the virus that leads to AIDS  HIV depletes the immune system  HIV does not survive well outside the body  Saliva, tears, sweat

Hepatitis B (HBV)  1—1.25 million Americans are chronically infected  Symptoms include: jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea, vomiting  May lead to chronic liver disease, liver cancer, and death  Vaccination available since 1982  HBV can survive for at least one week in dried blood

8 Hepatitis C (HCV)  Hepatitis C is the most common chronic bloodborne 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

9 Potentially Infectious Bodily Fluids  Blood  Saliva, vomit, urine  Semen or vaginal secretions  Skin, tissue, cell cultures  Other body fluids

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

11 Potential Exposure Tasks and Procedures  Workplace accidents  Administering first aid  Post-accident cleanup  Custodial or maintenance work  Athletic injuries  Bites  Handling Bio-wastes  Handling contaminated laundry

12 Bloodborne Pathogens Goals  Basics of Bloodborne Diseases  Exposure Prevention  Quiz

13 Exposure Control Plan (ECP)  Review and update annually  Reflect changes in technology  Document use of safer medical devices  Ask employees for their input

14 Exposure Control Plan (ECP)  Potential exposure determination  Safe work practices  Decontaminating equipment  Selecting and using Personal Protective Equipment (PPE)  Handling bio-waste  Handling Laundry  Labels and signs  Training requirements  Recordkeeping requirements

15 Who Must be Trained  All employees with occupational exposure to blood or other potentially infectious material (OPIM)  Employees who are trained in first aid and CPR as responders

16 Category One Employees  All employees in this category may have occupational exposure to BBP School Nurses Teachers & Aides providing physical care to disabled students Bus Drivers transporting disabled students Anyone having contact with known HBV carriers Communication disorder specialists and physical therapists All coaches in WA State schools Custodians who clean-up body fluid wastes. (See complete list in the district’s ECP)

17 Category Two Employees  Some of the employees in this category may have occupational exposure to BBP Science teachers & aides Special Ed teachers and aides Preschool teachers Playground monitors School crossing guards P.E. & Voc-Ed teachers Maintenance personnel who repair plumbing (See complete list in the district’s ECP)

18 Universal Precautions  Treat all blood and bodily fluids as if they are contaminated  Proper cleanup and decontamination  Custodial work—latex gloves

19 Protective Equipment  Bleeding control—latex gloves  Spurting blood—latex gloves, protective clothing (smocks or aprons), respiratory mask, eye/face protection (goggles, glasses, or face shield)  Post-accident cleanup—latex gloves  Custodial work—latex gloves

20 Decontamination  Wear protective gloves  Disinfectant/cleaner provided in bodily fluid disposal kit  Solution of 1/4 cup bleach per gallon of water  Properly dispose of contaminated PPE, towels, rags

21 Safe Work Practices  Remove contaminated PPE or clothing as soon as possible  Clean and disinfect contaminated equipment and work surfaces  Thoroughly wash up immediately after exposure  Properly dispose of contaminated items

22 Regulated Medical Waste  Liquid or semi-liquid blood or OPIM (other potentially infectious materials)  Contaminated items that would release blood or OPIM when compressed  Contaminated sharps  Pathological and microbiological waste containing blood or OPIM

23 Labels and Signs  Labels must include the Universal Biohazard Symbol, and the term “Biohazard” must be attached to: containers of regulated biohazard waste refrigerators or freezers containing blood or OPIM containers used to store, transport, or ship blood or OPIM

24 Hepatitis B Vaccination  Strongly endorsed by medical communities  Shown to be safe for infants, children, and adults  Offered to all potentially exposed employees  Provided at no cost to Category 1 & 2 employees  Declination form

25 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  Report all exposure incidents to ESD 101 W/C Rep or

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

27 Recordkeeping Medical records include:  Hepatitis B vaccination status  Post-exposure evaluation and follow-up results Training records include:  Training dates  Contents of the training  Name and qualifications of trainer Sharps Injury Log

28 OSHA 300 Log School Districts DO NOT need to maintain an “OSHA 300 Log.”

29 Bloodborne Pathogens Goals  Basics of Bloodborne Diseases  Exposure Prevention  Quiz

30 Summary  Universal Precautions  Personal Protective Equipment (PPE) and safe work practices  Decontamination  Exposure incident

31 Quiz 1. Name two of the most common bloodborne pathogens: ________________________________ 2. After exposure to potentially infected bodily fluids, you should immediately: ______________________ 3. HIV and HBV can be transmitted when infected bodily fluids directly contact the eyes or non-intact skin. True or False 4. The risk of exposure to bloodborne pathogens is only possible when blood is present in the bodily fluid. True or False 5. Treating all body fluids as infected is known as ___________Precautions.

32 Quiz (cont.) 6. HIV stays alive in dried blood. True or False 7. Name one way you might be exposed to human blood at your workplace: _________________________ 8. What minimum PPE should be worn when controlling normal bleeding? _________________________ 9. Besides the disinfectant/cleaner provided in first aid kits, what other solutions can be used to decontaminate equipment or surfaces?_________ 10. How do you dispose of absorbed bodily fluids? 11. ______________________________________ _

33 Quiz Answers 1. HIV and Hepatitis B (HBV). 2. You should immediately wash any exposed areas. 3. True. Infected bodily fluids need to directly contact mucous membranes or non-intact skin. 4. True. Although many bodily fluids may be infectious, they must contain blood to carry bloodborne pathogens. 5. Treating all bodily fluids as infected is known as Universal Precautions.

34 Quiz Answers (cont.) 6. False. HIV dies almost immediately. HBV can live as long as one week. 7. Administering first aid, decontaminating equipment, doing janitorial work, etc. 8. Gloves must be worn, at a minimum, when controlling normal bleeding. When controlling spurting blood, additional PPE must be worn including: a face shield, an apron, shoe covers, etc. 9. A solution of bleach and water. 10. Absorbed bodily fluids from a general industry facility can usually be double bagged and discarded with the normal garbage.