1. Haddonfield Public Schools
Bloodborne Pathogens
Haddonfield Public Schools
Presented by
Haddonfield School Nurses
Sharon Garnier, RN Loretta Macconi, RN
Beth Herrera, RN Peggy Petrillo, RN
Laurie Lipiecki, RN
Special Thanks to Madeline Mills, RN
Woodbury Public Schools

2. BLOODBORNE PATHOGENS
THE FOLLOWING IS AN ANNUAL REQUIREMENT OF OSHA FOR ALL
EMPLOYEES
PLEASE REMEMBER TO SIGN THE ATTACHED FORM AND RETURN IT TO YOUR SCHOOL NURSE AFTER VIEWING THE SLIDE SHOW.

3. WHAT ARE BLOODBORNE PATHOGENS?
DISEASE CAUSING ORGANISMS THAT ARE TRANSFERRED THROUGH BLOOD TO BLOOD TRANSMISSION
HEPATITIS B, HEPATITIS C AND HIV ARE THE MOST COMMON
NO SYMPTOMS MAY OCCUR FOR YEARS AFTER EXPOSURE

4. WHY DO WE NEED TO FOCUS ON THIS?
CHILDREN MAY CARRY DISEASES JUST LIKE THE GENERAL PUBLIC
OSHA HAS ISSUED A STANDARD THAT CAN PROTECT YOU FROM BLOODBORNE PATHOGENS ON THE JOB
SOME SCHOOL EMPLOYEES HAVE A GREATER DEGREE OF RISK

5. AT RISK EMPLOYEES School Nurse/Substitute School Nurse
Athletic Trainers
PE Personnel
Building Custodians
Teachers and/or EA’s responsible for children with potential aggressive tendencies
EA’s with playground responsibilities

6. LET’S GET MORE SPECIFIC
3 MOST COMMON BLOODBORNE INFECTIONS ARE:
HEPATITIS B, MOST COMMON BBP
HEPATITIS C
HIV

7. HEPATITIS B VIRAL DISEASE THAT CAUSES LIVER INFLAMMATION
50% OF THOSE INFECTED HAVE SYMPTOMS (FLU LIKE SYMPTOMS, JAUNDICE); 50% HAVE NO SYMPTOMS
10% END UP WITH CHRONIC LIVER DAMAGE WHICH CAN BE LIFE THREATENING
A RELIABLE VACCINE IS AVAILABLE

8. HEPATITIS B VACCINE
Offered at no charge for employees identified by the district as having a higher risk of occupational exposure to bloodborne pathogens.
See your school nurse for more information.

9. HEPATITIS C VIRAL DISEASE THAT CAUSES INFLAMMATION OF THE LIVER
MOST PEOPLE DON’T FEEL ILL AFTER INITIALLY INFECTED
85% GO ON TO DEVELOP CHRONIC INFECTION LEADING TO LIVER DISEASE
THERE IS NO CURE OR VACCINE PRESENTLY BUT MEDICATIONS AVAILABLE MAY ARREST IT.

10. HIV HUMAN IMMUNODEFICIENCY VIRUS
ATTACKS THE BODY’S IMMUNE SYSTEM OVER A PERIOD OF TIME
MANY DEVELOP AIDS - DEATH OCCURS FROM INFECTION OR CANCERS
MEDICATION REGIMES HAVE PROLONGED LIFE BUT THERE IS NO CURE OR VACCINE YET

11. TIME OUT!!! SHOULD WE PANIC?….NO! RISK OF EXPOSURE IS LOW IN
THE SCHOOL SETTING
PREVENTION IS THE BEST
POLICY

12. EXACTLY HOW ARE BBP’S TRANSMITTED?
BLOODBORNE PATHOGENS ARE TRANSMITTED MOST EASILY THROUGH DIRECT CONTACT WITH INFECTED BLOOD
THEY CAN ALSO SPREAD THROUGH SEMEN, VAGINAL SECRETIONS, OR OTHER TISSUES CONTAINING VISIBLE BLOOD

13. TRANSMISSION OVERALL UNPROTECTED SEX WITH AN INFECTED PERSON
SHARING NEEDLES FOR ILLICIT DRUG USE
INFECTED MOTHER TO UNBORN CHILD
BLOOD TRANSFUSIONS PRIOR TO 1982

14. TRANSMISSION IN SCHOOLS
BROKEN SKIN OR MUCOUS MEMBRANES COME IN CONTACT WITH INFECTED BLOOD OR BODY FLUID WITH VISIBLE BLOOD
ACCIDENTAL INJURY WITH AN INFECTED SHARP OBJECT

15. PREVENTION IS KEY
UNIVERSAL PRECAUTIONS-TREAT ALL BLOOD AND BODY FLUIDS CONTAINING VISIBLE BLOOD AS IF CONTAMINATED WITH BBP’S
ALWAYS USE BARRIER PROTECTION/PERSONAL PROTECTIVE EQUIPEMENT (PPE), SUCH AS GLOVES WHEN YOU ANTICIPATE TOUCHING BLOOD, BODY FLUIDS OR CONTAMINATED SURFACES
CERTAIN SITUATIONS MAY WARRANT ADDITIONAL PPE, SUCH AS GOWNS, MASKS, EYE PROTECTION, ETC.

16. PREVENTION IS KEY
WASH HANDS AND SKIN SURFACES IMMEDIATELY AFTER CONTACT WITH BLOOD OR BODY FLUIDS
DISINFECT ANY CONTAMINATED SURFACES AND EQUIPMENT WITH APPROVED SOLUTION AND PROCEDURES (1/4 CUP BLEACH TO 1 GALLON WATER)
ALONE, NONE OF THESE APPROACHES IS 100% EFFECTIVE. THEY MUST BE USED TOGETHER TO PROTECT YOU FROM HEPATITIS B AND HIV

17. …PREVENTION IS KEY...
PICK UP BROKEN GLASS, SHARPS WITH A BROOM, TONGS ETC.
ALWAYS USE BARRIER EQUIPMENT IF YOU HAVE TO RESUSCITATE A VICTIM (FOR THOSE WHO ARE CPR TRAINED)

18. HANDLING SITUATIONS …
USE UNIVERSAL PRECAUTIONS FOR ALL FIRST AID EMERGENCIES
ALL STAFF SHOULD HAVE QUICK ACCESS TO GLOVES
ALLOW A BLEEDING VICTIM TO TREAT SELF WITH PRESSURE, IF APPROPRIATE

19. VICTIM SHOULD GO TO NURSE OR NURSE IS NOTIFIED TO GO TO THE VICTIM
NOTIFY CUSTODIAN FOR CLEANUP WITH DISINFECTANT
USING GLOVES, STORE ALL CONTAMINATED CLOTHING, EQUIPMENT IN A PLASTIC BAG

20. REMOVING GLOVES
WITH BOTH HANDS GLOVED, PEEL ONE GLOVE OFF FROM TOP TO BOTTOM AND HOLD IT IN THE GLOVED HAND.
WITH THE EXPOSED HAND, PEEL THE SECOND GLOVE FROM THE INSIDE, TUCKING THE FIRST GLOVE INSIDE THE SECOND.
DISPOSE OF THE ENTIRE BUNDLE PROMPTLY.
NEVER TOUCH THE OUTSIDE OF THE GLOVE WITH BARE SKIN.
USING SOAP AND WATER, WASH HANDS.

21. OK, WHAT IF EXPOSURE OCCURS?
FROM INJURIES, BITES, SHARPS, BLOODY BODY FLUIDS

22. IF EXPOSED TO BLOOD OR CONTAMINATED BODY FLUIDS...
COPIOUSLY WASH AFFECTED AREA WITH SOAP AND WARM WATER. FLUSH EYES COPIOUSLY WITH WARM WATER IF EXPOSED
REPORT THE EXPOSURE TO THE NURSE OR SUPERVISOR IMMEDIATELY
YOUR EMPLOYER SHOULD MAKE ARRANGEMENTS FOR MEDICAL FOLLOW-UP, AS NEEDED
AN EXPOSURE CONTROL PLAN IS IN PLACE

23. EXPOSURE CONTROL PLAN (ECP)
THE PLAN SERVES AS AN EMPLOYER COMPLIANCE GUIDE TO THE OSHA BLOODBORNE PATHOGENS STANDARD.
IT IDENTIFIES THE PERSONNEL AT GREATEST RISK FOR EXPOSURE.
IT ANALYZES THE POTENTIAL HAZARDS OF EACH JOB DESCRIPTION.
IT DETERMINES WHAT MEASURES WILL BE TAKEN TO REDUCE THE RISK OF EXPOSURE TO BLOODBORNE PATHOGENS ON THE JOB.
CONTACT YOUR ADMINISTRATOR TO REVIEW PLAN OR OBTAIN A COPY.

24. SIGNS AND LABELS
WATCH FOR THE BIOHAZARD SYMBOL. THIS SYMBOL WILL WARN YOU WHEN THE CONTENTS OF CONTAINERS USED FOR WASTE, STORAGE OR SHIPPING CONTAIN BLOOD OR OTHER POTENTIALLY INFECTIOUS MATERIALS.

25. REMEMBER... MOST SCHOOL EMPLOYEES ARE NOT AT A HIGH RISK FOR EXPOSURE
MOST EXPOSURES DO NOT RESULT IN INFECTION
WASHING HANDS IS THE BEST PREVENTION

26. REMEMBER TO SIGN AND HAND IN YOUR FORM.
QUESTIONS?
SEE YOUR NURSE.
REMEMBER TO SIGN AND HAND IN YOUR FORM.
THANKS!!