1. UNIVERSAL PRECAUTIONS
Protecting Yourself From Bloodborne Pathogens
Presentation Prepared by:
Laurie G. Combe, MN, RN
Klein ISD Health Services Coordinator
OSHA requires that all employees be advised of the potential risk of exposure to bloodborne pathogens. The agency also requires that you be advised of precautionary measures and exposure reporting procedures.

2. How Do I Know When To Be Careful?
Every contact should be considered potentially harmful, because not everyone knows they are ill or is willing to share their health information.
The law does not allow us to notify you of potential sources of infection; therefore, you should take precautions every time you come in contact with a possible source of infection.

3. How Do I Know When To Be Careful?
Take precautions every time you are in contact with the body fluids or tissues of another person.

4. Potential Sources Of Infection
Blood
Vomit
Mucous
Urine
Feces
Body tissues
Saliva
Torn or loose skin
Genital secretions

5. How Do Germs/Pathogens Enter My Body?
Open cuts & scratches
Abrasions or scrapes
Dermatitis
Acne
Mucous membranes of mouth, eyes, & nose
Be aware of surfaces you may touch, splashing of materials into your face, people touching you while bleeding, etc.. If you have an open wound, it is advisable to keep it covered with a bandage.

6. Hepatitis B Can Survive On Environmental Surfaces For Up To One Week
You are probably at greatest risk for this disease as opposed to any of the others discussed in this presentation.

7. Hepatitis B - Modes Of Transmission
Contact with contaminated surfaces
Eyes
Mouth
Broken Skin
Tattoo
Body Piercing
Shared razor, earrings, toothbrush
Sexual Contact
As you can see many of the activities teenagers engage in also put them at risk of contracting Hepatitis B.

8. HIV - Modes Of Transmission
Not a very resilient virus
Sexual contact
Blood
Some body fluids
Body tissues

9. Hepatitis A - Modes Of Transmission
Fecal - oral route
Improper food handling
Clothing
Raw, contaminated shellfish
Poor hand washing after restroom use
Handwashing in food preparation areas is critical to prevention of Hepatitis A. If you work with students on food preparation projects, please make sure that they wash their hands thoroughly before preparation and consumption of food.

10. Hepatitis C - Modes Of Transmission
Blood
Transfusion
Organ transplant
Remember that Hepatitis B can remain virulent on surfaces for up to one week. Be cognizant of the surfaces you touch and their potential for infection.

11. Where Can I Find These Pathogens?
Hands
Desks
Floors
Scissors
Exacto Blades
Door knobs
Books
Diapers
Broken glass
Sharp metal
Needles
Knives
Orthodontic wires
Restroom surfaces
And more

12. How Do I Prevent Transmission?
Hand washing vigorously for at least 20 seconds with soap and warm water
Gloves
Disinfect with KISD approved cleaners
Double bag contaminated articles
Remove contaminated materials from work area ASAP
Dispose of sharps in appropriate container

13. Soap and Water Hand Washing
Wet hands with warm water
Apply soap
For at least 20 seconds, rub hands together, making sure to spread soap foam on palms, between fingers, fingertips and backs of hands
Rinse hands under running water
Pat hands dry with paper towels
Turn of water using paper towel to prevent recontamination of hands

14. Hand Sanitizers Use
Apply a dime sized portion of hand sanitizer to the palm of your hand
Wet the fingertips of each hand with the sanitizer
Rub hands palm to palm, between fingers, and the back of hands
Continue rubbing until your hands are dry

15. To prevent illness wash hands frequently and:
BEFORE
You eat
Treat a break in skin
Care for ill person/animal
Insert or remove contact lenses
AFTER
Use restroom
Handle uncooked foods
Change a diaper
Sneeze, cough or blow your nose
Handle garbage
Care for ill/injured
Touch an animal
Remove gloves used as personal protective equipment

16. Job Specific Exposure Protection Plan
Refer to the Klein ISD Bloodborne Pathogen Exposure Control Plan attached to this eCourse to review your Job Specific Exposure Plan.

17. Job Specific Exposure Plan
Review you exposure plan to determine:
What work tasks put you at risk
Safe work practices
Personal Protective Equipment you should use

18. What To Do If You Are Exposed?
Report to your supervisor
Report to campus school nurse
If needed, complete Workman’s Comp form and KISD Employee Exposure Report.
Take reports to your doctor.
Give copy of report to your supervisor.

19. Where Can I Find the KISD Bloodborne Pathogen Plan?
Attached to this eCourse
Principal Secretary’s Office
Department Offices
School Clinic
There are several place you can view the KISD Bloodborne Pathogen Plan. It can be accessed via Kleinet or in the school clinic Mrs. Clark’s office.

20. REVIEW... Consider every contact potentially harmful.
Wash your hands frequently.
Personal Protective Equipment
Report exposures to your supervisor
Report to campus school nurse
Complete Workman’s Comp form
See your doctor

21. QUESTIONS????
Contact you campus nurse if you have questions related to the content of this presentation.
If you are not assigned to a school campus, direct questions to:

22. Bibliography
Bloodborne Pathogen Plan. Klein ISD. (Online) January, 2001.
Guide to the five types of viral hepatitis. Harris County Health Department. Circa 1995.
Manual of Information on Acquired Immunodeficiency Syndrome. Klein Independent School District. December, 1986.
OSHA Fact Sheets: Bloodborne Pathogens Final Standard. (Online) Jun
Persons reported to be living with HIV infection and with AIDS, by state and age group, reported through December, Center For Disease Control. (Online) 1.htm. Jun. 29, 2000.
Grey Bruce Public Health Unit, Ontario, Canada. Hand Washing Video

23. Course Completion Confirmation
Complete the Survey Link on the Teacher Training page to confirm your completion of this course.