1. BLOODBORNE PATHOGENS October 2008

2. TMD-8303-SA-0045 Rev. 1, October 09 2 Bloodborne Pathogens - BBP Agenda:  What are bloodborne pathogens?  Overview of BBP regulation  Preventing exposures personal protective equipment - PPE universal precaution work practices  Clean up of BBP  Exposure reporting  Summary & Quiz

3. TMD-8303-SA-0045 Rev. 1, October 09 3 What are Bloodborne Pathogens? Microorganisms in human blood that can cause disease in humans, including: hepatitis B and C viruses and HIV. Workers (doctor, nurse, first aid team members, etc.) exposed to these pathogens risk serious illness. OSHA’s Bloodborne Pathogens standard sets safety rules to protect workers from exposure to blood and other bodily fluids.

4. TMD-8303-SA-0045 Rev. 1, October 09 4 Who is covered by the standard?  Required by OSHA (29 CFR 1910.1030)  All employees who could be “reasonably anticipated” to come into contact with blood or other bodily fluids while doing their job.  Doctor, nurse, blood bank worker, dentist, mortician, ambulance/EMT worker, first aid team member, etc.

5. TMD-8303-SA-0045 Rev. 1, October 09 5 Infectious Materials / Exposure Infectious materials  Blood & bodily fluids such as: vomit, urine, semen, vaginal secretions, lung fluid, amniotic fluids, etc.  Any bodily fluid that cannot be identified How does exposure occur?  Contact of eye, nose, mouth or broken skin with contaminated blood or bodily fluids  During an industrial accident / first aid  When performing routine janitorial work (i.e., post-accident clean-up)

6. TMD-8303-SA-0045 Rev. 1, October 09 6 Universal Precautions / PPE  Always wear rubber gloves and safety glasses whenever cleaning up blood or bodily fluids Universal Precautions means treating all blood or bodily fluids as if it were infected

7. TMD-8303-SA-0045 Rev. 1, October 09 7 Personal Protective Equipment  People who clean up blood spills should wear disposable gloves strong enough to avoid tearing  If you clean a rough surface, wear a thicker glove or two pair of thin gloves  If you are wearing a ring that can tear a glove, take it off  Do not touch outside of glove to your skin  Wear safety glasses while cleaning up BBP

8. TMD-8303-SA-0045 Rev. 1, October 09 8 Work Practices  Wear rubber gloves (not too small or large) – always check gloves for holes before using in a BBP clean-up  Remove gloves after spill clean-up; before leaving work area put used gloves in proper containers  Do not touch outside of glove to your skin  Do not reuse disposable gloves  After removing gloves, wash hands as soon as possible after clean-up

9. TMD-8303-SA-0045 Rev. 1, October 09 9 Work Practices – con’t  Never touch broken glass with bare hands  Minimize splashing during clean-up  Use proper spill disinfection steps  Use Virex II cleaner (or equivalent) to soak (disinfect) the spill for 10 minutes before cleaning up  Liquid cleaned-up can be flushed, solids must be disposed of according to local jurisdiction  Do not eat, drink, handle contact lenses, or apply make-up in areas where there may be blood or bodily fluids

10. TMD-8303-SA-0045 Rev. 1, October 09 10 Glove Removal Technique Do not touch outside of glove to your skin

11. TMD-8303-SA-0045 Rev. 1, October 09 11 Proper Cleaning Procedures  Use only disposable towels, gloves, and materials to clean up blood body fluids  Dispose of all clean-up materials (including gloves) in accordance with local jurisdiction  Control clean-up area – do not let other people in the area until spill has been cleaned-up  Use Virex II (or equivalent disinfectant) for BBP clean-ups  The area can have a final rinse after disinfection, if needed  If a spill involved broken glassware, NEVER pick up the glass directly with your hands. Always use tongs or brush and a dustpan

12. TMD-8303-SA-0045 Rev. 1, October 09 12 What to do if an exposure occurs?  Contact with skin: wash exposed areas with antibacterial soap and warm running water for at least 20 seconds  Contact with eyes, nose, mouth: flush affected area with running water for at least 15 minutes  Contact with clothes: remove contaminated clothing, and wash underlying skin  Report exposure (BBP contact with open skin or eyes, nose, mouth) to your supervisor immediately

13. TMD-8303-SA-0045 Rev. 1, October 09 13 Summary  Treat all blood and bodily fluids as if they are infected  Notify your Supervisor immediately if you are hurt/bleeding  Notify your Supervisor immediately if you have been exposed to someone else’s blood or bodily fluids at work  Always wear rubber gloves and safety glasses when doing a BBP clean-up  All BBP clean-up items must be disposed of properly  Don’t perform a BBP clean-up if you haven’t been trained

14. TMD-8303-SA-0045 Rev. 1, October 09 14 Summary Quiz F 1. BBP stands for bloodborne platelets. False – bloodborne pathogens – micro-organisms in blood/body fluid that can cause disease. 2. Anyone can clean-up blood if they are wearing gloves. 3. Universal precautions means treating ALL blood and bodily fluids as if it is infected. T FT FT True – always assume blood/bodily fluid is infected and wear rubber gloves & safety glasses. False - Only trained and authorized workers can clean-up BBP spills.

15. TMD-8303-SA-0045 Rev. 1, October 09 15 Summary Quiz 4. You don’t have to wash your hands after cleaning up a BBP spill. TF 5. You must notify your Supervisor at the end of the day if you have been exposed to bloodborne pathogens. False – You must wash your hands immediately (after removing your gloves), after cleaning up a BBP spill. False – You must notify your Supervisor immediately if exposed to bloodborne pathogens. TF

16. TMD-8303-SA-0045 Rev. 1, October 09 16 Questions ?? Please feel free to ask any questions about the material we’ve covered…