2.  Definition: microorganisms present in human blood and can infect and cause disease to those exposed to blood containing the pathogen  Examples include HIV, Hepatitis B &C, and syphilis

3.  Assume all body fluids are infectious and all surfaces are unclean.  Disease causing bacteria and viruses can be carried in someone who shows no symptoms.  Note that MRSA can be in sputum, on skin, or in wound drainage of infected person.

4.  What’s considered contaminated body fluids  Semen  Vaginal Secretions  Cerebrospinal fluid  Any body fluid with visible blood Feces, urine, nasal secretions, sputum, emesis, However, even if no visible blood handle as if it may be infectious.

5.  Spreads most easily through contact with blood, semen, vaginal secretions and other body fluids and tissue with visible blood.  Bloodborne viruses are most commonly transmitted by:  Sharing needles to inject drugs.  Having unprotected sex with an infected person.  Transmitting the virus from mother to unborn child during pregnancy.

6.  Blood borne viruses at work are transmitted mostly by:  A contaminated item punctures the skin Examples: needles  Contaminated blood or body fluid entering your body through broken skin (i.e. cuts, nicks, abrasions, dermatitis, and acne) or the mucous membranes of the eyes, nose, or mouth.

7.  Indirect transmission occurs when you touch a contaminated object or surface and then transfer the infection to your mouth, eyes, nose or non-intact skin.  Contaminated surfaces are a major cause of the spread of hepatitis. Hepatitis can survive on environmental surfaces, dried and at room temperature, for at least one week.

8.  Assume hands are contaminated.  Wash before eating, after eating, and after using restroom.  Wash with soap and water at least 20 seconds or as long as it takes to sing the Happy Birthday.

9.  Don’t allow your skin or mucous membranes to come into contact with blood or body fluids.  Cover any open areas of your skin with bandage or band aids.  Again, take care of skin and prevent chapping.  Remember: “Breaks in skin allow bugs in.”

10.  Identify personnel whose job duties expose them to blood or body fluids.  Offer Hepatitis B Vaccine if indicated by your position.  If exposure occurs, wash area thoroughly with soap and water. Do not use bleach or other cleansing agents as these may damage your skin.  Report exposure to your supervisor or school nurse.

11.  Complete any required documentation.  If after school hours, report to the building administrator.

12.  Effective housekeeping strategies include:  Clean and decontaminate all material with the appropriate disinfectant / cleaner.  Use a broom and dust pan to pick up broken glass instead of your hands.  Dispose of sharp items and other potential infectious material in appropriately marked containers.  Handle contaminated laundry as little as possible.

13.  Equipment that protects you from contact with blood or other potentially infected material (PIM) include:  Gloves  Gowns, Aprons, Lab Coats  Face Shields, Protective Eye Wear  Masks, Mouthpieces, Resuscitation Bags

14.  The PPE must fit properly, especially gloves.  All PPE must be free of physical flaws that could compromise safety.  You must use appropriate PPE each time you perform a task involving Potentially Infected Materials.  Additional gloves and other PPE can be requested from the school nurse.

15.  Gloves should be removed when they become contaminated or damaged or immediately after finishing the task.  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.  Every time you remove your gloves, wash your hands with soap and warm running water.

16.  Use personal protective equipment including gloves, goggles, masks, and/or gown if possible exposure.  Wear gloves with any possible contact of blood or body fluid  Take care of your skin. Prevent chapping or cracking.  If your position warrants, get the Hep. B vaccine.

17.  Clean all blood and bodily fluid spills promptly according to the Exposure Control Plan in the school policy manual.  Keep work surfaces and protective coverings clean.  Trash may contain contaminated sharps and shards, so never push down with your hands and feet.

18.  Watch for fluorescent orange-red labels, red bags, and containers with a biohazard symbol. This symbol will warn you when the contents of containers are used for waste, storage, or shipping contain blood or other potential infectious material.

19.  Protecting yourself from bloodborne diseases on the job requires knowing the facts and taking sensible precautions.  If you have further questions, contact your school nurse/clinic aide or contact the School Health Coordinator, Carol Cash RN, MSN at 245-5133

20.  The information presented in this presentation was taken from Bloodborne Pathogens: Handbook and from the video, Bloodborne Pathogens for School Employees. Both items are produced by Coastal Video Communications Corp  Additional information within this PowerPoint presentation was used with permission from Waynesboro Public Schools.

21.  Once you have reviewed the information, please click on the link below to complete your Bloodborne Pathogens Annual Review. This step must be completed to fulfill your annual competency.  Blood Borne Pathogen Confirmation Blood Borne Pathogen Confirmation