2. Instructions:  Choose the “View” tab on the command line above  choose the fourth item over, “slide show”  Then hit the enter key after reading each slide to move through the training  Then follow the link to complete the Quiz.  Choose the “View” tab on the command line above  choose the fourth item over, “slide show”  Then hit the enter key after reading each slide to move through the training  Then follow the link to complete the Quiz.

3. Annual O.S.H.A.Training Bloodborne Pathogens Trinity College Staff Training & Evaluation Trinity College Staff Training & Evaluation

4. The Occupational Safety and Health Administration Standard  In December of 1991 OSHA published a standard requiring employers to provide annual education regarding occupational hazards from bloodborne pathogens. Trinity is mandated to comply with this standard. Trinity is held responsible for hazards in the work area.  The OSHA standard covers anyone who can reasonably anticipate contact with blood or potentially infectious body fluids on the job.  It is important for everyone in an educational setting to understand the dangers of infection and safe procedures to minimize risk of exposure  Employees should also refer to their specific department’s Exposure Control Plan and other policies and procedures  Karen Misbach, Environmental Health & Safety Manager and/or Martha Burke O’Brien, Director of Health Services can answer questions for you.  In December of 1991 OSHA published a standard requiring employers to provide annual education regarding occupational hazards from bloodborne pathogens. Trinity is mandated to comply with this standard. Trinity is held responsible for hazards in the work area.  The OSHA standard covers anyone who can reasonably anticipate contact with blood or potentially infectious body fluids on the job.  It is important for everyone in an educational setting to understand the dangers of infection and safe procedures to minimize risk of exposure  Employees should also refer to their specific department’s Exposure Control Plan and other policies and procedures  Karen Misbach, Environmental Health & Safety Manager and/or Martha Burke O’Brien, Director of Health Services can answer questions for you.

5. Examples of Bloodborne Pathogens  Hepatitis B (HBV)  Hepatitis C (HCV)  Other Non A, Non B Hepatitis  Human Immunodeficiency Virus (HIV)  Hepatitis B (HBV)  Hepatitis C (HCV)  Other Non A, Non B Hepatitis  Human Immunodeficiency Virus (HIV)

6. body fluids other than blood considered capable of transmitting infections  Spinal Fluids  Fluid in joints  Fluids around the heart and lungs  Fluids in the abdomen  Semen  Vaginal secretions  All fluids in an emergency situation should be considered contaminated  Spinal Fluids  Fluid in joints  Fluids around the heart and lungs  Fluids in the abdomen  Semen  Vaginal secretions  All fluids in an emergency situation should be considered contaminated

7. diseases carried by the blood Bloodborne Diseases diseases carried by the blood  Hepatitis B Virus (HBV)  As many as 1 million adults are infected  Many people are unaware they are infected  Infection may present itself as flu-like symptoms like fever, fatigue and malaise. Some people get no symptoms at all with infection  When someone is infected, blood, saliva, and other body fluids can be infectious to others  HBV may be spread to co-workers, sexual partners, family members and, even unborn infants.  HBV may severely damage your liver leading to illness, chronic liver disease (5%), and sometimes even death.  Hepatitis B Virus (HBV)  As many as 1 million adults are infected  Many people are unaware they are infected  Infection may present itself as flu-like symptoms like fever, fatigue and malaise. Some people get no symptoms at all with infection  When someone is infected, blood, saliva, and other body fluids can be infectious to others  HBV may be spread to co-workers, sexual partners, family members and, even unborn infants.  HBV may severely damage your liver leading to illness, chronic liver disease (5%), and sometimes even death.

8. Hepatitis B (HBV)  2 Phases: Acute and Chronic  Acute Phase occurs just after infection, can last a few weeks to several months. Symptoms last 3 to 10 days and include fever, malaise, vomiting, rash, and joint pain. Some people recover fully and 30% become long term carriers.  Chronic Phase occurs when symptoms don’t resolve and the virus remains in the liver causing illness like jaundice and liver failure.  2 Phases: Acute and Chronic  Acute Phase occurs just after infection, can last a few weeks to several months. Symptoms last 3 to 10 days and include fever, malaise, vomiting, rash, and joint pain. Some people recover fully and 30% become long term carriers.  Chronic Phase occurs when symptoms don’t resolve and the virus remains in the liver causing illness like jaundice and liver failure.

9. Hepatitis B Vaccine  There is a vaccine to protect yourself from becoming infected with Hepatitis B. It comes in a series of 3 shots. You must get all 3 shots for it to work.  You are eligible to get these shots from Trinity but, you can also decline getting the shot.  We will ask you annually what your choice is.  There is a vaccine to protect yourself from becoming infected with Hepatitis B. It comes in a series of 3 shots. You must get all 3 shots for it to work.  You are eligible to get these shots from Trinity but, you can also decline getting the shot.  We will ask you annually what your choice is.

10. diseases carried by the blood Bloodborne Diseases diseases carried by the blood  Hepatitis C Virus (HCV)  About 4 million adults carry the HCV virus, 1 in 5 have no symptoms  HCV exhibits symptoms similar to HBV, only a blood test can tell which infection is present.  Currently there is no effective vaccine for HCV and treatment is difficult with side effects.  75% of people infected with HCV have no symptoms at all.  85% of people who become infected will develop chronic liver disease.  Hepatitis C Virus (HCV)  About 4 million adults carry the HCV virus, 1 in 5 have no symptoms  HCV exhibits symptoms similar to HBV, only a blood test can tell which infection is present.  Currently there is no effective vaccine for HCV and treatment is difficult with side effects.  75% of people infected with HCV have no symptoms at all.  85% of people who become infected will develop chronic liver disease.

11. diseases carried by the blood Bloodborne Diseases diseases carried by the blood  Human Immunodeficiency Virus (HIV)  About 1 million adults are infected and 100% of infected people progress to chronic illness  Attacks the body’s immune system, causing the disease known as AIDS.  Currently there is no vaccine to prevent infection and there is no cure  Symptoms may not develop for several years after exposure.  Symptoms may include flu like symptoms including fever, diarrhea, weight loss and fatigue.  Transmitted through contact with blood and body fluids primarily through sexual contact.  HIV is not transmitted by touching or working around people who carry the disease.  Human Immunodeficiency Virus (HIV)  About 1 million adults are infected and 100% of infected people progress to chronic illness  Attacks the body’s immune system, causing the disease known as AIDS.  Currently there is no vaccine to prevent infection and there is no cure  Symptoms may not develop for several years after exposure.  Symptoms may include flu like symptoms including fever, diarrhea, weight loss and fatigue.  Transmitted through contact with blood and body fluids primarily through sexual contact.  HIV is not transmitted by touching or working around people who carry the disease.

12. Workplace Transmission  Bloodborne pathogens (HBV,HCV,HIV) can enter your body and cause infection through;  Open cuts & scratches on skin surfaces  Skin abrasions like bites and wounds  Skin infections like dermatitis  Eye contact  Acne  The mucous membranes or linings of your mouth, eyes or nose.  Bloodborne pathogens (HBV,HCV,HIV) can enter your body and cause infection through;  Open cuts & scratches on skin surfaces  Skin abrasions like bites and wounds  Skin infections like dermatitis  Eye contact  Acne  The mucous membranes or linings of your mouth, eyes or nose.

13. Workplace Transmission  Accidental Injury  You can become infected or exposed to contaminated blood by injury with a contaminated sharp object like;  Broken Glass  Sharp Metal  Needles  Knives  Exposed ends of orthodontic wires.  Accidental Injury  You can become infected or exposed to contaminated blood by injury with a contaminated sharp object like;  Broken Glass  Sharp Metal  Needles  Knives  Exposed ends of orthodontic wires.

14. Workplace Transmission  Indirect Transmission  Infection can occur if you touch an object or surface contaminated with blood or other infectious materials and transfer the infection to your mouth, eyes, nose or open skin.  Contaminated surfaces are a major cause of the spread of hepatitis. HBV can survive on environmental surfaces dried and at room temperatures for at least one week.  Indirect Transmission  Infection can occur if you touch an object or surface contaminated with blood or other infectious materials and transfer the infection to your mouth, eyes, nose or open skin.  Contaminated surfaces are a major cause of the spread of hepatitis. HBV can survive on environmental surfaces dried and at room temperatures for at least one week.

15. Methods to prevent transmission of bloodborne pathogens  Exposure Control Plan – each department that has employees deemed at risk has an exposure control plan  Standard Precautions – every fluid until identified should be considered infectious and employees should protect themselves from exposure using avoidance or protective equipment like gloves.  Engineering Controls – departments need to examine equipment used to do jobs and remove those that present hazards  Practice Controls – departments need to create policies for completing tasks that require the least amount of hazard to their employees like good housekeeping to clean and disinfect surfaces  Personal Protective Equipment - employees who handle blood or body fluids will be provided equipment at no cost to wear to protect themselves and, employees should wash hands thoroughly after removing gloves  Exposure Control Plan – each department that has employees deemed at risk has an exposure control plan  Standard Precautions – every fluid until identified should be considered infectious and employees should protect themselves from exposure using avoidance or protective equipment like gloves.  Engineering Controls – departments need to examine equipment used to do jobs and remove those that present hazards  Practice Controls – departments need to create policies for completing tasks that require the least amount of hazard to their employees like good housekeeping to clean and disinfect surfaces  Personal Protective Equipment - employees who handle blood or body fluids will be provided equipment at no cost to wear to protect themselves and, employees should wash hands thoroughly after removing gloves

16. Universal Precautions  This means that you should protect yourself from ALL blood and body fluids using protective equipment like tongs to pick up glass, and wearing gloves, masks and goggles to clean contaminated areas.

17.  You can request any personal protective equipment from your Supervisor free of charge.  You can ask your Supervisor to see the Exposure Control Plan (policies concerning Bloodborne pathogens).  You can request any personal protective equipment from your Supervisor free of charge.  You can ask your Supervisor to see the Exposure Control Plan (policies concerning Bloodborne pathogens).

18. Universal Biohazard Sign This is the Universal sign for Biohazard objects. Anything containing hazardous substances should be put in a container and labeled with a sticker like this. These containers and all other hazardous and or biomedical waste is disposed of in the Health Center.

19. Steps to Take in the event of an exposure  Do not delay treatment for any reason  If you feel you have been exposed to a potentially infected source while doing your job, wash the exposed area thoroughly with soap and water and notify your supervisor immediately.  Then seek health care at our Workmen’s Compensation clinic or in the E.R if after hours.  Do not delay treatment for any reason  If you feel you have been exposed to a potentially infected source while doing your job, wash the exposed area thoroughly with soap and water and notify your supervisor immediately.  Then seek health care at our Workmen’s Compensation clinic or in the E.R if after hours.

20.  If you are interested in obtaining the Hepatitis B vaccine please call and schedule an appointment with a Nurse Practitioner in the Health Center 860-297-2018.  Now please copy the link below into your internet browser to complete the short quiz to show you have completed this training module.  https://www.surveymonkey.com/s.aspx?sm=fw7V PT8CQDEE6ZKSLK4khQ_3d_3d https://www.surveymonkey.com/s.aspx?sm=fw7V PT8CQDEE6ZKSLK4khQ_3d_3d  If you are interested in obtaining the Hepatitis B vaccine please call and schedule an appointment with a Nurse Practitioner in the Health Center 860-297-2018.  Now please copy the link below into your internet browser to complete the short quiz to show you have completed this training module.  https://www.surveymonkey.com/s.aspx?sm=fw7V PT8CQDEE6ZKSLK4khQ_3d_3d https://www.surveymonkey.com/s.aspx?sm=fw7V PT8CQDEE6ZKSLK4khQ_3d_3d