1. Bloodbourne Pathogens

2. Standard Precautions  Hand washing  Gloves  Environmental control

3. Tuberculosis (TB)  A serious re-emerging bacterial illness  Affects the lungs  Spread through the air  Two Forms:  TB Infection - people can take medication to prevent TB Disease  TB Disease - active infection  Get tested annually (PPD Test)

4. Who is at risk for TB?  Persons with diabetes and certain cancers  Persons with HIV infection or other diseases that weaken the immune system  Persons in close contact with someone who has TB  Homeless people  Persons in Nursing Homes and Prisons  Persons who inject drugs

5. Hepatitis B (Hep B)  Serious disease caused by a virus that attacks the liver.  Can cause lifelong infection, cirrhosis, scarring of the liver, liver cancer, liver failure, and death.  Transmitted when blood of an infected person enters the body of another person.  Unprotected sex  Sharing needles  Infected mother to baby

6. Symptoms of Hep B  Fatigue  Abdominal pain  Loss of appetite  Nausea  Vomiting  Joint Pain *30% of people show no signs. Signs are less common in children than adults. (CDC.gov) *The highest rate of infection occurs in 20-49 yr olds.

7. Hep B Prevention  Hepatitis B Vaccine  Avoid contact of blood and bodily fluids  Do not share personal care item that may have blood on them (razor, toothbrush)  If pregnant get a blood test for Hep B (required in NYS)  Think about risks of getting a tattoo or piercing  Do not shoot drugs  Safe sex

8. Hep B Vaccine  Available since 1982  Vanderheyden will provide you with where to get the shots for free  Series of 3 shots  If received within the last 10-12 years, it is good for a lifetime.

9. HIV/AIDS Transmission  Through the mucous membranes  Unprotected sex  Contact of contaminated needles/syringes  Blood transfusions before 1985 in US

10. Working with or being around someone who is positive HIV/AIDS is NOT transmitted through...  Hugs  Sweat  Spit  Tears  Insect Bites  Clothes  Phones  Toilet Seats  Donating Blood  Water Fountains  Sharing Meals  Closed Mouth Kiss

11.  Get tested  Talk to your personal physician  Call 1-800-342-AIDS(2437)  Tests are free and confidential How do I know if I have HIV?

12.  Anytime you com in contact with blood or bodily fluids while working, tell your supervisor immediately.  Complete the Occupational Exposure Incident Report (available from a supervisor or the Intranet)  Go to the doctor for disease exposure and get treatment. Occupational Exposure

13. Spill Kits  Located in vehicles, each program’s chemical supply closet, and in each divisional area.  Contents:  X-lg. vinyl gloves (5 pair)  Absorbent paper towels  Plastic Bags  Lysol IC foam disinfectant spray (24 oz.)  Band-aids (large and regular – 5 each)  Gauze pads (4x4 and 2x2 – 5 each)  Antiseptic towlettes (8)  Gauze Rolls (2)

14. Spill Kits  Procedures: 1.Prior to clean-up, use Personal Protective Equipment (PPE) as needed and at minimum vinyl gloves. 2.Soak up body fluid with absorbent towels 3.Scrub area with soap and water and dispose of absorbent towels 4.Saturate area with Lysol IC foam spray and allow to stand for 10 minutes 5.Wipe up with absorbent towels and dispose of in a plastic bag 6.Remove gloves (as displayed in training) and place in bag 7.Seal bag 8.Dispose of plastic bag in a lined garbage can 9.Wash hands with soap and water for at least 20 seconds

15. Replenishing Spill Kits: Submit a purchase requisition into Health Services with appropriate program number and cost center code. Monitoring: Kits will be checked and documented on the “Monthly Environmental Checklist.”

16. Now…Let’s see who can take me off successfully!