1. Exposure Control Plan Training Program
Bloodborne Pathogens
Exposure Control Plan
Training Program

2. Bloodborne pathogen exposure can occur in the school setting or work environment. Exposure to blood is the most frequent source of transmission of the Hepatitis B virus, Hepatitis C virus and Human Immunodeficiency virus (HIV) in the work place. Our objectives are to:
Educate employees about these diseases.
Train you how to protect yourself.
Continue the safety and good health of our personnel.
Fulfill the law…

3. Title 29 Code of Federal Regulation, Article 1910
Title 29 Code of Federal Regulation, Article , Occupational Safety and Health Administration (OSHA), Bloodborne Pathogens Standard as specified in Health and Safety Code, Article mandates a program be developed to minimize employees exposure to bloodborne pathogens.

4. Hepatitis B (HBV) Causes serious liver disease, cirrhosis, and cancer
Jaundice (yellowing of eyes and skin due to toxins in the blood)
Fatigue, abdominal pain, loss of appetite
50% have no symptoms at all
Most people infected recover and clear the infection.
10% become chronically infected.
Poses greatest risk of transmission
Can live on a hard surface up to a week
Can be prevented by a vaccination!!
CDC,2004

5. Hepatitis B Continued
Each year 5,000 people die from chronic liver disease and liver cancer caused by HBV.
According to the Centers for Disease Control and Prevention (CDC), 1.25 million people are chronically infected with HBV.
Risk for infection from a known carrier from single needle stick or cut is 6 – 30 %.
Post exposure treatment should begin preferably within 24hrs, no later than 7 days.
Treatment begins with vaccine immediately and or Hepatitis B Immune Globulin, (HBIG).
Region 3 of CDC, Dallas, Denton and Tarrant Counties, 462 people died of viral hepatitis (all types) in The greatest death rate was in the age group. Reference: Public Health Regions in Texas

6. HBV Vaccine The HBV vaccine is a three shot series completed over 4-6 months. The second dose must be one month from the first and at least two months from the third dose. The first and third doses must have at least four months between them. Most clinicians prefer six.
CDC, 2004

7. Bloodborne Pathogens Exposure Control Plan,2001
“At Risk” Employees School nurse Clinic aide, Unlicensed Diabetic Care Assistant Principal designees who cover clinic when nurse is out. Athletic trainer Coaches Special Ed Teachers and Assistants Special Ed Bus Driver Special Ed Bus Monitor Principal, Assistant Principal, Admin. Intern, Dean of Instruction School resource officer PE teachers Selected maintenance personnel-plumber/custodian
Bloodborne Pathogens Exposure Control Plan,2001

8. Bloodborne Pathogens Exposure Control Plan, 2001
HBV Vaccine Continued… Most people who get the Hepatitis B vaccine have no problems with it. Others complain of soreness at injection site and/or mild to moderate fever lasting a day or two. Serious allergic reaction is very rare. However, If you have ever had a serious or life-threatening reaction to baker’s yeast or a previous dose of Hepatitis B you should not get the vaccine.
Bloodborne Pathogens Exposure Control Plan, 2001

9. Hepatitis C (HCV) Causes serious liver disease
Symptoms are similar to HBV
85% of people with HCV have chronic infections.
About 3 million people are chronically infected in the U.S.
75% have no symptoms for more than 20 years while serious liver damage may be occurring.
CDC, 2004

10. HCV continued Leading cause for liver transplants
Up to 10,000 people die annually from HCV related liver disease.
Can be transmitted during tattooing and body piercing
Risk for transmission from a needle stick or cut from a known carrier is 1.8%.
No vaccine, no cure
Antiviral drugs have been effective in treatment.
CDC, 2004

11. HIV
The clinical picture of a person with HIV differs from person to person.
The body’s immune system loses the ability to fight off infection.
900,000 are infected in the US according to the CDC.
Persons are living longer with the disease due to many anti-viral drugs but many strains are showing resistance.
However, there is no cure and no vaccine.
CDC, 2004

12. HIV/AIDS Cases and People Living with AIDS in Public Health Region 3
Health Region 3, 2005 and ,691
People Living with HIV/AIDS in Texas, in ,993
Texas Department of Health 2008

13. HIV continued
Risk for infection from a known carrier from a needle stick or cut is 0.3% or 1 in 300.
Treatment from a known exposure should start within hours. A 4 week regime of a combination of antiviral drugs are recommended by the CDC.
(CDC,2004)

14. How are the Viruses Spread?
The viruses are spread through contact with:
1. Blood
2. Semen
3. Vaginal Secretions
4. Other Bodily Fluids
CDC, 2004

15. Transmission Needles Intercourse
Mom to unborn child during or after delivery
Blood or other bodily fluid splashes to un-intact skin or the mucous membranes of the eyes, nose or mouth.
CDC, 2004

16. Standard Precautions
Standard Precautions simply states that all blood and bodily fluids (except sweat) are considered to be infected with a bloodborne pathogen.
Therefore, you must assume everyone’s blood is infected and protect yourself.
CDC, 2004

17. Protection Follow Standard Precautions. Get immunized against HBV
Wear Personal Protective Equipment to prevent exposure.
If able, allow the person whose blood is exposed to clean it up.

18. Think First!!
In the event of a possible body fluid exposure always glove first.
Cover any cuts or abrasions with a band aid or other appropriate material.
Never reuse gloves
Remove them appropriately (see demonstration)
Wash your hands after removing
CDC, 2004

19. What is an exposure?
An exposure occurs when another individual’s blood or bodily fluids comes in contact with your un-intact skin or mucous membranes.
If you contract a bloodborne pathogen disease, you risk spreading the disease to your family.
CDC, 2004

20. Bloodborne Pathogens Exposure Plan, 2001
Latex
Be sure and notify your school nurse if you are allergic to latex.
The school can provide you with vinyl gloves.
Bloodborne Pathogens Exposure Plan, 2001

21. HANDWASHING
The Number #1 Protective activity from all bacteria and viruses is thorough hand washing.
Use soap and running water
Wash vigorously for seconds
Wash under jewelry, front and backs of hands.
Rinse hands thoroughly.
Dry hands with a clean paper towel.
Turn off water with another paper towel.
Only use antimicrobial soap when indicated because it removes the skins natural defenses.

22. Good Housekeeping It’s everyone’s responsibility
1. Clean and decontaminate surfaces with disinfectant after exposure to possible infectious fluids. Disinfect changing tables after each use.
2. Use broom and dust pan to pick up broken glass or call custodial staff.
3. Place all contaminated sharps in a sharp’s container (Nurse’s Office).
Bloodborne Pathogens Exposure Control Plan,2001

23. Bloodborne Pathogens Exposure Control Plan,2001
Housekeeping Cont.
4. All material used for clean-up should be double bagged.
5. Regularly inspect and disinfect pails, beds, bends, etc… that may likely be infected.
6. Toys will be disinfected daily with a non-toxic hospital grade disinfectant.
7. Laundry contaminated with body fluids should be washed with commercial laundry soap and bleach in 160 degrees for at least 25 minutes. Dry on the hottest setting.
Bloodborne Pathogens Exposure Control Plan,2001

24. Bloodborne Pathogens Exposure Control Plan, 2001
Points to Remember
Never eat, drink, smoke or apply make-up or contacts where exposure is likely.
Clean all blood and bodily spills quickly (Notify your custodian).
Wear gloves to carry soiled clothing, blankets, etc… and carry them away from your body.
Bloodborne Pathogens Exposure Control Plan, 2001

25. Bloodborne Pathogens Exposure Control Plan, 2001
Continued…
Never attempt to compact the trash with your hands or feet. Pull the bag up from the sides and gently shake the trash down.
DOUBLE BAG any trash that is saturated with blood or other bodily fluids.
Bloodborne Pathogens Exposure Control Plan, 2001

26. Personal Protective Equipment (PPE’s)
Gloves Gowns
Lab coats Eyewear
Masks Mouthpieces
Respirator bags
*All PPE’s must fit, be worn correctly and may not be damaged.

27. What do I do if I am Exposed?
DO NOT PANIC!
Wash hands immediately or flush eyes with large amounts of water (Do not use caustic materials to clean eyes).
Report to the Nurse on your campus to fill out an exposure report. If nurse is not available report to the principal’s office or secretary.
Remember exposure does not always lead to infection. A large dose of the virus must enter bloodstream and overcome body’s natural defenses first.
Bloodborne, Pathogens Exposure Control Plan,2001

28. Exposure Occurs Contact school nurse, health services
coordinator or supervisor
Source Individual consents to
or refuses testing
Exposed employee consents to
or refuses testing (signs form)
Health Care Provider provides: (Concentra)
Testing Possible Vaccine
Counseling Recommendation for follow-up
School District talks to exposed employee to be sure follow-up
Information was received.

29. QUESTIONS