2. Click here to begin Version 4.2

3. 2 I’m Ned the Narrator. Thanks for choosing the online learning format for Communicable Disease Control at Beech Acres. I’ll lead you through this learning experience. GREETINGS! Click on the guide arrows to advance or back up.

4. 3 Throughout this session, you can control your progress by clicking on the buttons at the bottom of the screen. If your cursor disappears at anytime, just roll the mouse around till the cursor re-appears.

5. 4 Goal of this presentation To provide a refresher training about Communicable Disease… Hmmmm… Why would someone need to take this training? For all Beech Acres staff members as per our policy which is : “To ensure the health and safety of its staff and clients and of those persons with whom its staff and clients have contact either at its facilities or in its foster homes.”

6. 5 A.Communicable Disease and how it is transmitted B.Universal Precautions C.Facts regarding HIV, Hepatitis and TB D.Guidelines for Handling Bodily Fluids and Medical Records management and policy for treatment planning at Beech Acres. E.Beech Acres policy regarding Confidentiality, Disclosure of information You can expect to learn about…

7. 6 Communicable Disease HIV, Hepatitis and TB Universal Precautions Guidelines for Handling Bodily Fluids, and treatment planning Confidentiality, Disclosure of information The training will be organized like this…

8. 7 The blocks help you know where you are… For example…when you are learning about HIV, TB and Hepatitis… the blocks look like this… HIV, TB Hepatitis Check it out!

9. 8 After each of these sections, there will be a chance for you to review your learning. HIV, TB Hepatitis Communicable Disease Handling Body Fluids Universal Precautions Confidentiality Choosing the correct response will advance you to the next section. When you complete all the sections, you will receive credit for this mandatory training.

10. 9 One more thing… Before you begin, there are two more people you need to meet… May I introduce… Richard, the Beech Acres Privacy Officer And… Lenny the Lab Guy HIV, TB Hepatitis Communicable Disease Handling Body Fluids Universal Precautions Confidentiality

11. 10 My job here at Beech Acres, is to insure that the utmost care is given to protect the confidentiality of all records, files, and other information regarding the health status of clients, staff members, volunteers, and foster parents. Greetings! I’m Richard, your Beech Acres Privacy Officer.

12. 11 A very important part of my job is to… Make sure that everyone at Beech Acres is informed about Communicable Disease and knows what to do to protect themselves and their clients.

13. 12 I’ll be talking with you later about some very important Beech Acres policies and procedures. Now, let me introduce a good friend to help with the education part!

14. 13 I know some folks find viruses and body fluids really YUCKY… and sometimes confusing. It’s great to meet you! I am Lenny the Lab Guy… and your EXPERT about communicable diseases. Maybe I’m weird… but I am really into learning about viruses and how they can be transmitted from one person to another. I’m here to help you will feel more comfortable talking about Communicable Diseases.

15. 14 The latest information about HIV, Hepatitis and TB Universal Precautions After Ned explains just what is a communicable disease, I will lead you through your learning about…

16. 15 Are you ready? Let’s begin with an exploration of Communicable Diseases… Communicable Disease

17. 16 What is a Communicable Disease? Communicable Disease

18. 17 A Communicable Disease is a disease that can be transmitted by infectious bacteria or viral organisms from one person to another. Communicable Disease In other words, if someone has a Communicable Disease… you could catch it by hanging out with them unless you are careful…

19. 18 Most diseases are spread through contact or close proximity because the bacteria or viruses are airborne. Examples are influenza (“the flu”)… and a recently discovered disease… SARS (Severe Acute Respiratory Syndrome) Communicable Disease Other diseases include…diphtheria, scarlet fever, measles, mumps, whooping cough, and smallpox.

20. 19 Communicable Disease Some bacteria require specific circumstances for their transmission…

21. 20 Tuberculosis may be transmitted in several ways… in the exchange of body fluids, through food or eating utensils, and by the air… Syphilis and Gonorrhea require sexual contact… Hepatitis and Malaria are passed through through blood… Communicable Disease Here are some examples…

22. 21 In the case of HIV… ( Human Immunodeficiency Virus ), A number of different circumstances will transmit the disease but… Each requires the introduction of a contaminant into the bloodstream. Your blood must be contaminated to get it… Communicable Disease

23. 22 The bottom line is, control of Communicable Disease depends upon… 1.Understanding how each disease is transmitted 2.Each person using Universal Precautions every day Communicable Disease

24. 23 If you want to get statistics on the incidence of Communicable Diseases here in our area… Follow this Link Communicable Diseases in Ohio Communicable Disease

25. 24 Let’s Review… Communicable Disease Let’s review what you’ve learned about Communicable Diseases!

26. 25 A communicable disease is … A disease that can be transmitted by means of using eating utensils. A disease that can be transmitted by means of exchanging body fluids. A disease that can be transmitted by contaminated blood. All of the above. Communicable Disease Click on the correct answer

27. 26 Communicable Disease True, communicable diseases can be spread this way, so let’s remember not to share eating utensils. There is a more complete answer, so please try again!

28. 27 True, a communicable disease can be contracted by exchanging body fluids, but also there are other ways you can contract these diseases. Communicable Disease

29. 28 Communicable Disease Very good! Communicable Diseases are transmitted by means of contaminated blood, but let’s give this question some more thought.

30. 29 Communicable Disease Great Job! Continue on…

31. 30 Communicable Disease Please choose the BEST answer… How can you avoid getting a Communicable Disease? A. By understanding how each disease is transmitted… B. By using Universal Precautions C. By NEVER having any human contact Both A&B

32. 31 Almost right… but not quite… Communicable Disease Unfortunately… simply knowing about how each disease is not enough… You need to DO something each day to reduce your risk in becoming infected. Try Again!

33. 32 Soooo close… Communicable Disease Using Universal Precautions will dramatically reduce your risk in contracting a Communicable disease… BUT~ you can’t do Universal Precautions until you are educated about the transmission… Try Again!

34. 33 Come on now… Communicable Disease Social Isolation will certainly reduce the risk… but you know you LOVE working with others!!!! Try Again!

35. 34 Great Job! Communicable Disease It is important that you understand HOW each Communicable Disease is transmitted… AND practice Universal Precautions every day…

36. 35 Next, we’ll focus on three specific Communicable Diseases which have particular relevance to Beech Acres. Let’s check in with Lenny the Lab Guy… HIV, TB Hepatitis

37. 36 I will give you the latest information about HIV, Hepatitis and TB, and explain Universal Precautions. Then… Richard the Privacy officer can give you the Guidelines on Handling Bodily Fluids here at Beech Acres… HIV, TB Hepatitis Hello again…

38. 37 According to the CDC, blood and certain body fluids are considered potentially infectious for HIV, HBV (hepatitis) and other blood borne pathogens. LATER… I’ll explain how, by following Universal Precautions, you reduce the risk of exposure. HIV, TB Hepatitis

39. 38 Medical Terms can be really complicated… and make me feel Topsy Turvy… So here is how the National Institute of Health defines HIV… HIV, TB Hepatitis

40. 39 Human Immunodeficiency Virus (HIV) HIV is the retrovirus isolated and recognized as the agent causing or contributing to the cause of AIDS. The genetic material of a retrovirus such as HIV is the RNA itself. HIV inserts its own RNA into the host cell’s DNA, preventing the host cell from carrying out its natural functions and turning it into an HIV factory. HIV, TB Hepatitis

41. 40 The most severe manifestation of infection with HIV. The Centers for Disease Control and Prevention (CDC) lists numerous infections and cancers that, in the presence of HIV infection, constitute an AIDS diagnosis. HIV, TB Hepatitis ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS)

42. 41 HIV and AIDS AIDS was first reported in the United States in 1981 and has since become a major worldwide epidemic. AIDS is caused by the human immunodeficiency virus (HIV). By killing or damaging cells of the body's immune system, HIV progressively destroys the body's ability to fight infections and certain cancers. People diagnosed with AIDS may get life-threatening diseases or infections, which are caused by viruses or bacteria that usually do not make healthy people sick. HIV, TB Hepatitis

43. 42 More than 816,149 cases of AIDS have been reported in the United States since 1981. As many as 950,000 Americans may be infected with HIV, one-quarter of whom are unaware of their infection. The epidemic is growing most rapidly among minority populations and is a leading killer of African-American males ages 25 to 44. According to the U.S. Centers for Disease Control and Prevention (CDC), AIDS affects nearly seven times more African Americans and three times more Hispanics than whites. HIV, TB Hepatitis Here are some interesting facts. Don’t worry though, they won’t be on the quiz!

44. 43  HIV is spread most commonly by having unprotected sex with an infected partner. The virus can enter the body through the lining of the vagina, vulva, penis, rectum, or mouth during sex.  HIV also is spread through contact with infected blood. Before donated blood was screened for evidence of HIV infection and before heat-treating techniques to destroy HIV in blood products were introduced, HIV was transmitted through transfusions of contaminated blood or blood components. Today, because of blood screening and heat treatment, the risk of getting HIV from such transfusions is extremely small. HIV, TB Hepatitis How is HIV spread?

45. 44  HIV frequently is spread among injection drug users by the sharing of needles or syringes contaminated with very small quantities of blood from someone infected with the virus. It is rare, however, for a patient to give HIV to a health care worker or vice-versa by accidental sticks with contaminated needles or other medical instruments.  Women can transmit HIV to their babies during pregnancy or birth. Approximately one-quarter to one-third of all untreated pregnant women infected with HIV will pass the infection to their babies. HIV also can be spread to babies through the breast milk of mothers infected with the virus. HIV, TB Hepatitis

46. 45  Many people do not have any symptoms when they first become infected with HIV. Some people, however, have a flu- like illness within a month or two after exposure to the virus. This illness may include fever, headache, tiredness and enlarged lymph nodes.  These symptoms usually disappear within a week to a month and are often mistaken for those of another viral infection. During this period, people are very infectious, and HIV is present in large quantities in genital fluids. HIV, TB Hepatitis What are the symptoms ?

47. 46  More persistent or severe symptoms may not appear for 10 years or more after HIV first enters the body in adults, or within two years in children born with HIV infection.  Even during the period where there are no symptoms, the virus is actively multiplying, infecting, and killing cells of the immune system.  The most obvious effect of HIV infection is a decline in the number of called T4 cells found in the blood -- the immune system's key infection fighters. At the beginning of its life in the human body, the virus disables or destroys these cells without causing symptoms. HIV, TB Hepatitis

48. 47 Allow me to illustrate…

49. HIV travels through the bloodstream.

50. The immune system, which helps the body fight off illness, sends killer T-cells to seek and destroy infected cells.

51. This defense is coordinated by these -- the helper T-cells. HIV’s strategy is to attack these T cells, crippling the body's defenses.

52. HIV has proteins called CD4 on its surface. These proteins fit into receptors on the surface of helper T-cells. Here, the AIDS virus is attaching to a CD4 receptor on a helper T-cell.

53. The virus's genetic information -- called RNA -- is transcribed into a form that is identical to the cell's genetic information -- called DNA. The virus, now in the form of DNA, hides out inside the nucleus of the cell, escaping from the body's defenses.

54. After a while, HIV comes out of hiding and begins to reproduce.

55. The DNA is transcribed into many copies of RNA, which produce proteins for the new viruses.

56. The proteins are cut into usable pieces and packaged with the RNA.

57. The new viruses then bud from the cell. Each new virus may then go on to infect and destroy other T cells, weakening the immune system's defense. Here, an infected T-cell is budding new viruses.

58. Source: www.msichicago.org After a lot of T cells are destroyed, the person is said to have AIDS. At this point a person will probably develop one or more opportunistic infections. This illustrates opportunistic infections in the bloodstream of a person with AIDS.

59. 58  Because early HIV infection often causes no symptoms, a doctor or other health care provider usually can diagnose it by testing a person's blood for the presence of antibodies (disease- fighting proteins) to HIV.  HIV antibodies generally do not reach detectable levels in the blood for one to three months following infection. It may take the antibodies as long as six months to be produced in quantities large enough to show up in standard blood tests. HIV, TB Hepatitis

60. 59  People exposed to the virus should get an HIV test as soon as they are likely to develop antibodies to the virus - within 6 weeks to 12 months after possible exposure to the virus.  By getting tested early, people with HIV infection can discuss with a health care provider when they should start treatment to help their immune systems combat HIV and help prevent the emergence of certain infections.  Early testing also alerts HIV-infected people to avoid high-risk behaviors that could spread the virus to others. HIV, TB Hepatitis How about treatment?

61. 60  http://www.niaid.nih.gov/factsheets/hivinf.htm http://www.niaid.nih.gov/factsheets/hivinf.htm  http://www.cdc.gov/hiv/pubs/facts.htm http://www.cdc.gov/hiv/pubs/facts.htm  http://www.avoc.org/avocshell.html http://www.avoc.org/avocshell.html HIV, TB Hepatitis Want more information about HIV and AIDS? Try these sites.

62. 61 Let’s Review… Let’s review what you’ve learned about HIV and AIDS! HIV, TB Hepatitis

63. 62 How is HIV spread? HIV can be spread through using dirty toilet seats in public restrooms. HIV is spread by having sex with an infected partner. HIV is most commonly spread through contact with infected blood. HIV can be spread by unprotected sex with an infected partner, sharing contaminated needles, contact with infected blood or through infected mothers during pregnancy, birth or breastfeeding. HIV, TB Hepatitis

64. 63 No chance! Not going to happen! HIV, TB Hepatitis Gross!

65. 64 Yes, you can contract HIV by having unprotected sex with an infected partner! But, there is a more complete answer. Please try again. HIV, TB Hepatitis

66. 65 HIV can be spread through contact with infected blood. But, it’s not the most common way. (The virus most often enters the body through unprotected sex.) Sorry! Try again. HIV, TB Hepatitis

67. 66 All of these are ways HIV can be spread. Right! HIV, TB Hepatitis

68. 67  Hepatitis refers to inflammation of the Liver.  There are three types of hepatitis HIV, TB Hepatitis Ok, now few words about Hepatitis…

69. 68  Spread through drinking water or food that has been contaminated with fecal matter  Can survive up to 4 hours in fecal matter at room temperature. on any surface  Can survive for 12 weeks to 10 months in water HIV, TB Hepatitis Hepatitis A

70. 69 HIV, TB Hepatitis Hepatitis B  Most often spread through blood or serum  Can be passed through semen, vaginal fluid or saliva  May be spread through urine, feces, sweat, tears or breast milk

71. 70  Spread through contact with infected blood or blood products. HIV, TB Hepatitis Hepatitis C

72. 71  A carrier is someone who has had the virus in their blood for more than six months.  Someone who is chronically infected, has not cleared the virus after six months and has elevated liver enzymes. HIV, TB Hepatitis

73. 72  Lasts 2 to 3 weeks (complete recovery takes about 9 weeks).  Symptoms include: loss of appetite, nausea and vomiting, fever, exhaustion lasting weeks/months, abdominal pain, dark urine, dark bowels, and jaundice.  Hepatitis A and B have high recovery rates, while C has high chronic infection rates. HIV, TB Hepatitis What are the symptoms?

74. 73 Review True False Hepatitis Symptoms include… loss of appetite, nausea, and vomiting, fever, and exhaustion and could take months for recovery.

75. 74 Great Job, now continue on! True HIV, TB Hepatitis

76. 75 Hmmm… Let’s go over it again. HIV, TB Hepatitis

77. 76 Tuberculosis (TB) is a contagious disease. Like the common cold, it spreads through the air. HIV, TB Hepatitis Before we leave this section, we need to discuss TB…

78. 77  Only people who are sick with TB in their lungs are infectious  When infectious people cough, sneeze, talk, sing or spit, they propel TB germs, known as bacilli, into the air.  A person needs only to inhale a small number of these to be infected.  Left untreated, each person with active TB disease will infect on average between 10 and 15 people every year. How is TB spread? HIV, TB Hepatitis

79. 78  People infected with TB bacilli will not necessarily become sick with the disease.  The immune system "walls off" the TB bacilli which, protected by a thick waxy coat, can lie dormant for years.  Some people with TB infection never develop TB disease. In others the bacteria become active and cause TB disease. What if I’m infected? HIV, TB Hepatitis

80. 79 People with TB infection but not the active disease: Have no symptoms Don’t feel sick Cannot spread TB to other people Usually have a positive skin test Can develop TB disease later in life if they do not receive preventative therapy HIV, TB Hepatitis

81. 80  When someone's immune system is weakened, the chances of becoming sick are greater.  The bacteria that causes TB can become active if your immune system can not stop them from growing  Some people develop TB disease soon after they are exposed before their immune system can fight the bacteria  Other people become sick later when their immune system becomes weak for some reason What causes the active disease? HIV, TB Hepatitis

82. 81 Symptoms of TB disease  A bad cough that lasts longer than 2 weeks  Pain in the chest  Coughing up blood or phlegm  Weakness or fatigue  Lack of appetite or weight loss  Chills, fever or night sweats HIV, TB Hepatitis

83. 82 Treatment for TB Disease  If you have TB disease you will need to take several different medications  Taking several drugs will do a better job of killing all the bacteria HIV, TB Hepatitis

84. 83 The good news is, people with TB infection but not the active disease may never get the active disease. Early screening is important for those who may have been exposed to the TB bacteria. Preventive medications can minimize the chances of ever getting the disease. HIV, TB Hepatitis

85. 84 Early screening is readily available.  The test is an injection just under the skin of the forearm  It is read in 2 or 3 days  A negative test means you probably do not have the TB bacteria  A positive test means you probably have the TB bacteria and may need treatment  A positive test does not mean you have TB disease HIV, TB Hepatitis

86. 85 To minimize risk for yourself and your clients,  Use the universal precautions discussed in this course.  Participate in early and routine screening programs. Be up-to-date on your TB test.  Those who have the active disease should be isolated until treated.  Anyone exposed to the TB bacteria should see their health care professional as soon as possible. HIV, TB Hepatitis

87. 86 According to Beech Acres policies, Staff in our Partial Hospitalization, Every Child Succeeds and Foster Care teams who have direct contact with clients will:  Complete a medical history relating to TB exposure,  Be up-to-date on your TB test and report any exposure or symptoms and  Get treatment if test results are positive. HIV, TB Hepatitis

88. 87 Let’s Review… Let’s review what you’ve learned about TB! HIV, TB Hepatitis

89. 88 How do I contract the active TB disease? Inhale the air exhaled by someone who is infected with TB bacteria. Sing in the same choir with someone who is infected with the TB bacteria. Inhale bacteria that is not treated and later activated due to a weakened immune system. All of the above HIV, TB Hepatitis

90. 89 True, inhaling the bacteria may lead to infection, but people infected with TB bacilli will not necessarily become sick with the disease. But, there is a more complete answer. Please try again. HIV, TB Hepatitis

91. 90 Yes, the bacteria can be spread by someone singing, but people infected with TB bacilli will not necessarily become sick with the disease. But, there is a more complete answer. Please try again. HIV, TB Hepatitis

92. 91 The active disease can often be prevented even if someone has been exposed to the bacteria. Preventive medications and a strong and healthy immune system are key. Right! HIV, TB Hepatitis

93. 92 There is some truth in each answer, but one is better than the others. HIV, TB Hepatitis Is this a trick question? Of course not! Please try again.

94. 93 Universal Precautions Lenny, after all this focus on communicable diseases, I’m really worried. Are my clients safe? What should I do?

95. 94 It sounds like it’s time for more education about what YOU can do to protect yourself and your clients… Universal Precautions Universal Precautions

96. 95 What the heck are UNIVERSAL PRECAUTIONS? Universal Precautions

97. 96 Universal Precautions Are protective measures designed to… reduce the risk of exposure of the worker's skin or mucous membranes to potentially infective materials. Universal Precautions

98. 97 Universal Precautions Include  Covering one’s mouth when coughing or sneezing  Vigorous hand washing with soap and warm water before every meal and after using the restroom  NOT sharing food or eating utensils, toothbrushes, razors, or other personal care items which include towels and clothing  Following the “Guidelines for handling bodily fluids” that will follow… Universal Precautions

99. 98 When you have to cough or sneeze…  Cough or sneeze into a tissue and then throw it away. Then, clean your hands, and do so every time you cough or sneeze.  Cough or sneeze into the sleeve of your upper arm, and avoid passing the germs directly to your hands Universal Precautions

100. 99 When you have to cough or sneeze…  When soap and water are not available, alcohol-based disposable hand wipes or gel sanitizers may be used. You can find them in most supermarkets and drugstores. If using a gel, rub the gel in your hands until they are dry. The gel doesn't need water to work; the alcohol in the gel kills germs that cause colds and the flu. Universal Precautions

101. 100 If you have a cold…  Clean your hands often  Avoid touching your eyes, nose or mouth  Stay home when you are sick and check with a health care provider when needed Universal Precautions

102. 101 A set of precautions designed to prevent transmission of disease or blood borne pathogens when providing first aid or health care. Universal precautions, as defined by the Center for Disease Control (CDC), include… Universal Precautions

103. 102 Blood borne Pathogens? Do you mean that I can get the virus if I touch someone’s blood? Not Exactly Ned… Universal Precautions

104. 103 Blood and certain body fluids of all people are considered potentially infectious for HIV, hepatitis and other blood borne pathogens. According to Universal Precautions… Universal Precautions

105. 104 OK, now you have me worried. I work with kids, and was spit on just the other day… Universal Precautions

106. 105 Universal Precautions do not apply to saliva except when visibly contaminated with blood. Relax … Universal Precautions

107. 106 In addition… Universal Precautions do not apply to… Feces Urine Nasal secretions Sputum Sweat Tears Vomit UNLESS they contain visible blood. Universal Precautions

108. 107 Universal Precautions do apply to…  blood  all other body fluids containing visible blood  semen and vaginal secretions Universal Precautions

109. 108 If you worked in a hospital… you might be exposed to other risky situations with body tissues and the following fluids: cerebrospinal, synovial, pleural, peritoneal, pericardial, and amniotic fluids. Universal Precautions

110. 109 Why follow universal precautions? It’s Beech Acres Policy… For your safety and the safety of those around you… Universal Precautions

111. 110 Universal Precautions for communicable disease control MUST BE followed by: Staff members Volunteers Clients Foster Families Any other visitors to a Beech Acres facility According to Beech Acres Policy… Universal Precautions

112. 111 Let’s Review Let’s review what you’ve learned about Universal Precautions! Universal Precautions

113. 112 Please choose the BEST answer… Universal Precautions are protective measures designed to… Reduce the risk of contracting influenza Reduce the risk of exposure of the worker’s skin or mucus membranes to potentially infective materials Reduce the risk of excessive bleeding and excretion of body fluids. Universal Precautions

114. 113 Sorry Try Again! In order to prevent certain strains of influenza, you may benefit from a flu shot. Check with your health care provider. Universal Precautions

115. 114 You Got IT!!! Universal Precautions

116. 115 Not Even Close! So sorry, please try again. Universal Precautions

117. 116 Please choose the BEST answer… According to Beech Acres Policy… Who must follow Universal Precautions? Richard the Privacy Officer Clients at Beech Acres Employees at Beech Acres Everyone involved with Beech Acres… including staff and clients Universal Precautions

118. 117 Close Call! Richard the Privacy Officer does follow the Universal Precautionary guidelines, but who else follows as well? Try Again! Universal Precautions

119. 118 Try Again! True, Clients at Beech Acres do well in following Universal Precautions, but who else follow these guidelines? Hmmm? Universal Precautions

120. 119 Getting Close! Employees at Beech Acres take the matter of following the rule of Universal Precautions very seriously. You’re Getting Close, Try Again! Universal Precautions

121. 120 You Got IT Good Job!!! Universal Precautions

122. 121 Please choose the BEST answer… Which of the following is NOT a part of Universal Precautions? Wash hands with soap and warm water before every meal and after toileting Avoid sharing personal care items such as razors, toothbrushes, towels and also eating utensils Cover your mouth when coughing or sneezing Wear a mask and rubber gloves at ALL times… Universal Precautions

123. 122 This is a Universal Precaution! Hand washing with soap and warm water before every meal and after toileting, is a top means of avoiding the spread of disease. Try Again! Universal Precautions

124. 123 This is an important precaution! Using your own eating utensils, razors, toothbrushes, towels and similar personal care items can avoid spread if infections disease. Try Again! Universal Precautions

125. 124 This is a universal precaution! We teach our children to cover their mouths when coughing or sneezing for a good reason! Try Again! Universal Precautions

126. 125 Good answer! Universal Precautions

127. 126 Handling Body Fluids HIV and Hepatitis Communicable Disease Handling Body Fluids Universal Precautions Confidentiality Thanks Lenny! I’ll take over from here, for the final two sections.

128. 127 Guidelines for Handling Bodily Fluids This purpose of this part of the training is to provide an overview or review of the Guidelines for Handling Body Fluids. Handling Body Fluids

129. 128 Direct skin contact with bodily fluids should be avoided! Handling Body Fluids Contact presents a risk of infection!

130. 129 Body fluids include Blood Semen or vaginal secretion Drainage from scrapes or cuts Or any of the following if there is visible blood…  Feces  Urine  Vomitus  Respiratory secretions  Saliva Handling Body Fluids

131. 130 Direct contact may include:  Treating bloody noses  Changing Diapers  Cleaning small spills by hand Handling Body Fluids

132. 131 Handling Body Fluids How do I avoid direct skin contact?

133. 132  The best way to avoid contact is to wear disposable gloves when direct contact with another person’s body fluids is anticipated. Handling Body Fluids

134. 133 Each Beech Acres facility has disposable gloves…  Each building or site  All service and program areas  Foster Homes Please make yourself aware of the locations of disposable gloves in the facilities in which you work. Handling Body Fluids

135. 134 Handling Body Fluids Eeek! What if I come into contact with one of these fluids?

136. 135 Treatment in the event that direct contact with another person’s bodily fluids occurs… 1. Wash all skin exposed areas as soon as direct contact has ceased 2. Rinse (while wearing disposable gloves) and place in bags clothing or non-disposable items that are soaked with body fluids 3. Seek prompt medical attention 4. All incidents of exposure to bodily fluids must be reported the the Beech Acres’ Vice President of Professional Services. Handling Body Fluids

137. 136 Handling Body Fluids What about spills?

138. 137 Removal of spilled body fluids  Wear gloves when cleaning surfaces with body fluids  Use a chlorine bleach solution equal to 1 part bleach and 9 parts water Solution must be made as needed as it looses its effectiveness if stored Solution must have contact with the surface for 10 minutes or more Handling Body Fluids

139. 138  Use paper towels or other disposable items whenever possible  A mop or other cleaning equipment that is not disposable needs to be rinsed in the solution  All disposable materials used for clean-up must be double-bagged and tied before disposal  Always wash your hands vigorously after such a procedure. Handling Body Fluids

140. 139 Do it right away!!  Surfaces contaminated with body fluids must be cleaned immediately with disinfectant by the person who comes across the spill.  Do not wait for a facilities worker to clean up the spill! Handling Body Fluids

141. 140 Handling Body Fluids You keep talking about vigorous hand washing. What exactly does that mean?

142. 141 Handling Body Fluids Ah, let me answer that one, Richard. I’ve had a lot of practice, what with handling lab rats and all.

143. 142 Effective hand washing is key to controlling the spread of disease!  Use plenty of soap and warm water  Wash hands vigorously  Use a stream of running water  Wash for at least 10 seconds Handling Body Fluids

144. 143 Avoid direct skin contact with bodily fluids Use disposable gloves wherever possible Wash hands vigorously using soap and water Call facilities staff to clean up any suspicious spills Clean contaminated surfaces and implements with a bleach solution Which of the following is not proper procedure for handling bodily fluids? Handling Body Fluids

145. 144 That’s a valid procedure for handling bodily fluids. Better look a little closer at that question and try again! Handling Body Fluids

146. 145 Excellent. Now continue on! Right! If you come across a spill, you take care of it right away! Handling Body Fluids

147. 146 Great Job! In this last section, I will lead you through your learning about… Beech Acres policy regarding: Confidentiality Disclosure of information Medical Records management Confidentiality

148. 147 This policy is designed to reduce the discrimination people who become infected with HIV could otherwise experience. Confidentiality It’s mandatory… and respectful… to our co-workers, our clients and their families.

149. 148 Confidentiality  Every precaution will be taken to protect the dignity and right to privacy of each child or adult who has a communicable disease. According to Beech Acres Policy… Confidentiality

150. 149  Utmost care will be given to protect the confidentiality of all records, files, and other information regarding the health status of staff members, volunteers, clients, and foster parents. According to Beech Acres Policy… Confidentiality

151. 150 Disclosure of Information  Information about a person infected with a communicable disease must be protected and will be shared only on a “need to know basis” and only to the extent necessary to provide care for the individual and to prevent risk of transmission to others. According to Beech Acres Policy… Confidentiality

152. 151 Confidentiality Great Question Ned! Well, who needs to know?

153. 152  Information about a person infected with a communicable disease will be shared only to the extent necessary to provide care for the individual and to prevent risk of transmission to others. According to Beech Acres Policy… Confidentiality

154. 153 Confidentiality For the most part, if you use Universal Precautions you shouldn’t “need to know.”

155. 154 Confidentiality What about testing children in Beech Acres’ care who may have been exposed to HIV?

156. 155 Criteria for Testing Children in Placement  HIV testing can only be considered with the consent of the parent or guardian and at the direction of the child’s primary care provider. Confidentiality

157. 156 Confidentiality What if my client or my client’s family tells me his or her HIV status?

158. 157 Confidentiality Always keep in mind what would be respectful to the privacy of the client. But in addition, I’ll review the Beech Acres Policy for Disclosure of Information.

159. 158 Disclosure of Information  Disclosure of any information regarding the health of staff member,volunteer, client, or foster family member shall be grounds for disciplinary action. According to Beech Acres Policy… Confidentiality

160. 159 Medical Records Information  Records of all HIV testing including names, dates, and results of tests are to be maintained separately from regular medical records. Confidentiality According to Beech Acres Policy…

161. 160  These records shall be maintained in a secure manner in the personal custody of the Beech Acres Privacy Officer Confidentiality That’s me!

162. 161  Test results will be given only to those individuals with a clear “need to know” and will be disclosed only after written approval by the Beech Acres Privacy Officer. Confidentiality According to Beech Acres Policy…

163. 162  ONLY when person requesting it expresses sincere interest.  Information about a person infected with a communicable disease will be shared only to the extent necessary to provide care for the individual and to prevent risk of transmission to others. When is information about persons with communicable disease shared?

164. 163 Better dive deeper and try that question again! Handling Body Fluids

165. 164 Right! Good choice!

166. 165 Ok, Ned, let’s wrap it up.

167. 166 I understand… Right! That’s it! Click below if you’ve met the objectives. Yes! A.Communicable Disease and how it is transmitted B.HIV, Hepatitis and TB: the most serious communicable diseases that impact us at Beech Acres C.The value and methods of Universal Precautions D.Guidelines for Handling Bodily Fluids E.Beech Acres policy regarding Confidentiality and Disclosure of information

168. 167 Oh yes, one bonus question...  Who IS the Privacy Officer here at Beech Acres?

169. 168 Of course… It’s Rick Sorg. You can reach him at the Beechmont Campus by calling 513 233-4694.

170. 169 Almost finished! To complete the course, you must complete the post test. Click the post- test button below right to complete the post- test and print your certificate. Thanks for completing this training, and best wishes in your work in inspiring and equipping today’s parents and children. Post-test Exit