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Infectious Disease Training

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Presentation on theme: "Infectious Disease Training"— Presentation transcript:

1 Infectious Disease Training
Bloodborne & Airborne Pathogens Toggenburg Ski Patrol Narrated by: Beau Blair

2 2011-2012 Infectious Disease Training
Review Applicable Standards Review Infection Control Policy & Procedures Review Engineering Controls and Work Practices Identify PPE Discuss Body Substance Isolation Review Bloodborne Pathogens Review Airborne Pathogens

3 OSHA Standards CFR 1910.1030 CFR 1910.134 Bloodborne Pathogens
Respiratory Protection Airborne Pathogens

4 Infection Control Policy & Procedure
Toggenburg Ski Patrol Infection Control Policy For Protection of the Members of TSP Universal Precautions Some Body Fluids of Some Patients Potentially Infectious Redefined as Body Substance Isolation (BSI) ALL Body Fluids of ALL Patients Potentially Infectious Airborne Pathogens Respiratory Protection Controls

5 What can you be exposed to ?
Bloodborne Hepatitis B & C HIV Syphilis Airborne Tuberculosis Meningitis Influenza Measles Mumps Chicken Pox Small Pox SARS

6 How can you be exposed? Bloodborne Needle stick
Blood or other body fluids contacting non intact skin, eyes, or mucus membranes. Airborne Inhalation of droplets from a person coughing, sneezing, or breathing in close proximity or in an enclosed area. (Patrol Room) Inhalation of droplets from an aerosolized source.

7 Bloodborne Pathogens HIV Hepatitis B, C, D, G? Syphilis

8 Hepatitis Hepatitis Viral Infection
A - Food or contaminated water / Poor hygiene B - Bloodborne C - Bloodborne D - Bloodborne - must have HBV E - Food or contaminated water / Poor hygiene G - Not a lot known currently under research

9 Hepatitis B (HBV) Viral Infection Virulent
Lives outside of body for weeks Dried blood No known cure Destroys the liver Usually Fatal

10 HIV Cause : HIV Virus Very Fragile – Not Many Virus / Unit of blood
Cannot live outside the body for very long Transmission: Blood and many body fluids Incubation: 8 to 11 years Onset: Mild flu-like, fever, headache, rash, swollen glands, then remission and dormant illness

11 HIV (con’t.) Course: AIDS is end-stage of HIV; complications from damaged immunity, infections, pneumonias, cancers; fatal Treatment: Drug treatment to delay onset of AIDS; Post-exposure prophylaxis may be an option within 36 hours of exposure. No cure Prevention: Body Substance Isolation; safe sex Will not live outside the body.

12 Airborne Pathogens Tuberculosis Meningitis Influenza Measles Mumps
Chicken Pox Small Pox SARS

13 Tuberculosis (TB) Cause : Mycobacterium Tuberculosis
Transmission: Airborne droplets Incubation: 1 to 8 weeks - maybe longer Symptoms: Persistent productive cough, weight loss, fever, night sweats, coughing up blood, shortness of breath, fatigue

14 Tuberculosis (con’t.) Treatment: INH, Rifampin , Pyrazinamide
Prevention: Respiratory BSI precautions; post-exposure medications can be offered to prevent infection. T.B. test A surveillance form shall be completed annually for those employees who have previously tested positive.

15 Tuberculosis High risk Groups
Homeless people in shelters Alcoholics Prisoners IV drug users HIV infected individuals Residents of long-term care facilities People with previous positive skin tests

16 Tuberculosis High Risk Groups
Contacts of known TB patients Elderly; chronically ill Immunosuppressed Foreign born, especially Asian, African, or Latin America Healthcare Providers Ski Patrollers

17 Signs & Symptoms of TB Frequent Cough Coughing up blood Night Sweats
Fever Fatigue Weight loss

18 SARS Severe Acute Respiratory Syndrome
These diseases are grouped in a category know as Febrile (fever causing) Respiratory Illness Infectious

19 Febrile Respiratory Illness
Signs and symptoms of febrile respiratory illness are: Fever of at least degrees F o One or more clinical findings of respiratory illness, such as cough, shortness of breath, difficulty breathing, hypoxia;

20 Respiratory Etiquette Strategy
Implement the use of N95 Respirator masks by healthcare personnel, during the evaluation of patients with respiratory symptoms Provide N95 respirator masks to all patients with symptoms of a respiratory illness. Provide instructions on the proper use and disposal of N95 masks.

21 Respiratory Etiquette Strategy (Cont)
For patients who cannot wear a respirator mask: (in addition to medical treatment being provided) Provide tissues and instructions on proper use when coughing, sneezing, or controlling nasal secretions How and where to dispose of them And the importance of hand hygiene

22 Respiratory Etiquette Strategy (Cont)
Continue to use respiratory precautions to manage patients with respiratory symptoms Until it is determined that the cause of symptoms is not an infectious agent

23 What is an Exposure?: Direct or indirect contact of blood or other body fluids with non-intact skin or mucous membranes

24 Body Fluids Requiring Precautions
Blood Blood Components Serum Plasma Vitreous fluid (eyes) Synovial Fluid (joints) Semen Pleural Fluid (lungs) Cerebral-spinal Fluid Pericardial Fluid (heart) Peritoneal Fluid (belly) Saliva Vaginal secretions Amniotic Fluid Wound Drainage Respiratory Droplets

25 Body Fluids that may contain blood:
Breast milk Tears Nasal Secretions Urine Stool Emesis Sweat CSF

26 Engineering Controls Reduce the risk by removing the hazard or isolating the worker from the hazard

27 Engineering Controls PPE (G3)
Gloves – Goggles – Gowns Disposable suction components and catheters Disposable BVM Resuscitators Pocket masks Self sheathing needles (Patients may have own) Needle less syringes and medication systems

28 Work Practice Controls
Reduce the hazard the by changing the manner in which the task is performed

29 Accepted Work Practice Controls
Washing hands Use of PPE Not breaking off or recapping needles – (SHARPS) No eating, drinking, smoking, applying cosmetics or touching contact lens in work areas. Limit the number of people contacting patient Use of Pocket Mask or BVM to ventilate patients

30 Body Substance Isolation
Wash hands before and after patient contact Wash hands immediately when soiled with blood or body fluids. Use Waterless Gel hand cleaner if soap and running water are not available. Wash hands immediately after removing gloves Wear protective eyewear and mask whenever splashing is possible

31 Body Substance Isolation
Wear protective clothing when soiling is likely Use pocket masks and/or Bag-valve-masks (BVM’s) to resuscitate Avoid direct patient care when your skin is not intact Follow procedures for handling sharps

32 Body Substance Isolation
Use red bag procedures for contaminated articles Use approved decontamination and cleaning procedures Wear gloves for all contact with blood and body fluids – including during cleaning and decon

33 Personal Protective Equipment
Gloves Gowns Protective eyewear Masks: approved N-95 PPE should be worn during treatment of patients when there is any risk of exposure to blood Body fluids or airborne pathogens.

34 Hepatitis B Vaccine Hepatitis B vaccination (3-shot) series is highly recommended. However, since we are not “employees” by NSP rules & regulations, the Hep-B series would be at your own expense, through your own physician.

35 What is a Reportable Exposure?
Needle sticks Blood or body fluid splash to: Non-intact skin Mucous membranes Eyes Nose Mouth

36 What to do if you’ve been exposed….
Thoroughly cleanse the area of exposure. Report the Exposure to the Infection Control Officer. Patrol Leader or Designated Representative Complete the Exposure Report Form The IC Officer will immediately determine exposure classification & contact Patrol Leader Referrals for any necessary post-exposure treatment or follow-up

37 Post Exposure Evaluation and Follow up

38 Testing Infection Control Officer or Patrol Leader will seek existing information on the source individual. Have the source individual’s blood tested for HIV and Hepatitis B & C, as allowed by law. Exposed employee should be tested for base line HIV and Hepatitis status and antibody level. Subsequent HIV testing should be performed at 6 weeks, 12 weeks, 6 months and 1 year

39 Work Related Illnesses
Failure to comply with baseline testing, recommendations and or treatments of the physician or infectious disease professional may jeopardize your right to further medical care.

40 Counseling Test results reviewed with the exposed employee
Post exposure counseling Health status Treatment options. Information on prophylactic medications.

41 Treatment Options HIV Post-Exposure Prophylaxis can be offered to those assessed to have suffered a high risk exposure. Prophylaxis medications should be administered Optimally within 2-3 hours of exposure Can be provided up to 36 hrs after exposure The risk of transmission of Hepatitis B or Hepatitis C is much greater than the risk of transmission of HIV

42 Treatment Options (con’t)
Hepatitis B infection can be prevented Pre-exposure Prophylactic Hepatitis B vaccine series No known effective prophylaxis for Hepatitis C Post-exposure Administration of Hepatitis B immune globulin May not be as effective as prophylactic vaccine

43 Labeling Methods for Contaminated Articles
Bright fluorescent orange or orange-red colored stickers which contain the biohazard symbol and the word “BIOHAZARD” in a contrasting color Red biohazard waste bags with the biohazard symbol and the word “BIOHAZARD” in a contrasting color

44 The following items shall be labeled:
Containers of regulated waste Sharps disposal containers Laundry bags and containers Contaminated equipment for repair or cleaning Containers used to store, transport, or ship blood or other potentially infectious materials

45 Q & A Beau Blair

46 Sign & Return BBP/ABP Training Forms
Please fill-out, Sign & Return BBP/ABP Training Forms


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