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Bloodborne Pathogens Presentation By: Mike Pettit, Senior Loss Control Consultant Tallahassee, Florida 1.

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Presentation on theme: "Bloodborne Pathogens Presentation By: Mike Pettit, Senior Loss Control Consultant Tallahassee, Florida 1."— Presentation transcript:

1 Bloodborne Pathogens Presentation By: Mike Pettit, Senior Loss Control Consultant Tallahassee, Florida 1

2 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level Bloodborne Pathogens: 2 Protecting Yourself & Your Co-Workers

3 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level What We Will Cover What are Bloodborne Pathogens? Facts and Statistics Types of Bloodborne Pathogens How is it Transmitted? How Do I Protect Myself? Training Personal Protective Equipment Decontamination Hygiene Knowing your BBP Kit 3

4 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level What Are Bloodborne Pathogens (BBP)? Bloodborne Pathogen are microorganisms such as viruses or bacteria that are carried in blood and can cause disease in people. Types of BBP: Malaria Syphilis Brucellosis Hepatitis B (HBV) Human Immunodeficiency Virus (HIV) The two diseases specifically addressed by the OSHA Bloodborne Pathogen Standard. 4

5 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level Hepatitis B (HBV) Over 300K people are infected with Hepatitis B each year in the US This virus is transmitted primarily through blood to blood contact There is no cure for this disease 5

6 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level Need To Know Facts of HBV This virus is very durable...it will survive in dried blood for up to seven (7) days. Based on the duration of 7 days, employees such housekeepers and custodians should wear personal protective equipment (gloves, mask, etc). 6

7 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level HBV Symptoms: Fatigue Stomach pains Nausea Symptoms are like mild flu. Note - It can take 1 to 9 months before symptoms become noticeable 7

8 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level HEPATITIS B … IS PREVENTABLE Prevention – safe practices and IMMUNIZATION Pre exposure – series of 3 vaccinations 90% effective for up to 7 YEARS 8

9 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level HEPATITIS B … POST-EXPOSURE Initiate vaccination series (70-88% effective) Give immune globulin within 1 WEEK of exposure 90% effective if given in combination 9

10 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level What Is Human Immunodeficiency Virus (HIV)? AIDS is caused by a virus called HIV It may take many years to develop AIDS. HIV attacks the bodys immune system 10

11 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level Human Immunodeficiency Virus (HIV) Over 35K people are infected every year. There is no known cure. Seek Medical attention immediately 11

12 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level HIV INFORMATION: HIV virus is very fragile and will not survive very long outside of the human body. The primary concern to employees providing first aid or medical care in situations involving fresh blood or other potentially infectious materials. It is estimated that the chances of contracting HIV in the workplace is only 0.4%. However, all precautions must still be taken. 12

13 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level HIV SYMPTOMS: These are basic symptoms and all employees should consult a physician for proper diagnosis: Symptoms can vary but often include weakness, fever, sore throat, nausea, headaches, diarrhea, a white coating on the tongue, weight loss, and swollen lymph glands. CONSULT YOUR DOCTOR IMMEDIATELY IF YOU BELIEVE YOU MAY HAVE HIV. 13

14 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level MEANS OF TRANSMISSION HBV, HIV and other blood borne pathogens may be present in: Blood, vaginal secretions, semen and certain other body fluids; Body tissues or organs. 14

15 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level MEANS OF TRANSMISSION To cause infection, the virus must enter your body. Some likely ways are: Sexual contact with an infected partner; Sharing infected needles; Cutting yourself with a sharp object that is contaminated with infected blood or fluids 15

16 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level TRAINING 29CFR (g)(2)(i) states training is to be provided: At the time of initial assignment to tasks where occupational exposure to blood or other potential infectious materials (OPIM) may take place Annually, thereafter 16

17 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level TRAINING 29CFR (g)(2)(vii) states training is to include: Hepatitis B vaccine information Explanations of symptoms Post-Exposure follow-up procedures Means of transmission Location and handling of PPE 17

18 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level PREVENTION Always take time to put on a pair of leak-proof gloves Make sure you are wearing eye protection to prevent the transmission of blood borne pathogens through the eyes. If you get blood or other potentially infectious materials on your skin, immediately wash with soap and water. 18

19 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level PREVENTION If potentially infectious materials get in your eyes, nose or mouth, immediately flush with running water at a sink or eyewash fountain Any unprotected contact with blood or other bodily fluids to your supervisor so proper medical follow-up can be made. 19

20 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level CLEAN-UP When blood or body fluids are cleaned up after an accident: Restrict access to the area Wear two pairs of leak-proof gloves; avoid tearing gloves Wear a leak-proof apron to protect your clothes Do not pick up contaminated sharp objects (glass, nails, sharp metal, etc.) with your hands--sharp objects might cut both your glove and your hands. Use disposable towels to soak up most of the blood 20

21 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level CLEAN-UP When blood or body fluids are cleaned up after an accident: Place all contaminated towels and waste in sealed, color- coded or labeled leak-proof container Dispose of as a regulated waste. Clean with an appropriate disinfecting solution. After cleaning, promptly disinfect mops and any other cleaning equipment. 21

22 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level METHODS OF COMPLIANCE UNIVERSAL PRECAUTIONS All human blood and certain human body fluids are to be treated as if KNOWN to be infected. 22

23 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level PERSONAL PROTECTIVE EQUIPMENT You must do the following: Always wear PPE in exposure situation Remove and/or Replace PPE that is damaged (torn or punctured). Remove PPE before leaving the work area. 23

24 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level PPE ITEM - GLOVES Gloves should be made of latex, nitril, rubber, or other water impervious materials – the fluid must not come into contact with your skin Double gloving can provided an additional layer of protection. Bandage any known cuts prior to putting on gloves Inspect your gloves for tears or punctures before putting them on. 24

25 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level REMOVING CONTAMINATED GLOVES Disinfect gloves in solution if possible Grasp palm of glove with other hand Remove that glove inside out Slide finger at wrist of gloved hand Remove second glove inside out Dispose of both properly 25

26 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level PPE ITEM – EYE PROTECTION Eye Protection: If there is a risk of splashing contaminated fluids, you should wear eye protection Splashing can occur while: cleaning up a spill while providing first aid or medical assistance 26

27 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level PPE ITEMSMASK & APRONS Face Shields/Mask Aprons/Gowns 27

28 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level PPE MUST BE … Appropriate to the task Readily available Readily accessible Properly maintained USED!!! DONT TRUST IN LUCK ! 28

29 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level DECONTAMINATE YOURSELF! Wash thoroughly with soap and water. Flush eyes for 15 MINUTES After removing PPE, wash hands with soap and water 29

30 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level DECONTAMINATE THE AREA Work surfaces Pails, bins, receptacles Labware (decontaminate broken glassware BEFORE DISPOSAL) Use plastic-backed absorbent paper; dispose of as biohazard waste 30

31 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level HOW TO DECONTAMINATE Household bleach FRESHLY MADE; 10% V/V (¼ cup bleach to 1 gallon water) Allow sufficient time (At least 10 minutes; depends on surface/material) Use after spills, at completion of task, and at the end of shift 31

32 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level OTHER HYGIENE PRACTICES Never eat, drink, smoke, apply cosmetics, or handle contact lenses if you are working in an area where there is possible exposure. No food or drink is permitted in laboratories or lab refrigerators designated for lab use. 32

33 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level HAZARD COMMUNICATION Use warning labels Post the biohazard symbol Use red bags / containers Post signage – agent, entry requirement, contact info Provide training 33

34 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level Where is your BBP Kit located? 34

35 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level What is available in your BBP Kit? 35

36 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level BROKEN GLASSWARE Broken glassware that has been visibly contaminated with blood must be sterilized with an approved disinfectant solution before it is disturbed or cleaned up. It must be disposed of in an appropriate sharps container. **ONLY EMPLOYEES WHO ARE CONSIDERED TRAINED RESPONDERS SHOULD BE HANDLING ANY OF THESE ITEMS.** 36

37 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level SIGNS, LABELS, & COLOR CODING Look for warning labels The labels should be florescent red, orange, and/or orange-red See your supervisor or the EPA for additional information or

38 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level FOR ANY POTENTIAL BLOODBORNE PATHOGEN EXPOSURE … Seek IMMEDIATE medical attention Go to the NEAREST medical facility 38

39 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level RESPONDING TO AN EXPOSED WORKER Arrange for immediate and confidential medical evaluation Document how the exposure occurred Identify and test the source individual, if possible 39

40 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level RESPONDING TO AN EXPOSED WORKER Test the exposed employees blood, if consent is obtained Provide counseling Evaluate any reported illness 40

41 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level POST-EXPOSURE EVALUATION & FOLLOW-UP A confidential medical evaluation and follow-up is available to employees 41

42 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level MEDICAL RECORDS Must be made available to employee 42

43 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level MEDICAL RECORDS All medical records should include: Employee name and social security number Status of Hepatitis B vaccination Results of all exams, testing, and follow-ups 43

44 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level MEDICAL RECORDS Should also include: Copy of physicians professional opinion Copy of information provided to healthcare professional 44

45 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level REGULATORY COMPLIANCE 29 CFR (c)(1)(iii) Exposure control plans 45

46 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level EXPOSURE CONTROL PLANS Exposure control plans include: Policy statement Steps to the determination of employee exposure Implementation of control methods including: Universal Precautions Engineering and work practice controls Personal Protective Equipment (PPE) Housekeeping 46

47 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level EXPOSURE CONTROL PLANS Exposure control plans include: Hepatitis B Vaccination Post-exposure evaluation and follow – up Communication of hazard to employees and training Recordkeeping Procedures for evaluating circumstances surrounding exposure incidents. 47

48 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level EXPOSURE CONTROL PLANS 48

49 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level REMEMBER … For Successful Post-Exposure Treatment 49 TIME IS OF THE ESSENCE !

50 Click to edit Master text styles –Second level Third level –Fourth level »Fifth level Thank You 50 Mike Pettit, Senior Loss Control Consultant Tallahassee, Florida


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