Presentation on theme: "Bloodborne Pathogens In the School Setting Julie A. Strunk, RN BSN"— Presentation transcript:
1 Bloodborne Pathogens In the School Setting Julie A. Strunk, RN BSN
2 Why do we need to do this each year? OSHA requires annual training for employees who are at occupational risk of exposure to bloodborne pathogensThe purpose of the regulation is to protect employees against exposure to bloodborne pathogens which could lead to disease or death
3 Bloodborne Pathogens Definition Bloodborne Pathogens are microorganisms (such as viruses) transmitted through blood, or other potentially infectious material such as certain bodily fluids (semen, breast milk, etc.) or tissues.
4 Bloodborne PathogensBody fluids, especially those visibly contaminated with blood, are capable of causing disease.Pathogens can enter your body through a cut or break in the skin, through your eyes or mucus membranes.Can also be transmitted sexuallyMain diseases of concern are Hepatitis B and C viruses and HIV (AIDS virus)
5 HIV Human Immunodeficiency Virus HIV attacks your body’s ability to protect itself against diseaseInitially there are no visible signs of having the virusMost people with HIV develop AIDSThere is no vaccination for HIV
6 HIV The HIV Virus can live outside of the body for only a few hours 10-50 virus particles per ml of bloodThere are 4 modes of transfer:BloodSemenVaginal secretionsBreast milk
7 Hepatitis: Inflammation of the Liver Types of Viral HepatitisHepatitis A (HAV) fecal / oralHepatitis B (HBV) bloodborneHepatitis C (HCV) bloodborne
8 Hepatitis B and C Up to 100 times easier to catch than HIV Unlike HIV, the Hepatitis virus can live outside of the body for several days1,000,000 – 1,000,000,000 virus particles per ml of blood
9 Concentration of Hepatitis B Virus in Various Body Fluids Low/Not___High Moderate Detectable_Blood Semen UrineSerum Vaginal Fluid FecesWound exudates Saliva TearsBreast milk
11 Reasons Not To Receive the Hepatitis B Vaccine Previous infection with HBVYeast sensitivityThimerosal sensitivityPregnancyImmunosuppressive therapy
12 Hepatitis C3-4 million carriers, most common bloodborne infection in USDisease can incubate for decades and most people have no symptomsBy 2010 may affect more Americans each year than AIDSHCV is not related to the viruses that cause Hepatitis A or BNo Vaccine or effective post-exposure prophylaxis85% develop chronic infectionLeading indication for liver transplants
13 Sources of Infection for persons with Hepatitis C
14 The “OTHER” sources of infection Hepatitis CThe “OTHER” sources of infectionContact with infectious body fluids to broken skinContact with infectious body fluids to mucous membranesPuncture wounds with used needles
15 Symptoms of Hepatitis B or C Flu-like symptomsFatigueJaundiceSevere pain in jointsLung diseaseInflammation of the liverInflammation on and ulcers of the colonMay be asymptomatic (no symptoms)
16 There is no cure for Hepatitis B or C There is a vaccine for Hepatitis B
17 How are Bloodborne Pathogens Spread on the Job? By a sharp object that is contaminated by the virus when it cuts or punctures the skinWhen a contaminated object touches inflamed skin, acne, skin abrasionsWhen a contaminated surface is touched, then eyes, nose, mouth, open wounds or inflamed skin is touched
18 UNIVERSAL PRECAUTIONS How to Reduce Your RiskUNIVERSAL PRECAUTIONSSTANDARD PRECAUTIONS"Universal precautions," as defined by CDC, are a set of precautions designed to prevent transmission of human immunodeficiency virus (HIV), hepatitis B virus (HBV), and other bloodborne pathogens when providing first aid or health care. Under universal precautions, blood and certain body fluids of all patients are considered potentially infectious for HIV, HBV and other bloodborne pathogens.
19 If It’s Warm, Wet, and Not Yours, DON’T Touch It!
20 How to Reduce Your RiskNeedles and other sharps must be discarded in rigid, leak-proof, puncture resistance containersWhen emptying trash containers, do not use your hands to compress the trash in the bagLift and carry the trash bag away from your body
21 How to Reduce Your RiskDo not eat, drink, smoke, apply cosmetics or handle contact lenses in areas where there is the possibility of exposure to BBP
22 How to Reduce Your Risk Personal Protective Equipment (PPE) Gloves MasksEye protectionCPR microshields
24 Cleaning Up Body Fluid Spills Please call the office or custodial staff for a body fluid spill. Keep students away from the contaminated area until cleaned.
25 Gloves Glove removal and disposal technique Grip one glove near the cuff and peel it down until it comes off inside out. Ball it up in the palm of your gloved hand.Place two fingers of your bare hand inside the cuff of the remaining glove and peel glove down so that it also comes off inside out with the first glove tucked inside. Never touch the outside of the glove with your bare hands.Properly dispose of the gloves.Wash hands immediately.
26 Hand washingTHE SINGLE MOST EFFECTIVE WAY TO PREVENT THE TRANSFER OF GERMS is to WASH YOUR HANDS using soap and running water.Scrub for at least 30seconds, rinse well,dry with a paper towel.
27 What Should I Do If I Have Accidental Contact With Body Fluids? Wash area thoroughly with soap and warm waterContact School Nurse or Supervisor of Health Services Right Away!Report to your supervisor
28 Remember! Risk of exposure to BBP in the school setting is low Risk of HBV transmission in schools is rareThere have been no cases of HIV transmission in school
29 Kids learn from watching us! We’re All TeachersKids learn from watching us!