Presentation on theme: "Infectious Disease and Bloodborne Pathogens Training"— Presentation transcript:
1Infectious Disease and Bloodborne Pathogens Training St. Michael-Albertville Public Schools
2Questions?Any time throughout the slide show or throughout the school year: Contact Rachel Koehler at IEA Phone:
3What’s in it for me?Reminder on how to protect yourself from infectious diseases, including Bloodborne Pathogens (BBPs)Satisfy OSHA requirement for annual training of affected employeesQuestion: Who is responsible for your safety?Answer: YOU ARE!Lead in to next slide with a statement of “Yes, OSHA requires training. And the district will provide all the tools and training to make sure you can be safe while on the job. But it is YOUR responsibility to use the PPE and follow the procedures. We do this so we can go home at the end of each day to this….” and then click to next slide.
4Infectious Diseases A disease caused by a microorganism or other agent, such as a bacterium,fungus, or virus, that enters the bodyof an organism
5Common Infectious Diseases Common ColdChickenpoxMeaslesConjunctivitis (Pink eye)Influenza (flu)Head & Body LicePertussis (whooping cough)Meningitis (Bacterial or Viral)
6The Infection Chain Infectious Agent (flu) Reservoir (you)Modes of Escape (sneeze)Modes of Transmission (airborne)Modes of Entry (hand to mouth)Host Susceptibility (immune system)Just need to break one link in the chain to prohibit infection from spreading! See or use infectious disease handout.Infectious Agents –hazardous biological materials that present a risk or potential risk to the health of humans or animals.Reservoir – This is where the disease lives inside your body.Modes of Escape – This is how the disease is spread from the infected person. Modes of Transmission – This is how the disease moves from one person to another. Modes of Entry – This is how a person becomes infected with a disease. Host Susceptibility – This depends on the individual’s bodily reaction to the disease in question.
7Break the Infection Chain Modes of EscapeCough and sneeze into your “sleeve,” not your hands!Modes of EntryWash your handsHousekeepingProper cleaning and disinfecting of high contact surfaces
8Definition of Bloodborne Pathogen Pathogenic microorganismPresent in human bloodCan cause disease in humansMost common BBPs are:Hepatitis BHepatitis CHIV
9Infectious Body Fluids BloodOther Potentially Infectious Materials (OPIMs)SemenVaginal SecretionsCerebrospinal FluidPleural Fluid (or Lung Fluid)Synovial Fluid (or Fluid from Your Joints)Amniotic Fluid (or Uterine Fluid)Peritoneal Fluid (or Fluid that fills your body cavity)Saliva in Dental ProceduresAny Body Fluid that is Visibly Contaminated with Blood
10BBPs Are NOT Spread By… Urine Feces Vomit Saliva Nasal Secretions Air FoodWater….Unless Visibly Contaminated withInfectious Blood!!!
11Purpose of OSHA Standard To reduce or eliminate occupational exposure to potentially infectious materials which could cause disease or death.Designed to protect 5.6 million workers in healthcare and related occupations.
12Who Does it Cover?All employees for whom exposure can be “reasonably anticipated” as part of their normal job dutiesHealth care occupation primary focusEmployer responsible for evaluating potential for exposureExcludes Good Samaritan activities (e.g. A teacher breaking up a fight)
13BBP Program Requirements Evaluation of employee activitiesDevelop Exposure Control written planPractice Universal PrecautionsHepatitis B vaccinations and titersPost exposure proceduresPersonal protective equipmentTrainingAnnual reviewRecordkeepingPlan - Identifies jobs/tasks where occupational exposure occursSchedule of implementationProcedures for evaluating exposure incidentsAccessible to all employees & OSHAReview/update annually
14Exposure Control Written Plan A written plan in which potential exposures are listed along with appropriate responsesThe BBP program coordinator is Julie Winkelman, District NurseAccessible to all employees & OSHAReviewed/updated annually
16Human Immunodeficiency Virus Virus that causes AIDS.HIV affects the immune system, slowing destroying white blood cells.Virus is killed easily outside of body (once blood is dry, HIV considered no longer communicable)There is no vaccine to prevent HIVFrom the Public Health Image Library – Center for Disease Control and Prevention
17Symptoms of HIV Weakness/Fatigue Fever Sore throat Nausea Headaches Swollen lymph glandsSometimes no immediate symptoms
18Hepatitis B Virus (HBV) Attacks liver90% of infected adults are acute carriersDeath occurs in 15-25% of chronically infected peopleVaccine preventableVirus is only killed by high-level bactericidesFrom the Public Health Image Library – Center for Disease Control and Prevention
19Symptoms of Hepatitis B FatiguePossible stomach painLoss of appetiteNauseaJaundiceDarkened urineSometimes asymptomatic (~30%)
20Hepatitis C (HCV) Attacks liver No vaccine 80 of infected people are chronic carriers50-55% develop chronic liver diseaseTreatment with interferon but has side effects
21Symptoms of Hepatitis C FatigueJoint painStomach painItchy skinSore musclesDark urine80% of carriers are asymptomatic and may be for years
22Modes of Transmission Sexual contact Infected mother to child Exposure to another person’s bloodContaminated needle sharing (drug use)Accidental poke by used needle or other contaminated sharp (e.g. broken glass)Blood contact with non-intact skinBlood contact with mucous membranes (i.e. eyes, nose, mouth)Blood transfusions
23Common Occupational Transmissions Needle-sticks (80% - mostly in healthcare)Contaminated sharps/glass/ceramicsMucous membranes (eyes, nose, mouth)Open wound that is exposed to someone else’s blood (includes skin rash, dermatitis broken cuticles, cut)
25Universal Precautions Treat ALL blood/body fluids as potentially infectious!!!Avoid skin exposure to blood and OPIMUse a barrier to keep fluids from contacting skinDispose of sharps in a puncture resistant containerDispose of soiled items in leak –proof bags/containersWash Hands for 20 seconds with friction/soap/waterContact custodian to clean/disinfect spill ASAP!
26Vaccinations HIV Hepatitis B Virus Hepatitis C Virus There is NO vaccine for HIV. Some treatments can improve length of life dramatically.Hepatitis B VirusThe HBV vaccination is administered in a series of 3 injectionsGiven at 0, 1, and 4-6 month intervalsEffective in 95% of people who complete series of all three shotsSeries may continue if exceeded interval (i.e. do not have to start over even if 1st shot was 2 years ago)Hepatitis C VirusThere is NO vaccine. Treatment is only effective in 40% of cases.
27Hepatitis B Vaccination Available at no cost to all St. Michael-Albertville Public School employees who are “covered” under the BBP Program.Titer test (blood draw) required for new “health care worker” after receiving the HBV vaccinationIf you would like to receive the HBV vaccination at no cost, contact Julie Winkelman.
28Engineering Controls Sharps containers Self-Sheathing Needles Closable, leak proof, puncture resistantUsed for disposal of used needles and other contaminated sharp objects (e.g. broken glass)Located in school health officesSelf-Sheathing NeedlesAvoid having to re-cap needles!
29Administrative Controls No food or application of cosmetics in the area where blood or other body fluids are present!Direct victims in self-care where possibleHand-washing facilities present throughout our schools
30Personal Protective Equipment Gloves shall be worn when it can bereasonably anticipated that you may:Have hand contact with blood or other infectious materialsHave hand contact with mucous membranesHave hand contact with non-intact skinHandle or touch contaminated items or surfacesPlease speak with your supervisor if you need PPE
31Gloves Don prior to contact with blood Check for proper fit Check for puncturesWash hands before/afterPull snug to insure good fitPeel off from wrist to fingersDispose of in waste containerDo not reuse
32First Aid ProceduresAssess the situation - call nurse for assistance or send injured to nurse’s officeUse personal protective equipmentInstruct injured person on self-care – if they can hold a tissue to their nose or apply a band aid themselves, have them do it!Wash hands immediately afterwardsDon’t exceed your level of training!
33Disinfectants High level commercial germicides Products effective against HBV and HIV are approved by EPAFollow label instructionsPPEDisposalKill timeMake Sure You Have a Proper Disinfectant!
34Infectious WasteMaterials used to clean up blood spills (e.g. absorbent material, gloves) typically can go in general trash as long as they are bagged separately firstContaminated sharp objects (e.g. used needles and broken glass) should always go in sharps containerRed biohazard bags require special disposal procedures. Use only if absorbent material is:Saturated or drippingPourableAvoid blood pooling in waste container
36What qualifies as a blood exposure? “Exposure Incident” means a specific eye, mouth, other mucous membrane, non-intact* skin, or parenteral** contact with blood or other potentially infectious materials that results from the performance of an employee’s duties.*Non-intact skin includes skin with dermatitis, hang-nails, cuts, abrasions, chafing, acne, etc.**Parenteral means piercing mucous membranes or the skin barrier though such events as needle sticks, human bites, cuts, and abrasions.When an employee experiences an “exposure incident”, the employer must institute the required follow-up procedures in their plan.Read slide contents directly.Then,Summarize by saying: “Exposure incident” means that an actual event has occurred where a route of exposure has been established in the affected worker.When reading and implementing the requirements set forth in the bloodborne pathogens standard, it is important to understand the difference in meaning between “occupational exposure” and “exposure incident”.
37Post-Exposure Procedures Wash exposed area IMMEDIATELY!Flush splashes to nose, mouth, or skin with water.Irrigate eyes with water or saline.Report the exposure to supervisor and District Nurse.Fill out a first report of injury and a copy of the Post Exposure Follow-up Packet(obtain from Health Services)Seek assistance of health care professional to determine follow-up actions (if necessary).
38Additional Post-Exposure Procedures If possible, identify source individualAttempt to get permission for a blood test from source individual (if authorized)Blood testing for exposed individual (if authorized)Findings & diagnosis must be kept confidentialTreatment and counseling by a physician available if needed
39Training Offered to all employees covered in district’s BBP plan AnnualIncludes the following:Background of StandardActivities which may result in exposureSafe work practices/PPEHow to handle clean-upsSigns & symptoms of diseaseHepatitis B vaccinationPost exposure procedures
40Recordkeeping Medical Training Exposure Incident duration of employment + 30 yearsTraining3 yearsExposure Incident
41Quiz and QuestionsPlease click on the link below for the BBP Quiz. That will be your documentation of training for this year.https://www.surveymonkey.com/s/QG5M2SQIf you have any questions throughout the quiz, please contact Rachel Koehler with IEA at or