Presentation on theme: "Bloodborne Pathogens Training"— Presentation transcript:
1Bloodborne Pathogens Training New York City Department of EducationOffice of Occupational Safety and Health65 Court Street, Room 706Phone #: (718)Fax #: (718)Emerson Greenidge, MS, CSP, DirectorCarine Jean-Pierre, MS, Research Scientist-Trainer
2Bloodborne Pathogens Training New York City Department of EducationOffice of Occupational Safety and Health65 Court Street, Room 706(718)Emerson Greenidge, MS, CSP, Director-Conduct Bloodborne Pathogens, Hazard Communication & Right-To-Know and Laboratory safety training to DOE staff-- Scheduling Hepatitis B vaccinations for DOE staff--Scheduling the pick-up and removal of Regulated Medical Waste--Responds to Indoor Air Quality and other safety and health issues
3Regulatory Agencies OSHA– A federal agency created in 1970. Responds to private employeesPassed Bloodborne Pathogen Standard 29 CFRPESH– Public Employees Safety and Health Bureau within NYSDOLResponds to public employeesAdopts and enforces OSHA regulations– may be more stringentOOSH – New York City Department of Education officethat responds to safety and health issues. Keeps NYCDOE in compliance
4Bloodborne Pathogens.-1910.1030 Bloodborne Pathogens means pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, hepatitis B virus (HBV) and human immunodeficiency virus (HIV).These pathogens include, but are not limited to, hepatitis B virus (HBV) and human immunodeficiency virus (HIV).
6Exposure Control Planis a written plan which details your employer’s (NYCDOE) response to exposure to blood or other potentially infectious body fluids.should be located at each Department facility and should be easily accessible.has all the necessary forms for the program.
7Health Education Program Manager Serves as the district contact regarding safety and health concerns from school staffCoordinates District Safety and Health programTrains and assists Site Administrators in program administration and implementationLiaison between District and OOSHSchedules Hepatitis B Vaccinations with OOSH
8Site AdministratorAides the Principal in the coordination of the Bloodborne Pathogen program at your schoolAssists in identifying those in the exposure groupProvides training for staff annuallyLiaise with district health coordinator
9Exposure Determination Each principal/custodian/supervisor who has an employee(s) with occupational exposure must prepare an exposure determination. This exposure determination shall contain the following:A list of all job classifications in which all employees in those job classifications have occupational exposure;A list of job classifications in which some employees have occupational exposure, and
10Exposure Determination (cont.’d) A list of all tasks and procedures or groups of closely related task and procedures in which occupational exposure occurs and that are performed by employees in job classifications listed in accordance with the Bloodborne Pathogen standard.This exposure determination shall be made without regard to the use of personal protective equipment.
11Occupational Exposure Group Serves as peace officers (deans, AP, Principal)(Intimately) involved in bathroom careDesignated first aid responderSocial Workers/Guidance CounselorsKindergarten teachers/ Science teachers
12Occupational Exposure Group Special Education teachersDeansPhysical Education InstructorsDesignated First Aid ProvidersShop and Lab TeachersSchool Health AidesParaprofessionalsOther
13Occupational Exposure Group Site Administrator are not responsible for these groupsCustodial employeesMedical care provider for students (MD, Nurses, Therapist, Psychologist, etc…)Security staff (NYPD)
14Employee Identification Form States that employee is aware of exposure risk due to job tasksShould be distributed and filled out to those in the Occupational Exposure Group who would like to take the Hepatitis B Vaccine for the fist time.Should be filled out in its entirety and collected by the school’s site administrator and returned to District Health Manager
15Declination FormStates that at-risk employee does not intend to take the vaccine at this timeShould be distributed and filled out to those in the Occupational Exposure GroupLike the Employee ID Form, a medical record and kept on fileThe individual may always change their mindShould be filled out each year by employees in exposure group if not previously completed the three dose series
16Information and Training Must be done annually for returning employees and new hiringMust train all except the exceptionsMust include Q&AAttendance sheet must be kept on file for 3 years
17HIV HIV--Human Immunodeficiency Virus– the virus which causes AIDS Breaks down the immune system so that one becomes unable to fight off diseaseThere is no cure but there are drugs that have been proven to extend life and improve its qualityTransmitted via: blood, unprotected sex (body fluids), IV needles
18Hepatitis CHepatitis, an inflammation of the liver, caused by the Hepatitis C virus (HCV)Similar to Hepatitis BNo vaccine, no cure
19Hepatitis BIs an inflammation of the liver caused by the Hepatitis B virus.The virus is transmitted through introduction into an uninfected person from an infected person. Such an introduction must include contact with infected blood, infected blood products, or other potentially infected materials tainted with blood or body fluids.
20Hepatitis B– SymptomsMost people do not show any symptoms– asymptomaticIt may take from days from exposure to symptomsFatigue, diminished appetite, abdominal discomfort, jaundice, enlarged liver, liver damage, liver cancer
21How is Hepatitis B spread: On the job Infected blood + mode of transmission + uninfected person = EXPOSURESharing needlesBitesMucus membranesOpen wound
22How is Hepatitis B spread: On the job Puncture wounds from sharps (needles, broken glass, etc.)Fluid entering nicks or cuts in the skinTouching a contaminated hand to the eyes, nose, mouth or other mucous membranesThe only way to tell is a blood test
23How is Hepatitis B spread: Outside the workplace Unsafe sexIntravenous drug useBlood transfusions
24Hepatitis B may be found in many body fluids: BloodUrineVaginal secretionsSalivaSemen
25Hepatitis B may be found in many body fluids: The virus may remain infectious in dried blood, on many different surfaces, for up to two weeks
26Hepatitis BYou + outside blood + mode of transmission = exposure incidentThere is no cure for Hepatitis B. There is prevention.Most adults infected with acute Hepatitis B recover.
27Persons cannot contracted HBV or HIV from: Drinking fountainsToilet seatsSwimming poolsDoorknobsInsect bitesShaking handUsing the telephoneEating meals togetherBeing exposed to sneezing or coughing
28Questions?What regulation requires employer to protect employees against bloodborne pathogens?A) Right-To-Know LawsB) Hazard Communication StandardC) Bloodborne Pathogens StandardD) New York City Health Code
292) Most People infected with hepatitis B virus do recover Questions?2) Most People infected with hepatitis B virus do recoverand clear the infection?True False
30Questions? 3) The written Exposure Control Plan: A) Should be easily accessible to all employeesB) Describes how the Department will comply with the OSHAstandardC) Should be located at each Department FacilityD) All of the above
31Personal Protective Equipment Personal protective equipment must be provided by the employer and used by the employee to protect oneself from possible infectious materials (gloves, shoe coverings, aprons, etc.).
32Universal Precautions A practice whereas blood and other body fluids other than your own are treated as though they were infectious. Gloves and other physical barriers to protect oneself are utilized.
33How can Occupational Exposure be Minimized? Observed Universal PrecautionsAssume that blood, blood products or materials contaminated with blood are infectiousWash hands immediately after contact with blood or potentially infectious fluids
34All three vaccines are needed Hepatitis B– the shotHow many vaccinations do I need?The vaccine is given in a three dose series.Dose #1 – Initial doseDose #2 – 30 days after dose #1Dose #3 – 4-6 months after dose #2All three vaccines are needed
35More about the vaccineThe vaccine is free and on the Department’s time.The vaccine will only be given to those who have been trained.The vaccine has been proven to be 90%+ effectiveProtected for lifetimeNo booster shots needed– immune memoryThe vaccine may not “work” for everyone.
36Who is eligible for the Hepatitis B Vaccinations? Special Education teachersPrincipals/ Assistant Principals/DeansPhysical Education InstructorsDesignated First Aid ProvidersShop and Lab TeachersSchool Health AidesParaprofessionalsCustodial employeesMedical care provider for students (MD, Nurses, Therapist, Psychologist, etc…)Security staff (NYPD)Other
37More about the vaccine DO NOT TAKE THE VACCINE IF: You are allergic to yeastYou are pregnant or planning to become pregnant within the yearYou are ill (cold, flu, or on medication) on your appointment dateYou are in doubt due to other medical issues, concerns or complications (see your Physician)
38Regulated Medical Waste Regulated Medical Waste– liquid or semi-liquid blood or other potentially infectious materials. Such materials include soiled sharps and saturated materials.
39Regulated Medical Waste Red bags and sharps containers are provided for the collection of regulated medical waste. A sharps container, red bag, and storage box should be available in the Nurse’s and/or Custodian’s office.
40Regulated Medical Waste Materials soiled and saturated with blood or other potentially infectious materials should be discarded here, unwashed and unsorted. The Nurse or Custodian should contact the Office of Occupational Safety and Health (OOSH) at (718) for removal and replacements.
41Other Potentially Infectious Materials Other Potentially Infectious Materials means (1) The following human body fluids: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids; (2) Any unfixed tissue or organ (other than intact skin) from a human (living or dead); and (3) HIV-containing cell or tissue cultures, organ cultures, and HIV- or HBV-containing culture medium or other solutions; and blood, organs, or other tissues from experimental animals infected with HIV or HBV.
42Exposed – what to do? Post Exposure Procedure & Follow-up Policy: MUST KNOW, IF EXPOSED TO BLOODIf you have been contaminated by blood you may have been exposed to Hepatitis B, Hepatitis C, and/or HIV. Protect your health: Wash off the exposed area immediately. Report the incident to your Principal/Custodian/ Site Administrator in order to receive proper post-exposure evaluation and follow-up.
43Post Exposure Procedure & Follow-up Policy Employees must be advised to seek medical attention immediately. The exposed employee must be informed that the doctor’s visit is provided free of any charge to him/her.If the employee declines to seek medical attention and evaluation, the employee must provide in writing the reason for the declination and a record of this declination must be kept on file.
44Post Exposure Procedure & Follow-up Policy The employee must fill out completely the pertinent forms (Exposure Incident Report) in the appendix B of the NYCDOE Bloodborne Exposure Control Plan.The Principal must provide to the healthcare professional with the requisite information as per OSHA Standard, 29 CFR (f)(4).The Healthcare professional must provide to the principal/administrator with a copy of his/her written opinion within 15 days of the evaluation. The copy must meet the requirement of OSHA Standard 29 CFR (f)(5).
45Post Exposure Procedure & Follow-up Policy The principal shall establish and maintain an accurate record for each employee with occupational exposure, in accordance 29 CFR (h)(1).After the post exposure evaluation, the information provided by the physician to the school administrators should reflect the type of treatment and doctor’s opinion. Based on such information, a determination should be made as to whether or not the case is recordable on the Log and Summary of Occupational Injury and Illnesses form (SH 900). If the case is deemed as recordable, then it must be recorded as a privacy case, and the employee’s name must be omitted from all OSHA forms.
46Post Exposure Procedure & Follow-up Policy The principal must ensure that all employees who are assigned to task where occupational exposure may place are provided with information and training at the time of initial assignment as per 29 CFR (g)(2)(ii)(A).Your employer will reimburse medical expenses incurred because of an exposure incident. Forms and supporting documentation must be submitted to the Medical Claims Bureau. Your Site Administrator will be able to assist you in filing the appropriate forms.
47EXPOSURE INCIDENT PACKAGE EXPOSURE INCIDENT REPORTIDENTIFICATION AND EVALUATION OF SOURCE INDIVIDUALEMPLOYEE’S EXPOSURE FOLLOW-UP RECORDEXPOSURE INCIDENT REPORT LOG
48SHARPS INJURY INCIDENT PACKAGE SHARPS INJURY REPORTIDENTIFICATION AND EVALUATION OF SOURCE INDIVIDUAL (IF KNOWN)EMPLOYEE’S EXPOSURE FOLLOW-UP RECORDSHARPS INJURY LOG
49Questions?1) Hand Washing is your main protection against the spread of infection? True False
50Questions?2) Hepatitis B virus can survive in dried blood on surfaces for at least one week? True False
513) Most exposure to blood result in infection. True False Questions?3) Most exposure to blood result in infection. True False
52Your Questions?Please “Raise your hand” to talk with your mic, or type your questions into the “Direct Messaging” box.