1. Bloodborne Pathogen Training
Springfield Public Schools:
Bloodborne Pathogen Training

2. This program meets the following guidelines:
OSHA Standards on Bloodborne Pathogens
(29 CFR )
Public sector workplaces in Massachusetts are
not covered by OSHA standards, but…
Massachusetts Division of Occupational Safety dictates that public sector employers comply with the same requirements

3. At the end of this lesson, you will be able to:
List the three most common bloodborne
pathogens (BBPs)
Identify and take appropriate actions to reduce
risk of exposure to BBPs
Describe how to respond if an injury occurs at your site

4. Definition of BBP
Bloodborne pathogens are infectious materials in blood that can cause disease in humans, including but not limited to hepatitis B and C and human immunodeficiency virus or HIV

5. Your role and responsibilities:
Minimize the risk of BBP exposure for
students, your co-workers, and yourself
Take proper precautions at all times
When an incident occurs, respond quickly
and correctly

6. 3 Most Common BBPs 1. Hepatitis B 2. Hepatitis C HIV
inflammation of the liver, which can lead to cirrhosis, liver cancer or death
Most people recover
Can be indirectly transmitted
There is a vaccine
2. Hepatitis C
inflammation of the liver, which can lead to chronic liver disease and death
May carry virus for years without visible symptoms
HIV
Attacks the immune system
Develops into AIDS in some cases

7. How it is spread: BBPs are most commonly spread through
high-risk activities like unprotected sex and
sharing drug needles.
At school sites your risk of exposure is low.
Potential risks include infected blood or other bodily fluid that:
Spray, splash into mouth, nose or eye (mucous membrane)
Contact with broken areas of skin, even tiny breaks you can’t see
Accidental injury with a sharp object like a needle, broken
glass, or anything else that can pierce your skin.

8. Protect yourself Hepatitis B virus (HBV) can be transmitted
indirectly if you touch a contaminated surface and then touch your nose, mouth,
eyes, or broken skin.
HBV can survive dried and at room
temperature on surfaces for up to a week

9. Protect yourself Infection Control Standard Precautions Hand Washing
Use of Disposable Gloves
District Procedures/Guidelines

10. PREVENTION Standard Precautions
a method of infection control in which all blood or bodily fluids anyone comes in contact with is assumed to be potentially infectious
People with BBP’s may not know it
You may be a carrier and not know it-preventive measures protect students also

11. Five Universal Precautions
Wash hands and work surfaces frequently
Avoid contact with sharp objects
Use gloves and other personal protective equipment when you anticipate exposure to blood or other bodily fluids
Wash your hands immediately following exposure
Dispose of hazardous material safely using engineering controls like a needle box for any sharp objects

12. Handwashing
Is far less glamorous than hi tech
interventions, but it is known to be
the SINGLE most important thing
we can do to reduce the spread of
disease

13. Procedure is important
Wet hands thoroughly under warm water
Dispense non-abrasive soap into wet hands
Vigorously rub hands together for 20 seconds, about the time it takes to sing “Happy Birthday”
Be sure to scrub all surfaces...top and bottom
Thoroughly rinse hands
Dry hands with a disposable towel.
Use towel to turn off the water and dispose of it

14. Hand Sanitizers Do not require water
Excellent alternative to hand washing when soap and water not available
Apply about ½ tsp of sanitizer to palm of hand
Rub hands together, covering all surface of your hands until they are dry
Wash hands with soap and water when able

15. Work surfaces
Make sure work surfaces, particularly any public counters, are kept clean
Use a disinfectant that kills germs
Make this part of your daily routine

16. SHARPS
Be alert for sharp objects, like broken glass or needles, when emptying trash containers
never smash down trash with hands or feet
always carry trash away from your body
never pick up broken glass with your hands

17. Personal Protective Equipment
Safety devices or safeguards worn by workers to protect against environmental hazards
Designed to reduce the risk of disease transmission
Always wear gloves
when you anticipate
touching blood, bodily
fluids, or contaminated
surfaces

18. Using Gloves
Use single-use, disposable gloves when administering first aid.
Cover any cuts with bandages before putting on gloves
Make sure gloves fit snugly
When removing, be sure that your bare skin does not come into contact with exterior of the glove (peel inside out)
Dispose of gloves in hazardous waste container

19. Other protective equipment
Resuscitation device- always use when administering mouth to mouth
Smock or apron-use when cleaning up large amounts of blood or other bodily fluid
Eyewear
Face shield
obtain equipment from school nurse or custodian

20. Hazardous Waste
Used needles should be immediately placed in a sharps container

21. Sharps Protect Yourself and Others from Sharp Objects.
If you have a needle or anything with a sharp point, dispose of it in the sharps container in the Nurse’s Office.

22. SHARPS
Any contaminated object that can penetrate the skin including, but not limited to, needles, scalpels, and broken glass.
Use a brush and dustpan or tongs to pick up broken glass/sharp objects
Never use your hands.
Place the items in a closable, leak proof, puncture resistant container with a biohazard label attached.
Never reach into a trash container or push trash down with hands or feet
Use a properly labeled sharps container for needles.
Never recap, bend, break, or shear needles.
Wear gloves!
Replace sharps containers when full – never overfill.
Sharps containers are stocked in the health room of each school.

23. Accidental Exposure If you are exposed despite using precautions
Immediately wash the exposed area with anti-bacterial soap and water
Flush eyes, nose or mouth with running water if they have been exposed

24. If an injury occurs Assess the situation Administer first aid
Report incident to school nurse

25. ASSESS THE SITUATION
Your first instinct is to help an injured child immediately, but take a moment to think so you safely approach the situation
BE CALM
REASSURE VICTIM
ASSESS SEVERITY OF INJURY
AVOID EXPOSING YOURSELF TO BLOOD OR BODILY FLUIDS WITHOUT PRECAUTION

26. FIRST AID
For minor cuts and scrapes, encourage the victim to self-administer first aid.
For more serious injuries, put on a pair of gloves before you administer first aid.

27. When exposure occurs:
Report the incident to the school nurse immediately!
If you experienced accidental exposure,
complete an Incident Report form and submit it to your building principal.
An Incident Report is required anytime an
incident occurs in which there is potential exposure to a bloodborne pathogen.

28. Occupations at RISK High Risk Health Service Personnel
Coaches & Athletic Trainers
PE Teachers
Special Ed Teachers
Special Ed Bus Drivers & Aides
Some Risk
Custodians, Secretaries, Regular Education Teachers & Aides, Bus Driver

29. CLEANING UP SPILLS If you are cleaning up a spill of blood, carefully
cover the spill with paper towels or cloths – then
carefully pour an approved cleansing solution –
and leave it for 10 minutes to kill any bloodborne
pathogens. Remember to decontaminate any
mops, sponges, pails, etc. that were used in the
clean up process.
To determine if a cleaning solution is EPA Registered :
Read the label

30. CLEANING UP (CONT) Wear gloves.
Place contaminated items in a leak proof bag.
Remove gloves using proper method – never let
bare skin touch contaminated gloves.
Place securely fastened bag in a plastic lined trash
container.
Take to the school nurse for disposal.

31. Contaminated sports items and equipment
Use an EPA-registered tuberculocidal disinfectant
solution to clean and decontaminate sports items
and equipment that has come in contact with blood
and other potentially infectious materials. Follow
the clean up and decontamination guidelines.

32. Summary You have explored: Bloodborne pathogens (BBPs)
The three most common BBPs
Universal precautions for reducing risk of exposure
What to do when an injury occurs
Normal teaching and learning activities do not place anyone
at risk for HIV infection, but accidents and injuries at school
can produce situations where students or staff might be
exposed to another person’s body fluids.
BE PREPARED!

33. THE END

34. Bloodborne pathogens post test
1. Which disease is not bloodborne?
A. Hepatitis A
B. Hepatitis B
C. Hepatitis C
D. HIV
2. Bloodborne pathogens may enter your bloodstream through:
A. skin abrasions
B. open cuts
C. accidental needle sticks
D. all of the above
3. Observing “universal precautions” means treating all blood and body fluids as if
infectious.
True
False

35. Post test
4. Wearing gloves is one of the most important personal protective measures for
preventing an exposure to blood borne pathogens.
True
False
5. If you wear gloves when cleaning up blood or body fluids, it is not necessary to wash
your hands afterwards.
6. If antiseptic wipes or gels are used, it is not necessary to wash your hands
afterwards.
7. Personal Protective Equipment includes which of the following?
A. Gloves
B. Goggles
C. Aprons
D. All of the above

36. Post test
8. When cleaning up a blood borne pathogens spill, which of the following should you NOT do?
A. Use disposable gloves
B. Dispose of waste in an unlined waste container
C. Wash hands thoroughly with warm water and soap
D. Contact the school nurse and custodian
9. You should complete an incident report if you have been exposed to blood borne pathogens.
True
False
10. A person with a blood borne pathogen will always look sick.

37. Post test What would you do??????? Circle the correct response.
11. A student, Angie, comes to you with a bloody nose. She is upset and needs your
assistance cleaning up. Would you:
A. Tell Angie that you are busy and send her off to class
B. Rush to help Angie and do your best not to touch the blood
C. Encourage Angie to clean herself up, even though she is upset
D. Call Angie’s parents and tell them they need to come to clean her up
12. You notice that Angie has dripped blood down the hall. Would you:
A. Grab some paper towels and quickly wipe up the blood
B. Call your custodian and ask them to clean up the blood and disinfect the area
using the appropriate precautions
C. Give Angie paper towels and instruct her to clean up after herself

38. Bloodborne pathogen answer sheet
Name/Title_______________________Date____________
School__________________________
1. ○ A ○ B ○ C ○ D
2. ○ A ○ B ○ C ○ D
3. ○ T ○ F
4. ○ T ○ F
5. ○ T ○ F
6. ○ T ○ F
7. ○ A ○ B ○ C ○ D
8. ○ A ○ B ○ C ○ D
9. ○ T ○ F
10. ○ T ○ F
11. ○ A ○ B ○ C ○ D
12. ○ A ○ B ○ C ○ D