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 Remember to Mute All Room Microphone.  Place all Cell Phones on Vibrate/Silent  Remember to Sign-In on the Attendance Roster Housekeeping.

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Presentation on theme: " Remember to Mute All Room Microphone.  Place all Cell Phones on Vibrate/Silent  Remember to Sign-In on the Attendance Roster Housekeeping."— Presentation transcript:

1  Remember to Mute All Room Microphone.  Place all Cell Phones on Vibrate/Silent  Remember to Sign-In on the Attendance Roster Housekeeping

2 NYS DEC Health & Safety Unit New York State Department of Environmental Conservation This training material presents important information for NYS DEC employees. This program is neither a determination that the conditions and practices of your organization are safe nor a warranty that reliance upon this program will prevent injuries or illnesses.

3 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. Bloodborne Pathogens

4 Bloodborne Pathogens Law OSHA 29 CFR Exposure Control Plan (ECP) Exposure Control Plan (ECP) Engineering and work practice controls Engineering and work practice controls Personal protective equipment (PPE) Personal protective equipment (PPE) Training Training

5 Bloodborne Pathogens Law (cont.) Medical screening/ surveillance Medical screening/ surveillance Free hepatitis B vaccination Free hepatitis B vaccination Signs and labels Signs and labels Recordkeeping Recordkeeping

6 Primary Workplace Bloodborne Pathogens Human immunodeficiency virus (HIV) Human immunodeficiency virus (HIV) Hepatitis B virus (HBV) Hepatitis B virus (HBV) Hepatitis C virus (HCV) Hepatitis C virus (HCV)

7 How Bloodborne Pathogens Can Spread on the Job Contaminated sharp objects or needles Contaminated sharp objects or needles Broken skin, including rashes Broken skin, including rashes Mucous membranes Mucous membranes Eyes Eyes Mouth Mouth Nose Nose

8 Recognize and Evaluate Your Exposure Potential

9 HIV Four modes of transmission: 1. blood 2. semen 3. vaginal secretions 4. breast milk Virus lives outside the body only a few hours

10 HIV attacks your body’s ability to protect itself against disease HIV attacks your body’s ability to protect itself against disease Initially no visible signs of having the virus Initially no visible signs of having the virus Most people with HIV develop AIDS (acquired immune deficiency syndrome) Most people with HIV develop AIDS (acquired immune deficiency syndrome) There is no vaccination for HIV There is no vaccination for HIV Human Immunodeficiency Virus (HIV)

11 Signs and Symptoms of HIV Symptoms can include : Fever Swollen glands Sore throat Rash Fatigue Muscle and joint aches and pains Headache

12 A viral infection that causes inflammation of the liver A viral infection that causes inflammation of the liver Transmitted primarily through “blood to blood” contact. Transmitted primarily through “blood to blood” contact. Can lead to serious conditions such as cirrhosis and liver cancer. Can lead to serious conditions such as cirrhosis and liver cancer. Pathogen can survive in dried blood for up to seven days. Pathogen can survive in dried blood for up to seven days. There is no “cure” for HBV. There is no “cure” for HBV. Hepatitis B

13 Signs and Symptoms Hepatitis B  Fatigue, malaise, joint aches and low grade fever  Nausea, vomiting, loss of appetite  Abdominal pain  Jaundice and dark urine  Headaches

14 “…1 in 300 infected with HIV” Milwaukee Journal/Sentinel, July 7, 1996 “one in 20 people has or has had Hepatitis ” Hepatitis B Statistics

15 Hepatitis B Vaccination Free to High-Risk Employees Free to High-Risk Employees Three doses over 6 months Three doses over 6 months Must receive all three doses Must receive all three doses May decline vaccine (but must sign waiver) May decline vaccine (but must sign waiver) May receive vaccine later May receive vaccine later Very low risk vaccine Very low risk vaccine >90% effective >90% effective

16 Liver disease caused by the Hepatitis C virus. Liver disease caused by the Hepatitis C virus. The most chronic bloodborne infection. The most chronic bloodborne infection. In most cases, Hep C remains in the body and becomes a long-term or chronic infection. In most cases, Hep C remains in the body and becomes a long-term or chronic infection. Most people do not have any symptoms. Most people do not have any symptoms. Symptoms may not appear for many years. Symptoms may not appear for many years. Hepatitis C

17 Signs and Symptoms Hepatitis C Fever Fever Fatigue Fatigue Loss of appetite Loss of appetite Nausea Nausea Vomiting Vomiting Abdominal pain Abdominal pain Dark urine Dark urine Joint pain Joint pain Jaundice Jaundice

18 Hepatitis C 3-4 million carriers Disease can incubate for decades Disease can incubate for decades HCV not related to the viruses that cause HBA and HBV HCV not related to the viruses that cause HBA and HBV

19 UNIVERSAL PRECAUTIONS/ STANDARD PRECAUTIONS How to Reduce Your Risk

20 Engineering Controls Sharps with Engineered Sharps Injury Protection (SESIP)– a non-needle sharp or needle with a built-in safety feature or mechanism that effectively reduces the risk of an exposure incident. Examples include:

21 Needles and other sharps must be discarded in rigid, leak-proof, puncture resistance containers. Engineering Controls

22 Work Practice Controls Don’t Recap Needles

23 Work Practice Controls When emptying trash containers, do not use your hands to compress the trash in the bag. When emptying trash containers, do not use your hands to compress the trash in the bag. Lift and carry the trash bag away from your body. Lift and carry the trash bag away from your body.

24 Do not eat, drink, smoke, apply cosmetics, or handle contact lenses in areas where there is the possibility of exposure to BBP Work Practice Controls

25 Use Spill Kit for Clean-up Kit Includes: Face Mask Gloves Gloves Goggles Sharps Disposal Container Sharps Disposal Container Absorbent Powder Fluid Control Solidifier Fluid Control Solidifier Personal Protective Equipment Cleaning Pads

26 Personal Protective Equipment Gloves Gloves Masks Masks Eye protection Eye protection CPR micro shields CPR micro shields

27 Hand Washing Wash hands immediately after removing PPE Wash hands immediately after removing PPE Use a soft antibacterial soap Use a soft antibacterial soap A hand sanitizer can be used but wash with soap and water as soon as possible. A hand sanitizer can be used but wash with soap and water as soon as possible.

28 First-aid Kits (Mandatory ) Gauze pads (4X4) Gauze pads (4X4) Two large gauze pads (8X10) Two large gauze pads (8X10) Box of band-aids Box of band-aids One package gauze roller bandage One package gauze roller bandage Two triangular bandages Two triangular bandages Sealed moistened towelettes Sealed moistened towelettes Scissors Scissors At least one blanket At least one blanket Tweezers Tweezers Adhesive tape Adhesive tape Latex or Vinyl gloves Latex or Vinyl gloves Resuscitation equipment Resuscitation equipment Two elastic wraps Two elastic wraps Splint Splint Directions for requesting emergency assistance Directions for requesting emergency assistance Chainsaw Operators

29 Unregulated Waste Labeling Labels not typically required but a good idea

30 Liquid or semi-liquid blood or OPIM Liquid or semi-liquid blood or OPIM Contaminated items that would release blood or OPIM in a liquid or semi-liquid state if compressed Contaminated items that would release blood or OPIM in a liquid or semi-liquid state if compressed Items caked with dried blood or OPIM that are capable of releasing these materials during handling Items caked with dried blood or OPIM that are capable of releasing these materials during handling Contaminated sharps Contaminated sharps Pathological and microbiological wastes containing blood or OPIM Pathological and microbiological wastes containing blood or OPIM Regulated Waste

31 Label All Regulated Waste Containers Labels communicate a hazard Labels communicate a hazard Place regulated waste in containers that have the universal biohazard symbol Place regulated waste in containers that have the universal biohazard symbol The term “Biohazard” must be on the label The term “Biohazard” must be on the label Image Credit: OSHA

32

33 Get Spill Kit from Janitorial Closet Get Spill Kit from Janitorial Closet Put on gloves. Put on gloves. Body Fluid Cleanup Procedures

34 If splashing is anticipated, wear protective eyewear and mask Body Fluid Cleanup Procedures

35 Remove visible material with absorbent towels Remove visible material with absorbent towels Body Fluid Cleanup Procedures

36 Area should be decontaminated for 10 minutes Area should be decontaminated for 10 minutes Once the area has been disinfected, dry area with absorbent towels and dispose of towels in regular trash Once the area has been disinfected, dry area with absorbent towels and dispose of towels in regular trash Body Fluid Cleanup Procedures

37 Glove removal and disposal technique Body Fluid Cleanup Procedures

38 Glove Removal and Disposal Grip one glove near the cuff and peel it down until it comes off inside out. Cup it in the palm of your gloved hand. Place two fingers of your bare hand inside the cuff of the remaining glove.

39 39 Glove Removal and Disposal Peel that glove down so that it also comes off inside out and over the first glove. Peel that glove down so that it also comes off inside out and over the first glove. Properly dispose of the gloves. Properly dispose of the gloves.

40 EHSRM (v. 10/01) Wash hands well. Body Fluid Cleanup Procedures

41 Proper Disposal of Contaminated Items 41

42 Emergency Actions Following Exposure Wash with soap and water or disinfectant Wash with soap and water or disinfectant If water not available, use antiseptic towelette If water not available, use antiseptic towelette Seek Medical Attention Immediately Seek Medical Attention Immediately Notify supervisor Notify supervisor Post Exposure Evaluation Post Exposure Evaluation

43 43 Accident/Injury Report Complete report as soon as possible after incident Complete report as soon as possible after incident Turn in to your supervisor Turn in to your supervisor Call ARS 1 (888) Call ARS 1 (888)

44 Post-Exposure Evaluation Confidential medical evaluation Confidential medical evaluation Document route of exposure Document route of exposure Identify source individual Identify source individual Test source person’s blood Test source person’s blood Post exposure prophylaxis (PEP) Post exposure prophylaxis (PEP) Provide results to source and exposed employees Provide results to source and exposed employees

45 Record Keeping Maintain duration of the employment Maintain duration of the employment PLUS 30 years PLUS 30 years Records must be kept CONFIDENTIAL! Records must be kept CONFIDENTIAL! Records are available to the employee and the employees designated representative Records are available to the employee and the employees designated representative Record all needlesticks and sharps injuries Record all needlesticks and sharps injuries as an injury on SH 900 log as an injury on SH 900 log

46 Bloodborne Pathogen Quiz 1. HIV, HBV, and HCV can be transmitted when infected bodily fluids directly contact the eyes or nonintact skin. True or False 2. The risk of exposure to bloodborne pathogens is only possible when blood is present in the bodily fluid. True or False 46

47 Bloodborne Pathogen Quiz 3. Treating all blood/body fluids as infected is known as _______________Precautions. 4. HIV stays alive in dried blood. True or False 5. Name three of the most common bloodborne pathogens: ___________, ______________ and ____________. 47 Universal HIV/AIDS Hepatitis B Hepatitis C

48 For Additional Assistance, Contact the Health & Safety Unit Staff Michelle Glover-Brown, MPH - Director, H&S Unit Nanette Geary, BA – Associate Industrial Hygienist Edward Kusckar, MS – Associate Industrial Hygienist Mary Lanzi, BS – Senior Industrial Hygienist Phone: (518) Phone: (518)

49 Bloodborne Diseases Any Questions?


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