1. Annual Staff Training New Providence School District Carol McCabe, R.N. Jan Miller, R.N. Trish Kalinger, R.N. Bloodborne Pathogens

2. Objectives  Define “bloodborne pathogens”  Describe modes of transmission  Recognize activities that may lead to exposure  Identify the exposure control plan, its location and appropriate post-exposure action

3. What Are Bloodborne Pathogens?  Microorganisms such as viruses or bacteria  Found in blood and cause disease in humans  Examples  Hepatitis B  Hepatitis C  HIV

4. Hepatitis B  Virus that infects the liver  Transmitted through blood to blood contact  Hepatitis B can survive for at least one week dried at room temperature on surfaces  Can lead to cirrhosis and liver cancer  Symptoms may occur 1-9 months after exposure  Vaccine available to prevent Hepatitis B  No cure available

5. Hepatitis C  Caused by virus  Causes inflammation of the liver  Potential for chronic liver disease  Transmitted through exposure to blood  No vaccine to prevent Hepatitis C  No cure available

6. HIV  Human immunodeficiency virus  Primarily of concern to employees providing first aid or medical care in situations involving blood  Fragile virus—does not survive long outside the human body  No vaccine to prevent HIV  No cure available

7. Transmission In the School Setting  Accidental puncture from contaminated needles, broken glass or other sharps  Contact with infected blood  Mucous membranes (eyes, nose, mouth)  Open sores  Cuts  Abrasions

8. Protection  Avoid contact with blood.  Follow standard precautions — treat all blood and body fluids as potentially infectious.  Use personal protective equipment--PPE

9. Personal Protective Equipment Gloves are a barrier to potentially infectious material. The school nurse can provide disposable gloves for your use. ALWAYS wear gloves if contact with blood is possible.

10. Disposal of PPE  Remove gloves in a manner that prevents touching the contaminated surface with your skin.  Turn gloves inside out to remove.  Click on picture below for a VIDEO demonstration.

11. Hygiene  After glove removal, wash hands for at least 15 seconds with antibacterial soap.  If accidental exposure occurs, wash hands or other exposed skin as soon as possible.

12. Decontamination  All work surfaces tools, equipment and other objects that have come in contact with blood or potentially infectious materials should be decontaminated as soon as possible with approved solution.  Please contact the custodial staff for cleanup.

13. Exposure Control Plan  The purpose of the plan is to protect all occupationally exposed employees from exposure to any blood or body fluid.  A copy of the plan is available in principal’s office and in the health office.

14. What To Do If Exposure Occurs  Wash exposed area thoroughly with soap and water.  If mucus membranes (lips, eyes, nose) are exposed, flush or rinse with copious amounts of water.  Report exposure immediately to school nurse and supervisor.  Fill out exposure report form.  Seek medical attention as directed.

15. Your Rights  Access to personal protective equipment  Immediate medical evaluation if exposed  Confidential treatment

16. Your Responsibilities  Always use standard precautions.  Immediately report all exposures.  Comply with post exposure follow up.  Complete annual bloodborne pathogen training.  If you have any questions, contact your school nurse.