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Black Mountain Fire Department Bloodborne /Airborne Pathogen Training.

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Presentation on theme: "Black Mountain Fire Department Bloodborne /Airborne Pathogen Training."— Presentation transcript:

1 Black Mountain Fire Department Bloodborne /Airborne Pathogen Training

2  Bloodborne Pathogens are disease-causing micro-organisms present in blood, such as bacteria or viruses, that can cause disease in humans  May be transmitted from one individual to another through exposure to blood or other potentially infectious materials

3  Your skin or mucous membranes come into direct contact with blood, body fluids or other potentially infectious materials  Your skin or mucous membranes come into direct contact with items or surfaces that have been contaminated  You stick yourself with a contaminated needle or bitten by affected person

4  Exposure Incident -Occurs when an individual comes in contact with blood or other bodily fluids to which universal precautions apply, through percutaneous inoculation (needle stick), contact with an open wound, non- intact skin, and/or mucous membrane.

5  OSHA - Occupational Safety and Health Administration, under the Department of Labor. North Carolina is an OSHA state and performs its own inspections.

6  Hepatitis A (HAV)  Hepatitis B (HBV)  Hepatitis C (HCV)

7  Hepatitis A is found in the stool (poop) of persons with hepatitis A.  Hepatitis A is spread from person to person by putting anything in the mouth that has been contaminated with the stool of a person with hepatitis A.  Casual contact as in the usual office, work, or school setting, does not spread the virus.

8  Persons who share a household or have sexual contact with someone who has HAV  Persons who use street drugs  Children and employees in child care centers (especially centers that have children in diapers) where a child or an employee has hepatitis A.  Unsanitary practices in food services.

9 Thorough hand washing Hepatitis A vaccines provide long term protection. Immuno Globulin: Must be given within two weeks of exposure to HAV in order to work.

10  Viral Infection  Takes 2 to 6 months before infected individual feels or looks sick  Individual my be infected and never get sick, but can infect others  Can cause lingering active hepatitis, liver damage, liver cancer and death

11  Flu - like symptoms  Loss of Appetite  Fever  Nausea, vomiting and diarrhea  Stomach ache  Jaundice ( yellow skin tone)  Darkened Urine

12  There is no chronic (long-term) infection.  Once you have had hepatitis A you cannot get it again.  About 15% of people infected with HAV will have prolonged or relapsing symptoms over a 6-9 month period.

13  Occurs when blood or body fluid from an infected person enters the body of a person who is not infected.  Can be prevented by Vaccine.  Hepatitis B is NOT spread through food or water, sharing eating utensils, breastfeeding, hugging, kissing, coughing, sneezing or by casual contact.

14  Flu - like symptoms  Loss of Appetite  Fever  Nausea, vomiting and diarrhea  Stomach ache  Jaundice ( yellow skin tone)  Liver inflamation

15  Occurs when blood from an infected person enters the body of a person who is not infected.  HCV is spread through sharing needles or "works" when "shooting" drugs, through needlesticks or sharps exposures on the job, or from an infected mother to her baby during birth.

16  80% of persons have no signs or symptoms  Chronic infection: 55%-85% of infected persons  Chronic liver disease: 70% of chronically infected persons  Deaths from chronic liver disease: 1%-5% of infected persons may die

17 There is no vaccine/treatment to prevent hepatitis C.

18  Incurable Viral Infection  Can take up to 10 years before infected person feels or looks sick  Infected person who has no symptoms can infect others  HIV infection causes: AIDS, Infections and Cancers  Occurs when blood or body fluid from an infected person enters the body of a person who is not infected.

19  Flu-like symptoms  Constant fatigue  Fever  Sore throat, swollen lymph nodes in neck and upper arm region  Loss of appetite, weight loss  Diarrhea

20  Transmission CAN NOT occur through – Eating Food prepared by an infected person – Drinking Fountains – Toilet Seats – Telephones – Insect bites – Casual Contact

21  Severe Acute Respiratory Syndrome (SARS) is a viral respiratory illness.  In 2003, illness spread to more than two dozen countries in North America, South America, Europe, and Asia

22  SARS begins with a high fever (temperature greater than 100.4°F [>38.0°C]).  Headache  Overall feeling of discomfort and body aches  Mild respiratory symptoms at the outset  10 to 20 % of patients have diarrhea  Dry Cough  Most patients develop pneumonia

23  Mask self and patient due to airborne droplets.  Avoid close contact. Examples: ◦ Kissing or hugging ◦ Sharing eating or drinking utensils ◦ Talking to someone within 3 feet ◦ Touching someone directly.

24  Tuberculosis, many cases, is a lethal infectious disease.  Usually attacks the lungs.  Is spread through the air when people who have an active TB infection cough, sneeze, or otherwise transmit their saliva through the air

25  Chronic cough  Fever  Night Sweats  Weight Loss

26  Vaccine  Mask self and patient due to airborne droplets.  Avoid close contact. Examples: ◦ Kissing or hugging ◦ Sharing eating or drinking utensils ◦ Talking to someone within 3 feet ◦ Touching someone directly.

27 A TB skin test is the only way to find out if you have a TB infection

28  You should get test if you are exposed to a person with active TB  Small amount of tuberculin is injected under skin in lower arm  After 2 to 3 days the result is checked  Test should be given initially after exposure and if negative then 10 weeks after exposure.

29 If you test positive, the Doctor will order another test, Chest x- rays and blood work to confirm the results and begin treatment

30  Risk of Exposure from needle sticks or cut exposure: - HBV 6 to 30% depending on source - HCV 1.8% - HIV 0.3%  Treatment for HBV/HIV exposure should start as soon as possible, preferably 24hrs.

31  HBV- No follow up unless any symptoms appear  HCV- Antibody and liver enzyme levels as soon as possible after exposure and at 4-6 months after exposure. Check for virus 4-6 weeks after exposure.  HIV- Antibody as soon as possible after exposure (baseline) and periodically for at least 6 months after the exposure (6 weeks,12weeks, 6 months)

32 Any organism that cause disease that spreads throughout the environment via the air.

33  Gloves  Goggles  Masks  Face Shields  Gowns and body suits

34  Use gloves and eye protection  Barrier Devices  Hand Sanitizer  Wash your hands

35  Use anytime there is a risk of exposure  Dispose in regular trash if not soiled  Dispose in red biohazard bag if soiled  Disinfect non-disposable with approved disinfectant (Available at Fire Department)

36  Not necessary to use all the time  Using it causes work to be slowed down  Using it interferes with ability to do certain things  Just simply forgot to use it  Not available once got out of car or truck

37 Is a violation of the OSHA standard and the Riceville Vol. Fire Department Policy. There are NO ACCEPTABLE EXCUSES

38  Should be appropriate size  Gloves will deteriorate with use of cleaners and disinfectants  Disposable, single use gloves should not be washed and re-used  Discoloration does not affect the integrity or function of the glove

39  Primary function is to protect mucous membranes of the mouth, nose and eyes from contamination with blood or other potentially infectious materials  Surgical Masks Filter Out and Respirators filter in.

40  If you wear a mask to cover you mouth, you must wear and eye shield or goggles  Masks should be worn when blood splashes are likely to occur  If you are using your eyeglasses as eye protection the glasses must have side shields

41  Always use a clean gown  Gowns should fit comfortably  If blood soaks thru quickly remove and cleanse skin below it  If clothing is contaminated, DO NOT TAKE HOME TO CLEAN

42  Never blindly reach into any containers  Never assume that any bleeding is under control  Never assume that you know what body fluids are present

43  Contaminated items should NOT be cleaned in normal ways.  Special cleaners are used for decontamination.  Always ask for instructions if unsure of clean-up procedures.

44  Always report suspected exposures to the incident commander and/or the Fire Chief.  Exposure Report Forms are located in the radio room filing cabinet.

45 Questions come from PowerPoint info as well as Exposure Control Plan.


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