2. BLOODBORNE PATHOGENS STAFF ANNUAL TRAINING Per N.J.A.C.6A-10.9

3. Universal Precautions Training This training is designed to: Provide basic understanding of Blood borne Pathogens (BBP) Discuss Blood borne diseases and their transmission Explain the term “Universal Precautions” Recognize common modes of transmissions in the work place Differentiate between Engineering Controls and Work Practice Controls Review Personal Protective Equipment (PPE) and Hand washing Provide information on Hepatitis B Vaccine and Exposure Incidents As required by the Occupational Safety and Health Administration (OSHA) Bloodborne Pathogen Standard 29 CFR 1910.0130

4. Blood borne Pathogens Blood borne Pathogens (BBP) are microorganisms such as viruses and bacteria that are carried in the blood and can infect and cause disease in people who are exposed to blood containing the pathogen. These microorganisms can be transmitted through contact with contaminated blood and body fluids.

5. Blood borne diseases The two diseases specifically addressed by the OSHA standard are:  Hepatitis B Virus (HBV)  Human Immunodeficiency Virus (HIV)

6. Characteristics of Hepatitis Hepatitis  Hepatitis means inflammation of the liver  Can result in cirrhosis and liver damage  Most people recover  HBV can be transmitted indirectly  Can survive in dried blood up to 7 days  There is a vaccine  One third of HBV have no signs or symptoms

7. Characteristics of HIV  HIV (Human Immunodeficiency Virus)  HIV attacks the immune system  People can carry the virus for years without visible symptoms  HIV is fragile and does not survive very long outside the body  In some cases HIV develops into AIDS  No known cure

8. Transmission of Bloodborne Diseases Blood borne Pathogens are Transmitted when Contaminated Blood or body Fluids enter the Body of another Person. In the school Setting, contact is most likely to occur through: DermatitisAcneCuts BBP Dermatitis Acne abrasions Cuts Mucous membranes Of the mouth Eyes or nose Open Sores

9. What do we mean “Universal Precautions”? The concept of Universal Precautions is that all blood and potentially infectious materials must be treated as if they are known to contain HIV,HBV or other blood borne pathogens. Assume all blood and body fluids are contaminated and potentially harmful to your health!!

10. 6 Steps to consider for Universal Precautions 1. ASSUME ALL BLOOD AND BODY FLUIDS ARE CONTAMINATED AND POTENTIALLY HARMFUL TO YOUR HEALTH.

11. Steps to consider for Universal Precautions 2. WASH HANDS AND WORK SURFACES FREQUENTLY.

12. Steps to consider for Universal Precautions 3. Avoid contact with sharp objects. 4. Use gloves and other personal protective equipment when you anticipate exposure to blood or other bodily fluids.

13. Steps to consider for Universal Precautions 5. WASH YOUR HANDS IMMEDIATELY FOLLOWING EXPOSURE

14. Steps to consider for Universal Precautions 6. Dispose of hazardous material safely using engineering controls like a sharps box for needle disposal.

15. WORKPLACE TRANSMISSION Accidental Injury Injury that may occur from broken glass, sharp metal, needles, knives or even exposed orthodontic wires. Indirect Transmission Occurs from contact with an object or surface contaminated with infectious material and then transferred to your mouth, nose, eyes or open skin.

16. When an Injury Occurs  Assess the situation  Administer First Aid  Report the Incident

17. Assess the Situation Take a moment to collect yourself so you can approach the situation. Be calm and reassure the victim Assess the severity of the injury Avoid exposing yourself to blood or other bodily fluids without precautions

18. ADMINISTER FIRST AID  For minor cuts and scrapes, nose bleeds, encourage student to self administer first aid.  For more serious injuries, put on a pair of gloves first  If you are accidentally exposed to blood or another fluid in the course of first aid, wash the exposed area with an antibacterial soap and water as soon as possible.  If your eyes, nose or mouth have been exposed, flush them with running water.

19. REPORT THE INCIDENT oReport the exposure to the principal and nurse immediately in case there is a need for additional medical attention. oComplete the Exposure Incident Report with the nurse as soon as possible.

20. Engineering Controls VS Work Practice Controls Engineering Controls Isolates or removes the blood borne pathogen from the work place. Physical or mechanical systems that eliminates the hazards at the source Example-sharps disposal container Eye wash system in Nurses’ office Work Practice Controls Reduces the likelihood of exposure by altering the manner in which the task is performed. Hand washing Personal Hygiene Cover area that is soiled until proper cleansing done

21. HANDWASHING Hand washing is one of the simplest and most effective practices used to present transmission of blood borne pathogens. Take 2 paper towels and put under arm Turn on warm water and put soap on hands Rub for 20 seconds vigorously, getting fingers, hands, wrists and fingernails. Rinse thoroughly & use one towel to turn off faucet Use 2 nd towel to dry hands and open door.

22. PERSONAL HYGIENE Use good judgment when working in areas with potential exposure. Refrain from eating, drinking or applying lip balm or cosmetics where there is a likelihood of exposure. Don’t keep food or drink in refrigerators or on countertops where there is potential for infectious material Minimize splashing or spraying of droplets when attending to an injury

23. PERSONAL PROTECTIVE EQUIPMENT—”PPE” To protect yourself, it is essential to have a barrier between you and the potentially infectious material. Gloves, goggles, masks and aprons should be used appropriately with the task and degree of exposure.

24. HEPATITIS B VACCINE It is strongly suggested if you are working with a “high risk group” you discuss the vaccine with your physician.

25. Exposure Incidents Exposure Control Compliance Manual Requirements Documentation of exposure routed and how exposure incident occurred Identification and documentation of source of individual’s infectivity, if possible Medical attention @ Ocean Bay Occupational Medicine Center or Emergency Dept. if needed

26. Post Evaluation TRUE OR FALSE 1.Universal precautions refers to the infectious disease control systems, that assumes every direct contact with body fluids is infectious and requires every employee exposed to be protected as though all body fluids are infected with bloodborne diseases. 2.Universal Precautions Training is required by the Occupational Safety Health Administration (OSHA) to limit the threat of Bloodborne Pathogens in the work place. 3.Every school employee must understand the dangers of infection and safe practices to minimize risk. 4.Hepatitis B virus (HBV) and Human Immunodeficiency Virus (HIV) are 2 disease specifically addressed by the OSHA Bloodborne Pathogen Standard. 5.Hepatitis is an inflammation of the liver. Symptoms of the disease range from jaundice, flu like symptoms to none at all. 6.Hepatitis B virus can survive in dried blood for up to 7 days at room temperature.

27. Post evaluation continued: 7. The Hepatitis B vaccine series is an effective tool against the Hepatitis B Virus. It is suggested you receive the vaccine if you work in a high risk area. 8. HIV attacks the body’s immune system causing the disease known as AIDS and/or other opportunistic infections. 9. Symptoms of HIV include night sweats, weight loss, muscle and joint pain. 10. The HIV is fragile and does not survive very long outside the body. 11.Presently, there is no vaccine to prevent HIV. 12.Transmission of bloodborne diseases in the work place include accidental injury & indirect transmission. 13.Accidential injury may occur from contaminated objects like broken glass, needles, knives and sharp metal including orthodontic wires. 14.Indirect transmission happens when you touch a contaminated surface or object and then transfer the infections to you nose, mouth, eyes or open skin.

28. Post evaluation continued 15. An ECP (Exposure Control Plan) involves engineering controls and work place practices that outline a system of safeguards and barriers to reduce the risk of exposure to bloodborne pathogens to employees. 16.Handwashing is one of the simplest and most effective practices used to prevent transmission of bloodborne pathogens. 17. When an injury occurs, it is important to assess the situation first, before administering first aid. 18.A sharps container for needles is an example of engineering controls in the work place. 19.Personal Protective Equipment (PPE) must be worn utilized to reduce the risk of exposure. Gloves should be worn whenever needed to prevent contact. 20.The Hepatitis B vaccine series is offered cost free to employees at risk for exposure, and whenever there is an exposure incident in the work place.

29. Post Evaluation Answers Congratulations if you answered all as TRUE