1. Bloodborne Pathogen Training for Madison Metropolitan School District Employees

2. Bloodborne Pathogens Bloodborne pathogens are microorganisms found in human blood that can cause disease in humans. These pathogens include, but are not limited to; Hepatitis B virus (HBV) Hepatitis B virus (HBV) Hepatitis C virus (HCV) Hepatitis C virus (HCV) Human Immunodeficiency Virus (HIV) Human Immunodeficiency Virus (HIV)

3. Hepatitis B Virus (HBV) Cause of Hepatitis B, a serious liver disease Cause of Hepatitis B, a serious liver disease Symptoms include jaundice (yellow eyes and skin), fatigue, nausea Symptoms include jaundice (yellow eyes and skin), fatigue, nausea Once infected, a person can remain a carrier for life Once infected, a person can remain a carrier for life Half of all carriers have no symptoms at all Half of all carriers have no symptoms at all Can result in liver failure and death Can result in liver failure and death 5000 deaths in U.S. annually 5000 deaths in U.S. annually No cure No cure There is a vaccine There is a vaccine

4. Hepatitis C Virus (HCV) Causes Hepatitis C disease Causes Hepatitis C disease Similar symptoms to Hepatitis B Similar symptoms to Hepatitis B Carriers may have no symptoms Carriers may have no symptoms 3 million people in the U.S. are chronically infected with HCV 3 million people in the U.S. are chronically infected with HCV Leading indicator for liver transplantation in the U.S. Leading indicator for liver transplantation in the U.S. 10,000 die annually from HCV 10,000 die annually from HCV No vaccine No vaccine

5. Human Immunodeficiency Virus (HIV) Virus that causes Acquired Immune Deficiency Syndrome (AIDS) Virus that causes Acquired Immune Deficiency Syndrome (AIDS) Attacks and breaks down the body’s immune system Attacks and breaks down the body’s immune system As of August 2006, 1.15 million infected in the U.S. As of August 2006, 1.15 million infected in the U.S. Treatable, but not curable, with antiviral drugs Treatable, but not curable, with antiviral drugs No vaccine No vaccine

6. Bloodborne Pathogens can be contracted: when open skin or mucous membranes (eyes, nose, mouth) come in contact with blood or other body fluids such as: when open skin or mucous membranes (eyes, nose, mouth) come in contact with blood or other body fluids such as: Semen Semen Vaginal secretions Vaginal secretions Any body tissue or fluid that contains visible blood Any body tissue or fluid that contains visible blood Or by puncturing the skin with sharp objects that are contaminated with these fluids Or by puncturing the skin with sharp objects that are contaminated with these fluids Needles Needles Glass Glass Scalpels Scalpels Knives Knives School employees may be at risk of exposure to bloodborne pathogens as a result of caring for children or adults, or through their daily work School employees may be at risk of exposure to bloodborne pathogens as a result of caring for children or adults, or through their daily work

7. OSHA Standards The Madison Metropolitan School District has developed an Exposure Control Plan in accordance with the Occupational Safety & Health Administration of the U.S. Department of Labor (OSHA). The Madison Metropolitan School District has developed an Exposure Control Plan in accordance with the Occupational Safety & Health Administration of the U.S. Department of Labor (OSHA). The Exposure Control Plan is designed to eliminate or minimize the risk to employees from exposure to Bloodborne Pathogens The Exposure Control Plan is designed to eliminate or minimize the risk to employees from exposure to Bloodborne Pathogens

8. Exposure Control Plan 1. Hepatitis B vaccination 2. Standard Precautions 3. Personal Protective Equipment 4. Handwashing 5. Housekeeping 6. Disposal of waste 7. What to do if you are exposed

9. 1.Hepatitis B Vaccination A three-shot vaccination series A three-shot vaccination series Offered by MMSD free of charge for employees in job classifications that are likely to be exposed: Offered by MMSD free of charge for employees in job classifications that are likely to be exposed: Nurses Nurses Nurse’s assistants Nurse’s assistants Custodians Custodians School Security Assistants School Security Assistants Special Education Assistants Special Education Assistants

10. 2. Standard Precautions All human blood and certain human body fluids and non-intact skin should be treated as if known to be infectious for HIV, HBV and other bloodborne pathogens All human blood and certain human body fluids and non-intact skin should be treated as if known to be infectious for HIV, HBV and other bloodborne pathogens Cover all hand cuts and abrasions with a bandaid prior to contact with others Cover all hand cuts and abrasions with a bandaid prior to contact with others Do not eat, smoke, apply cosmetics or lip balm when or where it is likely that blood or body fluid contact may occur Do not eat, smoke, apply cosmetics or lip balm when or where it is likely that blood or body fluid contact may occur

11. 3. Personal Protective Equipment (PPE) Gloves Gloves Masks Masks Aprons Aprons Gowns Gowns CPR masks CPR masks Mouthpieces Mouthpieces Protective eyewear Protective eyewear Face shields Face shields Lab coats Lab coats A barrier between the employee and the potentially infectious material A barrier between the employee and the potentially infectious material Available from the school district at no cost to the employee Available from the school district at no cost to the employee Examples of PPE

12. 3. Personal Protective Equipment (PPE) Gloves Gloves are the most common PPE used in schools Gloves are the most common PPE used in schools Gloves must be worn whenever contact with potentially infectious material is possible, including when cleaning body fluid spills Gloves must be worn whenever contact with potentially infectious material is possible, including when cleaning body fluid spills If gloves are penetrated, torn or contaminated, remove immediately and dispose of without touching the outside of the glove If gloves are penetrated, torn or contaminated, remove immediately and dispose of without touching the outside of the glove Hypoallergenic gloves are available to employees Hypoallergenic gloves are available to employees

13. 4. Handwashing The single most effective way to prevent infections The single most effective way to prevent infections Hands must be washed after contact with blood, body fluids, excretions or secretions Hands must be washed after contact with blood, body fluids, excretions or secretions Hands must be washed immediately after removing gloves Hands must be washed immediately after removing gloves Use liquid soap and running water and a clean paper towel for drying Use liquid soap and running water and a clean paper towel for drying If using alcohol-based hand sanitizer, wash with soap and water as soon as possible If using alcohol-based hand sanitizer, wash with soap and water as soon as possible

14. 5. Housekeeping Controls Clean and disinfect surfaces that have been in contact with potentially infectious materials as soon as possible Clean and disinfect surfaces that have been in contact with potentially infectious materials as soon as possible Use a broom and dustpan, never your hands, to pick up broken glass or other contaminated sharp objects Use a broom and dustpan, never your hands, to pick up broken glass or other contaminated sharp objects Contact a custodian, school nurse or nurse’s assistant for proper decontamination of body fluid spills Contact a custodian, school nurse or nurse’s assistant for proper decontamination of body fluid spills

15. 6. Disposal of Waste Dispose of contaminated sharps (needles, scalpel blades, etc) in closable, puncture proof Sharps Disposal Containers (located in school health offices)- never in the trash Dispose of contaminated sharps (needles, scalpel blades, etc) in closable, puncture proof Sharps Disposal Containers (located in school health offices)- never in the trash Bins, pails, cans and other receptacles likely to be contaminated must be cleaned and disinfected regularly Bins, pails, cans and other receptacles likely to be contaminated must be cleaned and disinfected regularly

16. 7. What to do if you are exposed (Post-Exposure Plan) Don’t panic Don’t panic Wash exposed area with soap and running water immediately Wash exposed area with soap and running water immediately If eye or mucous membrane exposure occurs, flush the area with a large amount of water If eye or mucous membrane exposure occurs, flush the area with a large amount of water Immediately report exposure to the school nurse in your building, your supervisor or the MMSD Health Services Coordinator. Immediately report exposure to the school nurse in your building, your supervisor or the MMSD Health Services Coordinator. MMSD will provide post-exposure care and follow-up if a significant exposure has occurred MMSD will provide post-exposure care and follow-up if a significant exposure has occurred Remember that not all who are exposed will become infected. Your chances of infection can be decreased by taking the actions outlined in this training. Remember that not all who are exposed will become infected. Your chances of infection can be decreased by taking the actions outlined in this training.

17. Resources ____________________________ The complete OSHA Standard for Bloodborne Pathogens can be viewed at The complete OSHA Standard for Bloodborne Pathogens can be viewed at www.osha.gov The complete MMSD Bloodborne Pathogens Exposure Control Plan can be accessed by contacting MMSD Student Services, Doyle Administration Building The complete MMSD Bloodborne Pathogens Exposure Control Plan can be accessed by contacting MMSD Student Services, Doyle Administration Building

18. Questions If you have any questions after viewing this presentation, contact MMSD Student Services at 663-8437. If you have any questions after viewing this presentation, contact MMSD Student Services at 663-8437. Please explain that you have a question about the Bloodborne Pathogens Powerpoint Training. Please explain that you have a question about the Bloodborne Pathogens Powerpoint Training.

19. References ___________________________ U.S. Department of Labor- Occupational Safety and Health Administration Regulations (Standards – 29 CFR) Bloodborne pathogens – 1910.1030 U.S. Department of Labor- Occupational Safety and Health Administration Regulations (Standards – 29 CFR) Bloodborne pathogens – 1910.1030 Madison Metropolitan School District Bloodborne Pathogens Exposure Control Plan Madison Metropolitan School District Bloodborne Pathogens Exposure Control Plan Department of Health and Human Services Centers for Disease Control (CDC) Department of Health and Human Services Centers for Disease Control (CDC) Photos: Photos:web.princeton.eduwww.classroomclipart.com www.aware.edu www.hawaii.edu