1. Bloodborne Pathogen Update It’s the Law

2. 1991 OSHA BBP Standard Written exposure control plan Free hepatitis B vaccine Engineering controls Labeling/color coding Training

3. The BBP Standard 2001 Mandatory safe needle and sharp devices If the safe needle/sharp cannot be used clinically, there must be documentation

4. What is the Big Deal? CDC is aware of 57 healthcare workers in the U.S. who have been documented as having seroconverted to HIV following occupational exposures. 24 nurses 19 laboratory workers 6 physicians 2 surgical technicians 1 dialysis technician 1 respiratory therapist 1 health aide 1 morgue technician 2 housekeepers

5. What about Vandy? One of the 6 physicians who converted, converted at VUMC The risk is very real

6. Protecting You from Exposure Standard Precautions is the single most important measure to control transmission of bloodborne pathogens. Standard Precautions means to treat ALL human blood and other potentially infectious materials as if they were infected with bloodborne pathogens.

7. Protecting You from Exposure VUMC Policy OP 20-25 Written Exposure Control Plan

8. Work Practice Controls Do not eat, drink or apply cosmetics in clinical areas. Do not mouth pipette or suction blood or other potentially infectious materials.

9. Hand Hygiene To protect yourself and our very sick patients, WASH YOUR HANDS! You can use alcohol gel or soap and water

10. Do Not Wear….. Sandals if you provide direct patient care Visible body piercings other than ears Refer to policies: CL20-06.05 OP 20-06.20 OP 10-60

11. Personal Protective Equipment Masks Gloves Goggles Mask/goggle combo Shoe covers Gowns Personal protective equipment (PPE) is available to you to reduce your risk of exposure. The PPE includes:

12. Handling of PPE Remove PPE prior to leaving the work area OR shoes covers, masks, or any other PPE should NOT be worn outside the work area Contaminated PPE should be disposed of in red bags. uncontaminated PPE can be disposed of in the regular trash

13. Signs and Labels Red bags=Infectious Waste Biohazard symbol Yellow linen bag = contaminated linen (all dirty linen treated as if infectious)

14. What if I find a blood spill? Get something to blot the blood, like paper towels. Notify Environmental Services that a blood spill has occurred and tell them the location

15. How to Clean a Blood Spill Don gloves Blot spill with absorbent material Discard blood soaked material in a red bag Disinfect with hospital approved disinfectant Remove gloves and discard in red bag Wash Hands

16. If An Exposure Occurs Immediate first aid: Wash needlesticks and cuts with soap and water Flush splashes to the nose, mouth, or skin with water Irrigate eyes with clean water, saline, or sterile irrigants.

17. If An Exposure Occurs Following any blood/body fluid exposure, you should report the exposure by: Completing a Tennessee First Report of Work Injury Promptly reporting to Occupational Health Clinic or the VUMC ED

18. Post Exposure Documentation Type and “Brand” of device causing injury – BD syringe Place where injury occurred – 8N Rm 8010 or 4140 MRB3 Explanation of the incident – “I laid the syringe on the table..” Route of exposure – needlestick or splash to face, etc Work practices and personal protective equipment being used at the time of the incident – gloves only, no mask

19. In the interest of patient, staff, faculty & student safety… Refrain from placing medical equipment/ devices on mattresses. Don’t leave sharps on the patient’s bed. Never stick needles/ sharps into the mattress.

20. Sharp objects in the patient bed jeopardize employee and patient safety by: Causing blood and body fluid exposures from needles/sharps injuries. Damaging the integrity of the mattress covers and mattresses causing contamination from blood and body fluids. Place protective covers on sharp ends of external fixation hardware.

21. If you have questions Call Infection Control at X-60725 24/7 beepers Call Vanderbilt Environmental Health and Safety at X-22057 Call Occupational Health at X-60955