1. Barron Area School District Bloodborne Pathogen Training

2. School District Training Requirements Based on : 1.Wisconsin Statute 101.055 2.Federal Bloodborne Pathogen Standard 1910.1030

3. Definition of Bloodborne Pathogen Organisms that are present in human blood and can cause disease Examples: –Human Immunodeficiency Virus (HIV) –Hepatitis C Virus(HCV) –Hepatitis B Virus (HBV)

4. What is an Exposure? Blood contact with broken skin Blood contact with mucous membranes(splash into eyes, nose or mouth) Puncturing the skin or mucous membranes with object containing blood

5. What are Standard Precautions? Standard Precautions All blood and body fluids containing blood are treated as if they are a carrier of bloodborne pathogens. This means gloves will be worn when in contact with blood or body fluids.

6. HIV/ AIDS Caused by human immunodeficiency virus (HIV) Damages body’s immune system HIV infection can lead to development of life- threatening infections or Acquired Immune Deficiency Syndrome (AIDS) Caused by contact with infected body fluids such as blood, semen, vaginal secretions and breast milk Most commonly spread by sharing needles or sexual contact with someone who is infected with HIV

7. Ways HIV is NOT Transmitted Mosquitoes Shaking hands Hugging Coughing Swimming in a pool Sharing bathrooms Drinking fountains Sharing food

8. Hepatitis B Hepatitis B (formerly serum hepatitis) is a liver disease caused by hepatitis B virus (HBV) Spread by contact with blood, semen, vaginal fluids, and rarely, saliva Not spread by casual contact or respiratory droplets

9. Symptoms of Hepatitis B Fatigue Poor appetite Nausea and vomiting Abdominal pain Dark urine Jaundice (yellowing of skin and eyes) May be without symptoms- especially children

10. Chronic Infection The elimination of the Hepatitis B virus depends on the age when infection occurs. The earlier in life a person is infected, the more likely they are to become chronic carriers of hepatitis B. About 10 % of persons with HBV go on to become chronic carriers of the disease Chronic carriers may infect others and are at risk for developing liver cancer as adults.

11. Prevention of Hepatitis B Hepatitis B vaccine: recommended for all infants, 11-12 year olds, and/or persons in high risk occupations or with high risk behaviors Infants of infected mothers are given hepatitis B vaccine and hepatitis B immune globulin to prevent infection

12. Hepatitis B Vaccine Series of 2 or 3 shots given over 4 –6 month period At risk employees eligible to receive HBV Employees in risk groups include bus drivers, custodians, special ed teachers and aides, coaches, first aid providers, secretaries, playground aides Contact Sue Hanson in Central office if interested in receiving the hepatitis B vaccine Check with your health insurance plan; most plans cover the hepatitis B vaccine

13. Hepatitis C Hepatitis C is a liver disease caused by hepatitis C virus (HCV) Spread primarily through contact with blood from an infected person Not spread by casual contact

14. Hepatitis C Virus 90% of cases are asymptomatic May have loss of appetite, fatigue, nausea, vomiting, abdominal pain, jaundice Can cause liver cancer or cirrhosis of the liver 75-85 % of infected persons become chronic carriers

15. What are some situations that I might encounter in the school setting that could result in a BBP exposure? Sports injuries Playground accidents Nosebleeds Cuts from sharp objects Biting incidents Disposing of waste contaminated with blood Caring for students with medical needs

16. Ways to Protect from Infectious Disease in the School Setting Frequent hand washing Use broom or tongs to pick up sharp or broken objects Use red sharps container to dispose of needles or sharp objects that may contain blood Use gloves to handle blood or body fluids Clean surfaces contaminated with blood with an approved disinfectant or a 1: 10 solution of bleach to water

17. Utilize Safe Personnel Practices Cover your own cuts and lesions with bandaids Do not eat or apply cosmetics in areas with potential for body fluid exposure Do not pick up broken glass with your hands Do not push down trash with your hands Do not reuse gloves

18. Personal Protective Equipment (PPE) Protective equipment should be worn whenever there is a chance of exposure to blood or body fluids containing blood Examples of PPE: –Nonlatex gloves* –Gowns –Masks –Protective eyewear –Resuscitation mouthpiece or shield *avoid latex gloves due to the potential for allergies

19. Clean-up Procedures Call for custodial help Use paper materials to clean spills Use tongs or broom for sharp objects Dispose of needles/broken glass in red sharps container Red bag for objects dripping blood

20. Procedure for Potential Exposure Wash affected area with soap and water Notify supervisor Seek medical consultation Complete Personnel Injury Report form Obtain hepatitis vaccine if needed

21. Reduce your chance of BBP Exposure: Summary Always use standard precautions Use Personal Protective Equipment when indicated Utilize good handwashing Use safe housekeeping measures Report and follow-up on problems

22. QUESTIONS???????? Contact your supervisor Contact the school nurse: –Barb Filas,School Nurse, ext. 310 Refer to District Exposure Control Plan