Presentation on theme: "Exposure Control Plan Training Program"— Presentation transcript:
1Exposure Control Plan Training Program Bloodborne PathogensExposure Control PlanTraining Program
2Bloodborne pathogen exposure can occur in the school setting or work environment. Exposure to blood is the most frequent source of transmission of the Hepatitis B virus, Hepatitis C virus and Human Immunodeficiency virus (HIV) in the work place. Our objectives are to:Educate employees about these diseases.Train you how to protect yourself.Continue the safety and good health of our personnel.Fulfill the law…
3Title 29 Code of Federal Regulation, Article 1910 Title 29 Code of Federal Regulation, Article , Occupational Safety and Health Administration (OSHA), Bloodborne Pathogens Standard as specified in Health and Safety Code, Article mandates a program be developed to minimize employees exposure to bloodborne pathogens.
4Hepatitis B (HBV) Causes serious liver disease, cirrhosis, and cancer Jaundice (yellowing of eyes and skin due to toxins in the blood)Fatigue, abdominal pain, loss of appetite50% have no symptoms at allMost people infected recover and clear the infection.10% become chronically infected.Poses greatest risk of transmissionCan live on a hard surface up to a weekCan be prevented by a vaccination!!CDC,2004
5Hepatitis B ContinuedEach year 5,000 people die from chronic liver disease and liver cancer caused by HBV.According to the Centers for Disease Control and Prevention (CDC), 1.25 million people are chronically infected with HBV.Risk for infection from a known carrier from single needle stick or cut is 6 – 30 %.Post exposure treatment should begin preferably within 24hrs, no later than 7 days.Treatment begins with vaccine immediately and or Hepatitis B Immune Globulin, (HBIG).Region 3 of CDC, Dallas, Denton and Tarrant Counties, 462 people died of viral hepatitis (all types) in The greatest death rate was in the age group. Reference: Public Health Regions in Texas
6HBV Vaccine The HBV vaccine is a three shot series completed over 4-6 months. The second dose must be one month from the first and at least two months from the third dose. The first and third doses must have at least four months between them. Most clinicians prefer six.CDC, 2004
7Bloodborne Pathogens Exposure Control Plan,2001 “At Risk” Employees School nurse Clinic aide, Unlicensed Diabetic Care Assistant Principal designees who cover clinic when nurse is out. Athletic trainer Coaches Special Ed Teachers and Assistants Special Ed Bus Driver Special Ed Bus Monitor Principal, Assistant Principal, Admin. Intern, Dean of Instruction School resource officer PE teachers Selected maintenance personnel-plumber/custodianBloodborne Pathogens Exposure Control Plan,2001
8Bloodborne Pathogens Exposure Control Plan, 2001 HBV Vaccine Continued… Most people who get the Hepatitis B vaccine have no problems with it. Others complain of soreness at injection site and/or mild to moderate fever lasting a day or two. Serious allergic reaction is very rare. However, If you have ever had a serious or life-threatening reaction to baker’s yeast or a previous dose of Hepatitis B you should not get the vaccine.Bloodborne Pathogens Exposure Control Plan, 2001
9Hepatitis C (HCV) Causes serious liver disease Symptoms are similar to HBV85% of people with HCV have chronic infections.About 3 million people are chronically infected in the U.S.75% have no symptoms for more than 20 years while serious liver damage may be occurring.CDC, 2004
10HCV continued Leading cause for liver transplants Up to 10,000 people die annually from HCV related liver disease.Can be transmitted during tattooing and body piercingRisk for transmission from a needle stick or cut from a known carrier is 1.8%.No vaccine, no cureAntiviral drugs have been effective in treatment.CDC, 2004
11HIVThe clinical picture of a person with HIV differs from person to person.The body’s immune system loses the ability to fight off infection.900,000 are infected in the US according to the CDC.Persons are living longer with the disease due to many anti-viral drugs but many strains are showing resistance.However, there is no cure and no vaccine.CDC, 2004
12HIV/AIDS Cases and People Living with AIDS in Public Health Region 3 Health Region 3, 2005 and ,691People Living with HIV/AIDS in Texas, in ,993Texas Department of Health 2008
13HIV continuedRisk for infection from a known carrier from a needle stick or cut is 0.3% or 1 in 300.Treatment from a known exposure should start within hours. A 4 week regime of a combination of antiviral drugs are recommended by the CDC.(CDC,2004)
14How are the Viruses Spread? The viruses are spread through contact with:1. Blood2. Semen3. Vaginal Secretions4. Other Bodily FluidsCDC, 2004
15Transmission Needles Intercourse Mom to unborn child during or after deliveryBlood or other bodily fluid splashes to un-intact skin or the mucous membranes of the eyes, nose or mouth.CDC, 2004
16Standard PrecautionsStandard Precautions simply states that all blood and bodily fluids (except sweat) are considered to be infected with a bloodborne pathogen.Therefore, you must assume everyone’s blood is infected and protect yourself.CDC, 2004
17Protection Follow Standard Precautions. Get immunized against HBV Wear Personal Protective Equipment to prevent exposure.If able, allow the person whose blood is exposed to clean it up.
18Think First!!In the event of a possible body fluid exposure always glove first.Cover any cuts or abrasions with a band aid or other appropriate material.Never reuse glovesRemove them appropriately (see demonstration)Wash your hands after removingCDC, 2004
19What is an exposure?An exposure occurs when another individual’s blood or bodily fluids comes in contact with your un-intact skin or mucous membranes.If you contract a bloodborne pathogen disease, you risk spreading the disease to your family.CDC, 2004
20Bloodborne Pathogens Exposure Plan, 2001 LatexBe sure and notify your school nurse if you are allergic to latex.The school can provide you with vinyl gloves.Bloodborne Pathogens Exposure Plan, 2001
21HANDWASHINGThe Number #1 Protective activity from all bacteria and viruses is thorough hand washing.Use soap and running waterWash vigorously for secondsWash under jewelry, front and backs of hands.Rinse hands thoroughly.Dry hands with a clean paper towel.Turn off water with another paper towel.Only use antimicrobial soap when indicated because it removes the skins natural defenses.
22Good Housekeeping It’s everyone’s responsibility 1. Clean and decontaminate surfaces with disinfectant after exposure to possible infectious fluids. Disinfect changing tables after each use.2. Use broom and dust pan to pick up broken glass or call custodial staff.3. Place all contaminated sharps in a sharp’s container (Nurse’s Office).Bloodborne Pathogens Exposure Control Plan,2001
23Bloodborne Pathogens Exposure Control Plan,2001 Housekeeping Cont.4. All material used for clean-up should be double bagged.5. Regularly inspect and disinfect pails, beds, bends, etc… that may likely be infected.6. Toys will be disinfected daily with a non-toxic hospital grade disinfectant.7. Laundry contaminated with body fluids should be washed with commercial laundry soap and bleach in 160 degrees for at least 25 minutes. Dry on the hottest setting.Bloodborne Pathogens Exposure Control Plan,2001
24Bloodborne Pathogens Exposure Control Plan, 2001 Points to RememberNever eat, drink, smoke or apply make-up or contacts where exposure is likely.Clean all blood and bodily spills quickly (Notify your custodian).Wear gloves to carry soiled clothing, blankets, etc… and carry them away from your body.Bloodborne Pathogens Exposure Control Plan, 2001
25Bloodborne Pathogens Exposure Control Plan, 2001 Continued…Never attempt to compact the trash with your hands or feet. Pull the bag up from the sides and gently shake the trash down.DOUBLE BAG any trash that is saturated with blood or other bodily fluids.Bloodborne Pathogens Exposure Control Plan, 2001
26Personal Protective Equipment (PPE’s) Gloves GownsLab coats EyewearMasks MouthpiecesRespirator bags*All PPE’s must fit, be worn correctly and may not be damaged.
27What do I do if I am Exposed? DO NOT PANIC!Wash hands immediately or flush eyes with large amounts of water (Do not use caustic materials to clean eyes).Report to the Nurse on your campus to fill out an exposure report. If nurse is not available report to the principal’s office or secretary.Remember exposure does not always lead to infection. A large dose of the virus must enter bloodstream and overcome body’s natural defenses first.Bloodborne, Pathogens Exposure Control Plan,2001
28Exposure Occurs Contact school nurse, health services coordinator or supervisorSource Individual consents toor refuses testingExposed employee consents toor refuses testing (signs form)Health Care Provider provides: (Concentra)Testing Possible VaccineCounseling Recommendation for follow-upSchool District talks to exposed employee to be sure follow-upInformation was received.