1. Bloodborne Pathogens HEAD START CHILD AND FAMILY DEVELOPMENT,INC. SELF LEANING PRESENTATION AN OVERVIEW OF THE OSHA STANDARD DESIGNED TO PROTECT YOU FROM BLOODBORNE PATHOGENS Revised 9/22/2015

2. Introduction Exposure to bloodborne pathogens can occur anywhere including your workplace. Infection on the job most often occurs by direct exposure to blood. At school, your risk is low because contact with blood is infrequent--but still possible.

3. Bloodborne Diseases Blood can carry many diseases The 3 most common are ◦HIV (human immunodeficiency virus) ◦HBV (hepatitis B virus) ◦HCV (hepatitis C virus)

4. Human Immunodeficiency Virus HIV attacks the body’s immune system A person can be infected with HIV and take years to develop symptoms Symptoms can be flu-like--fatigue, fever, diarrhea A person infected with HIV will develop AIDS and/or AIDS related illnesses—cancer, neurological problems, opportunistic infections HIV is transmitted through sexual contact or contact with blood and other body fluids There is NO vaccine to prevent HIV

5. Hepatitis B Virus Hepatitis--“inflammation of the liver”—can cause serious liver damage, cirrhosis, and death Symptoms can be flu-like—fatigue, nausea, vomiting, abdominal pain, jaundice—and can become so severe that hospitalization is needed or a person may have NO symptoms at all A person without symptoms may not know that he is infected HBV can be transmitted by blood, saliva and other body fluids HBV can be transmitted to family members, sexual partners and unborn infants

6. Hepatitis C Virus HCV also affects the liver Symptoms may be flu-like as with HBV 75% of people with HCV have NO symptoms and 85% of these will develop chronic liver disease A blood test is needed to determine if the virus is HBV or HCV HCV is the #1 indicator for liver transplant There is NO vaccine to prevent HCV

7. Transmission Bloodborne diseases are found in ◦Blood ◦Other body fluids containing visible blood ◦Semen or vaginal secretions ◦Loose or torn skin Bloodborne diseases can enter the body through ◦Open cuts, abrasions, nicks in the skin ◦Dermatitis ◦Acne ◦Mucous membranes of eyes, mouth or nose

8. Transmission Infection can be spread by injury from a contaminated object such as ◦Broken glass ◦Needles ◦Knives or other sharp metals Indirectly, a person can transmit bloodborne diseases by touching an infected surface or object and transferring the disease to their ◦eyes ◦nose ◦mouth ◦open skin

9. Transmission A major source for transmission of hepatitis is contaminated surfaces. HBV can survive for at least one week on environmental surfaces at room temperature.

10. Standard Precautions All persons are treated the same regardless of age, sex, socioeconomic class or geographic location. Every person and every body fluid is treated as a potential source of infectious disease.

11. Exposure Control Plan The HEAD START Child & Family Development Centers, INC. has developed its own Exposure Control Plan The Plan ◦Identifies all staff involved ◦Identifies potential risks ◦Determines ways to decrease risk of exposure to bloodborne pathogens on the job

12. Protect Yourself 5 strategies to decrease the risk of exposure to bloodborne pathogens ◦Work Practice Controls ◦Personal Protective Equipment ◦Housekeeping ◦Engineering Controls ◦Hepatitis B Vaccine

13. Work Practice Controls Wash your hands ◦After glove removal ◦If you have direct contact with blood Personal Hygiene ◦Do not consume food or beverage or apply make-up where occupational exposure is likely ◦Minimize splashing, spraying, or generation of droplets when blood is involved ◦Do not store food or beverage where it could come in contact with blood or other infectious materials

14. Personal Protective Equipment Types of Personal Protection Equipment ◦Gloves ◦Gowns ◦Protective eyewear ◦Masks ◦Resuscitation devices The use of Personal Protective Equipment is determined by the amount of anticipated exposure Head Start provides the equipment that is needed for protection in each classroom.

15. Personal Protective Equipment General Rules Personal Protective Equipment ◦must be appropriate for task ◦must fit properly ◦must be free from defects ◦must be used each time there is contact with potentially infectious materials ◦Training on the proper use of Personal Protective Equipment must occur.

16. Personal Protective Equipment Gloves ◦Must be worn when dealing with blood or other potentially infectious materials ◦Use once and dispose ◦Replace if torn or damaged ◦Wash your hands when task is done ◦Cover cuts and abrasions with band-aids first Utility gloves may be decontaminated and reused if they are intact

17. Housekeeping Contaminated surfaces need to be cleaned as soon as possible Never handle sharp objects—broken glass—with bare hands Contaminated sharp objects must be placed in a puncture-resistant container Custodians trained and equipped to clean up accidents in the classroom

18. Engineering Controls Red bags ◦Dispose of contaminated waste--dripping, pourable, squeezable– ONLY in red bags ◦Located in each classroom. ◦If you’re in doubt, use the red bag

19. Hepatitis B Vaccine Head Start provides the Hepatitis B Vaccine as a benefit for all employees considered at risk for exposure If you have not had the vaccine, and would like to receive it, please see the nurse. If you have an exposure and have not had the vaccine, you can begin the series within 24 hours (and complete it) to acquire protection

20. Exposure Notify your supervisor and/or the nurse You are entitled to ◦A confidential medical evaluation ◦Blood tests ◦Post-exposure treatment if available ◦Follow-up counseling This is coordinated through the Health Service Nurse or your Supervisor.

21. Summary Treat everyone the same Anticipate your exposure Protect yourself--use the appropriate equipment Get the Hepatitis B vaccine series

22. Question and Answer See the Health Service Manager or your Supervisor if you have any questions. You can also speak to the Public Health Department – Health Education Franciscan Skemp Occupational Health, Hospital or local clinic. Your physician can also answer your questions.

23. Head Start Child & Family Development Centers, Inc. I, ___________________________, certify that I have read “Bloodborne Pathogens” power point presentation. I agree to follow this guided training as part of my job duties. ____________________________________________________ Employee Signature Date This signed original is to be given to the Head Start Admin. Office and will be retained within the employees personnel file. A copy will also be maintained in staff’s training file. (print this page: File, Print, Slide, 23, then click Print) Certificate of Completion