Blood borne Pathogen Training August 8, 2017 Dolly Stannard, RN Amanda Mattingly, RN Washington County Schools

Common area in the school Blood borne pathogens refer most commonly, in the school setting, to: Hepatitis B HIV Most common methods of transmission: Mucous membrane or non-intact skin contact Sharp injuries such as cuts from broken glass Needle sticks

Exposure Determination OSHA requires employers to perform an exposure determination concerning which employees may incur occupational exposure to blood or other potentially infectious materials (OPIM). Examples of Higher Risk for Exposure: School Nurses Designated First Aid Providers All Coaches and PE Teachers Custodians and Maintenance Staff • Examples of Lower Risk for Exposure: Principals Teachers Counselors Secretaries IA’s Bus Drivers

Methods of Compliance Treat all blood and body fluids as being potentially infectious. Use an appropriate barrier between any cuts or body spills preferably gloves. Wash hands thoroughly with soap and water or antimicrobial towels if soap and water is not available before and after dealing with body fluids. If antimicrobial towels are used, hands are to be washed with soap and water as soon as possible. Contaminated needles and other contaminated sharp instrument are not to be bent, broken, sharpened or recapped. Contaminated sharp instruments are to be placed in appropriate containers. These containers are: puncture resistant; labeled (as biohazard) and/or color coded; leak proof on the sides and bottom.

Personal Protective Equipment(PPE) When there is potential for occupational exposure, the district provides, at no cost to the employee, personal protective equipment such as: Gloves Gowns Mask Resuscitation devices

First-Aid Procedure Remain Calm. Send the injured person to the office for treatment with a responsible person. Do NOT send them alone. If the injured person is unable to move, send a student or teacher to notify the school nurse or designated first aid provider. If the person needs immediate first aid care, you may administer care. Complete “Student Accident/Incident Report” before the end of the school day.

Universal Precautions Intended to prevent the transmission of infection. Pertain to blood and other potentially infectious materials containing blood. Examples of Universal precautions would be: Hand washing Barriers Disposal of Waste Clean-up Exposure

Hand Washing Proper hand washing is the most important step in decreasing the spread of any disease. Proper Technique: Turn on water and dispense paper towels. Remove jewelry from hands and wrists. Use (warm) running water to wet hands and wrists. Lather with soap, scrubbing for at least 15-20 seconds. Rinse well with running water then dry hands with paper towel. Use paper towel to turn off water and open the bathroom door. Dispose of paper towel.

Barriers Intended to reduce the risk of contact with blood and body fluids. Examples of barriers are gloves, gowns, masks, absorbent materials, and resuscitation devices.

Disposal of Waste When blood or OPIM contaminated absorbent material can be compressed and not release the substance, it will be placed in a plastic bag and disposed of in usual trash. If compression would cause the release of the substance, it will treated as regulated waste and disposed of in biohazard bag.

Clean-up Wear gloves Clean up with paper towel or other absorbent material. Use a solution of one part household bleach to one hundred parts of water(1:100) or other EPA approved disinfectant. Wash and Rinse the area well. Dispose of gloves, towels, and other waste in a plastic bag. Clean and disinfect reusable supplies and equipment

Acknowledgement Form SIGN the Acknowledgement form. This form is available from your school’s secretary. SEND a copy to your supervisor or school secretary by the due date After collecting the signed forms, supervisors will then send them to Paula Baker at the central office