1. OSHA – Bloodborne Pathogens OnlineTraining Revised June 2016
Welcome to the Bloodborne Pathogens Refresher Online Training! This training is REQUIRED by OSHA each year,,,,,
This refresher training offers
- A brief overview
- Focuses on protection
For more information and facts
- Meeting with School Nurse
- Bloodborne Pathogens Program Coordinator:
Stephaine Locklear, Health Services Supervisor

2. Directions for Completing this Online Training:
Carefully read the PowerPoint.
Complete the post-test answer sheet.
Return the answer sheet to the school nurse and sign the roster – Do not place in nurse’s box.
Directions for Completing this Online Training:

3. Universal Precautions
Bloodborne Pathogens are organisms found in blood
and other body fluids.
Universal Precautions means treating all blood and certain body fluids as if they are infectious.
Be Careful: Call custodian
to clean any blood or body fluid.

4. Workplace Transmission
Bloodborne Pathogens are spread through:
Infected human blood
Any body fluids containing visible blood

5. Ask school nurse for date/look for email and flyer
Protect Yourself!
BLOODBORNE PATHOGENS
Can cause diseases such as:
Hepatitis B* virus
Hepatitis C virus
HIV/AIDS virus
Hepatitis B vaccine is:
covered 100% by State Insurance Plan
offered by PSRC in Fall
available to all Category I employees and others who are interested
Ask school nurse for date/look for and flyer

6. Who Should Not Get the Hepatitis B Vaccine?
People who have ever had a life-threatening allergic reaction:
To baker’s yeast (the kind for making bread)
To a previous dose of Hepatitis B Vaccine

7. The PSRC Bloodborne Pathogens Exposure Control Plan is Your Guide to Safety
Know what is in the plan & where it can be found:
a) School Office (Principal’s or Assistant Principal’s office)
Know where your school’s copy is kept!
b) PSRC website – Health Services Department
c) School Nurse
d) BBP Coordinator (Stephaine Locklear)
If you have questions about potential exposure:
Read the Exposure Control Plan
See your Principal or School Nurse
Call Stephaine Locklear at Central Office

8. 2016 Exposure Control Plan Updates
Updates include:
OSHA’s Bloodborne Pathogens Final Standard (Appendix 1)
Current information on Hepatitis A, B and C (Appendix 18) reflects that there has been a decrease in the number of new Hepatitis A and B infections:
3,500 new Hepatitis A infections in 2013 (down from 17,000 new infections in 2010)
19,800 new Hepatitis B infections in 2013 (down from 38,000 new infections in 2010)
The number of new Hepatitis C cases increased from 17,000 in 2010 to 29,700 in 2013
Appendix XIV – Bloodborne Program supplies should be ordered online from Purchasing Department by school/department secretaries

9. Category I Employees Might be exposed to blood or other potentially infectious materials during their usual job duties:
Examples Include
School Nurses First Responders
Athletic Trainers Custodians Administrators Plumber
Diabetic Care Managers
Some EC teachers and Teacher’s Assistants and Bus Drivers who care for the following students:
Requiring invasive procedures
Aggressive, may cause harm to self or
others
These students may pose a risk of disease transmission if exposure to blood/body fluids is involved.

10. Examples of tasks causing risks:
Emergency first aid
Handling contaminated laundry
Blood spill clean up
Waste disposal
Assisting with blood sugar monitoring
Administering CPR
Repair/handling contaminated
equipment

11. Category II positions (possible risk of occupational exposure)
Biology/Chemistry lab teachers
Maintenance workers
Classroom teachers, substitute teachers and teacher assistants
Coaches
Pre-K teachers and teacher assistants
Bus Drivers
Secretaries (if responsible for first aid)
Shop/Trade/Industry teachers
Speech Therapists

12. Exposures in our Workplace
Most exposures that occur in the PSRC are related to employees who come into contact with blood as a result of:
Bleeding injuries during fights
Other violent behavior including human bites that break the skin
Injuries on the playground or athletic field
To prevent exposures in emergency situations you should:
Keep gloves readily available
Cover broken skin with a bandage prior to your workday
Have gloves/first aid supplies available on playground/athletic field
Place barrier between blood and skin in emergency situation where gloves are not immediately available

13. Ways to Protect Yourself
Hand washing
with soap and water
Best way to stop spreading of germs
Disposable gloves Always wear gloves when handling blood or body fluids (keep a pair of gloves in your right top desk drawer for easy access)
Bandaids cover and protect open cuts
Avoid using hands to compress trash inside trash containers!

14. Resuscitation devices
Mouthpieces, pocket masks or bag-valve mask devices must be used for CPR.

15. Personal Protective Items
PSRC provides gloves and CPR masks for protection. These are stocked in the Purchasing Department and ordered through the school office.
Hepacide Quat II is used to clean up blood and body fluids. Bleach is no longer used at schools.
Contact Custodian to clean any blood or body fluids!!

16. Housekeeping Immediately call a custodian to clean
up and decontaminate surfaces that
come into contact with blood or other potentially infectious materials
An EPA-registered disinfectant solution (Hepacide) must be used for blood clean up
Gloves should always be worn for cleanup
Small spills –absorb blood with lots of paper towels or granular absorbent and then clean with approved disinfectant

17. Housekeeping (continued)
Large spills – flood area with disinfectant before cleaning, then clean with fresh disinfectant.
Mops, pails, sponges, utility gloves must be decontaminated with approved disinfectant
Broken glassware shall not be picked up directly with hands. Mechanical means must be used (broom and dust pan, tongs, etc.) and items must be placed in a rigid, puncture resistant container (e.g. sharps container, cardboard box).

18. Disposal of waste contaminated with blood and body fluids containing visible blood
The following procedures shall be followed for handling and disposal of such items that include, but are not limited to bloody bandages, gauze, dressings, sponges, paper towels, sanitary pads, swabs and used gloves or other PPE (personal protection equipment):

19. Waste disposal (cont’d)
Wear gloves
Place items in a leak proof plastic bag
Remove gloves using proper technique and place in the plastic bag with the contaminated items – ask school nurse to demonstrate proper technique for removing gloves.
Securely fasten the bag and place in a second plastic leak proof bag, also securely fastened, as an extra precaution
Dispose of as regular trash

20. When to use red biohazard bags:
For disposal of regulated waste including:
Items that would release blood or other body fluids containing visible blood in a liquid or semi-liquid state if compressed
Items that are caked with dried blood or other body fluids containing visible blood or OPIM and are capable of releasing these materials during handling
Note-Red bags are generally not necessary at school

21. Use of red biohazard bags (continued)
Wear gloves
Place items in a red biohazard bag.
Remove gloves using proper technique and place in the biohazard bag with the contaminated items.
Secure and close the bag to contain all contents and prevent leakage of fluids during handling, storage and transport.
If outside contamination of the bag occurs, it must be placed in a second bag or container.
The red biohazard bag shall be placed in an outside trash container to be picked up by the county sanitation department.

22. Sharps Never pick up sharp objects with your hands.
Use broom and dustpan
Place in puncture proof container
with biohazard label:
Sharps containers can be ordered from Purchasing Dept
Never re-cap a used needle;
instead drop it into the sharps container without recapping.

23. Contaminated Sharps Disposal
Sharps container must be maintained upright throughout use, replaced when necessary and not be allowed to overfill.
Container shall be closed immediately prior to removal to prevent spillage or protrusion of contents
Contact school nurse for disposal of filled Sharps Containers

24. Work Exposure can occur by:
*Direct Transmission
of blood or body fluids
one person to another
through open cut, abrasion,
sore, or membranes of eyes,
mouth or nose
*Indirect or Accidental Transmission
touching contaminated object
(broken glass, dirty needle/knife, metal)
touching contaminated surface
(Hep B Virus can live in a dried state on a surface for at least 7 days)

25. If I’m Exposed: What do I do?
Wash exposed area immediately
Notify supervisor
Supervisor will notify BBP Coordinator
Investigation will begin
Complete BBP Exposure Report soon after exposure, within 24 hours
With authorization of Principal and BBP Coordinator, Go to Southeastern Occupational Healthworks
OSHA and CDC Guidelines will be used
to determine medical treatment & follow up.
(take copy of form with you)

26. Exposure Determination Questionnaire must be completed by:
ALL NEW EMPLOYEES must fill out this form to identify occupational ‘at risk’ status.
Every Employee who Changes position e.g., into EC
must fill out this form.
If EITHER of these apply to you, you are REQUIRED to complete an exposure determination questionnaire (Appendix 7 in Exposure Control Plan).
See your School Nurse for the Questionnaire and for more information if needed!
Any employee who thinks exposure status has changed, may request/complete questionnaire any time during course of employment.
Submit completed questionnaire to school nurse or BBP Coordinator.
This is very helpful if exposure determination is questionable.
NEW EMPLOYEES: See School Nurse to schedule required Initial Bloodborne Pathogen Training.

27. Safety Suggestions
PSRC welcomes suggestions from employees to make our workplace safer and reduce the number of bloodborne exposures. If you have a suggestion, see your school nurse for Appendix 19 (Suggestions for more effective engineering and work practice controls).
Examples:
Equipment
Methods of disposal
Disposal devices
Availability of disposable devices

28. Hepatitis B Vaccination Series
Offered to all ‘at-risk’ employees (Category I) at PSRC sponsored clinic and/or Southeastern Occupational Healthworks - see your school nurse for more information. All Category I employees who do not wish to receive the vaccination must sign a declination statement (can be revoked at any time
Any employee on State insurance
plan may receive series at PSRC sponsored
HBV clinics at no charge.
The Hepatitis B Vaccine is required for all children born on/after