1. This is a required part of the First Aid, CPR, and AED training at Notre Dame. University Health Services

2. 911 574-631-5555 In an EMERGENCY call 911 Alternate if using a cell phone on the Notre Dame campus: 574-631-5555 Call Immediately:  If someone collapses  Is having difficulty breathing  Is having chest pains that don’t go away  Is having a stroke  Has serious bleeding  Is unconscious  From a 631 or 634  From a 631 or 634 prefix number. It goes directly to the Notre Dame dispatcher.  From a cell phone  From a cell phone In this area it usually goes to the Indiana State Police dispatcher, who has to transfer it to a local dispatcher after learning the location of the emergency. In a cardiac emergency when every second counts, we therefore recommend using the local emergency number – 574-631-5555

3. In all Medical Emergencies at ND In Indiana, the Local Fire Department is also dispatched, so that help can get to the scene quickly. Notre Dame Fire Department personnel are combination Fire Fighters / Emergency Medical Technicians (as a minimum) Notre Dame Security/Police will assist as the scene as needed. They also provide: Transportation to Health Services or the Emergency Room of a local hospital in non-emergency cases Transportation back to campus

4. For a STROKE - THINK FAST F Face – Weakness on one side A Arm – Weakness or Numbness in one arm S Speech – Slurred speech or trouble getting words out T Time – Note time of incident - Call 911 Immediately For Serious Bleeding Call, then apply direct pressure to the wound as soon as possible. If you see a person collapse Call, then start CPR as Soon as you can! If you are trained, use CPR with the breathing. The following is a brief demonstration of CPR that a dispatcher may tell a caller what to do if they are NOT trained in CPR.

6. Preventing Occupational Exposure to Blood-borne Pathogens

7. O. S. H. A The Occupational Exposure to Bloodborne Pathogens Regulation was issued to protect employees by reducing or removing the hazards of bloodborne pathogens from the workplace

8. By providing safeguards Proper work practices Proper work practices Engineering Controls Engineering Controls Use of protective equipment Use of protective equipment Training Training Disease transmission can be minimized and lives saved.

9. Notre Dame’s Blood-borne Pathogens Control Plan

10. Purpose: To ensure protection for University employees against exposure to blood or other potentially infectious materials To ensure protection for University employees against exposure to blood or other potentially infectious materials

11. Scope This applies to all applicable activities that involve the potential for exposure to blood or potentially infectious material

12. Terminology Bloodborne Pathogens Is a virus found in human blood which can be transmitted from person to person and causes disease in humans Bloodborne Pathogens Is a virus found in human blood which can be transmitted from person to person and causes disease in humans

13. Potentially Infectious Materials: All bodily fluids and non-intact tissue of the body Terminology

14. Exposure Incident A specific eye, nose, mucous membrane or open lesion contact with blood or other potentially infectious materials. Exposure Incident A specific eye, nose, mucous membrane or open lesion contact with blood or other potentially infectious materials. Terminology

15. Occupational Exposure An exposure incident which occurs while the person is performing job tasks. Occupational Exposure An exposure incident which occurs while the person is performing job tasks. Terminology

16. Regulated Waste Regulated Waste Waste which contains blood, semen, or vaginal secretions. These discarded materials shall be double bagged and labeled as Biohazardous Waste and shall NOT be discarded into regular trash. Terminology

17. Pathogens Enter the Body By: Direct Contact Direct Contact Indirect Contact Indirect Contact Airborne Contact Airborne Contact Vector-borne Contact Vector-borne Contact

18. Diseases of Concern DiseaseAffects the DiseaseAffects the Hepatitis B (HBV)Liver Hepatitis B (HBV)Liver Symptoms include: jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea, vomiting Symptoms include: jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea, vomiting Symptoms can occur 1-9 months after exposure Symptoms can occur 1-9 months after exposure HBV can survive for at least one week in dried blood HBV can survive for at least one week in dried blood

19. Diseases of Concern DiseaseAffects the DiseaseAffects the Hepatitis C (HCV)Liver Hepatitis C (HCV)Liver Symptoms include fatigue, jaundice, tenderness in the abdomen and other flu-like symptoms. Symptoms include fatigue, jaundice, tenderness in the abdomen and other flu-like symptoms. HCV slows down the ability of the liver to circulate blood and remove toxins. HCV slows down the ability of the liver to circulate blood and remove toxins. No vaccine available. No vaccine available.

20. Diseases of Concern DiseaseAffects the DiseaseAffects the Meningitis Brain and Spinal Cord Meningitis Brain and Spinal Cord HIVImmune System HIVImmune System Tuberculosis Respiratory System Tuberculosis Respiratory System HerpesSkin /Mucous Membranes HerpesSkin /Mucous Membranes

21. Methods of Protection

22. Engineering Controls The use of devices or equipment for purposes of making physical contact with blood or potentially infectious materials that may result in an Occupational Exposure The use of devices or equipment for purposes of making physical contact with blood or potentially infectious materials that may result in an Occupational Exposure For example: For example:  Mops, tongs, tweezers, tools

23. Engineering Controls The use of devices or equipment for purposes of making physical contact with blood or potentially infectious materials that may result in an Occupational Exposure The use of devices or equipment for purposes of making physical contact with blood or potentially infectious materials that may result in an Occupational Exposure For example: For example:  Mops, tongs, tweezers, tools

24. Engineering Controls The use of devices or equipment for purposes of making physical contact with blood or potentially infectious materials that may result in an Occupational Exposure The use of devices or equipment for purposes of making physical contact with blood or potentially infectious materials that may result in an Occupational Exposure For example: For example:  Mops, tongs, tweezers, tools

25. Engineering Controls Hand Washing Facilities Hand Washing Facilities Antiseptic Hand Cleanser Antiseptic Hand Cleanser Towelettes Towelettes Cloth or Paper Towels Cloth or Paper Towels

26. Engineering Controls Appropriate pipeting devices Appropriate pipeting devices Practices following the handling of blood or other potentially infectious materials Practices following the handling of blood or other potentially infectious materials

27. Appropriate sharps containers Appropriate sharps containers Use of designated blood clean up kits Use of designated blood clean up kits Engineering Controls

28. Proper laundering of contaminated clothing Proper laundering of contaminated clothing At ND - sent to St. Michael’s Laundry for safe cleaning At ND - sent to St. Michael’s Laundry for safe cleaning Engineering Controls

29. Workplace Practices Proper hand washing practices Proper hand washing practices Proper identification and awareness of potentially infectious sources Proper identification and awareness of potentially infectious sources

30. Workplace Practices Treating every bodily fluid and every person as if they were potentially infectious. Treating every bodily fluid and every person as if they were potentially infectious. Proper Communication between people who will be handling potentially infectious material ( signs, labels) Proper Communication between people who will be handling potentially infectious material ( signs, labels)

31. Personal Protective Equipment Latex or Nitrile Gloves Latex or Nitrile Gloves Goggles Goggles Face Shields Face Shields CPR barrier devices CPR barrier devices  Resuscitation Shields  Resuscitation Masks  Bag-Valve-Mask

32. Signs and Labels for Potentially Infectious Material Required for Required for  Regulated Waste Containers  Items being sent to be laundered  Items stored  Evidence Items to be analyzed or held for later use  Items being mailed or shipped

33. Occupational Exposure Procedures

34. Procedure for Employees Wash thoroughly the site of the exposure Wash thoroughly the site of the exposure Notify your supervisor and explain what happened Notify your supervisor and explain what happened Obtain a completed “Supervisors Report of Injury” Obtain a completed “Supervisors Report of Injury” Seek medical attention at the University Health Services Seek medical attention at the University Health Services

35. Post Exposure Evaluation and Follow Up Supervisor shall complete a “First Report of Employee Injury/Illness and sent it to Risk Management Supervisor shall complete a “First Report of Employee Injury/Illness and sent it to Risk Management Supervisor shall provide to the University Health Services the identification of the source individual if possible. Supervisor shall provide to the University Health Services the identification of the source individual if possible.

36. Post Exposure Evaluation and Follow Up It will be at the discretion of the medical profession as to the need for further evaluation, testing, and counseling. It will be at the discretion of the medical profession as to the need for further evaluation, testing, and counseling.

37. Clean Up Responsibilities In your own work Area In your own work Area  Clean up in your own work area Inside University buildings but outside your work area Inside University buildings but outside your work area  Designated Building Services person

38. Clean Up Responsibilities Outside of a building but on University property: Outside of a building but on University property:  Cleaned by a trained person in consultation with Risk Management & Safety

39. Clean Up Responsibilities Blood or other potentially infectious material on a person’s body shall only be cleaned up by one of the following: Blood or other potentially infectious material on a person’s body shall only be cleaned up by one of the following:  Trained first responder  Athletic Trainer  University Health Services Employee  Designated First Aid responder who is trained

40. Call Risk Management and Safety 631-5037 If you have any questions. If you have any questions. If you have Biohazardous Material to be picked up. If you have Biohazardous Material to be picked up.

41. In Summary Every person is a potential source of infection Every person is a potential source of infection

42. In Summary Treat ALL body fluids as if infectious Treat ALL body fluids as if infectious

43. In Summary Use precautions on everyone Use precautions on everyone

44. In Summary Protect yourself through Protect yourself through  Workplace practices  Personal Protective Equipment

45. In Summary Protect others through the use of appropriate Protect others through the use of appropriate  Containers  Signs  Labels

46. In Summary Universal Precautions MUST be observed to prevent contact with blood or other potentially infectious materials. They are MANDATORY. Universal Precautions MUST be observed to prevent contact with blood or other potentially infectious materials. They are MANDATORY.

47. Verification Please click on the link below for a form to submit to verify that you have viewed this material. If you have any questions, you can contact: University Health Services  Ruthann Heberle or 631-8662 Ruthann Heberle Ruthann Heberle  Risk Management and Safety 631-5037 Verification Form Verification Form