2 Why am I Here Today?To protect employees and students against exposure to bloodborne diseases.OSHA requires annual training for employees who are at occupational risk of exposure to bloodborne pathogensTexas public schools are not required to follow OSHA standards however we are dedicated to provide the best for our employees and our students.Purpose of the regulation is to protect employees against exposure to bloodborne diseases which could lead to disease or death
3 Bloodborne Pathogen Definition Bloodborne: carried in bloodPathogens: microbes that cause diseaseBloodborne Pathogens: germs carried in the bloodRemember that other body fluids can also carry diseases
4 Occupational Risk Factors First aidCleaning body fluid spillsMonitoring altercations
5 Communicable Disease Transmission Airborne- throughthe airDirect/Indirect- direct contact, or you touched a surfaceWaterborneFood borne- from foodFecal / OralBloodborne- blood or body secretionsAirborne: coughs, sneezes germs into the air. Can become infected when germs come in contact with eyes, nose, mouth, respiratory passages. Colds, flu, measles, TBDirect/Indirect: Skin to skin or skin to mucous membrane contact. If you kiss someone with mono, your mouth comes into direct contact with the person’s saliva. Drinking out of a glass after the person infected with mono, indirectly coming into contact with their saliva. Boils, athletes foot, wound infectionsWaterborne: germs are carried in water. CholeraFoodborne: Carried in contaminated food. SalmonellaFecal/Oral: germs are shed in the infected person’s stool. Poor hygiene and improper handwashing. Hepatitis A, E. ColiBloodborne: spread through specific and close contact with another person’s infected body fluids. Not spread through food or water. Hep B & C, HIV, syphilis, malaria
6 Personal Risk Factors Unprotected sexual contact Sharing used needles drug use razorsbody piercing toothbrushestattooingPerinatal- can be passed from mother to child during pregnancyUnprotected sexual contactmost common mode of transmissionSharing dirty needlesdrug usebody piercingtattooingPerinatalfrom pregnant mother to infantBlood transfusionmost rare mode of transmission
7 Unlikely Sources of Contamination FecesUrineVomitNasal SecretionsSputumSweatTearsSaliva
8 You Cannot become Infected with these Viruses through Casual Contact CoughingSneezingA kiss on the cheekHugging or shaking handsDrinking fountainsFood
9 Three Things Necessary Person must be infectedPort of exitPort of entry
10 Occupational Risk Factors Contact with infectious body fluids to broken skinContact with infectious body fluids to mucous membranesPuncture wounds with used needlesIn a school setting, what are the specific ways that a person could be infected with bloodborne diseases?In order to become infected three things must occur1. A person must be infected with a bloodborne disease2. There must be a portal of exit from the infected person3. There must be a portal of entry into a susceptible individual
11 Three Primary Bloodborne Diseases HIVHepatitis BHepatitis CHowever, there are other bloodborne diseases that could also pose a risk to you
12 H - human. I - immunodeficiency. V - virus. A - acquired. I - immuno H - human I - immunodeficiency V - virus A - acquired I - immuno D - deficiency S - syndrome
13 HIV/ AIDS tranmission facts Attacks the immune system1cc of blood ,000 viral particlesDies when fluid dries0.5% risk of infection after exposureNo vaccineNo cureRecovery Rare
14 Hepatitis: Inflammation of the Liver Types of Viral HepatitisHepatitis A fecal / oralHepatitis B bloodborneHepatitis C bloodborneHepatitis viruses are not all spread the same waySymptoms may be the same but only blood tests can identify the type of virusHepatitis A much more prevalent than hepatitis B
15 HBV Symptoms- Hep B May or may not exhibit symptoms May be unaware they are contagiousFlu-like symptoms – fatigue, weight loss, fever, diarrheaMay require hospitalizationBlood and other body fluids are infected
16 Hepatitis B Virus (HBV) Unprotected sex & sharing needlesStrong virusCan live up to one week outside of the body1cc of blood contains 100,000,000 viral particlesTreatment (No Cure)
17 Those who should be tested for HBV, HIV, but not for HCV People with multiple sex partnersPeople with an infected steady partnerAnyone post needle stick
18 Hepatitis B Vaccination Three injections over 6 monthsBooster doses are not recommended.% effective after series is completed
19 Hepatitis B Vaccination Most Common Side Effect Slight soreness at the injection site (17%)More serious reactions may occur in 1% of vaccinations given
20 Hepatitis C Virus (HCV) Most common bloodborne infection in USMore concentrated than HIVMost people have no symptomsNo VaccineNo effective post-exposure prophylaxisTreatment effective in %85% develop chronic infectionLeading indication for liver transplants
21 Standard PrecautionsAn approach to infection control where all human body fluids of all persons are treated as if known to be infectious for communicable diseases
22 Personal Protective Equipment Gloves- demonstrationdisposableutilityGogglesGownsLocation of gloves and spill kitsFanny packs for playground dutyGlove demonstration
23 Use of Disposable Gloves Think about what you touch while your wearing them!Properly dispose of contaminated gloves in the trash.Wash hands after using them.Waterless hand cleaner as temporary measure only.
24 HandwashingTHE SINGLE MOST EFFECTIVE BARRIER TO PREVENT THE TRANSFER OF GERMS is to use soap and running water. Scrub for at least 30 seconds, rinse well, dry with paper towel (use to turn off faucet)
25 Types of Waste Found in School Setting Sharps containersRegulated wasteContaminated but not regulatedHandling SharpsNever bend or break needlesDiscard in leak-proof, puncture-proof container, labeled withbiohazard symbolNever throw sharps container in regular trash; must be handledby biomedicaL waste haulerOnly designated employees who have received bloodbornepathogens training should handle or dispose of contaminatedarticlesSharps from biology or art classes are not considered biohazard unless they arecontaminated with body fluidsThey should be disposed in puncture proof container to protectcustodians
26 Exposure Incidenta specific eye, mouth , other mucous membrane, non-intact skin, or parenteral (contaminated needles and sharp instruments), contact with blood or other potentially infectious materials that results from the performance of an employee’s duties.
27 Exposure Incident How they occur in the hospital environment Personal protective equipment failureEquipment may not be readily availableEmployee may not know how to use equipmentEmployee may choose not to use equipmentFailure of protective equipmentDefinition:This is defined as any accidental contact with any body fluids that occur at work to any employee
28 What Should I Do If I Have An Accidental Contact With Body Fluids? Wash area thoroughly with soap and warm waterContact Mrs. Hoffman or Dr. Pate immediately!!!!Report to supervisor
29 Quiz true or falseBlood is the single most important source of HIV, HBV and HCV in the work place.People infected with HBV do recoverThere are vaccines to prevent HBV
30 HBV, HCV, and HIV spread most easily through contact with contaminated blood. You can be exposed to BBP at work if blood or other infectious material contacts your broken skin or mucous membranes.Feces, urine & vomit can put you at risk of exposure to BBP whether or not they contain visible blood.
31 You need to wash your hands after removing gloves only when you touched the contaminated side of the a glove.Hand washing is your main protection against the spread of infectionHBV can survive in dried blood on surfaces for at least one weekUniversal Precautions were developed to prevent the transmission of BBP when providing first aid and health care.
32 Always use a pocket mask or other respiratory device when you have to resuscitate someone in an emergency.It is not advisable to encourage victims to administer their own first aid.An athlete who is injured and bleeding should stop play immediately and have the wound cleaned and bandaged before returning to gameMost exposures to blood result in infection