Bloodborne Pathogens Who Is Covered? Definitions HIV Hepatitis Means of Transmission Work Practice Controls PPE Clean-up and Decontamination Exposure Incidents
Who is Covered by the Standard? All employees who could be “reasonably anticipated” as the result of performing their job duties to face contact with blood and other potentially infectious materials “Good Samaritan” acts such as assisting a co-worker with a nosebleed would not be considered occupational exposure
Bloodborne Pathogens What is a Bloodborne Pathogen? –Microorganisms such as viruses or bacteria carried in blood or other body fluids which can cause diseases in people. Included but not limited to: HIV Hepatitis B Hepatitis C What is a “contaminated sharp”? –any contaminated object that can penetrate the skin
Human Immunodeficiency Virus Epidemiology of HIV: –Viral infection that attacks the immune system –Can take up to 10 years for HIV to turn into AIDS –No known cure –New treatments are expensive and questionably effective Symptoms: –Any symptom related to any other illness that the body can no longer effectively combat –A person becomes susceptible to infection by bacteria and viruses that were easily controlled by the body prior to infection –Persons who have had an exposure to blood or other potentially infectious material, and contracted illnesses that won’t go away may have HIV
Hepatitis B Virus Epidemiology of HBV: –80,000 people, in the U.S. are infected annually –5,000 people in the U.S. die each year due to HBV –This virus is very viable and can live in dried blood for up to seven days –No known cure –A vaccination is available to help prevent HBV infection (highly recommended) Symptoms, etc: –Fatigue –Stomach pain –Jaundice –Loss of appetite –Symptoms may take up to nine months to appear, following an exposure incident –Liver cirrhosis –Liver cancer
Hepatitis C Virus Epidemiology of HCV: –This virus is very viable and can live in dried blood for up to seven days (similar to HBV) –Even after interferon treatments, most people will remain infected Symptoms, etc: –Fatigue –Jaundice –Loss of appetite –Symptoms may take up to three months to appear, following an exposure incident –Chronic liver disease –Liver cirrhosis –Liver cancer
Means of BBP Transmission Infected blood or body fluid can enter your body through: –Open sores –Cuts –Abrasions/rashes –Acne –Hang-nails –Damaged or compromised skin such as, but not limited to, sunburns or blisters. Contact between mucous membranes (eyes, nose, and mouth) and infected body fluids Accidental puncture from broken glass, contaminated needles, or other sharps
Work Practice Controls Wash hands after removing gloves and as soon as possible after exposure Minimize splashing, spraying, spattering, of infectious materials Universal Precautions –An approach to infection control which treats all human blood and other potentially infectious materials as if they were infectious for HIV and HBV or other bloodborne pathogens
Examples of PPE Gloves Gowns Face shields Eye protection CPR mouth barrier
Spill Clean-up Procedures Pick up sharps using mechanical means such as a broom, dustpan, or even cardboard (do not use your hands) Place sharps in a sharps container or other hard walled container Carefully apply absorbent material to the spill Place absorbent material into a disposal bag Wash spill area with disinfectant cleaner Disinfect / dispose all PPE
Decontamination of Surfaces or Equipment Incidental spills or work surfaces that become visibly contaminated with blood or OPIM will be decontaminated with a 10% Bleach solution immediately 1 ½ cups in 1 gallon H 2 O
RV Coach Care Dumping of black water may present a hazard of contact with fecal matter Fecal-Oral transmission of Hepatitis A Cummins policy is to prevent the possibility of exposure –Have homeowner attach all hoses
Exposure Incidents Immediately clean the affected area by flushing with water for fifteen minutes Report the incident to your supervisor Obtain medical treatment Supervisors are to report all exposure incidents by calling Tisha Brookshire in the corporate office.
Exposure Incidents As is the case with collateral duty, (e.g., a designated first aid responder), the vaccination may be deferred until the employee renders assistance in a first aid incident involving the presence of blood. At which time the hepatitis B immune globulin (HBIG) must be offered within 72 hours of the exposure incident. For any exposure to blood either by accident or providing of first aid/CPR the incident must be recorded on the Exposure Incident Worksheet found at the end of the BBP chapter in the health and safety manual.