BLOODBORNE BLOODBORNE PATHOGENSPATHOGENS

INTRODUCTIONINTRODUCTION

Thank you for fulfilling your annual blood Thank you for fulfilling your annual blood borne pathogen training.borne pathogen training.

Please review each slide and, when Please review each slide and, when finished, print your certificate from finished, print your certificate from Eduphoria, and give it to your school Eduphoria, and give it to your school nurse.nurse.

THE BLOODBORNE PATHOGHEN THE BLOODBORNE PATHOGHEN STANDARDSTANDARD

Federal law 29 CFR 1910.1030 sets forth the Federal law 29 CFR 1910.1030 sets forth the law employers must follow as part of a law employers must follow as part of a comprehensive effort to control the spread of comprehensive effort to control the spread of blood borne pathogens.blood borne pathogens.

USDA’s Exposure control plan sets forth USDA’s Exposure control plan sets forth positions which have been determined to positions which have been determined to have exposure to blood borne pathogens.have exposure to blood borne pathogens.

USDA’s Exposure control plan provides in-USDA’s Exposure control plan provides in-depth information regarding USDA’s plan to depth information regarding USDA’s plan to control blood borne pathogens.control blood borne pathogens.

BLOODBORNE PATHOGENSBLOODBORNE PATHOGENS

The three most deadly blood borne The three most deadly blood borne pathogens are:pathogens are:

Hepatitis B (HBV)Hepatitis B (HBV) Hepatitis C (HCV)Hepatitis C (HCV) Human Immuno Deficiency Virus (HIV)Human Immuno Deficiency Virus (HIV)

HEPATITIS B (HBV)HEPATITIS B (HBV)

Causes serious liver diseaseCauses serious liver disease 50% of people infected with HBV have no 50% of people infected with HBV have no

symptomssymptoms Symptoms include jaundice, fatigue, loss of Symptoms include jaundice, fatigue, loss of

appetite, abdominal pain, occasional nausea or appetite, abdominal pain, occasional nausea or vomitingvomiting

Most HBV sufferers recover, however,10% Most HBV sufferers recover, however,10% retain the disease for life.retain the disease for life.

HBV causes 5,000 deaths per yearHBV causes 5,000 deaths per year

HEPATITIS B VACCINEHEPATITIS B VACCINE

The district encourages a Hepatitis B The district encourages a Hepatitis B vaccine for staff in positions which have vaccine for staff in positions which have possible occupational exposure. possible occupational exposure.

If you feel you are at risk in your position, If you feel you are at risk in your position, please get a vaccine.please get a vaccine.

HEPATITIS C (HCV)HEPATITIS C (HCV)

Causes a serious liver disease known as Causes a serious liver disease known as Hepatitis C Viral Infection.Hepatitis C Viral Infection.

May cause symptoms similar to Hepatitis BMay cause symptoms similar to Hepatitis B 85% infected with HCV have chronic infections85% infected with HCV have chronic infections 3 Million in U.S. are chronically infected with 3 Million in U.S. are chronically infected with

HCVHCV Many people show no symptomsMany people show no symptoms This is the leading cause of liver transplantsThis is the leading cause of liver transplants Up to 10,000 die annually from HCVUp to 10,000 die annually from HCV No vaccine to prevent HCVNo vaccine to prevent HCV

HUMAN IMMUNO HUMAN IMMUNO DEFICIENCY VIRUS (HIV)DEFICIENCY VIRUS (HIV)

• Attacks person’s immune system and Attacks person’s immune system and causes it to break downcauses it to break down

• The infected person becomes seriously The infected person becomes seriously ill when the immune system loses its ill when the immune system loses its ability to fight infectionability to fight infection

• Some infected persons may go on to Some infected persons may go on to develop AIDSdevelop AIDS

• There is no preventative vaccine for HIVThere is no preventative vaccine for HIV

TRANSMISSIONTRANSMISSION

Spread most easily through contact with blood, Spread most easily through contact with blood, semen, vaginal secretions and any other body semen, vaginal secretions and any other body fluids and tissue with visible bloodfluids and tissue with visible blood

Occurs most frequently from needles and Occurs most frequently from needles and unprotected sexunprotected sex

At work, the diseases are spread by blood At work, the diseases are spread by blood entering your body through cuts, punctures, or entering your body through cuts, punctures, or splashing that enter the mucous membranes of splashing that enter the mucous membranes of the eyes nose or mouth.the eyes nose or mouth.

PROTECTIONPROTECTION

The The bottom linebottom line – treat – treat blood, all body fluids, blood, all body fluids, excretions, secretions, excretions, secretions, non-intact skin, mucous non-intact skin, mucous membranes as though membranes as though infected with blood borne infected with blood borne or other pathogensor other pathogens

PERSONAL PROTECTIVE PERSONAL PROTECTIVE EQUIPMENTEQUIPMENT

GlovesGlovesGownGownApronsApronsLab CoatsLab CoatsFace ShieldsFace Shields

Protective Protective EyewearEyewear

MasksMasksMouthpiecesMouthpieces

PERSONAL PROTECTIVE PERSONAL PROTECTIVE EQUIPMENT (PPE) EQUIPMENT (PPE) (continued)(continued)

If the PPE is damaged or does not fit, please do If the PPE is damaged or does not fit, please do not use the item.not use the item.

If the PPE is penetrated by blood or body fluid, If the PPE is penetrated by blood or body fluid, remove the item and dispose of it according to remove the item and dispose of it according to the district’s exposure control plan.the district’s exposure control plan.

PERSONAL PROTECTIVE PERSONAL PROTECTIVE EQUIPMENT (PPE) EQUIPMENT (PPE) (continued)(continued)

You must wear gloves whenever contact You must wear gloves whenever contact with a potentially infectious material is with a potentially infectious material is possible. The district provides vinyl gloves possible. The district provides vinyl gloves as well as utility gloves.as well as utility gloves.

PERSONAL PROTECTIVE PERSONAL PROTECTIVE EQUIPMENT (PPE) EQUIPMENT (PPE) (continued)(continued)

Gloves can be torn or punctured so cover Gloves can be torn or punctured so cover hand cuts or skin abrasions with bandages hand cuts or skin abrasions with bandages before school.before school.

Replace disposable single use gloves as Replace disposable single use gloves as soon as possible if contaminated, torn soon as possible if contaminated, torn punctured or no longer effective-NEVER punctured or no longer effective-NEVER RE-USE THEM.RE-USE THEM.

Removal of PPERemoval of PPE

While both hands are gloved, carefully peel one While both hands are gloved, carefully peel one glove off from the wrist to the fingertips-then glove off from the wrist to the fingertips-then hold it in the gloved hand – with the exposed hold it in the gloved hand – with the exposed hand, peel the 2hand, peel the 2ndnd glove off the same way, glove off the same way, tucking the 1tucking the 1stst glove inside the 2 glove inside the 2ndnd. Dispose of . Dispose of promptly and NEVERpromptly and NEVER touch the outside of a touch the outside of a glove with your bare skin.glove with your bare skin.

Always wash your hands with soap and running Always wash your hands with soap and running water as soon as possible.water as soon as possible.

HANDWASHINGHANDWASHING

#1 PROTECTION AGAINST INFECTION#1 PROTECTION AGAINST INFECTIONKeeps you from infecting people or other Keeps you from infecting people or other

objectsobjectsWash your hands after contacting blood, Wash your hands after contacting blood,

body fluids, excretions or secretions, even body fluids, excretions or secretions, even if you are wearing gloves.if you are wearing gloves.

HANDWASHING 101HANDWASHING 101

Wash hands with soap and running water for 10-Wash hands with soap and running water for 10-15 seconds15 seconds

Rub vigorously over all surfaces including above Rub vigorously over all surfaces including above your wristsyour wrists

Rinse thoroughly and dry with clean paper towel Rinse thoroughly and dry with clean paper towel and discardand discard

Using clean paper towel, turn off faucetUsing clean paper towel, turn off faucet Anti-microbial soaps or cleaners should only be Anti-microbial soaps or cleaners should only be

used when indicated since they remove your used when indicated since they remove your skin’s natural protective defensesskin’s natural protective defenses

IF EXPOSEDIF EXPOSED

Do not panic – contact your campus nurse Do not panic – contact your campus nurse immediatelyimmediately

Immediately wash exposed skin area with Immediately wash exposed skin area with soap and watersoap and water

If infectious materials enter your eyes, flush If infectious materials enter your eyes, flush eyes with large amounts of clean watereyes with large amounts of clean water

Report exposure to supervisor or nurse Report exposure to supervisor or nurse immediately so post-exposure evaluation can immediately so post-exposure evaluation can beginbegin

IF EXPOSEDIF EXPOSED (continued) (continued)

Exposure does not always lead to infectionExposure does not always lead to infectionTo become exposed, a large enough dose To become exposed, a large enough dose

of the live virus must enter your of the live virus must enter your bloodstream and overcome your body’s bloodstream and overcome your body’s defense systemdefense system

PUTTING INTO PERSPECTIVEPUTTING INTO PERSPECTIVE

For those who have not been vaccinated, theFor those who have not been vaccinated, the

risk of contracting a blood borne infectionrisk of contracting a blood borne infection

after a sharps injury are:after a sharps injury are: 1 in 6 will acquire Hepatitis B1 in 6 will acquire Hepatitis B 1 in 20 will acquire Hepatitis C1 in 20 will acquire Hepatitis C 1 in 300 will acquire HIV1 in 300 will acquire HIV

(provided the source individual is infected with the (provided the source individual is infected with the pathogen)pathogen)

BEST TOOLSBEST TOOLS

Follow work practices designed to Follow work practices designed to keep us safekeep us safe

Wear gloves Wear gloves AT ALL TIMESAT ALL TIMES when when handling any type of body fluidhandling any type of body fluid

Wash your hands Wash your hands IMMEDIATELYIMMEDIATELY after after handling any body fluidshandling any body fluids