Bloodborne Bloodborne PathogensPathogens

School District of New RichmondJoan Simpson, R.N, District School Nurse.

2-21-12

Why am I Here Today?Why am I Here Today?Initial training is required by

OSHA for all new employees and annual training is required after for all employees who are considered at increased risk for occupational exposure to bloodborne pathogens.

To protect employees against exposure to bloodborne diseases.

Please view video clipPlease view video clipClick Here

Total video time is 27:03

Now, Now, let’s review let’s review a few itemsa few items

Staff at increased Staff at increased Occupational Risk to Occupational Risk to Bloodborne pathogens are Bloodborne pathogens are those whose job description those whose job description includes one or more of the includes one or more of the following:following:First aidCleaning body fluid spillsDelegated health / personal care

providersMonitoring altercations

In New Richmond School District these In New Richmond School District these employees have been identified employees have been identified

currently as:currently as:Job Classifications Reason for Occupational

Exposure   

Providing First Aid Cleanup of

Blood or OPIM Spills

Contact / Handling of Materials

Contaminated with Blood

or OPIMHealth Services (School Nurse and Health Assistants)

X X X

CDB/ CDS Teachers and Assistants (Cognitive Disability Borderline and Severe)

X   X

Coaches (determined by AD) – Football, Wrestling, Basketball, and Hockey at this time

X   X

EBD Teachers and Assistants (Emotional Behavioral Disability)

X   X

Early Childhood & Special Education (Teachers and Assistants)

X   X

Occupational Therapists X   XKindergarten Teachers X   XBuilding Principals, Assistant Principals, Superintendent, Athletic Director

X   X

Custodial / Maintenance   X XPhysical Education Teachers X   XSpeech Therapists X   XSuperintendent X   XAthletic Director X   XFront Office Administrative Assistants

X   X

Hepatitis B Vaccination offered Hepatitis B Vaccination offered by the District to staff on the by the District to staff on the

previous pageprevious pageFree of costThree injections over 6 monthsBooster doses are not

recommended80 - 95% effective after series is

completedHepatitis B Immunization

Acceptance/Declination Record completed,

Click here

Reasons Not To Receive Reasons Not To Receive VaccinationVaccinationPrevious infection would incur

immunityYeast sensitivityThimerosal sensitivityPregnancyImmunosuppressive therapy

Hepatitis B Vaccination Hepatitis B Vaccination Most Common Side EffectMost Common Side Effect

Slight soreness at the injection site (17%)

More serious reactions may occur in 1% of vaccinations given

Exposure Control PlanExposure Control PlanBlue Health Services Manual in

each school health officeContains District’s Exposure

Control Plan and exposure formsTo view document please

click here

Universal PrecautionsUniversal PrecautionsAn approach to infection control

where all human body fluids of all persons are treated as if known to be infectious for communicable diseases

Personal Protective Personal Protective EquipmentEquipmentGloves

disposable Utility

Goggles

Gowns

Use of Disposable GlovesUse of Disposable GlovesThink 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.

Cleaning Up Body Fluid Spills Cleaning Up Body Fluid Spills Think B-A-D-DThink B-A-D-D

B arrierA bsorbD isinfectD iscard

HandwashingHandwashingTHE 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)

What Should I Do If I Have An What Should I Do If I Have An Accidental Contact With Accidental Contact With

Body Fluids?Body Fluids?Wash area thoroughly with soap and

warm waterContact your building Health Assistant to

complete an Exposure Investigation Report Right Away. She will complete then notify the School Nurse regarding further action.

Notify your supervisor of the exposure.Complete a Workman’s Compensation

Form in the staff lounge and submit to Deb Newman within 48 hours.

Exposure IncidentExposure 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.

Three Things Necessary for Three Things Necessary for Possible TransmissionPossible Transmission

1. Source person must be infected

2. Source person must have a port of exit

3. Receiving person must have a port of entryContact with infectious body fluids to

broken skin or mucous membranesPuncture wounds with used needles

Moral of the storyMoral of the story::If it’s If it’s

Warm, Wet Warm, Wet and and

Not Yours Not Yours Don’t Touch It!Don’t Touch It!

Please print, complete and Please print, complete and forward the post-test to Lou forward the post-test to Lou Ann Derosier at the District Ann Derosier at the District Office, which acknowledges Office, which acknowledges you have completed this you have completed this training.training.Click Here

Thank you for taking your time to Thank you for taking your time to complete this mandatory training and complete this mandatory training and

if you have questionsif you have questions contact Joan contact Joan Simpson at 715-243-7424.Simpson at 715-243-7424.