Bloodborne Pathogens

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Bloodborne Pathogens. General. Session Objectives. Identify bloodborne pathogens (BBPs) Understand how diseases are transmitted Determine your risk of exposure Protect yourself from exposure through prevention Respond appropriately if exposed Understand your right to medical evaluations. - PowerPoint PPT Presentation

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  • Bloodborne PathogensGeneral

    Business & Legal Reports, Inc. 1109

    Session ObjectivesIdentify bloodborne pathogens (BBPs)Understand how diseases are transmittedDetermine your risk of exposureProtect yourself from exposure through preventionRespond appropriately if exposedUnderstand your right to medical evaluations

    Business & Legal Reports, Inc. 1109

    What Are Bloodborne Pathogens?Microorganisms present in human blood that can cause diseaseViruses, bacteria, parasites, fungiPrimary workplace pathogensHuman immunodeficiency virus (HIV)Hepatitis B virus (HBV)Hepatitis C virus (HCV)

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    HIV leads to AIDSHIV attacks and depletes the human immune systemEarly HIV symptoms resemble flu virusHIV antibody test is the only way to know for sureHIV does not survive outside the bodyNo cure yetHIV leads to AIDSHIV attacks and depletes the human immune systemEarly HIV symptoms resemble flu virusHIV antibody test is the only way to know for sureHIV does not survive outside the bodyNo cure yetHIV and AIDS

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    Hepatitis B Virus (HBV)1.4 million people infectedSymptomsJaundice, fatigue, and abdominal painNo appetite, nausea, and vomitingVaccine is availableHBV can survive outside the body

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    HCV is the most common chronic bloodborne infection3.2 million infectedSymptoms can take years to manifestFlu-like symptoms, jaundice, dark urine, and fatigueLoss of appetite, nausea and vomiting, and abdominal painTreatment is marginally effectiveHepatitis C Virus (HCV)

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    Transmission of PathogensContaminated sharp objects or needlesBroken skin, including rashesMucous membranesEyesMouthNose

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    Contact with bleeding co-workerContact with blood while administering first aidTouching a contaminated surfaceAssigned to clean up bloodContact with contaminated products or equipment in restroomsUsing a tool covered in dried blood

    Routes of Exposure

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    Bloodborne Diseases Any Questions?Do you understand:The definition of bloodborne pathogens?Transmission of bloodborne pathogens?How you could be exposed?

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    Bloodborne Pathogens Law29 CFR 1910.1030 requires:A written Exposure Control Plan (ECP)Engineering and work practice controlsPersonal protective equipment (PPE)Training

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    Bloodborne Pathogens Law (cont.)Medical surveillanceFree hepatitis B vaccinationSigns and labelsOther equipment and procedures

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    Protect YourselfReview the ECP and OSHA regulation Take universal precautionsUse personal protective equipmentFollow safe work practicesGet the hepatitis B vaccinationFollow decontamination and disposal procedures

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    Identifies jobs and tasks for potential exposureDescribes engineering and safe work practicesOutlines training requirementsIdentifies the placement and use of signs and labelsExplains how to decontaminate equipment and work surfacesIdentifies jobs and tasks for potential exposureDescribes engineering and safe work practicesOutlines training requirementsIdentifies the placement and use of signs and labelsExplains how to decontaminate equipment and work surfacesWhat is the ECP?

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    ECP (cont.)Describes how biohazard waste is handledExplains the recordkeeping requirementsChanges as practices and technology change

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    Take Universal PrecautionsTreat all blood and bodily fluids as if infectedUse barrier protection to avoid contact with infected bodily fluidsImmediately clean up and decontaminate surfaces and equipmentImage Credit: OSHA

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    Use Personal Protective EquipmentBarrier protection prevents exposureUse gloves when applying bandages or cleaning upEyewear or masks protect against splashesProtective clothing or aprons protect against spurting blood

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    PPE (cont.)Use a mask for nose and mouth protectionUse a CPR mask Be prepared to use impromptu barriers such as a garbage bag, plastic, paper, or your shirt

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    Avoid Puncture WoundsUse tongs, forceps, or similar tools to pick up potentially contaminated itemsImage Credit: State of WA-WISHA Services

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    Is This a Safe Work Practice? Yes or No?

    Removing contaminated PPE and clothing before leaving the work areaSeeking immediate medical attentionEating, drinking, smoking, or applying cosmetics in any work areas where there is the possibility of exposure to bloodWearing double gloves to reduce contamination risk

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    Is This a Safe Work Practice? Yes or No? (cont.)Disposing of contaminated items properlyStoring food in any work area where blood or bodily fluids may be presentDisinfecting contaminated equipment and work surfacesWashing up immediately after exposure

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    ECP, Precautions and Safe PracticesAny Questions?ECP?Universal precautions or PPE?Safe work practices?

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    General DecontaminationWear appropriate gloves and glasses to protect eyes, nose, mouth, and skinUse a bodily fluid disposal kitUse 10% bleach or EPA-approved disinfectant for spillsDispose of contaminated items

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    Remove glass and other sharp materials using a brush and dust pan, or tongsDo not use your handsUse paper/absorbent towels to soak up the residual liquidsDisinfect all surfaces, and allow time to dry before using againDecontamination Involving Sharp Objects

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    Liquid or semi-liquid blood or other potentially infectious materials (OPIM)Contaminated items that would release blood or OPIM if compressedContaminated sharp objectsItems caked with dried blood or OPIM, capable of release during handlingPathological and microbiological wastes containing blood or OPIMBiohazard Disposal Regulated WasteLiquid or semi-liquid blood or other potentially infectious materials (OPIM)Contaminated items that would release blood or OPIM if compressedContaminated sharp objectsItems caked with dried blood or OPIM, capable of release during handlingPathological and microbiological wastes containing blood or OPIM

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    Label All Regulated Waste ContainersLabels communicate a hazardPlace regulated waste in containers that have the universal biohazard symbolThe term Biohazard must be on the label

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    Image Credit: OSHABiohazard Disposal Unregulated WasteBlood or OPIM absorbed without the release of liquid when compressedAdhesive bandages or tissuesGauze, paper towels, and disposable PPEAbsorb all liquidDouble-bag waste

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    Unregulated Waste LabelingLabels not typically required but a good idea

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    Items caked with dried bloodAdhesive bandages or tissuesContaminated sharp objectsLiquid or semi-liquid bloodWhich of the following is considered a regulated waste?Disposable PPE that results from the cleanup of a cutBlood that is absorbed without release of a liquid when compressedPathological and microbial wastes containing blood or OPIM

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    Exposure IncidentWash cuts and skin thoroughly Rinse nose and mouthFlush eyes with clean water or sterile solutionClean all contaminated surfacesReport all incidents

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    Post-Exposure EvaluationConfidential medical evaluationDocument route of exposureIdentify source individualTest source persons bloodProvide results to source and exposed employeesImage Credit: State of WA-WISHA Services

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    What Steps Should You Take If You Have an Exposure Incident?Clean and decontaminate all infected surfaces. Rinse your nose and mouth to remove any potential splashes of blood or OPIM.Report the incident.Flush your eyes with clean water or sterile solution if you were not wearing goggles or safety glasses.Wash cuts and skin thoroughly with soap and water.Put the response steps in their proper order1.2.3.4.5.

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    Endorsed by medical communitiesSafe when given to infants, children, and adultsOffered to all potentially exposed employeesProvided at no cost You can decline and change your mindHepatitis B Vaccination

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    Decon, Disposal, and IncidentsAny Questions?Do you understand decontamination and disposal of blood or OPIM?Exposure incidents?The hepatitis B vaccination?

    Business & Legal Reports, Inc. 1109

    Bloodborne pathogens can cause fatal diseaseBe aware of exposure at workTake universal precautionsUse PPE and safe work practicesDecontaminate yourself and equipmentUnderstand and follow exposure incident proceduresReport exposure incidentsKey Points to Remember

    *Slide Show NotesWelcome to this training session about bloodborne pathogens. This session is intended for any employee who is likely to be exposed to potentially infectious bodily fluids. These employees include first-aid responders, janitorial staff, maintenance personnel, and personnel assigned to clean up after an industrial accident.This session discusses how you might be exposed to bloodborne p