BloodborneBloodbornePathogensPathogens

First ResponderFirst Responder

Know the regulationKnow the regulation

29 CFR 1910.103029 CFR 1910.1030

1a

Epidemiology & symptoms of Epidemiology & symptoms of bloodborne diseasesbloodborne diseases

Bloodborne pathogensBloodborne pathogens

DecontaminationDecontamination

Exposure incidentExposure incident

Occupational exposureOccupational exposure

2a

Epidemiology & symptoms of Epidemiology & symptoms of bloodborne diseasesbloodborne diseases

ParenteralParenteral

Potentially infectious materialsPotentially infectious materials

Universal precautionsUniversal precautions

2b

How diseases are How diseases are contractedcontracted

Workplace situationsWorkplace situations

Non-workplace Non-workplace situationssituations

Routes of Routes of occupational occupational exposureexposure

3a

Exposure control planExposure control plan

Evaluation of riskEvaluation of risk

Job classifications with:Job classifications with:• Exposure to bloodExposure to blood• Potentially infectious materialsPotentially infectious materials

4a

Exposure control planExposure control plan

Control plans vary, but also have Control plans vary, but also have common elementscommon elements

Implementation schedulesImplementation schedules

4b

Exposure control planExposure control plan

Communicating hazards to Communicating hazards to employees:employees:• Hepatitis BHepatitis B• VaccinationVaccination• Post-exposure follow-upPost-exposure follow-up• RecordkeepingRecordkeeping

4c

Exposure control planExposure control plan

Implementation of:Implementation of:• Engineering controlsEngineering controls• Work practice controlsWork practice controls• PPEPPE• Housekeeping proceduresHousekeeping procedures• Evaluation of exposure incidentsEvaluation of exposure incidents

4d

Recognize potential Recognize potential exposuresexposures

Blood and infectious materials at Blood and infectious materials at accident scenesaccident scenes

Primary screeningPrimary screening

Primary assessmentPrimary assessment

5a

Engineering and controlsEngineering and controls

Primary methods of controlling Primary methods of controlling transmission of HBV and HIVtransmission of HBV and HIV• Disposable airway equipmentDisposable airway equipment• Mouth-to-mouth resuscitation devicesMouth-to-mouth resuscitation devices

6a

Handwashing facilitiesHandwashing facilities

LocationsLocations

Portable Portable facilitiesfacilities

7a

Handwashing facilitiesHandwashing facilities

ProceduresProcedures• Remove glovesRemove gloves• Wash hands immediatelyWash hands immediately• Use antiseptic cleansersUse antiseptic cleansers

7b

Handwashing facilitiesHandwashing facilities

Where there is a potential for Where there is a potential for exposure, prohibit:exposure, prohibit:• Eating and drinkingEating and drinking• Applying cosmetics or lip balmApplying cosmetics or lip balm• Handling contact lensesHandling contact lenses

7c

Work practicesWork practices

Reduce the likelihood of exposure Reduce the likelihood of exposure by altering the manner in which a by altering the manner in which a task is performedtask is performed• Follow universal precautionsFollow universal precautions• HandwashingHandwashing• Minimizing splashing and spraying of Minimizing splashing and spraying of

bloodblood

8a

HousekeepingHousekeeping

Minimize the risk of occupational Minimize the risk of occupational exposureexposure

Keep work areas and equipment Keep work areas and equipment clean and decontaminatedclean and decontaminated

Establish cleanup procedures for Establish cleanup procedures for blood and bodily fluidsblood and bodily fluids

9a

HousekeepingHousekeeping

Establish procedures for handling Establish procedures for handling sharpssharps

Watch for illegal injectionable Watch for illegal injectionable drugsdrugs• Parking lotsParking lots• Storage areasStorage areas• Construction sitesConstruction sites

9b

Personal protective Personal protective equipmentequipment

Best defense against unexpected Best defense against unexpected hazardshazards

Must be used when possibility Must be used when possibility exists for exposure to blood or exists for exposure to blood or bodily fluidsbodily fluids

10a

Personal protective Personal protective equipmentequipment

Must not allow blood or infectious Must not allow blood or infectious matter to pass through to matter to pass through to employees:employees:• ClothesClothes• SkinSkin• EyesEyes• MouthMouth

10b

Proper use of PPEProper use of PPE

Limitations of PPELimitations of PPE

ReplacementsReplacements

RemovalRemoval

11a

Proper use of PPEProper use of PPE

HandlingHandling

Decontamination and disposalDecontamination and disposal

Keep PPE cleanKeep PPE clean

11b

Hepatitis B vaccineHepatitis B vaccine

EfficacyEfficacy

SafetySafety

Method of administrationMethod of administration

Benefits of the vaccineBenefits of the vaccine

12a

Responding to an exposed Responding to an exposed workerworker

Review worst-case scenarioReview worst-case scenario

First responders may be involved:First responders may be involved:• as one who has been exposed; oras one who has been exposed; or• as a witness or participant where as a witness or participant where

several employees have been injuredseveral employees have been injured

13a

Responding to an exposed Responding to an exposed workerworker

Arrange for immediate and Arrange for immediate and confidential medical evaluationconfidential medical evaluation

Document how the exposure Document how the exposure occurredoccurred

Identify and test the source Identify and test the source individual, if possibleindividual, if possible

13b

Responding to an exposed Responding to an exposed workerworker

Test the exposed employee’s Test the exposed employee’s blood, if consent is obtainedblood, if consent is obtained

Provide counselingProvide counseling

Evaluate any reported illnessEvaluate any reported illness

13c

Post-exposure evaluation Post-exposure evaluation and follow-upand follow-up

A confidential medical evaluation A confidential medical evaluation and follow-up is available to and follow-up is available to employeesemployees

14a

Signs and labelsSigns and labels

Biohazard symbolBiohazard symbol

Red bags and containers can be Red bags and containers can be used as a substitute for labelsused as a substitute for labels

15a

Medical recordsMedical records

Must be made available to Must be made available to employeeemployee

16a

Medical records should Medical records should include:include:

Employee name and social security Employee name and social security numbernumber

Hepatitis B vaccination statusHepatitis B vaccination status

Results of all exams, testing, Results of all exams, testing, follow-upsfollow-ups

16b

Medical records should Medical records should include:include:

Copy of physician’s professional Copy of physician’s professional opinionopinion

Copy of information provided to Copy of information provided to healthcare professionalhealthcare professional

16c

Regulatory informationRegulatory information

29 CFR 1910.1030(c)(1)(iii)29 CFR 1910.1030(c)(1)(iii)

Exposure control plansExposure control plans

17a

Summary of key pointsSummary of key points

Written exposure control planWritten exposure control plan

TrainingTraining

Engineering controlsEngineering controls

Work practicesWork practices

18a

Summary of key pointsSummary of key points

PPEPPE

HousekeepingHousekeeping

Hepatitis B vaccineHepatitis B vaccine

Exposure incident responseExposure incident response

18b

Summary of key pointsSummary of key points

Routes of exposuresRoutes of exposures

Methods of assessment for Methods of assessment for bloodborne pathogen riskbloodborne pathogen risk

Methods of protection while Methods of protection while delivering first aiddelivering first aid

18c