Transcript Blood Borne Pathogens Training
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B LOODBORNE P ATHOGENS T RAINING
Aurora University 2010
B LOODBORNE P ATHOGENS T RAINING
Overview of BBP Standard
(BBP = Bloodborne Pathogen)
Types of pathogens Exposure Control Plan 2
OSHA BBP S TANDARD
See the OSHA website www.osha.gov
, 29 CFR 1910.1030
Aurora University is committed to providing a safe and healthful work environment. In pursuit of this goal, the BBP Exposure Control Plan is provided to eliminate or minimize employee occupational exposure to blood or other potentially infectious materials (OPIM).
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B LOODBORNE P ATHOGENS
The three pathogens that are of greatest concern are:
Human immunodeficiency virus (HIV) Hepatitis B virus (HBV) Hepatitis C virus (HCV) 4
B LOODBORNE P ATHOGENS
HIV
virus that causes AIDS
o
incubation period 1 to 3 months
o o
person is infectious from onset of infection throughout life all persons are susceptible
risk of transmission:
needle stick: 0.3% splash/spray to mucous membranes: 0.09% non-intact skin: less than mucous membrane exposure 5
B LOODBORNE P ATHOGENS
HBV - virus that causes hepatitis B
incubation period 45 to 180 days
person is infectious if test for antigen (HBsAG) is positive
unvaccinated persons are susceptible
vaccination is recommended for persons with occupational exposure Risk of transmission
needle stick: 22-31% if source is HBeAG +
needle stick: 1-6% if source is HBeAG direct or indirect contact with non-intact skin or mucous membranes is an important source of occupational exposure 6
B LOODBORNE P ATHOGENS
HCV - virus that causes hepatitis C
incubation period 6 to 9 weeks
most persons are infectious for life all are susceptible Risk of transmission
needle stick: 1.8%
mucous membranes: rare non-intact skin: very rare 7
B LOODBORNE P ATHOGENS
An individual can acquire BBP from
blood
body fluids containing visible blood other potentially infectious material (OPIM)
includes… semen, vaginal secretions, cerebral spinal fluid (CSF), synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, and all bodily fluids where it is difficult to differentiate between bodily fluids.
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B LOODBORNE P ATHOGENS
Occupational exposure occurs through:
percutaneous injury (needle stick or cut)
contact with mucous membranes contact with non-intact skin when there is blood, body fluids with visible blood, OPIM present 9
B LOODBORNE P ATHOGENS
Feces, nasal secretions, sputum, sweat, tears, urine, and vomitus are not considered infected with bloodborne pathogens unless they contain visible blood. 10
A URORA U NIVERSITY B LOODBORNE P ATHOGEN E XPOSURE C ONTROL P LAN
Policy HR - 212 Universal precautions
Hand hygiene
Personal Protective Equipment (PPE) Engineering and work practice controls HBV vaccination Post-exposure management Training 11
A URORA U NIVERSITY B LOODBORNE P ATHOGEN E XPOSURE C ONTROL P LAN
Online at
http://www.aurora.edu/hr/policy-manual/212 bbp.html
Copy provided at new employee orientation reviewed, updated annually HUMAN RESOURCES POLICY MANUAL TOPIC: Bloodborne Pathogen Exposure Control Plan EFFECTIVE DATE: Reviewed/Revised Date: Approved By: 1 November 2009 VP for Finance Policy Number: 212 Developed in accordance with the OSHA Bloodborne Pathogens Standard, 29 CFR 1910.1030
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A URORA U NIVERSITY B LOODBORNE E XPOSURE P ATHOGEN C ONTROL P LAN AU employees determined to be at risk for occupational exposure to blood or OPIM:
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Wellness Center Staff
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Campus Safety Athletics and Physical Education Health Science Lab Faculty and Assistants Nursing Lab Faculty and Clinical Faculty Recreation Administration Residence Life Professional Staff Lifeguards 13
E NGINEERING & W ORK P RACTICE C ONTROLS :
Universal Precautions
Part of OSHA BBP standard Used on ALL individuals Used for ALL contact with:
blood, body fluids, OPIM
mucous membranes non-intact skin To protect against bloodborne pathogens Standard Precautions
Part of the CDC guidelines on infection control
Use on ALL individuals Used for all contact with blood, OPIM, all bodily fluids considered infections (regardless of visible blood) Hand hygiene Use of PPE 14
H AND H YGIENE
Wash hands
after touching blood, body fluids, secretions, excretions, contaminated items, regardless if gloves are worn immediately after removing gloves before leaving work area
whenever hands are dirty or contaminated 15
H AND H YGIENE
Hand washing technique
turn on faucets to comfortable water temperature
wet hands, apply soap, lather rub with friction for at least 15 seconds, making sure to wash back of hands, fingers, fingertips, in between fingers
rinse with fingertips pointing downward dry hands with paper towel discard paper towel and turn off faucets with clean paper towel 16
H AND H YGIENE
Waterless alcohol gel
May use if hands are not visibly soiled Effective against many organisms if product is used as directed Must be at least 60% alcohol to be effective NOT a replacement for a soap and water hand washing if hands are soiled.
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H AND H YGIENE
Use of waterless gel
dispense appropriate amount of gel per product directions
dispense into palm of one hand rub palms, backs of hands,
fingers, fingertips, between fingers until dry, about 30 seconds make sure hands are dry before resuming activities Wash hands as soon as practical 18
P ERSONAL P ROTECTIVE (PPE) E QUIPMENT
Gowns, gloves, surgical masks, face shields, goggles, shoe covers, aprons Used when there is a reasonable anticipation of exposure to blood, body fluids, mucous membranes, non-intact skin Provides protection for clothing, skin, eyes, mouth, nose 19
PPE
Employer responsibilities
provide in appropriate sizes
make accessible
require use by employees
clean, launder, repair, replace as needed
provide training
Sodexo has supplies available and restocks areas as necessary 20
PPE
Employee responsibilities:
Use PPE appropriately
Dispose of appropriately 21
PPE
Gloves
Wear for phlebotomies, finger sticks, vaccinations Wear for cleaning OPIM
Wear when administering first aid Remove between clients, wash hands Select correct size Have readily available at work station and in first aid kits 22
PPE R EMOVAL
1) Remove gloves by grasping outside of gloved hand with other gloved hand and peel off. Hold removed glove in gloved hand.
2) Slide fingers of ungloved hand under remaining glove, touching inside of glove only. Discard.
3) Remove goggles/face shield next, handling ONLY by head bands, ear pieces, or ties. Discard.
4) Remove gown by pulling away from neck and shoulders, touching inside of gown only. Turn gown inside out. Discard.
5) Remove mask/respirator last, grasp ONLY bottom then top ties/elastics and remove. Discard.
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PPE R EMOVAL
Wash your hands!
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L ABELS
Infectious waste: red bag with biohazard label Sharps containers: biohazard label Blood specimens: biohazard labeled storage bags, storage containers Refrigerators, coolers where blood or OPIM is stored: biohazard label 25
E NGINEERING C ONTROLS
Safety devices on sharps: needles, lancets
must be used if available
evaluated by staff Shearing, breaking, bending, re-capping of contaminated sharps is prohibited
Clean spills of blood or OPIM with spill kit, wear protective gloves Clean up broken glass using spill kit or broom and dustpan, never your hands 26
E NGINEERING C ONTROLS
Place used sharps in disposal containers immediately after use
Sharps containers
puncture resistant leak proof labeled or red in color
Sharps containers
Replace sharps containers when 2/3 full
stabilized if portable The users of the containers are responsible for replacing when necessary 27
W ORK P RACTICE C ONTROLS
Do not eat, drink, apply make-up, handle contact lenses, or smoke in areas with likely exposure to blood or OPIM
testing areas areas where specimens located
Do not store food or beverages in refrigerators, freezers, coolers, shelves, cupboards where specimens are located 28
W ASTE D ISPOSAL
Infectious waste includes:
sharps
disposable items that are saturated with blood or OPIM to the point where such material can be squeezed, poured, dripped, or flaked off the items Infectious waste removal:
Place in red biohazard bags, seal to prevent spillage during handling
Store in designated areas for collection by waste haulers Contact Sodexo for pickup of red biohazard bags 29
L AUNDRY
Handle contaminated clothing as little as possible Place dry laundry in bags at point of use Laundry that is wet from blood or OPIM is placed in leak proof containers labeled with the biohazard symbol Follow departmental procedure
Wear gloves when handling soiled laundry
Utilize appropriate washer and dryer settings
Utilize appropriate detergent 30
H ANDLING B LOOD OR OPIM S PILLS
Procedure for cleaning blood or OIPM spills
wear PPE: gown, gloves, goggles
soak up liquid of spill and use scooper/scraper to remove contents of spill wet cloth with the disinfectant wipe item/area with wet cloth spray disinfectant on item/area wipe with clean cloth, let air dry Clean first, then disinfect all equipment and environmental surfaces after contact with blood or OPIM
Use EPA registered disinfectant with activity against HIV, HBV, HCV or 1:10 bleach
Follow instructions on disinfectant label Separate procedure for blood/OIPM spills on Vago Field artificial turf. (See policy) 31
H EPATITIS B V ACCINATION
Any one with potential for occupational exposure to blood or OPIM will be offered the Hepatitis B vaccination series Recommended unless:
employee has documentation of receipt of series
antibody testing shows immunity
employee has medical contraindications 32
H EPATITIS B V ACCINATION
Available within 10 working days of work start date.
If employee declines, must sign statement of declination. Employee may decide at any later date to start the series.
If employee accepts, must sign acceptance statement and schedule to start series.
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H EPATITIS B V ACCINATION
Safety
very safe vaccine
US: as of 2000 more than 100 million adults have received vaccine with few side effects serious reactions are rare mild symptoms may occur: soreness at injection site, low-grade fever
may be given during pregnancy Effectiveness
at least 90% of adults are immune after completing the three doses of vaccine since 1985, 90% reduction of number of health care workers infected with HBV, largely due to vaccine 34
H EPATITIS B V ACCINATION
Vaccine provided at Occupational Health Providers near our Illinois and Wisconsin campuses. Human Resources will schedule location and initial dose date.
Administered by deep intramuscular injection 3 doses given: 1st two doses 1 month apart, last dose is given 5 months after second dose Occupational Health will test antibody levels at 1-2 months after last dose to test for immunity
If antibody level shows lack of immunity, individual will be-revaccinated 35
P OST E XPOSURE M ANAGEMENT
1) Clean the exposure site
percutaneous injuries: wash with soap and water
mucous membranes: rinse copiously with water for several minutes 2) Go to the nearest occupational health clinic for evaluation.
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If none in area, report to nearest ER
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In Aurora – go to Provena Mercy Occupational Health on Highland Avenue In Wisconsin, go to Aurora Occupational Health Services on County Road NN in Elkhorn 36
P OST E XPOSURE M ANAGEMENT
3) Notify supervisor immediately, who will notify Campus Safety and Human Resources 4) Medical evaluation
documentation of route of exposure
document source person if known source and exposed will be offered testing
results given to exposed person’s provider or Occupational Health if no personal provider counseling offered 37
A NY Q UESTIONS ?
Please ask any of the BBP Trainers, or call Human Resources with your questions Terri Hoehne Director of Human Resources [email protected]
630-844-3866 Office at 422 S. Calumet on the Aurora campus
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C ERTIFICATE OF B LOODBORNE C P OMPLETION ATHOGEN T RAINING
39 Name (please print)____________________________ Your Signature:________________________________ Date:______________ Supervisor:_________________ Job Title:_______________________________________ Please print and send to Human Resources