Transcript Bloodborne Pathogens Presentation By: Mike Pettit, Senior Loss Control Consultant Tallahassee, Florida Bloodborne Pathogens: Protecting Yourself & Your Co-Workers.

Bloodborne Pathogens
Presentation By:
Mike Pettit,
Senior Loss Control Consultant
Tallahassee, Florida
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Bloodborne Pathogens:
Protecting Yourself & Your Co-Workers
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What We Will Cover
• What are Bloodborne Pathogens?
• Facts and Statistics
• Types of Bloodborne Pathogens
• How is it Transmitted?
• How Do I Protect Myself?
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Training
Personal Protective Equipment
Decontamination
Hygiene
• Knowing your BBP Kit
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What Are Bloodborne Pathogens (BBP)?
Bloodborne Pathogen are microorganisms such
as viruses or bacteria that are carried in blood and
can cause disease in people.
Types of BBP:
• Malaria
• Syphilis
• Brucellosis
• Hepatitis B (HBV)
• Human Immunodeficiency
(HIV)
The two diseases
specifically addressed
by the OSHA
Bloodborne
Pathogen
Virus
Standard.
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Hepatitis B (HBV)
• Over 300K people are infected with Hepatitis B
each year in the US
• This virus is transmitted primarily through “blood
to blood” contact
• There is no cure for this disease
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Need To Know Facts of HBV
• This virus is very durable...it will survive in dried
blood for up to seven (7) days.
• Based on the duration of 7 days, employees such
housekeepers and custodians should wear
personal protective equipment (gloves, mask, etc).
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HBV Symptoms:
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Fatigue
Stomach pains
Nausea
Symptoms are like mild “flu”.
Note - It can take 1 to 9 months before
symptoms become noticeable
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HEPATITIS B … IS PREVENTABLE
• Prevention – safe practices and
IMMUNIZATION
• Pre exposure – series of 3 vaccinations
• 90% effective for up to
7 YEARS
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HEPATITIS B … POST-EXPOSURE
• Initiate vaccination series (70-88% effective)
• Give immune globulin within 1 WEEK of
exposure
• 90% effective if given in
combination
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What Is Human Immunodeficiency Virus (HIV)?
• AIDS is caused by a virus called HIV
• It may take many years to develop AIDS.
• HIV attacks the body’s
immune system
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Human Immunodeficiency Virus (HIV)
• Over 35K people are infected every year.
• There is no known cure.
• Seek Medical attention
immediately
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HIV INFORMATION:
• HIV virus is very fragile and will not survive very
long outside of the human body.
• The primary concern to employees providing first
aid or medical care in situations involving fresh
blood or other potentially infectious materials.
• It is estimated that the chances of contracting HIV
in the workplace is only 0.4%. However, all
precautions must still be taken.
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HIV SYMPTOMS:
These are basic symptoms and all employees should
consult a physician for proper diagnosis:
• Symptoms can vary but often include weakness,
fever, sore throat, nausea, headaches, diarrhea, a
white coating on the tongue, weight loss, and swollen
lymph glands.
CONSULT YOUR DOCTOR IMMEDIATELY IF
YOU BELIEVE YOU MAY HAVE HIV.
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MEANS OF TRANSMISSION
HBV, HIV and other blood borne pathogens may be
present in:
• Blood, vaginal secretions, semen and certain
other body fluids;
• Body tissues or organs.
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MEANS OF TRANSMISSION
To cause infection, the virus must enter your body.
Some likely ways are:
• Sexual contact with an infected partner;
• Sharing infected needles;
• Cutting yourself with a sharp object that is
contaminated with infected blood or fluids
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TRAINING
29CFR1910.1030 (g)(2)(i) states training is to be
provided:
• At the time of initial assignment to tasks where
occupational exposure to blood or other potential
infectious materials (OPIM) may take place
• Annually, thereafter
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TRAINING
29CFR1910.1030 (g)(2)(vii) states training is to
include:
• Hepatitis B vaccine information
• Explanations of symptoms
• Post-Exposure follow-up procedures
• Means of transmission
• Location and handling of PPE
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PREVENTION
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Always take time to put on a pair of leak-proof
gloves
Make sure you are wearing eye protection to prevent
the transmission of blood borne pathogens through
the eyes.
If you get blood or other potentially infectious
materials on your skin, immediately wash with soap
and water.
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PREVENTION
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If potentially infectious materials get in your
eyes, nose or mouth, immediately flush with
running water at a sink or eyewash fountain
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Any unprotected contact with blood or other
bodily fluids to your supervisor so proper medical
follow-up can be made.
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CLEAN-UP
When blood or body fluids are cleaned up after an
accident:
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Restrict access to the area
Wear two pairs of leak-proof gloves;
avoid tearing gloves
Wear a leak-proof apron to protect your clothes
Do not pick up contaminated sharp objects (glass, nails,
sharp metal, etc.) with your hands--sharp objects might
cut both your glove and your hands.
Use disposable towels to soak up most of the blood
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CLEAN-UP
When blood or body fluids are cleaned up after an
accident:
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Place all contaminated towels and waste in sealed, colorcoded or labeled leak-proof container
Dispose of as a regulated waste.
Clean with an appropriate disinfecting solution.
After cleaning, promptly disinfect mops and any other
cleaning equipment.
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METHODS OF COMPLIANCE
“UNIVERSAL PRECAUTIONS”
All human blood and certain human body fluids
are to be treated as if KNOWN to be infected.
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PERSONAL PROTECTIVE EQUIPMENT
You must do the following:
• Always wear PPE in exposure
situation
• Remove and/or Replace PPE that
is damaged (torn or punctured).
• Remove PPE before leaving the
work area.
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PPE ITEM - GLOVES
• Gloves should be made of latex, nitril, rubber, or
other water impervious materials – the fluid must
not come into contact with your skin
• Double gloving can provided an additional layer of
protection.
• Bandage any known cuts prior to putting on gloves
• Inspect your gloves for tears or punctures before
putting them on.
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REMOVING CONTAMINATED
GLOVES
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Disinfect gloves in solution if possible
Grasp palm of glove with other hand
Remove that glove inside out
Slide finger at wrist of gloved hand
Remove second glove inside out
Dispose of both properly
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PPE ITEM – EYE PROTECTION
Eye Protection: If there is a risk of splashing
contaminated fluids, you should wear eye
protection
Splashing can occur while:
• cleaning up a spill
• while providing first aid or medical assistance
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PPE ITEMS—MASK & APRONS
• Face Shields/Mask
• Aprons/Gowns
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DON’T TRUST IN LUCK !
PPE MUST BE …
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Appropriate to the task
Readily available
Readily accessible
Properly maintained
USED!!!
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DECONTAMINATE YOURSELF!
• Wash thoroughly with soap and water.
• Flush eyes for 15 MINUTES
• After removing PPE,
hands with soap
wash
and water
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DECONTAMINATE THE AREA
• Work surfaces
• Pails, bins, receptacles
• Labware
(decontaminate broken glassware
BEFORE DISPOSAL)
• Use plastic-backed absorbent paper; dispose
of as biohazard waste
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HOW TO DECONTAMINATE
• Household bleach FRESHLY MADE; 10% V/V
(¼ cup bleach to 1 gallon water)
• Allow sufficient time (At least
10 minutes; depends on
surface/material)
• Use after spills, at completion
of task, and at the end of shift
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OTHER HYGIENE PRACTICES
• Never eat, drink, smoke, apply
cosmetics, or handle contact lenses if
you are working in an area where
there is possible exposure.
• No food or drink is permitted in
laboratories or lab refrigerators
designated for lab use.
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HAZARD COMMUNICATION
• Use warning labels
• Post the biohazard symbol
• Use red bags / containers
• Post signage – agent, entry
requirement, contact info
• Provide training
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Where is your BBP Kit located?
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What is available in your
BBP Kit?
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BROKEN GLASSWARE
• Broken glassware that has been visibly
contaminated with blood must be sterilized with an
approved disinfectant solution before it is
disturbed or cleaned up.
• It must be disposed of in an
appropriate sharps container.
**ONLY EMPLOYEES WHO ARE CONSIDERED
TRAINED RESPONDERS SHOULD BE HANDLING
ANY OF THESE ITEMS.**
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SIGNS, LABELS, & COLOR CODING
• Look for warning labels
• The labels should be florescent red, orange, and/or
orange-red
• See your supervisor or the EPA for additional
information
www.epa.gov
800-368-5888 or 202-566-2075
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FOR ANY POTENTIAL BLOODBORNE
PATHOGEN EXPOSURE …
• Seek IMMEDIATE
attention
medical
• Go to the NEAREST
facility
medical
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RESPONDING TO
AN EXPOSED WORKER
• Arrange for immediate and confidential medical
evaluation
• Document how the exposure occurred
• Identify and test the source individual, if possible
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RESPONDING TO
AN EXPOSED WORKER
• Test the exposed employee’s blood, if consent is
obtained
• Provide counseling
• Evaluate any reported
illness
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POST-EXPOSURE EVALUATION
& FOLLOW-UP
• A confidential medical evaluation and
follow-up is available to employees
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MEDICAL RECORDS
Must be made available to employee
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MEDICAL RECORDS
All medical records should include:
• Employee name and social security number
• Status of Hepatitis B
vaccination
• Results of all exams,
testing, and follow-ups
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MEDICAL RECORDS
Should also include:
• Copy of physician’s professional opinion
• Copy of information
provided to healthcare
professional
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REGULATORY COMPLIANCE
• 29 CFR 1910.1030(c)(1)(iii)
• Exposure control plans
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EXPOSURE CONTROL PLANS
Exposure control plans include:
• Policy statement
• Steps to the determination of employee exposure
• Implementation of control methods including:
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Universal Precautions
Engineering and work practice controls
Personal Protective Equipment (PPE)
Housekeeping
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EXPOSURE CONTROL PLANS
Exposure control plans include:
• Hepatitis B Vaccination
• Post-exposure evaluation and follow – up
• Communication of hazard to employees and
training
• Recordkeeping
• Procedures for evaluating circumstances
surrounding exposure incidents.
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EXPOSURE CONTROL PLANS
http://www.osha.gov/Publications/osha3186.pdf
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REMEMBER … For Successful Post-Exposure
Treatment
TIME IS OF THE
ESSENCE !
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Thank You
• Mike Pettit,
• Senior Loss Control Consultant
• Tallahassee, Florida
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