Austin Community College

WHY THIS TRAINING?OSHA & Texas Department of State Health Services Bloodborne Pathogen standard

OSHA and the TDSHS requires anyone whose job could result in exposure to BB pathogens to complete the training

OSHA BBP regulations are found in 29CFR 1910.1030TDSHS BBP regulations are found in TX Health & Safety Code 81.304

ACC also has a BBP Program that must be followed. It can be found at the EHS On-line Safety Manual in the Bio-hazard/ Blood Borne Pathogens section www.austincc.edu/ehs/safetymanualRemember: The more you know, the better you will perform in real situations!

6 Course ObjectivesKnow what Bloodborne pathogens areRecognize potentially contaminated materialIdentify exposure routesKnow how to protect yourselfKnow what to do if you are exposedKnow how to clean up a spill

Who is covered by the standard?All employees who could be reasonably anticipated, as the result of performing their job duties, to face contact with blood and other potentially infectious materialsGood Samaritan acts such as assisting a co-worker with a nosebleed would not be considered occupational exposure

Some Departments/Personnel that are at Risk:Nursing EducationDental EducationCustodial ServicesBiology Laboratory Faculty and StaffLaw Enforcement PersonnelChildcareParamedics and Emergency Medical TechniciansAnyone providing first-response medical care

How does exposure occur?Most common: needle sticks

Cuts from other contaminated sharps (scalpels, broken glass, etc.)

Contact of mucous membranes (for example; the eyes, nose, mouth) or broken (cut or abraded) skin with contaminated blood

Exposure Control PlanIdentifies jobs and tasks where occupational exposure to blood or other potentially infectious material occurs Describes how the employer will:Use engineering and work practice controlsEnsure use of Personal Protective EquipmentProvide trainingProvide medical surveillanceProvide Hepatitis B (HBV) vaccinationsUse signs and labels

Exposure Control PlanWritten plan required Plan must be reviewed at least annually to reflect changes in:Tasks, procedures, or assignments which affect exposureTechnology that will eliminate or reduce exposureAnnual review must document employers consideration and implementation of safer medical devicesMust solicit input from potentially exposed employees in the identification, evaluation, and selection of engineering and work practice controlsPlan must be accessible to employeesACC Exposure Control/Bloodborne Pathogen Plan is found on line at:www.austincc.edu/ehs/safety manual

What is a BB Pathogen?Microorganisms that are carried in the blood that can cause disease in humans

Common BB Pathogen DiseasesMalariaBrucellosisSyphilisHepatitis B(HBV)Hepatitis C(HCV)Human Immunodeficiency Virus (HIV)

Human Immunodeficiency Virus (HIV)HIV is the virus that leads to AIDSHIV depletes the immune systemHIV does not survive well outside the bodyNo threat on contracting HIV through casual contact

Further information on HIV can be found at www.cdc.gov

Human Immunodeficiency Virus (HIV)Many people infected with HIV have no symptoms for 10 years or moreFollowing may be warning signs of advanced HIV infection: Rapid Weight LossDry CoughRecurring FeverProfuse Night SweatsFatigueSwollen Lymph GlandsDiarrhea for more than 1 weekPneumonia

Red, brown, pink, or purplish blotches on or under the skin or inside the mouth nose or eyelidsWhite spots or unusual blemishes on the tongue, or in the mouth or throat

Hepatitis B (HBV)11.25 million Americans are chronically infectedSymptoms include: jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea , vomitingVaccination available since 1982

May lead to chronic liver disease, liver cancer, and deathHBV can survive for at least one week in dried bloodSymptoms can occur 1-9 months after exposureFurther information on HBV can be found at www.cdc.gov

Hepatitis C (HCV)Hepatitis C is the most common chronic Bloodborne infection in the United States

Symptoms include: jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea, vomiting

May lead to chronic liver disease and deathFurther information on HBC can be found at www.cdc.gov

Potentially Infectious Bodily FluidsBloodSalivaVomitUrineSemen or vaginal secretionsSkin tissue, cell culturesAny other bodily fluids, including

Transmission PotentialContact with another persons blood or bodily fluid that may contain bloodMucous membranes: eyes, mouth, noseNon-intact skinContaminated sharps/needles

Possible Exposure IncidentsAdministering first aidPost-accident cleanupHandling of returned productJanitorial or maintenance workHandling of any waste productsIndustrial accidents

Universal PrecautionsUse of proper PPETreat all blood and bodily fluids as if they are contaminatedProper cleanup and decontaminationDisposal of all contaminated material in the proper manner

Personal Protective Equipment (PPE)Anything that is used to protect a person from exposure

Latex or Nitrile gloves, goggles, CPR mouth barriers, aprons, respirators

PPE Rules to RememberAlways check PPE for defects or tears before usingIf PPE becomes torn or defective, remove immediately and get newRemove PPE before leaving a contaminated areaDo not reuse disposable equipmentDiscard all contaminated PPE in red Bio-hazard bags

Choosing appropriate PPEFor small spills and areas of contamination, use safety glasses and nitrile gloves

For larger areas of contamination with greater potential for contact from splashes, Tyvek coveralls, face shields or face masks should be worn along with gloves and safety glasses.

DecontaminationWhen cleaning up surfaces use 10% bleach solution or approved disinfectant Do an initial wipe upSpray spill or contaminated area, allow it to stand for 15 minutes, and then wipe upDispose of all wipes in biohazard containersPPE and any contaminated disposable cleaning equipment should be disposed of in biohazard containers

Hand WashingWash hands immediately after removing PPEUse a soft antibacterial soapA hand sanitizer can be used but wash with soap and water as soon as possible.

Definition: Regulated Medical WasteLiquid or semi-liquid blood or other potentially infectious material (OPIM)Contaminated items that would release blood or OPIM when compressedContaminated sharpsPathological and microbiological waste containing blood or OPIM

Signs & LabelsLabels must include the universal biohazard symbol, and the term Biohazard must be attached to:containers of regulated biohazard wasterefrigerators or freezers containing blood or OPIMcontainers used to store, transport, or ship blood or OPIM

Exposure IncidentA specific incident of contact with potentially infectious bodily fluidInfiltrations of mucous membranes or open skin surfaces, as well as puncture wounds from sharps, are exposuresReport all incidents involving blood or bodily fluids to supervisor within 1 hourPost-exposure medical evaluations and follow-up are offered at no charge

ACC Post-exposure ProceduresResponsibility of employee to notify supervisor within ONE (1) hour of exposure

Responsibility of the supervisor is to contact EHS within ONE (1) hour after notified of exposure

Following the report of an exposure, the employee will be sent for a confidential medical evaluation and follow-up

Post-exposure Evaluation Procedures Consist ofA confidential medical evaluationDocumenting routes of exposureIdentifying whose blood was involved (source)Test source individuals blood (with individuals consent)Provide test results to exposed employee

Hepatitis B VaccinationsACC Employees who may have potential exposure to blood borne pathogens but DO NOT wish to receive the Hepatitis B vaccination must sign a form from the EHS Department stating they decline the vaccination at this time.

You may change your mind at any time Just contact the EHS Office and request a Hepatitis B vaccination.

Hepatitis B VaccinationStrongly endorsed by medical communitiesOffered to all potentially exposed employeesProvided free to employeesDeclination form - Must sign one if you dont want vaccine

Recordkeeping RequirementsMedical Records include:Hepatitis B vaccination statusAny post-exposure evaluation and follow-up results

Training Records include:Training datesContents of the trainingSignature of trainer and trainee

In ConclusionBB pathogen rules are in place for your health and safety

Failure to follow them is a risk that does not need to be taken

Call or email: David WatkinsAustin Community CollegeEnvironmental Health & Safety Dept. 512-223-1034 or rwatkin1@austincc.edu

Austin Community Colleges Blood Borne Pathogen Plan can be found at www.austincc.edu/ehs/safety manual

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