bloodborne pathogens training powerpoint
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University of ToledoUniversity of ToledoBloodborne Pathogen ProgramBloodborne Pathogen Program
Established under the provisions of the Ohio Public Employment Risk Reduction Program – OSHA Bloodborne Pathogen Standard.
Purpose is to protect employees from health hazards associated with bloodborne pathogens.
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Bloodborne Pathogen StandardBloodborne Pathogen Standard
Exposure Control PlanExposure DeterminationEngineering and Work Practice
ControlsPersonal Protective EquipmentHousekeeping
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Bloodborne Pathogen Standard Bloodborne Pathogen Standard (cont.)(cont.)
Regulated WasteTrainingHepatitis B Vaccination and Post-
Exposure Evaluation and Follow-upCommunication of Hazards to
Employees (signs and labels)Record Keeping
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Bloodborne pathogens are microorganisms that are present in blood, tissue, blood products, other potential infectious materials (OPIM)
What are Bloodborne Pathogens?
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Bloodborne Pathogens:Bloodborne Pathogens: Other Potentially Infectious Materials:Other Potentially Infectious Materials:Spinal, pleural (lung), peritoneal
(abdomen), pericardial (heart), amniotic, and synovial (joint) fluids
Saliva from dental proceduresAny body fluid visibly contaminated with
bloodSemen Vaginal secretions
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What Are Fluids NOT What Are Fluids NOT Considered a Risk for BBPConsidered a Risk for BBP
VomitFecesUrineSweat
Nasal dischargesSaliva (non
dental)Tears
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Bloodborne Pathogens of Most Bloodborne Pathogens of Most Concern in the WorkplaceConcern in the Workplace
Human Immunodeficiency Virus (HIV)
Hepatitis B Virus (HBV)Hepatitis C Virus (HCV)
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Human Immunodeficiency VirusHuman Immunodeficiency VirusHIV affects the body’s immune
system and can lead to AIDSSymptoms of early infection – night
sweats, weight loss, swollen glandsVery fragile virus and will not survive
for a long period of time outside the body
Risk of transmission through an exposure is 3-4%
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Hepatitis B VirusHepatitis B Virus Virus affects the liver Symptoms include loss of appetite, nausea, vomiting, fever, abdominal pain, jaundice 100 times more infectious than HIV Can live on dried surfaces for up to one week
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Hepatitis B Virus (cont.)Hepatitis B Virus (cont.) 6-30% chance of infection from a puncture wound (contaminated needle) Up to 30% of infected individuals can become carriers without having symptoms Vaccine preventable
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Hepatitis C VirusHepatitis C VirusVirus affects the liver.Symptoms include loss of appetite, nausea, abdominal pain, jaundice,
fatigue, dark urine.No vaccine to prevent HCV.
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Two Specific CriteriaTwo Specific Criteriafor Infection to Occurfor Infection to Occur
The blood/body fluid must be infected
ANDThe virus must enter the body –
exposure incident
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Tasks and Activities that Tasks and Activities that Might Involve ExposureMight Involve Exposure
Emergency First AidCleanup Blood/OPIMContaminated EquipmentHandling of Blood or Blood ProductsNeedlesticksGeneral Healthcare
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““Exposure Incident”Exposure Incident”Virus enters the body:Through a mucous membrane (eyes,
mouth, or nose)Through an opening in the skin (cuts,
abrasions, open sores, acne)Through a penetration of the skin by a
contaminated sharp object (includes needlesticks and human bites)
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““Exposure Incident”Exposure Incident”Includes:
– Blood getting on a recent cut– Blood splashing into the eye– Being stuck by a needle
Cleaning up a blood or OPIM spill does not constitute an exposure incident even if someone gets blood on their skin unless the area of contact is unhealthy (cut, rash, etc.).
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UT’s Responsibilities Under theUT’s Responsibilities Under the Bloodborne Pathogen StandardBloodborne Pathogen Standard
Develop and implement an Exposure Control Plan
Identify employees/job duties at high risk for exposure (having “occupational exposure”)
Provide pre-exposure vaccinations for HBV to those employees at no cost
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UT’s Responsibilities (cont.)UT’s Responsibilities (cont.)Assure all high risk employees are appropriately
trained
Assist departments/areas in developing internal standard operating procedures (SOPs)
Establish procedures to protect all UT employees regardless of risk
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Exposure DeterminationExposure Determination“Occupational Exposure”“Occupational Exposure”
“Having a reasonable anticipation of coming into contact with blood or other potentially infectious materials (OPIM) as part of one’s job duties”
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UT Exposure DeterminationUT Exposure Determination
Allied Health Professionals Faculty/Instructors (Cardiovascular, EMS, Medical Assisting, Nursing, Respiratory)
Athletic Physician, Trainers, Coaches, Equipment Managers
Laboratory/Research personnel handling blood or OPIM
Biology Lab Coordinator and TechnicianPhysicians, nurses, and other medical staff
who provide medical treatment
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UT Exposure DeterminationUT Exposure DeterminationCampus Police OfficerStudent Recreation Center staff who
provide first aid and blood or OPIM cleanup
Custodians and PlumbersLinen Department Other Clinical personnel in patient care
areas at the UT Medical Center
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Exposure DeterminationExposure DeterminationMust be offered pre-exposure vaccine at no
cost – 3 doses, highly effective (90%) – given at: initial dose, 1 month, and 6th month intervals. Employee may decline (declination form)
Must complete bloodborne pathogen training at the time of initial assignment and annually thereafter (new or changed rules)
Must follow provisions of individual department/area SOPs.
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Methods of ControlMethods of ControlStandard PrecautionsEngineering and Work Practice ControlsHandwashingPPEExposure and Post Exposure ProceduresInfectious Waste Management
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Standard PrecautionsStandard Precautions
This is a prevention strategy in which all blood and other potentially infectious materials are treated as though they were infectious.
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CDC RecommendationsCDC RecommendationsIsolation Procedures
– Airborne– Contact– Droplet
To be used in addition to Standard Precautions
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Engineering and Work Engineering and Work Practice ControlsPractice Controls
Engineering and Work Practice Controls are procedures that are established to minimize or eliminate personal contact with bloodborne pathogens including:
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Avoiding actions which may splash, spray, splatter, or create droplets
Never pipette or suction infectious materials by mouthAlways using appropriate personal protective
equipmentUsing approved sharps containers whenever necessary
Disposing of glass, etc. in puncture resistant
containers
Engineering/Work Practices Controls (cont.)
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Engineering/Work Practices Controls (cont.)
Using needleless systems, if possible
Never eating, drinking, smoking, applying cosmetics or lip balm, or handling contact lenses where blood or other potentially infectious materials are present
Decontaminating all surfaces, tools, and equipment that come in contact with blood or potentially infectious materials as soon as possible
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Preventing NeedlesticksPreventing Needlesticks
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Engineering/Work Practices Controls (cont.)
Decontamination Procedures:Decontamination Procedures:
Use biohazard spill kit if available!Isolate and limit access to the area.Wear gloves and other personal
protective equipment, as necessary.
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Engineering/Work Practices Controls (cont.)
Decontamination Procedures (cont.):Decontamination Procedures (cont.):
Use a freshly prepared bleach solution diluted 1:10 with water or other EPA registered tuberculocidal disinfectant.
Cover the spill with paper towels, rags, or absorbent, gently pouring the disinfectant over the spill, and let it set at least 10 minutes.
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Engineering/Work Practices Controls (cont.)
Decontamination procedures (cont.)Decontamination procedures (cont.)
Assure that all areas of blood/OPIM are in contact with the disinfectant.
Use a NO TOUCH technique (i.e. dust pan and sweeping tool)!!!
Dispose of contaminated materials in red bag.
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Engineering/Work Practices Controls (cont.)
Decontamination procedures (cont.)Decontamination procedures (cont.)
Mop/wipe area clean with disinfectant.
Decontaminate mops and other reusable equipment after use.
Thoroughly wash hands with water and soap.
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Engineering/Work Practices Controls (cont.)
Sharps must be contained in puncture resistant container!
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Use Safe Clean-up Practices:Use Safe Clean-up Practices:Wear appropriate gloves and other
required PPENever pick up broken glass or similar
items with hands - use dust pan and broomPut glass, etc. in “puncture resistant”
container and properly disposeAlways handle trash as if a sharp might be
present
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HandwashingHandwashing
One of the most important work practice controls!
Handwashing facilities should be readily accessible and adequately stocked or utilize a waterless hand disinfection system
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HandwashingHandwashing(cont.)(cont.)
Always wash hands after taking off gloves
If you are using an antiseptic hand cleaner or wipes, you must wash your hands with soap and water as soon as possible after contact with blood or other body fluids
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Personal Protective Equipment Personal Protective Equipment (PPE)(PPE)
Personal protective equipment is specialized clothing or equipment worn or used by you for protection against a hazard. Provides a barrier between you and the hazard.
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PPE (cont.)PPE (cont.) Examples of PPEExamples of PPE::
Latex gloves Goggles Non-Latex gloves Gowns Lab coats CPR masks
Aprons Face shields N-95 Respirators Surgical Mask
Isolation MasksREMOVE ALL PPE IN AREA OF USE !!!!
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PPE (cont.)PPE (cont.)Latex, Synthetic Latex or nitrile gloves are probably the most important protective apparel that can be worn to protect yourself from bloodborne pathogens
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PPE (cont.)PPE (cont.)Anytime there is a risk of splashing of contaminated fluids, goggles and/or other eye protection should be used to protect your eyes
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PPE (cont.)PPE (cont.)Waterproof clothing such as lab coats or aprons may be worn to protect your clothing and to keep blood or other contaminated fluids from soaking through to your skin.
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PPE (cont.)PPE (cont.)Face shields may be worn in addition to goggles to provide additional face protection. A face shield will protect against splashes to the nose and mouth
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PPE (Cont.)PPE (Cont.)
VOLUNTEER TO DEMONSTRATE APPLICATION AND REMOVAL???
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Proper Glove RemovalProper Glove Removal1. Before removing
disposable gloves, gather any contaminated materials and dispose of in red biohazard bag.
2. Strip off one glove from the wrist, turning it inside out so the “clean” side is on the outside.
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Proper Glove RemovalProper Glove Removal3. Place the glove in the
other hand and strip off the glove on that hand, turning it inside out.
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Proper Glove RemovalProper Glove Removal4. Dispose of the
gloves/material in a regulated waste container.
Make sure bag is intact and that there is no danger of leaking. If the bag is torn or punctured or is contaminated on the outside, place the bag inside a second biohazard bag.
DO NOT throw the biohazard bag into the regular trash.
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LimitationsLimitations Engineering controls,
work practices and personal protective equipment all have limitations.
Exposure incidents are reduced but still may occur.
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Exposure and Post-Exposure Exposure and Post-Exposure Procedures for All EmployeesProcedures for All Employees
If a potential exposure incident has occurred:Immediately care for the site of exposure -
either wash with soap and water or if in eyes,nose or mouth – flush with water
Notify supervisor immediately
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Exposure and Post-Exposure Exposure and Post-Exposure Procedures for All EmployeesProcedures for All Employees
Go to a healthcare provider (UT Medical Center or University Health) for evaluation within 2 hours:–To verify whether an exposure incident has occurred–To receive HB vaccine, if indicated–To receive propylaxis within two hours reduces chance of conversion to 1:2400
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Exposure and Post-Exposure Exposure and Post-Exposure Procedures for All EmployeesProcedures for All Employees
Complete a UT Injury and Illness Incidence/Occurrence Report form and submit it to Risk Management.
*There is no charge to the employee for these services
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Infectious Waste ManagementInfectious Waste Management Infectious waste (blood-soaked towels, clothing, applicable
sharps, etc.) must be managed in accordance with UT’s Infectious Waste Management Program. This means that:
Infectious wastes are stored separately from regular waste Infectious wastes must be placed in containers that are leak
proof, closable, puncture resistant and labeled with the universal biohazard label
Infectious wastes are transported by a licensed transporter to an approved infectious waste treatment and disposal facility
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Hazard CommunicationHazard CommunicationLABELS!!!LABELS!!!
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RecordkeepingRecordkeepingMedical Records – including dates of Hepatitis B vaccinations and related information as well as medical evaluations and reports. These records must be maintained for the duration of employment plus 30 years and must be kept confidential.
Training Records – including the dates of training and the name(s)/title(s) of the individual's) who provided the training. These records must be maintained for three years. A copy of these records must also be maintained by Safety and Health.
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Exposure Control:Exposure Control:Protect YourselfProtect Yourself
Read the Exposure Control Plan – a copy is available to you
Use engineering and work practice controlsUse personal protective equipmentKnow what to do in case of an exposure