PowerPoint Presentation

[Audio] Hello and Welcome to the Emergency Response Planning Training Division.

[Audio] Today's Lesson is over Bloodborne Pathogens.

[Audio] Upon completion of this lesson, the student will be able to : 1) List the requirements of OSHA Bloodborne Standards and who is covered by the standard. 2) Describe the types of pathogens and the illnesses cause by each pathogen. 3) What an Exposure Control Plan requires and examples of controls within the plan 4) What do you do if an exposure occurs and the post exposure follow-up..

[Audio] OSHA Standard 29 CFR- 1910.1030 provides the requirements of an employer's Bloodborne Pathogens plan: Here are some of the areas that the standard covers: Requires Identifying At-Risk Employees Requires Training For At-Risk Employees Requires Retraining Within 365 Days Requires HBV Vaccination Opportunity Requires A Written Exposure Control Plan.

[Audio] Who is Covered by the OSHA 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 materials " Good Samaritan" acts such as assisting a co-worker with a nosebleed would not be considered occupational exposure..

[Audio] Here are some of occupations that are at risk for infections from Bloodborne Pathogens Physicians, nurses and emergency room personnel Orderlies, housekeeping personnel, and laundry workers Dentists and other dental workers Laboratory and blood bank technologists and technicians Medical examiners Morticians Law enforcement personnel Firefighters Paramedics and emergency medical technicians Anyone providing first-response medical care Medical waste treatment employees Home healthcare workers.

[Audio] What are Bloodborne Pathogens and What do they mean to you? Bloodborne: Carried By And Lives In Human Blood (Or Other Body Fluids Or Substances) Pathogen: A Micro-Organism ( Virus, Fungus, Or Bacteria) That Can Cause A Disease.

[Audio] There are several types of pathogens: Virus: A Parasitic Microscopic Protein Material ( DNA Or RNA) Covered By An Envelope Of Lipoprotein. Nonliving Illnesses Causes - Measles, Colds, Mumps, Influenza, Polio, Hepatitis A, B, & C, AIDS, Measles, Herpes Bacteria: One-Celled Living Organism Illnesses Causes - Pneumonia, Tuberculosis, Typhoid, Tetanus Fungi: Single And Multi-Celled Plants Yeast: One Celled, Oval Shaped Fungus Mold: A Growth Of Fungi Illnesses Causes - Meningitis, Asthma, Allergies.

[Audio] How does a person get exposed to Bloodborne Pathogens? Most common exposures are: Through needlesticks Through cuts from other contaminated sharps ( scalpels, broken glass, etc.) Through contact of mucous membranes Example of mucus membrane are: the eye, nose, mouth or broken ( cut or abraded) skin with contaminated blood By Sexual Contact.

[Audio] Hepatitis A virus is acquired primarily through the Fecal-Oral Route - NOT A BLOODBORNE PATHOGEN. Known as The " Restaurant" Kind of Hepatitis Causes An Infection Of The Liver Cannot Be Identified From Other Hepatitis Forms W/ O Testing Can Be Stable For Up To 18 Months Prevention of Hepatitis A Virus: Heating Foods Above 180º F. For 1 Minute Will Kill Good Hygiene ( Washing Hands) Can Prevent A 1: 10 Solution Of Household Bleach Is A Good And Inexpensive Disinfectant Symptoms of Hepatitis A Virus: Flu-like, Fatigue, Appetite Loss Colon Ulcers and Inflammation Lung Disease, Anemia Increase Jaundice, Liver Problems Fever, Acne, and Joint Pain.

[Audio] Hepatitis B virus is very contagious, and dangerous infection. This virus is 100 times more contagious than HIV ( Human Immunodeficiency Virus). Contracted from contact with Blood, Blood Products, And Other Body Substances Some People Are Carriers, Never Get Sick, And Can Infect Others Affects Different Individuals Differently Cannot be identified from other forms without testing Prevention of Hepatitis B Virus: No Cure, But there are Preventive Vaccines Employer Must Always Provide At-Risk Employees With The Opportunity Employee Must Take Shots OR Sign A Declination Form Three Shots Over Six Months 95% Effective And Few After- Effects HBIG Shot After Exposure Symptoms of Hepatitis B Virus: Flu-like, Fatigue, Appetite Loss Colon Ulcers and Inflammation Lung Disease, Anemia Increase Jaundice, Liver Problems Fever, Acne, and Joint Pain.

[Audio] Hepatitis B Vaccination Requirements Must make available, free of charge at a reasonable time and place, to all employees at risk of exposure within 10 working days of initial assignment unless: employee has had the vaccination antibody testing reveals immunity The vaccination must be performed by a licensed healthcare professional Must be provided even if employee initially declines but later decides to accept the vaccination Employees who decline the vaccination must sign a declination form Employees are not required to participate in antibody prescreening program to receive vaccination series Vaccination booster doses must be provided if recommended by the U.S. Public Health Service.

[Audio] Hepatitis C virus is a viral infection of the Liver. Spread by contact with Blood (or Other Potentially Infectious Materials) of an Infected Person Current Risk Rate is 1: 10,000 Once Contracted, Over 70% Chronic Cannot be identified from other forms without testing Prevention of Hepatitis C Virus: No Preventive Vaccine Available Yet Symptoms of Hepatitis C Virus: Flu-like, Fatigue, Appetite Loss Colon Ulcers and Inflammation Lung Disease, Anemia Increase Jaundice, Liver Problems Fever, Acne, and Joint Pain.

[Audio] Human Immunodeficiency Virus ( HIV) is spread by exchange of Human Blood, Human Blood Products, or Other Potentially Infectious Materials Attacks Body's Immune System May Take Years To Show Positive Signs Usually Develops Into AIDS AIDS Never Kills, Death is Caused By Other Infections Far Less Contagious Than Hepatitis B Virus Prevention of Human Immunodeficiency Virus : No Cure, Symptoms of Human Immunodeficiency Virus : Fatigue Night Sweats Weight Loss Gland Pain Or Swelling Muscle And Joint Pain Fever.

[Audio] To protect against getting infected by Bloodborne Pathogens it is recommended to use Universal Precautions Treat all human blood and certain body fluids as if they are infectious Must be observed in all situations where there is a potential for contact with blood or other potentially infectious materials.

[Audio] Body Substance Isolation should be used when dealing with any of the following fluids: Nasal Secretions Sputum Sweat Or Tears Vomitus Feces Urine.

[Audio] Exposure Control Plans identifies jobs and tasks where occupational exposure to blood or other potentially infectious material occurs These plans describes how the employer will: Use engineering and work practice controls Ensure use of personal protective equipment Provide training Provide medical surveillance Provide hepatitis B vaccinations Use signs and labels Written plan required Plan must be reviewed at least annually to reflect changes in: tasks, procedures, or assignments which affect exposure, and technology that will eliminate or reduce exposure Annual review must document employer's consideration and implementation of safer medical devices Must solicit input from potentially exposed employees in the identification, evaluation and selection of engineering and work practice controls Plan must be accessible to employees.

[Audio] Engineering and Work Practice controls are the primary methods used to control the transmission of any bloodborne Pathogen including the transmission of HBV and HIV Engineering Controls are controls used to reduce employee exposure by either removing the hazard or isolating the worker. Examples: Sharps disposal containers Self-sheathing needles Safer medical devices Needleless systems Sharps with engineered sharps injury protections Work Practice Controls are controls used to reduce the likelihood of exposure by altering how a task is performed. Examples: Wash hands after removing gloves and as soon as possible after exposure Do not bend or break sharps No food or smoking in work areas.

[Audio] Safer Medical Devices are another example of Engineering Controls Examples: Needless Systems: a device that does not use needles for the collection or withdrawal of body fluids, or for the administration of medication or fluids Sharps with Engineered Sharps Injury Protections: a non-needle sharp or a needle device used for withdrawing body fluids, accessing a vein or artery, or administering medications or other fluids, with a built-in safety feature or mechanism that effectively reduces the risk of an exposure incident.

[Audio] When occupational exposure remains after engineering and work practice controls are put in place, Personal Protective Equipment ( PPE) must be used. Personal Protective Equipment (PPE) is a specialized clothing or equipment worn by an employee for protection against infectious materials. The specialized clothing or equipment must be properly cleaned, laundered, repaired, and disposed of at no cost to employees and must be removed when leaving the work area or upon contamination. Examples of PPE: Gloves Gowns Face shields Eye protection Mouthpieces and resuscitation devices.

[Audio] Per the OSHA standard a Routine Housekeeping written policy/ procedure for cleaning and decontamination in the work area/ site must be based on the following: Location within the facility Type of surface to be cleaned Type of soil present Tasks or procedures being performed Work surfaces must be decontaminated with an appropriate disinfectant: After completion of procedures, When surfaces are contaminated, Properly Label and Handle Hazardous Materials And Hazardous Waste At the end of the work shift.

[Audio] If you have Laundry that is contaminated you should: Handle contaminated laundry as little as possible and use PPE Must be bagged or containerized at location where used No sorting or rinsing at location where used Must be placed and transported in labeled or color-coded containers.

[Audio] Regulated Waste must be placed in closeable, leak-proof containers built to contain all contents during handling, storing, transporting or shipping and be appropriately labeled or color-coded. Biohazard Bags Must Be Florescent Red, Or If Another Color, Labeled With Black Symbol On Red Background Sharps: Put Nothing But Sharps ( Needles, Broken Glass, Knives, Scissors, Etc.) In A Sharps Container.

[Audio] Biohazard Warning Labels are required on the following item Containers of regulated waste Refrigerators and freezers containing blood and other potentially infectious materials Other containers used to store, transport, or ship blood or other potentially infectious materials Red bags or containers may be substituted for labels if not available..

[Audio] What do you do if an exposure occurs? Minimize Exposure Of Others, Isolate Affected Area Wash exposed area with soap and water Flush splashes to nose, mouth, or skin with water Irrigate eyes with water or saline Report Exposure Or Suspected Exposure To Your Supervisor Report How, When, Where, Who, Etc. Determine The Source Of Blood Describe Events In As Much Detail As Possible If Giving Assistance, Don Appropriate PPE Disinfect Yourself Immediately Clean And Disinfect Accident Area Properly Dispose Of Regulated Waste Direct the worker to a healthcare professional.

[Audio] The following steps are what to do Post-Exposure Follow-Up: Document routes of exposure and how exposure occurred Record injuries from contaminated sharps in a sharps injury log, if required If the source person is known, obtain consent from the source individual and the exposed employee and test blood as soon as possible after the exposure incident Provide risk counseling and offer post-exposure protective treatment for disease when medically indicated in accordance with current U.S. Public Health Service guidelines Provide written opinion of findings to employer and copy to employee within 15 days of the evaluation.

[Audio] The following are the Medical Recordkeeping Requirements for each employee Employee's name and social security number Employee's hepatitis B vaccination status Results of examinations, medical testing, and post-exposure evaluation and follow-up procedures Health care professional's written opinion Information provided to the health care professional Employee medical records must be kept confidential and not disclosed or reported without the employee's written consent (unless required by law) Medical records must be maintained for duration of employment plus 30 years according to OSHA's rule governing access to employee exposure and medical records.

[Audio] Sharps Injury Log are for the recording of injuries from contaminated sharps The log must be maintained in a way that ensures employee privacy and must contain, at a minimum: Type and brand of device involved in the incident Location of the incident Description of the incident.

[Audio] Summary OSHA's Bloodborne Pathogens standard prescribes safeguards to protect workers against the health hazards from exposure to blood and other potentially infectious materials, and to reduce their risk from this exposure Implementation of this standard not only will prevent hepatitis B cases, but also will significantly reduce the risk of workers contracting AIDS, Hepatitis C, or other bloodborne diseases.

[Audio] Next Step Complete the quiz on the Emergency Planning Response Training Division website and click submit. You must score 70% to pass the training..

[Audio] Thank you for attending the Emergency Response Planning online Bloodborne Pathogens Training..