Download Bloodborne Pathogens - PUR-O-ZONE

29 CFR 1910.1030

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First Responders
Need to Know How to Help
While Protecting Themselves
Custodians
Need to Know
About
Personal
Protective
Equipment
WHEN YOU LOSE A DAY, YOU LOSE A LOT.™
YOU WILL RECEIVE the
OSHA BBP regulations.
the work practice
control document
is also available to you.
This educational review
is based in part on
those documents.
“Bloodborne Pathogens (BBPs)
means pathogenic microorganisms
that are present in human blood
and can cause disease in humans.”
DEFINITION
Human Hair
70 microns
Viruses are
Very Small
Large Bacteria
4 microns
Virus
.025 microns
(needs cell to live)
Cell or
particle a virus
might travel
on or with
Large Mold
12 microns
Bloodborne Pathogens include
but are not limited to:
1. Hepatitis B virus (HBV)
2. Human Immunodeficiency Virus (HIV)
3. HEPATITIS C virus (hcV)
WE WILL also DISCUSS
“MRSA,” a type of bacteria
DEFINITION
HIV is a virus that attacks the
immune system rendering the body
unable to fight disease.
There is no vaccine to prevent
infection with HIV.
There is no cure for HIV.
HIV
Hepatitis B is a virus that causes a
disease of the liver.
Most people recover from Hepatitis B
infection, but some people may become
chronically infected. Infection may lead
to chronic liver disease or liver cancer.
.
Hepatitis B
Hepatitis B
Hepatitis B
A vaccine is available to prevent
and to treat an exposure to Hepatitis B.
Hepatitis B
Hepatitis C is also a virus that causes
a disease of the liver.
85% of people infected with
Hepatitis C have chronic
(on-going, incurable) infections.
Hepatitis C
There is no vaccine
to prevent Hepatitis C.
Newly approved drugs that fight viruses
have been effective in some people who have
contracted the infection.
Hepatitis C
MRSA is not a virus, but is an
increasing threat to health that
often involves blood.
It is “Methicillin-Resistant
Staphylococcus Aureus,”
a bacteria.
MRSA
MRSA can also be left behind in body
fluids, including blood. It can enter the
body through cuts, scrapes, nose, eyes,
mouth. It can be difficult to treat.
mrsa can cause everything from minor
boil-like pustules to deadly bloodstream
infections and even pneumonia.
MRSA
Viruses are so small
they can even enter
through chapped skin,
eyes, mouth or other
mucous membranes.
They travel in other
cells, even inside
bacteria.
Infected Individual
(HOST)
Portal of Entry
(mucous
membrane)
Hands or Skin
Hands,
Body Fluids
or Open Wound
Fomite
(Inanimate
Surface)
1. Direct Contact Infection
Direct Contact Infection is the process
of picking up blood or body fluids
directly from a host
coming in contact with another host.
2. Cross-Contamination
Cross-contamination is the process
of infectious microorganisms
being moved from a host to a “fomite”
and picked up again by a new host.
“When there is occupational exposure,
the employer shall provide...appropriate
personal protective equipment such as...
“gloves, gowns, laboratory coats, face
shields or masks and eye protection,
and mouthpieces, resuscitation bags,
pocket masks or other ventilation
devices.”
DEFINITION
“APPROPRIATE” MEANS:
“DOES NOT PERMIT BLOOD OR
OTHER POTENTIALLY INFECTIOUS
MATERIALS TO PASS THROUGH OR
TO REACH THE EMPLOYEE’S WORK
CLOTHES, STREET CLOTHES,
UNDERGARMENTS, SKIN, EYES,
MOUTH OR OTHER MUCOUS
MEMBRANES UNDER NORMAL
CONDITIONS OF USE AND FOR THE
DURATION OF TIME WHICH THE
PROTECTIVE EQUIPMENT WILL BE
USED.”
blood and all body fluids
are to be considered infected
with Bloodborne Pathogens.
assume the worst about any body fluid
you might come in contact with.
Bloodborne Pathogens Awareness
“Treat any body fluid
as if it were labeled
DANGER!”
What are We Responding to?
What are
We Responding to?
ACCIDENT/emergency examples
Vomit
cuts
sports injuries
cardio pulmonary resusitation
traffic injuries
abrasions
assistance with wound dressings
What are
We Responding to?
CLEANING ISSUE examples
Feminine hygiene receptacles
Restroom surfaces
Water fountains
Desks and counters
Wrestling mats
Locker facilities
Exercise Equipment
Body fluids in laundry
door and locker Handles
showers
cafeteria counters and tables
phones and keyboards
What are
We Responding to?
LAUNDRY examples
BED LINEN
uNIFORMs
TOWELs
microfiber
mops
1
2
3
Overview of Exposure Control Plan – A DETAILED COPY IS AVAILABLE TO YOU
first responders
must utilize Personal
Protective Equipment,
or “PPE.”
1
Goggles, Aprons, Gloves
and Masks are all Appropriate PPE
Solution
Uses
Gloves – Exam grade
Masks
Aprons
Goggles
CPR Masks
- Provide a barrier between
user and infection
- Provide a respiratory CPR
barrier so infection does not
pass easily in either direction
- Gloves must be
hypoallergenic
- Access must be easy/quick
“Personal Protective Equipment”
1
1
peel one glove off from top to bottom
hold it in the gloved hand.
1
peel the second glove from the inside.
tuck the first glove inside the second.
red bag the bundle promptly.
wash hands thoroughly.
Impact Products
Avoid sharp items by
picking them up with
a dust pan or
grabber arm.
2
Impact Products
UNGER
Impact Products
pitt plastics
3. Body fluids
collected must be
“red bagged” and
marked with the
hazard symbol.
Do not dispose of biohazard
bags in a trash bin.
Take special care when sharps or
broken glass are enclosed in red bags.
Local requirements often
call for red-bagged material
to be incinerated as “medical
waste.” Check with your hospital.
State laws may also apply.
Watch for the
Biohazard Symbol
3
Suggestions from the OSHA regulations
and from CUMULATIVE Experience.
A vaccine exists
for hepatitis B
This handout and web
page will help you decide
if vaccination
is a good idea for you.
Your vaccination will be
paid for you if you have
a first responder,
cleaning or related job.

EMPLOYER Must make available,
free of charge at a reasonable
time and place, to all employees
with occupational 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
Remember to assume
all body fluids are
infectious.
 Barricade and keep
others away from
spills. Call for
assistance ASAP.

In splash-risk cases,
use mask, apron and
eye protection.
 Take care to contain
and not to spread
body fluids.
 Avoid directly picking
up contaminated
“sharps.”
 do not re-cap needles.
 place in labeled
sharps container.

Have appropriate
“Body Fluid Spill Kits”
READILY ACCESSIBLE.
 Keep emergency
signage handy.
 KEEP RED HAZARD BAGS
ON SITE.

Disinfect all surfaces
involved and
surrounding the
spill.
 USE PPE EVEN ON MINOR
CLEANUPS.

Disinfectant
What
mistake
is about
to be made
here?
Wash thoroughly
after cleanup.
 Wash and
decontaminate
exposed clothes,
objects, tools
immediately.

Have written
policies
regarding
INJURIES TO
athletes.
 ADDRESS
PARTICIPATION
WHEN OPEN
SORES ARE
DRAINING.
 MAKE DECISIONS
IN ADVANCE OF
NEED.

Educate staff and
students of the risks
body fluids pose.
 Eliminate handles in
restrooms with
automation devices.

Utilize touch-free
feminine hygiene
receptacles
 Utilize No-Touch
Cleaning equipment
in restrooms, lockers
and for cleanups.

Start a daily desktop
disinfection program.
 Treat exercise
equipment and mats
with an on-going
surface protectant
or instant sanitizer.

Consider utilizing a
disinfectant with
short “dwell” times
and residual (ongoing) effectiveness.
 Disinfect keyboards
and other shared
equipment.
 Make hand sanitizer
commonly available.

MRSA can be cultured
from the noses of
PERSONS WITH NO
ACTIVE SYMPTOMS
 A picture of a mrsa
infection follows this
slide
 Mrsa infections have
different appearances




MRSA-HA (Hospitalacquired) is the most
common type
MRSA-CA (community
acquired) is increasing
rapidly
Both forms of MRSA
combined kill 19,000
persons a year in the u.s.




most sources agree
students with mrsa can
attend classes:
if they are well enough
if the infection is
no longer draining
if the infection is
bandaged completely
Wash your hands frequently.
Carry alcohol-based hand gel
with you.
Cover your nose and mouth
with a tissue when you cough
or sneeze.
Throw every used tissue in a
wastebasket and wash or
sanitize your hands.
Take a bath or shower every
day. This will reduce bacteria
on your skin and the
potential for transfer will
also be reduced.
Change your sheets and
towels often - daily if wounds
are open or draining.
Change your clothes daily
and wash them before
wearing again.
Do not share towels,
razors, toothbrushes, or
other personal items.
Keep your fingernails short
to keep pathogens
from growing under
and on your nails.
Take good care of your
skin. breaks can allow
mrsa to enter.
If you get a cut or scrape,
clean it with soap and
water and then cover it
with a bandage.
Use antibiotic ointment.
Eat well and exercise.
if you smoke, stop.
avoid stress by
re-arranging some
of your responsibilities
or by asking others for
help with a major
undertaking.
Get qualified medical review
at the first sign of infection
in a cut or scrape:
RAPIDLY Spreading
Redness
swelling
UNUSUAL Pain
pus
and Post-Exposure Follow-Up
Each exposure incident
(not each infection)
must be recorded.
Free medical reviews are
provided by your
employer for exposure
incidents
DEFINITION
“Exposure Incident” means a specific
eye, mouth, other mucous membrane,
non-intact skin, or parenteral contact
with blood or other potentially infectious
materials that results from the performance of employee’s duties.
“Parenteral” means piercing mucous
membranes or the skin barrier through
such events as needlesticks, human
bites, cuts and abrasions.
The exposure to Bloodborne
Pathogens at school or work
is an everyday possibility.
Protecting yourself from infection is
as easy as remembering a phrase…
Bloodborne Pathogens Awareness
“Treat any body fluid
as if it were labeled
DANGER!”
Please contact your PUR-O-ZONE
representative for more information
and assistance
with education and measurement
800-727-7876