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29 CFR 1910.1030 The accompanying slides are intended for the sole use of PUR-O-ZONE representatives and customers for educational purposes. The entire contents are copyrighted, and use by other organizations or entities is prohibited without written consent. The information contained in this presentation is deemed accurate. However, circumstances vary, and recommendations presented should be reviewed on-site by qualified personnel before use. Please call your PUR-O-ZONE representative for free consultation. Entire contents copyrighted © 2009, PUR-O-ZONE, Inc. All rights reserved. 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