Download Gwynedd Mercy University Bloodborne Pathogen Safety

Gwynedd Mercy University
Bloodborne Pathogen
Safety and Awareness
Training
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Education is the KEY
Here are Gwynedd Mercy University, we
recognize the importance of providing a
safe working environment for our main
priority – Our Employees
Education is the KEY to achieving this goal
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Why is this training necessary?
■ OSHA requires safety training for all personnel whose
job requirements expose them to bloodborne pathogens.
(Public Safety, Resident Life, Hobbit House, Physical
Plant, Athletics, Health Services, and Natural Sciences)
■ Ensure awareness and education about :
► the hazards of bloodborne pathogens
► protective measures to avoid exposure
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
OSHA BBP Standard 29 CFR 1910.1030
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a written plan for exposure control
identification of at-risk employees
use of personal protective equipment
initial and annual training
appropriate decontamination procedures
specific disposal methods
biohazard labeling and signage
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
What is a Bloodborne Pathogen?
■ Microorganisms such as viruses and bacteria
■ Have the potential to cause disease in
humans
■ Transmitted by blood or “other potentially
infectious materials “ (OPIM)
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Other Potentially Infections Materials
■
BODY FLUIDS including semen, vaginal
secretions, cerebrospinal fluid, synovial fluid,
pleural fluid, peritoneal fluid, amniotic fluid and
saliva and urine (that contain blood).
■ ANY UNFIXED TISSUE OR ORGAN (other
than intact skin) from a human (living or dead)
■
SPECIFIC VIRAL INFECTED (HIV, HBV,
HCV) cell, tissue or organ cultures and the
associated culture medium
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Common Bloodborne Pathogen Diseases
Hepatitis B
(HBV)
Hepatitis C
(HCV)
Human
Immunodeficiency
(HIV)
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
General Information about Hepatitis
■
Hepatitis means “inflammation of the liver”
(cirrhosis and liver cancer may result)
■
Caused by viruses that infect the liver
(six main types: A, B, C, D, E & G)
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Hepatitis B (HBV) Facts and Figures
■ According to the CDC:
►About 73,000 people are infected annually
► Thousands include occupational exposures
(mostly from needlesticks) - 200 DEATHS
► In the U.S. there are an estimated 1.25 million
chronically infected individuals, of which
15-25% die from the disease
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Hepatitis B (HBV) Transmission
■ Transmitted primarily through “blood to blood”
contact
■ HBV can survive for at least one week in dried
blood
■ Primary concern to employees such as
laundry
personnel, housekeepers, custodians or other
employees who come into contact with blood.
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Hepatitis B (HBV) Symptoms
■ Onset of symptoms may take one to nine months
■ Initially similar to those of a mild flu: fatigue,
stomach pain, loss of appetite, nausea, vomiting
■ With progression: jaundice and dark urine
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Hepatitis B Vaccination
■ Provided to all “at risk” employees at no cost
■ Safe and effective
■ Series of three inoculations over 6 months
■ Optional, but signing a declination form required
if you choose not to be vaccinated.
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Hepatitis C (HCV) Facts and Figures
■
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Viral infection that causes liver disease
(cirrhosis and liver cancer may result)
Most common chronic bloodborne infection in
the United States
■
About 3.9 million people infected in the U.S.,
2.9 million are chronically infected
■ Chronic infection with HCV is the most common
cause of liver transplants
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Hepatitis C (HCV) Transmission
■ Transmitted primarily through “blood to blood”
contact
■ HCV can survive for at least one week on
environmental surfaces
■
Currently no vaccine for the
prevention of Hepatitis C
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Hepatitis C (HCV) Symptoms
■ Similar to those of HBV
■ Include flu-like symptoms, loss of appetite,
fatigue, abdominal pain and jaundice
■ 80% of infected persons are asymptomatic for
decades
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
HIV Facts and Figures
■ Human Immunodeficiency Virus (HIV) causes
AIDS (Acquired Immune Deficiency Syndrome)
■
HIV weakens the immune system rendering
patients vulnerable to potentially deadly diseases
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
HIV Facts and Figures
■ CDC reported in 2003 an estimated one million
persons in U.S. infected with HIV virus.
■ About 35,000 to 45,000 persons become infected
annually in U.S.
■
There is currently no vaccine or
cure for AIDS.
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
HIV Transmission
■ The HIV virus is very fragile
■ Primary concern where there is contact with
fresh blood or body fluids
■ Employees providing first aid are in a higher
risk group.
■ The risk of becoming infected from a
workplace exposure is very low - only about
0.4%.
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
HIV Symptoms
■ Initial symptoms are flu-like:
fever, weakness,
sore throat, nausea, headache and diarrhea.
■ Long term symptoms:
swollen lymph glands,
weakened immune system and susceptibility to
infections.
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
How Could Infected Fluid Enter My Body?
**Anytime there is blood-to blood contact
with infected blood or body fluids, there is
a slight potential for transmission of a
bloodborne disease.**
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
In Laboratory Settings
Transmission is most likely to occur by:
(1) Accidental puncture from contaminated
needles, broken glass or other sharps
(2) Contact between broken skin and infected
body fluids
(3) Contact between mucous membranes and
infected body fluids
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Pathways to Infection
■
Unbroken skin forms an impervious barrier
against BBPs.
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BBPs can enter your body through any break in
the skin; open sores, cuts, abrasions, acne,
sunburn or blisters.
■
BBPs can also enter through the mucous
membranes of the eyes, nose and mouth.
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Types of Potentially Infectious Situations
■ Providing First Aid to a
student in the classroom
■ Janitorial or maintenance
work
■ Handling of
infected waste
products or laboratory
materials
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Universal Precautions
■ Describes a prevention strategy to treat all
blood and bodily fluids as if they are infectious
■ Applies to all contexts where the possibility of
exposure exists
■ Proper engineering controls, work practices
and Personal Protective Equipment must
always be used!
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Personal Protective Equipment (PPE)
■ Always wear PPE when there is the
potential for exposure!
■ Single most effective precaution!
■ Protection of eyes (goggles, face
shield) and body (lab coat/apron,
gloves)
CREATE A BARRIER!
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
PPE Rules to Remember
■ Remove and replace PPE that is torn,
punctured or otherwise compromised.
■ Remove PPE before leaving the work area.
■ Dispose of PPE in a proper bio-hazardous
waste receptacle.
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Work Practices and Engineering Controls
■ Hand Washing
→ One of the simplest and most effective
practices to prevent transmission of BBPs!
→ Should be done:
● Immediately after any exposure!
● After removing gloves
● Before leaving the work area
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Other Personal Precautions
■ Strictly avoid these activities in the laboratory:
► eating
► drinking
► smoking
► applying cosmetics
► handling contact lenses
■ Do not store food or drink in refrigerators,
freezers, counter tops or cabinets where blood or
OPIM are present.
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Other Personal Precautions
■ Post freezers and refrigerators used for storage of
infectious materials with “Biohazard” labels.
■ Minimize splashing, spraying, splattering, or
generation of droplets during experimental work.
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Other Work Safety Practices
■ Contaminated Needles and Sharps
→ Needle sticks are the most common way
for infections with BBPs to occur on the job!
→ Use special caution when handling
all sharps, including needles and syringes,
scalpels, pipettes and any glass implements.
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Other Work Safety Practices
■
To prevent injury with needles and other
sharps:
→ never bend, clip, break or recap needles
→ avoid leaving needles unattended
→ pick up broken glassware using mechanical
means (forceps, tongs, dustpan and broom)
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Other Work Safety Practices
■ Disposal of Needles and Other Sharps
→ Use a designated Sharps container only
→ Containers must be:
► closeable
► puncture resistant
► leak-proof
► not overfilled
► labeled with biohazard symbol
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Cleanup and Decontamination of Blood
and OPIM
■ Wear appropriate PPE! At a minimum this must
include gloves and eye protection.
■ Cover the spill with paper towels.
■ Gently spray or pour disinfectant solution onto
the towels from the outside in.
10% bleach
Bloodborne Pathogen Safety and
Awareness Training
Lysol
Office of Environmental Safety
Keiss Hall 236
Cleanup and Decontamination
of Blood and OPIM
■ Allow disinfectant to remain in place for 20
minutes
■ Dispose of soaked towels in orange biohazard bag
■ Reapply disinfectant to spill area, let sit 20
minutes, and wipe with clean paper towels
■ Discard and/or disinfect any other materials
contaminated in the cleanup
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Disposal of Contaminated Materials
■ All regulated waste must be disposed in properly
labeled containers or red biohazard bags
■ Labels must display the universal biohazard
symbol.
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Disposal of Contaminated Materials
■ Regulated waste includes:
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any blood or OPIM
items caked with blood or OPIM
contaminated sharps
contaminated items that could release
blood or OPIM
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Disposal of Contaminated Materials
■ Filled Sharps containers must also be disposed of
in medical waste boxes.
■ The Central Storage Area (CSA) for Biohazard
Waste is in Keiss Hall 216.
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Exposure Incident
■ Wash exposed area thoroughly with soap and
water. Use non-abrasive antibacterial soap if
possible.
■ If blood is splashed in the eye or any mucous
membrane, flush the affected area with running
water for at least 15 minutes.
■ Report all accidents involving blood or bodily
fluids immediately to your supervisor and to the
Environmental Safety Officer (ESO)
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Post-exposure Evaluation
■ Document the route of exposure and the
circumstances of the exposure incident
■ Identify and document the source individual if
possible
■ Test the source individual’s blood for HBV,
HCV and HIV as soon as consent is obtained
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Post-exposure Evaluation
■ Collect the injured person’s blood (with
consent) as soon as possible and test it.
■ Administer post exposure prophylaxes,
when medically indicated, as recommended
by the US Public Health Service
■ Provide counseling
■ Evaluate reported illnesses
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Recordkeeping
■ Medical records include:
► Hepatitis B vaccination status
► Post-exposure evaluation and follow-up results
■ Training records include:
► Training dates
► Contents of the training
► Signature of trainer and trainee
■ Reports remain in your file for the
length of employment plus 30 years
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
In Summary
√ BBPs are microorganisms present in
blood or OPIMs that can cause diseases,
including AIDS and Hepatitis.
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
In Summary
√ To protect yourself from exposure to
these disease agents:
► obtain the free Hepatitis B
vaccination series from your employer
► follow Universal Precautions
► treat all human blood, tissue and
body fluids as infected
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
In Summary
√ If you experience a needle stick, sharps injury
or any other exposure to blood or OPIM:
► immediately stop what you are doing
► wash contaminated skin with soap and
water
► flush contaminated eyes for 15 minutes
► report exposure to your supervisor
► seek medical treatment and follow-up
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236
Education is the KEY
For questions, concerns, or PPE
requests, please contact the
Environmental Safety Officer
Gwynedd Mercy University
Office of Environmental Safety
Keiss Hall 236, x21489
Bloodborne Pathogen Safety and
Awareness Training
Office of Environmental Safety
Keiss Hall 236