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Bloodborne Pathogens Awareness Objectives Understand types and hazards of bloodborne pathogens Know how to protect yourself Know exposure routes Understand precautions to reduce risk Know disinfection procedures Blood-borne pathogens Disease Causing Microbes Present in blood and other infectious substances Bodily fluids Primary Focus is HIV and Hepatitis Exposure Control Program Routine Exposures Non-Routine Exposures Reasonable Risk of Exposure Continual Improvement Who is Exposed First Aid Providers Life Guards Park Managers Recreation Aides Custodial Staff Employee Input What are the Exposures? Tasks with Potential Exposures Procedures to Reduce Exposures Exposure Control Program Administrative Controls Engineering Controls Work Practices Warning Signs and Labels Changes in Technology First Aid Supplies Pathogens of Primary Concern HIV Hepatitis B Hepatitis C HIV Virus that Causes AIDS Transmitted by Blood to Blood or Sexual Contact Fragile Outside of Human Body Hepatitis Transmitted by Blood to Blood Contact Attacks the Liver Durable Pathogens Can Cause Liver Damage, Failure, or Cancer Hepatitis B Can Survive up to 7 Days in Dried Blood No Cure Vaccine 90% Effective Hepatitis B Vaccine OSHA required for all exposed to blood-borne pathogens Synthetic vaccine – cannot contract virus from vaccine 3 injections Immunity lasts for 13 years or more May have soreness or mild fever Hepatitis C Transmitted Through Blood or Sexual Contact Can Survive 4 Days Outside the Body Many Never have symptoms Unaware of Infection Hepatitis C Treatment Effective in 10-40% of Patients No Vaccine Leading Cause of Liver Transplants in U.S. Conditions for Transmission of Hepatitis or HIV Bodily Fluids Must Be Infected Infected Material Must Directly Enter Body Routes of Entry Breaks in the Skin Mucous Membanes (Eyes, Nose, Mouth) Penetration/ (Sharps) Universal Precautions Treat All Bodily Fluids as Contaminated Use All Possible Precautions Every Time Engineering Controls PPE Proper Work Practices Engineering Controls Mechanical Isolate or Remove the Hazard Sharps Containers Biohazard Bags Engineering Controls Disinfecting Solutions Tools to Avoid Contact with Contaminated Materials Dedicated Cleaning Implements for Biohazards Proper Work Practices Proper Donning and Doffing of PPE (Gloves) Handwashing Proper Disposal of PPE Handwashing Soap and Water Disinfectant with Toweling or Towelette After Every Potential Exposure Incident After Proper Glove Removal Handwashing Soap and Water At Least 20 Seconds Scrub Under Nails Rinse Areas of Potential Exposure Janitorial Closets Waste Disposal Areas Where First Aid Administered Prior to Disinfection Toilets Performing CPR Paths of Hand to Mouth Exposure Applying Cosmetics Applying Lip Balm Eating Drinking Putting in Contacts Paths of Hand to Mouth Exposure Smoking Taking Medicine Food and Drink Storage Areas Personal Protective Equipment Barrier Between Person and Pathogen Hands Eyes Nose Mouth Last Line of Defense Gloves Proper Material Good Condition Cover any Cuts or Open Wounds On Hands First Peel Gloves Off Gloves Never Touch Outside of Glove with Bare Hand Can Use Double Gloves Properly Dispose Gloves Immediately Other PPE Goggles Mask/Face Apron Shield If You Are Exposed Immediately Report Incident Seek Medical Attention Immunizations/Booster Monitoring Cleaning Bodily Fluid Isolate Area Proper PPE Disinfection of Area Disinfection or Disposal of Items Used for Cleanup Disinfection One Part Bleach in 9 Parts Water EPA-Registered Tuberculocidal Disinfectant Cover Blood With Paper Towels Pour Disinfectant Over Towels Do Not Splash Let Sit for 10 Minutes Then Wipe Never Pick Up Sharps with Bare Hands Disinfection Disinfect Equipment Immediately Dispose of Contaminated Clothing Do Not Take Contaminated Clothing Home to Wash Proper Disposal Prevent Exposure of Janitorial Staff Biohazards Do Not Go in Regular Garbage. Sharps need Proper Sharps Containers. Proper Disposal No Infectious Material on Outside of Biohazard Bag or Container Label Biohazard Bags and Containers Further Resources https://www.osha.gov/SLTC/bloodbornepathogens/index.html Questions