Download Bloodborne Pathogens Training Presentation

ANNUAL BLOODBORNE
PATHOGEN TRAINING
2016
F R O S T B U R G S T AT E
UNIVERSITY
FROSTBURG, MARYLAND
21532
OSHA BLOODBORNE PATHOGENS 29
CFR 1910.1030

FSU plan can be found @
http://www.frostburg.edu/fsu/assets/File/Administ
ration/pplant/safety_exposurecontrolplan.pdf
 Or….just
“Exposure Control Plan”
on FSU home page
Plan reviewed annually, or as necessary to reflect
changes in technology, engineering controls, etc
WHAT ARE BLOODBORNE PATHOGENS?
Viruses found in human blood and other body fluids
including but not limited to HIV, Hepatitis B,
Hepatitis C
Can be spread when blood/body fluids containing
these viruses are introduced into the bloodstream of
another person either by piercing/puncturing the skin
or splash to mucous membranes such as in the
mouth.
Puncture Wound - Infected blood/body fluid is introduced
directly into your body through a break in the skin such as
a needle-stick injury or a cut with a piece of broken,
contaminated glass.
Non-intact skin or mucous membrane exposure- Infected
blood/body fluid contacts open areas on skin (cuts,
abrasions) or mucous membranes of eyes, nose or mouth
PRIMARY WAY THESE VIRUSES ARE SPREAD?
Sexual contact
(White gay males continued to account for the largest
number of new HIV infections followed closely by black
gay males)
&
Illegal IV drug Use
BODY FLUIDS NOT LIKELY TO BE INFECTIOUS UNLESS
VISIBLY CONTAMINATED WITH BLOOD
Tears
Feces
Vomit
Urine
Sweat
Sputum
Nasal Secretions
HIV
 HIV ( Human Immunodeficiency Virus) is the virus
that can lead to AIDS (Acquired Immune Deficiency
Syndrome)
 HIV damages a person’s immune system which helps
the body fight disease.
 First info published in medical journal about this
virus was May 20, 1983
HIV
• The only way to know if you are infected with HIV is to be tested.
• Universal HIV screening is recommended for all 15-65 year olds
• Some newer antigen/antibody lab tests can sometimes find
HIV as soon as 3 weeks after exposure to the virus
• In home tests are available at many drug stores
• Many people who are infected with HIV do not have any symptoms
at all for 10 years or more.
• Some people who are infected with HIV report having flu-like
symptoms (often described as “the worst flu ever”) 2 to 4 weeks
after exposure.
UPDATE ON HIV
•
Today, someone diagnosed with HIV and treated before the disease is far advanced
can live nearly as long as someone who does not have HIV with proper and early
antiviral medication.
•
CDC recommends that everyone between the ages of 13 and 64 get tested for HIV
at least once as part of routine health care. About 1 in 8 people in the United
States who have HIV don’t know they have it.
•
Pre-exposure prophylaxis (or PrEP) is when people at very high risk for HIV take HIV
medicines daily to lower their chances of getting infected. New federal guidelines
recommend PrEP be considered for people who are HIV negative and at
substantial risk for HIV.
Still no vaccine available!
HEPATITIS
• Attacks the liver
• Fatigue, stomach pain, loss of appetite, nausea,
yellow jaundice, darkened urine
• Sometimes no symptoms
• Growing awareness of Hepatitis in last few years
• Better treatment available
HEPATITIS B VIRUS
Hepatitis B virus (HBV) is 50-100 times more
infectious than HIV
HBV can live outside the body for at least 7 days
Hepatitis B vaccine first licensed in 1981
Routine vaccination of all infants began in November, 1991
HEPATITIS B VACCINE
 Three shots over a 4-6 month time period
 Safe and effective
 Booster dose still not needed after recent study
tracked vaccine’s effectiveness after 30 years
 Possibly lifelong protection
 If you have previously declined the vaccine and
you are considered at risk according to FSU
Exposure Control Plan, you can still receive it at
no cost
BEST WAY TO PROTECT AGAINST HEPATITIS B !
HEPATITIS C
• In the United States, an estimated 3.5–5.3 million persons
have chronic Hepatitis B or chronic Hepatitis C, and as
many as three fourths of those with Hepatitis C are
unaware they are infected
• A recent study suggested that screening all baby boomers
for Hepatitis C virus could save tens of thousands of lives
• Adults born between 1945-1965 account for almost 75%
of Hepatitis C infections
THE NUMBER OF REPORTED CASES OF ACUTE HEPATITIS C DECLINED
UNTIL 2003 AND REMAINED STEADY UNTIL 2010. HOWEVER, FROM
2010-2013, THERE WAS AN APPROXIMATE 2.5-FOLD INCREASE IN THE
NUMBER OF REPORTED ACUTE HEPATITIS C CASES FROM 850 TO 2,138
CASES
HEPATITIS C
The Hepatitis C virus can survive outside the
body at room temperature, on environmental
surfaces, for up to 3 weeks.
THERE IS NO VACCINE TO PREVENT
HEPATITIS C
WHICH ONE IS HIGHEST RISK?
Type of
Exposure
HIV
Hepatitis B
Hepatitis C
Percutaneous
(puncture
wound)
0.3%
(1 in 300)
6-30 % **
(1 in 16 to
1 in 3)
1.8%
(1 in 55)
**If completed Hepatitis B vaccine series and have
immunity-virtually no risk for infection
What A Long, Strange and Stressful Season ….on
……..WHAT
What can you do to reduce your risks of
an exposure?U DO TO REDUCE YOUR
RISK?- There are specific training,
Know your exposure control plan
engineering, and work controls for those potentially at risk for
exposure to BBP at work.
Use Universal precautions – Treat all human blood and other
potentially infectious fluid as if they are infectious
Attend training programs
Get involved – Participate in your staff meetings
Take advantage of the Hepatitis B Vaccine
CONTAMINATION VS EXPOSURE
Contamination
the presence of or the
reasonably
anticipated presence
of blood or other
potentially infected
materials (OPIM) on
an item or surface
Exposure Incident
a specific eye, mouth,
other mucous
membrane, non-intact
skin or parental
(puncture/needle
stick) contact with
blood or OPIM that
results from
performance of an
employees duties
Work Practice Controls
These practices/controls reduce the likely hood of
exposure by altering how a task is performed
Don’t recap needles
Do not pick sharps up with hands
Clean and decontaminate equipment and surfaces
Do not eat, drink, or apply cosmetics in work area
Engineering Controlsgineering
These controls reduce employee
CONTROLS
exposure by removing the hazard
 Needles and other sharps must be
discarded in rigid, leak proof,
puncture resistant containers
 Safer medical devices – such as
safety glide needles and retractable
needles
 Hazardous waste containers – red
bags (only place those items that are
contaminated with a BBP!)
 Remember broken glass is a sharp
and must be handled as such!
Personal Protective Equipment(PPE)
When occupational exposure remains after
engineering and work practice controls are put
in place, PPE must be used.
Level of protection required is determined by the task being
performed
Always check PPE for defects before using
Remove before leaving work area, wash hands after removal
and properly dispose of
Employee is responsible to make
available and replace as needed
Labeling
Warning labels required on:
• Containers of regulated waste –
red bags and sharp containers
• Refrigerators and other
equipment containing blood
and other potentially infectious
material(OPIM)
• Other containers used to store,
transport blood or OPIM
• Biohazard labeled red bags or
containers may be substituted
for sticker labels
HOW TO REDUCE YOUR RISK
WASTE DISPOSAL
• When emptying trash
containers, do not use
your hands to compress
the trash in the bag
• Lift and carry the trash
bag away from your body
• Regulated waste in
medical waste carrier
containers
Housekeeping – Clean up
Use PPE – appropriate for the clean up situation
Use appropriate disinfectants
Household bleach ¼ c bleach per one gallon of
water (make fresh daily), contact time is air dry
Current disinfectant BISM (Maxima 256) – contact
time “treated surfaces must remain wet for 10
minutes. Fresh solution is prepared daily or more
often if it becomes diluted or soiled”
Dispose of waste properly by seperating regulated
waste
Separating regulated waste
Laundry

Discuss specifics with your supervisor
SPILL CLEAN UP
 Get spill kit from closet,
storage area, etc
 Put on Gloves
 If splashing is anticipated,
wear protective eyewear,
mask, and gown
Clean Up
 Remove visible material
with absorbent towels
CLEAN UP
 Area should be
decontaminated
 Once the area has been
disinfected, dry area
with absorbent towels
and dispose of towels in
regular trash
 Remember: Contact
time is vital
REDUCING EXPOSURE AFTER A CLEAN UP
Glove Removal and Disposal
 Grip one glove near the cuff and peel it down until it comes off inside out.
Cup it in the palm of your gloved hand
 Place two fingers of your bare hand inside the cuff of the remaining glove.
Peel that glove down so that it also comes off inside out and over the first
glove
Properly dispose of the gloves
ALWAYS wash hands after glove removal
PROPER HAND HYGIENE
CDC recommendations for indications for hand hygiene
• Hands are visibly soiled – use soap and water
• Hands not visibly soiled , can use alcohol based hand rub –
cover all surfaces and rub hands together until dry
• Before direct contact with client
• After contact with patients intact skin
• After contact with body fluids, mucous membranes,
excretions and wound dressings
• Contact with inanimate objects
• After removing gloves or any PPE
• Before eating
• After using restroom
HANDWASHING
According to the CDC, alcohol-based rubs are more
effective in killing bacteria than soap and water
GOOD
REGULAR
SOAP
BETTER
ANTIMICROBIAL
SOAP
BEST
ALCOHOL-BASED
HAND RUB
An alcohol-based rub is the preferred method for hand
hygiene in all situations, excepts for when your hands
are visibility dirty or contaminated
WHY ARE ALCOHOL BASED HAND RUBS SO GREAT?
• Alcohol- based hand rubs (foam or gel) kill
more effectively and more quickly than
handwashing with soap and water
• They are less damaging to skin than soap
and water, resulting in less dryness and
irritation
• They require less time than handwashing
with soap and water, hands only need to
be rubbed together until they are dry
• Bottle/dispensers can be placed at the
point of care so they are more accessible
HANDWASHING WITH SOAP AND WATER
• Rub hands vigorously together for at
least 15 seconds
• Avoid using hot water, can increase risk
of contact dermatitis, use warm water
• Multiple-use cloth towels not to be used
– dry hands with disposable towels
• Antimicrobial soaps recommended
instead of antibacterial soap, no
abrasive soap
HAND WASHING IS VERY EFFECTIVE WHEN
DONE PROPERLY!
EXPOSURE SUMMARY
There are only three routes of exposure
with potentially infectious body fluid
• Needle stick/Sharp puncture
• Non-intact skin
• Mucous membrane
What do you do if you
have been exposed to
blood or body fluids???
IMMEDIATE RESPONSE TO AN EXPOSURE
ALWAYS TAKE CARE OF YOURSELF FIRST!
INCIDENT
• Eye Exposure – Wash
with water 15-20 mins
(eye wash station, eye
wash bottle or faucet)
• Skin contact or puncture
– soap and water,
shower if Indicated
• Mouth – wash out with
water
POST EXPOSURE REPORTIING
Report the exposure to your Supervisor
immediately
Supervisor will notify Safety Officer
http://www.frostburg.edu/fsu/assets/File/Administration/p
plant/safety_exposurecontrolplan.pdf
Page 24-25 sample of form to be completed - Identify and
document source and circumstances of exposure
POST EXPOSURE EVALUATION
Post Exposure Evaluation and Follow-up – immediately available.
Report to local Emergency Department WMHS – preferably
within 1-2 hours for a confidential medical evaluation
FSU must send paperwork
Written opinion regarding exposure will be made to the employee
within 15 days of the completion of the evaluation
Post-exposure monitoring, counseling and preventative
treatment
Please click on link below to view video
Bloodborne Pathogens Training Video - Overview of Safe Practices - YouTube
THANK YOU……
Thanks to CHILL for the
door prizes for today!
IF YOU HAVE ANY QUESTIONS PLEASE CONTACT US
Darlene Smith or Amy Kiddy
[email protected]
[email protected]
Or Call us at 301 687 4310
Your questions are important to Us!
Remember – if you have initially declined the Hepatitis B vaccine and you would now
like to receive it, please notify your supervisor who will notify BHC.