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Transcript
East Windsor Public Schools
Bloodborne Pathogen Training
This program meets the following guidelines:
● OSHA Standards on Bloodborne Pathogens
(29 CFR 1910.1030)
● Connecticut Division of Labor, Occupational Safety
and Health Administration
● East Windsor Board of Education
At the end of this lesson, you will be able to:
● List the three most common bloodborne
pathogens (BBPs)
● Identify and take appropriate actions to reduce
risk of exposure to BBPs
● Describe how to respond if an injury occurs
at
your site
Definition of BBP
● Bloodborne pathogens are infectious materials in
blood that can cause disease in humans, including
but not limited to hepatitis B and C and human
immunodeficiency virus or HIV
Your role and responsibilities:
● Minimize the risk of BBP exposure for
students, your co-workers, and yourself
● Take proper precautions at all times
● When an incident occurs, respond quickly
and correctly
3 Most Common BBPs
1. Hepatitis B
❖
❖
❖
❖
inflammation of the liver, which can lead to cirrhosis, liver cancer or death
Most people recover
Can be indirectly transmitted
There is a vaccine
2. Hepatitis C
❖
❖
inflammation of the liver, which can lead to chronic liver disease and death
May carry virus for years without visible symptoms
3.
HIV
❖
❖
❖
Attacks the immune system
May carry virus for years without visible symptoms
Develops into AIDS in some cases
How it is spread:
● BBPs are most commonly spread through
high-risk activities like unprotected sex and
sharing drug needles.
● At school sites your risk of exposure is low.
Potential risks include infected blood or other bodily
fluid that:
● Spray, splash into mouth, nose or eye (mucous membrane)
● Contact with broken areas of skin, even tiny breaks you can’t
see
● Accidental injury with a sharp object like a needle, broken
glass, or anything else that can pierce your skin.
Protect yourself
● Hepatitis B virus (HBV) can be transmitted
indirectly if you touch a contaminated surface and
then touch your nose, mouth,
eyes, or broken skin.
● HBV can survive dried and at room
temperature on surfaces for up to a week
Protect yourself
● Infection Control
● Standard Precautions
● Hand Washing
● Use of Disposable Gloves
● District Procedures/Guidelines
PREVENTION
Standard Precautions
➢a method of infection control in which all blood or
bodily fluids anyone comes in contact with is
assumed to be potentially infectious
➢People with BBP’s may not know it
➢You may be a carrier and not know it-preventive
measures protect students also
Five Universal Precautions
● Wash hands and work surfaces frequently
● Avoid contact with sharp objects
● Use gloves and other personal protective
equipment when you anticipate exposure to blood
or other bodily fluids
● Wash your hands immediately following exposure
● Dispose of hazardous material safely using
engineering controls like a needle box for any sharp
objects
Handwashing
Is far less glamorous than hi tech
interventions, but it is known to be
the SINGLE most important thing
we can do to reduce the spread of
disease
Hand Sanitizers
● Do not require water
● Excellent alternative to hand washing when
soap and water is not available
● Apply about ½ tsp of sanitizer to palm of
hand
● Rub hands together, covering all surface of
your hands until they are dry
● Wash hands with soap and water when able
Procedure is important
● Wet hands thoroughly under warm water
● Dispense non-abrasive soap into wet hands
● Vigorously rub hands together for 20 seconds,
about the time it takes to sing “Happy Birthday”
● Be sure to scrub all surfaces...top and bottom
● Thoroughly rinse hands
● Dry hands with a disposable towel.
● Use towel to turn off the water and dispose of it
Work surfaces
● Make sure work surfaces, particularly
any public counters, are kept clean
● Use an approved disinfectant that kills
kills germs
● Make this part of your daily routine
SHARPS
Be alert for sharp objects, like broken glass or needles,
when emptying trash containers
✓ never smash down trash with hands or feet
✓ always carry trash away from your body
✓ never pick up broken glass with your hands
Personal Protective Equipment
● Safety devices or safeguards worn by workers to
protect against environmental hazards
● Designed to reduce the risk of disease transmission
● Always wear gloves
when you anticipate
touching blood, bodily
fluids, or contaminated
surfaces
Using Gloves
● Use single-use, disposable latex free gloves when
administering first aid.
● Cover any cuts with bandages before putting on
gloves
● Make sure gloves fit snugly
● When removing, be sure that your bare skin does
not come into contact with exterior of the glove
(peel inside out)
● Dispose of gloves in hazardous waste container
Other protective equipment
● Resuscitation device- always use when administering
mouth to mouth
● Smock or apron-use when cleaning up large amounts
of blood or other bodily fluid
● Eyewear
● Face shield obtain equipment from school nurse or
custodian
Hazardous Waste
● Used needles should be immediately placed in a
sharps container
Sharps
● Protect Yourself and Others from Sharp
Objects.
● If you have a needle or anything with a sharp
point, dispose of it in the sharps container in
the Nurse’s Office.
SHARPS
● Use a brush and dustpan or tongs to pick up broken glass/sharp objects
● Never use your hands.
● Place the items in a closable, leak proof, puncture resistant container
□
□
●
●
●
●
●
with a biohazard label attached.
Never reach into a trash container or push trash down with
hands or feet
Use a properly labeled sharps container for needles.
Never recap, bend, break, or shear needles.
Wear gloves!
Replace sharps containers when full – never overfill.
Sharps containers are stocked in the health room of each school.
Any contaminated object that can penetrate the skin including, but
not limited to, needles, scalpels, and broken glass.
Accidental Exposure
If you are exposed despite using precautions
❑ Immediately wash the exposed area with anti-
bacterial soap and water
❑ Flush eyes, nose or mouth with running water if they
have been exposed
If an injury occurs
1. Assess the situation
2. Administer first aid
3. Report incident to
school nurse
ASSESS THE SITUATION
Your first instinct is to help an injured child
immediately, but take a moment to think so
you safely approach the situation
BE CALM
REASSURE VICTIM
ASSESS SEVERITY OF INJURY
AVOID EXPOSING YOURSELF TO BLOOD OR
BODILY FLUIDS WITHOUT PRECAUTION
FIRST AID
● For minor cuts and scrapes,
encourage the victim to selfadminister first aid.
● For more serious injuries, put on
a pair of gloves before you
administer first aid.
When exposure occurs:
● Report the incident to the school nurse
immediately!
● If you experienced accidental exposure,
complete an Incident Report form and submit it to
your building principal.
● An Incident Report is required anytime an
incident occurs in which there is potential exposure
to a bloodborne pathogen.
Occupations at RISK
Category I
● Health Service Personnel
● Coaches & Athletic Trainers
● PE Teachers, OT’s and PT’s
● Special Ed Teachers and Paraprofessionals
Category 2
● All employees except Category I.
● The primary job assignment is not the rendering
of first aid
CLEANING UP SPILLS
● Put on gloves
● If you are cleaning up a spill of blood, carefully
cover the spill with paper towels or cloths
● Call custodian
● Carefully pour an approved cleansing solution or
absorbable compound over spill
● Remember to decontaminate any
mops, sponges, pails, etc. that were used in the
clean up process.
All cleaning solutions must be EPA registered
and approved green product
check with Your CusTOdian
CLEANING UP (CONT)
● Place contaminated items in a leak proof bag.
● Remove gloves using proper method – never let
bare skin touch contaminated gloves.
● Place securely fastened bag in a plastic lined trash
container.
● Give to custodian for disposal.
● Wash your hands
Contaminated sports items and equipment
● Use an EPA-registered tuberculocidal disinfectant
solution to clean and decontaminate sports items
and equipment that has come in contact with
blood and other potentially infectious materials.
● Follow the clean up and decontamination
guidelines.
Summary
●
●
●
●
●
●
You have explored:
Bloodborne pathogens (BBPs)
The three most common BBPs
Universal precautions for reducing risk of exposure
What to do when an injury occurs
Normal teaching and learning activities do not place
anyone at risk for HIV infection, but accidents and injuries
at school can produce situations where students or staff
might be exposed to another person’s body fluids.
BE PREPARED!
THE END
Bloodborne pathogens post test
1. Which disease is not bloodborne?
A.
B.
C.
D.
Hepatitis A
Hepatitis B
Hepatitis C
HIV
2. Bloodborne pathogens may enter your bloodstream through:
A. skin abrasions
B. open cuts
C. accidental needle sticks
D. all of the above
3. Observing “universal precautions” means treating all blood and body fluids as if
infectious.
● True
● False
Post Test
4. Wearing gloves is one of the most important personal protective measures for
preventing an exposure to blood borne pathogens.
● True
● False
5. If you wear gloves when cleaning up blood or body fluids, it is not necessary to wash
your hands afterwards.
● True
● False
6. If antiseptic wipes or gels are used, it is not necessary to wash your hands
afterwards.
● True
● False
7. Personal Protective Equipment includes which of the following?
A. Gloves
B. Goggles
C. Aprons
D. All of the above
Post test
8. When cleaning up a blood borne pathogens spill, which of the following should you NOT
do?
A. Use disposable gloves
B. Dispose of waste in an unlined waste container
C. Wash hands thoroughly with warm water and soap
D. Contact the school nurse and custodian
9. You should complete an incident report if you have been exposed to blood borne
pathogens.
● True
● False
10. A person with a blood borne pathogen will always look sick.
● True
● False
Post test
What would you do??????? Circle the correct response.
11. A student, Angie, comes to you with a bloody nose. She is upset and needs
your assistance cleaning up. Would you:
A. Tell Angie that you are busy and send her off to class
B. Rush to help Angie and do your best not to touch the blood
C. Encourage Angie to clean herself up, even though she is upset
D. Call Angie’s parents and tell them they need to come to clean her up
12. You notice that Angie has dripped blood down the hall. Would you:
A. Grab some paper towels and quickly wipe up the blood
B. Call your custodian and ask them to clean up the blood and disinfect the
area using the appropriate precautions
C. Give Angie paper towels and instruct her to clean up after herself
Bloodborne pathogen answer sheet
Name/Title_______________________Date____________
School__________________________
1. ○ A ○ B ○ C ○ D
2. ○ A ○ B ○ C ○ D
3. ○ T ○ F
4. ○ T ○ F
5. ○ T ○ F
6. ○ T ○ F
7. ○ A ○ B ○ C ○ D
8. ○ A ○ B ○ C ○ D
9. ○ T ○ F
10. ○ T ○ F
11. ○ A ○ B ○ C ○ D
12. ○ A ○ B ○ C ○ D