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Provided By: Xiongmee Lor, Safety Coordinator Key Program Elements Written plan (Exposure Control Plan) Identifying those at risk Providing BBP training annually Offering Hep B vaccines Preventing exposures Evaluating and treating exposures Proper disposal of bio-waste material Recordkeeping Who is at risk? Firefighters Police officers (Law Enforcement) Paramedics Emergency Response Teams First Aid and CPR providers Those who have repeated exposures Bloodborne Pathogens Characteristics Bloodborne pathogens are found only on blood, body fluids, and materials contaminated with blood or body fluids You cannot tell by looking at a person if they are infected with a bloodborne disease Infected people can transmit bloodborne pathogens before they know it Intact skin is an effective temporary barrier to contacting an infection Infectious Materials/Body Fluids Blood OSHA and the Center for Disease Control consider these body fluids to be potentially infectious Semen Vaginal fluids Cerebrospinal fluid Synovial fluids Pericardial fluid Amniotic fluid Saliva in dental procedures Diseases Caused by Bloodborne Pathogens Hepatitis B virus (HBV) Hepatitis C virus (HCV) Infects the liver A teaspoon of blood contains over one billion HBV particles Infects 10,000 people a year due to occupational exposure No cure but vaccine is available to prevent infection at the present time Infects the liver A teaspoon of blood contains over one billion HCV particles No cure and no vaccine Human Immunodeficiency virus (HIV) Attacks the body’s immune system A teaspoon of blood contains about 15 HIV particles No cure or vaccine at the present time Protecting Yourself Personal Protective Equipment Engineering Controls Personal Hygiene Work Practice Controls Personal Hygiene Do not touch anything that is contaminated, such as sharps or body fluids Take care to minimize splashing of all infectious materials Eating, drinking, smoking, applying cosmetics or lip balm, and handling contact lenses are prohibited in areas where there is a potential for occupational exposure Engineering Controls Reduce exposure by removing the hazard or isolating the worker Examples: Sharps disposal containers Biohazard bags Hand washing facilities Antiseptic hand cleanser or toweletes Work Practice Controls Remove contaminated PPE or clothing as soon as possible Do not handle sharps or broken glass with your hands; use a tong, broom & dust pan Clean and disinfect contaminated equipment and work surfaces Thoroughly wash up immediately after exposure with soap and warm water Properly dispose of contaminated items, including contaminated PPE Personal Protective Equipment PPE must be used to prevent potentially infectious materials from coming in contact with work clothes, street clothes, undergarments, skin or mucous membranes Employees must wear gloves when there is potential contact with blood, potentially infectious materials, mucous membranes or broken skin Remove gloves promptly after use, and before touching non-contaminated items and environmental surfaces Wash hands with soap and warm water after removing gloves Universal Precautions An approach to infection control where all human blood and certain body fluids are treated as if known to be infectious Label biohazard waste appropriately using tags, labels and bags Warning labels must be placed on containers used to store or transport potentially infectious materials Cleaning and Sanitizing All equipment, environmental surfaces, and work surfaces shall be decontaminated as soon as possible Mix a clean-up solution of 1 to 10 bleach and water Contain the area and dispose of all contaminated materials properly Exposure Evaluation and Follow-Up Exposure incident is defined as the specific eye, mouth, nose, or nonintact skin contact with another person’s blood Document route of exposure and circumstances HIV/HBV status of source individual (if available) Post-exposure vaccine (if indicated) Medical evaluation Counseling Summary Know what you are working with Wear the appropriate Personal Protective Equipment (PPE) when handling any type of bodily fluid Wash your hands after handling any type of bodily fluid, even when wearing gloves Do not handle sharps or broken glass with your bare hands Properly dispose of pathogen waste, including PPE Report all suspected exposures to your supervisor Questions??? Supervisor Safety Coordinator – Xiongmee Lor 39-4844 or email [email protected] Risk Manager – Colleen Schian BBP Quiz Print a quiz for each trainee, have trainee complete the quiz. Trainer must sign the bottom and forward to Safety Coordinator for recordkeeping.