Download Blood Borne Pathogens Training

BLOODBORNE PATHOGENS
TRAINING
1
Aurora University
2010
BLOODBORNE PATHOGENS TRAINING

Overview of BBP Standard

(BBP = Bloodborne Pathogen)
Types of pathogens
 Exposure Control Plan

2
OSHA BBP STANDARD

See the OSHA website www.osha.gov,


29 CFR 1910.1030
Aurora University is committed to providing a safe
and healthful work environment. In pursuit of this
goal, the BBP Exposure Control Plan is provided to
eliminate or minimize employee occupational
exposure to blood or other potentially infectious
materials (OPIM).
3
BLOODBORNE PATHOGENS
The three pathogens that are
of greatest concern are:
Human immunodeficiency
virus (HIV)
 Hepatitis B virus (HBV)
 Hepatitis C virus (HCV)

4
BLOODBORNE PATHOGENS


HIV
 virus that causes AIDS
o incubation period 1 to 3 months
o person is infectious from onset
of infection throughout life
o all persons are susceptible
risk of transmission:
 needle stick: 0.3%
 splash/spray to mucous membranes: 0.09%
 non-intact skin: less than mucous membrane
exposure
5
BLOODBORNE PATHOGENS


HBV - virus that causes hepatitis B
 incubation period 45 to 180 days
 person is infectious if test for antigen
 (HBsAG) is positive
 unvaccinated persons are susceptible
 vaccination is recommended for persons with
occupational exposure
Risk of transmission
 needle stick: 22-31% if source is HBeAG +
 needle stick: 1-6% if source is HBeAG  direct or indirect contact with non-intact skin or
mucous membranes is an important source of
occupational exposure
6
BLOODBORNE PATHOGENS
HCV - virus that causes hepatitis C
 incubation period 6 to 9 weeks
 most persons are infectious for life
 all are susceptible
 Risk of transmission
 needle stick: 1.8%
 mucous membranes: rare
 non-intact skin: very rare

7
BLOODBORNE PATHOGENS

An individual can acquire BBP from
 blood
 body fluids containing visible blood
 other potentially infectious material (OPIM)
 includes… semen, vaginal secretions,
cerebral spinal fluid (CSF), synovial fluid,
pleural fluid, pericardial fluid, peritoneal
fluid, amniotic fluid, saliva in dental
procedures, and all bodily fluids where it is
difficult to differentiate between bodily
fluids.
8
BLOODBORNE PATHOGENS

Occupational exposure occurs through:
 percutaneous injury (needle stick or cut)
 contact with mucous membranes
 contact with non-intact skin
when there is blood, body fluids with visible
blood, OPIM present
9
BLOODBORNE PATHOGENS
Feces, nasal
secretions, sputum,
sweat, tears, urine,
and vomitus are not
considered infected
with bloodborne
pathogens unless
they contain visible
blood.
10
AURORA UNIVERSITY
BLOODBORNE PATHOGEN
EXPOSURE CONTROL PLAN






Policy HR - 212
Universal precautions
 Hand hygiene
 Personal Protective Equipment (PPE)
Engineering and work practice controls
HBV vaccination
Post-exposure management
Training
11
AURORA UNIVERSITY
BLOODBORNE PATHOGEN
EXPOSURE CONTROL PLAN


Online at
http://www.aurora.edu/hr/policy-manual/212bbp.html
 Copy provided at new employee orientation
reviewed, updated annually
HUMAN RESOURCES POLICY MANUAL
TOPIC:
Bloodborne Pathogen Exposure Control Plan
EFFECTIVE
DATE:
1 November 2009
Reviewed/Revised Date:
Approved By: VP for Finance
Policy Number: 212
Developed in accordance with the OSHA Bloodborne
Pathogens Standard, 29 CFR 1910.1030
12
AURORA UNIVERSITY
BLOODBORNE PATHOGEN
EXPOSURE CONTROL PLAN
AU employees determined to be at risk for
occupational exposure to blood or OPIM:
•
•
•
•
•
•
•
•
Wellness Center Staff
Campus Safety
Athletics and Physical Education
Health Science Lab Faculty and
Assistants
Nursing Lab Faculty and Clinical
Faculty
Recreation Administration
Residence Life Professional Staff
Lifeguards
13
ENGINEERING & WORK PRACTICE CONTROLS:

Universal Precautions
Part of OSHA BBP standard
 Used on ALL individuals
 Used for ALL contact with:
 blood, body fluids, OPIM
 mucous membranes
 non-intact skin



Standard Precautions





To protect against bloodborne pathogens
Part of the CDC guidelines on infection control
Use on ALL individuals
Used for all contact with blood, OPIM, all bodily fluids
considered infections (regardless of visible blood)
Hand hygiene
Use of PPE
14
HAND HYGIENE

Wash hands
after touching blood, body fluids, secretions,
excretions, contaminated items, regardless if
gloves are worn
 immediately after removing gloves
 before leaving work area
 whenever hands are dirty or contaminated

15
HAND HYGIENE

Hand washing technique
 turn on faucets to comfortable water
temperature
 wet hands, apply soap, lather
 rub with friction for at least 15 seconds,
making sure to wash back of hands, fingers,
fingertips, in between fingers
 rinse with fingertips pointing downward
 dry hands with paper towel
 discard paper towel and turn off faucets with
clean paper towel
16
HAND HYGIENE

Waterless alcohol gel
May use if hands are not visibly soiled
 Effective against many organisms if
product is used as directed
 Must be at least 60% alcohol to be effective
 NOT a replacement for a soap and water
hand washing if hands are soiled.

17
HAND HYGIENE

Use of waterless gel
 dispense appropriate amount of
gel per product directions
 dispense into palm of one hand
 rub palms, backs of hands,
fingers, fingertips, between
fingers until dry, about 30
seconds
 make sure hands are dry before
resuming activities
 Wash hands as soon as practical
18
PERSONAL PROTECTIVE EQUIPMENT
(PPE)



Gowns, gloves, surgical masks, face
shields, goggles, shoe covers, aprons
Used when there is a reasonable
anticipation of exposure to blood, body
fluids, mucous membranes, non-intact
skin
Provides protection for clothing, skin,
eyes, mouth, nose
19
PPE
Employer responsibilities
 provide in appropriate sizes
 make accessible
 require use by employees
 clean, launder, repair, replace as needed
 provide training
 Sodexo has supplies available and restocks
areas as necessary

20
PPE

Employee responsibilities:
Use PPE appropriately
 Dispose of appropriately

21
PPE

Gloves






Wear for phlebotomies, finger sticks,
vaccinations
Wear for cleaning OPIM
Wear when administering first aid
Remove between clients, wash hands
Select correct size
Have readily available at work station and in
first aid kits
22
PPE REMOVAL
1) Remove gloves by grasping outside
of gloved hand with other gloved hand
and peel off. Hold removed glove in gloved hand.
2) Slide fingers of ungloved hand under remaining
glove, touching inside of glove only. Discard.
3) Remove goggles/face shield next, handling
ONLY by head bands, ear pieces, or ties. Discard.
4) Remove gown by pulling away from neck and
shoulders, touching inside of gown only. Turn
gown inside out. Discard.
5) Remove mask/respirator last, grasp ONLY
bottom then top ties/elastics and remove.
Discard.
23
PPE REMOVAL
Wash your hands!
24
LABELS




Infectious waste: red bag with biohazard
label
Sharps containers:
biohazard label
Blood specimens:
biohazard labeled storage
bags, storage containers
Refrigerators, coolers where blood or
OPIM is stored: biohazard label
25
ENGINEERING CONTROLS
Safety devices on sharps: needles, lancets
 must be used if available
 evaluated by staff
 Shearing, breaking, bending, re-capping
of contaminated sharps is prohibited
 Clean spills of blood or OPIM with
spill kit, wear protective gloves
 Clean up broken glass using spill kit or
broom and dustpan, never your hands

26
ENGINEERING CONTROLS
Place used sharps in disposal containers
immediately after use
 Sharps containers

puncture resistant
 leak proof
 labeled or red in color
 stabilized if portable


Sharps containers
Replace sharps containers when 2/3 full
 The users of the containers are responsible for
replacing when necessary

27
WORK PRACTICE CONTROLS
Do not eat, drink, apply make-up, handle
contact lenses, or smoke in areas with likely
exposure to blood or OPIM
 testing areas
 areas where specimens located
 Do not store food or beverages in
refrigerators, freezers, coolers, shelves,
cupboards where specimens are located

28
WASTE DISPOSAL
Infectious waste includes:
 sharps
 disposable items that are saturated with
blood or OPIM to the point where such
material can be squeezed, poured,
dripped, or flaked off the items
 Infectious waste removal:
 Place in red biohazard bags, seal to
prevent spillage during handling
 Store in designated areas for collection by
waste haulers
 Contact Sodexo for pickup of red
biohazard bags

29
LAUNDRY




Handle contaminated clothing
as little as possible
Place dry laundry in bags at point of use
Laundry that is wet from blood or OPIM
is placed in leak proof containers labeled
with the biohazard symbol
Follow departmental procedure
 Wear gloves when handling soiled
laundry
 Utilize appropriate washer and dryer
settings
 Utilize appropriate detergent
30
HANDLING BLOOD OR OPIM SPILLS



Procedure for cleaning blood or OIPM spills
 wear PPE: gown, gloves, goggles
 soak up liquid of spill and use scooper/scraper to
remove contents of spill
 wet cloth with the disinfectant
 wipe item/area with wet cloth
 spray disinfectant on item/area
 wipe with clean cloth, let air dry
Clean first, then disinfect all equipment and
environmental surfaces after contact with blood or
OPIM
 Use EPA registered disinfectant with activity
against HIV, HBV, HCV or 1:10 bleach
 Follow instructions on disinfectant label
Separate procedure for blood/OIPM spills on Vago Field
31
artificial turf. (See policy)
HEPATITIS B VACCINATION


Any one with potential for occupational
exposure to blood or OPIM will be offered
the Hepatitis B vaccination series
Recommended unless:
 employee has documentation of receipt of
series
 antibody testing shows immunity
 employee has medical contraindications
32
HEPATITIS B VACCINATION



Available within 10 working days of work
start date.
If employee declines, must sign statement
of declination. Employee may decide at
any later date to start the series.
If employee accepts, must sign
acceptance statement and schedule to
start series.
33
HEPATITIS B VACCINATION


Safety
 very safe vaccine
 US: as of 2000 more than 100 million adults
have received vaccine with few side effects
 serious reactions are rare
 mild symptoms may occur: soreness at
injection site, low-grade fever
 may be given during pregnancy
Effectiveness
 at least 90% of adults are immune after
completing the three doses of vaccine
 since 1985, 90% reduction of number of health
care workers infected with HBV, largely due to
vaccine
34
HEPATITIS B VACCINATION
Vaccine provided at Occupational Health
Providers near our Illinois and Wisconsin
campuses. Human Resources will schedule
location and initial dose date.
 Administered by deep intramuscular injection
 3 doses given: 1st two doses 1 month apart, last
dose is given 5 months after second dose
 Occupational Health will test antibody levels at
1-2 months after last dose to test for immunity
 If antibody level shows lack of immunity,
individual will be-revaccinated

35
POST EXPOSURE MANAGEMENT
1) Clean the exposure site
 percutaneous injuries:
wash with soap and water
 mucous membranes:
rinse copiously with water for several minutes
2) Go to the nearest occupational health clinic for
evaluation.
•
•
•
If none in area, report to nearest ER
In Aurora – go to Provena Mercy Occupational
Health on Highland Avenue
In Wisconsin, go to Aurora Occupational Health
Services on County Road NN in Elkhorn
36
POST EXPOSURE MANAGEMENT
3) Notify supervisor immediately, who will
notify Campus Safety and Human
Resources
4) Medical evaluation
 documentation of route of exposure
 document source person if known
 source and exposed will be offered
testing
 results given to exposed person’s
provider or Occupational Health if no
personal provider
 counseling offered
37
ANY QUESTIONS?

Please ask any of the BBP Trainers, or call
Human Resources with your questions
Terri Hoehne
Director of Human Resources
[email protected]
630-844-3866
Office at 422 S. Calumet on the Aurora campus
38
CERTIFICATE OF COMPLETION
BLOODBORNE PATHOGEN
TRAINING
39
Name (please print)____________________________
Your Signature:________________________________
Date:______________ Supervisor:_________________
Job Title:_______________________________________
Please print and send to Human Resources