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Victory Christian School
WHY ARE WE HERE?
• OSHA Blood Borne (BB) Pathogen Standard
– anyone who can reasonably anticipate contact with
blood or potentially infectious body fluids while at work
is required to complete training
– Not every school employee is occupationally exposed to
BB pathogens. However, every school employee must
understand the dangers of infection and safe practices to
minimize risk.
Written Exposure Control Plan
• The Occupational Safety and Health
Administration (OSHA) requires every school
system to create one.
• The ECP must be made available to every
school employee upon request
• Contact Health Services to read VCS
Exposure Control Plan
What is a BB Pathogen?
Microorganisms that are
carried in human blood and
other body fluids that can
cause disease in humans
BB Pathogens May Be Present
In:
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Blood
Saliva
Vomit
Urine
Any other bodily
fluid
• Torn or open skin
tissue
Blood Borne Pathogens
Can Enter The Body Through:
DIRECT TRANSFER
• Blood or bodily fluid
contacting:
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–
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Open cuts and nicks
Skin abrasions
Dermatitis
Sexual contact
Mucous membranes
of mouth, eyes or
nose
• Cutting yourself with
a contaminated
sharp object like:
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Broken glass
Sharp metal
Needles
Knives
Exposed ends of
orthodontic wires
INDIRECT TRANSFER
Touching a contaminated object or surface and
then transferring the infection to your:
Eyes
Nose
Mouth
Non-intact skin
Common Bloodborne
Diseases
• Human
Immunodeficiency
Virus (HIV)
• Hepatitis B (HBV)
• Hepatitis C (HCV)
• Malaria
• Brucellosis
• Syphilis
Human Immunodeficiency
Virus (HIV)
• HIV is the virus that leads to AIDS
• HIV attacks the body’s immune system
• HIV does not survive well outside the body
• No threat on contracting HIV
through casual contact
Hepatitis B (HBV)
“Inflammation of the liver”
• Approx. 500,000 people in the U.S
become infected each year. (CDC)
• 1—1.25 million Americans are
chronically infected
• HBV can survive in dried blood for at
least one week
Hepatitis B Symptoms
• Symptoms can occur 1-9 months after
exposure
• Symptoms include: jaundice, fatigue,
abdominal pain, loss of appetite,
intermittent nausea , vomiting
• A person may not exhibit any symptoms,
being unaware that they are a carrier.
Hepatitis C (HCV)
• Hepatitis C is the most common chronic
blood borne infection in the United States
• Symptoms include: jaundice, fatigue,
abdominal pain, loss of appetite, intermittent
nausea, vomiting
• May lead to chronic liver
disease and death
Transmission Potential
• Contact with another
person’s blood or
bodily fluid that may
contain blood
• Mucous
membranes:
eyes, mouth, nose
• Non-intact skin
• Contaminated
sharps/needles
Your Exposure Potential
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Accidental Injury
Administering first aid
Post-accident cleanup
Handling of trash/waste
Janitorial or
maintenance work
• Handling of any waste
products
Reducing Your Risk
 Work Practice Controls
 Personal Protective Equipment
(PPE)
 Engineering Controls
 Housekeeping
 Hepatitis Vaccine
Universal Precautions
Treating all blood and bodily
fluids as if they are infected with
a bloodborne disease.
All age groups
Every socioeconomic class
Every state and territory
Rural areas and inner cities
Many people who carry infectious disease have no
visible symptoms and no knowledge of their
condition
Work Practice Controls
• A person trained in bloodborne
pathogens safety to give first-aid
treatment to students on a regular basis
• A facilities technician or trained person
responsible for cleaning up all body fluid
spills on a regular basis
More Work Practice Controls
• Minimize splashing, spraying, spattering and
generation of droplets when attending to an
injured student or co-worker, especially where
blood is present
• Don’t eat, drink, apply cosmetics or lip balms,
or handle contact lenses where there is
likelihood of exposure
• Don’t keep food and drink in refrigerators,
shelves or on surfaces where blood or other
potentially infectious materials are present
Personal Protective
Equipment (PPE)
• Anything that is
used to protect a
person from
exposure
• Latex or Nitrile
gloves, goggles,
masks, CPR mouth
barriers, aprons,
gowns, etc.
PPE Rules to Remember
• Always check PPE for defects or tears
before using
• If PPE becomes torn or defective
remove and get new
• Remove PPE before leaving a
contaminated area
• Do not reuse disposable equipment
Hand Washing
• Wash hands
immediately after
removing PPE
• Use a soft
antibacterial soap
• A hand sanitizer can
be used but wash
with soap and water
as soon as possible.
Engineering Controls
• Sharps containers to dispose
of needles, sharp objects.
• Biohazard labels to mark
waste and towels soaked with blood or
body fluids
• Hand sanitizer available in all restrooms
and many work stations.
• Numerous hand washing facilities
Good Housekeeping
• Clean and decontaminate all equipment
and environmental working surfaces as
soon as possible after contact with
blood or infectious material
• Never pick up broken glass with gloved
or bare hands.
• Place contaminated sharps and
infectious wastes in labeled container
Decontamination
• When cleaning up surfaces use Virex® or a
solution of one part bleach to 9 parts water.
• Do an initial wipe up
• Spray and allow it to stand for ten minutes
then wipe up
• Dispose of all wipes in biohazard containers
• PPE should be removed and
disposed of in biohazard containers
Know This Symbol
• Watch for fluorescent orange-red label, red
bags and containers with biohazard symbol.
– Warns you that the container holds blood or other
potentially infectious materials.
Hepatitis B Vaccination
• 85 to 97% effective
• Offered to those
who are exposed to
blood or other
infectious materials
as part of their job
• Recommended for
all potentially
exposed employees
Exposure Incident
A specific incident of contact with potentially
infectious bodily fluid
• If there are no infiltrations of mucous
membranes or open skin surfaces, it is
not considered an occupational exposure
• Report all accidents involving blood or
bodily fluids
• Post-exposure medical evaluations are
offered
Post-exposure Evaluation
• Confidential medical
evaluation
• Document route of
exposure
• Identify source
individual
• Test source individuals
blood (with individuals
consent)
• Provide results to
exposed employee
Recordkeeping
Medical records include:
• Hepatitis B vaccination status
• Post-exposure evaluation and follow-up
results
Training records include:
• Training dates
• Contents of the training
• Signature of trainer and trainee
In Conclusion
 Know the facts.
 Take time to protect yourself
while helping a child or co-worker.
 As a school employee, you
must react to an emergency not
only with your heart, but with your
head.
VCS Health Services
491-7729