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Barron Area School District Bloodborne Pathogen Training School District Training Requirements Based on : 1. Wisconsin Statute 101.055 2. Federal Bloodborne Pathogen Standard 1910.1030 Definition of Bloodborne Pathogen • Organisms that are present in human blood and can cause disease • Examples: – Human Immunodeficiency Virus (HIV) – Hepatitis C Virus(HCV) – Hepatitis B Virus (HBV) What is an Exposure? • Blood contact with broken skin • Blood contact with mucous membranes(splash into eyes, nose or mouth) • Puncturing the skin or mucous membranes with object containing blood Standard Precautions All blood and body fluids containing blood are treated as if they are a carrier of bloodborne pathogens. This means gloves will be worn when in contact with blood or body fluids. HIV/ AIDS • Caused by human immunodeficiency virus (HIV) • Damages body’s immune system • HIV infection can lead to development of lifethreatening infections or Acquired Immune Deficiency Syndrome (AIDS) • Caused by contact with infected body fluids such as blood, semen, vaginal secretions and breast milk • Most commonly spread by sharing needles or sexual contact with someone who is infected with HIV Ways HIV is NOT Transmitted • • • • • • • • Mosquitoes Shaking hands Hugging Coughing Swimming in a pool Sharing bathrooms Drinking fountains Sharing food Hepatitis B • Hepatitis B (formerly serum hepatitis) is a liver disease caused by hepatitis B virus (HBV) • Spread by contact with blood, semen, vaginal fluids, and rarely, saliva • Not spread by casual contact or respiratory droplets Symptoms of Hepatitis B • • • • • • • Fatigue Poor appetite Nausea and vomiting Abdominal pain Dark urine Jaundice (yellowing of skin and eyes) May be without symptoms- especially children Chronic Infection • The elimination of the Hepatitis B virus depends on the age when infection occurs. • The earlier in life a person is infected, the more likely they are to become chronic carriers of hepatitis B. • About 10 % of persons with HBV go on to become chronic carriers of the disease • Chronic carriers may infect others and are at risk for developing liver cancer as adults. Prevention of Hepatitis B • Hepatitis B vaccine: recommended for all infants, 11-12 year olds, and/or persons in high risk occupations or with high risk behaviors • Infants of infected mothers are given hepatitis B vaccine and hepatitis B immune globulin to prevent infection Hepatitis B Vaccine • Series of 2 or 3 shots given over 4 –6 month period • At risk employees eligible to receive HBV • Employees in risk groups include bus drivers, custodians, special ed teachers and aides, coaches, first aid providers, secretaries, playground aides • Contact Sue Hanson in Central office if interested in receiving the hepatitis B vaccine • Check with your health insurance plan; most plans cover the hepatitis B vaccine Hepatitis C • Hepatitis C is a liver disease caused by hepatitis C virus (HCV) • Spread primarily through contact with blood from an infected person • Not spread by casual contact Hepatitis C Virus • 90% of cases are asymptomatic • May have loss of appetite, fatigue, nausea, vomiting, abdominal pain, jaundice • Can cause liver cancer or cirrhosis of the liver • 75-85 % of infected persons become chronic carriers What are some situations that I might encounter in the school setting that could result in a BBP exposure? • • • • • • • Sports injuries Playground accidents Nosebleeds Cuts from sharp objects Biting incidents Disposing of waste contaminated with blood Caring for students with medical needs Ways to Protect from Infectious Disease in the School Setting • Frequent hand washing • Use broom or tongs to pick up sharp or broken objects • Use red sharps container to dispose of needles or sharp objects that may contain blood • Use gloves to handle blood or body fluids • Clean surfaces contaminated with blood with an approved disinfectant or a 1: 10 solution of bleach to water Utilize Safe Personnel Practices • Cover your own cuts and lesions with bandaids • Do not eat or apply cosmetics in areas with potential for body fluid exposure • Do not pick up broken glass with your hands • Do not push down trash with your hands • Do not reuse gloves Personal Protective Equipment (PPE) Protective equipment should be worn whenever there is a chance of exposure to blood or body fluids containing blood Examples of PPE: – – – – – Nonlatex gloves* Gowns Masks Protective eyewear Resuscitation mouthpiece or shield *avoid latex gloves due to the potential for allergies Clean-up Procedures • Call for custodial help • Use paper materials to clean spills • Use tongs or broom for sharp objects • Dispose of needles/broken glass in red sharps container • Red bag for objects dripping blood Procedure for Potential Exposure • • • • • Wash affected area with soap and water Notify supervisor Seek medical consultation Complete Personnel Injury Report form Obtain hepatitis vaccine if needed Reduce your chance of BBP Exposure: Summary • Always use standard precautions • Use Personal Protective Equipment when indicated • Utilize good handwashing • Use safe housekeeping measures • Report and follow-up on problems QUESTIONS???????? • Contact your supervisor • Contact the school nurse: – Barb Filas ,School Nurse , ext. 310 Refer to District Exposure Control Plan