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WCTC Bloodborne Pathogen Training What are Bloodborne Pathogens? Pathogenic microorganisms that may be present in human blood and cause disease in humans. Occupational Bloodborne Diseases of Significance HEPATITIS B VIRUS (HBV) HUMAN IMMUNODEFICIENCY VIRUS (HIV) Hepatitis B Virus (HBV) o Infection of the liver caused by the hepatitis B virus (HBV). o Most common infectious bloodborne pathogen. o Symptoms include jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea and vomiting. o Symptoms can occur 1 to 9 months after exposure. o Blood, saliva and other body fluids may be infectious. o With prompt and proper treatment, most cases of HBV can be treated successfully. o The Hepatitis B Vaccine can help protect you from contracting HBV. Human Immunodeficiency Virus (HIV) o Symptoms include flu-like symptoms, fever, diarrhea, and fatigue. o Attacks the immune system, and can lead to Acquired Immunodeficiency Syndrome (AIDS). o No vaccine to prevent the infection. o A person infected with HIV may carry the virus without developing symptoms for several years. o Transmitted through contact with infected blood and infected body fluids. Transmission of BBP o Blood or other potentially infectious material comes in direct contact with mucous membranes or non-intact skin. o Contact with contaminated items or surfaces. o Puncture wounds or cuts from contaminated sharps. Exposure Determination Employees “reasonably anticipated” to have occupational exposure to blood and/or other potentially infectious materials are required to comply with the requirements of the plan. Universal Precautions All blood or other potentially infectious materials you come in contact with is to be considered infectious regardless of the perceived status of the source. Compliance Methods Sharps Disposal Containers o Puncture resistant, labeled or color-coded and leak proof on sides and bottom o Located in areas where sharps are used Bio-Hazard Waste Containers o Puncture resistant, labeled or color coded and leak proof on sides and bottom and able to be closed. o Located in areas where Bio-hazardous waste is generated. Mechanical Devices o Tongs or dustpan and broom are available and should be used to pick up contaminated sharps and/or glass. Compliance Methods Hand Washing Facilities o Available in procedure areas, labs, and several areas throughout campus. o Proper hand washing Engineering and Work Practice Controls o Examples are needle-less IV systems, syringes with retracting needles, blunt IV catheters, etc. o Used to prevent or minimize exposure to bloodborne pathogens. o Contaminated needles and other sharps will not be bent, recapped, removed, sheared or purposely broken Compliance Methods Work Area Restrictions o No eating, drinking , storage of food / drink, applying cosmetics, smoking, etc in areas where bloodborne pathogens may be present. o Procedures conducted in a manner to minimize splashing, spraying, or splattering blood or other potentially infectious materials. Specimens o Placed in a color-coded container, which prevents leakage during the collections, handling, processing, storage, and transport of the specimens. Contaminated Equipment o Examined and decontaminated prior to servicing or shipping Compliance Methods Labeling o Containers used to store, transport or ship blood or other potentially infectious materials shall be labeled. o Universal biohazard symbol. Personal Protective Equipment (PPE) When there is still an occupational exposure after engineering and work practice controls have been implemented, PPE is mandatory. o Gloves, face shields eye protection, gowns, etc. o Single use. o Contaminated PPE shall be disposed of in a biohazard waste container. o Proper PPE removal. Proper Glove Removal Housekeeping Requirements o Departments with blood and other potentially infections materials will be disinfected on a regular basis. o Use EPA approved disinfectant or a one to ten part (1:10) bleach / water solution to decontaminate. o Decontaminate work surfaces / equipment immediately after completion of procedures or as soon feasible after spills of blood or other potentially infectious materials. Bio-Hazardous Waste Disposal Bio-hazardous waste shall be disposed of immediately or as soon as feasible in an approved bio-hazard waste container. Bio-hazard Waste Container Disposal Procedure o o o o Don the appropriate PPE. Seal the container Complete Waste Disposal Form Contact Facilities Services to pick up the full container and deliver a new one Sharps Disposal Contaminated sharps shall be disposed of immediately or as soon as feasible in approved sharps disposal containers. Bio-hazard Waste Container Disposal Procedure o Don the appropriate PPE. o Check to make sure the container is sealed, not leaking, has no exposed sharps or visible damage. o Dispose of it in a bio-hazard waste container. o Replace with a new sharps container. Spill Response 1. 2. 3. 4. Secure the area. Contact Facilities Services (Ext. 5555). Remain at the location until Facilities Services arrives. Facilities Services will use the Bloodborne Pathogen Spill Kits to clean-up biohazard spills. Contaminated Laundry o Handle the laundry as little as possible. o Don appropriate PPE. o Place contaminated laundry in properly labeled container. o Report the incident to your Associate Dean / Manager. o Environmental, Health and Safety Coordinator will notify the Fire / EMS Department and arrange for laundering. Contaminated uniforms laundered by an outside contractor shall be placed in a bio-hazardous bag and not comingled with the rest of the laundry. Hepatitis B Vaccination o Available to all employees identified in the Bloodborne Pathogen Exposure Control Plan. o Employees who decline the vaccination shall sign a declination form and can receive the vaccination at a later date as long as they’re still covered by the plan. o Vaccination series consists of three shots. o Administered by a licensed healthcare professional. o Paid for by the employer. Post Exposure Follow-up o Immediately wash the exposed area with warm water and soap. Mouth should be rinsed with mouthwash or water Eyes should be flushed adequately with warm water, or normal saline if available. o Complete Incident Report and report to Associate Dean, Manager and the Environmental, Health and Safety Office. Action Items Quiz Training Acknowledgment Form Acceptance / Declination Form Upon completion, send them to the Environmental, Health and Safety Office (C-210D) If you have any questions regarding WCTC’s Bloodborne Pathogen Exposure Control Plan or this training please contact the Environmental, Health and Safety Office Environmental, Health and Safety Office (262) 691-5226 or Ext 5226