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Infection Prevention at Camp & Blood borne Pathogens Many thanks to our friends at Camp Hertko Hollow for providing this presentation. Camp Hertko Hollow 101 Locust St. Des Moines, IA 50309 Ann Wolf, Executive Director 515-471-8523 [email protected] Vivian Murray, Camp Director 352-750-6759 or 888-437-8652 (Toll free) [email protected] This presentation is intended to be a general guide that will help you create a thorough staff training tool for your camp. It is not intended to be a comprehensive resource or to fully cover the topic. We hope you will take this presentation and adapt it so that it fits your camp’s specific needs and meets the guidelines established for the safe and effective operation of your program. Each diabetes camp operates under detailed policies and procedures that follow Board of Health and national accreditation standards that ensure the health and safety of children with diabetes. It is essential that camp staff be trained according to your camp’s policies and procedures. Staff should be encouraged to carefully review materials before arriving at camp, participate fully in pre-camp training, ask questions and use good judgment as they provide diabetes management supervision and educate youth with diabetes at camp. While doing so, it is equally important that camp staff not lose focus – camp is a place for youth to have fun with peers – to feel supported and understood, and to feel part of a passionate community. Good luck! Agencies working to protect you from blood borne disease Occupational Safety and Health Administration (OSHA) Compliance with law is required The Center for Disease Control (CDC) guidelines or standards of practice. Not required by law. OSHA Standard Copy & Explanation Exposure Control Plan What are considered sharps at camp? All needles Lancet devices Pen needles Needle devices used establishing pump sites Ways you can be exposed at camp Puncture wound A cut or break in the skin Mucus membranes exposure Engineering Controls Dispose of all sharps in a sharps container. When the sharps container is full, close the lid tightly and return to the Health Lodge or Shoot ‘em Up Shack. Never open a sharps container. Wear gloves when checking a campers blood sugar or administering first aid. Work Practice Controls Do not recap needles Use the lancet devices provided by camp Dispose of all sharps in the sharps containers Teach campers to use a one handed scoop technique if they must recap a needle Safe Work Practices Wear gloves (PPE) Use a resuscitation device for mouth to mouth breathing Clean up spills of blood or body fluids promptly Cover open wounds Soiled Linens Hold soiled linens away from your body Wear gloves with handling soiled linens Place soiled linens in plastic bag for transport to the laundry room Wear gloves to place soiled linens in washing machine Glove use Gloves are single use only and must be changed between campers Gloves are to be disposed of immediately after use and hand hygiene performed Shoot ‘em Up Shack Safety Only kids requiring insulin injections should be in the building Limit conversation between campers while they are preparing and administering their shots Campers should dispose of their own syringes and needles Campers should never walk around with uncovered needles Blood Borne Diseases Hepatitis B and C Are viruses that affect the liver and are caused by blood borne pathogens Both can cause serious liver disease leading to liver failure and death Differences between Hepatitis B and C Hepatitis B A vaccine is available Easily spread through Body fluids and blood Commonly experience “flu-like” symptoms Approximately 1.2 million people have Hepatitis B Hepatitis C No vaccine Spread blood-blood Can develop into a chronic form Most do not show symptoms Approximately 4.5 million have Hepatitis C HIV Human Immunodeficiency Virus Virus that causes AIDS No Vaccine No cure, but treatment options have improved. Can have the virus for many years before symptoms occur Exposure Incident A specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an volunteer's duties. What if you are exposed? Clean exposed area with soap and water immediately If a mucous membrane exposure has occurred flush the area with large amounts of water Report to the Health Lodge immediately or as soon as possible after the exposure Infection Prevention Hand washing is the single most important thing you can do to prevention the spread of infection. Hand Hygiene Wash hands before checking blood sugars Wash before and after meals Wash after using the rest room Wash after coughing, sneezing or blowing nose After riding horses or touching other animals Hand Hygiene with soap & water Soap and water must be used when hands a visibly soiled or before testing blood sugars. In order for hand washing with soap and after to be effective it must be done for 20 seconds Hand Gels Should not be used when checking blood sugars (the results can be altered) Do not use when hand a visibly soiled Can be used after removing gloves before meals/snacks CA-MRSA Community Acquired Methicillin Resistant Staphylococcus Aureus Bacteria that is resistant to some antibiotics Easily transmitted person to person CA-MRSA Presents as skin and soft tissue infections Often described as “spider bites” CA-MRSA Risk Factors Youth Contact sports Sharing towels or athletic equipment Weakened immune system Living in crowed or unsanitary conditions Recent antibiotic use How it is spread Person to person contact Poor hygiene Close skin to skin contact Contaminated items such as athletic equipment In crowded living conditions CA-MRSA Prevention Never share towels, clothing or linens Keep all wounds covered Shower daily Continue to administer any antibiotics a child is on while at camp Hand hygiene If necessary limit participation in contact sports CA-MRSA Treatment Incision and Drainage (I&D) I&D plus antibiotics Antibiotics alone HIPAA HIPAA Health Information Portability and Accountability Act Federal law HIPAA compliance has several requirements, but the one that applies to all of us at camp is handling medical information confidentially HIPAA Do not remove medical records from the health lodge and review them in a private place Do not share information about campers with anyone If you have a concern related to a camper ask to speak to one of the health lodge staff in private Questions??