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Bloodborne Pathogen Training Operation Strong Safety James G Vretis, DO MAJ, MC, TXSG ACC Staff Surgeon What Are Bloodborne Pathogens? Bloodborne pathogens are microorganisms such as viruses or bacteria that are carried in blood and can cause disease in people Bloodborne Diseases HIV: Human Immunodeficiency Virus causes AIDS - no cure or vaccination HBV: Hepatitis B virus causes liver disease - vaccination available Non-A or Non-B Hepatitis Syphilis Malaria HBV Or Hepatitis Inflammation of the liver - most common bloodborne disease Is transmitted primarily through "blood to blood" contact Symptoms range from flu-like to none at all No symptoms - person is infectious and can spread the disease. Can survive in dried blood and surfaces for up to seven days Hepatitis infects about 300,000 people in USA annually Can lead to serious conditions such as cirrhosis & liver cancer HBV Symptoms Mild flu-like symptoms Fatigue Possible stomach pain Loss of appetite Nausea Jaundice Darkened urine HIV or AIDS Acquired Immune Deficiency Syndrome Attacks the body’s immune system and weakens it, preventing it from fighting other diseases 35,000 people are infected annually An infected person may carry the virus for years before symptoms appear No cure and no vaccine at present HIV & Direct Contact The HIV virus is very fragile and will not survive very long outside of the human body. It is primarily of concern to employees providing first aid or medical care in situations involving fresh blood or other potentially infectious materials. Means Of Transmission Sexual contact with an infected partner Sharing infected needles Accidentally cutting yourself with a sharp object that is contaminated Infected blood or body fluid on skin with open cuts, sores Getting contaminated blood or body fluid in eyes, mouth Protect Yourself Universal Precautions Treat all blood and body fluids as potentially infectious Skin protects from pathogens - cuts, dermatitis, chapping, small cracks allow germs to enter the body First aid - use gloves, have as little contact as possible with blood or body fluids Wash hands with antibacterial soap after contact After contact, flush eyes and face with fresh water for several minutes Clean-up And Housekeeping After an accident, the entire area must be cleaned with disinfectant Cleaning equipment must be disinfected Wear gloves while cleaning, apron or goggles if appropriate Restrict access to the area Use disposable towels - dispose of properly Other Exposure Hazards Cleaning surfaces contaminated with blood, vomit feces ALWAYS wear gloves and protective apron or clothing Be alert for sharp objects, broken glassware, used syringes in trash Do not pick up broken glass - use brush or broom & dustpan Dispose of glass, sharp objects safely Laundry - bloody or contaminated linens or sharp objects Signs & Labels Warning labels must be placed on containers of regulated waste, refrigerators and freezers containing blood or other potentially infectious material; and other containers used to store, transport, or ship blood or other potentially infectious materials. Regulated Waste Any liquid or semi-liquid blood or other potentially infectious materials. Contaminated items that would release blood or other potentially infectious materials in a liquid or semi-liquid state if compressed. Items that are caked with dried blood or other potentially infectious materials Emergencies In an emergency situation, always use Universal Precautions Minimize your exposure by wearing Gloves Splash goggles Pocket mouth-to-mouth resuscitation masks Other barrier devices Common Sense Rules Wash hands & remove protective clothing before eating, drinking, smoking, handling contact lenses, or cosmetics Use antibacterial soap Keep hands away from eyes, nose, mouth while cleaning Frequent hand washing is best defense against spreading infection If You Are Exposed Wash the exposed area thoroughly with soap and running water. Use non-abrasive, antibacterial soap Flush mouth, nose, eyes for 15 minutes if blood is splashed in mucous membranes Other Actions If Exposed Report the exposure to your supervisor Fill out an exposure report form Request blood testing & Hepatitis B vaccination PPE The best protection against exposure is to ensure you are wearing the appropriate personal protective equipment (PPE). For example, you may have noticed that emergency medical personnel, doctors, nurses, dentists, dental assistants, and other health care professionals always wear latex or protective gloves. To protect yourself, it is essential to have a barrier between you and the potentially infectious material. Rules To Follow: Treat all blood or potentially infectious body fluids as if they are contaminated. Always wear personal protective equipment in exposure situations. Replace PPE that is torn or punctured. Remove PPE before leaving the work area. Properly disinfect or dispose of used PPE Wash hands immediately after removing PPE Gloves Gloves should be made of latex, nitril, rubber, or other water impervious materials. Inspect gloves before use Double gloving can provide an additional layer of protection. If you have cuts or sores on your hands, you should cover these with a bandage or similar protection as an additional precaution before donning your gloves. Don’t touch the outside of used gloves Other PPE Use goggles if there is a risk of splashing or vaporization of contaminated fluids Face shields provide additional face protection for the nose and mouth. Aprons protect Contaminated Clothing Remove clothing that is contaminated with blood as soon as possible Use Universal Precautions when handling contaminated laundry Place clothing in approved & labeled bags or containers Summary Protect yourself on and off the job - know the facts Practice good personal hygiene Use gloves and protective clothing Wash your hands often, after work or exposure Keep areas clean - report problems immediately to supervisors If it is wet, and not yours: Don’t touch it! 24 James G Vretis, DO MAJ, MC, TXSG ACC Staff Surgeon [email protected] 25