Remember to Remember to Mute All Room Microphone.Mute All Room Microphone.

Place all Cell Phones Place all Cell Phones on Vibrate/Silenton Vibrate/Silent

Remember to Remember to Sign-In on the Attendance Sign-In on the Attendance

RosterRoster

HousekeepingHousekeeping

NYS DEC Health & Safety Unit

New York State Department of Environmental Conservation

This training material presents important information for NYS DEC employees. This program is neither a determination that the conditions and practices of your organization are safe nor a warranty that reliance upon this program will prevent injuries or illnesses.

Bloodborne Pathogens Bloodborne Pathogens are microorganisms are microorganisms (such as viruses)(such as viruses) transmitted through transmitted through blood, or other blood, or other potentially infectious potentially infectious material such as certain material such as certain bodily fluids bodily fluids (semen, (semen, breast milk, etc.)breast milk, etc.) or or tissues.tissues.

Bloodborne PathogensBloodborne Pathogens

Bloodborne Pathogens LawBloodborne Pathogens LawOSHA 29 CFR 1910.1030OSHA 29 CFR 1910.1030

Exposure Control Exposure Control Plan (ECP)Plan (ECP)

Engineering and Engineering and work practice work practice controlscontrols

Personal Personal protective protective equipment (PPE)equipment (PPE)

TrainingTraining

Bloodborne Bloodborne Pathogens Law Pathogens Law (cont.)(cont.)

Medical Medical screening/ screening/ surveillancesurveillance

Free hepatitis B Free hepatitis B vaccinationvaccination

Signs and labelsSigns and labels

RecordkeepingRecordkeeping

Primary WorkplacePrimary Workplace Bloodborne Pathogens Bloodborne Pathogens Human immunodeficiency Human immunodeficiency virus (HIV)virus (HIV)

Hepatitis B virus (HBV)Hepatitis B virus (HBV) Hepatitis C virus (HCV)Hepatitis C virus (HCV)

How Bloodborne Pathogens How Bloodborne Pathogens Can Spread on the JobCan Spread on the Job

Contaminated Contaminated sharp objects or sharp objects or needlesneedles

Broken skin, Broken skin, including rashesincluding rashes

Mucous Mucous membranesmembranes EyesEyes MouthMouth NoseNose

Recognize and Evaluate Your Recognize and Evaluate Your Exposure PotentialExposure Potential

HIVHIV

Four modes of transmission:

1. blood1. blood

2. semen2. semen

3. vaginal secretions3. vaginal secretions

4. breast milk4. breast milk

Virus lives outside the body Virus lives outside the body only a few hoursonly a few hours

HIV attacks your body’s HIV attacks your body’s ability to protect itself ability to protect itself against diseaseagainst disease

Initially no visible signs Initially no visible signs of having the virusof having the virus

Most people with HIV Most people with HIV develop AIDS develop AIDS (acquired (acquired immune deficiency immune deficiency syndrome)syndrome)

There is There is nono vaccination vaccination for HIVfor HIV

Human Immunodeficiency Human Immunodeficiency Virus (HIV)Virus (HIV)

Signs and Symptoms of HIVSigns and Symptoms of HIVSymptoms can include:

•Fever•Swollen glands•Sore throat•Rash•Fatigue•Muscle and joint aches and pains•Headache

A viral infection that A viral infection that causes inflammation of causes inflammation of the liverthe liver

Transmitted primarily Transmitted primarily through “blood to blood” through “blood to blood” contact.contact.

Can lead to serious Can lead to serious conditions such as conditions such as cirrhosis and liver cancer.cirrhosis and liver cancer.

Pathogen can survive in Pathogen can survive in dried blood for up to dried blood for up to seven days.seven days.

There is no “cure” for There is no “cure” for HBV.HBV.

Hepatitis BHepatitis B

Signs and Symptoms Signs and Symptoms Hepatitis B Hepatitis B

Fatigue, malaise, joint aches and low grade Fatigue, malaise, joint aches and low grade fever fever

Nausea, vomiting, loss of appetiteNausea, vomiting, loss of appetite AbdominalAbdominal pain pain Jaundice and dark urine Jaundice and dark urine Headaches Headaches

“…“…1 in 300 1 in 300 infected with infected with HIV”HIV”Milwaukee Journal/Sentinel, July 7, Milwaukee Journal/Sentinel, July 7, 19961996

““one in 20 people one in 20 people has or has had has or has had HepatitisHepatitis””

Hepatitis B StatisticsHepatitis B Statistics

Hepatitis B VaccinationHepatitis B Vaccination

Free to High-Risk EmployeesFree to High-Risk Employees Three doses over 6 monthsThree doses over 6 months Must receive all three dosesMust receive all three doses May decline vaccine (but must sign May decline vaccine (but must sign

waiver)waiver) May receive vaccine laterMay receive vaccine later Very low risk vaccineVery low risk vaccine >90% effective>90% effective

Liver disease caused by Liver disease caused by the Hepatitis C virus.the Hepatitis C virus.

The most chronic The most chronic bloodborne infection.bloodborne infection.

In most cases, Hep C In most cases, Hep C remains in the body and remains in the body and becomes a long-term or becomes a long-term or chronic infection. chronic infection.

Most people do not Most people do not have any symptoms.have any symptoms.

Symptoms may not Symptoms may not appear for many years.appear for many years.

Hepatitis CHepatitis C

Signs and SymptomsSigns and Symptoms Hepatitis C Hepatitis C

FeverFever FatigueFatigue Loss of appetite Loss of appetite Nausea Nausea VomitingVomiting Abdominal pain Abdominal pain Dark urine Dark urine Joint painJoint pain Jaundice Jaundice

Hepatitis CHepatitis C

3-4 million carriers Disease can incubate Disease can incubate

for decadesfor decades HCV not related to HCV not related to

the viruses that the viruses that cause HBA and HBVcause HBA and HBV

UNIVERSAL PRECAUTIONS/UNIVERSAL PRECAUTIONS/

STANDARD PRECAUTIONSSTANDARD PRECAUTIONS

How to Reduce Your RiskHow to Reduce Your Risk

Engineering ControlsEngineering Controls

SSharps with harps with EEngineered ngineered SSharps harps IInjury njury PProtection (SESIP)– a non-rotection (SESIP)– a non-needle sharp or needle with a built-in needle sharp or needle with a built-in safety feature or mechanism that safety feature or mechanism that effectively reduces the risk of an effectively reduces the risk of an exposure incident.exposure incident.

Examples include:Examples include:

Needles and other sharps must be Needles and other sharps must be discarded in rigid, leak-proof, puncture discarded in rigid, leak-proof, puncture resistance containers.resistance containers.

Engineering ControlsEngineering Controls

Work Practice ControlsWork Practice Controls

Don’t Recap NeedlesDon’t Recap Needles

Work Practice ControlsWork Practice Controls When emptying When emptying

trash containers, trash containers, do not use your do not use your hands to hands to compress the compress the trash in the bag.trash in the bag.

Lift and carry the Lift and carry the trash bag away trash bag away from your body.from your body.

Do not eat, drink, Do not eat, drink, smoke, apply smoke, apply cosmetics, or cosmetics, or handle contact handle contact lenses in areas lenses in areas where there is the where there is the possibility of possibility of exposure to BBPexposure to BBP

Work Practice ControlsWork Practice Controls

Use Spill Kit for Clean-upUse Spill Kit for Clean-upKit Includes:Kit Includes: Face Mask GlovesGloves Goggles Sharps Disposal Sharps Disposal

ContainerContainer Absorbent Powder Fluid Control SolidifierFluid Control Solidifier Personal Protective

Equipment Cleaning Pads

Personal Protective EquipmentPersonal Protective Equipment

GlovesGloves MasksMasks Eye protectionEye protection CPR micro shieldsCPR micro shields

Hand WashingHand Washing

Wash hands Wash hands immediately after immediately after removing PPEremoving PPE

Use a soft Use a soft antibacterial soapantibacterial soap

A hand sanitizer A hand sanitizer can be used but can be used but wash with soap wash with soap and water as soon and water as soon as possible.as possible.

First-aid Kits (Mandatory)

Gauze pads (4X4)Gauze pads (4X4) Two large gauze pads Two large gauze pads

(8X10)(8X10) Box of band-aidsBox of band-aids One package gauze One package gauze

roller bandageroller bandage Two triangular Two triangular

bandagesbandages Sealed moistened Sealed moistened

towelettestowelettes ScissorsScissors

At least one blanketAt least one blanket TweezersTweezers Adhesive tapeAdhesive tape Latex or Vinyl glovesLatex or Vinyl gloves Resuscitation Resuscitation

equipmentequipment Two elastic wrapsTwo elastic wraps SplintSplint Directions for Directions for

requesting emergency requesting emergency assistanceassistance

Chainsaw Operators

Unregulated Unregulated Waste LabelingWaste Labeling

Labels not Labels not typically typically required but a required but a good ideagood idea

Liquid or semi-liquid blood or OPIMLiquid or semi-liquid blood or OPIM Contaminated items that would release blood Contaminated items that would release blood

or OPIM in a liquid or semi-liquid state if or OPIM in a liquid or semi-liquid state if compressedcompressed

Items caked with dried blood or OPIM that are Items caked with dried blood or OPIM that are capable of releasing these materials capable of releasing these materials during handlingduring handling

Contaminated sharpsContaminated sharps

Pathological and microbiological Pathological and microbiological wastes containing blood or OPIMwastes containing blood or OPIM

Regulated Waste Regulated Waste

Label All Regulated Label All Regulated Waste ContainersWaste Containers

Labels Labels communicate communicate a hazarda hazard

Place regulated Place regulated waste in containers waste in containers that have the that have the universal universal biohazard symbolbiohazard symbol

The term The term “Biohazard” must “Biohazard” must be on the labelbe on the label

Image Credit: OSHAImage Credit: OSHA

Get Spill Kit from Get Spill Kit from Janitorial ClosetJanitorial Closet

Put on gloves. Put on gloves.

Body Fluid Cleanup Body Fluid Cleanup ProceduresProcedures

If splashing isIf splashing is

anticipated, wearanticipated, wear

protective protective eyeweareyewear

and maskand mask

Body Fluid Cleanup ProceduresBody Fluid Cleanup Procedures

Remove Remove visible visible material material with with absorbent absorbent towelstowels

Body Fluid Cleanup Body Fluid Cleanup ProceduresProcedures

Area should be Area should be decontaminated decontaminated for 10 minutesfor 10 minutes

Once the area Once the area has been has been disinfected, dry disinfected, dry area with area with absorbent towels absorbent towels and dispose of and dispose of towels in regular towels in regular trashtrash

Body Fluid Cleanup Body Fluid Cleanup ProceduresProcedures

Glove Glove removalremoval

and disposaland disposal

techniquetechnique

Body Fluid Cleanup Body Fluid Cleanup ProceduresProcedures

Glove Removal and DisposalGlove Removal and Disposal Grip one glove near the cuff and peel it down until it comes

off inside out. Cup it in the palm of your gloved hand. Place two fingers of your bare hand inside the cuff of the

remaining glove.

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Glove Removal and DisposalGlove Removal and Disposal Peel that Peel that

glove down glove down so that it so that it also comes also comes off inside out off inside out and over the and over the first glove.first glove.

Properly Properly dispose of dispose of the gloves.the gloves.

EHSRM (v. 10/01)EHSRM (v. 10/01)

Wash hands well.Wash hands well.

Body Fluid Cleanup Body Fluid Cleanup ProceduresProcedures

Proper Disposal of Proper Disposal of Contaminated ItemsContaminated Items

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Emergency ActionsEmergency ActionsFollowing ExposureFollowing Exposure

Wash with soap and water or disinfectant Wash with soap and water or disinfectant

If water not available, use antiseptic toweletteIf water not available, use antiseptic towelette

Seek Medical Attention ImmediatelySeek Medical Attention Immediately

Notify supervisor Notify supervisor

Post Exposure Evaluation Post Exposure Evaluation

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Accident/Injury ReportAccident/Injury Report

Complete Complete report as soon report as soon as possible as possible after incidentafter incident

Turn in to your Turn in to your supervisorsupervisor

Call ARS Call ARS 1 (888) 800-1 (888) 800-00290029

Post-Exposure EvaluationPost-Exposure Evaluation

Confidential medical Confidential medical

evaluationevaluation

Document route of exposureDocument route of exposure

Identify source individualIdentify source individual

Test source person’s bloodTest source person’s blood Post exposure prophylaxis Post exposure prophylaxis

(PEP)(PEP) Provide results to source and Provide results to source and

exposed employeesexposed employees

Record KeepingRecord Keeping MaintainMaintain duration of the employment duration of the employment

PLUS 30 yearsPLUS 30 years

Records must be kept Records must be kept CONFIDENTIAL!CONFIDENTIAL!

Records are available to the employee and the Records are available to the employee and the employees designated representativeemployees designated representative

Record all needlesticks and sharps injuriesRecord all needlesticks and sharps injuries

as an injury on SH 900 log as an injury on SH 900 log

Bloodborne Pathogen QuizBloodborne Pathogen Quiz

1. HIV, HBV, and HCV can be transmitted 1. HIV, HBV, and HCV can be transmitted when infected bodily fluids directly when infected bodily fluids directly contact the eyes or nonintact skin.contact the eyes or nonintact skin.

True or FalseTrue or False2. The risk of exposure to bloodborne 2. The risk of exposure to bloodborne

pathogens is only possible when blood pathogens is only possible when blood is present in the bodily fluid.is present in the bodily fluid.

True or FalseTrue or False

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Bloodborne Pathogen QuizBloodborne Pathogen Quiz

3. Treating all blood/body fluids as infected is known as _______________Precautions.

4. HIV stays alive in dried blood. True or False

5. Name three of the most common bloodborne pathogens: ___________, ______________ and ____________.

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Universal

HIV/AIDS Hepatitis BHepatitis C

For Additional Assistance, For Additional Assistance, Contact the Health & Safety Contact the Health & Safety

Unit StaffUnit StaffMichelle Glover-Brown, MPH - Director, H&S UnitMichelle Glover-Brown, MPH - Director, H&S Unit

Nanette Geary, BA – Associate Industrial HygienistNanette Geary, BA – Associate Industrial Hygienist

Edward Kusckar, MS – Associate Industrial HygienistEdward Kusckar, MS – Associate Industrial Hygienist

Mary Lanzi, BS – Senior Industrial HygienistMary Lanzi, BS – Senior Industrial Hygienist

Email: Email: hsmailbx@gw.dec.state.ny.us

Phone: (518) 402-9381Phone: (518) 402-9381

Bloodborne DiseasesBloodborne DiseasesAny Questions?Any Questions?