bloodborne pathogen training plymouth joint school district employees 2013—2014 school year

Bloodborne Pathogen Training Bloodborne Pathogen Training Plymouth Joint School District Plymouth Joint School District

EmployeesEmployees

2013—2014 School Year2013—2014 School Year

IntroductionIntroduction

As sure as the sun comes up every day, children As sure as the sun comes up every day, children end up with scraped knees, cuts, and bruises. end up with scraped knees, cuts, and bruises. Students of all ages hurt themselves on the Students of all ages hurt themselves on the playground, in the classroom, and on the playing playground, in the classroom, and on the playing field. As a professional in our educational system, field. As a professional in our educational system, you need to be aware of you need to be aware of thethe potential danger of potential danger of bloodborne pathogens.bloodborne pathogens.

IntroductionIntroduction

In an educational setting, the school system is required to In an educational setting, the school system is required to identify the personnel whose job duties expose them to identify the personnel whose job duties expose them to blood and potentially infectious body fluids. Not every blood and potentially infectious body fluids. Not every educator is occupationally exposed to bloodborne educator is occupationally exposed to bloodborne pathogens while performing his or her job. pathogens while performing his or her job. However,However, it is it is important for everyone in an educational setting to important for everyone in an educational setting to understand the dangers of infection and the safety understand the dangers of infection and the safety procedures to minimize risk.procedures to minimize risk.

The Facts on Bloodborne The Facts on Bloodborne DiseasesDiseases

The 3 deadliest bloodborne diseases are:The 3 deadliest bloodborne diseases are:– HBV – Hepatitis B VirusHBV – Hepatitis B Virus– HCV – Hepatitis C VirusHCV – Hepatitis C Virus– HIV – Human Immunodeficiency VirusHIV – Human Immunodeficiency Virus

These 3 viruses pose the greatest risk These 3 viruses pose the greatest risk to you on to you on the job.the job.

HBV and HIV are the 2 most common diseases HBV and HIV are the 2 most common diseases carried by blood.carried by blood.

The Facts on Bloodborne The Facts on Bloodborne Diseases Cont’dDiseases Cont’d

Research shows that proper Research shows that proper safety precautionssafety precautions greatly reduce the risk of coming in contact with greatly reduce the risk of coming in contact with one of the three viruses.one of the three viruses.

To reduce your risk:To reduce your risk:– Handle allHandle all blood and body fluids as if they are blood and body fluids as if they are

infected.infected.– Dispose of sharps (needles) safely.Dispose of sharps (needles) safely.– Use sharp safety devices.Use sharp safety devices.

Do not recap needlesDo not recap needles


HBV is a serious liver disease. HBV is a serious liver disease. – Most people infected with HBV recover, but Most people infected with HBV recover, but

10% become chronically infected.10% become chronically infected. There is no cure for HBV.There is no cure for HBV. HBV poses a greater risk than HCV & HIV HBV poses a greater risk than HCV & HIV

because it is more easily transmitted.because it is more easily transmitted. HBV HBV can be preventedcan be prevented by taking the HBV by taking the HBV

vaccine and taking appropriate safety vaccine and taking appropriate safety precautions.precautions.


People infected with HBV and HCV may not People infected with HBV and HCV may not exhibit symptoms of the disease; however, exhibit symptoms of the disease; however, the infection slowly damages the liver.the infection slowly damages the liver.

½ of the people infected with HBV and ¾ of ½ of the people infected with HBV and ¾ of the people infected with HCV exhibit no the people infected with HCV exhibit no symptoms.symptoms.


HIV attacks the human immune system and HIV attacks the human immune system and causes it to break down.causes it to break down.

There is There is no knownno known preventative vaccine for preventative vaccine for HIV.HIV.

TransmissionTransmission

HBV, HCV, and HIV are most HBV, HCV, and HIV are most easily easily transmittedtransmitted by a person coming in contact by a person coming in contact with blood.with blood.

They can also be contacted through Other They can also be contacted through Other Potentially Infected Material (OPIM).Potentially Infected Material (OPIM).

OPIMs include:OPIMs include:– SemenSemen– Vaginal SecretionsVaginal Secretions– Other body fluids with visible blood.Other body fluids with visible blood.


Bloodborne viruses are most commonly Bloodborne viruses are most commonly transmitted by:transmitted by:– Sharing needles to inject drugs.Sharing needles to inject drugs.– Having unprotected sex with an infected person.Having unprotected sex with an infected person.– Transmitting the virus from mother to unborn Transmitting the virus from mother to unborn

child during pregnancy.child during pregnancy.


Bloodborne viruses at Bloodborne viruses at workwork are transmitted are transmitted mostly by:mostly by:– A contaminated sharp punctures the skinA contaminated sharp punctures the skin– Contaminated blood splashes onto broken skin Contaminated blood splashes onto broken skin

or the mucous membranes of the eyes, nose, or or the mucous membranes of the eyes, nose, or mouth.mouth.


Contaminated surfacesContaminated surfaces are a major cause are a major cause of the spread of hepatitis. HBV can survive of the spread of hepatitis. HBV can survive on environmental surfaces, dried and at on environmental surfaces, dried and at room temperature for at least one week.room temperature for at least one week.

Transmission cont’dTransmission cont’d

The keys to preventing infection are:The keys to preventing infection are:– UnderstandingUnderstanding the dangers you face the dangers you face– Knowing Knowing howhow to protect yourselfto protect yourself

Universal PrecautionsUniversal Precautions– You need to consider that You need to consider that every person, all every person, all

blood, and most body fluidsblood, and most body fluids are potential are potential carriers of infectious disease.carriers of infectious disease.

Safety GuidelinesSafety Guidelines

Your school’s Your school’s Exposure Control PlanExposure Control Plan outlines the safety methods that can outlines the safety methods that can helphelp preventprevent you from becoming infected with you from becoming infected with bloodborne viruses.bloodborne viruses.

OSHA highly recommends receiving the OSHA highly recommends receiving the immunization for HBV.immunization for HBV.

Remember, there are Remember, there are no vaccinesno vaccines for HCV for HCV and HIV, so it is important to and HIV, so it is important to follow all follow all safety precautions. safety precautions.

Personal Protective Equipment Personal Protective Equipment (PPE)(PPE)

The type of protective equipment The type of protective equipment appropriate for your job varies with the task appropriate for your job varies with the task and the degree of exposure you anticipate. and the degree of exposure you anticipate.

Personal Protective Equipment Personal Protective Equipment (PPE) cont’d(PPE) cont’d

Equipment that protects you from contact Equipment that protects you from contact with blood or other PIMs include:with blood or other PIMs include:– Gloves – Man’s Second Best Friend!!!!Gloves – Man’s Second Best Friend!!!!– Gowns, Aprons, Lab CoatsGowns, Aprons, Lab Coats– Face Shields, Protective Eye WearFace Shields, Protective Eye Wear– Masks, Mouthpieces, Resuscitation BagsMasks, Mouthpieces, Resuscitation Bags

Personal Protective Equipment Personal Protective Equipment (PPE) cont’d(PPE) cont’d

The PPE must fit properly, especially The PPE must fit properly, especially gloves.gloves.

All PPE must be All PPE must be free of physical flawsfree of physical flaws that that could compromise safety.could compromise safety.

You must use appropriate PPE each time You must use appropriate PPE each time you perform a task involving OPIMs.you perform a task involving OPIMs.


Gloves should be removed Gloves should be removed when they when they become contaminated or damaged or become contaminated or damaged or immediately after finishing the taskimmediately after finishing the task. You . You must follow a safe procedure for glove must follow a safe procedure for glove removal, being careful that no pathogens removal, being careful that no pathogens from the soiled gloves contact your hands.from the soiled gloves contact your hands.


Glove RemovalGlove Removal– With both hands gloved, peel one glove off from top to With both hands gloved, peel one glove off from top to

bottom and hold it in the gloved hand.bottom and hold it in the gloved hand.– With the exposed hand, peel the second glove from With the exposed hand, peel the second glove from

the inside, tucking the first glove inside the second.the inside, tucking the first glove inside the second.– Dispose of the entire bundle promptly.Dispose of the entire bundle promptly.– Never touch the outside of the glove with bare skin.Never touch the outside of the glove with bare skin.– Every time you remove your gloves, wash your hands Every time you remove your gloves, wash your hands

with soap and running water as soon as you possibly with soap and running water as soon as you possibly can.can.

Standard PrecautionsStandard Precautions

Treat allTreat all blood and body fluids, excretions blood and body fluids, excretions and secretions (except sweat), non-intact and secretions (except sweat), non-intact skin, and mucous membranes as though skin, and mucous membranes as though they are infected with bloodborne viruses or they are infected with bloodborne viruses or other pathogens.other pathogens.

Hand washingHand washing is the is the #1 protection#1 protection against against infection.infection.

Standard Precautions cont’dStandard Precautions cont’d

Watch for fluorescent orange-red labels, red Watch for fluorescent orange-red labels, red bags, and containers with a biohazard bags, and containers with a biohazard symbol. This symbol will symbol. This symbol will warn warn you when you when the contents of containers are used for the contents of containers are used for waste, storage, or shipping contain blood or waste, storage, or shipping contain blood or OPIMs.OPIMs.

Hand WashingHand Washing

Wash hands after coming in contact with blood, Wash hands after coming in contact with blood, body fluids, excretions, and secretions body fluids, excretions, and secretions even if even if wearing gloveswearing gloves..

Hand Washing StepsHand Washing Steps– Use soap and running water for 10-15 seconds.Use soap and running water for 10-15 seconds.– Rub vigorously over all surfaces, including above your Rub vigorously over all surfaces, including above your

wrists.wrists.– Rinse thoroughly and dry with a clean paper towel and Rinse thoroughly and dry with a clean paper towel and

discard.discard.– Use a clean paper towel to turn off the faucet and Use a clean paper towel to turn off the faucet and

discard.discard.

Safe Practices to FollowSafe Practices to Follow

Do not eat, drink, or smoke when you are Do not eat, drink, or smoke when you are likely to be exposed to blood or body fluids.likely to be exposed to blood or body fluids.

Do not handle contact lenses or apply Do not handle contact lenses or apply cosmetics/lip balm when exposure is cosmetics/lip balm when exposure is possible.possible.

Never keep food and drink in places where Never keep food and drink in places where blood and OPIMs are present. blood and OPIMs are present.

Safe Practices to Follow cont’dSafe Practices to Follow cont’d

Clean all blood and bodily fluid spills Clean all blood and bodily fluid spills promptly according to the Exposure Control promptly according to the Exposure Control Plan. Call your custodian.Plan. Call your custodian.

Keep work surfaces and protective Keep work surfaces and protective coverings clean.coverings clean.

Trash may contain contaminated sharps and Trash may contain contaminated sharps and shards, so never push down with your shards, so never push down with your hands and feet.hands and feet.

HousekeepingHousekeeping

Effective housekeeping strategies include:Effective housekeeping strategies include:– Clean and decontaminate all material with the Clean and decontaminate all material with the

appropriate disinfectant.appropriate disinfectant.– Use a broom and dust pan to pick up broken Use a broom and dust pan to pick up broken

glass instead of your hands.glass instead of your hands.– Dispose of sharps and OPIMs in appropriately Dispose of sharps and OPIMs in appropriately

marked containers.marked containers.– Handle contaminated laundry as little as Handle contaminated laundry as little as

possible. possible.

What to do if Exposed?What to do if Exposed?

Do not panic if you are exposed to blood or other body Do not panic if you are exposed to blood or other body fluids.fluids.

Immediately wash the skin area with soap and water.Immediately wash the skin area with soap and water. If blood or OPIM comes in contact with your eyes, If blood or OPIM comes in contact with your eyes,

immediately flush them with large amounts of clean, immediately flush them with large amounts of clean, running water.running water.

Do not use caustic agents, such as bleach to clean Do not use caustic agents, such as bleach to clean contacted skin areas. They can damage the skin.contacted skin areas. They can damage the skin.

Report the incident. To whom???????????Report the incident. To whom???????????

Report the incident to the school Report the incident to the school nurse or Principal immediatelynurse or Principal immediately

Your school nurses are:Your school nurses are: Mary Peschke RN, BSN, NCSNMary Peschke RN, BSN, NCSN oror Sara Stout RN, BSNSara Stout RN, BSN

What do they do?What do they do?

Remind employee to complete Worker’s Remind employee to complete Worker’s Compensation report.Compensation report.

Facilitate medical appointment and Facilitate medical appointment and treatment within 24 hours.treatment within 24 hours.

Have secretary provide Worker’s Comp Have secretary provide Worker’s Comp Medical Treatment RequestMedical Treatment Request

Provide appropriate documentation of Provide appropriate documentation of incident.incident.

What information should be What information should be brought to clinic or ER?brought to clinic or ER?

Worker’s Compensation Medical Treatment Worker’s Compensation Medical Treatment RequestRequest

Description of the incidentDescription of the incident Vaccination history including Hepatitis B Vaccination history including Hepatitis B

immunization datesimmunization dates

In the event of In the event of studentstudent exposure: exposure:

Notify your school nurseNotify your school nurse Who are they again?Who are they again? Mary Peschke RN, BSN, NCSNMary Peschke RN, BSN, NCSN Sara Stout RN, BSNSara Stout RN, BSN Or your building PrincipalOr your building Principal

What do they do this time?What do they do this time?

Notify parents of exposed student and of Notify parents of exposed student and of source student on the same day as incident.source student on the same day as incident.

Inform parents that any exposure to Inform parents that any exposure to another’s body fluids can present a risk of another’s body fluids can present a risk of infection or disease.infection or disease.

Encourage medical attention within 24 hoursEncourage medical attention within 24 hours Ensure that exposure incident report is Ensure that exposure incident report is

completed and filed appropriately.completed and filed appropriately.

Stay Safe!Stay Safe!

Your best tool to prevent infection is to Your best tool to prevent infection is to follow the work practices discussed in this follow the work practices discussed in this presentation.presentation.

If you feel you would like more information If you feel you would like more information regarding bloodborne pathogens, please regarding bloodborne pathogens, please contact your school nurse.contact your school nurse.

Stay Safe!Stay Safe!

Protecting yourself from bloodborne Protecting yourself from bloodborne diseases on the job requires diseases on the job requires knowing the knowing the facts and taking sensible precautionsfacts and taking sensible precautions.. Backed by OSHA’s Bloodborne Pathogens Backed by OSHA’s Bloodborne Pathogens Standards and your school’s Exposure Standards and your school’s Exposure Control Plan, you can confidently protect Control Plan, you can confidently protect yourself from bloodborne infection and yourself from bloodborne infection and safely give our children their most valuable safely give our children their most valuable asset, an education.asset, an education.

Documentation certificateDocumentation certificate

To print your documentation certificate, copy To print your documentation certificate, copy and paste the URL below into the address and paste the URL below into the address bar at the top of your internet browser (i.e. bar at the top of your internet browser (i.e. Internet Explorer, Google Chrome, etc.).Internet Explorer, Google Chrome, etc.).

http://www.plymouth.k12.wi.us/Schools/DIS/http://www.plymouth.k12.wi.us/Schools/DIS/images/2013BBPtraining.pdf images/2013BBPtraining.pdf

Sign the documentation and return it to your Sign the documentation and return it to your school secretary by Oct. 15, 2013.school secretary by Oct. 15, 2013.

bloodborne pathogen training plymouth joint school district employees 2013—2014 school year

Documents

infected person

bloodborne diseases

deadliest bloodborne

bloodborne diseases

bloodborne diseasesthe

visible blood

hbv vaccine

hcv hiv