Bloodborne Bloodborne PathogensPathogens

OSHA’s Bloodborne Pathogens Standard

29 CFR 1910.1030The Occupational Safety & Health

Administration (OSHA), has a regulation that requires employers

toestablish safety procedures to

protect employees who may be exposed to blood as a part

of their job duties.

Your school has a written “Exposure Control Plan” that is kept in the district office and is available to

youupon request.

This course will cover the basics of this plan.

Exposure Exposure DeterminationDetermination

Occupationally Occupationally ExposedExposed

Coaching StaffCoaching StaffNursing StaffNursing StaffCustodial StaffCustodial StaffPlayground Playground SupervisorsSupervisors

Occupational Exposure May Occupational Exposure May OccurOccur

Secretaries-ElementarySecretaries-Elementary Custodial-LaundryCustodial-Laundry Phy Ed, Shop, Arts, FACs teachersPhy Ed, Shop, Arts, FACs teachers Special Education StaffSpecial Education Staff Speech teachersSpeech teachers

If you do not fall into an occupationally exposed group, your

employer may still ask you to participate in training so that youunderstand agency policies and

procedures

WHAT ARE WHAT ARE BLOODBORNE BLOODBORNE PATHOGENS?PATHOGENS?

Bloodborne pathogens are Bloodborne pathogens are microorganismsmicroorganisms

that can be transmitted that can be transmitted through human blood.through human blood.

This This training will cover training will cover three bloodborne three bloodborne

pathogenspathogens..Hepatitis B (HBV)Hepatitis B (HBV)Hepatitis C (HCV)Hepatitis C (HCV)Human Immunodeficiency Virus Human Immunodeficiency Virus

(HIV)(HIV)

Hepatitis B Hepatitis B VirusVirus

Hepatitis B is a Viral Hepatitis B is a Viral Infection of the Liver that is Infection of the Liver that is

a very contagious and a very contagious and dangerous disease.dangerous disease.

The virus can live up to one The virus can live up to one week in dried blood.week in dried blood.

HBVHBV

100 Times More Contagious Than HIV100 Times More Contagious Than HIV No Cure, But There Is a Preventive No Cure, But There Is a Preventive

VaccineVaccine Cannot Be Identified From Other Cannot Be Identified From Other

Forms Without TestingForms Without Testing More than 5,000 people die annually More than 5,000 people die annually

fromfrom

HBV-related chronic liver disease.HBV-related chronic liver disease.

Symptoms of HBVSymptoms of HBV

Fatigue Fatigue Abdominal PainAbdominal Pain Appetite LossAppetite Loss Joint PainJoint Pain NauseaNausea JaundiceJaundice 30% of infected people have no 30% of infected people have no

symptomssymptoms

Hepatitis C Hepatitis C VirusVirus

Hepatitis C is a viral infection Hepatitis C is a viral infection of the liver that affects of the liver that affects

approximately 3.9 million approximately 3.9 million Americans.Americans.

It is the leading indication for It is the leading indication for liver transplantsliver transplants

There is no preventative There is no preventative vaccine for the virusvaccine for the virus

Symptoms of HCVSymptoms of HCV

Dark UrineDark Urine FatigueFatigue Appetite LossAppetite Loss Jaundice Jaundice Fever Fever Joint PainJoint Pain 80% of people have no symptoms80% of people have no symptoms

Human Immunodeficiency Human Immunodeficiency VirusVirusHIVHIV

Human Immunodeficiency Virus Human Immunodeficiency Virus (HIV) attacks the body’s (HIV) attacks the body’s

immune system, destroying the immune system, destroying the body’s ability to fight off body’s ability to fight off

infection.infection.

HIV causes the disease known HIV causes the disease known as AIDS.as AIDS.

There is no cure or vaccineThere is no cure or vaccine

Aids is always fatalAids is always fatal

Symptoms of HIVSymptoms of HIV Rapid weight lossRapid weight loss Dry CoughDry Cough Recurring fever or profuse night sweatsRecurring fever or profuse night sweats Profound and unexplained fatigueProfound and unexplained fatigue Swollen lymph gland in the armpits, groin or neckSwollen lymph gland in the armpits, groin or neck White spots or unusual blemishes on the tougue, White spots or unusual blemishes on the tougue,

in the mouth or in the throatin the mouth or in the throat PneumoniaPneumonia Red, brown, pink or purplish blotches on or under Red, brown, pink or purplish blotches on or under

the skin or inside the mouth, nose or eyelidsthe skin or inside the mouth, nose or eyelids Memory loss, depression and other neurological Memory loss, depression and other neurological

disorders disorders

How does Exposure How does Exposure Occur?Occur?

These bloodborne These bloodborne pathogens are all pathogens are all

transmittedtransmittedthe same way - through the same way - through

internal exposure to internal exposure to contaminated blood, body contaminated blood, body

fluids fluids containing visible blood, containing visible blood,

or certain other body fluids,or certain other body fluids,such as semen andsuch as semen and vaginal secretions. vaginal secretions.

Means of Workplace Means of Workplace TransmissionTransmission

If contaminated blood or body fluids containing blood contacts your broken skin. Broken skin is skin with cuts, nicks, abrasions, acne or dermatitis

If blood or body fluids containing blood comes in contact with mucous membranes of your nose, eyes or mouth.

If you are cut with a sharp object contaminated by infected blood.

How do you Protect How do you Protect Yourself?Yourself?

Your agency’s exposure control plan lists specific procedures

employees must follow to protect themselves on the job. Thistraining will outline these

procedures under the following categories:

Universal PrecautionsUniversal Precautions Engineering Controls and Work Practice Engineering Controls and Work Practice

ControlsControls Personal Protective Equipment (PPE)Personal Protective Equipment (PPE) HousekeepingHousekeeping Hepatitis B VaccinationHepatitis B Vaccination

Universal Universal PrecautionsPrecautions

Universal precaution Universal precaution means to assume, and means to assume, and treat, all human blood treat, all human blood

and and certain human body fluids certain human body fluids

as if they are as if they are infectious for HIV, HBV, infectious for HIV, HBV,

and other and other bloodborne pathogens.bloodborne pathogens.

Engineering and Engineering and Work Practice Work Practice

ControlsControls

Engineering and Work Engineering and Work Practice Controls will be used Practice Controls will be used

to prevent or minimize to prevent or minimize exposure to bloodborne exposure to bloodborne

pathogenspathogens

Examples of engineering and Examples of engineering and work place controlswork place controls

Sharps Containers for needles will be Sharps Containers for needles will be providedprovided

Handwashing facilities will be readily Handwashing facilities will be readily accessible to employeesaccessible to employees

Eating, drinking, smoking, applying Eating, drinking, smoking, applying cosmetics or lip balm, and handling cosmetics or lip balm, and handling contact lenses are prohibited in work contact lenses are prohibited in work areas where there is a reasonable areas where there is a reasonable likelihood of occupational exposure.likelihood of occupational exposure.

Personal Personal Protective Protective EquipmentEquipment

(PPE)(PPE)

PPE is specialized clothing or PPE is specialized clothing or equipment that is worn by an equipment that is worn by an

employee for protection employee for protection against infectious agents.against infectious agents.

GlovesGloves Eye protectionEye protection MasksMasks Face shieldsFace shields GownsGowns ApronsAprons

HousekeepingHousekeeping

Housekeeping IssuesHousekeeping Issues

Custodial Staff should be contacted for cleanupCustodial Staff should be contacted for cleanup All equipment, environmental surfaces and All equipment, environmental surfaces and

working surfaces shall be cleaned and working surfaces shall be cleaned and decontaminated after contact with blood or decontaminated after contact with blood or other potentially infected fluids.other potentially infected fluids.

Contaminated broken glass should not be Contaminated broken glass should not be picked up by hand, and should be placed in a picked up by hand, and should be placed in a puncture proof container.puncture proof container.

Garbage should not be handled with bare Garbage should not be handled with bare hands.hands.

Hepatitis B Hepatitis B VaccinationVaccination

.. The Hepatitis B The Hepatitis B

Vaccinations are Vaccinations are available to available to occupationally exposed occupationally exposed staff at no cost to the staff at no cost to the employee. The employee. The vaccination is a three vaccination is a three shot series. If you shot series. If you choose to decline the choose to decline the vaccine you will be vaccine you will be required to sign a required to sign a declination form. You declination form. You may request the may request the vaccination at a later vaccination at a later date if you initially date if you initially declinedecline

What do you do if What do you do if you are Exposed?you are Exposed?

If you are exposed:If you are exposed:

Wash or flush the affected area Wash or flush the affected area immediately immediately

Report the incident immediatelyReport the incident immediately You will be offered a confidential You will be offered a confidential

medical evaluation and follow-up.medical evaluation and follow-up.

Do you have Do you have any questions?any questions?