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Bloodborne Pathogens. An overview of OSHA regulations and UNI procedures. University of Northern Iowa EH&S Training Program Wellness Resource Lab. Web Based Training was Created for UNI Employees with the Intent to:. - PowerPoint PPT Presentation
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Bloodborne PathogensBloodborne Pathogens
University of Northern IowaEH&S Training ProgramWellness Resource Lab
An overview of OSHA regulations and An overview of OSHA regulations and UNI proceduresUNI procedures
Web Based Training was Created for Web Based Training was Created for UNI Employees with the Intent to:UNI Employees with the Intent to:
Expand awareness of existing environmental, health and safety policies/procedures
Provide information to assist in evaluating and improving each work environment
Assist in determining the need for more advanced training
Is that blood on the Is that blood on the floor?floor?
I must tell someone!I must tell someone!
Topics CoveredTopics Covered
Transmission of Potentially Infectious Materials
Common Bloodborne Diseases
Personal Protective Equipment
Controlling Potentially Infectious Materials
Labeling Potentially Infectious Materials
Exposure Control Plan
Who needs this training?Who needs this training?
Any employee or student who may be occupationally exposed to blood and other potentially infectious materials at the University of Northern Iowa
Bloodborne Pathogens are Bloodborne Pathogens are classified as anything that classified as anything that
contains human blood, contains human blood, blood products, or blood products, or blood componentsblood components
DefinitionDefinition
TRANSMISSION OF TRANSMISSION OF POTENTIALLY INFECTIOUS POTENTIALLY INFECTIOUS
HUMAN BODY FLUIDSHUMAN BODY FLUIDS
Saliva in dental procedures
Semen and vaginal secretions
Cerebrospinal, synovial, pleural, pericardial, peritoneal, and amniotic fluids
Body fluids visibly contaminated with blood
HIV-containing cell or tissue cultures and HIV or HBV-containing culture mediums or other solutions
Potentially Infectious Human Potentially Infectious Human Body Fluids Include:Body Fluids Include:
Modes of Transmission for Modes of Transmission for Bloodborne PathogensBloodborne Pathogens
Any form of broken skin, which includes:
Abrasions Blisters Burns Cuts Eyes, nose, mouth Punctures from sharp objects
Bloodborne Pathogens are not Bloodborne Pathogens are not passed through the air like cold passed through the air like cold
and flu germs.and flu germs.
TransmissionTransmission
They are most commonly transmitted by:
Accidental puncture of skin by sharp contaminated objects
Contact of broken skin
Contact of mucous membrane and body fluids
COMMONCOMMONBLOODBORNE DISEASESBLOODBORNE DISEASES
Universal PrecautionsUniversal Precautions
The single most important measure to prevent transmission of HBV and HIV is to treat all human blood and other potentially
infectious materials AS IF THEY ARE
infected with HBV and HIV.
Bloodborne Diseases: Bloodborne Diseases: Acquired Immune Deficiency SyndromeAcquired Immune Deficiency Syndrome
Over 1 million Americans have AIDS
The individual’s immune system is depleted
If infected, he or she may not have symptoms for years
There is no cure or vaccination but there are treatment options available to prolong an individual’s life
Bloodborne Diseases: Bloodborne Diseases: Hepatitis Hepatitis BB
The most common is a serious liver infection
Over 12 million people in the U.S. are infected
Up to 100,000 new people will be infected each year
If infected, one may or may not have symptoms
Symptoms may feel like the flu
Effects can be acute or chronic
Can be treated if detected early
Vaccination is available
Bloodborne Diseases: Bloodborne Diseases: Hepatitis Hepatitis CC
Over 3.9 million Americans have been infected.
There are approximately 25,000 new cases per year.
Chronic infection usually results in chronic liver disease. With about 5,000 deaths per year.
Infected individuals usually show no symptoms.
It is treatable if detected early.
There is no vaccination available.
PERSONAL PROTECTIVE PERSONAL PROTECTIVE EQUIPMENTEQUIPMENT
#1 Method of Control#1 Method of Control
Personal protective equipment Personal protective equipment must be used throughout the must be used throughout the
duration of bloodborne duration of bloodborne pathogen exposurepathogen exposure
It is essential to have a barrier It is essential to have a barrier between you and the potentially between you and the potentially
infectious material.infectious material.
Protective barriers are Protective barriers are intended to prevent intended to prevent
blood or other blood or other potentially infectious potentially infectious
materials from materials from passing through to passing through to worker’s clothing, worker’s clothing, skin, or mucous skin, or mucous
membranes.membranes.
Personal Protective EquipmentPersonal Protective Equipment
Equipment includes: latex, rubber or
vinyl gloves
gowns laboratory coats face shields or
masks eye protection
When Using Protective GlovesWhen Using Protective Gloves
Inspect for defects before use
Remove gloves and wash hands if gloves have become contaminated Do not snap gloves when removing them
Grasp gloves at the wrist and pull off, inside out
Discard in biohazard waste container
Always wash hands after removing gloves
Never reuse disposable gloves
Remove all personal protective equipment immediately after contamination or leaving the work area
Place all personal protective equipment in an appropriately designated area or container for storing, washing, decontaminating, or discarding
Replace disposable, gloves as soon as possible when contaminated or if torn, punctured, or barrier function is compromised
Do not reuse disposable gloves
Disposal of Personal Protective Disposal of Personal Protective EquipmentEquipment
CONTROLLING CONTROLLING POTENTIALLY INFECTIOUS POTENTIALLY INFECTIOUS
MATERIALSMATERIALS
Engineering Controls:Engineering Controls:
Methods of ControlMethods of Control
Discard contaminated items like needles, broken glass, scalpels, or other sharp items, in puncture-resistant, leak-proof containers, color-coded red or labeled, according to the standard
Use puncture-resistant, leak-proof containers, color-coded red or labeled to store contaminated reusable sharps until they are properly reprocessed
Store and process reusable contaminated equipment that ensures safe handling
Use puncture-resistant, leak-proof containers to collect, handle, process, store, transport, or ship blood specimens and potentially infectious materials. Label these specimens if shipped outside the facility
Methods of ControlMethods of Control (cont.)
As soon as gloves are removed, wash hands to prevent any contact with blood or other potentially infectious materials.
If exposure to the eye has occurred, use an eye wash immediately.
Unless required to do so by specific medical procedures or the employer, do not bend, recap, or remove contaminated needles.
Workplace Controls:Workplace Controls:
Methods of ControlMethods of Control (cont.)
Do not eat, drink, smoke, apply cosmetics, or handle contact lenses in areas of potential bloodborne pathogen exposure
Do not store food or drink in refrigerators or on shelves where blood or potentially infectious materials are present
Disinfect area as soon as work is complete
Use plastic instead of glass when available
Workplace Controls:Workplace Controls:
LABELING LABELING POTENTIALLY INFECTIOUS POTENTIALLY INFECTIOUS
MATERIALSMATERIALS
Labels and Marking SystemsLabels and Marking Systems
Every discarded bloodborne pathogen must be placed in a container with either of these labels attached.
Labels and Marking SystemsLabels and Marking Systems
Universal Biohazard labels should be on all containers that are holding biohazard materials.
Doors or areas where biohazard material is stored should also be labeled.
Red bags may also be used to indicate the storage of biohazard materials.
EXPOSURE EXPOSURE CONTROL PLANCONTROL PLAN
Clean up of blood Clean up of blood spills will be done spills will be done by custodians only.by custodians only.
Anything that comes in Anything that comes in contact with blood or other contact with blood or other
biohazard materials biohazard materials must be disinfected must be disinfected
before reuse before reuse or discarded appropriatelyor discarded appropriately
DecontaminationDecontamination
UNI Exposure Control PlanUNI Exposure Control Plan
DocumentationDocumentation Accurate records must be kept of each department’s written exposure control plan at UNI Employee training must also be recorded
ReviewReview Each plan must be reviewed and updated annually to address university changes
InformationInformation Go to http://www.vpaf.uni.edu/ehso/programs/bloodborne2009.pdf to
view the UNI Physical Plant’s Exposure Control Plan
Reporting of Exposure IncidentsReporting of Exposure Incidents
Incident occursIncident occurs
Employee informs Employee informs supervisorsupervisor
Departmental exposure Departmental exposure control plan in effectcontrol plan in effect
Supervisor collects Supervisor collects all necessary all necessary
information for reportsinformation for reports
Supervisor provides copy Supervisor provides copy of the Bloodborne Pathogen of the Bloodborne Pathogen Standard to employee beforeStandard to employee beforehe/she goes to the hospitalhe/she goes to the hospital
Documentation of theDocumentation of theincident using a “post incident using a “post
exposure incident exposure incident confidential record” is recordedconfidential record” is recorded
For example, a Physical Plant employee will contact his/her direct supervisor who For example, a Physical Plant employee will contact his/her direct supervisor who will then contact the Safety Manager who will make arrangements will then contact the Safety Manager who will make arrangements
to get the employee to Sartori Hospital.to get the employee to Sartori Hospital.
Post-Exposure Evaluation Post-Exposure Evaluation and Follow-upand Follow-up
Documentation of the route of exposure and circumstances related to the incident
Identification of the potential source individual and status Results of testing the source individual will be made
available to the exposed employee Employee will be offered the option of having their blood
collected for testing. Blood will be kept on hand for 90 days then disposed of properly
Employee will be offered post exposure prophylaxis in accordance with current U.S. Public Health Services recommendations
Employee will be provided appropriate counseling
Training RequirementsTraining Requirements
Initial TrainingInitial Training Anyone who may be introduced to an
area where occupational exposure to bloodborne pathogens may occur at UNI
Annual Refresher TrainingAnnual Refresher Training Required every 12 months to refresh
the details of bloodborne pathogen exposure procedures at UNI
Additional Training or InformationAdditional Training or Information
Contact:Contact:
The Environmental Health and Safety Office at 273-7269
The Wellness Resource Lab at 273-6119
Or Email:Or Email:
Joan Thompson [email protected] Wendel Reece [email protected]