Blood Borne Pathogens OSHA TRAINING OSHA n What
Blood Borne Pathogens OSHA TRAINING
OSHA n What does OSHA stand for? Occupational Safety Health Administration It’s role is to reduce occupational transmission of BBP
Transmission in School Setting n Blood to Blood- lacerations, bloody noses, human bites, lost teeth, sports injury producing blood n Touching Contaminated Objectsdried blood on desk, blood on broken glass n Contamination via Other Body Fluids - changing diapers
Most Common BBP n HBV n HIV 50 -75% are asymptomatic Incubation- may be asymptomayic for years Incubation 6 weeks to 6 months Transmitted by Sexual contact, Intravenous drug use, contact with infected blood, infected body fluids (semen, vagina secretions) Transmitted by contact with infected blood, saliva or other body fluids n Vaccine n No Vaccine
Most Common BB Diseases n Hepatitis Binflammation of the liver n (Hepatitis B Virus) n Symptoms-Flu-like Loss of appetite Stomach Cramps Low grade fever Neuralgias Jaundice HIV-Suppression of the body’s immune system results in AIDS (Human Immunodeficiency Virus) n Symptoms- Flu-like, fever, fatigue, headache, sore throat, neurological symptoms, cancers
HIV NOT TRANSMITTED by: n Mosquito bites or other bug bites n Sharing toilets, telephones, or clothes n Hugging, touching or kissing a person infected with HIV n Sharing cups and utensils with an infected person n Attending school and going to any public place with infected person n Working with infected co-worker
Information to Schools n Parents are not required to inform the school about their child’s condition n Treat all blood or body fluids like they could be infected
EXPOSURE CONTROL PLAN n Manual in Library and Nurse Office Education to minimize exposure n Exposure Identification n Identify tasks and methods to decrease risks n Identify procedures to follow if exposure incident occurs n YOU should be familiar with this information
UNIVERSAL PRECAUTIOns n All human blood and certain body fluids are treated as if known to be INFECTIOUS n Follow procedures n Intact Skin n Use Gloves n Hand washing n Proper Waste Disposal
Personal Protection Equipment n Gloves- should be vinyl n Mask n Gown n Eye guard
PPE n What are employee PPE’s ? Gloves- vinyl n Disinfecting wipes n n Where n are they kept in the classroom? Upper right hand desk drawer n CHECK your supply- come to clinic for new materials if needed
Glove Removal n n n n Pinch Left glove with the other gloved fingers at the cuff. Do not touch your skin. Grasp the glove between thumb and fingers and pull down. Hold removed glove in Right hand. Tuck fingers inside of Left glove against your skin. Do not touch dirty outside of glove. Pull down and wrap the Right glove inside as it is pulled off of hand. Dispose of in proper receptacle. Wash your hands as soon as possible
BEST DEFENSE n. Hand washing with soap and water n. Hand sanitizer is not enough!
Wash Hands n Roll down paper towels n Turn on water and adjust temp n Wet hands n Add soap n Lather hands front and back, between fingers for several minutes n Rinse well n Dry hands on paper towel n Turn off water with paper towel
Disposal of PPE’s n Bloody tissues from classroom or playground may be tucked in baggie and/or tossed in the trash. n Blood soaked items (dripping wet) should be brought to the clinic in plastic bag, or call for nurse to bring absorbent material to site.
Regulated Waste Liquid or semi-liquid blood and other potentially infectious material, items caked with these materials, items that would release blood or other potentially infected materials if compressed.
More on Regulated Waste We do not normally have regulated waste pickups n We depend on absorbent materials (like kitty litter) and then double bagging to dispose of our clinic wastes n In the event this cannot be done, a red bag is available and a call would need to be placed to School Nurse. n
BIO-HAZARD CONTAINERS Sharps box in the clinic 5 GALLON container for small items: contains cat litter: n Sent in to be n Used only for incinerated yearly dripping bloody fluids n Double bagged and put in trash Any “Spills” of body fluids in the class or hall should be reported.
EXPOSURE INCIDENT (Blood Exposure) n Blood enters through breaks in your skin n Sharp objects contaminated with blood penetrate the skin n Mucous membranes are exposed to blood n n Mouth Eyes
REPORTING BLOOD EXPOSURE n Report to building administrator or school nurse ASAP n Within 24 hours n You will be helped with completing an incident report n A plan for your care will be determined. Go to MWH Infection Control or ER n See your doctor n Vaccine n
Exposure Incidents Student to Teacher • BBPath Incident Report • Workman’s Comp. Report Student to Student • Notify families to contact their physician for advise • • Form letter Phone call
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