Bloodborne pathogens 5 09
Upcoming SlideShare
Loading in...5
×

Like this? Share it with your network

Share
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
    Be the first to like this
No Downloads

Views

Total Views
546
On Slideshare
546
From Embeds
0
Number of Embeds
0

Actions

Shares
Downloads
7
Comments
0
Likes
0

Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide

Transcript

  • 1. Bloodborne Pathogens Presented to: Center for Children & Families, Inc May 28, 2009 Stephanie Bagley, RN, CPTC© Business & Legal Reports, Inc. 0507
  • 2. Regulatory Requirements • OSHA = Occupational Safety & Health Administration • Federal Law requires: • Employer to provide training, equipment • Employee to learn and follow requirements • Employer and Employee must work together to provide a safe work place for everyone.© Business & Legal Reports, Inc. 0507
  • 3. Bloodborne Pathogens Work Place Accidents
  • 4. Session Objectives You will be able to: • Identify bloodborne pathogens (BBPs) • Understand how diseases are transmitted • Determine your risk of exposure • Protect yourself from exposure through prevention • Respond appropriately if exposed • Understand your right to medical evaluations© Business & Legal Reports, Inc. 0507
  • 5. What Are Bloodborne Pathogens? • Micro-organisms present in human blood that can cause disease • Viruses, bacteria, parasites, fungi • Primary workplace pathogens • Human immunodeficiency virus (HIV) • Hepatitis B virus (HBV) • Hepatitis C virus (HCV) • Prion Disease (CJD classic & variant)© Business & Legal Reports, Inc. 0507
  • 6. Transmission of Pathogens • Blood, Body Fluids • Contaminated sharp objects or needles • Broken skin, including rashes • Mucous membrane (splash) • Eyes • Mouth • Nose© Business & Legal Reports, Inc. 0507
  • 7. Bloodborne Pathogens Law 29 CFR 1910.1030 requires: • A written Exposure Control Plan (ECP) is required to be available in the workplace • Engineering and work practice controls • Personal Protective Equipment (PPE) • Training • Employees must comply© Business & Legal Reports, Inc. 0507
  • 8. Bloodborne Pathogens Law (cont.) • Medical surveillance • Free Hepatitis B vaccination; prior to potential exposure (required within 10 days of beginning work); temporary workers included • Signs and labels may be appropriate • Equipment and procedures will be provided and must be followed • Wash Hands properly; scrub, 3” above wrist, rinse thoroughly, dry, dispose© Business & Legal Reports, Inc. 0507
  • 9. What is the ECP? Exposure Control Plan • Identifies jobs - tasks for potential exposure; Levels: I (exposure), II (no routine exposure, but may perform level 1 tasks, or III (tasks do not involve exposure) • Describes engineering and safe work practices (PPE) • Outlines training requirements • Identifies the placement and use of signs and labels • Explains how to decontaminate equipment or tools and work surfaces© Business & Legal Reports, Inc. 0507
  • 10. ECP (cont.) • Describes how biohazard waste is handled (agreement with biomedical waste company) • Explains the recordkeeping requirements (keep copy of final signed manifest that pick up material was destroyed)© Business & Legal Reports, Inc. 0507
  • 11. Hepatitis B Vaccination • Endorsed by medical communities • Safe when given to infants, children, and adults • Offered to all potentially exposed employees (full time, part time, temporary, volunteers, etc.) • Provided at no cost to employee (immediate is better; but laws requires within 10 days of beginning work) • Vaccination declined, must be in writing© Business & Legal Reports, Inc. 0507
  • 12. Hepatitis B Virus (HBV) • 1.25 million people infected (rate of new infections has declined with vaccine use) • Symptoms • Jaundice, fatigue, and abdominal pain • No appetite, nausea, and vomiting • Vaccine available since 1982 • HBV can survive outside the body Image Credit: State of WA-WISHA Services© Business & Legal Reports, Inc. 0507
  • 13. HIV – Human Immunodeficiency Virus AIDS – Acquired Immunodeficiency Syndrome • HIV (virus infection) leads to AIDS (virus infection, symptoms) • HIV attacks and depletes the human immune system (Acquired Immune Deficiency Syndrome) • Early HIV symptoms resemble common cold or flu virus • HIV testing (NAT) and/or antibody testing is the only way to know for sure • HIV does not survive outside the body • No cure yet • HIV—virus present in body; AIDS—virus + symptoms© Business & Legal Reports, Inc. 0507
  • 14. Hepatitis C Virus (HCV) • HCV is the most common chronic bloodborne infection—3.9 million infected (2.7 Million chronic liver disease; 1/3 to Cancer) • Symptoms can take years to manifest • Flu-like symptoms, jaundice, dark urine, and fatigue • Loss of appetite, nausea, and vomiting, and abdominal pain • Treatment is marginally effective (10 to 40% respond)© Business & Legal Reports, Inc. 0507
  • 15. Prion Disease • aka—Transmissible Spongiform Encephalopathies • Family of rare progressive neurodegenerative disorders • Affect both humans and animals • Long incubation periods, neuron loss, failure to induce inflammatory response • Rapidly progressive, always fatal© Business & Legal Reports, Inc. 0507
  • 16. Prion – CJD Classic & Variant • Classic Creutzfeldt - Jakob (CJD) • Dementia as early symptom • Median age at death 68; 4-5 month illness • 1 case/million of population • Variant CJD – Mad Cow • Psychiatric/behavioral symptoms; delayed neruo signs • median age at death 28; 14 month illness • Route of infectivity—Eye, non-intact skin, mucous membranes, needles/sharps • High infectivity: spinal fluid, brain, eye • Low infectivity: kidney, lung, liver, nodes, placenta • Autopsy with evaluation of head the greater concern© Business & Legal Reports, Inc. 0507
  • 17. Protect Yourself • Review the Exposure Control Plan and OSHA regulation • Take Universal Precautions • Use Personal Protective Equipment (PPE) • Follow safe work practices • Get the Hepatitis B vaccination • Follow decontamination and disposal procedures; wash hands© Business & Legal Reports, Inc. 0507
  • 18. Take Universal Precautions OSHA defines as an approach to infection control • Treat all blood and body fluids as if infected • Use barrier protection (gloves, masks, aprons, eyewear) to avoid contact with infected body fluids • Immediately clean up From: osha.gov and decontaminate surfaces and equipment Image Credit: OSHA© Business & Legal Reports, Inc. 0507
  • 19. Use Personal Protective Equipment • Barrier protection prevents exposure • Use gloves when applying bandages or cleaning up • Eyewear or masks protect against splashes; eye wash station • Protective clothing or aprons protect against splashes (blood, body fluids)© Business & Legal Reports, Inc. 0507
  • 20. Avoid Puncture Wounds • Use tongs, forceps, or similar tools to pick up contaminated items, especially to protect against sharp objects Image Credit: State of WA-WISHA Services© Business & Legal Reports, Inc. 0507
  • 21. Safe Work Practice—Do’s • Remove contaminated PPE and clothing before leaving the work area • Disinfect contaminated equipment • Wash up immediately after exposure • Have Eye Wash Station in work area • Seek immediate medical attention • Double-glove to reduce contamination risk (if need to remove top pair to answer phone, scratch; then replace) • Dispose of contaminated items properly© Business & Legal Reports, Inc. 0507
  • 22. Safe Work Practice—Don’ts • No eating, drinking, cigarettes, cosmetics or other personal items in any work areas where there is the possibility of exposure to blood or body fluids • Do not place or store food in any work areas where blood or body fluids are or may be - (ie: refrigerators, on bathroom/kitchen shelves, cabinets, countertops, or work surfaces where blood/body fluids may be)© Business & Legal Reports, Inc. 0507
  • 23. General Decontamination (assume all blood & body fluid is contaminated) • Wear appropriate gloves and glasses to protect eyes, nose, mouth, and skin • Use a body fluid disposal kit • Use 10% bleach or EPA-approved disinfectant for spills • Immediately dispose of contaminated items© Business & Legal Reports, Inc. 0507
  • 24. Decontamination Involving Sharp Objects • Remove glass and other sharps materials using a brush and dust pan, or tongs • Do not use your hands • Use paper/absorbent towels to soak up the residual liquids • Disinfect all surfaces, and allow time to dry before using again; Kill time with most agents is 10 minutes (check manufacturer information)© Business & Legal Reports, Inc. 0507
  • 25. Biohazard Disposal— Regulated Waste • Liquid or semi-liquid blood or other potentially infectious materials (body fluids) • Contaminated items that would release blood or body fluids if compressed • Contaminated sharp objects • Items caked with dried blood or body fluids capable of release during handling • Pathological and microbiological wastes containing blood or body fluids© Business & Legal Reports, Inc. 0507
  • 26. Label All Regulated Waste Containers • Labels communicate a hazard • Place regulated waste in containers that have the universal biohazard symbol • The term “Biohazard” must be on the label • Note: unregulated waste is band-aids, paper towels, kleenex, etc. • Not biohazard; no labels Image Credit: OSHA© Business & Legal Reports, Inc. 0507
  • 27. Exposure Incident • Wash cuts and skin thoroughly • Rinse nose and mouth • Flush eyes with clean water or sterile solution • Clean all contaminated surfaces • Report all incidences of exposure on OSHA Forms individual; annual posting (300, 300A, 301)© Business & Legal Reports, Inc. 0507
  • 28. Post-Exposure Evaluation • Confidential medical evaluation • Document route of exposure • Identify source individual • Test source person’s blood (if possible; consent) • Provide results to source and exposed employees Image Credit: State of WA-WISHA Services© Business & Legal Reports, Inc. 0507
  • 29. Key Points to Remember • Bloodborne pathogens can cause fatal disease • Be aware of exposure at work • Take universal precautions • Use PPE and safe work practices • Decontaminate yourself and equipment • Understand and follow exposure incident procedures • Report incidences of exposure© Business & Legal Reports, Inc. 0507