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Universal Precautions Slideshare

Universal Precautions Slideshare






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    Universal Precautions Slideshare Universal Precautions Slideshare Presentation Transcript

    • Blood Borne Pathogens and Universal Precautions
      * This is an interactive presentation, anywhere you see underlined text you will find web links that will make your learning more interesting. Follow those links for more information.
    • Universal Precautions
      Are those everyday practices done to prevent or minimize exposure to bloodborne pathogens:
      Use of protective equipment- gloves and proper handling of potentially contaminated garbage or clothing.
      Handwashing protocols as outlined in WAC 388-295-3020. 
      Use care where eating occurs. Pay attention to what you are touching, ie. drinking, applying lip balm, and handling contact lenses in areas where fluids may be present. No food or drink shall be placed in areas where body fluids may be present. (such as on countertops on or around the diaper changing table)
      All surfaces contaminated with blood or fluid will be isolated, cleaned and decontaminated  according to procedure outlined in this plan. ( Check out the solution required)
      Most items used in cleaning  blood/body fluids will be placed in a lined trash receptacle unless saturated with blood.  Items saturated with blood will be placed in a puncture proof bag labeled as a biohazard.
      Documentation of follow up procedures
      Universal precautions should be applied to all body fluids when it is difficult to identify the specific body fluid or when body fluids are visibly contaminated with blood.
    • Why Does it Matter to You?
      As a person responsible for the care of children you have a potential for exposure
      When children get hurt or have blood or body fluid
      You may come in contact with blood or body fluids and could become infected with germs or a dangerous disease
      Universal Precautions training is required by law
      It’s a way to prevent the spread of germs and disease to:
      children • co-workers • families • YOU
    • Where Do Germs Live?
      Don’t forget that dirty little device in your pocket!
      Germs live in child care
      Example:surfaces, first aid equipment, first aid-
      waste, and other objects may be contaminated
      Example:hands, under fingernails,
      mouth, nose
    • Just 1 bacteria reproducing every 20 minutes can reproduce into 5 thousand billion, billion bacteria in 1 day.
      How do Germs Spread?
      People Objects People
      Person Person
    • Germs Live, Spread and Move
      Personz Object zPerson
      Person has a bleeding, wound, or open sore oozing liquid
      People touch objects and transfer the germs
      Germs live on objects
      Another person touches the object
      Now the germs have transferred to the other person
    • Germs on Objects
      Germs can be found on objects in any room or outdoors
      Closets, cupboards
      Kitchens, food prep or serving areas
    • Germs Spread
      Picture of HIV virus from Electron Microscope
      Wash your hands! Scrub them clean!
      Skin is actually a pretty good protection! Check out this little video on the layers of skin!
      Germs can cause disability, death or diseases that are carried by blood such as HIV, Hepatitis A, Hepatitis B and Hepatitis C.
      FACT: ☞ Some viruses can survive outside the body for a week on surfaces.☞ A person who carries the disease may not be aware they are infected.
      * All staff must practice Universal Precautions in every situation that places them in contact with blood or potentially hazardous body fluids.
      Hepatitis B
    • Person to Person
      A person comes into direct contact with the blood or body fluids of another person
      I forgot gloves
      Exposure Examples:
      Not using personal protective equipment -gloves
      Not using proper hygiene
      Not using proper work controls
    • Person to Person
      Cuts, scrapes and sunburns
      Loose or bleeding tooth
    • Child Care Activities Can Be SAFE
      Helping with
      –Toileting or diapering
    • Child Care Activities can be RISKY
      First aid care –cuts, scrapes, blisters, splinters
      Giving injection medications
      Helping with health procedures (blood sugar testing)
      Children who bite(open skin and bleeding)
    • More Examples of Objects
      First aid equipment
      Needles (diabetic)
      Any object can become covered with germs
      Germs spread
    • Bloodand Body Fluids
      Any body fluid that you do not know its source
      Any body fluid that visibly contains blood
      Blister fluid or blood
      Semen or vaginal secretions
      Wound fluid or blood
    • What are Universal Precautions?
      Procedures for infection controldeveloped to limit the spread of germs and blood-borne diseases such as Hepatitis B and HIV. 
      Apply to blood, other body fluids containing blood, semen, and vaginal secretions.
      Universal precautions do not apply to feces, nasal secretions, sputum, sweat, tears, urine, saliva and vomit. We will use caution in handling these fluids and follow procedures especially if they contain visible blood or are likely to contain blood
      How Can I Protect Myself and Others?
      1. Use –Personal Protective Equipment (PPE)
      –Work practice controls
      2. Keep worksite clean
      3. Get vaccinated for Hepatitis
    • Personal Protective Equipment (PPE)
      • Gloves • Protective clothing • Face or resuscitation shield • Eye protection
      Personal Protective Equipment- creates a barrier between you and blood or body fluids and prevents blood and body fluids from reaching skin, mucous membranes, or personal clothing
      Wear single use gloves when administering first aidto a cut, scrape or wound, unless the amount is so small that cleaning can contain it. Skin is an effective barrier against diseases, skin that is broken by a cut, abrasion or chafing can provide an entry point. Dispose of gloves after use.  Blood-contaminated gloves should be put in a plastic bag with a secure tie.
      If gloves are not available, do not delay emergency treatment.  Use a thick layer of paper towels or cloth to apply pressure.  Put on gloves as soon as available.
      When removing the glove, do not touch the outside. 
      To remove gloves:1.Use the fingertips of gloved hand to grasp the other glove near the cuff.2.Slowly pull the glove down while removing your hand.  Turn the glove inside out as you pull.3.Drop the contaminated glove into a plastic bag.Wash your hands after removing gloves
    • Use PPE
      Every time you
      –give first aid
      –clean a wound
      –have potential for contact with blood or body fluids
    • Standard Precautions
      Are every day practices that prevent potential exposure to hazardous germs- urine, feces, blood, saliva, nasal discharge, eye discharge, and injury or tissue discharges . Cleaned up immediately, as follows:
      Remove objects of bloodor blood-containing body fluids and injury or tissue discharges.  Then clean and disinfect the area. 
      Wear gloves in these situations. Avoid exposing open skin sores or mucous membranes to blood or blood-containing body fluids or to injury and tissue discharges.
      Clean floor/objects, and or mop/rinse them with sanitizing solution.  Wring the mops as dry as possible and hang to dry.
      Place blood-contaminated material and diapers in a plastic bag secured with a knot.
      Wash your handsproperly even if you wore gloves. Wash your hands after drying tears or wiping discharge from the nose or mouth.
    • Watch this movie about gloves!
      Managing Fluids
      All staff are to wear gloves while cleaning fluids of potentially infectious materials. Body fluid such as urine, vomit, blood, and body fluids should be treated as potentially infectious and surfaces should be cleaned and disinfected immediately.
      Disinfection kills most disease-causing organisms such as streptococcus, staphylococcus, E. coli, salmonella and the agents that cause HIV and hepatitis. Small amounts of urine and stool on smooth surfaces, such as the changing table, should be wiped off and cleaned with a detergent solution. Rinse the surface with clean water and apply a fresh solution of diluted household bleach. Allow at least a 2-minute contact time.
    • Handwashing
      If you made it through all these links you deserve a game! Want to play?
      Hands shall be washed with soap and water:
      Upon arrival each day
      After diapering or toileting children
      After personal use of the bathroom
      After handling body fluids of any kind
      Before and after giving first aid (such as cleaning cuts, scratches or a bloody nose)
      Before and after feeding a child or personal meal time
        After outdoor activities
      After handling pets or playing in the sand
        After cleaning up spills or objects contaminated with body fluids (e.g. nose-kleenex)
      After taking off disposable gloves or other PPE
      After handling foods
      After giving medications
      A germ doesn’t like warm water
      He is frightened of a bubble
      Soap and water to a germ
      Means trouble, trouble, trouble
      Cover your nose
      Cover your sneeze
      If you don’t
      You spread disease
    • Check out this little ditty!
      Bleach Disinfection Solution- removes almost all germs.
      A solution of 1/4 cup household, liquid chlorine bleach in one gallon of cool tap water (or 1 tablespoon of bleach to 1 quart of water), prepared fresh daily, is an effective disinfectant for environmental surfaces.  Sun, evaporation and heat weaken the solution, so keep the solution covered, out the sun and away from heat sources.  
      Caution:  Never mix bleach with any liquid other than water.  Mixing bleach with a liquid such as vinegar or ammonia can cause a dangerous chemical reaction. Bleach must not be mixed with hot water.
      Heat-Prolonged, intense heat, which occurs when using a dishwasher or hot cycle of a washing machine, is an effective disinfectant.  Tap water is not hot enough to be an effective disinfectant. 
    • Clean and Sanitary Worksite
      Set a cleaning and laundry schedule (Identify what needs to be cleaned, sanitized, and disinfected)
      Select and use appropriate cleaning and disinfecting products
      Use appropriate equipment, supplies, and personal protective equipment
    • Clean and Sanitary Worksite
      Develop a cleaning chart for each room and space
      Include outdoor learning environment in your schedule
    • Work Practice Controls
      Work practice controls are actions that remove the hazard and determine how you will handle situations:
      Medication administration using needles
      Blood sugar testing equipment
      Waste from first aid
      Hygiene following blood or body fluid exposure
      • Wastebasket with foot controlled lid
      • Container for sharps
      • Proper hygiene
    • Work Practice Controls
      Applying cosmetics and lip balm
      Eating or drinking
      Handling contact lenses
      Where blood, body fluids, and other disease germs may be present.
    • Hepatitis Disease
      Attacks the liver
      Causes long term illness
      May lead to disability
      May cause death
      Vaccine Is:
      90+%effective for adults
      Allergic reactions rare
      Pain at site of injection -common
      Mild system reaction headache, fatigue, low fever
      Thought to give lifetime protection
      Healthy Liver
      Hepatitis Liver
    • How Can I Protect Myself?
      Vaccinate for Hepatitis
    • What to do if Exposed?
      If it is determined that contact with blood on broken skin (cuts, scratches, open rashes or chapped skin) or mucous membranes (in the eye, mouth or nose), has occurred, immediate medical evaluation and treatment  will be provided, at no cost to the you (WAC 296-823-160)  The center’s documentation records should include :Documentation of the exposure situation
      1. Report exposure to director or supervisor
      2. Wash exposed skin with soap and running water or rinse eyes or other mucous membranes with running water
      3. Get medical help–at employer expense
      4. Know your Center Exposure Control Plan
      Identification of the source individual (person who’s blood or body fluid was exposed)Required Center Documentation
      The request and any required follow-up
      Person’s consent to test for HIV, Hepatitis B antibody and HCV
      If person exposed does not give consent, document that consent could not be obtained.*If a person has a contact- appropriate medical services will be made available to employees during work hours.
    • Your Center Work Place Policies
      Do you have a written policy regarding your work practices including handling and disposal of contaminated waste and objects?
      Do you know how to handle and dispose of contaminated waste or objects?
      Do you have proper equipment for discarding of contaminated waste or objects?