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Volunteer Safety
        What You Can’t See Will Kill You...


           Veronica Bonales, M.D.
Redwood Memorial Hospital, Pre-Hospital Care M.D.
       CEPAmerica Emergency Medicine
Bloodborne Pathogens are...


    a. Dangerous germs that live everywhere


    b. Microorganisms that are present in human blood and can cause
    disease in humans


    c. Harmless germs


    d. Bacteria that live everywhere in the body that can cause severe
    sickness
How can HIV, HBV, and HCV be spread?


    a. Casual contact, such as shaking hands or hugging


    b.Through saliva not contaminated with blood


    c. By getting infected blood on your normal intact skin


    d. By getting infected blood into a mucus membrane
What is the primary way HIV and HBV are spread?


    a. Sexual contact


    b. Providing First Aid care


    c. Cleaning up a blood spill


    d. Needlesticks
Standard Precautions means to...


    a. Be concerned with only blood as possibly infectious


    b. Wear gloves for people who look sick


    c. Treat all body fluids as potentially infectious


    d. Wear goggles and a gown to treat all people
Each work place must have an ______________ in writing which describes
infection control practices.


    a.!Emergency Plan for Bloodborne Pathogens


    b. Infection Action Plan


    c.!Internal Communication Document


    d.!Exposure Control Plan
Use of Personal Protective Equipment (PPE) is based on...


    a. The possible presence of any type of body fluids


    b. Personal preference


    c. The types of body fluids that can be recognized


    d. Whether or not the person looks sick
______________ is the most important means to control transmission of
bloodborne pathogens.


    a.!    Reviewing the person’s medical history


    b.!    Getting the Hepatitis B vaccine


    c.!    Wearing gloves for patient treatment


    d.     Practicing Standard Precautions
Which of the following are considered hazardous waste?


    a. OPIM (Other Potentially Infectious Materials)


    b. Gloves


    c. Needles


    d. Both A and C
HIV, HBV, and HCV are spread by casual contact such as shaking
hands, hugging, toilets, swimming pools, etc...


    a. False


    b. True


    c. Only if the infected person has both HIV and HBC


    d. Only if your bare skin touches the infected person
What should you do if you have been potentially exposed to bloodborne
pathogens?


    a. Get a medical evaluation first, then report to your supervisor


    b. Decontaminate, report incident to supervisor, and receive
    medical evaluation immediately


    c. Get a medical evaluation after you finish working your shift


    d. Notify your supervisor first then decontaminate
Bloodborne Pathogens
Bloodborne:
Bodily fluids,              amniotic fluid (Uterus)

                            pericardial fluid (Heart)
especially those
                            peritoneal fluid (Abdomen
visibly
                            Semen
contaminated
                            vaginal secretions
with blood
                            Blood
  cerebrospinal fluid
  (Brain)                   any body fluid
                            contaminated with blood
  synovial fluid (Joints)
                            body fluids that cannot be
  pleural fluid (Lungs)     recognized
Sexual contact is the primary mode of transmission
for Bloodborne Pathogens, however the risk of
exposure does exist while providing medical or first
aid care

When a contaminated sharp object cuts or punctures
the skin. (Parenteral examples: needle stick, illegal
drug usage, cut from broken glass, bite)

When an infected body fluid gets into an open cut or
mucous membrane (inside eyes, mouth, ears or nose)

When a contaminated object touches inflamed skin,
acne, or skin abrasion
Hepatitis C

Hepatitis B

HIV

Not Bloodborne
Hepatitis C
Virus

Affects the liver

   Acute

   Chronic (80%)

No vaccination or
cure
Hepatitis C
Causes cirrhosis

Can cause cancer

Needle stick, IV drug
use, unprotected sex,
tattoos, mother to
infant, transfusion
or transplant
Hepatitis B
Virus

Affects the liver

100x easier to get
than HIV

   Can live 7 days
   outside of the
   body

Vaccine available
Hepatitis B
Unprotected sex,
mother to infant,
sharing needles,
needlestick injury

3 shots/6 months

10% chronic - may
lead to cancer
HIV
Virus - best studied

Attacks immune
system --> AIDS

Early symptoms:
fever, fatigue, wt.
loss, rash

Disease not active for
years
HIV
Unprotected sex,
mother to infant
during birth or
breast-feeding, IV
drug use

<1% to health care
workers

Vaccine in the
works, no cure
Not Bloodborne
Influenza, Measles, Chicken Pox, Shingles

   Viruses spread by respiratory droplets

Pertussis, Tuberculosis

   Bacteria spread by coughing/sneezing

Scabies, Lice

   Prolonged contact with skin
Germophobia
Systems Check
An adequate number      A mode of
of pathogens, or        transmission from the
disease-causing         source to the host.
organisms.
                        An entrance through
A reservoir or source   which the pathogen
that allows the         may enter the host.
pathogen to survive
and multiply (e.g.,     A susceptible host (i.e.,
blood).                 one who is not
                        immune)
STANDARD PRECAUTIONS
**TREAT ALL BODY FLUIDS FROM ALL
PERSONS AS POTENTIALLY INFECTIOUS**

PERSONAL PROTECTIVE EQUIPMENT (PPE)

  Gloves, shields, masks, goggles, gowns

  Know what they are, where they are, and how to
  use them
Protect Yourself

One Hand method of recapping needles
Discard sharps in proper containers
Don’t put anything in your mouth or on
your face if there’s a potential BBP
exposure
Cleaning Up
Other Potentially Infectious Material
(afterbirth, pieces of tissue, clots, etc)
Place in biohazard bags and dispose
properly
1/4 cup bleach to gallon of water to
clean, but FIRST put on PPE!!
How to Remove Gloves



Let’s practice!
If exposed...!


Decontaminate
Report incident
Seek medical attention
Questions...?
Follow Standard Precautions

Use PPE’s for every patient encounter

Decontaminate, report, seek medical care
Veronica
Bonales, M.D.
www.slideshare.net/docmontey

   docmontey@yahoo.com

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Bloodborne Pathogens

  • 1. Volunteer Safety What You Can’t See Will Kill You... Veronica Bonales, M.D. Redwood Memorial Hospital, Pre-Hospital Care M.D. CEPAmerica Emergency Medicine
  • 2.
  • 3. Bloodborne Pathogens are... a. Dangerous germs that live everywhere b. Microorganisms that are present in human blood and can cause disease in humans c. Harmless germs d. Bacteria that live everywhere in the body that can cause severe sickness
  • 4. How can HIV, HBV, and HCV be spread? a. Casual contact, such as shaking hands or hugging b.Through saliva not contaminated with blood c. By getting infected blood on your normal intact skin d. By getting infected blood into a mucus membrane
  • 5. What is the primary way HIV and HBV are spread? a. Sexual contact b. Providing First Aid care c. Cleaning up a blood spill d. Needlesticks
  • 6. Standard Precautions means to... a. Be concerned with only blood as possibly infectious b. Wear gloves for people who look sick c. Treat all body fluids as potentially infectious d. Wear goggles and a gown to treat all people
  • 7. Each work place must have an ______________ in writing which describes infection control practices. a.!Emergency Plan for Bloodborne Pathogens b. Infection Action Plan c.!Internal Communication Document d.!Exposure Control Plan
  • 8. Use of Personal Protective Equipment (PPE) is based on... a. The possible presence of any type of body fluids b. Personal preference c. The types of body fluids that can be recognized d. Whether or not the person looks sick
  • 9. ______________ is the most important means to control transmission of bloodborne pathogens. a.! Reviewing the person’s medical history b.! Getting the Hepatitis B vaccine c.! Wearing gloves for patient treatment d. Practicing Standard Precautions
  • 10. Which of the following are considered hazardous waste? a. OPIM (Other Potentially Infectious Materials) b. Gloves c. Needles d. Both A and C
  • 11. HIV, HBV, and HCV are spread by casual contact such as shaking hands, hugging, toilets, swimming pools, etc... a. False b. True c. Only if the infected person has both HIV and HBC d. Only if your bare skin touches the infected person
  • 12. What should you do if you have been potentially exposed to bloodborne pathogens? a. Get a medical evaluation first, then report to your supervisor b. Decontaminate, report incident to supervisor, and receive medical evaluation immediately c. Get a medical evaluation after you finish working your shift d. Notify your supervisor first then decontaminate
  • 14. Bloodborne: Bodily fluids, amniotic fluid (Uterus) pericardial fluid (Heart) especially those peritoneal fluid (Abdomen visibly Semen contaminated vaginal secretions with blood Blood cerebrospinal fluid (Brain) any body fluid contaminated with blood synovial fluid (Joints) body fluids that cannot be pleural fluid (Lungs) recognized
  • 15. Sexual contact is the primary mode of transmission for Bloodborne Pathogens, however the risk of exposure does exist while providing medical or first aid care When a contaminated sharp object cuts or punctures the skin. (Parenteral examples: needle stick, illegal drug usage, cut from broken glass, bite) When an infected body fluid gets into an open cut or mucous membrane (inside eyes, mouth, ears or nose) When a contaminated object touches inflamed skin, acne, or skin abrasion
  • 17. Hepatitis C Virus Affects the liver Acute Chronic (80%) No vaccination or cure
  • 18. Hepatitis C Causes cirrhosis Can cause cancer Needle stick, IV drug use, unprotected sex, tattoos, mother to infant, transfusion or transplant
  • 19. Hepatitis B Virus Affects the liver 100x easier to get than HIV Can live 7 days outside of the body Vaccine available
  • 20. Hepatitis B Unprotected sex, mother to infant, sharing needles, needlestick injury 3 shots/6 months 10% chronic - may lead to cancer
  • 21. HIV Virus - best studied Attacks immune system --> AIDS Early symptoms: fever, fatigue, wt. loss, rash Disease not active for years
  • 22. HIV Unprotected sex, mother to infant during birth or breast-feeding, IV drug use <1% to health care workers Vaccine in the works, no cure
  • 23. Not Bloodborne Influenza, Measles, Chicken Pox, Shingles Viruses spread by respiratory droplets Pertussis, Tuberculosis Bacteria spread by coughing/sneezing Scabies, Lice Prolonged contact with skin
  • 25. Systems Check An adequate number A mode of of pathogens, or transmission from the disease-causing source to the host. organisms. An entrance through A reservoir or source which the pathogen that allows the may enter the host. pathogen to survive and multiply (e.g., A susceptible host (i.e., blood). one who is not immune)
  • 26. STANDARD PRECAUTIONS **TREAT ALL BODY FLUIDS FROM ALL PERSONS AS POTENTIALLY INFECTIOUS** PERSONAL PROTECTIVE EQUIPMENT (PPE) Gloves, shields, masks, goggles, gowns Know what they are, where they are, and how to use them
  • 27. Protect Yourself One Hand method of recapping needles Discard sharps in proper containers Don’t put anything in your mouth or on your face if there’s a potential BBP exposure
  • 28. Cleaning Up Other Potentially Infectious Material (afterbirth, pieces of tissue, clots, etc) Place in biohazard bags and dispose properly 1/4 cup bleach to gallon of water to clean, but FIRST put on PPE!!
  • 29. How to Remove Gloves Let’s practice!
  • 32. Follow Standard Precautions Use PPE’s for every patient encounter Decontaminate, report, seek medical care

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