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Bloodborne Pathogens


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Bloodborne Pathogens

  1. 1. Bloodborne Pathogens Subpart 1910.1030 General Industry Standard
  2. 2. What is a Bloodborne Pathogen? <ul><li>Any microorganisms, present in human blood and bodily fluids, that can cause disease (pathogenic) </li></ul><ul><li>Two most prevalent are: </li></ul><ul><ul><li>Hepatitis B Virus (HBV)  Liver Disease </li></ul></ul><ul><ul><li>Human Immunodeficiency Virus (HIV)  Aids </li></ul></ul>
  3. 3. Hepatitis B - Facts <ul><li>Hepatitis B is a liver disease, resulting initially in inflammation of the liver. </li></ul><ul><li>Frequently leads to cirrhosis and liver cancer. </li></ul><ul><li>Approximately 300,000 new cases of Hepatitis B are diagnosed each year in the U.S. </li></ul>
  4. 4. Hepatitis B - Facts <ul><li>There is no cure for Hepatitis B. </li></ul><ul><li>Enters through breaks in the skin </li></ul><ul><ul><li>Needle sticks </li></ul></ul><ul><ul><li>Bites </li></ul></ul><ul><ul><li>Existing cuts or abrasions </li></ul></ul><ul><li>2-6 months for HBV to develop. </li></ul>
  5. 5. Hepatitis B - Facts <ul><li>A vaccine exists that can prevent infection. </li></ul><ul><li>Employees who render first aid and cpr must be offered this vaccine </li></ul><ul><ul><li>Within 10 days following start of that position </li></ul></ul><ul><ul><li>Provided by employer at no cost to the employee </li></ul></ul><ul><ul><li>3 shots over a 7 month period </li></ul></ul>
  6. 6. HIV (AIDS) - Facts <ul><li>Newest major bloodborne disease </li></ul><ul><li>Currently 9 million active cases of AIDS and 7 million AIDS deaths </li></ul><ul><li>Currently 23 million people are HIV Positive </li></ul><ul><ul><li>Majority of infected persons live in underdeveloped countries </li></ul></ul><ul><ul><ul><li>15 million – Africa </li></ul></ul></ul><ul><ul><ul><li>5 million SE Asia </li></ul></ul></ul>
  7. 7. HIV (AIDS) - Facts <ul><li>Over 1 million U.S. citizens are infected. </li></ul><ul><li>HIV/AIDS is on the increase among women, Blacks, Hispanics, adolescents, IV drug users, homosexuals and their partners, and people living in the rural Midwest and South. </li></ul><ul><li>The HIV virus is never inactive-it replicates rapidly and attacks the immune system from the onset. </li></ul>
  8. 8. HIV (AIDS) - Facts <ul><li>Many people have no apparent symptoms for years after infection. </li></ul><ul><li>There is no cure for AIDS, but people are surviving longer due to new anti-retroviral drugs </li></ul>
  9. 9. Definitions <ul><li>Occupational Exposure Routes – </li></ul><ul><ul><li>Unprotected contact with organic waste (sewage), non-sterile needles, skin lesions, eye fluids, saliva, mucous, blood or materials that have been in contact with body fluids. </li></ul></ul><ul><li>Non-Occupational Exposure Routes - </li></ul><ul><ul><li>Sexual transmission </li></ul></ul>
  10. 10. Definitions <ul><li>Parenteral – </li></ul><ul><ul><li>Piercing of mucous membranes or the outer skin with needles, bites, cuts, or abrasions </li></ul></ul><ul><li>Universal Precautions – </li></ul><ul><ul><li>Treat all blood and other body fluids as if they are infected – wear latex gloves, masks, and wash hands </li></ul></ul>
  11. 11. Definitions <ul><li>Body Fluids and Specific Exposures – </li></ul><ul><ul><li>Fluids around the heart and lungs(pleural, pericardial) </li></ul></ul><ul><ul><li>Fluids around unborn babies(amniotic and peritoneal) </li></ul></ul><ul><ul><li>Saliva (specifically in dental procedures) </li></ul></ul><ul><ul><li>Brain/Spinal fluids (cerebrospinal) </li></ul></ul><ul><ul><li>Any body fluid that contains blood </li></ul></ul><ul><ul><li>Vaginal Secretions </li></ul></ul><ul><ul><li>Semen </li></ul></ul>
  12. 12. Exposure Control Plan <ul><li>In writing, employers must identify all tasks where occupational exposures to body fluids may occur </li></ul><ul><li>Compliance – </li></ul><ul><ul><li>Mandates universal precautions </li></ul></ul><ul><ul><li>Emphasizes engineering and work practice controls </li></ul></ul><ul><ul><li>Mandates employer provision of all Personal Protective Equipment as required </li></ul></ul><ul><ul><li>Requires a written procedure for clean-up and decontamination </li></ul></ul>
  13. 13. Personal Protective Equipment <ul><li>Items to be added to First Aid Kits </li></ul><ul><ul><li>Two sets of rescue breathers with one-way valve </li></ul></ul><ul><ul><li>Four pair of disposable latex gloves </li></ul></ul><ul><ul><li>Ten separately-packaged alcohol prep pads </li></ul></ul>
  14. 14. Personal Protective Equipment <ul><li>Bloodborne Pathogens Clean up kit </li></ul><ul><ul><li>One full length impervious apron </li></ul></ul><ul><ul><li>One fluid shield mask </li></ul></ul><ul><ul><li>Two pair latex gloves </li></ul></ul><ul><ul><li>One antimicrobial wipe </li></ul></ul><ul><ul><li>One biohazard waste bag </li></ul></ul><ul><ul><li>scoop </li></ul></ul><ul><li>Bleach </li></ul><ul><ul><li>½ gallon of bleach to a gallon of water for decontamination </li></ul></ul><ul><ul><li>Each mixture must be used within 24 hours </li></ul></ul><ul><li>Absorbent </li></ul><ul><ul><li>Good source is cat litter </li></ul></ul>
  15. 15. Most important!!! <ul><li>Wash hands immediately and thoroughly after any exposure or potential exposure </li></ul>
  16. 16. Clean Up <ul><li>Always wear protective equipment </li></ul><ul><li>Always use a bag with a bio-hazard label for disposal of waste </li></ul><ul><li>Always wash hands after exposure </li></ul>Biohazard Symbol
  17. 17. Recordkeeping <ul><li>OSHA requires all medical records for employees with occupational exposure to be kept for duration of employment plus 30 years </li></ul><ul><li>Must be kept confidential </li></ul><ul><li>Retrain employees each year and keep training records for 3 years </li></ul>
  18. 18. REMEMBER! <ul><li>Always treat blood and body fluids as infectious </li></ul><ul><li>Always report incidents of possible (unprotected) contact to management </li></ul><ul><li>Always wash hands immediately and thoroughly with non abrasive soap and water </li></ul><ul><li>Be trained and prepared to act BEFORE an emergency occurs </li></ul>
  19. 19. Summary <ul><li>Protecting yourself from bloodborne diseases requires: </li></ul><ul><ul><li>knowing the facts </li></ul></ul><ul><ul><li>practicing good hygiene </li></ul></ul><ul><ul><li>taking sensible precautions </li></ul></ul><ul><li>These are measures that you can control </li></ul><ul><li>These measures are critical - take them seriously - and live to tell others about it! </li></ul>