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WHY ARE WE HERE?WHY ARE WE HERE?
OSHA BB Pathogen standard
– anyone whose job requires exposure to BB
pathogens is required to complete training
– employees who are trained in CPR and first
aid.
The more you know, the better you will
perform in real situations!
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What is a BB Pathogen?What is a BB Pathogen?
Microorganisms that are carried
in the blood that can cause
disease in humans.
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DefinitionsDefinitions
Bloodborne Pathogens:
Pathogenic microorganisms that are present in human blood and can
cause disease in humans. These pathogens include, but are not
limited to, hepatitis B virus (HBV) and human immunodeficiency
virus (HIV).
Contaminated:
The presence or the reasonably anticipated presence of blood or
other potentially infectious materials on an item or surface.
Decontamination:
The use of physical or chemical means to remove, inactivate, or
destroy bloodborne pathogens on a surface or item to the point
where they are no longer capable of transmitting infectious particles
and the surface or item is rendered safe for handling, use, or
disposal.
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Exposure Incident:
A specific eye, mouth, other mucous membrane, non-intact skin, or
parenteral contact with blood or other potentially infectious
materials that results from the performance of an employee's
duties.
HBV - means hepatitis B virus.
HIV - means human immunodeficiency virus.
Occupational Exposure:
Reasonably anticipated skin, eye, mucous membrane, or parenteral
contact with blood or other potentially infectious materials that
may result from the performance of an employee's duties.
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Parenteral:
Piercing mucous membranes or the skin barrier through such
events as needlesticks, human bites, cuts, and abrasions.
Other Potentially Infectious Materials:
(1) The following human body fluids: semen, vaginal secretions,
cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid,
peritoneal fluid, amniotic fluid, saliva in dental procedures, any
body fluid that is visibly contaminated with blood, and all body
fluids in situations where it is difficult or impossible to
differentiate between body fluids; (2) Any unfixed tissue or organ
(other than intact skin) from a human (living or dead); and (3)
HIV-containing cell or tissue cultures, organ cultures, and HIV-
or HBV-containing culture medium or other solutions; and blood,
organs, or other tissues from experimental animals infected with
HIV or HBV.
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Personal Protective Equipment:
Specialized clothing or equipment worn by an employee for
protection against a hazard. General work clothes (e.g.,
uniforms, pants, shirts or blouses) not intended to function as
protection against a hazard are not considered to be personal
protective equipment.
Regulated Waste:
Liquid or semi-liquid blood or other potentially infectious
materials; contaminated items that would release blood or other
potentially infectious materials in a liquid or semi-liquid state if
compressed; items that are caked with dried blood or other
potentially infectious materials and are capable of releasing
these materials during handling; contaminated sharps; and
pathological and microbiological wastes containing blood or
other potentially infectious materials.
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Source Individual :
Means any individual, living or dead, whose blood or other
potentially infectious materials may be a source of occupational
exposure to the employee. Examples include, but are not limited to,
hospital and clinic patients; clients in institutions for the
developmentally disabled; trauma victims; clients of drug and
alcohol treatment facilities; residents of hospices and nursing
homes; human remains; and individuals who donate or sell blood
or blood components.
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Universal Precautions: is an approach to
infection control. According to the concept of
Universal Precautions, all human blood and
certain human body fluids are treated as if known
to be infectious for HIV, HBV, and other
bloodborne pathogens.
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Common BB PathogenCommon BB Pathogen
DiseasesDiseases
Malaria
Brucellosis
Syphilis
Hepatitis B(HBV)
Hepatitis C(HCV)
Human
Immunodeficiency
Virus (HIV)
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HIV is the virus that leads to AIDS
HIV depletes the immune system
HIV does not survive well outside
the body
No threat on contracting HIV
through casual contact
Human Immunodeficiency VirusHuman Immunodeficiency Virus
(HIV)(HIV)
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Hepatitis B (HBV)Hepatitis B (HBV)
1—1.25 million
Americans are
chronically infected
Symptoms include:
jaundice, fatigue,
abdominal pain, loss
of appetite,
intermittent nausea,
vomiting
May lead to chronic liver
disease, liver cancer, and
death
Vaccination available
since 1982
HBV can survive for at
least one week in
dried blood
Symptoms can occur 1-9
months after exposure
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Hepatitis C (HCV)Hepatitis C (HCV)
Hepatitis C is the most common chronic
bloodborne infection in the United States
Symptoms include: jaundice, fatigue, abdominal
pain, loss of appetite, intermittent nausea,
vomiting
May lead to chronic liver
disease and death
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Your Exposure PotentialYour Exposure Potential
Industrial accident
Administering first aid
Post-accident cleanup
Handling of returned
product
Janitorial or maintenance
work
Handling of any waste
products
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Universal PrecautionsUniversal Precautions
Use of proper PPE
Treat all blood and
bodily fluids as if
they are contaminated
Proper cleanup and
decontamination
Disposal of all
contaminated material in
the proper manner
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Personal Protective EquipmentPersonal Protective Equipment
(PPE)(PPE)
Anything that is used
to protect a person
from exposure
Latex or Nitrile
gloves, goggles, CPR
mouth barriers,
aprons, respirators
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PPE Rules to RememberPPE Rules to Remember
Always check PPE for defects or tears before
using.
If PPE becomes torn or defective remove and get
new.
Remove PPE before leaving a contaminated area.
Do not reuse disposable equipment.
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DecontaminationDecontamination
When cleaning up surfaces use
Hepacide Quat®
Do an initial wipe up
Spray and allow it to stand for
ten minutes then wipe up
Dispose of all wipes in
biohazard containers
PPE should be removed and
disposed of in biohazard
containers
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Hand WashingHand Washing
Wash hands
immediately after
removing PPE
Use a soft
antibacterial soap
A hand sanitizer can
be used but wash
with soap and water
as soon as possible.
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Hepatitis B VaccinationHepatitis B Vaccination
Strongly endorsed by
medical communities
Offered to all
potentially exposed
employees
Provided at no cost
to employees
Declination form
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Exposure IncidentExposure Incident
A specific incident of contact with potentially
infectious bodily fluid.
If there are no infiltrations of mucous membranes,
or open skin surfaces, it is not considered an
occupational exposure.
Report all accidents involving blood or bodily
fluids.
Post-exposure medical evaluations are offered.
If you have blood or potentially infectious material
splashed in your eye you should flush you eye with
clean running water for no less than 15minutes.
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Signs & LabelsSigns & Labels
Labels must include the
universal biohazard
symbol, and the term
“Biohazard” must be
attached to:
– containers of regulated
biohazard waste
– refrigerators or freezers
containing blood or OPIM
– containers used to store,
transport, or ship blood or
OPIM