Training on controlling bloodborne pathogens and infection 7/2016

1. Bloodborne Pathogens and Infection
Control
1

2. • OSHA requires that we train all people at risk
of exposure to blood borne pathogens.
• Training upon hire and update annually
• Hepatitis B vaccine is offered free of charge to
all employees at risk.

3. Exposure to Blood Borne Pathogens
Exposures occur:
•through needle sticks, cuts, and injury from other
sharp instruments
•through contact of the eye, nose, mouth, or skin
with an infected patient’s blood, body fluids

4. EXPOSURE INCIDENT PROCESS
Losing this much blood
won’t kill you.
Receiving this much
blood could

5. Exposures
• Responsibility of employee to notify his/her director
or manager of a parenteral, mucous membrane or
cutaneous exposure to blood or other body fluids
• Medical evaluation, monitoring, and counseling will
be made available to the employee.
• Exposure Incident Packet must be completed and is
available on the intranet.

6. • Employee
– Notify manager ASAP
– Exposure Incident Packet
– Complete Exposure Incident
Report
– Obtain Source Patient consent(if
known)/lab order
– Send patient WITH ORDER to lab
– Contact MOHA for appt.
– Present to MOHA with completed
exposure incident report
– Labs will be drawn at MOHA
• Manager
– Assist employee with printing and
completing forms
– Assure 2 copies for exposure incident
are retained (send 1 copy to QM
Manager within 24 hours
– Contact MOHA
– Within 48 hours, meet with
employee to complete Blood or Body
Fluid Analysis Report
08:00AM – 05:00PM

7. • Employee
– Notify Manager Immediately, or ASAP the
next business day
– Exposure Incident Report
– Follow instructions on form for
completing source patient risk
information
– Call TeleNurse to page MOHA MD On Call
– It is important that the MOHA MD know if
the source is high risk for a blood borne
transmitted disease
– MOHA MD may ask employee to have
labs drawn immediately if possible
• Employee Exposure After Hours Lab
Order
– Present to MOHA next business day with
incident report
• Manager
– Assist employee printing and
completing forms
– Next business day assure
employee presents to MOHA
– Retains 2 copies of exposure
incident report (sending 1 to QM
Manager within 24 hours)
– Within 48 hours, meet with
employee to complete Blood or
Body Fluid Exposure Analysis
Report
Before 08:00 AM Or After 05:00PM

8. HIV
• The average risk of HIV infection after a needle
stick or cut is 0.3% (1 in 300).

9. Hepatitis B
• The virus is very durable and can survive in dried blood for up to 7
days.
• Signs and symptoms of Hep B are similar to a mild flu. However,
people who are infected with HBV will often show no symptoms for
some time.
• After exposure to HBV it can take 1 to 9 months before symptoms
become noticeable.
• The Hep B vaccination is a series of 3 injections; free to Springfield
Clinic employees.

10. Hepatitis B
• Healthcare personnel whom have received the HBV
vaccine and have developed immunity are at virtually
no risk for infection.
• For a susceptible person, risk from single needle stick
or cut ranges from 6-30%.
• Incidence of occupational infections has decreased
dramatically since availability of the vaccine.

11. Hepatitis C
• Occupational exposure is unknown; studies
show about 1% of hospital healthcare workers
are infected. Transmission rate is 1.8 %.
• There is no vaccine against Hepatitis C,
however there are new drugs on the market.

12. The Centers for Disease Control (CDC) consider all
body fluids to be potentially infectious and
recommend following the standardized precautions:
•Use your own judgment; if there is any doubt, consider it
infectious and use the PPE necessary to protect yourself.
• Gloves
• Gown
• Mask
• Safety goggles

13. #1 Infection Control Procedure
Hand
Washing!

14. When should hand hygiene be performed?
• Anytime hands are
visibly soiled (wash with
soap and water)
• Upon entering or
leaving work
• Before entering or
leaving a patient room
• Before and after
providing patient care
• Immediately after
removing gloves
• Before and after using
the restroom
• After coughing,
sneezing, or blowing
your nose

15. Hand Hygiene
• Per SC policy and CDC guidelines, alcohol
based hand sanitizers are an acceptable
alternative to soap and water.
• Soap, water and friction are more
effective than hand sanitizers at removing
or inactivating certain kinds of germs,
particularly those that cause GI
illnesses/diarrhea.

16. Sharps Safety
• The use of safety needles and other safety devices are
mandatory when available.
• Springfield Clinic offers very few exceptions; only when
the product is not available with a safety device.
• Maintain a safe zone for unprotected sharps on
procedure trays.
• Activate the safety device immediately after use.
• Most needle sticks occur due to failure to properly
activate the safety device prior to disposal.

17. Sharps Safety
• All contaminated sharp items must be handled with extraordinary
care to prevent injury and after use should be placed in leak proof,
puncture resistant sharps containers.
• Do not allow container to become too full.
• Employees will not accept used sharps from patients for disposal.
• Used contaminated needles must not be recapped, removed from
disposable syringes, cut, bent, or otherwise manipulated by hand.

18. Bio-Hazard or Infectious Waste
• If an article will release a liquid or semi-liquid of
blood or other potentially infectious material if
squeezed, then that article must go into regulated
waste container.
• All bags/containers must be sealed prior to
collection or transport.
• Do not overfill bags or sharps containers.
• Containers should not be accessible in a
public area.

19. Refrigerators and Freezers
• Refrigerators used for
biohazard storage must not
be used for medications or
food storage.
• Do not eat, drink, apply
makeup, or put in contact
lenses in areas where
potentially infectious
materials are present.

20. Infectious Spills
• Infectious spills are defined as any blood or
body fluids containing visible blood.
• Examples of infectious spills:
urine/feces/emesis with visible blood
• Always remember, if in doubt, consider it
infectious, disinfect by using your spill kit.

21. Infectious Spills
• See infectious fluid
spill kit.
• Use personal
protective equipment.
• Disinfect.
• Personnel trained in
blood borne
pathogens are
responsible

22. Click here to take quiz