Bloodborne Pathogen Presentation 2014 for the School District of Jefferson. Jefferson, WI

1. Bloodborne Pathogens
Training
School District of JeffersonSchool District of Jefferson

2. Bloodborne Pathogens
Training
 Overview of BBP StandardOverview of BBP Standard
 Types of pathogensTypes of pathogens
 Exposure Control PlanExposure Control Plan

3. Purpose of Exposure Control
Plan Eliminate or minimize employee occupationalEliminate or minimize employee occupational
exposure to blood or certain other body fluidsexposure to blood or certain other body fluids
 Comply with the OSHA Bloodborne PathogensComply with the OSHA Bloodborne Pathogens
Standard, 29 CFR 1910.1030 and incorporateStandard, 29 CFR 1910.1030 and incorporate
changes in the OSHA Compliance Directivechanges in the OSHA Compliance Directive
CPL 2-2.44D, dated November 5, 1999.CPL 2-2.44D, dated November 5, 1999.
 Provide a safe and healthful workingProvide a safe and healthful working
atmosphere in The School District of Jeffersonatmosphere in The School District of Jefferson
 The School District of Jefferson has appointedThe School District of Jefferson has appointed
an exposure control manager. The manager isan exposure control manager. The manager is
the district nurse.the district nurse.

4. Bloodborne Pathogens
 HumanHuman
immunodeficiencyimmunodeficiency
virus (HIV)virus (HIV)
 Hepatitis B virusHepatitis B virus
(HBV)(HBV)
 Hepatitis C virusHepatitis C virus
(HCV)(HCV)

5. Bloodborne Pathogens
 Can acquire fromCan acquire from
 bloodblood
 body fluids containing visible bloodbody fluids containing visible blood
 other potentially infectious materialother potentially infectious material
(OPIM)(OPIM)
 cerebral spinal fluid (CSF), synovial fluid,cerebral spinal fluid (CSF), synovial fluid,
pleural fluid, peritoneal fluid, amnioticpleural fluid, peritoneal fluid, amniotic
fluidfluid

6. Bloodborne Pathogens
 Exposure IncidentExposure Incident
contact with blood or other potentiallycontact with blood or other potentially
infectious material on the employee’s non-infectious material on the employee’s non-
intact skin, eye, mouth, or other mucousintact skin, eye, mouth, or other mucous
membrane.membrane.

7. Bloodborne Pathogens
 Occupational exposure occurs by:Occupational exposure occurs by:
percutaneous injury (ie: needle stick,percutaneous injury (ie: needle stick,
cut, bite etc.)cut, bite etc.)
contact with mucous membranescontact with mucous membranes
contact with non-intact skincontact with non-intact skin

8. Bloodborne Pathogens
 HIVHIV
 virus that causes AIDSvirus that causes AIDS
 incubation period 1incubation period 1
to 3 monthsto 3 months
 person is infectious fromperson is infectious from
 onset of infection throughout lifeonset of infection throughout life
 all persons are susceptibleall persons are susceptible

9. Bloodborne Pathogens
 HBVHBV
 virus that causes hepatitis Bvirus that causes hepatitis B
 incubation period 45 to 180 daysincubation period 45 to 180 days
 person is infectious if test for antigenperson is infectious if test for antigen
(HBsAG) is positive(HBsAG) is positive
 unvaccinated persons are susceptibleunvaccinated persons are susceptible
 vaccination is recommended for personsvaccination is recommended for persons
with potential occupational exposurewith potential occupational exposure

10. Bloodborne Pathogens
 HCVHCV
 virus that causes hepatitis Cvirus that causes hepatitis C
 incubation period 6 to 9 weeksincubation period 6 to 9 weeks
 most persons are infectious for lifemost persons are infectious for life
 all are susceptibleall are susceptible

11. Exposure Control Plan
 universal/standard precautionsuniversal/standard precautions
hand hygienehand hygiene
PPE (Personal Protective Equipment)PPE (Personal Protective Equipment)
 engineering and controlsengineering and controls
 work practice controlswork practice controls
 HBV vaccinationHBV vaccination
 post-exposure managementpost-exposure management
 trainingtraining

12. Exposure Control Plan
 Available to allAvailable to all
employeesemployees
 copies available incopies available in
the main office ofthe main office of
each building and ineach building and in
District OfficeDistrict Office

13. Exposure Control Plan
 Exposure DeterminationExposure Determination
The district has identifiedThe district has identified
certain job classifications incertain job classifications in
which employees may be atwhich employees may be at
greater risk of exposure togreater risk of exposure to
BBP in the course ofBBP in the course of
fulfilling their jobfulfilling their job
requirements.requirements.

14. Exposure Control Plan
Job Classifications with greater risk of exposure:Job Classifications with greater risk of exposure:
 NursesNurses
 Building AdministratorsBuilding Administrators
 Administrative Assistants: Elementary andAdministrative Assistants: Elementary and
SecondarySecondary
 Athletic Trainers/CoachesAthletic Trainers/Coaches
 Art/P.E. teachersArt/P.E. teachers
 CustodiansCustodians
 Health Room care givers/first aid providersHealth Room care givers/first aid providers
 Speech, Occupational and Physical TherapistsSpeech, Occupational and Physical Therapists
and Assistantsand Assistants
 Those working with E.C., cognitively disabled,Those working with E.C., cognitively disabled,
and physically handicapped studentsand physically handicapped students

15. Universal Precautions
 Used on ALL individualsUsed on ALL individuals
 Used for ALL contact with:Used for ALL contact with:
 blood, body fluids, OPIM (Other Potentiallyblood, body fluids, OPIM (Other Potentially
Infectious Material)Infectious Material)
 mucous membranesmucous membranes
 non-intact skinnon-intact skin
 To protect against blood borne pathogensTo protect against blood borne pathogens

16. Standard Precautions
 Used on ALL individualsUsed on ALL individuals
 Used for all contact with:Used for all contact with:
 Blood, all body fluids, secretions, excretionsBlood, all body fluids, secretions, excretions
(except sweat) considered infectious (regardless(except sweat) considered infectious (regardless
of visible blood)of visible blood)
 Used to protect against all infectious agentsUsed to protect against all infectious agents
 Hand hygieneHand hygiene
 Use of PPEUse of PPE

17. Hand Hygiene
 Wash handsWash hands
 after touching blood, body fluids,after touching blood, body fluids,
secretions, excretions, contaminatedsecretions, excretions, contaminated
items, regardless if gloves are wornitems, regardless if gloves are worn
 immediately after removing glovesimmediately after removing gloves
 before leaving work areabefore leaving work area
 whenever hands are dirty orwhenever hands are dirty or
contaminatedcontaminated

18. Hand Hygiene
 Hand washing techniqueHand washing technique
 turn on faucets to comfortable waterturn on faucets to comfortable water
temperaturetemperature
 wet hands, apply soap, latherwet hands, apply soap, lather
 rub with friction for at least 15 seconds, makingrub with friction for at least 15 seconds, making
sure to wash back of hands, fingers, fingertips,sure to wash back of hands, fingers, fingertips,
in between fingersin between fingers
 rinse with fingertips pointing downwardrinse with fingertips pointing downward
 dry hands with paper toweldry hands with paper towel
 discard paper towel and turn off faucets withdiscard paper towel and turn off faucets with
clean paper towelclean paper towel

19. PPE
Personal Protective Equipment
 Gloves, safety glasses or goggles, gowns, andGloves, safety glasses or goggles, gowns, and
masksmasks
 use when there is a reasonable anticipationuse when there is a reasonable anticipation
of exposure to blood, body fluids, mucousof exposure to blood, body fluids, mucous
membranes, non-intact skinmembranes, non-intact skin
 provides protection for clothing, skin, eyes,provides protection for clothing, skin, eyes,
mouth, nosemouth, nose

20. PPE
 Employer responsibilitiesEmployer responsibilities
provide in appropriate sizesprovide in appropriate sizes
make accessiblemake accessible
require use by employeesrequire use by employees
clean, repair, replace as neededclean, repair, replace as needed
provide trainingprovide training

21. PPE
 Employee responsibilities:Employee responsibilities:
 use appropriatelyuse appropriately
 dispose of appropriatelydispose of appropriately

22. PPE
 GlovesGloves
 DisposableDisposable
 wear when it can be reasonably anticipatedwear when it can be reasonably anticipated
that the employee may have hand contactthat the employee may have hand contact
with blood, OPIM, mucous membranes, andwith blood, OPIM, mucous membranes, and
non-intact skin; and when handling ornon-intact skin; and when handling or
touching contaminated items or surfaces.touching contaminated items or surfaces.
 select correct sizeselect correct size
 have readily available at work stationhave readily available at work station

23. PPE
 Protective eye wear – safety glasses, goggles,Protective eye wear – safety glasses, goggles,
masks, and/or solid eye shieldsmasks, and/or solid eye shields
• To be worn whenever splashes, spray, spatterTo be worn whenever splashes, spray, spatter
or droplets of blood or OPIM may be generatedor droplets of blood or OPIM may be generated
and eye, nose or mouth contamination can beand eye, nose or mouth contamination can be
reasonably anticipatedreasonably anticipated
• All PPE used at this facility will be providedAll PPE used at this facility will be provided
without cost to employees.without cost to employees.
• PPE is located in the Custodial departmentPPE is located in the Custodial department
and health rooms.and health rooms.

24. PPE Removal
1) Remove gloves by grasping outside of gloved1) Remove gloves by grasping outside of gloved
hand with other gloved hand and peel off.hand with other gloved hand and peel off.
Hold removed gloveHold removed glove
in gloved hand.in gloved hand.
2) Slide fingers of2) Slide fingers of
ungloved hand underungloved hand under
remaining glove atremaining glove at
cuff and remove glovecuff and remove glove
3) Discard gloves.3) Discard gloves.

25. PPE Removal
Wash hands!Wash hands!

26. Engineering and Work-
Practice Controls
 Engineering & work-practice controls will be utilizedEngineering & work-practice controls will be utilized
to eliminate or minimize exposure to employees at thisto eliminate or minimize exposure to employees at this
facility. The following engineering controls will befacility. The following engineering controls will be
utilized:utilized:
 Gloves and other necessary PPEGloves and other necessary PPE
 Bio-Hazard bagsBio-Hazard bags
 Sharps containersSharps containers
 Sharps definition: any object that can penetrate theSharps definition: any object that can penetrate the
skin; including but not limited to, needles, scalpels,skin; including but not limited to, needles, scalpels,
broken glass, and blades.broken glass, and blades.

27. Engineering Controls
 Place used sharps in disposal containersPlace used sharps in disposal containers
immediately after useimmediately after use
 Sharps containers areSharps containers are
 puncture resistantpuncture resistant
 leakproofleakproof
 labeled and red in colorlabeled and red in color
 Maintained in uprightMaintained in upright
positionposition

28. Engineering Controls
 Sharps containersSharps containers
 Replace sharps containersReplace sharps containers
when 2/3 fullwhen 2/3 full
 Contact the District NurseContact the District Nurse
to replace sharpsto replace sharps
container when necessarycontainer when necessary

29. Work Practice Controls
 Do not place hands into used sharpsDo not place hands into used sharps
containerscontainers
 Use a brush and dustpan or tongs or forcepsUse a brush and dustpan or tongs or forceps
to pick up broken glass or other sharp itemsto pick up broken glass or other sharp items

30. Work Area Restrictions
 Do not eat, drink, apply make-up or lipDo not eat, drink, apply make-up or lip
balm, smoke, or handle contact lenses inbalm, smoke, or handle contact lenses in
areas with likely exposure to blood orareas with likely exposure to blood or
OPIMOPIM
 Do not store food and beverages inDo not store food and beverages in
refrigerators, freezers, shelves, cabinets,refrigerators, freezers, shelves, cabinets,
or on counter tops or bench tops whereor on counter tops or bench tops where
blood or OPIM are present.blood or OPIM are present.

31. Waste Disposal
 Infectious wasteInfectious waste
 sharpssharps
 disposable items that are saturated withdisposable items that are saturated with
blood or OPIM to the point where suchblood or OPIM to the point where such
material can be squeezed, poured, dripped,material can be squeezed, poured, dripped,
or flaked off the itemsor flaked off the items
 place in red biohazard bags, seal to preventplace in red biohazard bags, seal to prevent
spillage during handlingspillage during handling
 Contact the Custodian to store in designatedContact the Custodian to store in designated
areas for collection and appropriate disposalareas for collection and appropriate disposal

32. Labels
 Infectious waste: place in fluorescentInfectious waste: place in fluorescent
orange or orange-red bag withorange or orange-red bag with
biohazard labelbiohazard label
 Sharps containers:Sharps containers:
red container withred container with
biohazard labelbiohazard label

33. Cleaning/Disinfection
 Cleaning and disinfection of all equipmentCleaning and disinfection of all equipment
and environmental surfaces after contactand environmental surfaces after contact
with blood or OPIM will be done by thewith blood or OPIM will be done by the
Custodial staff as necessary.Custodial staff as necessary.
 use EPA registered disinfectant with activityuse EPA registered disinfectant with activity
against HIV, HBV, HCV or 1:10 bleachagainst HIV, HBV, HCV or 1:10 bleach
solutionsolution
 follow instructions on disinfectant labelfollow instructions on disinfectant label

34. Handling Blood Spills
 Procedure for Cleaning Blood SpillsProcedure for Cleaning Blood Spills
 wear PPE: gloves, goggles, and/orwear PPE: gloves, goggles, and/or
maskmask
 wet cloth with the disinfectantwet cloth with the disinfectant
 wipe item/area with wet clothwipe item/area with wet cloth
 spray disinfectant on item/areaspray disinfectant on item/area
 wipe with clean cloth, let air drywipe with clean cloth, let air dry

35. Hepatitis B Vaccination
 Any one with potential occupationalAny one with potential occupational
exposure to blood or OPIM should beexposure to blood or OPIM should be
vaccinatedvaccinated
 recommended unless:recommended unless:
employee has documentation ofemployee has documentation of
receipt of seriesreceipt of series
antibody testing shows immunityantibody testing shows immunity
employee has medicalemployee has medical
contraindicationscontraindications

36. Hepatitis B Vaccination
 available free of charge, within 10available free of charge, within 10
working days of work start dateworking days of work start date
 if employee declines, must signif employee declines, must sign
statement of declinationstatement of declination
 employee may request the seriesemployee may request the series
laterlater

37. Hepatitis B Vaccination
 SafetySafety
 very safe vaccinevery safe vaccine
 US: as of 2000 more than 100 million adultsUS: as of 2000 more than 100 million adults
have received vaccine with few side effectshave received vaccine with few side effects
 serious reactions are rareserious reactions are rare
 mild symptoms may occur: soreness atmild symptoms may occur: soreness at
injection site, low-grade feverinjection site, low-grade fever
 may be given during pregnancymay be given during pregnancy

38. Hepatitis B Vaccination
 EffectivenessEffectiveness
 at least 90% of adults are immuneat least 90% of adults are immune
after completing the three doses ofafter completing the three doses of
vaccinevaccine
 since 1985, 90% reduction of numbersince 1985, 90% reduction of number
of health care workers infected withof health care workers infected with
HBV, largely due to vaccineHBV, largely due to vaccine

39. Hepatitis B Vaccination
 vaccine provided by school nursevaccine provided by school nurse
 administered by deep intramuscularadministered by deep intramuscular
injectioninjection
 3 doses given: 1st two doses 1 month3 doses given: 1st two doses 1 month
apart, last dose is given 5 months afterapart, last dose is given 5 months after
second dosesecond dose

40. Post Exposure Management
1) Clean the site1) Clean the site
 percutaneous injuries:percutaneous injuries:
wash with soap and waterwash with soap and water
 mucous membranes:mucous membranes:
rinse copiously with waterrinse copiously with water
2) Inform building administrator or designee2) Inform building administrator or designee
immediately of exposure.immediately of exposure.

41. Post Exposure Management
3) Complete School Injury Report and School Exposure3) Complete School Injury Report and School Exposure
Incident Investigation Form (found in BBP ExposureIncident Investigation Form (found in BBP Exposure
Control Plan Manual in Main Office).Control Plan Manual in Main Office).
4) Seek medical attention at Fort HealthCare Emergency4) Seek medical attention at Fort HealthCare Emergency
Room or Business Health as soon as possible afterRoom or Business Health as soon as possible after
incident.incident.
5) The full hepatitis B vaccination series shall be made5) The full hepatitis B vaccination series shall be made
available as soon as possible, but in no event later thanavailable as soon as possible, but in no event later than
24 hours, to all unvaccinated employees.24 hours, to all unvaccinated employees.

42. Completion of BBP
 You have completed the BloodborneYou have completed the Bloodborne
Pathogens program.Pathogens program.
 Please complete the quiz to verify youPlease complete the quiz to verify you
have completed the program.have completed the program.
 Call Lynn Zaspel RN, District Nurse atCall Lynn Zaspel RN, District Nurse at
x1094 with questions or concernsx1094 with questions or concerns..