What is a blood born pathogen (BBP)?

1. In accordance with Health and Safety Code, Chapter 81, Subchapter H, and Analogous to OSHA Blood borne Pathogens (29 CFR 1910.1030) by Joan Schleeweis-Connor BSN, MS, Dianne Reid RN MS Kathy Rossman RN NCSN

2. What is a blood born pathogen (BBP)? Blood borne pathogens are infectious materials in blood that can cause disease in humans. • Yellow skin • Dark urine

3. Potential risks for exposure • Spray, splash into mouth, nose, or eye • Contact with breaks in skin, even tiny ones that can not be seen like with chapped hands • Accidental injury with a scissor, paper cut a sharp object or anything that can break the skin

4. Hepatitis B Vaccine “Immunization is the most effective means of preventing Hepatitis B infection” CDC • Series of 3 injections produces an antibody response in 90% of healthy adults. • Most common side effects: • Pain at injection site (3%-29%) • Low grade fever (1%-6%)

5. Breaking up fights Assisting with nose bleeds, cuts, abrasions Cleaning up bloody waste Bites that break the skin First aid administration Employee Tasks which may cause exposure

6. Universal Precautions • People can carry a blood borne virus for years and have no symptoms thus may not be aware. • You may have an unknown break in your skin. • You may also have an unknown blood borne disease and precautions protect your students All blood or bodily fluids anyone comes into contact with are to be assumed potentially infectious.

7. The 5 Universal Precautions 1. Use hand sanitizer. Wash hands frequently. When an exposure occurs, wash hands correctly and thoroughly. 2. Avoid contact with body fluids and sharp objects. 3. Use gloves and other protective equipment when you anticipate exposure to bodily fluids. 4. Clean work surfaces regularly with approved product. 5. Dispose of hazardous material safely.

8. Hand Washing • Hand washing is far less glamorous than hi tech interventions, but it is known to be the single most important thing we can do to reduce the spread of disease

9. Hand Washing Steps

10. Hand Sanitizer Application

11. Protective Measures Use gloves – single use, disposable Gloves should fit smoothly, no rips Remove gloves so that they are inside out. Bare skin should not make contact with outside (contaminated) glove side. Gloves and other soiled items must be disposed of in a leak proof puncture resistant lined container Always wash hands after wearing gloves Face shields, goggles, smock or apron may also be used to avoid contact with body fluids

12. If Exposed to Bloody Fluids • Wash hands immediately. • Flush your eyes, nose or mouth with running water if exposed • Inform the school nurse • Fill out MIIA incident report from school nurse. • Medical evaluation & treatment options • Local city or county health department • Private physician • Local hospital emergency room

13. If An Injury Occurs • Be calm, pause and think, reassure the injured person. • Observe the severity of injury. • Minor cuts/scrapes- verbally instruct the student to self administer first aid • If you administer first aid, first put on a pair of gloves. • After first aid, wash your hands carefully.

14. Key Points All body fluids may have blood borne diseases. Wash hands to protect yourself. Notify custodial services to clean up body fluid spills. You will see bodily fluids this year! Be ready, stay safe!

15. Questions are Encouraged • If you have any questions or concerns about this program, please contact your school nurse or Kathy Rossman RN 251-5155