Spencer County Public Schools Bloodborne Pathogen Training

1. Spencer County Public Schools Bloodborne Pathogen Training

2. When is training conducted? • Within the first 30 days of employment for positions where occupational exposure may occur. • Annually, as refresher training

3. Who can conduct training? • Registered nurses, athletic trainers, and others persons designated by the District who are knowledgeable in the Bloodborne Pathogen Exposure Plan.

4. Chapter 96. Bloodborne Pathogen Control (CFR) OSHA Bloodborne Pathogen Final Rule Epidemiology and symptomatology of bloodborne diseases Modes of transmission of bloodborne pathogens The district’s exposure control plan Points of the plan Lines of responsibility Implementation How to access the plan Procedures which might cause exposure to blood or potentially infectious material in the district What must be included?

5. What are Bloodborne Pathogens? They are viruses, bacteria and other microorganisms that: • are carried in a person’s bloodstream • cause disease If a person comes in contact with blood infected with a bloodborne pathogen, he or she may become infected.

6. How are Bloodborne Pathogens Spread in the Workplace • Blood from infected person can infect others by: • Into skin from contaminated needle • By contact with broken skin (scratch, cut, chapped hands) • Spray, splash into mouth, nose or eye (mucous membrane)

7. Stop the Spread Break the Chain By • Washing Hands • Avoiding blood or other potentially infectious material • Using barriers (gloves)

8. Exposure Determination • An employee’s risk of exposure to infected blood is determined by an evaluation of two variables: 1. The employee’s risk of contacting blood, based on occupation group, and; 2. The presence of persons infected with HIV or HBV.

9. Category 1 Job Classifications • Following occupations are identified at risk for exposure • Health Service Personnel • Coaches & Athletic Trainers • PE Teachers • Special Ed Teachers • Special Ed Bus Drivers & Aides • Health Occupation Teachers

10. Category 2 Job Classifications • Following occupations are identified as experiencing some exposure • Custodians • Secretaries • Regular Education Teachers & Aides • Bus Drivers

11. Breaking up fights Assisting with nose bleeds Cleaning up bloody waste Bites that break the skin Rendering first aid and other instances involving blood Employee Tasks which may cause exposure

12. Methods to control exposure to blood or other potentially infectious materials Personal Protective Equipment (PPE) available in the district Types Use Location Procedures to follow in an emergency involving blood or other potentially infectious materials Procedures to follow if an exposure incident occurs Post exposure prophylaxis guidelines TrainingProgram Includes

13. Training also Includes • Post exposure evaluation and follow up • Signs and labels used in the district • Biohazard containers with labels • An opportunity to ask questions of the individual conducting the training

14. Video: Bloodborne Pathogens (School Version) • The District has a video that is available through EncycloMedia.

15. Procedures to follow if an exposure incident occurs • If there is an exposure, wash the exposed area immediately • Contact your supervisor • Your supervisor will provide proper paperwork • Where to seek medical evaluation & treatment • Local city or county health department • Private physician • Local hospital emergency room

16. Post Exposure Evaluation & Follow Up • Access to a health care professional for exam, treatment and evaluation • Most likely will be handled as a worker’s compensation case • Coordinate this information with Human Resources

17. Work Area Practices • In work areas where there is a reasonable likelihood of exposure to blood or other potentially infectious materials, employees are not to eat, drink, apply cosmetics or lip balm, smoke, or handle contact lenses, nor should they allow others to do so. • Food and beverages are not to be kept in refrigerators, freezers, shelves, cabinets, or on counter/bench tops where blood or other potentially infectious materials are present.

18. Employees will wear gloves where it is reasonably anticipated that employees will have hand contact with blood and other potentially infectious materials. Employees will wash their hands or other skin immediately or as soon as possible after removal of gloves or other personal protective equipment. Additional Work Area Practices

19. More Work Area Practices • Employees exposed to human bites should wear long sleeves or other protective clothing. • Remove all garments that are penetrated by blood immediately. Place in plastic bag.

20. Work Area Practices • All procedures are conducted in a manner to minimize splashing, spraying, splattering, and generation of droplets of blood or other potentially infectious materials.

21. Personal Protective Equipment • All personal protective equipment used is provided at no cost to employees. • Personal protective equipment is chosen based on the anticipated exposure to blood or other potentially infectious materials

22. Gloves • Gloves are worn where it is reasonably anticipated that employees will have hand contact with blood, other potentially infectious materials, non-intact skin, and mucous membranes. • Latex sensitive employees are provided with suitable alternative personal protective equipment.

23. Housekeeping • It is important to remember that contaminated surfaces are a major cause of the spread of hepatitis. Hepatitis B virus can survive on environmental surfaces dried and at room temperatures for least 7 days.

24. Housekeeping • Employers shall ensure that the worksite is maintained in a clean and sanitary condition. • Employees involved in decontamination of work surfaces or equipment, or who handle contaminated laundry, must wear gloves to prevent contact with blood or other potentially infectious materials.

25. Housekeeping All contaminated work surfaces are decontaminated after completion of procedures, immediately or as soon as feasible after any spill of blood or other potentially infectious materials, and at the end of the work day if the surface or equipment may have been contaminated since the last cleaning.

26. Specimen Collection • Specimens of blood or other potentially infectious materials are placed in a container, which prevents leakage during the collection, handling, processing, storage, transport, or shipping of the specimens. • The container used for this purpose is labeled with a biohazard label or color-coded unless universal precautions are used throughout the procedure and the specimens and containers remain in the facility.

27. Laundry Procedures • Use gloves and follow universal precautions when handling contaminated laundry or other potentially infectious materials. • Bag all contaminated materials (towels, gauze, paper towels) at the area where contaminated. Place in leak proof bags with the “biohazard” label. • Place laundry in appropriately marked bags at the location where it is used. The laundry may not be sorted or rinsed in the area of use. Contaminated laundry may be placed in plastic bag and sent home with student.

28. Regulated Waste Disposal • All contaminated sharps are discarded as soon as feasible in sharps containers located at each school office. • Regulated waste other than sharps is placed in appropriate containers that are closable, leak resistant, labeled with a biohazard label or color-coded, and closed prior to removal. • If outside contamination of the regulated waste container occurs, it is placed in a second container that is also closable, leak proof, labeled with a biohazard label or color-coded, and closed prior to removal. • All regulated waste is properly disposed of in accordance with federal, state, county, and local requirements.