Bloodborne Pathogen Awareness Training

1. Bloodborne Pathogen Awareness Training

2. What is a bloodborne pathogen? What do UTHSC-H statistics say? Preventive measures Needlestick injury / exposure information TB presentation / isolation Your rights Blood or other potentially infectious material (OPIM) spill clean up Outline

3. OSHA Bloodborne Pathogen Standard

4. Texas Department of State Health Services Bloodborne Pathogen Control

5. Bloodborne Pathogens (BBP)

6. Bloodborne Pathogens (BBP)

7. Bloodborne Pathogens (BBP)

8. Occupational Exposure

13. Summary of UTHSC-H Statistics

17. Preventive Measures Risk of exposure can be minimized or eliminated by using the following controls: Engineering controls Personal protective equipment (PPE) Administrative controls Work place practices

18. Engineering Controls Leakproof containers Use for storage & transport of bloodborne pathogen material Sharps containers Fill no greater then ¾ full Needleless devices Use retractable syringes, self-sheathing needles Biosafety cabinet (BSC) Directional air flow High efficiency particulate air (HEPA) filtration Access control

19. Personal Protective Equipment (PPE) Face protection Goggles or safety glasses with side shields Clothing Lab coats, scrubs, disposable gowns (long pants only and no open toed shoes!) Replace immediately if contaminated & restrict to work area Gloves Replace immediately if torn Do not wear outside the lab area

20. Administrative Controls Medical surveillance TB skin test (PPD), baseline serum Immunizations Hepatitis B series Training Management of staff (SOP compliance) Background checks, security clearance

21. Good Work Place Practices Follow SOPs Use standard precautions Treat all human blood and body fluids as if known to be infectious for HIV, HBV or other potentially infectious material Survey work area Note locations of all necessary equipment, waste containers, disinfectants, soaps Establish and maintain clean and dirty zones NEVER recap needles!!!

22. Good Work Place Practices (cont.)

23. Hand Hygiene

25. Proper Hand Washing

26. Where do we miss?

27. Proper Hand Washing (cont.)

28. Most Cited Sources of Needlestick Injuries

29. Needlestick/Possible Exposure Apply routine first aid immediately Clean site of injury with soap and flush with warm water for at least 15 minutes antiseptics may be used if available Flush mucous membranes with water or saline for at least 15 minutes Notify supervisor Complete First Report of Injury Used to process insurance claims, helps identify trends Seek medical attention Needlestick Hotline (24hr): 1-800-770-9206 Employee Health: 713-500-3267 Toxicological info. Highly toxic chemical ORL RAT - LD50 of 50 mg/kg IHL-RAT - LC50 of 200 ppmToxicological info. Highly toxic chemical ORL RAT - LD50 of 50 mg/kg IHL-RAT - LC50 of 200 ppm

30. Medical Surveillance Baseline Labs HIV antibody (with consent) RPR (Syphilis) Hepatitis B surface antibody HCV antibody If source is known to be Hepatitis C+, also obtain liver function & HCV RNA tests CBC with differential and platelets, chemistry profile, urine pregnancy test if source is known HIV+ and if exposed personnel chooses to utilize post-exposure prophylaxis Hepatitis B Vaccination Tuberculosis skin test, Quantiferon test

31. CDC Exposure Risk

32. TB Presentation & Isolation

33. TB Presentation & Isolation (cont.)

34. Rights In the event of a possible exposure to bloodborne pathogens, the employee is entitled to: Confidential medical evaluation and follow-up Documentation of routes of exposure Identification, documentation, testing and results of the source individual Counseling Evaluation of reported illness

35. Blood (or OPIM) Spill Clean up Clean all blood (or OPIM) spills with a 10% solution of household bleach or another EPA-approved disinfectant Apply the approved disinfectant to perimeter of spill, slowly proceed inwards Allow a minimum of 15 minutes of disinfectant contact time Dispose all materials used to clean up spill (e.g., towels, gloves) in a biohazard bag

36. Biological Waste Disposal Off-Site Shipments Utilize a biological waste box or reusable red tub with a red liner Close red liner by tying the bag into a single knot Attach a complete biological waste label to the box or tub (designate incineration only by attaching a yellow shipping label) MSB, MSE, or SONSCC please call the hazardous waste (713-500-5837) to request collection SRB, DBB, DAC, RAS please close the box or tub and place in the regional biological waste storage room

37. Biological Waste Disposal Steam Sterilization (Autoclave) Used for treatment of solid and liquid wastes Wastes should be packaged in heat resistant bags with the opening loosely closed to allow steam to enter bags Once waste is autoclaved, place it in a white trash can with a black liner for housekeeping Perform quality control on a routine basis and record activities in the log book Only fill bags 2/3 full Only fill bags 2/3 full

38. Shipping Infectious and Diagnostic Substances Training required for all persons wanting to ship infectious or diagnostic substances Refresher training required every two years or as regulations change For additional help or training information please contact Biological Safety at 713-500-4193

39. Test!

40. Information Resources

41. Training Certificate

42. Questions??