Springfield Public Schools: Bloodborne Pathogen Training

1. Springfield Public Schools: Bloodborne Pathogen Training

2. This program meets the following guidelines: • OSHA Standards on Bloodborne Pathogens (29 CFR 1910.1030) • Public sector workplaces in Massachusetts are not covered by OSHA standards, but… • Massachusetts Division of Occupational Safety dictates that public sector employers comply with the same requirements

3. At the end of this lesson, you will be able to: • List the three most common bloodborne pathogens (BBPs) • Identify and take appropriate actions to reduce risk of exposure to BBPs • Describe how to respond if an injury occurs at your site

4. Definition of BBP • Bloodborne pathogens are infectious materials in blood that can cause disease in humans, including but not limited to hepatitis B and C and human immunodeficiency virus or HIV

5. Your role and responsibilities: • Minimize the risk of BBP exposure for students, your co-workers, and yourself • Take proper precautions at all times • When an incident occurs, respond quickly and correctly

6. 3 Most Common BBPs 1. Hepatitis B • inflammation of the liver, which can lead to cirrhosis, liver cancer or death • Most people recover • Can be indirectly transmitted • There is a vaccine 2. Hepatitis C • inflammation of the liver, which can lead to chronic liver disease and death • May carry virus for years without visible symptoms • HIV • Attacks the immune system • May carry virus for years without visible symptoms • Develops into AIDS in some cases

7. How it is spread: • BBPs are most commonly spread through high-risk activities like unprotected sex and sharing drug needles. • At school sites your risk of exposure is low. Potential risks include infected blood or other bodily fluid that: • Spray, splash into mouth, nose or eye (mucous membrane) • Contact with broken areas of skin, even tiny breaks you can’t see • Accidental injury with a sharp object like a needle, broken glass, or anything else that can pierce your skin.

8. Protect yourself • Hepatitis B virus (HBV) can be transmitted indirectly if you touch a contaminated surface and then touch your nose, mouth, eyes, or broken skin. • HBV can survive dried and at room temperature on surfaces for up to a week

9. Protect yourself • Infection Control • Standard Precautions • Hand Washing • Use of Disposable Gloves • District Procedures/Guidelines

10. PREVENTION Standard Precautions • a method of infection control in which all blood or bodily fluids anyone comes in contact with is assumed to be potentially infectious • People with BBP’s may not know it • You may be a carrier and not know it-preventive measures protect students also

11. Five Universal Precautions • Wash hands and work surfaces frequently • Avoid contact with sharp objects • Use gloves and other personal protective equipment when you anticipate exposure to blood or other bodily fluids • Wash your hands immediately following exposure • Dispose of hazardous material safely using engineering controls like a needle box for any sharp objects

12. Handwashing 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

13. Procedure is important • Wet hands thoroughly under warm water • Dispense non-abrasive soap into wet hands • Vigorously rub hands together for 20 seconds, about the time it takes to sing “Happy Birthday” • Be sure to scrub all surfaces...top and bottom • Thoroughly rinse hands • Dry hands with a disposable towel. • Use towel to turn off the water and dispose of it

14. Hand Sanitizers • Do not require water • Excellent alternative to hand washing when soap and water not available • Apply about ½ tsp of sanitizer to palm of hand • Rub hands together, covering all surface of your hands until they are dry • Wash hands with soap and water when able

15. Work surfaces • Make sure work surfaces, particularly any public counters, are kept clean • Use a disinfectant that kills germs • Make this part of your dailyroutine

16. SHARPS Be alert for sharp objects, like broken glass or needles, when emptying trash containers • never smash down trash with hands or feet • always carry trash away from your body • never pick up broken glass with your hands

17. Personal Protective Equipment • Safety devices or safeguards worn by workers to protect against environmental hazards • Designed to reduce the risk of disease transmission • Always wear gloves when you anticipate touching blood, bodily fluids, or contaminated surfaces

18. Using Gloves • Use single-use, disposable gloves when administering first aid. • Cover any cuts with bandages before putting on gloves • Make sure gloves fit snugly • When removing, be sure that your bare skin does not come into contact with exterior of the glove (peel inside out) • Dispose of gloves in hazardous waste container

19. Other protective equipment • Resuscitation device- always use when administering mouth to mouth • Smock or apron-use when cleaning up large amounts of blood or other bodily fluid • Eyewear • Face shield obtain equipment from school nurse or custodian

20. Hazardous Waste • Used needles should be immediately placed in a sharps container

21. Sharps • Protect Yourself and Others from Sharp Objects. • If you have a needle or anything with a sharp point, dispose of it in the sharps container in the Nurse’s Office.

22. SHARPS • Any contaminated object that can penetrate the skin including, but not limited to, needles, scalpels, and broken glass. • Use a brush and dustpan or tongs to pick up broken glass/sharp objects • Never use your hands. • Place the items in a closable, leak proof, puncture resistant container with a biohazard label attached. • Never reach into a trash container or push trash down with hands or feet • Use a properly labeled sharps container for needles. • Never recap, bend, break, or shear needles. • Wear gloves! • Replace sharps containers when full – never overfill. • Sharps containers are stocked in the health room of each school.

23. Accidental Exposure If you are exposed despite using precautions • Immediately wash the exposed area with anti-bacterial soap and water • Flush eyes, nose or mouth with running water if they have been exposed

24. If an injury occurs • Assess the situation • Administer first aid • Report incident to school nurse

25. ASSESS THE SITUATION Your first instinct is to help an injured child immediately, but take a moment to think so you safely approach the situation BE CALM REASSURE VICTIM ASSESS SEVERITY OF INJURY AVOID EXPOSING YOURSELF TO BLOOD OR BODILY FLUIDS WITHOUT PRECAUTION

26. FIRST AID • For minor cuts and scrapes, encourage the victim to self-administer first aid. • For more serious injuries, put on a pair of gloves before you administerfirst aid.

27. When exposure occurs: • Report the incident to the school nurse immediately! • If you experienced accidental exposure, complete an Incident Report form and submit it to your building principal. • An Incident Report is required anytime an incident occurs in which there is potential exposure to a bloodborne pathogen.

28. Occupations at RISK High Risk • Health Service Personnel • Coaches & Athletic Trainers • PE Teachers • Special Ed Teachers • Special Ed Bus Drivers & Aides Some Risk • Custodians, Secretaries, Regular Education Teachers & Aides, Bus Driver

29. CLEANING UP SPILLS • If you are cleaning up a spill of blood, carefully cover the spill with paper towels or cloths – then carefully pour an approved cleansing solution – and leave it for 10 minutes to kill any bloodborne pathogens. Remember to decontaminate any mops, sponges, pails, etc. that were used in the clean up process. To determine if a cleaning solution is EPA Registered : Read the label

30. CLEANING UP (CONT) • Wear gloves. • Place contaminated items in a leak proof bag. • Remove gloves using proper method – never let bare skin touch contaminated gloves. • Place securely fastened bag in a plastic lined trash container. • Take to the school nurse for disposal.

31. Contaminated sports items and equipment • Use an EPA-registered tuberculocidal disinfectant solution to clean and decontaminate sports items and equipment that has come in contact with blood and other potentially infectious materials. Follow the clean up and decontamination guidelines.

32. Summary • You have explored: • Bloodborne pathogens (BBPs) • The three most common BBPs • Universal precautions for reducing risk of exposure • What to do when an injury occurs • Normal teaching and learning activities do not place anyone at risk for HIV infection, but accidents and injuries at school can produce situations where students or staff might be exposed to another person’s body fluids. BE PREPARED!

33. THE END

34. Bloodborne pathogens post test 1. Which disease is not bloodborne? A. Hepatitis A B. Hepatitis B C. Hepatitis C D. HIV 2. Bloodborne pathogens may enter your bloodstream through: A. skin abrasions B. open cuts C. accidental needle sticks D. all of the above 3. Observing “universal precautions” means treating all blood and body fluids as if infectious. • True • False

35. Post test 4. Wearing gloves is one of the most important personal protective measures for preventing an exposure to blood borne pathogens. • True • False 5. If you wear gloves when cleaning up blood or body fluids, it is not necessary to wash your hands afterwards. • True • False 6. If antiseptic wipes or gels are used, it is not necessary to wash your hands afterwards. • True • False 7. Personal Protective Equipment includes which of the following? A. Gloves B. Goggles C. Aprons D. All of the above

36. Post test 8. When cleaning up a blood borne pathogens spill, which of the following should you NOT do? A. Use disposable gloves B. Dispose of waste in an unlined waste container C. Wash hands thoroughly with warm water and soap D. Contact the school nurse and custodian 9. You should complete an incident report if you have been exposed to blood borne pathogens. • True • False 10. A person with a blood borne pathogen will always look sick. • True • False

37. Post test What would you do??????? Circle the correct response. 11. A student, Angie, comes to you with a bloody nose. She is upset and needs your assistance cleaning up. Would you: A. Tell Angie that you are busy and send her off to class B. Rush to help Angie and do your best not to touch the blood C. Encourage Angie to clean herself up, even though she is upset D. Call Angie’s parents and tell them they need to come to clean her up 12. You notice that Angie has dripped blood down the hall. Would you: A. Grab some paper towels and quickly wipe up the blood B. Call your custodian and ask them to clean up the blood and disinfect the area using the appropriate precautions C. Give Angie paper towels and instruct her to clean up after herself

38. Bloodborne pathogen answer sheet Name/Title_______________________Date____________ School__________________________ 1. ○ A ○ B ○ C ○ D 2. ○ A ○ B ○ C ○ D 3. ○ T ○ F 4. ○ T ○ F 5. ○ T ○ F 6. ○ T ○ F 7. ○ A ○ B ○ C ○ D 8. ○ A ○ B ○ C ○ D 9. ○ T ○ F 10. ○ T ○ F 11. ○ A ○ B ○ C ○ D 12. ○ A ○ B ○ C ○ D