Welcome to Bloodborne Pathogens Training!

1. Welcome to Bloodborne Pathogens Training! Please make yourself comfortable. We will begin promptly.

2. Bloodborne Pathogens: Protect Yourself NYS Dept. of Labor, Div. Of Safety and Health

3. Please Switch Them Off!

4. At the End of This Session, You Will: • Know what OSHA’s bloodborne pathogens standard is. • Know what to do about bloodborne pathogens in your workplace.

5. Disclaimer

6. The antidote to FEAR is KNOWLEDGE --Ralph Waldo Emerson

7. Purpose • Protect yourself from bloodborne diseases on the job

8. What will we talk about? • OSHA’s Bloodborne Pathogens Standard • How bloodborne diseases are spread on the job • The Exposure Control Plan • How to prevent exposure

9. What will we talk about? • The Hepatitis B Vaccine • What to do if you are exposed • Signs and labels

10. What will we not talk about? • Diseases carried in body fluids other than blood • Off-the-job exposures

12. DEFINITIONS

13. Occupational Safety and Health Administration A branch of the U.S. Department of Labor which enforces the Occupational Safety and Health Act of 1970.

14. Bloodborne Pathogens Standard 29 CFR 1910.1030

15. What Is a Bloodborne Pathogen? • An organism (“germ”) that is • found in human blood • can cause disease in humans

16. HIV (AIDS) Hepatitis B Hepatitis C Malaria Syphilis Leptospirosis Creutzfeldt-Jakob Etc. Bloodborne Diseases

17. How do you catch a bloodborne disease on the job? • Be cut, scratched, or stuck by a contaminated object • Get blood on skin, esp. skin with open sores, cuts • Get blood in eyes, nose, mouth (mucous membranes)

18. You Cannot Catch HIV or Hepatitis B From • A mosquito bite • A human bite (unless the biter has bleeding gums or mouth sores)

19. Blood • Human blood • Blood components • Products made from human blood

20. OPIM • Other Potentially Infectious Materials • Specific body fluids that can transmit bloodborne pathogens, body fluids that cannot be distinguished from each other, unfixed human tissue or organs. • Includes saliva in dental procedures.

21. Regulated Waste • Liquid or semi-liquid blood or OPIM • Items contaminated with blood or OPIM that can release the substances in a liquid or semi-liquid state if compressed

22. Regulated Waste · Items caked with dried blood or OPIM that can release these materials during handling · Contaminated sharps · Pathological or microbiological wastes containing blood or OPIM

23. Parenteral • Piercing the skin or mucous membranes • Example: cuts, scratches, needlesticks

24. Occupational Exposure • “Reasonably anticipated” skin, eye, mucous membrane or parenteral contact with blood or OPIM resulting from your job duties

25. Exposure Incident A specific occurrence of eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or OPIM

26. How many exposure incidents does it take to be infected?

27. Contaminated • Blood is present or “reasonably anticipated” • On an item or surface

28. How much blood has to be on a surface for it to be “contaminated”?

29. Decontaminate • Remove, inactivate, or destroy BBP so they cannot transmit infectious particles • Chemical or physical means

30. Where on your job can you be exposed?

31. On-the-job Exposure • Cut by contaminated instrument. • Body fluids splash in eye/nose/mouth. • Body fluids splash onto skin with cuts, sores, rash,etc. • Giving first aid or CPR.

34. Exposure Control Plan Your written exposure control plan must contain the following information: • Who is potentially exposed • Job duties or tasks with exposure

35. Exposure Control Plan • Personal protective equipment (PPE) you will use. • Standard operating procedures. • Emergency procedures. • Housekeeping schedule.

36. Exposure Control Plan • How and when you will comply with the standard.

37. Exposure Control Plan • Which situations could use engineering controls to eliminate or minimize exposure. • How you will evaluate exposure incidents.

38. NEW! Exposure Control Plan • Changes in technology that eliminate or reduce employee exposure. • How you consider, select, and use safer devices.

39. NEW! Exposure Control Plan • How you got input from non-managerial workers involved in direct patient care to help identify, evaluate and select engineering and work practice controls.

40. Exposure Control Plan • Labeling or color-coding system.

41. NEW! Exposure Control Plan Review and update • at least annually • whenever necessary to reflect • new or modified tasks and procedures • new or revised employee positions.

42. Exposure Control Plan • Make available to employees • Make hard copy available within 15 days of request.

43. Methods of Compliance Universal Precautions Engineering Controls Personal Protective Equipment Housekeeping; Handling Regulated Waste

44. How are these people different?

45. Universal Precautions Treating all human blood and certain body fluids as if they are known to be infectious for bloodborne diseases.

46. Hierarchy of Control • Engineering Controls • Work Practice Controls • Personal Protective Equipment

47. Engineering Controls and Work Practices

48. Engineering Controls Controls(e.g., sharps disposal containers, self-sheathing needles, safer medical devices, such as sharps with engineered sharps injury protections and needleless systems)that isolate or remove the bloodborne pathogens hazard from the workplace. NEW!

49. Needleless System NEW! • A device that does not use needles for: • Collecting body fluids or withdrawing body fluids after initial venous or arterial access is established • Administering medication or fluids • Any other procedure involving potential occupational exposure to bloodborne pathogens due to percutaneous injuries from contaminated sharps

50. Sharp with Engineered Sharps Injury Protection NEW! • A non-needle sharp or a needle device • Used for • withdrawing body fluids • accessing of a vein or artery • administering medications or other fluids • With a built in safety feature or mechanism that effectively reduces the riskof an exposure incident