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Bloodborne Pathogens

Bloodborne Pathogens. First Responder. Know the regulation. 29 CFR 1910.1030. 1a. Epidemiology & symptoms of bloodborne diseases. Bloodborne pathogens Decontamination Exposure incident Occupational exposure. 2a. Epidemiology & symptoms of bloodborne diseases. Parenteral

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Bloodborne Pathogens

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  1. BloodbornePathogens First Responder

  2. Know the regulation • 29 CFR 1910.1030 1a

  3. Epidemiology & symptoms of bloodborne diseases • Bloodborne pathogens • Decontamination • Exposure incident • Occupational exposure 2a

  4. Epidemiology & symptoms of bloodborne diseases • Parenteral • Potentially infectious materials • Universal precautions 2b

  5. How diseases are contracted • Workplace situations • Non-workplace situations • Routes of occupational exposure 3a

  6. Exposure control plan • Evaluation of risk • Job classifications with: • Exposure to blood • Potentially infectious materials 4a

  7. Exposure control plan • Control plans vary, but also have common elements • Implementation schedules 4b

  8. Exposure control plan • Communicating hazards to employees: • Hepatitis B • Vaccination • Post-exposure follow-up • Recordkeeping 4c

  9. Exposure control plan • Implementation of: • Engineering controls • Work practice controls • PPE • Housekeeping procedures • Evaluation of exposure incidents 4d

  10. Recognize potential exposures • Blood and infectious materials at accident scenes • Primary screening • Primary assessment 5a

  11. Engineering and controls • Primary methods of controlling transmission of HBV and HIV • Disposable airway equipment • Mouth-to-mouth resuscitation devices 6a

  12. Handwashing facilities • Locations • Portable facilities 7a

  13. Handwashing facilities • Procedures • Remove gloves • Wash hands immediately • Use antiseptic cleansers 7b

  14. Handwashing facilities • Where there is a potential for exposure, prohibit: • Eating and drinking • Applying cosmetics or lip balm • Handling contact lenses 7c

  15. Work practices • Reduce the likelihood of exposure by altering the manner in which a task is performed • Follow universal precautions • Handwashing • Minimizing splashing and spraying of blood 8a

  16. Housekeeping • Minimize the risk of occupational exposure • Keep work areas and equipment clean and decontaminated • Establish cleanup procedures for blood and bodily fluids 9a

  17. Housekeeping • Establish procedures for handling sharps • Watch for illegal injectionable drugs • Parking lots • Storage areas • Construction sites 9b

  18. Personal protective equipment • Best defense against unexpected hazards • Must be used when possibility exists for exposure to blood or bodily fluids 10a

  19. Personal protective equipment • Must not allow blood or infectious matter to pass through to employees: • Clothes • Skin • Eyes • Mouth 10b

  20. Proper use of PPE • Limitations of PPE • Replacements • Removal 11a

  21. Proper use of PPE • Handling • Decontamination and disposal • Keep PPE clean 11b

  22. Hepatitis B vaccine • Efficacy • Safety • Method of administration • Benefits of the vaccine 12a

  23. Responding to an exposed worker • Review worst-case scenario • First responders may be involved: • as one who has been exposed; or • as a witness or participant where several employees have been injured 13a

  24. Responding to an exposed worker • Arrange for immediate and confidential medical evaluation • Document how the exposure occurred • Identify and test the source individual, if possible 13b

  25. Responding to an exposed worker • Test the exposed employee’s blood, if consent is obtained • Provide counseling • Evaluate any reported illness 13c

  26. Post-exposure evaluation and follow-up • A confidential medical evaluation and follow-up is available to employees 14a

  27. Signs and labels • Biohazard symbol • Red bags and containers can be used as a substitute for labels 15a

  28. Medical records • Must be made available to employee 16a

  29. Medical records should include: • Employee name and social security number • Hepatitis B vaccination status • Results of all exams, testing, follow-ups 16b

  30. Medical records should include: • Copy of physician’s professional opinion • Copy of information provided to healthcare professional 16c

  31. Regulatory information • 29 CFR 1910.1030(c)(1)(iii) • Exposure control plans 17a

  32. Summary of key points • Written exposure control plan • Training • Engineering controls • Work practices 18a

  33. Summary of key points • PPE • Housekeeping • Hepatitis B vaccine • Exposure incident response 18b

  34. Summary of key points • Routes of exposures • Methods of assessment for bloodborne pathogen risk • Methods of protection while delivering first aid 18c

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