ITT TECHNICAL INSTITUE Mary Breckinridge College of Nursing Mandatory OSHA Education

1. ITT TECHNICAL INSTITUE Mary Breckinridge College of NursingMandatory OSHA Education BLOODBORNE PATHOGENS Mrs. Kreisel MSN, RN Adult Nursing 130

2. What is OSHA? Occupational Safety & Health Administration

3. What is a Bloodborne Pathogen? • Bloodborne pathogens are infectious microorganisms present in blood that can cause disease in humans. These pathogens include, but are not limited to hepatitis B virus (HBV), Hepatitis C virus (HCV), and human immunodeficiency virus (HIV), the virus that causes AIDS.

4. OSHA’S Bloodborne Pathogens The standard’s requirements state what employers must do to protect workers who are occupationally exposed to blood or other potentially infectious materials (OPIM, saliva, semen, vaginal secretions). That is, the standard protects workers who can reasonably be anticipated to come into contact with blood or OPIM as a result of doing their job duties.

5. Portals of Entry/Exposure • Specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or OPIM

6. Methods of Implementation • ALL employees will utilize Universal (Standard) Precautions. • Treat all human blood and OPIM as if it is infected with a bloodborne pathogen

7. PPE • Personal Protective Equipment will be provided to employees at no cost to them. • Training in the use of appropriate PPE for specific tasks or procedures are provided via education or policies in the facility.

8. Types of PPE • Gloves • Gowns • Masks • Needle Containers • Shoe Covers • Head Coverings

9. PPE • Wear appropriate gloves when it is reasonably anticipated that there may be hand contact with blood or body fluids. • Replace gloves if they become torn, punctured or contaminated. • Never wash or decontaminate disposable gloves for reuse.

10. Eye and Face Protection • Wear appropriate face and eye protection when splashes, sprays, spatters, or droplets of blood or body fluids pose a hazard to the eye, nose or mouth.

11. All employees using PPEmust observe the following • Wash hands immediately prior to or as soon as feasible after removing gloves or PPE. • Remove PPE after it becomes contaminated and before leaving the work area.

12. Disposal of PPE • Know you facilities policy regarding disposal of PPE.

13. Hepatitis B Vaccination • Hepatitis vaccination is encouraged in all healthcare personnel Unless: • Documentation exists of previous series • Antibody testing reveals the employee is immune • Medical evaluation show vaccination is contraindicated.

14. Follow-Up Exposure • If I am exposed I should immediately wash area with warm soap and water. • Notify nursing instructor and charge nurse and have follow-up with employee health nurse. • Have initial blood drawn for HIV and HBV infectivity. • The staff will get appropriate consent to test the patient.

15. What if the patient is + ? • If the individual is already known to be HIV or HBV positive, testing is not performed. • The exposed individual should be notified of patient’s results when available. • If patient tests positive for HIV or HBV the employee would be treated with prophylaxis medication and routine blood tests done at intervals up to one year.