Annual Biosafety Training 2012 Part 2

1. Annual BiosafetyTraining 2012Part 2

2. Good Housekeeping How do we protect ourselves?

3. Good Housekeeping Practices(Clinic and Dental) • Disinfect and clean daily or as needed if contamination occurs during the day • Flu virus can survive on environmental surfaces and can infect a person for 2-8 hours after being deposited on the surface. • Disinfection Logs - must initial daily that disinfection occurred • Only need one for each area or one for each person doing disinfection • Need separate log for lab area and equipment • Includes dental stations and sterilization areas

4. Good Housekeeping Practices • Remove organic material from critical and semi-critical instrument/devices, using recommended cleaning agents before high level disinfection andsterilization to enable effective disinfection and sterilization processes. • Wear PPE (e.g., gloves, gown), according to the level of anticipated contamination, when handling patient-care equipment and instruments/devicesthat is visibly soiled or may have been in contact with blood or body fluids.

5. Good Housekeeping Practices • Do Not Store Patient Care Items Under The Sink • These Items Could Become Contaminated Without Anyone’s Knowledge

6. Knowledge Assessment A good housekeeping practice includes… Answer • A. Storing patient care items under the sink. • B. Disinfecting work areas at least once daily. • C. Disinfecting work areas once per week. • B. Disinfecting work areas at least once daily.

7. Handwashing How do we protect ourselves?

8. Handwashing • Guidelines developed by the Centers for Disease Control and Prevention (CDC) now recommend that healthcare workers use an alcohol-based hand rub (a gel, rinse or foam) to clean their hands between patient contacts, as long as hands are not dirty. Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16. .

9. Handwashing • If hands are not visibly soiled, use an alcohol-based handrub for routinely decontaminating hands. • The preferred method of hand decontamination is with an alcohol-based hand rub. Alternatively, hands may be washed with an antimicrobial soap and water. Frequent use of alcohol-based hand rub immediately following hand washing with non-antimicrobial soap may increase the frequency of dermatitis. • When hands are visibly dirty, contaminated, or soiled, wash with non-antimicrobial or antimicrobial soap and water.

10. Survival Of Pathogens On TheHuman Hands • Hepatitis 7 Hours • Herpes 2 Hours • Flu 1 Hour • Rhino Virus 3-4 Hours • Rotavirus > 4 Hours

11. Knowledge Assessment Handwashing is not necessary unless hands are visibly soiled. • A. True • B. False Answer • B. False

12. Spill Kits How do we protect ourselves?

13. Spill Kits • Spill Kits • Are available at each health center and are located in the lab area • Used to absorb large amount of blood or spilled chemicals • To use the B.A.S.K.IT Spill kit • Open the powder container • Put on disposable gloves that are in the kit • Completely cover the spill with powder

14. Spill Kits • Use the BioScoop and detachable scraper to clean up the gelled spill along with broken glass • While still holding the scoop • Remove glove by pulling cuff down over scoop leaving all waste, including the scoop and scraper, inside the inverted glove. Seal glove with tie and place in disposable envelope.

15. Spill Kit • Peel off Cide-Swipe foil label • While still wearing the second glove • wipe surface using package as applicator • Allow to air dry • Invert glove leaving swipe inside • Seal with tie • Place in Zorbilope. • Seal with enclosed sticker and discard • Dispose in red biohazard leak proof bag

16. SPILL KITS • DO NOT POUR POWDER SUBSTANCE IN THE SINK, DRAIN OR TOILET UNDER ANY CIRCUMSTANCES!!!!!

17. Mercury Spill Kits • Mercury Spill Kits are use for mercury spills from mercury thermometers and blood pressure devices • Use the Mercury (HG Absorb) Jar to absorb small droplets of mercury • Unscrew jar and lift lid with attached sponge • Use just enough water (about 2 ml) on the surface of the sponge to moisten evenly • Too much water may reduce the ability of the sponge to pick up mercury • Spread the water evenly with a gloved finger

18. Mercury Spill Kits • After 1 minute slowly move the sponge over the surface to be cleaned • When all the mercury is attached to the sponge • Screw the sponge attached lid back onto the jar • Place in plastic bag provided in each kit • Place bag in mercury container located in each health center

19. Post Exposure Follow-up With the best prevention, accidents can happen!

20. Post Exposure Follow-up • If after all precautions are taken and an exposure does occur, What Do I Do!!!! ????? • Notify your supervisor immediately!!!!

21. Post Exposure follow-upreport must include the following: • Date and time of exposure • Name of source patient if known • Type of exposure • Description of body substance involved • How long body fluid in contact with skin or mucous membrane • Condition of skin

22. Post Exposure Follow-up Treatment of exposure site • Wounds and skin sites that have been in contact with blood or body fluids should be washed immediately with soap and water • Mucous membranes and eyes should be flushed immediately with water using the eye wash station

23. Post Exposure Follow-up • Management of a known source • Blood should be drawn for blood tests (Exposure to Infectious body fluids policy) • Hepatitis B surface antigen • ALT (SGPT) • Anti-HCV • VDRL • HIV Note: The known source/patient’s decision to accept or not accept the testing should be documented on the exposure report

24. Post Exposure Follow-up • Management of Employee • Immediately upon exposure, employee will be referred to St. Vincent’s Occupational Health for evaluation, management, and follow-up services.

25. Knowledge Assessment If I am exposed to a potentially infectious body fluids, I should… • A. Notify my supervisor immediately • B. Clean the area immediately • C. Complete an incident report • D. All of the above Answer • D. All of the above

26. YOUR SAFETY AT WORK DEPENDS ON: • KNOWING WHAT THE HAZARDS ARE • KNOWING HOW TO PROTECT YOURSELF • THINKING AND ACTING SAFELY

27. Questions? • Contact Mary McCollum • 930-1372 • mary.mccollum@jcdh.org

28. Biosafety Training 2012 Continued in Module 3