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OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS. ANNUAL REFRESHER EMPLOYEE TRAINING North Seattle Community College. BLOODBORNE PATHOGENS.
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OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS ANNUAL REFRESHER EMPLOYEE TRAINING North Seattle Community College
BLOODBORNE PATHOGENS Infectious germs (bacteria and viruses) that are present in human blood/body fluids and can cause disease in humans. These pathogens include, but are not limited to, Hepatitis B (HBV), Hepatitis C (HCV), and human immunodeficiency virus (HIV). 2
PURPOSE OF THIS TRAINING: • Protection against bloodborne pathogens • NSCC Exposure Control Plan • FEDERAL: “Occupational Exposure to Bloodborne Pathogens Standard”, Part 1910.1030, Title 29 Code of Federal Regulations (effective date: 3/6/92) • WASHINGTON STATE: “Bloodborne Pathogens Standard”, WAC 296-62-08001 (effective date: 5/26/92) 3
INFECTIOUS MATERIALS • Blood • All body fluids (such as diarrhea and vomit) since all can be potentially contaminated with blood or infectious germs • Viruses and bacteria that spread communicable diseases through contact with bodily fluids. • any body fluid visibly contaminated with blood 4
Universal Precautions • Wash hands • Wear gloves • Wear impervious gown or apron • Wear appropriate PPE - including eye and mask protection - mouth pieces for resuscitation while administering First-Aid • Handle sharp objects carefully
Engineering Controls • Labeled sharp containers • Biohazard bags and containers • Specific collection site for disposal of contaminated waste and PPE - campus Shipping and Receiving • Using dustpan and brush to pick up broken glass in biohazard spill situation • Hand washing facilities, eyewashes and/or showers shall be provided as close as possible to work area
Work Practice Controls • Minimize splashing, spraying and generation of droplets of blood or OPIM • Wash hands as soon as possible after exposure incident • Do not recap or break contaminated sharps • Do not keep food or beverages or eat or drink in contaminated work areas
Personal Protective Equipment • Eye protection • Gloves • Protective clothing • Removal and cleaning of PPE • Availability and Accessibility
EXPOSURE INCIDENT PROCEDURES • Cleanse exposed area THOROUGHLY -if open wound, “milk” entry wound • Eyes: flush w/large amounts of running water for a minimum of 15 minutes Mouth: rinse out thoroughly Nose: blow nose; wipe inside nostrils - see App G • Seek Professional Medical Care immediately • Report incident to your supervisor. • Complete necessary NSCC forms: • Exposure Incident Report App I 30
WHEN TO WEAR GLOVES • If handling contaminated disposable items • If direct hand contact with body fluids is anticipated (e.g., when providing first aid) • If cleaning up body fluid spills. • When disinfecting surfaces or articles. 25
HANDWASHING • before drinking, eating, or smoking • before handling clean utensils, equipment or food • before and after going to the bathroom • after contact with any body fluid • after removing disposable gloves or other protective equipment 24
DISINFECT PROPERLY • Wear disposable latex gloves and appropriate PPE • Use a proper disinfectant -One part bleach to nine parts water is recipe for disinfectant. -New solution must be made daily to be effective. • Let disinfectant sit at least 1-2 minutes -up to ten minutes. • Use paper towels to clean up spills and place in lined waste container. If they contain blood, place in red biohazard bag. • Dispose of gloves and wash hands thoroughly. • Use paper towels to turn off faucet 26
Disposal of gloves and contaminated articles • Dispose of gloves and all contaminated articles containing blood or body fluids (band-aids, dressings) in red plastic bags and identify as a “biohazard”. • Wash your hands thoroughly after removing gloves! 27
Information and Training • Employee will receive training at commencement of employment • Yearly refresher training • Whenever scope of duties are changed to effect employee occupational exposure to BBP • Yearly program review
Hepatitis B Vaccination Program • Offered to all covered employees at no cost • Made available within 10 days of initial assignment and is not mandatory • Employees may decline vaccination and accept at a later date - waiver form (App E) • All employees exposed to blood or OPIM on the job will be offered vaccination and post exposure evaluation and treatment
In Summary: Avoid BBP Exposures! • Practice Universal Precautions • Monitor Personal Hygiene • Practice Good Housekeeping • Dispose of Wastes Properly ANY QUESTIONS?? 31