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Bloodborne Pathogens Know the Risks!. What is The Purpose of Bloodborne Pathogen Training?. This training module is designed to provide a basic understanding of bloodborne pathogens, common modes of their transmission, methods of prevention, and other pertinent information.
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Bloodborne Pathogens Know the Risks!
What is The Purpose of Bloodborne Pathogen Training? • This training module is designed to provide a basic understanding of bloodborne pathogens, common modes of their transmission, methods of prevention, and other pertinent information.
If you can anticipate facing contact with blood and/or other potentially infectious materials as part of your job duties you should receive Bloodborne Pathogen awareness training. Physician Dentist Medical Personnel Supervisor Lab/Blood bank Plumber Home Healthcare Custodian Who should attend Bloodborne Pathogen Training?
What We Will Cover During Training • What are Bloodborne Pathogens? • Bloodborne Diseases and Symptoms • What are the routes of entry? • Personal Protective Equipment (PPE) • Spills and cleanup requirements • Sharps containers and biohazard bags • Hepatitis B vaccination program • Post Exposure program
What Are Bloodborne Pathogens? • BBP are tiny microorganisms such as viruses or bacteria that are carried in blood and can cause disease in people. • There are many different bloodborne pathogens such as malaria or syphilis, but Hepatitis B (HBV), Hepatitis C (HCV)) and the Human Immunodeficiency Virus (HIV) are the three diseases specifically addressed by the OSHA Bloodborne Pathogen Standard.
Where are Bloodborne Pathogens Found? • Human Blood • Human blood components • Human cell lines and unfixed tissue • Products made from human blood • Other bodily fluids that may mask the presence of blood (vomit, feces, tobacco juice) http://www.cdc.gov/ncidod/dhqp/bp_universal_precautions.html
Who Is At Risk? ? ?
Hepatitis B (HBV)and Hepatitis C (HCV) • HBV/HCV can live on a dry surface for at least 7 days. They are a very durable virus. • There is a greater concentration of the HBV/HCV in a drop of blood than HIV. • You have a 6 to 30% greater chance of contracting HBV/HCV from a needle stick versus a 1% chance of contracting HIV from a needle stick. There is a HBV vaccine • HCV may stay in the system for many years causing severe damage to the liver. About 2.7 million Americans are chronically infected. There is no vaccine for Hepatitis C. http://www.hepfi.org/living/liv_abc.html#basics_hep_A
Symptoms of HBV and HCV • The symptoms of HBV and HCV are very much like a mild “flu” • Initially there is a sense of fatigue, stomach pain, nausea or darkened urine • As the disease continues to develop, jaundice (a distinct yellowing of the skin and eyes) will often occur. • An individual may not show any immediate symptoms for months or years or may become so ill that they are hospitalized and unfortunately, over 5000 individuals die each year from HBV and over 10,000 of HCV.
Human Immunodeficiency Virus (HIV) • The HIV virus is a virus that attacks the body’s immune system, weakening it so that it cannot fight other deadly diseases. It is the weakest of the three viruses and will most likely die as soon as it leaves the host. The virus may, in perfect conditions live up to 24 hours on a dry surface. • AIDS, or acquired immune deficiency syndrome, is caused by the HIV virus. • Medical personnel have 0.04% chance of exposure to HIV from a needlestick.
Symptoms of Human Immunodeficiency Virus (HIV) • Symptoms of HIV infection can vary, but often include: • Weakness, fatigue • Fever, swollen lymph glands • Rapid weight loss, diarrhea • Opportunistic Infections attack the body • There is NOT a vaccine for HIV
Transmission of Bloodborne Diseases • It is important to know the ways exposure and transmission are most likely to occur in your particular situation. • Cuts from contaminated sharps (scalpels, broken glass • Punctures or needle sticks (most common) • Splash in eyes, nose or mouth • Open cuts or dermatitis with abraded skin
Reduce Risk of Exposure • Personal Protective Equipment (PPE) is designed to guard against the many pathogens associated with Bloodborne Pathogens and significantly reduce the risks of exposure. • Contaminated PPE must be removed and discarded using a Biohazard bag before leaving the area or upon contamination.
PPE How to Protect Yourself SAFETY!
Wash hands for 20 seconds after removing gloves or immediately after an exposure. Use non-abrasive soap. Work Practice Controls
Engineering Controlsfor Sharps • Housekeepers, custodians and others may be punctured or cut by improperly disposed of needles and broken glass. It is important to handle and dispose of all sharps carefully. • Contaminated sharps must be placed in properly labeled (Biohazards) leak proof, puncture resistant containers. • Contaminated PPE must be placed in properly labeled biohazard bags.
Regulated Waste Must be placed in closeable, leak-proof containers built to contain all contents during handling, storing, transporting or shipping and be appropriately labeled or color-coded.
Best Defense • Knowing what your risks are before beginning a job. • Utilizing the proper Personal Protective Equipment • Hand washing, Hand washing, Hand washing • and
Universal Precautions • "Universal Precautions" is the name used to describe a prevention strategy in which all blood and potentially infectious materials are treated as if they are, in fact, infectious. This approach is used in all situations where exposure to blood or potentially infectious materials is possible. • This also means that certain engineering and work practice controls shall always be utilized in situations where exposure may occur.
Must make available, free of charge at a reasonable time and place, to all employees at risk of exposure within 10 working days of initial assignment. Hepatitis B Vaccination Requirements
Hepatitis B Vaccination Program • The Hepatitis B vaccination program consists of: • Three scheduled injections spanning six months followed by titer blood work. • Effective immunity is usually permanent. • Adverse reaction occur in 1-10% of injections. • Post exposure shots are available.
If You Have an Exposure • Wash with non-abrasive soap and water. • Notify your supervisor of the exposure giving as much pertinent information as possible (First Report of Injury Form). • http://www.purdue.edu/rem/home/files/forms.htm • Go to PUSH Urgent Care for treatment. • All information will be kept confidential between you and your physician.
Bloodborne Pathogen Websites • OSHA Bloodborne Pathogen Standard 1910.1039 • http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10051 • Purdue Bloodborne Pathogen Exposure Control Plan • http://www.purdue.edu/rem/home/booklets/bbp2000r.doc