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Bloodborne Pathogens

Bloodborne Pathogens. Murray State University Department of Environmental Safety & Health Susan Miller, Safety Training Coordinator. Bloodborne Pathogen Standard. Required by OSHA (29 CFR 1910.1030)

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Bloodborne Pathogens

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  1. Bloodborne Pathogens Murray State University Department of Environmental Safety & Health Susan Miller, Safety Training Coordinator

  2. Bloodborne Pathogen Standard • Required by OSHA (29 CFR 1910.1030) • Applies to employees in all industries who may be exposed to blood or other potentially infectious materials (OPIM)

  3. What are Bloodborne Pathogens? • Microorganisms such as viruses or bacteria that are present in human blood and can cause diseases in humans • Human Immunodeficiency Virus (HIV) • Hepatitis B Virus (HBV) • Hepatitis C Virus (HCV)

  4. Human Immunodeficiency Virus (HIV) • The virus which causes AIDS • Devastates the body’s immune system • ~1.2 million persons living with HIV/AIDS in U.S.; 56,000 new cases in 2008 • Symptoms: flu like illness, weakness, diarrhea, weight loss • Signs of illness may not be present for years • AIDS is chronic and fatal

  5. Hepatitis B (HBV) • Attacks the liver • Survives in dried blood for up to 1 week at room temperature • 300,000 new infections each year; 3,000 annually result in death • Symptoms: fatigue, nausea, vomiting, abdominal pain, anorexia • Can be chronic and fatal

  6. Hepatitis C (HCV) • Can lead to chronic hepatitis, cirrhosis and liver cancer, in 75% of cases • 4 million infected in U.S. • Only 25% diagnosed • Can be chronic and fatal • 12,000 deaths annually • No effective vaccine exists

  7. Potentially Infectious Materials • Blood • Human bodily fluids such as: • Semen, vaginal secretions, lung fluid • Any bodily fluid containing visible blood • Any bodily fluid that cannot be identified

  8. How Are They Transmitted? • Puncture wounds causedby sharp objects • Infectious materialscontacting open wounds,cuts, or brokenor damaged skin • Infectious materials contacting mucousmembranes of eyes, nose and mouth

  9. Possible Exposure Incidents • During an accident • While administeringFirst Aid • During post-accidentclean-up • When performing routine maintenance or janitorial work

  10. Exposure Control Plan • Universal precautions • Engineering controls • Work practice controls • Post-exposure follow-up

  11. Universal Precautions • Treat all human blood and bodily fluids as if they are infected with HIV, HBV, HCV and other bloodborne pathogens.

  12. Engineering & Work Practice Controls • Engineering Controls • Handwashing facilities • Biohazard waste bags • Work Practice Controls • Personal protective equipment (PPE) • First aid response • Spill clean-up • Laundry • Waste disposal • Exposure response

  13. Personal Protective Equipment • First line of defense • Limitations • Rules: • Remove before leavingwork area • Wash hands after removing • Properly dispose of contaminated PPE

  14. First-Aid Response • Adopt Universal Precautions • Encourage self-care • Use PPE • Avoid applyingpressure without barrier

  15. Housekeeping: Spill Clean-up • Use PPE & Universal Precautions • Cover spill or area with paper towel or rags • Pour disinfectant solution over towels or rags • Leave for at least 10 minutes • Place materials in appropriate container • Arrange for pick-up and disposal

  16. Housekeeping: Waste Disposal • Use PPE when handling • Leak-proof containers • Proper labeling • Labels • Red Bags or Containers • Drop-off sites

  17. Housekeeping: Contaminated Laundry • Laundry soiled with blood or OPIM • Use PPE • Handle as little as possible • Pre-soak all contaminated clothing • If blood or OPIM gets on clothing, remove and thoroughly wash with detergent ASAP

  18. Exposure Incident Response • Contact with skin: wash exposed areas with antibacterial soap and running water • Contact with eyes or mucous membranes: flush affected area with running water for at least 15 minutes • Contact with clothing: remove contaminated clothing, wash underlying skin • Report exposure to supervisor immediately

  19. Post-Exposure Evaluation • Confidential medical evaluation and follow-up after exposure incident • Identify and document source and circumstancesof exposure • Test source individual’s blood for HIV/HBV • Provide blood sample • Healthcare professional’s written opinion

  20. Hepatitis B Vaccination • Made available after exposure incident

  21. Summary • Bloodborne Pathogens • Transmission • Potentially infectious materials • Exposure incidents • Prevention • Universal Precautions • PPE • Response

  22. Questions&Quiz

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