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Learn about occupational exposure to bloodborne pathogens in schools, symptoms of diseases like HIV and Hepatitis B, prevention methods, proper disposal procedures and more to ensure a safe school environment for everyone.
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Blood borne Pathogens in the School Setting SPRINGFIELD PUBLIC SCHOOLS
Who is Affected? • Occupational exposure - results from doing one’s job JOB CLASSIFICATIONS • Coaches • Special Ed Teachers • Custodians • Health Assistants • Paraprofessionals • Phys Ed Staff • Bus Drivers • Potentially infectious materials • Blood • Urine, vomit, or other body fluids • Especially when blood is present
Epidemiology & symptoms of blood borne diseases • Blood borne pathogens • Infectious organisms present in human blood that cause disease - Hepatitis B virus (HBV) • Symptoms: fatigue, stomach pain, loss of appetite, nausea • Acute Hepatitis, Chronic Carriers, or Unaffected • Not easily killed outside body, can survive up to 7 days in dried blood • Vaccine Preventable
Epidemiology & symptoms of blood borne diseases (cont’d) - Human immunodeficiency virus (HIV) • Attacks immune system • Not vaccine preventable • Virus is killed easily outside the body • Symptoms: weakness, fever, nausea, sore throat, can lead to AIDS. - Hepatitis C • May be asymptomatic for 20-30 years • Symptoms Include: fatigue, weight loss, nausea, darkened urine, jaundice, stomach pain • No vaccine • 75-85% with positive test develop chronic hepatitis-----> liver disease
WHAT IS A BBP EXPOSURE? • The Infectious body fluid must enter the bloodstream to cause infection. • It can enter through these routes: • Eyes • Mouth • Mucous membrane • Non-intact skin • Piercing of skin or mucous membranes (bites, needle stick)
When can Exposure Occur? • First aid situations • Accidents or injuries in sports, on playground, in shops, or in health offices. • Other workplace situations • Body Fluid or Blood cleanup • Broken Science glassware • Handling Sharps • Dealing with violent behavior
What Can I Do to Protect Myself? • Take advantage of Hepatitis B Vaccination • Before performing clean up or providing first aid – PUT ON GLOVES! Always think of yourself first. • When administering first aid, instruct injured person in self-management • Always practice universal precautions • Clean-up involving blood requires special procedures • Most Important - Wash your Hands!!!
Handwashing is Important! • Locations • Portable facilities • Sanitized Hand Wipes
How Should Contaminated Items be Disposed Of? • Regulated vs. Non-regulated Waste • Materials saturated to the point of dripping blood or including body tissue or parts. • Most of the waste generated in a school is non-regulated waste and can be placed in regular trash
Disposal Continued • Place contaminated gloves and absorbent material in a bag and place in lined trash container. • Do not place red “Biohazard” bags in regular trash. • Follow proper sanitization procedures for contaminated surfaces or objects.
Disposal Continued • Sharps Containers • Located in each Health Office • For contaminated sharps such as needles, razor blades, glass • Regulated Waste, must be properly disposed of as Biohazard Waste.
Hepatitis B Vaccine • Available free of charge: • Prevention - for employees who have risk of occupational exposure. • Employees eligible for the vaccine are Special Education Teachers, Coaches, Custodians, Health Assistants, Paraprofessionals, PE Staff.
Hepatitis B Vaccine • Hepatitis B Vaccine – A series of three shots taking a total of 6 months to complete • Employees refusing the vaccine must sign a declination form
Exposure incident response • Potential exposure incidents involving fluid-to-fluid contact: • Eyes, mouth, mucous membranes • non-intact skin • parenteral contact (puncture, bite) • Flush the exposed area with water immediately • Report the incident to your supervisor and/or District Nurse!
BBP Summary • Implementing a Successful BBP Program includes all of the following: • Written Program • Annual Employee Training • Hepatitis B vaccination • Record keeping • Engineering and work practice controls • Personal protective equipment • Housekeeping, cleaning schedule • Procedures for evaluating an exposure incident • Post-exposure evaluation and follow-up
The End • Questions? • Contact Elen Stark @ x1167