Bloodborne Pathogens Training
Learn about bloodborne pathogens, how you can be exposed to them, ways to protect yourself, and what to do if exposed. Understand the importance of precautions, prevention, and safety measures to avoid infections from diseases like HIV and Hepatitis B. Explore the transmission of BBPs through bodily fluids and the significance of following OSHA regulations.
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Bloodborne Pathogens Training OSHA 29 CFR 1910.1030 Prepared by Terry Richardson Environmental Health & Safety
Agenda Topics What is a bloodborne pathogen? How can you be exposed to BBPs? How can you protect yourself? What should you do if you are exposed? OSHA Regulations Questions & Answers
What is a Bloodborne Pathogen? Any disease causing organism that is present in human blood or other potentially infectious material that can infect & cause disease in persons exposed to fluids containing that organism. Examples: HIV, Hepatitis B & C, Malaria, Syphilis, Brucellosis, Viral Hemorrhagic fever
What is a Bloodborne Pathogen? Hepatitis: Causes an inflammation of the liver. HBV can survive outside the body for 7 days and still be infectious HIV: Disables the immune system and causes AIDS. Will only survive outside the body for a few minutes
What fluids transmit BBPs? Fluids directly linked to transmission blood, blood products semen & vaginal secretions internal body fluids cultures containing bloodborne pathogens
What fluids transmit BBPs? ONLY when containing visible blood: feces nasal secretions spit/mucous sweat tears urine vomit
Why is this Important? There is no cure for most of the following: HIV Hepatitis B Most of the remaining BBPs
How can you be exposed to BBPs? Contact with blood or infectious body fluids through: Broken skin Mucous membranes (eyes, nose, mouth) Saliva injected from a bite can also transmit HBV Needle sticks
How can you Protect Yourself? Follow General Safety Practices Use Equipment Properly Use Personal Protective equipment (PPE) such as gloves, goggles, coveralls, etc. Use Universal Precautions Vaccinate against HBV
Universal Precautions Treat all blood, bodily fluids, excretions, etc. as if they were infectious. Always wear gloves when handling any material and use other PPE as needed. Universal Precautions includes: Hand Washing Environmental Control PPE Disinfection
Spill Clean-Up : Basic Procedures Restrict access to the space Contact supervisor or emergency responders, if necessary Locate spill kit or cleaning supplies Put on PPE Spray spill with disinfectant Envirox Product 117 Wipe-up most of the spill Spray the spill area with disinfectant
Spill Clean-Up : Basic Procedures Leave disinfectant on the spill at least 10 minutes Clean from outside of spill towards center of spill Dispose of soiled materials in Biohazard bag Material used for cleanup is infectious waste Remove contaminated PPE, gloves last. Wash hands after removing gloves
If You Become Exposed Exposure through broken skin or needle stick: immediately wash the exposed area with soap and water Exposure through eyes, nose, mouth: flush exposed area quickly and thoroughly with water Then: Report exposure to your supervisor Inform Human Resources to document exposure and to obtain a list of approved medical providers Seek medical attention
OSHA BBP Rule Required Elements: Exposure determination Which employees have occupational exposure? Control methods Universal precautions Engineering controls Work practice controls Personal protective equipment
OSHA BBP Rule HBV vaccination Post-exposure evaluation and follow-up Infectious waste disposal Tags, labels, and bags Housekeeping Practices Laundry practices Training and education of employees Recordkeeping
Written Program Fort Lewis College has a written program Copy available online or in the EH&S office Must be Updated Annually with Documentation Exposure Determination Input by Non- Management Employees with Potential BBP Exposure
Control Methods: Engineering Controls Controls that isolate or remove the BBP hazard from the workplace Preferred method Examples: Puncture-resistant sharps containers Splash guards
Control Methods: Work Practice Controls Controls that reduce the likelihood of exposure by altering the means in which a task is performed Examples: Hand Washing Remove PPE When Leaving the Work Area Proper PPE Storage, Decontamination and Disposal Minimize Splashing and Spraying
Control Methods: Personal Protective Equipment Specialized clothing or equipment worn by an employee for protection against a hazard Employers shall provide and ensure employee use Variety of sizes Readily accessible No cost to employees
Control Methods: Personal Protective Equipment The department provides cleaning, laundering, or disposal of PPE Repair or replace as required Examples: gloves, aprons, and head and foot coverings face shields and eye protection PPE selected for each task Allergies must be considered EHS can assist with this process
Control Methods: Housekeeping Practices Employer must ensure worksite is clean & sanitary Clean-up and disinfection practices Contaminated equipment Specific Laundry Practices Hand washing sinks are readily available as are emergency showers
Infectious Waste Disposal Applicable federal, state, and local regulations Infectious Waste Management Program Storage location in Student Health Center Process is managed by the Student Health Center
Infectious Waste Disposal Place waste in sealed, leak- proof containers or bags Double bag if necessary Containers must be color-coded red, labeled or tagged Waste for pick-up must be placed in a container provided by Stericycle. Never place red bags in the trash!
Communication of Hazards Biohazard symbol Labels and tags Biohazard bags
Training and Education of Employees Required initially annually thereafter Cover required topics General training Site-specific training Q&A Keep records
Recordkeeping Medical records kept for duration of employment plus 30 years May include: Sharps injuries HBV and HIV illnesses from an exposure incident Post exposure follow up medical opinions Training Records (kept 3 years) Annual program review (including new device evaluations)
HBV Vaccination HBV vaccination offered at no cost to all employees who are at risk for exposure to blood borne pathogens Safe and effective Training first, before vaccination decisions Documenting refusals Declination Form
HBV Vaccine Three injections in arm over a six month basis More than 90% of those vaccinated will develop immunity There is an antibody test for existing immunity More details from the occupational health nurse
Declination Statement I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring hepatitis B virus (HBV) infection. I have been given the opportunity to be vaccinated with hepatitis B vaccine, at no charge to myself. However, I decline hepatitis B vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring hepatitis B, a serious disease. If in the future I continue to have occupational exposure to blood or other potentially infectious materials and I want to be vaccinated with hepatitis B vaccine, I can receive the vaccination series at no charge to me.
Post-Exposure Evaluation and Follow-up Exposure Incident means a specific eye, mouth, other mucous membrane, non-intact skin, or skin-puncture contact with blood or other potentially infectious materials that results from the performance of an employee's duties
Post-Exposure Evaluation and Follow-up Employees experiencing a possible exposure should wash the exposed area first. Report the exposure to your immediate supervisor and then, Call Human Resources to document the exposure and select one of our approved physicians to schedule an appointment.
Post-Exposure Medical Follow-up Confidential Medical Evaluation Document route of exposure, circumstances Status of source patient Their blood tested if possible Exposed worker blood tested, usually: Immediately Six-weeks post-exposure Periodic basis thereafter (12-weeks, and 6 months after exposure) Receives any necessary medical treatment Counseling Personal physician will treat our
Information to Healthcare Provider Employer must give to the healthcare provider: A copy of the BBP Standard Employee s job duties and circumstances of exposure Any blood results known Any relevant medical information or vaccination status known
Healthcare Providers Response Written opinion within 15 days Vaccination status and recommendations That appropriate care is being received The employee has been informed of findings and follow-up All other findings and medical information are confidential
Questions? Contact: Connie Kane RN Student Health Center 247-7355 Terry Richardson Environmental Health & Safety Berndt Hall 290 247-7272 www.fortlewis.edu/ehs
