OSHA REVIEW

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OSHA REVIEW

• FOR SCHOOL PERSONNEL

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Instructions

• Review all slides
• Consult your school nurse if you have any
  questions about the material.
• Complete the Post Test
• Turn completed Post Test into your school nurse.
• Review and test must be completed and turned in
  by August 30th of each year or within 2 weeks of
  new employment.

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Occupational Exposure to Bloodborne Pathogens???

• Bloodborne Pathogens are diseases you can acquire
  through exposure to others blood or body fluids
  (including semen, vaginal secretions and other
  body fluids containing visible blood).
• Some of the diseases spread through blood and
  body fluids are HIV, Hepatitis B C.
• You cannot become infected with these diseases
  through casual contact such as coughing,
  sneezing, a kiss on the cheek, drinking fountains
  or food.

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How are bloodborne pathogens spread in the school
setting?

• Direct contact of blood or body fluids to
• Broken skin, cuts, scrapes or mucous membranes
  (eyes, nose or mouth)
• Contaminated sharp object that punctures your
  skin.
• Dermatitis and Acne

• Most common transmission routes in the school
  setting are
• Dental Wires
• Contaminated sharps such as scalpels, broken
  glass , knives and sharp metal.
• Caring for injuries without using UNIVERSAL
  PRECAUTIONS!

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Indirect Transmission

• Bloodborne diseases can also be transmitted
  indirectly. This happens when you touch a
  contaminated surface or object and then transfer
  it to your eyes, nose, mouth or non-intact skin.

Some viruses can survive on surfaces dried and at
room temperature for at least a week!
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SCAT!

• S-STOP/think before you act if alerted to a
  blood/body fluid contamination
• C-CONTROL/protect environment considering all
  blood and body fluid is infectious
• A- ALERT front office immediately stating you
  have a contaminated area with location
• T-TAKE care of yourself using proper handwashing
  and protective equipment

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Special Education Classrooms

• Special Ed employees should take extra precaution
  working with severely disabled children. These
  children are more vulnerable to injury, likely to
  have special medical needs and dependent on
  adults for personal care.

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WHEN AN EXPOSURE OCCURS-

STOP WASH REPORT!
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Know your exposure control plan!

• Where is your plan?
• -Located in the administrative area at your
  school. Ask your principal where it is located.

Report immediately! Even if you are unsure if
an exposure really occurred! Thoroughly
complete the reporting forms.
Exposures can occur To Students, Staff and
Visitors!
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Reducing your risk of exposure!

• Use Standard (Universal) Precautions!
• Treat all blood and body fluids as if they were
  potentially infectious.
• Use a barrier between yourself and potentially
  infectious material.
• Wear gloves and other personal protective
  equipment when necessary. Discard gloves after
  each use and before touching any other person.
• Be alert for hazards in the workplace and report
  immediately.
• Make sure housekeeping staff clean spills and
  surfaces appropriately and adequately. Bleach
  solution should be ¼ c. bleach to 1 gal water.
  Change solution daily.
• Be sure to disinfect mops or other cleaning tools
  after clean up.
• Educate students and staff about hazards.
• Get vaccinated
• Cover skin injuries and abrasions
• Good personal hygiene- cover coughs, dont eat,
  drink, apply cosmetics or handle contact lenses
  where there is a likelihood of exposure!

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Be Aware that

• There is no law that states students or teachers
  must report that they are infected with a serious
  communicable disease.
• Many people infected with contagious diseases
  show no signs or symptoms of illness.
• In fact, confidentiality laws most often prohibit
  sharing this information when it is known.

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HANDWASHING!

• The most important work practice control is GOOD
  handwashing!
• It protects you and others from transmission of
  disease.
• Wash with non-abrasive soap and running water.
  Alcohol hand gel may be used where handwashing
  facillities are not available(such as on a school
  bus) This is a temporary measure only.
• If skin or mucous membranes come in contact with
  blood or other body fluids, flush with water ASAP!

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How to handle Risky Situations

• Bloody Noses-
• Keep victim upright, head slightly forward
• Pinch nostrils and let victim hold the tissue
  under the nose to catch any blood.
• If you need to assist, put on gloves first
• Dispose of tissues in an appropriate container
• Have victim wash blood off hands and skin.
• You should be able to control nosebleeds within
  5-10 minutes.
• If clothes are saturated with blood, remove and
  place in a leak proof bag.

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Athletic Injuries

• Athletes should bandage existing cuts or scrapes
  BEFORE participation.
• If injured and bleeding should stop play
  Immediately and have wound cleaned, bandaged
  securely and replace any clothing necessary
  before returning to play.
• Contaminated clothing/towelsshould be placed in
  a plastic bag until laundered.
• Play areas contaminated with blood should be
  cleaned until all visible blood is gone and then
  disinfected.
• People assisting with 1st Aid or handling
  contaminated laundry or disinfecting equipment
  must wear gloves and wash hands immediately after
  removal.

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BITES

• If bitten by anyone immediately wash the area
  with soap and water.
• Have biter rinse mouth-and spit into sink-do
  not swallow.
• Both people should then seek medical attention
• Human bites can transmit bloodborne and other
  infections.

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Take these steps inEmergency Situations

• Take a breath- remain calm
• Reassure victim
• Encourage victim to administer own 1st Aid ie
  applying pressure and bandaging.
• Call for help!
• Never allow other students to administer lst aid
  to other students, staff or visitors.

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Summary

• Risk of exposure to bloodborne pathogens at
  school is very low.
• Treat all blood and body fluids with visible
  blood as though infected.
• Use gloves when handling any body fluids
• Disinfect any spills
• Dispose of all contaminated materials

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By following simple safety guidelines you can
deal with blood safely While treating the person
in need with compassion!