OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS

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OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS

• ANNUAL REFRESHER EMPLOYEE TRAINING
• North Seattle Community College

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BLOODBORNE PATHOGENS

• Infectious germs (bacteria and viruses) that are
  present in human blood/body fluids and can cause
  disease in humans. These pathogens include, but
  are not limited to, Hepatitis B (HBV), Hepatitis
  C (HCV), and human immunodeficiency virus (HIV).

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PURPOSE OF THIS TRAINING

• Protection against bloodborne pathogens
• NSCC Exposure Control Plan
• FEDERAL Occupational Exposure to Bloodborne
  Pathogens Standard, Part 1910.1030, Title 29
  Code of Federal Regulations (effective date
  3/6/92)
• WASHINGTON STATE Bloodborne Pathogens
  Standard, WAC 296-62-08001 (effective date
  5/26/92)

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INFECTIOUS MATERIALS

• Blood
• All body fluids (such as diarrhea and vomit)
  since all can be potentially contaminated with
  blood or infectious germs
• Viruses and bacteria that spread communicable
  diseases through contact with bodily fluids.
• any body fluid visibly contaminated with blood

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Universal Precautions

• Wash hands
• Wear gloves
• Wear impervious gown or apron
• Wear appropriate PPE - including eye and mask
  protection - mouth pieces for resuscitation while
  administering First-Aid
• Handle sharp objects carefully

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Engineering Controls

• Labeled sharp containers
• Biohazard bags and containers
• Specific collection site for disposal of
  contaminated waste and PPE - campus Shipping and
  Receiving
• Using dustpan and brush to pick up broken glass
  in biohazard spill situation
• Hand washing facilities, eyewashes and/or showers
  shall be provided as close as possible to work
  area

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Work Practice Controls

• Minimize splashing, spraying and generation of
  droplets of blood or OPIM
• Wash hands as soon as possible after exposure
  incident
• Do not recap or break contaminated sharps
• Do not keep food or beverages or eat or drink in
  contaminated work areas

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Personal Protective Equipment

• Eye protection
• Gloves
• Protective clothing
• Removal and cleaning of PPE
• Availability and Accessibility

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EXPOSURE INCIDENT PROCEDURES

• Cleanse exposed area THOROUGHLY
• -if open wound, milk entry wound
• Eyes flush w/large amounts of running water
  for a minimum of 15 minutes
• Mouth rinse out thoroughly
  Nose blow nose wipe inside nostrils -
• see App G
• Seek Professional Medical Care immediately
• Report incident to your supervisor.
• Complete necessary NSCC forms
• Exposure Incident Report App I

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WHEN TO WEAR GLOVES

• If handling contaminated disposable items
• If direct hand contact with body fluids is
  anticipated (e.g., when providing first aid)
• If cleaning up body fluid spills.
• When disinfecting surfaces or articles.

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HANDWASHING

• before drinking, eating, or smoking
• before handling clean utensils, equipment or food
• before and after going to the bathroom
• after contact with any body fluid
• after removing disposable gloves or other
  protective equipment

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DISINFECT PROPERLY

• Wear disposable latex gloves and appropriate PPE
• Use a proper disinfectant
• -One part bleach to nine parts water is recipe
  for disinfectant.
• -New solution must be made daily to be
  effective.
• Let disinfectant sit at least 1-2 minutes -up to
  ten minutes.
• Use paper towels to clean up spills and place in
  lined waste container. If they contain blood,
  place in red biohazard bag.
• Dispose of gloves and wash hands thoroughly.
• Use paper towels to turn off faucet

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Disposal of gloves and contaminated articles

• Dispose of gloves and all contaminated articles
  containing blood or body fluids (band-aids,
  dressings) in red plastic bags and identify as a
  biohazard.
• Wash your hands thoroughly after
  removing gloves!

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Information and Training

• Employee will receive training at commencement of
  employment
• Yearly refresher training
• Whenever scope of duties are changed to effect
  employee occupational exposure to BBP
• Yearly program review

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Hepatitis B Vaccination Program

• Offered to all covered employees at no cost
• Made available within 10 days of initial
  assignment and is not mandatory
• Employees may decline vaccination and accept at a
  later date - waiver form (App E)
• All employees exposed to blood or OPIM on the job
  will be offered vaccination and post exposure
  evaluation and treatment

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In Summary Avoid BBP Exposures!

• Practice Universal Precautions
• Monitor Personal Hygiene
• Practice Good Housekeeping
• Dispose of Wastes Properly
  ANY QUESTIONS??

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