Protect Yourself from Germs that Cause Illness

1
Blood Borne Pathogens

• Protect Yourself from Germs that Cause Illness
• This presentation is only to done on school days
  between the hours of 8am-3pm. If you have any
  questions I am available at 272-2738 during this
  time.

2
HIV, Hepatitis B, Hepatitis C

• Blood can be contaminated with HIV, Hepatitis B,
  or Hepatitis C virus.
• Transmission of disease may occur if a person is
  exposed to the blood and body fluids of an
  infected person.

3
HIV is Fragile
HIV is relatively fragile, and transmission
usually only occurs with exposures such as

• Sharing of IV needles
• Accidental needle stick
• Sexual contact

4
Hepatitis Viruses are Hardier
Hepatitis viruses are hardier. Transmission can
occur if blood or body fluids that contain blood

• Come into contact with broken skin
• (Cut, wound, rash, abraded skin area)
• Splash into the eye, nose, or mouth
• Enter the vagina, rectum, or urethra
• Are accidentally injected by a contaminated needle

5
Staff Determined to be High-Risk

• Staff determined to be high-risk due to routine
  job duties are offered Hepatitis B vaccine - at
  no cost to the employee.
• Contact the District Office (Sid) or Julie
  Turner RN if you feel your job duties put you at
  high risk. There currently is no available
  vaccine for HIV or
• Hepatitis C.

6
Universal Precautions

• Since you dont know which people are carriers of
  Blood Borne Pathogens, assume that all blood and
  body fluids are infectious.
• NEVER TOUCH BLOOD OR BODY FLUIDS WITHOUT THE
  PROPER PERSONAL PROTECTIVE EQUIPMENT

7
Avoid Exposure
Use personal protective equipment to avoid
exposure to blood and body fluids. These include

• Disposable gloves
• Goggles
• Red bags for disposal
• Sharps container

8
Gloves
Disposable, one time use only

• Keep them nearby
• Put them on BEFORE handling body fluids
• Remove inside-out dispose in trash
• Wash hands after removing

9
Goggles
Wear when a body fluid splash is likely to occur,
such as

• Cleaning up a large blood spill
• Working on a large wound
• Laundering items with large amounts of blood

10
Red Bags
ltNot all areas have thesegt

• Trash containing large amounts unabsorbed blood
  must be double bagged in a red bio-hazard bag and
  disposed of at a medical disposal site.
• Red Bags do not go in the regular trash.

11
Sharps Box

• A red bio-hazard box is available, and must be
  used for the disposal of
• Injection kits (vaccines, insulin shots,
  epi-pens, glucagon, etc.)
• Finger lancets (diabetic blood glucose testing)

12
Sharps Box Rules

• You must
• When ¾ full, call the district health assistant
  or nurse to have it picked up
• Store out of public sight out of reach of
  children, but available to appropriate staff
• Never reach into the sharps box or attempt to
  retrieve ANYTHING from the sharps box.
• NEVER. EVER.

13
For Most School Staff

• Careful use of Universal Precautions and Personal
  Protective Equipment is sufficient protection
  from Blood Borne Pathogens.
• However, if you, a student or a visitor to school
  does have an exposure a needle-stick, blood or
  blood-containing body fluids enter your eyes,
  nose, mouth, open skin, you must act quickly.
• WHY?
• If the source of the blood is a high-risk
  individual, and prophylactic medication is
  needed, it must be started within hours after
  exposure.

14
Exposure Treatment

• Wash with soap and water if possible.
• If eye,nose, mouth, rinse thoroughly with water.
• Report the incident to your supervisor and to the
  district nurse.
• If a student is exposed, call the parent.
• Take the name and phone number of the person
  whose blood you were exposed to.
• IMMEDIATELY
• Go to the emergency room for risk assessment and
  possible prophylactic medication
• Or if you are able go directly to your private
  doctor

15
Blood Borne Pathogen Knowledge Assessment Print,
Complete, and Return to School Nurse
Name_____________________________
School______________________ Date______________
__

• Diseases that may be transmitted by blood or body
  fluids include______________________________
• Do school employees know which persons are
  carriers of blood borne pathogens? ___________
• What does Universal Precautions mean?
  ___________________________________________
• _________________________________________
  _
• What equipment can be used to protect against
  exposure to blood borne pathogens?
  __________________________________________
• How should you dispose of sharps? (needles or
  broken glass) __________________________________
• How should you dispose of large amounts of
  unabsorbed blood, or large amounts of unabsorbed
  body fluids that contain blood?
  _______________________________________
• An exposure occurs when blood or body fluid that
  contains blood comes in contact with
  __________________________________________________
  ____________________________________

• What should you do if a blood borne pathogen
  exposure occurs for yourself or for a
  student/other person? ____________________________
  __________________________________________________
  __________________________________________________
  __________________________________________________
  __
• If you have any questions, please write them
  below. ___________________________________________
  __________________________________________________
  __________________________________________________
  _____________________________________
• Please send your completed assessment to
• Julie Turner RN, Annex B, or at
  Julie.Turner_at_lincoln.k12.or.us

16
Blood Borne Pathogens Training
The End