Bloodborne Pathogen Training

Bloodborne Pathogens Training for Lexington/Richland V Employees:

Bloodborne Pathogens Training for Lexington/Richland V Employees

Introduction:

Introduction As sure as the sun comes up every day, children end up with scraped knees, cuts, and bruises. Students of all ages hurt themselves on the playground, in the classroom, and on the playing field. As a professional in our educational system, you need to be aware of the potential danger of bloodborne pathogens.

Introduction cont’d:

Introduction cont’d In an educational setting, the school system is required to identify the personnel whose job duties expose them to blood and potentially infectious body fluids. Not every educator is occupationally exposed to bloodborne pathogens while performing his or her job. However, it is important for everyone in an educational setting to understand the dangers of infection and the safety procedures to minimize risk.

Introduction cont’d:

Introduction cont’d There are a couple of things to keep in mind about bloodborne pathogens: You can’t tell if someone is infected just by looking at them. In some cases, a bloodborne pathogen may not cause symptoms for years. You should treat all blood and body fluids as infected material and take steps to protect yourself.

The Facts on Bloodborne Diseases:

The Facts on Bloodborne Diseases The 3 most common bloodborne diseases are: HBV – Hepatitis B Virus HCV – Hepatitis C Virus HIV – Human Immunodeficiency Virus

HBV:

HBV HBV is a viral infection that affects the liver. Symptoms may include jaundice, fatigue, abdominal pain, loss of appetite, occasional nausea and vomiting or the infected person may not show any symptoms at all. Most people infected with HBV will recover and clear the infection however, some will become chronically infected. HBV is more easily transmitted than HCV and HIV. HBV can be prevented by taking the HBV vaccine.

HCV:

HCV HCV is also a viral infection that affects the liver. Symptoms of HCV are the same as the symptoms for HBV. According to the Centers for Disease Control (CDC) 85% of persons infected with HCV will become chronically infected. There is not currently a vaccine available to prevent HCV.

HIV:

HIV HIV attacks the human immune system and causes it to break down, eventually destroying its ability to fight infection. Infected people become seriously ill and often die when they lose the ability to fight infections. There is no known preventative vaccine for HIV.

Transmission:

Transmission HBV, HCV and HIV are all transmitted in the same way : Through contact with an infected person’s blood Body fluid containing visible blood Through sexual transmission To contract HBV, HCV and HIV, the virus must get inside your body. These viruses aren’t spread through the air, so you won’t get them by working near someone who is infected or through casual contact.

Transmission cont’d:

Transmission cont’d Bloodborne viruses are most commonly transmitted by: Sharing needles to inject drugs. Exposure to infected blood or body fluids through an opening in your skin such as; a cut, acne, etc. Having unprotected sex with an infected person. Transmitting the virus from mother to unborn child during pregnancy.

Transmission cont’d:

Transmission cont’d HBV, HCV, and HIV are most easily transmitted by a person coming in contact with blood. They can also be contracted through other Potentially Infected Material (PIM). PIMs include: Semen Vaginal Secretions Other body fluids with visible blood.

Transmission cont’d:

Transmission cont’d Bloodborne viruses at work are transmitted mostly by: A contaminated sharp that punctures the skin Contaminated blood splashing onto broken skin or the mucous membranes of the eyes, nose, or mouth. Getting blood or body fluid in your eyes, nose or mouth by touching a contaminated object and then touching your eyes, nose, mouth or open area on your skin.

Transmission cont’d:

Transmission cont’d Contaminated surfaces are a major cause of the spread of hepatitis. HBV can survive on environmental surfaces, dried and at room temperature for at least one week. HCV can survive on environmental services for at least 16 hours.

Transmission cont’d:

Transmission cont’d The keys to preventing infection are: Understanding the dangers you face Knowing how to protect yourself. Standard Precaution You need to consider that every person, all blood, and most body fluids are potential carriers of infectious disease.

Safety Guidelines:

Safety Guidelines Your school’s Exposure Control Plan outlines the safety methods that can help prevent you from becoming infected with bloodborne viruses. This plan is a requirement of the Occupational Safety and Health Administration (OSHA) as outlined in Federal Regulation 29 CFR 1910.1030. A copy of this regulation and your schools exposure control plan can be obtained from the District V Website or the Nursing Services office.

Safety Guidelines cont’d:

Safety Guidelines cont’d Research shows that using proper safety precautions greatly reduces the risk of coming in contact with one of the three viruses. To reduce your risk: Handle all blood and body fluids as if they are infected. Dispose of sharps (needles) safely. Use caution when emptying trash – 1. never use your hand or foot to pack down trash, 2. pick up and carry bags by the top and 3. carry trash bags away from your body without putting a hand underneath to support them.

Personal Protective Equipment (PPE):

Personal Protective Equipment (PPE) The type of protective equipment appropriate for your job varies with the task and the degree of exposure you anticipate.

Personal Protective Equipment (PPE) cont’d:

Personal Protective Equipment (PPE) cont’d Equipment that protects you from contact with blood or other PIMs include: Gloves – Man’s Second Best Friend!!!! Gowns, Aprons, Lab Coats Face Shields, Protective Eye Wear Masks, Mouthpieces, Resuscitation Bags

Personal Protective Equipment (PPE) cont’d:

Personal Protective Equipment (PPE) cont’d The PPE must fit properly, especially gloves. All PPE must be free of physical flaws that could compromise safety. Check for obvious tears or holes. You must use appropriate PPE each time you perform a task involving potentially infectious materials (PIMs).

Personal Protective Equipment (PPE) cont’d:

Personal Protective Equipment (PPE) cont’d Gloves should be removed when they become contaminated or damaged or immediately after finishing the task . You must follow a safe procedure for glove removal, being careful that no pathogens from the soiled gloves make contact with your hands.

Personal Protective Equipment (PPE):

Personal Protective Equipment (PPE) Glove Removal With both hands gloved, peel one glove off from top to bottom and hold it in the gloved hand. With the exposed hand, peel the second glove from the inside, tucking the first glove inside the second. Dispose of the entire bundle promptly. Never touch the outside of the glove with bare skin. Every time you remove your gloves, wash your hands with soap and running water as soon as you possibly can. The next slide contains a short video on the procedure.

Standard Precautions:

Standard Precautions Treat all blood and body fluids, excretions and secretions (except sweat),  as though they are infected with bloodborne viruses or other pathogens. Hand washing is the #1 protection against infection.

Standard Precautions cont’d:

Standard Precautions cont’d Watch for fluorescent orange-red labels and containers with a biohazard symbol. This symbol will warn you when the contents of containers are used for waste, storage, or shipping of materials that may contain blood or other potentially infectious materials (PIMs).

Hand Washing:

Hand Washing Wash hands after coming in contact with blood, body fluids, excretions, and secretions even if wearing gloves . Hand Washing Steps Use soap and running water for 10-15 seconds. Rub vigorously over all surfaces, including the area above your wrist. Rinse thoroughly and dry with a clean paper towel and discard. Use a clean paper towel to turn off the faucet and discard.

Safe Practices to Follow:

Safe Practices to Follow Do not eat, drink, or smoke when you are likely to be exposed to blood or body fluids. Do not handle contact lenses or apply cosmetics/lip balm when exposure is possible. Never keep food and drink in places where blood and PIMs are present.

Safe Practices to Follow cont’d:

Safe Practices to Follow cont’d Clean all blood and bodily fluid spills promptly according to the Exposure Control Plan. Keep work surfaces and protective coverings clean.

Housekeeping:

Housekeeping Effective housekeeping strategies include: Clean and decontaminate all material with the appropriate disinfectant. Use a broom and dust pan to pick up broken glass instead of your hands. Dispose of sharps and other potentially infectious materials (PIMs) in appropriately marked containers.

What to do if Exposed?:

What to do if Exposed? Do not panic if you are exposed to blood or other body fluids. Immediately wash the exposed skin area with soap and water. If blood or potentially infectious material (PIM) comes in contact with your eyes, immediately flush them with large amounts of clean, running water. Do not use caustic agents, such as bleach to clean contacted skin areas. They can damage the skin. Report the exposure incident to the designated person immediately. This will usually be the school nurse or your site administrator.

Stay Safe!:

Stay Safe! Your best tool to prevent infection is to follow the work practices discussed in this presentation. If you feel you would like more information regarding bloodborne pathogens, please contact your school nurse or your site administrator.

Stay Safe!:

Stay Safe! Protecting yourself from bloodborne diseases on the job requires knowing the facts and taking sensible precautions . As a professional educator, backed by OSHA’s Bloodborne Pathogens Standards and your school’s Exposure Control Plan, you can confidently protect yourself from bloodborne infection and safely give our children their most valuable asset, an education.

Coastal Video Communication Corp.:

Coastal Video Communication Corp. The information presented in this presentation was taken from Bloodborne Pathogens: Handbook and from the video, Bloodborne Pathogens for School Employees . Both items are produced by Coastal Video Communications Corp. Additional information within this PowerPoint presentation was taken from Noble Public Schools.

Slide 34:

All employees must complete the documentation form (linked below) in order to verify bloodborne pathogen training. Documentation Form ( But if you are a new employee you may not be done yet! New folks keep reading!) Only new employees to the district whose jobs are classified as either Category I or II (these are listed below and on next slide) must proceed through the rest of this presentation and complete additional forms regarding Hepatitis B vaccination. CATEGORY I School nurses School nurse substitutes Medical Response Team members CATEGORY II Special education teachers, assistants, shadows and regular substitutes in ED, EMD, TMD, PMD, OD, Autism and Preschool classes

Slide 35:

CATEGORY II ( CONT'D ) Minibus drivers and assistants Custodial staff and custodial substitutes Physical and occupational therapists Speech/language pathologists Maintenance Staff Coaches and Athletic trainers Physical education teachers Teachers and assistants of 4K and 5K Teachers and assistants, and other employees of students with known Hepatitis B infection Principals, Assistant Principals and Administrative Assts. Related Arts teachers serving students in self-contained ED, EMD, TMD, PMD, OD, Autism and Preschool classes Itinerant Sp. Ed. Teachers for students in VI and HI programs Designated homebound teachers Long-term substitutes for any applicable covered employee

Slide 36:

SCHOOL DISTRICT FIVE OF LEXINGTON/RICHLAND COUNTIES EMPLOYEE HEPATITIS B VACCINATION INFORMATION/CONSENT Employees with a Job Classification of Category I or Category II who have not previously been vaccinated will be offered the Hepatitis B vaccine free of charge. Hepatitis B vaccine:  Why get vaccinated? Hepatitis B vaccine can prevent Hepatitis B, and the serious consequences of HBV infection, including liver cancer and cirrhosis. Hepatitis B vaccine is made from a part of the hepatitis B virus. It cannot cause HBV infection . Hepatitis B vaccine is usually given as a series of 3 shots.  This vaccine series gives long-term protection from HBV infection, possibly lifelong. However, some persons may not develop immunity even after completing the 3 dose series. This vaccine will not prevent hepatitis caused by Hepatitis A or C viruses.

Slide 37:

Who should Not get vaccinated? Anyone with a life-threatening allergy to baker's yeast, or to any other component of the vaccine, should not get hepatitis B vaccine.  Prior to receiving the vaccine, tell the person administering the vaccine if you have any severe allergies. Anyone who has had a life-threatening allergic reaction to a previous dose of hepatitis B vaccine should not get another dose. Anyone who is moderately or severely ill when a dose of vaccine is scheduled should probably wait until they recover before getting the vaccine. Pregnant women who need protection from HBV infection may be vaccinated with written permission from their physician.

Slide 38:

Possible Vaccine Side Effects The incidence of side effects is very low.  No serious side effects have been reported with the vaccine. A few persons experience tenderness and redness at the site of injection ( up to about 1 person in 4). Low grade fever of 99.9 F or higher may occur (up to about 1 person in 15 ). Severe problems are extremely rare.  Severe allergic reactions are believed to occur about once in 1.1 million doses. A vaccine, like any medicine , could cause a serious reaction.  But the risk of a vaccine causing serious harm, or death, is extremely small.  More than 100 million people have gotten hepatitis B vaccine in the United States.

Slide 39:

The following slides contain three separate forms pertaining to Hepatitis B vaccination; consent form for the Hepatitis B vaccination documentation of previous Hepatitis B vaccination refusal of Hepatitis B vaccination Please print out and complete the form that applies to you and return it to your school nurse.

Slide 40:

School District of Lexington/Richland Counties Employee Hepatitis B Vaccination Consent Form Administration: The vaccine is administered intramuscular in three doses.  The second dose follows the first one by one month, and the third dose is given six months from the first. I have read the above statement about the Hepatitis B vaccine.  I have attended the required education session, have had an opportunity to ask questions, and understand the benefits and risks of Hepatitis B vaccination.  I understand that I must have (3) doses of vaccine to become immune.  However, as with all medical treatment, there is no guarantee that I will become immune or that I will not experience an adverse side effect from the vaccine.  If pregnant, I understand that my physician's permission to take the vaccine is required.  (Copy of permission attached.) (     )     I request that the vaccination be given to me at no cost. Employee Signature                                                        Date                                                              School/Job Title Employee Name (Print)                                                  Social Security Number                             School Phone Number School Address Home Phone Number Date Vaccinated: 1. 2. 3.

Slide 41:

School District Five of Lexington/Richland Counties Employee Refusal For Hepatitis B Vaccine I understand that due to my occupational exposure to blood or other potentially infectious materials, I may be at risk for 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 by declining this vaccine I continue to be at risk for 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. Employee Name                                                     Employee Signature Social Security Number                                     Date

Slide 42:

School District Five of Lexington/Richland Counties Statement:  Previous Hepatitis B Vaccination I, , affirm that I have received the Hepatitis B Vaccine on the following dates. (HEPTAVAX OR RECOMBIVAX ) FIRST DOSE SECOND DOSE THIRD DOSE POST VACCINATION TESTING:  NONE RESPONDER /             / DATE EMPLOYEE'S SIGNATURE                                                           DATE