BLOODBORNE PATHOGENS TRAINING

 

IMPORTANT NOTE:  Employees are required to receive annual Bloodborne Pathogens (BBP) Training.  Employees may obtain credit for the training by 1) reading the BBP information and 2) completing the quiz and sending it to Lucy Austin.  Training must be completed by September 8th of the school year.

 

Training must be done during school hours so that any questions may be directed to Lucy Austin at 519-7600.

 

A copy of the Roanoke Rapids Graded School District’s Exposure Control plan is located in the office at each school.  Each new employee should also receive a copy of the plan.  If there are questions or concerns, please contact the school nurse at your school or Lucy Austin at 519-7640.

 

The Occupational Safety and Health Administration (OSHA) has issued a standard that can protect you from bloodborne pathogens.  The OSHA standard outlines steps to follow to reduce the possibility of being exposed to a bloodborne disease. All employees who could be “reasonably anticipated” as the result of performing required job duties to face contact with blood or other potentially infectious materials are covered by the OSHA Bloodborne Pathogen Standard and the school’s policy.

 

The school Exposure Control Plan will outline the personnel whose duties could potentially put them at risk for an exposure to a BBP.

 

What are bloodborne pathogens?

 

Bloodborne pathogens are microorganisms carried by human blood and other body fluids.  The two most common BBP’s are Hepatitis B virus and HIV (human immunodeficiency virus).

 

What is Hepatitis B?

 

Hepatitis B is caused by a virus that attacks the liver.  The virus, which is called hepatitis B virus (HBV), can cause lifelong infection, cirrhosis (scarring) of the liver, liver cancer, liver failure, and death.  Only a blood test can tell you if you have the virus.

 

 

How is Hepatitis B spread?

 

 HBV is spread when blood from an infected person enters the body of a person who is not infected. For example, HBV is spread through having sex with an infected person without using a condom, by sharing drugs, needles or “works” when “shooting” drugs, through needle sticks or sharps exposures on the job or from an infected mother to her baby during birth.

 

What are the symptoms of hepatitis B?

 

Sometimes a person with HBV infection has no symptoms at all.  The older you are, the more apt you are to have symptoms.  You might be infected with HBV (and be spreading the virus) and not know it.

 

If you have symptoms, they might include:

  *yellow skin or yellowing of the whites of your eyes

  *tiredness

  *loss of appetite

  *nausea

  *abdominal discomfort

  *dark urine

  *clay-colored bowel movements

  *joint pain

 

Is there a cure for HBV?

 

There are no medications available for recently acquired HBV.  Hepatitis B vaccine is available for the prevention of HBV infection.  There are antiviral drugs available for the treatment of chronic HBV infection.  People of all ages get hepatitis B and about 5,000 die per year of sickness caused by HBV.

 

How long can HBV survive outside the body?

 

HBV can survive outside the body at least 7 days and still be capable of causing infection.

 

What is HIV?

 

The human immunodeficiency virus is a virus that kills your body’s “CD4 cells”. CD4 cells help your body fight off infection and disease.  AIDS – the acquired immunodeficiency syndrome – is a disease you get when HIV destroys your body’s immune system.  Normally, your immune system helps you fight off illness.  When your immune system fails you can become very sick and can die.  There is no cure or vaccine for AIDS.

 

How is HIV/AIDS spread?

 

HIV transmission may occur through unprotected sex with an infected person, sharing a needle and syringe with an infected person, open cuts, or mucous membranes of the eyes or inside of the nose.

 

What are the symptoms of HIV/AIDS?

 

You may have HIV and still feel perfectly healthy.  Symptoms include:

  *Flu-like symptoms

  *Fever

  *Diarrhea

  *Fatigue

 

Is there a cure for HIV/AIDS?

 

No, at this time there is no cure for HIV/AIDS.  Many people with HIV and AIDS are living longer, healthier lives today, thanks to new and effective treatments.

 

How long can HIV survive outside of the body?

 

The HIV virus will not survive long outside of the human body.

 

Prevention of Bloodborne diseases

 

The Exposure Control Plan identifies the personnel covered by the OSHA standard, analyzes the potential risk of each job, and recommends how to reduce the potential of exposure of blood or other infectious materials through workplace controls, protective equipment and other methods.  Universal precautions shall be observed to prevent contact with blood or potentially infectious materials.  Engineering and work practice controls shall be used to eliminate or minimize employee exposure.  Where occupational exposure remains after institution of these controls, personal protective equipment shall also be used.

Universal precautions apply to blood, other body fluids containing visible blood, semen, and vaginal secretions. Universal precautions also apply to tissues and to the following fluids: cerebrospinal, synovial, pleural, peritoneal, pericardial, and amniotic fluids. Universal precautions do not apply to feces, nasal secretions, sputum, sweat, tears, urine, and vomitus unless they contain visible blood. Universal precautions do not apply to saliva except when visibly contaminated with blood or in the dental setting where blood contamination of saliva is predictable.

Universal precautions involve the use of protective barriers (PPE) such as gloves, gowns, aprons, masks, or protective eyewear, which can reduce the risk of exposure of the health care worker's skin or mucous membranes to potentially infective materials. In addition, under universal precautions, it is recommended that all health care workers take precautions to prevent injuries caused by needles, scalpels, and other sharp instruments or devices.

Gloves should be worn during contact with blood or other body fluids.  Cuts, or sores, or breaks on exposed skin should be covered with a bandage.  Hands and other parts of the body should be washed immediately with soap and water after contact with blood or other body fluids and surfaces should be disinfected appropriately.

Single-use disposable gloves are used when administering first aid. If you have an allergy to latex or other components of the gloves, there are hypo-allergenic gloves available upon request.  Never wash or reuse a single-use disposable glove.  To remove the gloves, never touch the outside of the gloves to bare skin. Dispose of contaminated gloves in a plastic-lined container and dispose of the contaminated bag.  Wash hands immediately after removing gloves.

 

Work Practice Controls

Work practice controls are specific procedures you must follow on the job to reduce your exposure to blood or other potentially infectious materials. 

Handwashing – employees shall wash hands immediately or as soon as feasible after removal of gloves.  You should wash hands and any other skin with soap and water, or flush mucous membranes with water immediately or as soon as feasible following contact of such body areas with blood or other potentially infectious materials.

Contaminated needles and other sharps – contaminated needles and other contaminated sharps shall not be bent, recapped, sheared, or broken before disposal.  Immediately or as soon as possible after use, contaminated sharps shall be placed in appropriate containers for disposal.  Sharps containers should be label or color-coded, leak proof containers.

Personal Hygiene – Eating, drinking, smoking, applying cosmetics, or lip balm and handling contact lenses are prohibited in work areas where there is a reasonable likelihood of occupational exposure.  Food and drink should not be kept in refrigerators, freezers, shelves, cabinets, or countertops where blood or other potentially infectious materials are stored or likely to be encountered.

Personal Protective equipment – The type of PPE appropriate for your job varies with the task and the exposure you anticipate.  The school will issue PPE or make it readily available at no cost to you.  Remove PPE that is torn, punctured, or poor quality.   If your clothing should become contaminated, remove soiled clothing as soon as feasible and place in a plastic bag, the clothing should be laundered appropriately to decontaminate. Pocket mask and mechanical respiratory devices are designed to isolate you from contact with a victim’s saliva.  Avoid unprotected mouth-to mouth resuscitation. 

GOOD HOUSEKEEPING

Sports equipment that may become contaminated with blood or other potentially infectious materials shall be examined regularly and decontaminated or disposed as necessary.

Broken glassware that may be contaminated should not be picked up directly with the hands.  It should be cleaned using mechanical means, such as a brush and dust pan.

Employees having contact with contaminated laundry should wear protective gloves and other appropriate personal protective equipment.  Contaminated laundry shall be handled as little as possible.  It should be bagged or containerized, and whenever wet, should be placed and transported in leak-proof bags or containers.  Contaminated laundry with blood or other infectious materials will be washed separately in hot water and a bleach solution for disinfection.

Clean and decontaminate all equipment and working surfaces as soon as possible after contact with blood or other potentially infectious materials.  Use an appropriate disinfectant.

 

Bins, pails, cans and other receptacles that are reused and have a likelihood of being contaminated shall be inspected and decontaminated on a regularly scheduled basis.

 

 

Biohazard label

 

 

This symbol warns you that the container holds blood or other potentially infectious materials. 

 

Hepatitis B vaccine

 

The Hepatitis B vaccine is available at no cost to the employee whose job is classified as “at risk” for occupational exposure.  Please notify the school nurse if you are unsure about your job classification or if you are eligible for the vaccine and would like to begin the series of three vaccines.

 

First Responders

 

Each school has identified first responders.  These individuals have received training in CPR and First Aid. 

 

If exposed to a blood or other body fluids, what next?

 

If you think there is a possibility that you have been exposed to blood or other body fluids, wash the exposed area immediately with soap and water.  Flush any mucus membranes that may have been exposed with running water.  Immediately report the exposure to the school nurse or supervisor.  You will be given a form to take with you to Halifax Works and receive an evaluation.  A complete investigation will be done concerning the exposure and recommendations will be made as to how to prevent other future exposures from happening.

 

If you have any questions or concerns, please contact your school nurse

 

This training module meets the yearly requirements for training in bloodborne pathogens.  You will receive credit for the training after completing the quiz and returning the quiz to Lucy Austin.

 

If you do not return the quiz by Sept. 14th, you will be required to attend training at a mandatory staff meeting.

 

 

 

 

Resources:  Centers for Disease Control, www.cdc.gov

 

                   Roanoke Rapids Graded School District Exposure Control Plan