BloodbornePathogensFirst Responder

Know the regulation

• 29 CFR 1910.1030

1a

Epidemiology & symptoms of bloodborne diseases

• Bloodborne pathogens

• Decontamination

• Exposure incident

• Occupational exposure

2a

Epidemiology & symptoms of bloodborne diseases

• Parenteral

• Potentially infectious materials

• Universal precautions

2b

How diseases are contracted

• Workplace situations

• Non-workplace situations

• Routes of occupational exposure

3a

Exposure control plan

• Evaluation of risk

• Job classifications with:• exposure

to blood• potentially

infectious materials

4a

Exposure control plan

• Control plans vary, but also have common elements

• Implementation schedules

4b

Exposure control plan

• Communicating hazards to employees:• hepatitis B• vaccination• post-exposure

follow-up• recordkeeping

4c

Exposure control plan

• Implementation of:• engineering controls• work practice controls• PPE• housekeeping

procedures• evaluation of

exposure incidents

4d

Recognize potential exposures

• Blood and infectious materials at accident scenes

• Primary screening

• Primary assessment

5a

Engineering controls

• Primary methods of controlling transmission of HBV and HIV• disposable airway equipment• mouth-to-mouth resuscitation devices

6a

Handwashing facilities

• Locations

• Portable facilities

7a

Handwashing facilities

• Procedures• remove gloves• wash hands immediately• use antiseptic cleansers

7b

Handwashing facilities

• Where there is a potential for exposure, prohibit:• eating and drinking• applying cosmetics or lip

balm• handling contact lenses

7c

Work practices

• Reduce the likelihood of exposure by altering the manner in which a task is performed• follow universal precautions• handwashing• minimizing

splashing and spraying of blood

8a

Housekeeping

• Minimize the risk of occupational exposure

• Keep work areas and equipment clean and decontaminated

• Establish cleanup procedures for blood and bodily fluids

9a

Housekeeping

• Establish procedures for handling sharps

• Watch for illegal injectionable drugs• parking lots• storage areas• construction sites

9b

Personal protective equipment

• Best defense against unexpected hazards

• Must be used when possibility exists for exposure to blood or bodily fluids

10a

Personal protective equipment

• Must not allow blood or infectious matter to pass through to employees:• clothes• skin• eyes• mouth

10b

Proper use of PPE

• Limitations of PPE

• Replacements

• Removal

11a

Proper use of PPE

• Handling

• Decontamination and disposal

• Keep PPE clean

11b

Hepatitis B vaccine

• Efficacy

• Safety

• Method of administration

• Benefits of the vaccine

12a

Responding to an exposed worker

• Review worst-case scenario

• First responders may be involved:• as one who has been

exposed; or• as a witness or

participant where several employees have been injured

13a

Responding to an exposed worker

• Arrange for immediate and confidential medical evaluation

• Document how the exposure occurred

• Identify and test the source individual, if possible

13b

Responding to an exposed worker

• Test the exposed employee’s blood, if consent is obtained

• Provide counseling

• Evaluate any reported illness

13c

Post-exposure evaluation and follow-up

• A confidential medical evaluation and follow-up is available to employees

14a

Signs and labels

• Biohazard symbol

• Red bags and containers can be used as a substitute for labels

15a

Medical records

• Must be made available to employee

15b

Medical records should include:

• Employee name and social security number

• Hepatitis B vaccination status

• Results of all exams, testing, follow-ups

15c

Medical records should include:

• Copy of physician’s professional opinion

• Copy of information provided to healthcare professional

15d

Regulatory information

• 29 CFR 1910.1030(c)(1)(iii)

• Exposure control plans

16a

Summary of key points

• Written exposure control plan

• Training

• Engineering controls

• Work practices

17a

Summary of key points

• PPE

• Housekeeping

• Hepatitis B vaccine

• Exposure incident response

17b

Summary of key points

• Routes of exposures

• Methods of assessment for bloodborne pathogen risk

• Methods of protection while delivering first aid

17c