21
Bloodborne Pathogens School District of New Richmond Joan Simpson, R.N, District School Nurse. 9-19-12
Bloodborne Pathogens
School District of New RichmondJoan Simpson, R.N, District School Nurse.
9-19-12
Why am I Here Today?Annual training is required by
OSHA for all employees who are considered at increased risk for occupational exposure to bloodborne pathogens.
To protect employees against exposure to bloodborne diseases.
What is a bloodborne pathogen?
Bloodborne- carried in the blood
Pathogen- germ
Bloodborne pathogen- germ carried in the blood
The OSHA regulation specifically addresses three bloodborne diseases:
HIV- 0.5% risk of infection after exposure; dies when fluid dries; no vaccine, no cure and recovery rare.
Hepatitis B-30% risk of infection; may or may not exhibit symptoms; may be unaware they are contagious; flu-like symptoms; strong virus that can live up to one week outside of the body in old, dried blood.
Hepatitis C-Most people have no symptoms; no vaccine; treatment effective in 15-30% cases;85% develop chronic infection; leading indicator for liver transplants.
Staff at increased Occupational Risk to Bloodborne pathogens are those whose job description includes one or more of the following:
First aidCleaning body fluid spillsDelegated health / personal care
providersMonitoring altercations
In New Richmond School District these employees have been identified
currently as:Job Classifications Reason for Occupational
Exposure
Providing First Aid Cleanup of
Blood or OPIM Spills
Contact / Handling of Materials
Contaminated with Blood
or OPIMHealth Services (School Nurse and Health Assistants)
X X X
CDB/ CDS Teachers and Assistants (Cognitive Disability Borderline and Severe)
X X
Coaches (determined by AD) – Football, Wrestling, Basketball, and Hockey at this time
X X
EBD Teachers and Assistants (Emotional Behavioral Disability)
X X
Early Childhood & Special Education (Teachers and Assistants)
X X
Occupational Therapists X XKindergarten Teachers X XBuilding Principals, Assistant Principals
X X
Custodial / Maintenance X XPhysical Education Teachers X XSpeech Therapists X XSuperintendent X XAthletic Director X XFront Office Administrative Assistants
X X
Hepatitis B Vaccination offered by the District to staff on the
previous pageSchool District covers the costThree injections over 6 monthsBooster doses are not recommended80 - 95% effective after series is completedHepatitis B Immunization Acceptance/Declination
Record must be completed and on file for all staff considered at increased risk of occupational exposure to bloodborne pathogens.
If Hepatitis B vaccination was declined in the past, it can be requested at a later date.
Reasons Not To Receive VaccinationPrevious infection would incur
immunityYeast sensitivityThimerosal sensitivityPregnancyImmunosuppressive therapy
Hepatitis B Vaccination Most Common Side EffectSlight soreness at the injection
site (17%)More serious reactions may occur
in 1% of vaccinations given
Exposure Control PlanBlue Health Services Manual in
each school health officeContains District’s Exposure
Control Plan and exposure forms.
BE PROACTIVE NOT REACTIVE!!!
Universal PrecautionsAn approach to infection control
where all human body fluids of all persons are treated as if known to be infectious for communicable diseases
Personal Protective EquipmentGloves
Available in the health office Disposable
Goggles As requested
Gowns As requested
Use of Disposable GlovesThink about what you touch while
your wearing them! Properly dispose of contaminated
gloves in the trash. Wash hands after using them. Waterless hand cleaner as
temporary measure only.
HandwashingTHE SINGLE MOST EFFECTIVE
BARRIER TO PREVENT THE TRANSFER OF GERMS is to use soap and running water. Scrub for at least 30 seconds, rinse well, dry with paper towel (use to turn off faucet)
Cleaning Up Body Fluid Spills Think B-A-D-D
B arrierA bsorbD isinfectD iscard
What Should I Do If I Have An Accidental Contact With Body Fluids?
Wash area thoroughly with soap and warm water
Contact your building Health Assistant to complete an Exposure Investigation Report Right Away. She will complete then notify the School Nurse regarding further action.
Notify your supervisor of the exposure.Complete a Workman’s Compensation
Form in the staff lounge and submit to Deb Newman within 48 hours.
Exposure Incidenta specific eye, mouth , other
mucous membrane, non-intact skin, or parenteral (contaminated needles and sharp instruments), contact with blood or other potentially infectious materials that results from the performance of an employee’s duties.
Three Things Necessary for Possible Transmission
1. Source person must be infected
2. Source person must have a port of exit
3. Receiving person must have a port of entryContact with infectious body fluids to
broken skin or mucous membranesPuncture wounds with used needles
Moral of the story:If it’s
Warm, Wet and
Not Yours Don’t Touch It!
For questions or concerns, please contact Joan Simpson, District School Nurse, at [email protected] or 243-7424.
