On-line Employee Training for Substitute Teachers Shawnee Mission Public Schools

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1 On-line Employee Training for Substitute Teachers Shawnee Mission Public Schools

2 Provide a basic understanding of: 1. Bloodborne pathogens (BBP) 2. Common modes of transmission of BBP 3. Methods to prevent transmission of BBP 4. Exposure determination 5. Information to help school staff maintain compliance with the BBP standard Reference:

3 Schools are responsible for identifying and educating staff who could be reasonably anticipated, as a result of performing their job duties, to be in contact with bloodborne pathogens. Reference:

4 This training consists of 4 parts: Understanding Bloodborne Pathogens Methods to prevent transmission Exposure evaluation and follow up Recordkeeping At the end of this training, you will be asked to click on a link to a certificate, type in your name, print and submit to the Substitute Services Office.

5

6 Viruses, bacteria and other microorganisms that are carried in the bloodstream and can cause disease The most common bloodborne pathogens encountered in the school environment are: Human Immunodeficiency Virus (HIV) Hepatitis B (HBV) Hepatitis C (HCV)

7 Human bodily fluids such as semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, saliva, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, any body fluid visibly contaminated by blood and fluids where it is difficult to differentiate between fluids. If it s wet and not yours, don t touch it without protection!

8 Hepatitis means inflammation of the liver Is the most infectious bloodborne pathogen Thirty percent of people with HBV have no signs or symptoms Can survive outside the body for up to a week Vaccine is available and very effective

9 Hepatitis B vaccine series is offered at no cost to all staff who are at risk of an occupational exposure to blood or OPIM: Vaccine is a series of 3 injections over 7 months with relatively few side effects. Staff at risk are: Special education teachers and paraprofessionals Nurses and health aides Custodians and plumbers Security and SRO officers Specific operation and maintenance staff At-risk employees who decline the vaccination must sign a waiver.

10 Long-term effects include chronic liver disease and liver cancer No treatment or vaccine is available Virus does not survive well outside the body

11 HIV attacks the immune system and can cause the disease known as AIDS Casual, person-to-person contact does NOT transmit HIV HIV is fragile and does not survive well in the environment There is no cure or vaccine

12 Bloodborne pathogens can be transmitted when there is DIRECT CONTACT with blood or OPIM of an infected person. 1. Blood/OPIM entering open cuts, wounds, or skin abrasions 2. Blood/OPIM splashing into your nose, mouth, or eyes 3. BBP can also enter via non-sterile technique when tattooing or body piercing, sharing needles, sexual intercourse and rarely by direct blood transfusion.

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14 SMSD Exposure Control Plan Universal Precautions Personal Protective Equipment Hand washing

15 Written plan to protect staff from BBP 1. Identifies staff at risk 2. Identifies jobs and tasks at risk 3. Vaccination program 4. Work practice controls 5. Use of personal protective equipment 6. Post exposure procedure

16 The practice of treating ALL human blood as if it is infectious. o Assists in the prevention of contact with blood and other body fluids o Provides the first line of defense against the risk of exposure o Most important thing you can do to protect yourself and others

17 Specialized clothing or equipment that keeps blood or OPIM from reaching clothing, skin, or mucous membranes Gloves Gowns Eye protection Anyone can have a blood borne illness, even children. Universal precautions must be taken for any anticipated contact with blood or body fluids.

18 Each building principal and each department head will ensure appropriate personal protective equipment is available for employee use. All personal protective equipment contaminated by or penetrated by blood or OPIM should be removed as soon as possible. Employees who use personal protective equipment must place used equipment in a designated receptacle for storage, washing, decontamination or disposal.

19 Provided at no cost to staff Accessible Type of PPE used is determined by task Should be used when there is risk of exposure

20 Gloves Diapering and toileting Care of wounds Clean up of emesis Cleaning blood spills Emptying trash or contaminated laundry Sweeping up or handling sharps containers or other regulated waste Masks Whenever there is risk of exposure due to splashing, splattering, or spraying

21 Check gloves before use for holes, tears, or cracks. Remove contaminated gloves before leaving area. Wash hands after removing gloves. Never reuse disposable gloves. Gloves can be vinyl, latex, neoprene, or utility gloves.

22 Utility gloves may be issued The employee is responsible to inspect utility gloves for punctures, cracks or other problems that would lessen the ability of the glove to function as a barrier. The employee must dispose of gloves that have less ability to act as a barrier to BBP or OPIM. Employees must request new gloves when utility gloves may not act as a barrier to BBP or OPIM.

23 Click below for Proper Glove Removal Instructions

24 The single most important thing you can do to prevent the spread of infectious diseases. Wash hands after: Any contact with blood, body fluids, or soiled objects Using the toilet Assisting with personal hygiene Removing gloves

25 Click below to watch a short hand washing video Wash your hands!

26 Recommended for use when soap and water are not available Not effective against all viruses Not recommended if hands are visibly soiled

27 All surfaces and equipment that come into contact with blood or OPIM must be cleaned with an appropriate solution. Wear appropriate PPE. Take your time and be careful. Avoid splashing contaminated fluids. Dispose of contaminated materials properly. Wash hands after removing gloves.

28 All District employees will use protective equipment and take universal protective precautions when handling laundry that may have been soiled with blood or OPIM. Wet items should be placed in leak-proof bags and labeled as a biohazard or placed in a clearly labeled receptacle for later decontamination or destruction.

29 All district employees will use universal precautions and wear protective equipment when handling blood-contaminated student clothing, books or other materials. Place clothing in a plastic bag to be sent home. For books or other materials with a small amount of contamination, clean with antiseptic wipes or solution. Heavily contaminated materials must be placed into a red contamination bag and given to the custodian for proper disposal.

30 Each head custodian or area supervisor will see that work sites and buildings are maintained in a clean and sanitary condition. All equipment, protective covering, environmental areas and working surfaces shall be cleaned and decontaminated with appropriate germicide or disinfectant. All bins, pails, cans, wastebaskets and other containers will be inspected, cleaned and decontaminated on a regular basis after possible contamination. Broken glassware and related items will not be picked up by hand but will be removed using a broom and dustpan, tongs, vacuum or other mechanical means. Disposal of contaminated waste will comply with all applicable federal, state and local regulations.

31 Use common sense and take the time to think before you act! When you are in doubt, don t expose yourself to Blood, Blood Borne Pathogens or Other Potentially Infectious Materials!!! Use gloves, masks and other protective gear. Thoroughly wash your hands and other skin that may have been in contact with blood or OPIM. Report potential exposure to your supervisor immediately.

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33 A specific incident, in the course of your job, that results in blood or OPIM exposure through: Non intact skin Mucous membranes (eyes, nose, mouth)

34 This is not always an easy question to answer. Exposure doesn t usually occur if proper protective steps have taken place. Even if blood or OPIM gets on the employee, there may not be a health risk. There is only a health risk if the source individual has an infectious disease.

35 Question 1: Has there been: a specific eye, mouth, or other bodily contact with blood or OPIM? Question 2: Is that contact a result of the employee s duties? The answer to both questions must be YES for an exposure incident to be considered.

36 Immediately! Wash the exposed area with soap and water Flush or irrigate splashes to nose, mouth, or eyes with water

37 Report the incident as soon as possible to your building principal, supervisor, or school nurse. You will need to provide: Details of the incident Times and dates Names of all persons involved A description of exposure

38 Next..... Your school nurse or supervisor will complete the worker compensation forms and direct you to the approved clinics for evaluation and follow up. Any required or essential testing costs will be borne by the district. Participate in post exposure evaluation and follow up, which may include treatment suggestions, vaccinations and counseling of risks or other matters.

39 Following post-exposure evaluation and follow up, the worker compensation clinic will provide the district with the results of the evaluation. A statement that the employee has been informed of the results of the evaluation and about any medical conditions resulting from exposure to blood or OPIMs which may require further evaluation or treatment.

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41 Employees must cooperate and take training relating to blood borne pathogens. Must be completed annually and, Any time your job duties change and put you at higher risk for exposure

42 The district will maintain training records for all employees. The records will include: Date of training Summary of contents Name and job title of employees participating in training Training records are kept for at least 3 years. Training records are available to the employees, those with written consent from the employee and any federal or state agency with authority to so view. Copies of the BBP exposure plan are accessible to all district employees through the SMSD website, Board Of Education Policy GBG-R.

43 1. Bloodborne pathogens are disease-causing organisms that may enter your system through: A. Eyes, broken skin, and mucous membranes B. Using public toilets C. Drinking after someone D. Sweat or tears

44 1. Blood borne pathogens are diseasecausing organisms that may enter your system through: A. Eyes, broken skin, and mucous membranes B. Using public toilets C. Drinking after someone D. Sweat or tears Answer: A You cannot contract BBP through using public toilets, drinking after others, or through sweat or tears.

45 2. Hepatitis B Vaccine A. Prevents Hepatitis B infection B. Is a series of 3 injections C. Must be offered to employees at high risk of exposure D. Must be refused by high risk employees by signing a waiver E. All of the above

46 2. Hepatitis B Vaccine A. Prevents Hepatitis B infection B. Is a series of 3 injections C. Must be offered to employees at high risk of exposure D. Must be refused by high risk employees by signing a waiver E. All of the above Answer: E Hepatitis B is a series of 3 injections to prevent Hepatitis B disease and must be offered free of charge to high risk employees who must decline by signing a waiver.

47 True or False? 3. You should always treat all body fluids as if they are infectious and avoid direct skin contact with them.

48 3. You should always treat all body fluids as if they are infectious and avoid direct skin contact with them. Answer: True

49 True or False? 4. After wearing gloves when cleaning up body fluids, you must wash your hands after removing your gloves.

50 4. After wearing gloves when cleaning up body fluids, you must wash your hands after removing your gloves. Answer: True

51 5. If you have an exposure to a blood borne pathogen: A. Wash or flush the area immediately B. Report it to your school nurse or direct supervisor C. Complete an incident report D. Seek treatment at an approved facility E. All of the above

52 5. If you have an exposure to a blood borne pathogen: A. Wash or flush the area immediately B. Report it to your school nurse or direct supervisor C. Complete an incident report D. Seek treatment at an approved facility E. All of the above Answer: E If you experience exposure to a blood borne pathogen, get first aid, report it, complete the necessary paperwork, and seek appropriate treatment.

53 6. You are a staff member and want the Hepatitis B vaccine. The district will assist with this medical care when: A. You have had a specific incident while you were on duty that is determined to be an exposure or potential exposure. B. If the district determines you have a definite risk of exposure due to your job duties, you will have the option for pre-exposure preventive vaccination. C. When it has been determined you have had an exposure to blood or OPIM in contact with your mouth, eyes or other bodily contact. D. When you help someone away from your worksite on a weekend.

54 6. You are a staff member and want the Hepatitis B vaccine. The district will assist with this medical care when: A. You have had a specific incident while you were on duty that is determined to be an exposure or potential exposure. B. If the district determines you have a definite risk of exposure due to your job duties, you will have the option for preexposure preventive vaccination. C. When it has been determined you have had an exposure to blood or OPIM in contact with your mouth, eyes or other bodily contact. D. When you help someone away from your worksite on a weekend. Answer: Answers A, B, & C are correct. In all of these incidents, you have a need for care because of your position.

55 If you have any questions or concerns, contact your school nurse or supervisor. Thank you for your participation in this training program! Please advance to the next slide to obtain your training certificate.

56 Click on the link below, print, and write in your name and date. Please choose an option below to send your certificate to the substitute office. To submit your certificate please choose one of the options below; Mail a copy in to our office, McEachen Administrative Center, Substitute Services, 7235 Antioch, Shawnee Mission, KS Fax a copy to (913) as an attachment to

57 SMSD Exposure Control Plan OSHA BBP Safety and Health Topics ens/ OSHA BBP Training Regulations ow_document?p_table=standards&p_id=10051 US Centers for Disease Control and Prevention

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