OSHA BLOODBORNE PATHOGEN AND FLORIDA BIOMEDICAL WASTE TRAINING KNOW YOUR RISKS! Developed by the Health Sciences OSHA & Safety Committee
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1 OSHA BLOODBORNE PATHOGEN AND FLORIDA BIOMEDICAL WASTE TRAINING KNOW YOUR RISKS! Developed by the Health Sciences OSHA & Safety Committee
2 Upon completion of biomedical waste control training, the employee will be able to: 1. Identify items defined as Biomedical waste. 2. List points of origin for all Biomedical waste generated by his/her specific educational program. 3. Describe Personal Protective Equipment worn when handling Biomedical waste per OSHA standards. 4. Correctly label and dispose of Biomedical waste bags and containers. 5. Identify the correct disinfectants utilized in areas generating Biomedical waste. 6. Define important aspects in the current Brevard Community College Biomedical waste plan specific for each campus.
3 Upon completion of OSHA/Bloodborne Pathogens training, the employee will be able to: 1. Define a bloodborne pathogen 2. List three viruses of special concern to healthcare providers. 3. List several sources of potentially infectious material in the workplace. 4. Describe engineering and work practice controls used to minimize exposure to Bloodborne pathogens. 5. Identify specific infection control measures used in clinics, labs, and externship site facilities by Brevard Community College employees. 6. Define legal and ethical guidelines used when a significant exposure has occurred. 7. Describe Brevard Community College s post-exposure step-bystep instructions taken in the event of an occupational exposure to blood or OPIM. 8. Identify local, state, and national informational resources to contact in case of a need for counseling and/or treatment services.
4 TABLE OF CONTENTS Section 1 OSHA & Bloodborne Pathogens Section 2 Handling Biomedical Waste Section 3 Personal Protection Equipment Section 4 Exposure Protocol Section 5 Hand Sanitizers Section 6 BCC OSHA Bloodborne Pathogen Contacts
5 Section 1 OSHA & BLOODBORNE PATHOGENS
6 WELCOME!! This program fulfills all requirements for your annual BCC OSHA Bloodborne Pathogen and State of Florida Biomedical Waste training. This program does NOT meet your requirements for HIV training for licensure.
7 What is a bloodborne pathogen? Bloodborne pathogens are disease causing organisms. They are transmitted by blood or body fluids contaminated with blood.
8 The BIG THREE 1) Human Immunodeficiency Virus (HIV) 2) Hepatitis B Virus (HBV) 3) Hepatitis C Virus (HCV)
9 BIG THREE effects HIV causes AIDS HBV and HCV affect the liver. No symptoms Mild or flu-like symptoms Severe, life threatening symptoms All three diseases may be present without displaying any symptoms (carrier status).
10 WHAT PUTS YOU AT RISK? Contact with: HUMAN BLOOD AND BODY FLUIDS
11 WORKPLACE SOURCES of Potentially Infectious Material Slide 1 Infected BLOOD BROKEN GLASS/MIRRORS CUTS OR BREAKS IN THE SKIN SANITARY NAPKINS/TAMPONS BLOODY NOSE HUMAN BITES USED NEEDLES
12 WORKPLACE SOURCES of Potentially Infectious Material Slide 2 FECES toilets, dirty diapers URINE VOMIT SEMEN/VAGINAL FLUID used condoms and sanitary napkins
13 WORKPLACE SOURCES of Potentially Infectious Material Slide 3 BIOMEDICAL TRASH RED BAGS PLASTIC SHARPS CONTAINERS USED NEEDLES RED BAG STORAGE BOXES & CONTAINERS
14 Section 2 HANDLING BIOMEDICAL WASTE
15 On-site Storage of Biomedical Waste Health Sciences Campus Cocoa Building 20 Room 115 Check with office staff in dental clinic Palm Bay Building 1, Room 337C Check with Patty Rock Cocoa Campus Building 14 Room 143A Check with Security or Amy Picchi Palm Bay Campus Building 2 Room 333A Check with Billie Brown Titusville Campus Building 1, Room 220 Check with Security or Jim Yount. Melbourne Campus Building 5 Rooms 219 and 233 Check with Security or Debbie McClinton
16 What Items Should Be Placed in the Red Bag? Any item that is saturated with blood must be disposed of in the red bag.
17 How long can red bags be used? Red bags may remain open for use in the lab or class setting for 30 days after contamination by a blood-soaked item. Place date of first use on the bag.
18 What should I do when the red bag is full or the 30-day time period is up? Transport the red bag to the storage/pickup area in a puncture-proof container.
19 (Sample label) Brevard Community College Dental Clinic Building 20, Room Clear Lake Road Cocoa, FL Date: 4/3/2005 Seal and label the red bag before placing it in the storage/transport container in the pick-up area. Include location where waste originated on label.
20 What Should I Do With Animal Parts? Pig tracheae that have not been chemically treated should be sealed in a labeled plastic container or bag and taken to the Vet Tech area to be frozen.
21 What Should I Do With Animal Parts? Small quantities of animal parts that have been chemically treated should be placed in a red bag, sealed, and labeled. Place sealed and labeled red bag in the storage container for pick-up. Please be sure that no ODORS leak through the bag.
22 What Should I Do With Animal Parts? Large quantities of any type of animal parts should be sealed in a plastic container or bag, labeled, and taken to the Vet Tech area to be frozen.
23 What Should I Do With Biology Plates? Biology plates with bacterial growth should be placed in a red bag, sealed, and labeled. Place sealed and labeled red bag in the storage container for pick-up.
24 What Should I Do With Needles or Broken Glass? Place all needles, broken glass, and sharp items contaminated with blood in the SHARPS container
25 Place Contaminated Needles in a Sharps Container slide 1
26 Place Contaminated Needles in a Sharps Container slide 2 No time limit for disposal of sharps container Unless a saturate has been placed in it, then the 30 day time limit applies. Remember sharps containers are for sharps! Replace container when 3/4 full. 3/4 full
27 NEVER OVERFILL a Sharps Container
28 Use a hemostat or tweezers when handling contaminated sharps if the sharps container is OVERFULL.
29 Tape and label a full sharps container before placing it in the transport container in the storage area.
30 Place sealed and labeled sharps container in the transport container with other biomedical waste.
31 Steps For Disposing of Biomedical Waste Remember YOU are responsible for proper handling of biomedical waste. STUDENTS should NEVER be assigned this IMPORTANT RESPONSIBILITY!!! Please memorize the following 6 steps for waste disposal.
32 STEP 1 PREPARE SEAL LABEL ALL RED BAGS and SHARPS CONTAINERS!
33 You must make a label with the following information to be placed on the sealed RED BAG or SHARPS Containers: (Sample label) Brevard Community College Nursing Assistant Lab Building 20, Room Clear Lake Road Cocoa, FL Date: 4/3/2006
34 Labels are available in room 115 across from the dental clinic.
35 Each campus has a location for biomedical waste storage, labels and containers. The following several slides are for the correct protocol to follow for the Health Sciences Building 20 in Cocoa. All other campuses: contact security or your Science department chair for keys or supplies.
36 STEP 2 Transport waste to storage area in a puncture resistant, leak-proof container.
37 STEP 3 Pick up key for locked storage room (room 115) from Dental Clinic Manager (call before bringing items for disposal) Cocoa campus Building 20 dental clinic
38 STEP 4 Place sealed & labeled RED BAG or SHARPS CONTAINERS in Transport Container
39 STEP 4 It is your job to seal and label the transport container. If you fill a container, please Close, Label, and Replace it with a new one containing a fresh, red bag.
40 STEP 5 Re-lock door and return key to Dental Clinic
41 STEP 6 Report Full, Sealed, & Labeled Transport container to Dental Clinic Manager (Cocoa campus)
42 Steps For Disposing Biomedical Waste Summary Step 1 Prepare, Seal, Label Step 2 Transport biomedical waste to onsite storage Step 3 Get key to storage room Step 4 Place waste in transport container Step 5 Lock door & return key Step 6 Report full transport container
43 Section 3 PERSONAL PROTECTIVE EQUIPMENT (PPE)
44 WHEN HANDLING BLOOD OR BODY FLUIDS - ALWAYS WEAR.... PERSONAL PROTECTIVE EQUIPMENT
45 PPE S: Personal Protective Equipment protects you from exposure to infectious blood or body fluids!
46 PPE S INCLUDE: GLOVES
47 PPE S INCLUDE: MASKS
48 PPE S INCLUDE: EYEWEAR
49 PPE S INCLUDE: APRON
50 ALWAYS WEAR GLOVES When cleaning up blood or body fluids. When cleaning equipment or surfaces contaminated by blood or body fluids.
51 Use Gloves and a Tool to Pick Up Broken Glass
52 Place Broken Glass on a Thick Piece of Newspaper
53 Use Gloves and a Damp Paper Towel to Pick Up Glass Fragments Dispose of wrapped glass in REGULAR trash can.
54 WORKPLACE CLEAN-UP: All surfaces dirtied by blood or body fluids must be cleaned and disinfected.
55 WORKPLACE CLEAN-UP: PLASTIC SCOOP DUSTPAN BRUSH PLIERS
56 WORKPLACE CLEAN-UP: MOST IMPORTANTLY PROTECT your hands!!
57 WHEN IN DOUBT? WEAR GLOVES!
58 WHERE DO YOU GET Personal Protective Equipment? SECURITY each campus or MAINTENANCE WAREHOUSE [BUILDING 22, COCOA CAMPUS]
59 Proper Disposal of PPE s Disposable Items THROW THEM AWAY!
60 Proper Disposal of PPE s Non- disposable items Clean Disinfect Inspect
61 Inspect PPE s Inspect PPE s for: Cuts Tears Rips Cracks If damaged, THROW AWAY!
62 Section 4 EXPOSURE PROTOCOL
63 WHAT SHOULD I DO IF I AM EXPOSED TO BLOOD? (needle stick injuries)
64 What should I do? Step 1 Wash the area thoroughly with soap and water, and cover any wounds with a bandage.
65 Step 2 What should I do? Determine where the blood came from: Is the blood mine? Have I been injured? How was I injured? Did someone else s blood come in contact with my blood? (broken skin, eyes)
66 What should I do? Step 3 Inform your work supervisor who must notify Human Resources Complete a BCC ACCIDENT-INCIDENT REPORT FORM and send to Security. (within 24 hours of the incident)
67 What should I do? Step 4 - ONLY for a direct BLOOD-TO-BLOOD CONTACT Contact Joyce Goode ARNP ( ) immediately after the incident for counseling, testing, and therapy, if indicated. Ask for Dr. Cathcart if Joyce Goode is not available. Your alternate contact is Barry Inman at the Health Dept (office) (cell). The emergency room WILL NOT TREAT YOU!
68 What should I do? (Summary) Step 1 - Wash the site and cover the wound with a bandage. Step 2 Identify source of potentially infectious material. Step 3 - Inform your work supervisor and Human Resources. Complete a BCC accident-incident report form (within 24 hours of the incident) and send to Security or Health Sciences Dean. Step 4 - (only if you have a direct blood-to-blood contact) Contact Joyce Goode ARNP at Comprehensive Health Care or Barry Inman at the Health Department. The emergency room will NOT TREAT YOU!
69 PREVENTION: VACCINATIONS If you need HBV immunization, check with your supervisor.
70 Section 5 HANDSANITIZERS
71 Hand Sanitizers CDC recommends hand sanitizers in many situations (no visible soiling) OSHA still requires handwashing. Hand sanitizers may be used if handwashing facility is not available.
72 Resources: IN CASE OF QUESTIONS REGARDING WHAT IS CONSIDERED A SIGNIFICANT BLOOD-TO- BLOOD EXPOSURE? CONTACT: Joyce Goode ARNP Comprehensive Health Care [ ] (available 24 hours a day) Barry Inman BA/BS, CIC, CHE Health Services Manager, Brevard County Health Department [ ]
73 Section 6 BCC Health Sciences OSHA/Bloodborne Pathogens Contact Person: For questions concerning the Health Sciences Exposure Control/Biomedical Waste Plans: Contact Dean Kathinka Babb. Information contained in this program can be found in the Health Sciences Division Office or online.
74 THE END
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