Tim Karcz, CSP, ARM-P

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1 Tim Karcz, CSP, ARM-P

2 Introductory safety video

3 CRAZY THINGS HAPPEN EVERY DAY

4 BBP Standard Requirements CCR Title 8, Section 5193 Written Exposure Plan Determination of Occupational Exposure Control of Exposure Engineering and Work Practices Personal Protective Equipment Housekeeping

5 BBP Standard Requirements Hepatitis B Vaccination and post-exposure follow-up Communication of hazards to employees Labels and signs Information and training Recordkeeping

6 Where to Find It? Vice Chancellor of Finance and Administration Maintenance/Building and Grounds Campus Police Health Center Human Resources District s Intranet website Campus Dean s Office.

7 Responsibilities Program Administrator Director of Student Health Services Supervisors/Managers Ensuring affected employees comply Staff Following the Procedures

8 Page 4 Exposure Determinations

9 Exposure Determination Insert graphic or information on exposure determinations.

10 Our Goal To eliminate Occupational Exposure to Bloodborne Pathogens Understand who is potentially exposed To use Standard Precautions at all times

11 What Are They?

12 Things we hear about everyday MRSA (Staph Infection) Common Cold Mononucleosis Pink Eye HIV Hepatitis

13 How Are You Exposed?

14 Emergency Response General Maintenance & Cleaning Handling Sharps, Glass, Contaminated Clothing Physical Handling of Students Athletics Diapering Managing Disabled Students Coughing/Spitting

15 Scenarios (How could exposure happen?)

16 Scenario 1 Cleaning or Maintaining a Bathroom Let s be honest Kids are gross Adults are gross

17 Scenario 2 Dealing with Trash Cans Who knows what s in there??

18 Scenario 3 Emergency Response First Aid for accident Breaking up a fight Earthquake Fire Co-Worker trips and falls down the stairs

19 Standard Precautions Being Aware

20 Occupational exposure A reasonably anticipated skin, eye, mucous membrane or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee s duties.

21 Parenteral contact A piercing of the mucous membranes or the skin barrier through such events as: Needle Sticks Human Bites Cuts & Abrasions

22 Hepatitis - Inflammation of Liver

23 Hepatitis Literally Inflammation of liver Several variants HAV Fecal contamination of food HBV Blood or other fluid contact HCV Blood contact HDV Secondary to HBV HEV Primarily in southeast Asia, Africa, India and Central America HGV - Newly discovered, rare

24 Symptoms Include jaundice crankiness fatigue dark urine abdominal pain loss of appetite nausea or nothing at all

25 Asymptomatic

26 Common Modes of Transmission Most bodily fluids, such as touching a contaminated object or surface and transferring it to your mouth, eyes, nose or open skin All exposures or potential exposures MUST be reported Immunization available (Hepatitis B)

27 Direct and Indirect Contact Skin cuts, nicks, acne Mucous membranes Unprotected Sex Use of contaminated needles

28 Hepatitis B Vaccine Page 12 CCSF shall make the Hepatitis B vaccination series available to all affected employees listed in the Exposure Determination. In addition, a post-exposure evaluation and follow-up shall be made available to all employees who are exposed to the HBV. Series of three shots - Yeast based, dead virus Minimal side effects Post-exposure, blood should be tested for antibodies

29 Hepatitis C virus - HCV Often has no symptoms at all May not be aware of the infection Leading cause of liver transplants Frequently leads to liver cancer Estimated 150 to 200 Million people infected Currently no vaccine available

30 Common Modes of Transmission Hepatitis Sexual activity with infected individual Using infected, non-sterile instruments for such things as tattooing, ear piercings and razors Sharing IV needles Direct contact with mucous membranes like the mouth, nose and eyes Direct contact of infected blood with broken skin

31 Human Immunodefiency Virus - HIV A virus that attacks the immune system blood cells in humans and renders them less effective in preventing disease Infection eventually results in AIDS Symptoms include: Fever, sore throat, diarrhea, swollen lymph glands, loss of weight & fatigue

32 Common modes of transmission HIV Unprotected sex Sharing of drug needles or syringes Transfer from an infected mother to her child during pregnancy or child birth Potentially through breast feeding Infected blood and certain blood products

33 Staph Infection

34 MRSA (Staph Infection) Strain of staph infection that is resistant to a number of antibiotics commonly used to treat it Causes serious skin and soft tissue infections and a form of pneumonia Starts out as small red bumps, but progresses quickly after topical symptoms

35 MRSA Risk Factors Compromised Skin (cuts) Contact (skin to skin) Contact with Contaminated items/surfaces Crowding Not Cleaning skin after a cut or abrasion

36 Other Infectious Diseases Pink Eye Mononucleosis (Kissing Disease)

37 Droplet Transmission Infectious droplets that get sprayed into the air. Colds and Flu Coughing and Sneezing Talking Can also contaminate surfaces

38 Airborne Transmission Airborne Droplets (Stay suspended in air) Measles Tuberculosis

39 How can we protect ourselves?

40 Being Aware Video of pedestrian accident

41 How can we protect ourselves?

42 Standard Precautions Hand washing PPE Use Trash Removal Use of Disinfectants

43 Personal Protective Equipment (PPE) Gloves Face shields Aprons

44 Glove Donning Techniques Gove donning techniques Video

45 Housekeeping and Disinfecting Clean soiled area & discard appropriately Disinfect area - let dry for 10 minutes Wash Hands!!!

46 Hand Washing Techniques Hand Washing Techniques Video

47 Where Do We Dispose of These? Blood Soaked items In Biohazard Bags Dried, Caked on Blood In Biohazard Bags Contaminated Sharps In Sharps Containers

48 Employee Responsibilities PREVENTION DO NOT handle needles or sharps. NEVER THROW SHARPS IN TRASH CONTAINERS. Obtain the hepatitis B vaccine if you are at risk of exposure to human blood or high risk body fluids. Always wash your hands after removing gloves. Always practice STANDARD PRECAUTIONS when handling ALL human blood or other potentially infectious material.

49 Employee Responsibilities FIRST AID If needle puncture, laceration, scratch or broken skin occurs: Squeeze the puncture or open area to induce bleeding. Cleanse the wound thoroughly with soap and water. If a mucous membrane or eye exposure occurs: Irrigate the affected area immediately with copious amounts of water or normal saline for at least 3 minutes.

50 Employee Responsibilities REPORT IT NOTIFY YOUR SUPERVISOR IMMEDIATELY after the injury and completion of first aid.

51 Summary To prevent exposures Always use Standard Precautions Always use Personal Protective Equipment (PPE) Never reach into a container containing or possibly containing sharps or broken glass

52 Questions?

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