Safety Training Topic BLOODBORNE PATHOGENS SAFETY Purpose of Meeting To remind workers that exposure to viruses and bacteria in human blood and other body fluids can result in serious illnesses. To reince bloodborne pathogens policies and practices. To consider ways to protect yourself from the hazards presented by bloodborne pathogens. Materials and Preparation A copy of the written bloodborne pathogens safety rules or policy. Note to Trainer Enter your name and the training date on the Training Sign In Sheet. Have each attendee sign the Training Sign In Sheet next to their name. Use this page your reference and give attendees copies of the remaining pages. CSRMA Tailgate Topics 2009 DKF Solutions LL Page 1
SAFETY TRAINING TOPIC Introduction Due to the nature of our work, it is possible that you may be exposed to bloodborne pathogens during the course of your work. In order to ensure your safety and the safety of your coworkers, it is vital that you are properly trained in the policies and practices regarding exposure to blood and other potentially infectious materials. This training has been developed to educate workers about how to take appropriate precautions in order to work safely. What Are Bloodborne Pathogens? Bloodborne Pathogens are micro-organisms in human blood that can cause disease, including (but not limited to) HIV, HBV and HCV. For the purposes of the OSHA standard, "Bloodborne Pathogens" also includes pathogens in OPIM (other potentially infectious materials). What are OPIMs? Other Potentially Infectious Materials include: Human Blood Semen Vaginal secretions Cerebrospinal fluid Synovial fluid (joints) Pleural fluid (chest) Pericardial fluid (heart) Peritoneal fluid (abdomen) Amniotic fluid (childbirth) Saliva (in dental procedures) Any body fluid that is visibly contaminated with blood Any fluids in which differentiation of body fluid types is difficult CSRMA Tailgate Topics 2009 DKF Solutions LL Page 2
The Risks Exposure to blood or OPIM can result in contraction of various syndromes/diseases such as: HIV/AIDS Hepatitis B Hepatitis C HIV/AIDS AIDS (Acquired Immuno-Deficiency Syndrome) is caused by the HIV virus. AIDS results when the HIV virus destroys the blood cells that are crucial to the body's immune system. HIV weakens the immune systems so that it has difficulty fighting off infections. There is no cure or preventative vaccine HIV/ADS. Hepatitis B Hepatitis B is a virus that gets into your body and attacks your liver. Your liver helps your body digest the food you eat and helps your body get rid of poisons. Hepatitis B sometimes causes liver damage (cirrhosis) that does not go away. It can also cause liver cancer which may lead to death. You can be vaccinated against Hepatitis B! Hepatitis C Hepatitis C is the most common chronic bloodborne infection in the United States. In about 85% of the cases the infection is permanent, and people infected become chronic carriers. Hepatitis C is the number one cause of liver transplants in the United States. Other Infections There are more than 20 other infections that can be transmitted through blood and/or OPIM including syphilis, malaria, herpes, and streptococcal and staphylococcal sepsis. CSRMA Tailgate Topics 2009 DKF Solutions LL Page 3
Exposure Control Plan In accordance with OSHA regulations, each employer having at least one employee with occupational exposure must establish a written Exposure Control Plan designed to eliminate or minimize employee exposure. The Plan is reviewed periodically and revised as necessary to make sure it is up-to-date. Reducing the Risks In order to protect the safety of our employees, we have implemented various controls to help prevent exposure to blood and OPIM. These controls include: Universal precautions: An approach to infection control that treats all human blood and certain human body fluids as if they are infectious HIV, HBV, and other bloodborne pathogens Engineering Controls: Controls that isolate or remove the bloodborne pathogens hazard from the workplace, such as sharps disposal containers and self-sheathing needles Work Practice Controls: These are practices that reduce the likelihood of exposure by changing the way a task is permed. Examples include: handwashing and appropriate procedures laundry handling Personal Protective Equipment: Equipment that is worn that does not permit blood or other OPIM to pass through or reach the employee s work clothes, street clothes, undergarments, skin, eyes, mouth, or other mucous membranes under normal conditions. Housekeeping: Ensuring that the worksite is maintained in a clean and sanitary condition. CSRMA Tailgate Topics 2009 DKF Solutions LL Page 4
Handwashing Handwashing is one of the simplest ways you can protect yourself from exposure as long as you follow the proper procedure: Wash hands/skin after contact with blood/opim (even if gloves were worn) Leave all rings on Turn on water Apply soap and scrub hands Grasp rings and move up and down fingers until thoroughly soaped Rinse thoroughly under running water Dry hands with clean paper towel Using paper towel, turn off the water faucet Personal Protective Equipment (PPE) PPE is a very effective way to avoid contact with blood/opim. PPE includes: Gloves Gowns Laboratory coats Face shields or masks Eye protection Mouthpieces Resuscitation bags Pocket masks Other ventilation devices. It is important to remember that PPE is only effective if it is used properly. For example, glove removal must be done properly. The steps are: Grasp near cuff of glove and turn it inside out. Hold in the gloved hand. Place fingers of bare hand inside cuff of gloved hand and also turn inside out and over the first glove. CSRMA Tailgate Topics 2009 DKF Solutions LL Page 5
Sharps Containers All broken glassware, sharps and other objects contaminated with blood or OPIM and meets the definition of regulated waste must be stored in sharps containers. These containers must be: Closeable Puncture resistant Leak proof Labeled or color-coded During use, sharps containers must be: Easily accessible Maintained upright Replaced routinely (no overfill) When they are moved, sharps containers must be: Closed immediately If leaking, put in secondary container If reusable, opened, emptied, cleaned in a manner that will not expose employees Laundry Handling Contaminated laundry must be handled as little as possible with a minimum of agitation. It must be: Bagged/containerized where used Not sorted/rinsed where used Placed/transported in labeled or colorcoded bags or containers Placed/transported in leak-proof bags or containers if leaks likely Employees must wear proper PPE. CSRMA Tailgate Topics 2009 DKF Solutions LL Page 6
Hepatitis B Vaccination There is a vaccine available Hepatitis B. Hepatitis B vaccine and vaccination series is made available (at no charge) to all who have occupational exposure after training and within 10 working days of initial assignment. You may decline to be vaccinated by signing a declination statement which will be kept on file. You may change your mind at any time and then receive the vaccination. Medical Evaluation In the event that you have an exposure incident, you will receive a medical evaluation that will address the following: Document the route and cause of exposure. Identify and document source individual if feasible and allowed by law. Obtain consent and test source individual s blood to determine infectivity and document blood test results. If the source is known to be infectious HBV or HIV, testing need not be repeated. Obtain consent, collect, and test exposed employee s blood as soon as possible after the exposure incident. If the exposed employee consents to baseline blood collection but does not consent to HIV serologic testing, the employee s blood samples must be preserved at least 90 days. If within 90 days of the exposure incident, the employee agrees to have the baseline sample tested, such testing must be conducted as soon as feasible. CSRMA Tailgate Topics 2009 DKF Solutions LL Page 7
Employer Responsibility If you have an exposure incident we, as your employer, will make sure you have access to clinicians who can provide post-exposure care during all working hours, including nights and weekends. We will ensure that: The health care professional has a copy of the OSHA BBP standard and understands what s expected of him or her The health care professional receives a detailed description of the exposure incident All relevant medical inmation concerning the employee s vaccination status, etc., is furnished to the health care professional We obtain and provide you with a copy of a written opinion from the health care professional within 15 days of the evaluation. What Should You Do? If you have an exposure incident: Wash the exposed area thoroughly with running water and non-abrasive, antibacterial soap Flush mouth, nose, eyes 15 minutes if blood is splashed in mucous membranes Contact your supervisor right away and seek medical treatment As your employer we have 24 hours upon notice to arrange medical care. More Inmation For more inmation about our Bloodborne Pathogens Exposure Control Plan, contact your supervisor. For more inmation about Hepatitis B and C call (888) 443-7632. For more inmation about HIV/AIDS call (800) 342-2437. CSRMA Tailgate Topics 2009 DKF Solutions LL Page 8