WHY THIS TRAINING?OSHA & Texas Department of State Health Services

Bloodborne Pathogen Standard

OSHA and TDSHS requires anyone whose job may result in exposure to BB pathogens to complete the training

(OSHA BBP regulations are found in 29CFR 1910.1030)

(TDSHS BBP regulations are found in TX Health & Safety Code 81.304)

WHY THIS TRAINING?

ACC also has a BBP Program that must be followed. It can be found at the EHS On-line Safety Manual in the Bio-hazard/ Blood Borne Pathogens section…

www.austincc.edu/ehs/safetymanual

Remember: The more you know, the better you will perform in real situations!

6 Course Objectives

1. Know what Bloodborne pathogens are

2. Recognize potentially contaminated material

3. Identify exposure routes

4. Know how to protect yourself

5. Know what to do if you are exposed

6. Know how to clean up a spill

What is a BB Pathogen?

Microorganisms that are carried in the blood that can cause disease in humans

Common BB Pathogen Diseases

• Malaria• Brucellosis• Syphilis• Hepatitis B (HBV)• Hepatitis C (HCV)• Human Immunodeficiency Virus (HIV)

Human Immunodeficiency Virus - (HIV)

• The virus that cause AIDS

• Depletes your immune system

• Does not survive well outside the body

• Will not catch HIV through casual contact

Further information on HIV can be found at www.cdc.gov

Human Immunodeficiency Virus - (HIV)

• Many people infected with HIV have no symptoms for 10 years or more

• Following symptoms may be warning signs of advanced HIV infection:

– Rapid Weight Loss Dry Cough– Recurring Fever Profuse Night Sweats– Fatigue Swollen Lymph Glands– Diarrhea for more than 1 week Pneumonia– Red, brown, pink, or purplish blotches on or under the skin or inside

the mouth nose or eyelids– White spots or unusual blemishes on the tongue, or in the mouth or

throat

Hepatitis B (HBV)

Estimated over 1.2 million Americans are chronically infected

May cause chronic liver disease, liver cancer, and death

Virus can survive up to one week in dried blood – sometimes longer!

Hepatitis B (HBV)

Symptoms can occur 1- 9 months after exposure & include:

-jaundice -fatigue

-vomiting -loss of appetite

-intermittent nausea -abdominal pain

Hepatitis B (HBV)4 out of 100 people have the virus and can pass iton to others

6 out of 100 who become infected develop a life-long, chronic Hepatitis B infection

12 week incubation period

Impossible to diagnosis without a blood test

Can be prevented with a vaccine

HBV Vaccinations

Vaccine available since 1982Yeast-based vaccine – not a live virus

Series of 3 shots given over 6 months –

– Get 1st shot– 2nd shot - one month later– 3rd shot - six months after first

Further information on HBV can be found at www.cdc.gov

Hepatitis C (HCV)• The most common chronic blood borne

infection in the United States

• Estimated over 3.2 million Americans have Hepatitis C infection

• May lead to chronic liver disease and death

• Symptoms include: jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea, vomiting

Hepatitis C (HCV)

• 75% of people have no symptoms

• Incubation period is about 7 weeks

• Most infected people are unaware until 20

years later when liver is severely scarred

• Impossible to diagnosis without blood test

Hepatitis C (HCV)

• 12 out of 100 people have HCV and can pass the virus on to others

• Vaccine not available for hepatitis C

Further information on HBC can be found at www.cdc.gov

Potentially Infectious Bodily Fluids

• Saliva• Urine• Semen or vaginal

secretions• Any other bodily

fluids • ‘OPIM’ (Other

Potentially Infectious Material)

• Blood• Vomit• Skin tissue, cell

cultures

How are BBP transmitted?

When blood or OPIM contacts:

Cuts Abrasions Burns

Rashes Paper cuts Hangnails

Eyes Puncture wounds Acne

Mucous Membranes

Cuts from contaminated sharps

Any open skin surface !!

Possibility of Exposure Incidents

Administering first aid Post-accident cleanup Janitorial or maintenance work Handling of any Bio-waste products Industrial accidents

Universal Precautions

o Treat ALL blood and bodily fluids as if they are contaminated

o Always use proper PPE, cleanup procedures & decontamination

o Dispose of all contaminated material in the proper manner

Personal Protective Equipment (PPE)

Anything used to protecta person from exposure

o Latex or Nitrile gloves, o Goggles,o CPR mouth barriers, o Apronso Respirators

PPE - Rules to Remember

o Always check gloves / PPE for defects or tears

o Replace torn or defective gloves immediately

o Remove PPE before leaving a contaminated area

o Do not reuse disposable equipment

o Discard all contaminated PPE in red Bio-hazard bags

Choosing appropriate PPE

• For small spills & areas of contamination, use safety glasses and butyl nitrile gloves

• For larger areas of contamination with greater potential for contact from splashes, Tyvek coveralls, face shields or face masks should be worn along with gloves and safety glasses.

Handling Sharps Safely

Never throw sharps in the trash

Dispose of sharps (needles, brokenglassware, scalpels, etc) in marked

containers immediately after done withfirst aid or clean up activity

Decontamination

• When cleaning up surfaces use 10% bleach solution or approved disinfectant

• Do an initial wipe up

• Spray spill or contaminated area, allow disinfectingsolution to stand for 15 minutes, and then wipe up

• Dispose of used rags in bio-hazard containers

Decontamination

• Put all wipes in biohazard containers

• Put PPE and any contaminated, disposable cleaning equipment biohazard containers

Biohazard Spill Clean-up Always wear appropriate PPE Clean up spill immediately Use tongs, broom and dust pan, or two pieces

of cardboard to pick up sharp objects – Don’t use bare hands!

Dispose of absorbent material in Biohazard bag Flood area with disinfectant solution Let solution sit for at least 15 minutes

Hand Washing

• Wash hands immediately and thoroughly

after removing PPE

• Use a soft antibacterial soap

• A hand sanitizer can be used, but still wash with soap and water as soon as possible

Hand Washing

• Always wash your hands:– After touching any blood or OPIM– After touching a contaminated item or surface– As soon as removing gloves– Before eating, drinking, smoking, or

using the restroom

Definition: Regulated Medical Waste

• Liquid or semi-liquid blood or other potentially infectious material (OPIM)

• Contaminated items that would release blood or OPIM when compressed or squeezed

• Contaminated sharps

• Pathological and microbiological waste containing blood or OPIM

Signs & LabelsLabels must include theuniversal biohazard symbol, and the term “Biohazard” must be attached to:

• containers of regulated biohazard waste

• refrigerators or freezers containing blood or OPIM

• containers used to store,

transport, or ship blood or OPIM

Using Sharps Containers

• Dispose of sharps containers when they are 2/3 full

• Never force an item into a sharps container• Never reach into a sharps container• Never open, empty, or reuse a sharps

container

Exposure Incident

• A specific incident of contact with potentially infectious bodily fluid

• Infiltrations of mucous membranes or open skin surfaces, as well as puncture wounds from sharps, are exposures

Exposure Incident

• Report all incidents involving blood or bodily fluids to supervisor within

1 hour

• Post-exposure medical evaluations and follow-up offered to employees at no charge

ACC Post-exposure procedures

Responsibility of employee to notify supervisor within ONE (1) hour of exposure

Responsibility of the supervisor is to contact EHS within ONE (1) hour after notified of exposure

Following the report of an exposure, the employee will be sent for a confidential medical evaluation and follow-up

Post Exposure Evaluation

• If exposed and sent for medical evaluation, do not have the results sent to ACC’s EHS department. We do not need to have access to your personal medical records.

• DO follow up with your doctor to find out results and recommended treatment, if any

What if you are exposed?

SKIN: Wash the area with soap and water for an

extended time

MOUTH: Rinse with water or mouthwash

EYES: Flush with warm water for 15 minutes

What if you are exposed?

• A medical evaluation is to be made immediately available to the employee who has occupational exposure

– Evaluation SHALL be confidential

– It must protect your identity and test results

– There is no charge to employee

Post-exposure Evaluation Procedures Consist of

• A confidential medical evaluation

• Documenting routes of exposure

• Identifying whose blood was involved (source)

• Test source individuals blood (with individuals consent)

• Provide test results to exposed employee

Recordkeeping Requirements

Medical Records include:Hepatitis B vaccination statusAny post-exposure evaluation and follow-up results

Training Records include:Training datesContents of the trainingSignature of trainer and trainee

Hepatitis B Vaccination

• Strongly endorsed by medical communities

• Offered to all potentially exposed employees

• Provided free to employees

• Declination form - Must sign one if you don’t want vaccine

Hepatitis B Vaccinations

• ACC Employees whose duties could result in potential exposure to blood borne pathogens are known as Category I or II employees.

• Category I or II employees are entitled to receive the Hepatitis B Vaccine at no charge

ACC Category I & II Employees

1. All Campus Police Employees

2. Building Attendants/Supervisors

3. Childcare:

All Personnel & Students

4. EHS Personnel

5. Science Lab Assistants and Biology Faculty teaching courses involving human blood or other tissues

6. Students in above biology courses

7. Laboratory Animal Caretakers

8. Health Sciences Department

- Lab Technicians

- Surgery Tech

- Dental Hygiene

- EMS

- Med Lab

- Veterinarian Tech

- Kinesiology

- Faculty and Students

NOTICE TO CATEGORY I OR II EMPLOYEES:

To receive credit for this on-line class, you must submit a signed Vaccination Acceptance/Declination form with

your test score page to David Watkins at EHS!

Acceptance/Declination form Link:Open link, Print form, Sign and Date

http://accweb.austincc.edu/ehs/pdf/HBVVaccinedeclinationacceptanceform22010.pdf

(NOTE: Form will open in a new browser window)

HBV Vaccine Acceptance/Declination Form

Complete the top portion

of the form...

PRINT your: Name Work Campus Job Title Supervisor’s Name

Hepatitis B Vaccinations

Employees who DO NOT wish to receive the Hep B vaccination still must sign a declination form stating they do not want the vaccination at this time.

NOTE: You may change your mind at any time – Just contact the EHS Office and request a

Hepatitis B vaccination.

Don’t want the vaccination?

If you do not want to receive the Hepatitis B Vaccination at

this time

Sign and Date the Declination Section at the

beginning of the form.

Remember:

Should you change your mind in the future, simply contact the

EHS office and let us know

Hepatitis B Vaccinations

Those employees who DO wish to receive

the Hepatitis B vaccination –

Sign & Date the form as shown in next slide

Send to David Watkins, SVC 181 with test score

EHS will contact you

Want the vaccination?If you do want the Hepatitis B

Vaccine, or if you have already been vaccinated but would like to have blood drawn to see if the vaccine is still working…

Sign and Date the Acceptance Section in the

middle of the form.

Once received by the EHS Office we will contact you to provide

further information and authorize the vaccination.

Hepatitis B Vaccinations

Category I or II employees who wish to be vaccinated will be contacted by EHS with more information once we receive

your signed acceptance form.

We will arrange a meeting with you to provide authorization to receive the vaccine and complete

the bottom section of the form at that time

In Conclusion….

This training should have

you prepared to – Know what Bloodborne pathogens are

Recognize potentially contaminated material

Identify exposure routes

Know how to protect yourself

Know what to do if you are exposed

Know how to clean up a spill

In Conclusion….

BB pathogen policies are in place for your safety and to protect your

health

Failure to follow them is a serious risk that does not need to be taken

Remember: If it isn’t your body fluid, don’t touch it!!

In Conclusion….

Austin Community College’s Blood

Borne Pathogen Plan can be found at:

http://www.austincc.edu/ehs/pdf/ACC%20Bloodborne%20Pathogen%20Program%20Guideline-Procedure%20ASC%209.pdf

(NOTE: Policy will open in a new browser window)

Complete the Quiz

• Click on the URL below– http://www.austincc.edu/hr/profdev/eworks

hops/bbp/quiz/bbp.html

QUESTIONS?

Call or email: David Watkins

Austin Community College

Environmental Health & Safety 512-223-1034

or

rwatkin1@austincc.edu