Bloodborne Pathogens

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Training Goals

Potential Occupational Exposures HIV, HBV, HCV Exposure Prevention Hepatitis B Vaccination Post Exposure Follow-up Recordkeeping: Sharps Log &

Workers Comp Filing

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Exposure Risks on the Job?

Phlebotomy & Injections Sample Collection & Disposal Lab Work Minor Procedures First Aid CPR Assault

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Where Are the Risks?

Sharps Devices Samples Used PPE

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Common Exposures: 800 K AnnuallyAmazingly This Number Still Holds Ten Plus Years Later

Needlesticks or Cuts82%

Contact With Non-intact Skin03%

Splashes to Mucous Membranes14%

Bites01%

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Human Immunodeficiency Virus (HIV)

Blood Semen Vaginal Secretions Tissue Cultures

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HIV: Occupational Transmission Risk

Percutaneous (Needlestick, Sharp) 0.3%

Mucous Membrane .09%

Non-Intact Skin .09%

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Hepatitis A: Fecal-Oral Transmission

Contaminated Food Contaminated Water Close Personal Contact

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Hepatitis B: Blood Transmission

1.25 Million Americans Chronically Infected Declining Rates (Aggressive Vaccination Policies) Needlestick Transmission Risk = 6% to 30% (UV) HBV Survives at Room Temperature X 2 Weeks Other Potential Sources?

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Hepatitis C: Blood Transmission

4 Million Americans Infected 3 Million Americans Chronically Infected No Vaccine Available No Post Exposure Prophylaxis 80% Asymptomatic 75%- 85% Chronically Infected Carriers Main Reason for Liver Transplants Chronic Liver Disease 70% for Chronically

Infected

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HCWs 1-2% 10 Times Lower That HBV Mucous Membrane Transmission Rare

Hepatitis C: Occupational Transmission Risk

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Protection On The Job?

Universal Precautions

Assume All Human Blood & Body Fluids Are Infectious

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Handwashing is Most Effective Way to Prevent Disease Transmission

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Work Practice Controls

Reduce Exposure Risk by Altering Procedures

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Engineering Controls

Isolate or Remove the BBP Hazard From Workplace

Safety DevicesSharps ContainersTube HoldersSink ShieldsBiohazard Bags

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No Cost Available Right Size Employer Responsible

Personal Protective EquipmentClothing or Equipment Worn That Keeps Blood From Clothing, Skin, Eyes, Mouth, or Mucous Membranes

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Administrative Controls

Written Procedures Training Clear Communication Pathways

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Hazard Communication / Warning Labels

Regulated Waste Containers Refrigerators & Freezers Disposal, Shipping & Storage Containers Contaminated Laundry

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Housekeeping:

Tasks Location Surfaces Contaminants

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HBV Vaccine

95% - 99% Effective Prevention of HBV Infection Get It at San Francisco General OHS Clinic

Mild Soreness & Redness at Injection Site Fever, Nausea, Rash, Fatigue, Joint Pain (Rare)

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Post BBP Exposure

First Aid ID Exposure Source Needlestick Hotline (415) 469-4411 SFGH OHS Clinic As Directed Report to Supervisor File Workers’ Comp Claim Sharp Injury Log Maintained by OSH