bloodborne pathogens first responder. know the regulation v 29 cfr 1910.1030 1a
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BloodborneBloodbornePathogensPathogens
First ResponderFirst Responder
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Know the regulationKnow the regulation
29 CFR 1910.103029 CFR 1910.1030
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Epidemiology & symptoms of Epidemiology & symptoms of bloodborne diseasesbloodborne diseases
Bloodborne pathogensBloodborne pathogens
DecontaminationDecontamination
Exposure incidentExposure incident
Occupational exposureOccupational exposure
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Epidemiology & symptoms of Epidemiology & symptoms of bloodborne diseasesbloodborne diseases
ParenteralParenteral
Potentially infectious materialsPotentially infectious materials
Universal precautionsUniversal precautions
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How diseases are How diseases are contractedcontracted
Workplace situationsWorkplace situations
Non-workplace Non-workplace situationssituations
Routes of Routes of occupational occupational exposureexposure
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Exposure control planExposure control plan
Evaluation of riskEvaluation of risk
Job classifications with:Job classifications with:• Exposure to bloodExposure to blood• Potentially infectious materialsPotentially infectious materials
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Exposure control planExposure control plan
Control plans vary, but also have Control plans vary, but also have common elementscommon elements
Implementation schedulesImplementation schedules
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Exposure control planExposure control plan
Communicating hazards to Communicating hazards to employees:employees:• Hepatitis BHepatitis B• VaccinationVaccination• Post-exposure follow-upPost-exposure follow-up• RecordkeepingRecordkeeping
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Exposure control planExposure control plan
Implementation of:Implementation of:• Engineering controlsEngineering controls• Work practice controlsWork practice controls• PPEPPE• Housekeeping proceduresHousekeeping procedures• Evaluation of exposure incidentsEvaluation of exposure incidents
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Recognize potential Recognize potential exposuresexposures
Blood and infectious materials at Blood and infectious materials at accident scenesaccident scenes
Primary screeningPrimary screening
Primary assessmentPrimary assessment
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Engineering and controlsEngineering and controls
Primary methods of controlling Primary methods of controlling transmission of HBV and HIVtransmission of HBV and HIV• Disposable airway equipmentDisposable airway equipment• Mouth-to-mouth resuscitation devicesMouth-to-mouth resuscitation devices
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Handwashing facilitiesHandwashing facilities
LocationsLocations
Portable Portable facilitiesfacilities
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Handwashing facilitiesHandwashing facilities
ProceduresProcedures• Remove glovesRemove gloves• Wash hands immediatelyWash hands immediately• Use antiseptic cleansersUse antiseptic cleansers
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Handwashing facilitiesHandwashing facilities
Where there is a potential for Where there is a potential for exposure, prohibit:exposure, prohibit:• Eating and drinkingEating and drinking• Applying cosmetics or lip balmApplying cosmetics or lip balm• Handling contact lensesHandling contact lenses
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Work practicesWork practices
Reduce the likelihood of exposure Reduce the likelihood of exposure by altering the manner in which a by altering the manner in which a task is performedtask is performed• Follow universal precautionsFollow universal precautions• HandwashingHandwashing• Minimizing splashing and spraying of Minimizing splashing and spraying of
bloodblood
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HousekeepingHousekeeping
Minimize the risk of occupational Minimize the risk of occupational exposureexposure
Keep work areas and equipment Keep work areas and equipment clean and decontaminatedclean and decontaminated
Establish cleanup procedures for Establish cleanup procedures for blood and bodily fluidsblood and bodily fluids
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HousekeepingHousekeeping
Establish procedures for handling Establish procedures for handling sharpssharps
Watch for illegal injectionable Watch for illegal injectionable drugsdrugs• Parking lotsParking lots• Storage areasStorage areas• Construction sitesConstruction sites
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Personal protective Personal protective equipmentequipment
Best defense against unexpected Best defense against unexpected hazardshazards
Must be used when possibility Must be used when possibility exists for exposure to blood or exists for exposure to blood or bodily fluidsbodily fluids
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Personal protective Personal protective equipmentequipment
Must not allow blood or infectious Must not allow blood or infectious matter to pass through to matter to pass through to employees:employees:• ClothesClothes• SkinSkin• EyesEyes• MouthMouth
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Proper use of PPEProper use of PPE
Limitations of PPELimitations of PPE
ReplacementsReplacements
RemovalRemoval
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Proper use of PPEProper use of PPE
HandlingHandling
Decontamination and disposalDecontamination and disposal
Keep PPE cleanKeep PPE clean
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Hepatitis B vaccineHepatitis B vaccine
EfficacyEfficacy
SafetySafety
Method of administrationMethod of administration
Benefits of the vaccineBenefits of the vaccine
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Responding to an exposed Responding to an exposed workerworker
Review worst-case scenarioReview worst-case scenario
First responders may be involved:First responders may be involved:• as one who has been exposed; oras one who has been exposed; or• as a witness or participant where as a witness or participant where
several employees have been injuredseveral employees have been injured
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Responding to an exposed Responding to an exposed workerworker
Arrange for immediate and Arrange for immediate and confidential medical evaluationconfidential medical evaluation
Document how the exposure Document how the exposure occurredoccurred
Identify and test the source Identify and test the source individual, if possibleindividual, if possible
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Responding to an exposed Responding to an exposed workerworker
Test the exposed employee’s Test the exposed employee’s blood, if consent is obtainedblood, if consent is obtained
Provide counselingProvide counseling
Evaluate any reported illnessEvaluate any reported illness
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Post-exposure evaluation Post-exposure evaluation and follow-upand follow-up
A confidential medical evaluation A confidential medical evaluation and follow-up is available to and follow-up is available to employeesemployees
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Signs and labelsSigns and labels
Biohazard symbolBiohazard symbol
Red bags and containers can be Red bags and containers can be used as a substitute for labelsused as a substitute for labels
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Medical recordsMedical records
Must be made available to Must be made available to employeeemployee
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Medical records should Medical records should include:include:
Employee name and social security Employee name and social security numbernumber
Hepatitis B vaccination statusHepatitis B vaccination status
Results of all exams, testing, Results of all exams, testing, follow-upsfollow-ups
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Medical records should Medical records should include:include:
Copy of physician’s professional Copy of physician’s professional opinionopinion
Copy of information provided to Copy of information provided to healthcare professionalhealthcare professional
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Regulatory informationRegulatory information
29 CFR 1910.1030(c)(1)(iii)29 CFR 1910.1030(c)(1)(iii)
Exposure control plansExposure control plans
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Summary of key pointsSummary of key points
Written exposure control planWritten exposure control plan
TrainingTraining
Engineering controlsEngineering controls
Work practicesWork practices
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Summary of key pointsSummary of key points
PPEPPE
HousekeepingHousekeeping
Hepatitis B vaccineHepatitis B vaccine
Exposure incident responseExposure incident response
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Summary of key pointsSummary of key points
Routes of exposuresRoutes of exposures
Methods of assessment for Methods of assessment for bloodborne pathogen riskbloodborne pathogen risk
Methods of protection while Methods of protection while delivering first aiddelivering first aid
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