BLOODBORNE PATHOGENSBLOODBORNE PATHOGENS

VISTA UNIFIED SCHOOL VISTA UNIFIED SCHOOL DISTRICTDISTRICT

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Bloodborne pathogensBloodborne pathogens

Your safety is in your handsYour safety is in your hands

Bloodborne pathogensBloodborne pathogens

Bodily fluids, especially Bodily fluids, especially those visibly those visibly contaminated with blood, contaminated with blood, are capable of causing are capable of causing disease.disease.

The most common ways The most common ways pathogens can enter your pathogens can enter your body, in a school setting, body, in a school setting, are through a cut in the are through a cut in the skin, through your eyes or skin, through your eyes or mouth.mouth.

Who, What & Why?Who, What & Why?

WhoWho are theare the employees that are most at risk?employees that are most at risk?

What protects employees from occupational risk exposure?What protects employees from occupational risk exposure?

Occupational exposure to bloodborneOccupational exposure to bloodborne pathogens, although pathogens, although infrequent,does happen at school.infrequent,does happen at school.

VUSD employeesVUSD employees

Occupational Health and Occupational Health and Safety Association Safety Association

Bloodborne Bloodborne Regulation (29 CF Regulation (29 CF 1910.1030)1910.1030) Applies to all persons Applies to all persons

who may reasonably who may reasonably anticipate contact with anticipate contact with blood or other blood or other potentially infectiouspotentially infectious

body fluidsbody fluids

HBV, HCV & HIVHBV, HCV & HIV

Hepatitis B, Hepatitis C, Human Immunodeficiency VirusHepatitis B, Hepatitis C, Human Immunodeficiency Virus

Exposure to a bloodborne pathogen places Exposure to a bloodborne pathogen places employees at risk for:employees at risk for:

Contracting the above diseasesContracting the above diseases

Becoming very illBecoming very ill

In some cases may be fatalIn some cases may be fatal

HIV HIV vsvs Hepatitis B Hepatitis B

HIVHIVTransmitted through Transmitted through blood, semen, vaginal blood, semen, vaginal secretions and breast secretions and breast milkmilkVirus lives outside the Virus lives outside the body for only a few body for only a few hourshoursNo vaccination No vaccination availableavailable

Hepatitis BHepatitis BTransmitted through Transmitted through blood, semen and blood, semen and vaginal secretionsvaginal secretionsVirus lives outside the Virus lives outside the body for up to 7 daysbody for up to 7 daysContaminated surfaces Contaminated surfaces are a major factor in the are a major factor in the spread of HBV.spread of HBV.Up to 100 times easier Up to 100 times easier to catch than HIVto catch than HIVVaccinations available –Vaccinations available – 3-4 doses3-4 doses

Human Immunodeficiency Virus (HIV)Human Immunodeficiency Virus (HIV)

HIV attacks your body’s ability HIV attacks your body’s ability to protect itself against diseaseto protect itself against disease

Initially no visible signs of Initially no visible signs of having the virushaving the virus

Most people with HIV develop Most people with HIV develop AIDSAIDS

There is There is nono vaccination for HIV vaccination for HIV

Hepatitis BHepatitis B Poses a greater risk to school personnel than HIVPoses a greater risk to school personnel than HIV

Approximately 1.25 million people in the US carry HBVApproximately 1.25 million people in the US carry HBV

HBV causes serious liver diseaseHBV causes serious liver disease

Acute symptoms include jaundice, fatigue, abdominal pain and weight Acute symptoms include jaundice, fatigue, abdominal pain and weight lossloss

While most people recover from HBV infection some become While most people recover from HBV infection some become chronically infected.chronically infected.

Hepatitis C Virus

Chronic infection with HCV is much more common than with HBV

Symptoms may not occur for many years after the infection

HCV also causes a serious liver disease

There is no vaccine

HIV, HBV & HCVHIV, HBV & HCV

The following substances do not spread the The following substances do not spread the HBV, HVC and HIV viruses unless HBV, HVC and HIV viruses unless blood blood is is present:present: FecesFeces Nasal congestionNasal congestion SalivaSaliva SputumSputum Sweat / tearsSweat / tears UrineUrine VomitVomit

How do I protect myself?How do I protect myself?

The most effective means of The most effective means of protecting yourself is by using protecting yourself is by using a hand sanitizer or by vigorous a hand sanitizer or by vigorous handwashing with warm soap handwashing with warm soap and water.and water.

An HBV vaccination is one of An HBV vaccination is one of the best ways to protect the best ways to protect yourself from Hepatitis B.yourself from Hepatitis B.

Wear gloves whenever Wear gloves whenever handling blood or anything that handling blood or anything that might have blood in it or on it.might have blood in it or on it.

When to WashWhen to Wash

Before eatingBefore eatingBefore handling clean Before handling clean equipment or utensilsequipment or utensilsBefore and after assisting Before and after assisting with feedingwith feedingAfter assisting with toileting After assisting with toileting or diaperingor diaperingAfter contact with any body After contact with any body secretionssecretionsAfter handling soiled After handling soiled diapers, garments or diapers, garments or equipmentequipmentAfter removing disposable After removing disposable glovesgloves

Universal PrecautionsUniversal Precautions

Assume that every exposure to blood and Assume that every exposure to blood and body fluids is a risk.body fluids is a risk.

Universal precautions are required by Universal precautions are required by OSHA to prevent transmission of OSHA to prevent transmission of bloodborne pathogens while providing first bloodborne pathogens while providing first aid or health careaid or health care

Personal Protective Equipment

GlovesGloves

Wear disposable Wear disposable gloves when handling gloves when handling any fluids requiring any fluids requiring universal precautions.universal precautions.

Always check gloves Always check gloves for holes.for holes.

No latex gloves to be No latex gloves to be used. Risk of allergy!used. Risk of allergy!

GlovesGloves

Take hold of first glove at wrist.Take hold of first glove at wrist.Fold it over and peel it back, Fold it over and peel it back, turning it inside out as it goes.turning it inside out as it goes.Once the glove is off, hold it with Once the glove is off, hold it with your gloved hand.your gloved hand.To remove the other glove, place To remove the other glove, place your bare fingers inside the cuff your bare fingers inside the cuff without touching the glove without touching the glove exterior.exterior.Peel the glove off from the Peel the glove off from the inside, turning it inside out as it inside, turning it inside out as it goes.goes.Use it to envelope the other Use it to envelope the other glove. glove.

Never reuse gloves!Never reuse gloves!

VaccinationVaccination

Best way to avoid Best way to avoid contracting HBV is to be contracting HBV is to be immunized against it.immunized against it.

Vaccine provides 90% Vaccine provides 90% protection for 7 or more protection for 7 or more years. Also 70-88% effective years. Also 70-88% effective when given within one week when given within one week of exposure.of exposure.

OSHA requires vaccinations OSHA requires vaccinations be made available to all be made available to all employees with occupational employees with occupational exposureexposure

Employees must sign a form Employees must sign a form if they choose to decline if they choose to decline vaccine.vaccine.

If you’re exposed to bloodIf you’re exposed to blood

If skin contact, wash off If skin contact, wash off with non-abrasive soap with non-abrasive soap and water.and water.

If blood gets in your eyes If blood gets in your eyes or mucous membranes, or mucous membranes, immediately flush eyes immediately flush eyes with large amounts with large amounts running water for at least running water for at least fifteen minutes.fifteen minutes.

Safe clean upSafe clean upBlood spills should be Blood spills should be cleaned up promptly cleaned up promptly with a freshly prepared with a freshly prepared disinfectant solution of disinfectant solution of bleach. ( ¼ cup bleach bleach. ( ¼ cup bleach to 1 gallon cold water.)to 1 gallon cold water.)

Bleach retains Bleach retains germicidal ability for 24 germicidal ability for 24 hours.hours.

Use disposable towels.Use disposable towels.

Wear gloves.Wear gloves.

The Exposure Control PlanThe Exposure Control Plan

Ensures that employees are :Ensures that employees are :

Aware of potential hazards from exposure to Aware of potential hazards from exposure to bloodborne pathogens.bloodborne pathogens.

Advised of the appropriate procedures to Advised of the appropriate procedures to avoid exposure.avoid exposure.

Report the ExposureReport the Exposure

Complete accident report as soon as Complete accident report as soon as possible after incidentpossible after incident

Turn it in to your supervisor and follow Turn it in to your supervisor and follow their instructionstheir instructions

Remember that most exposures do not Remember that most exposures do not result in infectionresult in infection