BLOODBORNE

PATHOGEN

PROGRAM

TRAINING

Social Work Department

2013-2014

Why Are We Here Today?

Cal/OSHA requires the employers to provide

this training annually to all employees who

have potential exposure to any blood or

body fluids.

WHAT IS THIS LAW?

The law is found in the California Code of Regulations (CCR) Title 8, Section 5193. (OSHA 29 CFR 1910.1030 ) http://www.dir.ca.gov/title8/5193.html

It outlines all necessary components of the law written to protect employees from exposure to bloodborne pathogens.

A copy of this law is available in your Department Plan notebook or at the Health Center. Copies are available upon request, free of charge.

WHERE IS MY DEPT.

NOTEBOOK?

Athletic Training- AT Room

Biology Dept. – Lab Manager’s Office (Wynn 10)

Campus Safety – Chief’s Office

Custodial Services –Dennis Robins Office

Health Center – Manager’s Office

Facilities – Lead’s Office

Physical Therapy – Mary Hill - P.T. Room 103c

School of Nursing – Skills Lab

Social Work – Christine Guzman’s office

Human Resources – Safety Manager’s office / Occupational Health Nurse’s office

BBP Program Administrator &

Department Coordinators

Department Coordinators: Athletic Training – April Reed

Biology – Yun-Lan Chan

Campus Safety – Randy Richardson

Custodial Services – Dennis Robbins

Facilities – Richard Orr

Health Center – Billie Caldwell & Sarah Zabriskie

Physical Therapy – Michael Laymon

School of Nursing – Kathy Speck & Leslie Van Dover

Social Work – Christine Guzman

Human Resources – James Alcala & Sandy Van Iwaarden

Tasks With Possible

Exposure

Contact with saliva that might contain

blood

Exposure to open wounds

Clean, maintain, sterilize instruments

Clients with assaultive behavior

More Tasks With Possible

Exposure

Housekeeping (work surfaces, toilets, floor

biohazardous waste removal)

Laundry (contaminated linens)

Potential exposure during assaultive

behavior

Plumbing, exposure to sewer contents

Exposure to sharps (sharp instruments

such as hypodermic needles, scalpels, etc)

Modes of Transmission

Three Main Routes (Occupational) of Entry:

Unprotected openings on the skin-cuts,

scrapes, or dermatitis

Unprotected mucous membrane opening =

eyes, nose and mouth

Direct penetration into the body from

“sharps”: needles, broken glass

HIV Infection

Antibodies can be detected in the blood of an

infected person within 6-12 weeks of becoming

infected.

There is no cure for HIV/AIDS; treatment depends

on symptoms.

There is no vaccine available to prevent infection.

Infectivity of HIV &

Hepatitis B & C

If the source person is a member of the general population, the chance you will contract HIV is about 1 in 10 million.

If the source person has HIV the chance of transmission is <.5%(.3%)

Chances of getting Hepatitis B from an infected source person range from 6-30%, and up to 3 - 10 % for HCV.

Hepatitis HIV

No Symptoms

Fever/Fatigue

Joint Pain

Loss of Appetite

Nausea/Vomiting

Jaundice

Dark Urine

Abdominal Pain

Enlarged Liver

Hives

No symptoms

Mild symptoms – similar to mono: fever

swollen glands, fatigue

Progressive Symptoms - diarrhea, rash

- nausea, abd pain,

- enlarged liver

AIDS – neurological problems, opportunistic infections, cancer

Incubation Period

Hepatitis C

50 –160 days

Majority 4-8 weeks

Hepatitis B

15 – 160 days

Majority 4-8 weeks

HIV 6-12 wks.

Sometimes longer with

concurrent infection with

Hepatitis C

Patient is infectious

before blood test is

positive.

Hepatitis B Vaccine

The Health Center gives the immunizations free of charge to employees who wish to have the vaccine.

The Health Center gives the immunizations to students for a nominal cost.

There is a series of 3 immunizations – given at baseline, one month and 6 months.

You can chose to receive a lab test to see if you have developed antibodies after the series.

If you do not have antibodies, you should take the series again.

Additional Resources

Center for Disease Control

http://www.cdc.gov/ncidod/hip/Blood/blood.htm

Hepatitis B (HBV)

Hepatitis C (HCV)

HIV

Viral Hemorrhagic Fever (VHF)

Work Practices &

Engineering Controls

General Work Practices

Universal Precautions

Prohibited Work Practices

Engineering Controls

Safety Sharps

Employee Input

Universal Precautions

Treat ALL human blood and body fluids as

infectious.

This practice is called Universal Precautions

and is used by anyone exposed to any body

fluid on the job.

Universal Precautions are also required as

part of Cal/OSHA’s Bloodborne Pathogen

Standard.

Examples of Work Practices

& Engineering Controls

Work Practices (see plan)

Replace sharp’s container when 2/3 full or to the designated fill line.

Use dust pan for broken sharps and glass.

No food, drink or cosmetics where blood or OPIM is stored.

Engineering Controls (see plan)

Sharp’s Containers in all treatment areas.

Hand washing facilities provided close to work area or use of approved hand cleaners.

Decontamination

Each Department has a different plan for decontamination after patient treatments.

What is your department procedure? Call Campus Safety to transport patient.

Wearing gloves, put paper towels down on blood/fluid to absorb.

Disinfect with 1:10 bleach solution (call housekeeping).

Place all clean-up material in Biohazard bag.

Notify BBP Department Coordinator (Christine Guzman)

RED Biohazard Bag/

Sharps Container Disposal*

East Campus

Wynn Science Bldg.

901 East Alosta Ave

Azusa, CA 91702

(Outside of Building)

Contact:

Yun-Lan Chan

West Campus

Mary Hill Building

Physical Therapy Dept.,

Room 101a

701 E. Foothill Blvd, Azusa

CA 91702

Contact:

Dr. Michael Laymon

*All bags to be transported by rigid, wheeled containers.

Where Can You Find…

Red Bags/Sharps Container?

Gloves?

Spill Kits?

Human Resources?

Your Department Coordinator?

Bioprep Room / PT

office / Health Center

1st Aid kit

Call Housekeeping

Admin West

Christine Guzman at Ext. 5595

What is an Exposure

Incident?

An exposure incident is a specific eye,

mouth, nasal membrane, non-intact

skin or pierced skin contact with blood

or other body fluids or tissue.

What If I Have An

Exposure?

Report to your Manager or Dept. Coordinator.

If in a non-clinical setting on or off campus, get source’s name.

Wash skin with soap and warm water for 15 min. Irrigate mucous membranes for 15 min.

Campus Safety will take you to Irwindale Industrial Clinic or you may drive yourself to the nearest facility.

All employees needing care at Irwindale will need an authorization from Campus Safety, APU Health Center or Human Resources.

Treatment and Follow Up

At first visit, you will have a baseline blood sample drawn, usually for HIV, Hepatitis B & C at whatever facility you go to for care.

After that, unless otherwise assigned, you will report to Irwindale Industrial Clinic. You will return for blood tests generally at: 6 weeks

3 months

6 months

one year (possibly)

Employee Responsibilities

Follow all points of the plan and report

inconsistencies to the Dept. Coordinator.

Know where Exposure Control Plan is located.

Follow Universal Precautions.

Use work practices, engineering controls and

personal protective equipment (PPE) outlined in

the plan.

Report exposures as directed.

Attend annual training.