JENKS PUBLIC SCHOOLSBLOODBORNE

PATHOGENS’ TRAINING

WELCOMEThis training is intended for Jenks Public School

employees who have been identified as having a “reasonably anticipated risk of coming in contact with blood or other potentially infectious materials.” It will provide a basic understanding of bloodborne pathogens (BBP), transmission of BBP, methods of preventing exposure and steps to take if you have an exposure.

If you have any questions regarding any portion of the following materials, please call Linda Parkhurst, RN at Ext. 2263. We will discuss your questions and schedule an appointment to meet if needed.

BLOODBORNE PATHOGEN STANDARDOSHA (Occupational Safety and Hazard

Administration) published the Occupational Exposure to Bloodborne Pathogens Standard on December 6, 1991.

In January of 2001, OSHA issued a revised standard which addressed the implementation of safer needle devices.

The BBP standard is located in Title 29 of the Code of Federal Regulations (29cfr), Part 1919.1030.

Click here to view OSHA’s BBP Standard.

JPS EXPOSURE CONTROL PLANThe Jenks Public Schools Exposure Control Plan is contained

in the district’s Employee Safety PlanThe JPS Exposure Control Plan can be found:

Online at the District websiteNurse’s Office each siteTransportationWarehouseStudent Services’ OfficeAthletic Director’s OfficeBoard of Education Clerk’s OfficeHuman Resources’ OfficeDistrict Safety, Training and Compliance Office

Click here to view the JPS Exposure Control Plan The Exposure Control Plan will identify “at risk” employees

BLOODBORNE DISEASESBloodborne pathogens are microorganisms

present in blood and capable of causing diseases in humans.

The most common of these diseases are:Human Immunodeficiency Virus (HIV)Hepatitis B (HBV)Hepatitis C(HCV)

BLOODBORNE PATHOGEN FLUIDSBloodborne pathogens may be found in the

following body fluids:

Blood SemenVaginal secretionsCerebrospinal fluidSynovial fluid

Pericardial fluidPeritoneal fluidAmniotic fluidSalivaPleural fluid

Human Immunodeficiency Virus (HIV)

HIV attacks the body’s immune system and causes Acquired Immune Deficiency Syndrome (AIDS)

Thus far, AIDS eventually leads to deathNo cure, no vaccineHIV easily killed outside body, does not live

in dried body fluidsTransmitted from infected person through

sharing of blood, semen, vaginal secretions; during pregnancy, childbirth or through breastfeeding.

HEPATITIS B (HBV)Causes inflammation of the liverTransmitted from infected person to others

through sharing of blood, semen, vaginal secretions or saliva. The saliva must get into the other person’s blood or mucous membrane

Symptoms include nausea, vomiting, fatigue, jaundice and abdominal pain.

Infection may lead to chronic liver disease, liver cancer or death

HBV (cont)HBV can survive for at least a week in dried

blood or other potentially infectious body fluids

There is a vaccine available to prevent HBVThe vaccine is a series of 3 injections given

over a six month period of time.

HEPATITIS C (HCV)

Causes inflammation of the liverMost common means of transmission is

through the sharing of needles to inject drugs (blood transmission)

Symptoms include nausea, vomiting, fatigue, jaundice and abdominal pain

Infection may be acute (short term) or chronic leading to serious illness and/or death.

No vaccine available

WORKPLACE TRANSMISSIONContact with another person’s blood (or body fluid

containing blood) that enters:

An open cut, abrasion or other non intact skin

Mucous membrane of the eyes, nose or mouth

Skin through “stick” with contaminated sharps/needles

Human bites that break the skin

RISK REDUCTION

Standard (Universal) PrecautionsPersonal Protective Equipment (PPE)

Engineering controlsGood HousekeepingHepatitis B Vaccine

STANDARD (UNIVERSAL) PRECAUTIONS

Must treat every person and all body fluids as though they are infected with a bloodborne pathogen

DO NOT put yourself in contact with anyone else’s body fluids

Cannot tell by looking if individual is infected with a bloodborne pathogen.

Person may be a carrier of a disease and have no signs or symptoms.

PERSONAL HYGIENE

Do not eat, drink, smoke, apply cosmetics or handle contact lenses where you may potentially be exposed to infectious materials

Do not store food or drinks where blood or other infectious materials may be present.

PERSONAL PROTECTIVE EQUIPMENT

Personal protective equipment (PPE) protects you from contact with potentially infectious materials and includes:Masks/Eye Protection – always use when

performing procedures likely to generate splashes of blood or other bodily fluids

Gowns/aprons – use for procedures likely to generate splashes of blood or other bodily fluids

Gloves – always use if likely to come in contact with blood or other bodily fluids or mucous membranes

GLOVESMost widely used form of personal protective

equipmentMust wear gloves when there is a reasonably

anticipated risk of exposure to blood or other potentially infectious materials

Vinyl, Nitrile or any other NON LATEX NO LATEX gloves used in JPS district due to

possible severe allergic reactionsGloves are all single use and disposable unless

heavy duty and cleanable (for custodial use)

GLOVE REMOVALGrasp outside of first glove near wrist being

careful not to touch skinPeel glove away from hand turning glove inside

out and hold in gloved handSlide ungloved finger under wrist of remaining

glove being careful not to touch outside of glovePeel off from inside tucking the first glove inside

the secondDiscard in proper receptacleWash hands thoroughly with soap and water

GLOVE REMOVAL

HANDWASHINGMost important work practice in prevention of

disease transmissionWash immediately after removing gloves, after

toileting and before eating. Use soap and running water. If soap and water is not available, an antiseptic hand cleaner or antiseptic towelettes may be used until soap and water is available

Wash hands for at least 20 secondsRub hands together and scrub between fingers,

knuckles, backs of hands and under fingernailsRinse soap from hands and dry with paper towelUse paper towel to turn water off

ENGINEERING CONTROLSEngineering controls are the primary means

of minimizing or eliminating employees exposure to BBP and include the use of safer medical devices. In the school setting these include:Safety needles

Sharps disposal containers

Biohazardous waste bags foritems soaked or dripping with blood

HOUSEKEEPINGAll equipment and environmental working surfaces

must be cleaned with an appropriate disinfectant as soon as possible after contact with blood or other potentially infectious material. During the day contact the building custodian. All evening cleaning will be done by the contracted cleaning service.

Contaminated sharps must be placed in a color coded, leak proof, puncture resistant container. These containers should never be allowed to overfill.

Never pick up glass or sharp objects with bare hands. Use a broom and dust pan.

SIGNS AND LABELSLabels must include the universal biohazard

symbol and the term “Biohazard” must be attached to:

Sharps containers

Biohazardous waste containers

Refrigerators containing blood or OPIM

HEPATITIS B VACCINEJPS employees whose job description gives

them the potential of exposure to HBV or other BBP will be offered the Hep B vaccine at no cost.

The vaccine series consists of three injections given over a six month period of time.

Identified employees who do not wish to receive the vaccine must sign a declination.

EXPOSURE INCIDENTSAn exposure incident consists of direct and

unprotected contact with blood or other potentially infectious materials. This means the blood or OPIM comes in direct contact with a cut or other non-intact skin or the mucous membranes of the eyes, nose or mouth.

Wash the area immediately with soap and waterIf the exposure involves a mucous membrane,

flush for 15 minutes with running waterReport exposure to your supervisor immediatelyReport exposure to your site nurse immediatelyYou will be provided a confidential medical

evaluation

RECORDKEEPINGMedical records include:

Hepatitis B vaccination statusExposure incident documentation

Training records include:Training datesContent of the trainingSignature of the trainer and trainee

RECORDKEEPING (cont.)Training records must be maintained for

three years and must include dates, contents of the training program, trainer’s names and qualifications and the names and job titles of all persons attending the training.

Medical records for employees with occupational exposure must be kept for the durations of employment plus 30 years.