Bloodborne Pathogens 29 CFR 1910.1030Revised OSHA .ppt

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1、Bloodborne Pathogens 29 CFR 1910.1030 Revised OSHA Bloodborne Pathogens Compliance Directive (CPL2-2.44D),Could You Contract a Disease at Work?,Administering first aid? Cleaning the restrooms? Using a tool covered with dried blood? A co-worker sneezes on you?,Bloodborne Pathogens Goals,Basics of Blo

2、odborne Diseases Exposure Prevention Quiz,Bloodborne Pathogens,Pathogenic microorganisms present in human blood that can lead to diseases Human Immunodeficiency Virus (HIV) Hepatitis B (HBV) Hepatitis C (HCV),Human Immunodeficiency Virus (HIV),HIV is the virus that leads to AIDS HIV depletes the imm

3、une system HIV does not survive well outside the body Saliva, tears, sweat,Hepatitis B (HBV),11.25 million Americans are chronically infected Symptoms include: jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea, vomiting,May lead to chronic liver disease, liver cancer, and deat

4、h Vaccination available since 1982 HBV can survive for at least one week in dried blood,11006115/0006 Copyright 2000 Business & Legal Reports, Inc.,Hepatitis C (HCV),Hepatitis C is the most common chronic bloodborne infection in the United States Symptoms include: jaundice, fatigue, abdominal pain,

5、loss of appetite, intermittent nausea, vomiting May lead to chronic liver disease and death,Potentially Infectious Bodily Fluids,Blood Saliva, vomit, urine Semen or vaginal secretions Skin, tissue, cell cultures Other body fluids,Potential Transmission,Contact with another persons blood or bodily fl

6、uid that may contain blood Mucous membranes: eyes, mouth, nose Non-intact skin Contaminated sharps/needles,Potential Exposure,Industrial accident Administering first aid Postaccident cleanup Janitorial or maintenance work,Bloodborne Pathogens Goals,Basics of Bloodborne Diseases Exposure Prevention Q

7、uiz,Exposure Control Plan (ECP),Potential exposure determination Safe work practices Decontaminating equipment Selecting and using PPE Handling biowaste Labels and signs Training requirements Recordkeeping requirements,Who Must be Trained,All employees with occupational exposure to blood or other po

8、tentially infectious material (OPIM) Employees who are trained in first aid and CPR,Universal Precautions,Treat all blood and bodily fluids as if they are contaminated Proper cleanup and decontamination,Protective Equipment,Bleeding controllatex gloves Spurting bloodlatex gloves, protective clothing

9、 (smocks or aprons), respiratory mask, eye/face protection (goggles, glasses, or face shield) Postaccident cleanup latex gloves Janitorial worklatex gloves,Decontamination,Wear protective gloves Disinfectant/cleaner provided in bodily fluid disposal kit Solution of 1/4 cup bleach per gallon of water

10、 Properly dispose of contaminated PPE, towels, rags,Safe Work Practices,Remove contaminated PPE or clothing as soon as possible Clean and disinfect contaminated equipment and work surfaces Thoroughly wash up immediately after exposure Properly dispose of contaminated items,Regulated Medical Waste,Li

11、quid or semiliquid blood or OPIM (other potentially infectious materials) Contaminated items that would release blood or OPIM when compressed Contaminated sharps Pathological and microbiological waste containing blood or OPIM,Labels and Signs,Labels must include the universal biohazard symbol, and t

12、he term “Biohazard” must be attached to: containers of regulated biohazard waste refrigerators or freezers containing blood or OPIM containers used to store, transport, or ship blood or OPIM,11006115/0006 Copyright 2000 Business & Legal Reports, Inc.,Hepatitis B Vaccination,Strongly endorsed by medi

13、cal communities Shown to be safe for infants, children, and adults Offered to all potentially exposed employees Provided at no cost to employees Declination form,Exposure Incident,A specific incident of contact with potentially infectious bodily fluid If there are no infiltrations of mucous membrane

14、s or open skin surfaces, it is not considered an occupational exposure Report all accidents involving blood or bodily fluids Postexposure medical evaluations are offered,Postexposure Evaluation,Confidential medical evaluation Document route of exposure Identify source individual Test source individu

15、als blood (with individuals consent) Provide results to exposed employee,11006115/0006 Copyright 2000 Business & Legal Reports, Inc.,Recordkeeping,Medical records include: Hepatitis B vaccination status Postexposure evaluation and follow-up results Training records include: Training dates Contents o

16、f the training Name and qualifications of trainer,Bloodborne Pathogens Goals,Basics of Bloodborne Diseases Exposure Prevention Quiz,Summary,Universal precautions PPE and safe work practices Decontamination Exposure incident,Quiz,1. Name two of the most common bloodborne pathogens: _ 2. After exposur

17、e to potentially infected bodily fluids, you should immediately: _ 3. HIV and HBV can be transmitted when infected bodily fluids directly contact the eyes or nonintact skin. True or False 4. The risk of exposure to bloodborne pathogens is only possible when blood is present in the bodily fluid. True

18、 or False 5. Treating all body fluids as infected is known as _ Precautions.,Quiz (cont.),6. HIV stays alive in dried blood. True or False 7. Name one way you might be exposed to human blood at your workplace: _ 8. What minimum PPE should be worn when controlling normal bleeding? _ 9. Besides the di

19、sinfectant/cleaner provided in first aid kits, what other solutions can be used to decontaminate equipment or surfaces? 10. How do you dispose of absorbed bodily fluids?,Quiz Answers,1. HIV and Hepatitis B (HBV). 2. You should immediately wash any exposed areas. 3. True. Infected bodily fluids need

20、to directly contact mucous membranes or nonintact skin. 4. True. Although many bodily fluids may be infectious, they must contain blood to carry bloodborne pathogens. 5. Treating all bodily fluids as infected is known as Universal Precautions.,Quiz Answers (cont.),6. False. HIV dies almost immediate

21、ly. HBV can live as long as one week. 7. Administering first aid, decontaminating equipment, doing janitorial work, etc. 8. Gloves must be worn, at a minimum, when controlling normal bleeding. When controlling spurting blood, additional PPE must be worn including: a face shield, an apron, shoe covers, etc. 9. A solution of bleach and water. 10. Absorbed bodily fluids from a general industry facility can usually be double bagged and discarded with the normal garbage.,