1. Bloodborne Pathogens Edgar Romo, REHSEnvironmental Health & Biosafety Specialist Janette De La Rosa Ducut, Ed.D.Training Manager

2. Access the Bloodborne Pathogens Standard Identify epidemiology and symptoms Explain the modes of transmission Locate the Exposure Control Plan at UCR Recognize tasks/activities Identify methods of prevention Decontaminate and dispose of PPE Objectives 2

3. Select proper PPE Obtain, or decline, the Hep B vaccine Follow emergency procedures Take action in an exposure incident Complete post-exposure evaluation Recognize signs and labels Manage biohazardous waste Obtain answers to your questions Objectives 3

4. Topics Bloodborne Pathogens Standard Epidemiology and Symptoms Modes of Transmission Exposure Control Plan Tasks and Activities Methods of Compliance PPE(Selection) PPE (Decontamination and Disposal) Hepatitis B Vaccination Emergency Procedures Exposures Post-Exposure Evaluation Signs and Labels Waste Questions and Answers 4

5. Bloodborne Pathogens Standard The Standard Apply to all work where occupational exposure to bloodborne pathogens is reasonably anticipated View online at http://ehs.ucr.edu/biosafety

6. Bloodborne Pathogens Standard HIV HBV Bloodborne Pathogens Microorganisms that are carried in blood that can cause disease 6

7. Bloodborne Pathogens Standard

8. Topics Bloodborne Pathogens Standard Epidemiology and Symptoms Modes of Transmission Exposure Control Plan Tasks and Activities Methods of Compliance PPE(Selection) PPE (Decontamination and Disposal) Hepatitis B Vaccination Emergency Procedures Exposures Post-Exposure Evaluation Signs and Labels Waste Questions and Answers 8

9. Epidemiology and Symptoms Epidemiology Plan and evaluate strategies to prevent illness by studying how diseases occur.

10. Hepatitis B

11. HIV

12. Epidemiology and Symptoms

13. Topics Bloodborne Pathogens Standard Epidemiology and Symptoms Modes of Transmission Exposure Control Plan Tasks and Activities Methods of Compliance PPE(Selection) PPE (Decontamination and Disposal) Hepatitis B Vaccination Emergency Procedures Exposures Post-Exposure Evaluation Signs and Labels Waste Questions and Answers 13

14. Modes of Transmission Routes of exposure Ways toxins enter the body Absorption Inhalation Injection Ingestion

15. Modes of Transmission Injection Mucous Membranes Non-Intact Skin 15

16. Modes of Transmission Potentially infectious materials Transmission of a biohazardous agent via body fluid 16

17. Modes of Transmission feces urine vomit sputum tears sweat nasal secretions Potentially infectious materials 17

18. Modes of Transmission

19. Topics Bloodborne Pathogens Standard Epidemiology and Symptoms Modes of Transmission Exposure Control Plan Tasks and Activities Methods of Compliance PPE(Selection) PPE (Decontamination and Disposal) Hepatitis B Vaccination Emergency Procedures Exposures Post-Exposure Evaluation Signs and Labels Waste Questions and Answers 19

20. Exposure Control Plan Exposure Control Plan Review online at http://ehs.ucr.edu/biosafety 20

21. Exposure Control Plan 21

22. Exposure Control Plan Biological Use Authorization (BUA) Review the conditions / restrictions for use 22

23. Exposure Control Plan

24. Topics Bloodborne Pathogens Standard Epidemiology and Symptoms Modes of Transmission Exposure Control Plan Tasks and Activities Methods of Compliance PPE(Selection) PPE (Decontamination and Disposal) Hepatitis B Vaccination Emergency Procedures Exposures Post-Exposure Evaluation Signs and Labels Waste Questions and Answers 24

25. Tasks and Activities Determine if your tasks, activities, or job description involves exposure and protect yourself. 25

26. Tasks and Activities Follow precautions when handling… Syringes, needles, or sharps Emergency response Body fluids Spill clean-ups 26

27. Tasks and Activities Job Descriptions Physicians and Nurses Athletic Trainers Lifeguards Emergency Responders (i.e., UCPD) Laboratory workers Phlebotomists Biohazardous waste workers Custodians Groundskeepers 27

28. Tasks and Activities

29. Topics Bloodborne Pathogens Standard Epidemiology and Symptoms Modes of Transmission Exposure Control Plan Tasks and Activities Methods of Compliance PPE(Selection) PPE (Decontamination and Disposal) Hepatitis B Vaccination Emergency Procedures Exposures Post-Exposure Evaluation Signs and Labels Waste Questions and Answers 29

30. Methods of Compliance Methods of Compliance Universal Precautions Housekeeping Engineering Controls Work Practices PPE 30

31. Methods of Compliance Universal Precautions Handle as if items were known to be infectious Wash hands and use protective barriers (i.e., PPE) for direct contact with blood and other potentially infectious materials. 31

32. Methods of Compliance Housekeeping Decontaminate with a 10% bleach solution(1 part bleach to 9 parts water) or other approved disinfectant for at least 15 minutes Sanitize with 1:10 bleach solution 32

33. Methods of Compliance Dispose of sharps in a puncture-proof container Needleless System Use aerosols in a Biological Safety Cabinet Engineering Controls Eliminate or reduce exposure through use or substitution of machinery or equipment. 33

34. Biological Safety Cabinets

35. Methods of Compliance Work Practices Implement safe ways of performing your tasks One-Hand Technique 35

36. Methods of Compliance Hygiene Avoid contact Check for open wounds Wash hands 36

37. Wash Your Hands

38. Methods of Compliance NO Eating Drinking Smoking …in the laboratory 38

39. Methods of Compliance PPE Check for defects, remove properly, and replace immediately. Do not reuse. 39

40. Methods of Compliance

41. Topics Bloodborne Pathogens Standard Epidemiology and Symptoms Modes of Transmission Exposure Control Plan Tasks and Activities Methods of Compliance PPE(Selection) PPE (Decontamination and Disposal) Hepatitis B Vaccination Emergency Procedures Exposures Post-Exposure Evaluation Signs and Labels Waste Questions and Answers 41

42. Personal Protective Equipment

43. PPESelection PPE Gloves:Latex or Nitrile Eyes:Safety Glasses,Goggles or Face Shield Body:Lab Coat Feet:Closed-Toe Shoes 43

44. PPE selection

45. Topics Bloodborne Pathogens Standard Epidemiology and Symptoms Modes of Transmission Exposure Control Plan Tasks and Activities Methods of Compliance PPE(Selection) PPE (Decontamination and Disposal) Hepatitis B Vaccination Emergency Procedures Exposures Post-Exposure Evaluation Signs and Labels Waste Questions and Answers 45

46. PPEDecontamination and Disposal After using Decontaminate (i.e., wash hands after removing gloves) Dispose of in biohazard containers Properly remove PPE 46

47. Personal Protective Equipment (PPE)

48. PPE Decontamination and Disposal

49. Topics Bloodborne Pathogens Standard Epidemiology and Symptoms Modes of Transmission Exposure Control Plan Tasks and Activities Methods of Compliance PPE(Selection) PPE (Decontamination and Disposal) Hepatitis B Vaccination Emergency Procedures Exposures Post-Exposure Evaluation Signs and Labels Waste Questions and Answers 49

50. Hepatitis B Vaccination Hep B Vaccine Participate in a free series of three shots (80-95% effective at preventing infection)