Bloodborne Pathogens

1. Bloodborne Pathogens University of Northern Iowa EH&S Training Program Wellness Resource Lab

2. Web Based Training was Created for UNI Employees with the Intent to: Expand awareness of existing environmental, health and safety policies/procedures Provide information to assist in evaluating and improving each work environment Assist in determining the need for more advanced training

4. Topics Covered Transmission of Potentially Infectious Materials Common Bloodborne Diseases Personal Protective Equipment Controlling Potentially Infectious Materials Labeling Potentially Infectious Materials Exposure Control Plan

5. Who needs this training? Any employee or student who may be occupationally exposed to blood and other potentially infectious materials at the University of Northern Iowa

6. Definition

8. Saliva in dental procedures Semen and vaginal secretions Cerebrospinal, synovial, pleural, pericardial, peritoneal, and amniotic fluids Body fluids visibly contaminated with blood HIV-containing cell or tissue cultures and HIV or HBV-containing culture mediums or other solutions

9. Modes of Transmission for Bloodborne Pathogens Any form of broken skin, which includes: Abrasions Blisters Burns Cuts Eyes, nose, mouth Punctures from sharp objects

10. Transmission They are most commonly transmitted by: Accidental puncture of skin by sharp contaminated objects Contact of broken skin Contact of mucous membrane and body fluids

11. COMMONBLOODBORNE DISEASES

12. Universal Precautions The single most important measure to prevent transmission of HBV and HIV is to treat all human blood and other potentially infectious materials AS IF THEY ARE infected with HBV and HIV.

13. Bloodborne Diseases: Acquired Immune Deficiency Syndrome

14. Bloodborne Diseases: Hepatitis B

15. Bloodborne Diseases: Hepatitis C

16. PERSONAL PROTECTIVE EQUIPMENT

17. #1 Method of Control

18. Personal Protective Equipment Equipment includes: latex, rubber or vinyl gloves gowns laboratory coats face shields or masks eye protection

19. When Using Protective Gloves Inspect for defects before use Remove gloves and wash hands if gloves have become contaminated Do not snap gloves when removing them Grasp gloves at the wrist and pull off, inside out Discard in biohazard waste container Always wash hands after removing gloves Never reuse disposable gloves

20. Remove all personal protective equipment immediately after contamination or leaving the work area Place all personal protective equipment in an appropriately designated area or container for storing, washing, decontaminating, or discarding Replace disposable, gloves as soon as possible when contaminated or if torn, punctured, or barrier function is compromised Do not reuse disposable gloves Disposal of Personal Protective Equipment

21. CONTROLLING POTENTIALLY INFECTIOUS MATERIALS

22. Methods of Control Discard contaminated items like needles, broken glass, scalpels, or other sharp items, in puncture-resistant, leak-proof containers, color-coded red or labeled, according to the standard Use puncture-resistant, leak-proof containers, color-coded red or labeled to store contaminated reusable sharps until they are properly reprocessed Store and process reusable contaminated equipment that ensures safe handling Use puncture-resistant, leak-proof containers to collect, handle, process, store, transport, or ship blood specimens and potentially infectious materials. Label these specimens if shipped outside the facility

23. Methods of Control (cont.) As soon as gloves are removed, wash hands to prevent any contact with blood or other potentially infectious materials. If exposure to the eye has occurred, use an eye wash immediately. Unless required to do so by specific medical procedures or the employer, do not bend, recap, or remove contaminated needles.

24. Methods of Control (cont.) Do not eat, drink, smoke, apply cosmetics, or handle contact lenses in areas of potential bloodborne pathogen exposure Do not store food or drink in refrigerators or on shelves where blood or potentially infectious materials are present Disinfect area as soon as work is complete Use plastic instead of glass when available

25. LABELING POTENTIALLY INFECTIOUS MATERIALS

26. Labels and Marking Systems

27. Labels and Marking Systems Universal Biohazard labels should be on all containers that are holding biohazard materials. Doors or areas where biohazard material is stored should also be labeled. Red bags may also be used to indicate the storage of biohazard materials.

28. EXPOSURE CONTROL PLAN

30. Decontamination

31. UNI Exposure Control Plan Documentation Accurate records must be kept of each department�s written exposure control plan at UNI Employee training must also be recorded Review Each plan must be reviewed and updated annually to address university changes Information Go to http://www.vpaf.uni.edu/ehso/programs/bloodborne2009.pdf to view the UNI Physical Plant�s Exposure Control Plan

32. Reporting of Exposure Incidents

33. Post-Exposure Evaluation and Follow-up Documentation of the route of exposure and circumstances related to the incident Identification of the potential source individual and status Results of testing the source individual will be made available to the exposed employee Employee will be offered the option of having their blood collected for testing. Blood will be kept on hand for 90 days then disposed of properly Employee will be offered post exposure prophylaxis in accordance with current U.S. Public Health Services recommendations Employee will be provided appropriate counseling

34. Training Requirements Initial Training Anyone who may be introduced to an area where occupational exposure to bloodborne pathogens may occur at UNI Annual Refresher Training Required every 12 months to refresh the details of bloodborne pathogen exposure procedures at UNI

35. Additional Training or Information Contact: The Environmental Health and Safety Office at 273-7269 The Wellness Resource Lab at 273-6119 Or Email: Joan Thompson joan.thompson@uni.edu Wendel Reece wendel.reece@uni.edu