1. Barron Area School District Bloodborne Pathogen Training

2. School District Training Requirements Based on : Wisconsin Statute 101.055 Federal Bloodborne Pathogen Standard 1910.1030

3. Organisms that are present in human blood and can cause disease Examples: Human Immunodeficiency Virus (HIV) Hepatitis C Virus(HCV) Hepatitis B Virus (HBV) Definition of Bloodborne Pathogen

4. What is an Exposure? • Blood contact with broken skin • Blood contact with mucous membranes(splash into eyes, nose or mouth) • Puncturing the skin or mucous membranes with object containing blood

5. What are Standard Precautions?Standard Precautions All blood and body fluids containing blood are treated as if they are a carrier of bloodborne pathogens. This means gloves will be worn when in contact with blood or body fluids.

6. HIV/ AIDS • Caused by human immunodeficiency virus (HIV) • Damages body’s immune system • HIV infection can lead to development of life-threatening infections or Acquired Immune Deficiency Syndrome (AIDS) • Caused by contact with infected body fluids such as blood, semen, vaginal secretions and breast milk • Most commonly spread by sharing needles or sexual contact with someone who is infected with HIV

7. Ways HIV is NOT Transmitted • Mosquitoes • Shaking hands • Hugging • Coughing • Swimming in a pool • Sharing bathrooms • Drinking fountains • Sharing food

8. Hepatitis B • Hepatitis B (formerly serum hepatitis) is a liver disease caused by hepatitis B virus (HBV) • Spread by contact with blood, semen, vaginal fluids, and rarely, saliva • Not spread by casual contact or respiratory droplets

9. Symptoms of Hepatitis B • Fatigue • Poor appetite • Nausea and vomiting • Abdominal pain • Dark urine • Jaundice (yellowing of skin and eyes) • May be without symptoms- especially children

10. Chronic Infection • The elimination of the Hepatitis B virus depends on the age when infection occurs. • The earlier in life a person is infected, the more likely they are to become chronic carriers of hepatitis B. • About 10 % of persons with HBV go on to become chronic carriers of the disease • Chronic carriers may infect others and are at risk for developing liver cancer as adults.

11. Prevention of Hepatitis B • Hepatitis B vaccine: recommended for all infants, 11-12 year olds, and/or persons in high risk occupations or with high risk behaviors • Infants of infected mothers are given hepatitis B vaccine and hepatitis B immune globulin to prevent infection

12. Hepatitis B Vaccine • Series of 2 or 3 shots given over 4 –6 month period • At risk employees eligible to receive HBV • Employees in risk groups include bus drivers, custodians, special ed teachers and aides, coaches, first aid providers, secretaries, playground aides • Contact Sue Hanson in Central office if interested in receiving the hepatitis B vaccine • Check with your health insurance plan; most plans cover the hepatitis B vaccine

13. Hepatitis C • Hepatitis C is a liver disease caused by hepatitis C virus (HCV) • Spread primarily through contact with blood from an infected person • Not spread by casual contact

14. Hepatitis C Virus • 90% of cases are asymptomatic • May have loss of appetite, fatigue, nausea, vomiting, abdominal pain, jaundice • Can cause liver cancer or cirrhosis of the liver • 75-85 % of infected persons become chronic carriers

15. What are some situations that I might encounter in the school setting that could result in a BBP exposure? • Sports injuries • Playground accidents • Nosebleeds • Cuts from sharp objects • Biting incidents • Disposing of waste contaminated with blood • Caring for students with medical needs

16. Ways to Protect from Infectious Disease in the School Setting • Frequent hand washing • Use broom or tongs to pick up sharp or broken objects • Use red sharps container to dispose of needles or sharp objects that may contain blood • Use gloves to handle blood or body fluids • Clean surfaces contaminated with blood with an approved disinfectant or a 1: 10 solution of bleach to water

17. Utilize Safe Personnel Practices • Cover your own cuts and lesions with bandaids • Do not eat or apply cosmetics in areas with potential for body fluid exposure • Do not pick up broken glass with your hands • Do not push down trash with your hands • Do not reuse gloves

18. Personal Protective Equipment(PPE) Protective equipment should be worn whenever there is a chance of exposure to blood or body fluids containing blood Examples of PPE: • Nonlatex gloves* • Gowns • Masks • Protective eyewear • Resuscitation mouthpiece or shield *avoid latex gloves due to the potential for allergies

19. Call for custodial help Use paper materials to clean spills Use tongs or broom for sharp objects Dispose of needles/broken glass in red sharps container Red bag for objects dripping blood Clean-up Procedures

20. Procedure for Potential Exposure • Wash affected area with soap and water • Notify supervisor • Seek medical consultation • Complete Personnel Injury Report form • Obtain hepatitis vaccine if needed

21. Reduce your chance of BBP Exposure: Summary • Always use standard precautions • Use Personal Protective Equipment when indicated • Utilize good handwashing • Use safe housekeeping measures • Report and follow-up on problems

22. QUESTIONS???????? • Contact your supervisor • Contact the school nurse: • Sue Rafferty- ext. 544 or 148 • Peggy Johnston- ext. 310 • Refer to District Exposure Control Plan