Annual Biosafety Training 2012 Part 1

1. Annual Biosafety Training 2012Part 1

2. Everyone is responsible for keeping the environment safe and effective—this means you!!!!!

3. What does biosafety mean?? • Biosafety refers to the protection of persons whose jobs put them at a reasonable risk of coming into contact with blood and other potentially infectious materials

4. OSHA Bloodborne Pathogens Standard • 1991 Bloodborne Pathogen Standard • This standard is an excellent guide that details what employers must do to protect their workers whosejobs put them at a reasonable risk of coming into contact with blood and other potentially infectious materials.

5. Standard Precautions How do we protect ourselves?

6. Standard Precautions • Treat ALL body fluids and substances as potentially infectious

7. Bloodborne Transmission • Some pathogens are transmitted primarily through blood • Transmission occurs through sticks, splashes, or sprays • CDC estimates 600,000 to 800,000 injuries occur annually • 1000 needle sticks occur every day • 385,000 needle sticks occur annually, reported

8. Bloodborne Transmission • The following are examples of Bloodborne pathogens that can be transmitted by sticks, splashes and sprays • HIV- Human Immunodeficiency Virus • HBV- Hepatitis B Virus • HCV- Hepatitis C Virus

9. Respiratory Transmission • Some pathogens are transmitted primarily through respiratory droplets: • Coughing • Sneezing • Touching respiratory drops on yourself, another person, or an object, and then touching mucus membranes (e.g. mouth, nose, eyes) without washing hands

10. Respiratory Transmission • Influenza virus is transmitted from person–to-person through respiratory transmission. • Influenza is not spread by food. • You cannot get H1N1 Influenza (Swine flu) from eating pork or pork products.

11. Knowledge Assessment Standard Precautions considers… Answer • A. Only symptomatic patients infectious • B. All patients considered potentially infectious • C. Only patients with positive lab test considered infectious • B. All patients considered potentially infectious

12. If Influenza Is Suspected • Patients should be instructed to cover the nose/mouth when coughing or sneezing. • Tissues should be provided to patients and visitors to contain respiratory secretions. • Waste receptacles will be positioned in convenient locations to facilitate proper disposal of contaminated tissues. • Alcohol-based hand gel and hand hygiene supplies should be available for patientsand visitors to utilize. • Masks should be available and offered to persons who are coughing.

13. If Influenza Is Suspected • The patient should be placed directly into an individual room with the door kept closed. • Medical personnel entering the room of a patient in isolation should be limited to those performing direct patient care. • If a room is not immediately available, the patient should be given a surgical mask and seated at least 6 feet from other clients and staff.

14. If Influenza Is Suspected • Procedures that are likely to generate aerosols (e.g., suctioning, administering nebulized medications) should not be performed on patients with suspected Influenza infection. • Suspected or known influenza patients should not be referred to Dental Clinics, WIC offices, or other services during the illness.

15. Knowledge Assessment If influenza is suspected… • A. Tissues should be provided to patients and visitors to contain respiratory secretions. • B. The patient should be placed directly in a room or seated 6 feet from other patients. • C. Suspected or known influenza patients should not be referred for dental or WIC services. • D. All of the above Answer • D. All of the above

16. If SCABIES IS SUSPECTED • Scabies is easily spread by close personal contact and by contact with bedding and clothing • The patient should be placed directly into an individual room with the door kept closed. • Suspected or known Scabies patients should not be referred to Dental Clinics, WIC offices, or other services during the illness.

17. Personal Protective Equipment (PPE) How Do We Protect Ourselves?

18. Personal Protective Equipment (PPE) • Select masks, goggles, face shields, and combinations of each according to the need anticipated by the task performed. • Wear a gown, that is appropriate to the task, to protect skin and prevent soiling or contamination of clothing during procedures and patient-care activities when contact with blood, body fluids, secretions, or excretions is anticipated. • Wear gloves when it can be reasonably anticipated that contact with blood or other potentially infectious materials, mucous membranes, non-intact skin, or potentially contaminated intact skin (e.g., of a patient incontinent of stool or urine) could occur.

19. How To Don A Surgical Mask • Place over nose, mouth, and chin • Fit flexible nose piece over nose bridge • Secure on head with ties or elastic • Adjust to fit

20. How To Don Eye And FaceProtection • Position goggles over eyes and secure to the head using the ear pieces or headband • Position face shield over face and secure on brow with headband • Adjust to fit comfortably

21. How To Don Gloves • Don gloves last • Select correct type and size • Insert hands into gloves • Extend gloves over lab coat cuffs

22. How To Safely Use PPE • Perform hand hygiene before donning new gloves • Keep gloved hands away from face • Avoid touching or adjusting other PPE • Limit surfaces and items touched • Remove gloves if they become torn

23. Sequence For Removing PPE • Remove gloves • Remove face shield or goggles • Remove lab coat • Remove mask

24. Knowledge Assessment PPE should be worn… Answer • A. Anytime there is a risk of exposure to skin, clothes, eyes, mouth or other mucous membranes. • B. PPE is not needed in ambulatory settings. • C. When my supervisor tells me to. • A. Anytime there is a risk of exposure to skin, clothes, eyes, mouth or other mucous membranes.

25. Engineering Controls How Do We Protect Ourselves?

26. Engineering Controls • Physical or mechanical systems provided to eliminate hazards • Examples: • Sharps containers • Safety needle devices (safety lancets, self-retracting vacutainers, butterflies with self-retracting needles • Bio-hazard refrigerators • Signage identifying bio-hazard refrigerators (NOT FOR FOOD OR DRINK) • Red biohazard leak proof bags

27. Knowledge Assessment Engineering controls include… Answer • A. Sharps containers • B. Red biohazard garbage bags • C. Both A and B • C. Both A and B

28. Work Practice Controls How Do We Protect Ourselves?

29. Work Practice Controls • “Work Practice Control” refers to altering or changing the wayYOUperform a task to accomplish the task in the safest way possible

30. Work Practice Controls • Examples include: • Handling of specimens to minimize potential splash, spray or splatter • Safe needle usage (one handed technique to activate safety device) and disposal • Using spill kits to remove spilled specimens

31. Work Practice Controls - Dental • Examples include: • Using instruments instead of fingers to retract tissues • Passing instruments with sharp ends pointing away • Safe needle usage and disposal (mechanical device to facilitate one-handed recapping when re-sheathing aspirating syringe needles) • Using spill kits to remove spilled specimens • Personal hygiene and work habits

32. Work Practice Controls- Dental • All dental devices connected to the dental air/water system that enters the patient’s mouth must be run to discharge water, air or a combination for a minimum of 20-30 seconds after each patient. This procedure is intended to flush out patient material • Flushing out waterlines at the end of each clinical day with a chemical disinfectant. The disinfectant will be left in the waterlines overnight and flushed at the beginning of each clinical day

33. Work Practice Controls • Personal hygiene and work habits • Cotton balls, Q-tips, and tongue depressors must be covered!!!!

34. Work Practice Controls • Personal Items should be very minimum • No decorative items, personal lamps, etc • Do not tape, tack or pin items on walls or doors • Remember a patient care area is for the provision of health care – not an “office” • NO FOOD OR DRINK!!

35. Work Practice Controls Consumable Items: • NO food or drink present or stored in patient care areas including: • Exam rooms • Nutrition and Social Services offices • Interview Areas • Patient Registration Remember you are protecting yourself!!

36. Knowledge Assessment Work practice controls include… Answer • A. Changing Sharps containers when < 2/3 full • B. Refraining from eating or drinking in patient care areas • C. Covering containers of cotton balls • D. All of the above • D. All of the above

37. Biosafety Training 2012 Continued in Module 2