Housekeeping Remember to Mute All Room Microphone. Place all Cell Phones on Vibrate/Silent Remember to Sign-In on the Attendance Roster New York State Department of Environmental Conservation NYS DEC Health & Safety Unit This training material presents important information for NYS DEC employees. This program is neither a determination that the conditions and practices of your organization are safe nor a warranty that reliance upon this program will prevent injuries or illnesses. Bloodborne Pathogens Bloodborne Pathogens are microorganisms (such as viruses) transmitted through blood, or other potentially infectious material such as certain bodily fluids (semen, breast milk, etc.) or tissues. Bloodborne Pathogens Law OSHA 29 CFR 1910.1030 Exposure Control Plan (ECP) Engineering and work practice controls Personal protective equipment (PPE) Training Bloodborne Pathogens Law (cont.) Medical screening/ surveillance Free hepatitis B vaccination Signs and labels Recordkeeping Primary Workplace Bloodborne Pathogens Human immunodeficiency virus (HIV) Hepatitis B virus (HBV) Hepatitis C virus (HCV) How Bloodborne Pathogens Can Spread on the Job Contaminated sharp objects or needles Broken skin, including rashes Mucous membranes Eyes Mouth Nose Recognize and Evaluate Your Exposure Potential HIV Four modes of transmission: 1. blood 2. semen 3. vaginal secretions 4. breast milk Virus lives outside the body only a few hours Human Immunodeficiency Virus (HIV) HIV attacks your body’s ability to protect itself against disease Initially no visible signs of having the virus Most people with HIV develop AIDS (acquired immune deficiency syndrome) There is HIV no vaccination for Signs and Symptoms of HIV Symptoms can include: •Fever •Swollen glands •Sore throat •Rash •Fatigue •Muscle and joint aches and pains •Headache Hepatitis B A viral infection that causes inflammation of the liver Transmitted primarily through “blood to blood” contact. Can lead to serious conditions such as cirrhosis and liver cancer. Pathogen can survive in dried blood for up to seven days. There is no “cure” for HBV. Signs and Symptoms Hepatitis B Fatigue, malaise, joint aches and low grade fever Nausea, vomiting, loss of appetite Abdominal pain Jaundice and dark urine Headaches Hepatitis B Statistics “…1 in 300 infected with HIV” Milwaukee Journal/Sentinel, July 7, 1996 “one in 20 people has or has had Hepatitis” Hepatitis B Vaccination Free to High-Risk Employees Three doses over 6 months Must receive all three doses May decline vaccine (but must sign waiver) May receive vaccine later Very low risk vaccine >90% effective Hepatitis C Liver disease caused by the Hepatitis C virus. The most chronic bloodborne infection. In most cases, Hep C remains in the body and becomes a long-term or chronic infection. Most people do not have any symptoms. Symptoms may not appear for many years. Signs and Symptoms Hepatitis C Fever Fatigue Loss of appetite Nausea Vomiting Abdominal pain Dark urine Joint pain Jaundice Hepatitis C 3-4 million carriers Disease can incubate for decades HCV not related to the viruses that cause HBA and HBV How to Reduce Your Risk UNIVERSAL PRECAUTIONS/ STANDARD PRECAUTIONS Engineering Controls Sharps with Engineered Sharps Injury Protection (SESIP)– a non-needle sharp or needle with a built-in safety feature or mechanism that effectively reduces the risk of an exposure incident. Examples include: Engineering Controls Needles and other sharps must be discarded in rigid, leak-proof, puncture resistance containers. Work Practice Controls Don’t Recap Needles Work Practice Controls When emptying trash containers, do not use your hands to compress the trash in the bag. Lift and carry the trash bag away from your body. Work Practice Controls Do not eat, drink, smoke, apply cosmetics, or handle contact lenses in areas where there is the possibility of exposure to BBP Use Spill Kit for Clean-up Kit Includes: Face Mask Gloves Goggles Sharps Disposal Container Absorbent Powder Fluid Control Solidifier Personal Protective Equipment Cleaning Pads Personal Protective Equipment Gloves Masks Eye protection CPR micro shields Hand Washing Wash hands immediately after removing PPE Use a soft antibacterial soap A hand sanitizer can be used but wash with soap and water as soon as possible. First-aid Kits (Mandatory) Chainsaw Operators Gauze pads (4X4) Two large gauze pads (8X10) Box of band-aids One package gauze roller bandage Two triangular bandages Sealed moistened towelettes Scissors At least one blanket Tweezers Adhesive tape Latex or Vinyl gloves Resuscitation equipment Two elastic wraps Splint Directions for requesting emergency assistance Unregulated Waste Labeling Labels not typically required but a good idea Regulated Waste Liquid or semi-liquid blood or OPIM Contaminated items that would release blood or OPIM in a liquid or semi-liquid state if compressed Items caked with dried blood or OPIM that are capable of releasing these materials during handling Contaminated sharps Pathological and microbiological wastes containing blood or OPIM Label All Regulated Waste Containers Labels communicate a hazard Place regulated waste in containers that have the universal biohazard symbol The term “Biohazard” must be on the label Image Credit: OSHA Body Fluid Cleanup Procedures Get Spill Kit from Janitorial Closet Put on gloves. Body Fluid Cleanup Procedures If splashing is anticipated, wear protective eyewear and mask Body Fluid Cleanup Procedures Remove visible material with absorbent towels Body Fluid Cleanup Procedures Area should be decontaminated for 10 minutes Once the area has been disinfected, dry area with absorbent towels and dispose of towels in regular trash Body Fluid Cleanup Procedures Glove removal and disposal technique Glove Removal and Disposal Grip one glove near the cuff and peel it down until it comes off inside out. Cup it in the palm of your gloved hand. Place two fingers of your bare hand inside the cuff of the remaining glove. Glove Removal and Disposal Peel that glove down so that it also comes off inside out and over the first glove. Properly dispose of the gloves. 39 Body Fluid Cleanup Procedures Wash hands well. EHSRM (v. 10/01) Proper Disposal of Contaminated Items 41 Emergency Actions Following Exposure Wash with soap and water or disinfectant If water not available, use antiseptic towelette Seek Medical Attention Immediately Notify supervisor Post Exposure Evaluation Accident/Injury Report Complete report as soon as possible after incident Turn in to your supervisor Call ARS 1 (888) 800-0029 43 Post-Exposure Evaluation Confidential medical evaluation Document route of exposure Identify source individual Test source person’s blood Post exposure prophylaxis (PEP) Provide results to source and exposed employees Record Keeping Maintain duration of the employment PLUS 30 years Records must be kept CONFIDENTIAL! Records are available to the employee and the employees designated representative Record all needlesticks and sharps injuries as an injury on SH 900 log Bloodborne Pathogen Quiz 1. HIV, HBV, and HCV can be transmitted when infected bodily fluids directly contact the eyes or nonintact skin. True or False 2. The risk of exposure to bloodborne pathogens is only possible when blood is present in the bodily fluid. True or False 46 Bloodborne Pathogen Quiz 3. Treating all blood/body fluids as infected is known as _______________Precautions. Universal 4. HIV stays alive in dried blood. True or False 5. Name three of the most common bloodborne Hepatitis B and HIV/AIDS ______________ pathogens: ___________, Hepatitis C ____________. 47 For Additional Assistance, Contact the Health & Safety Unit Staff Michelle Glover-Brown, MPH - Director, H&S Unit Nanette Geary, BA – Associate Industrial Hygienist Edward Kusckar, MS – Associate Industrial Hygienist Mary Lanzi, BS – Senior Industrial Hygienist Email: [email protected] Phone: (518) 402-9381 Bloodborne Diseases Any Questions?