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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?
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