Program Management
BBP Exposure Control Officer – Health Services: (715) 425-1800

This training is designed to:
• Provide a basic understanding to bloodborne pathogens (BBP).
• Discuss boodborne diseases, epidemiology, symptoms and common modes of transmission in the District.
• Explain the term “Universal Precautions”.
• Example of typical tasks and other activities with exposure to blood or other potentially infectious material.
• Describe the District’s Exposure Control Plan.
• Provide example’s of engineering and work practice controls including use of personal protective equipment (PPE).
• Review PPE and proper handwashing.
• Provide guidance on how to obtain the hepatitis B vaccine.
• Inform employees on the proper response surrounding medical emergencies.
• Discuss post-exposure evaluations following an exposure event.
• Explanation of signs, labels, and color-coding congruent to the rule.

A Bloodborne Pathogen (BBP) is defined to be a pathogenic microorganism found in human blood. Such pathogens can infect and cause diseases in humans.
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Human Immunodeficiency Virus (HIV)

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HIV is the virus that causes AIDS.
Since December 2001, there were 57 documented cases of occupational HIV transmission from workplace exposure in the
U.S.
– Centers for Disease Control (CDC). Health care professionals are most at risk.
13 to 29 year olds made up more than a third of people with HIV in the U.S. in 2006; the highest infection rate of any age group –
(CDC).
Hepatitis B Virus (HBV)


HBV is a serious virus that attacks the liver. People who suffer from HBV are susceptible to deadly infections and cancers.
HBV can survive dried and at room temperature on surfaces up to a week.

Hepatitis C Virus
 Affects liver; no vaccine.
 The most common bloodborne infection in the US.
Viral Hemorrhagic fevers (VHFs) - Ebola, Malaria
 Affects key organs produces extreme fevers and internal bleeding; no vaccine.
Syphilis
 Causes lesions, body nodes, hair loss, weight loss, headaches, fevers; no vaccine.

Four Different Routes of Exposure
 Direct contact (non-intact skin AND contaminated blood or other potentially infectious material (OPIM*))
 Mucus membrane (eyes)
 Injection (needle stick) or
Sharp (tooth – bite)
 Ingestion
*OPIM Includes: tissue, semen, vaginal secretions, cerebrospinal, synovial, pleural, peritoneal, pericardial and amniotic fluids, and any other body fluid visibly contaminated with blood .

Because many different occupations have reasonably anticipated or routine exposure to blood or other body fluids, the Occupational Safety and Health Administration
(OSHA) has developed a rule for employers to follow and comply.

OSHA Classification and Modes of Transmission
River Falls School District Administration has determined that the following employee groups have reasonable, anticipated exposure to blood or OPIM based on their essential job duties:
Classification 1:
Employees with an essential job function to administer first aid or medical care.
Classification 2:
Employees who clean up blood or OPIM, OR who may provide first aid, OR assisting with toileting / diapering of students based on their limitations:
• Art Instructors
●
Special Education Teachers
●
Industrial Technology Teachers
• Bus Drivers
●
Coaches
●
Physical Education Teachers
• Custodians
●
Building Administrators
●
Athletic Trainers
• Secretaries
●
• Kid’s Club Caregivers
Playground Paras
●
Special Education Paras
All other positions within the District do NOT have a job assignment that has anticipated, routine exposure to blood or OPIM. During a medical emergency, employees are instructed to inform the injured person to use self-care techniques, contact first responders, and avoid contact with blood and OPIM. All of Classification 1 and 2 individuals were offered Hep B vaccination upon hire.
If you do not fall in Classification 1 or 2, please read slides. If you have questions, please contact Personnel Department or District Nurse.

Therefore, thru the District’s determination of positions that have reasonable, anticipated exposure to occupational blood or OPIM, these employees must (per OSHA rule):
• Be offered the Hepatitis B vaccination. Offered upon hire.
• Receive personal protective equipment to minimize exposure.
• Per Employee Handbook, all school district staff member are required to be trained annually about blood-borne pathogens.

District employees will most often be susceptible to BBP’s thru contact with blood and non-intact skin. Other body fluids can also transmit the diseases.
Bites (student to staff member) may also be a potential BBP exposure. If the bite punctures the skin, additional medical consultation is recommended.
River Falls School District Bloodborne Pathogen Exposure Control plan establishes the safeguards in place to minimize exposure and provide postexposure follow-up information to staff.

 Document in which potential exposures are listed along with appropriate responses.
 Each control plan must be school specific.
 Established to limit occupational exposure to blood.
 The BBP Exposure Control Plan and accompanying records are public documents and are available by contacting: Health Services

 Wear disposable gloves any time there’s a potential for contact with blood or
OPIM. Do not reuse disposable gloves and wash your hands with soap and water after removing gloves.
 Wear safety goggles if there is potential for contaminants splashing in the eyes.
 Wear a mask if there is potential for contaminants splashing in the mouth or nose.
 Mechanical devices such as tongs or dust pan and broom are available to pick up contaminated sharps such as blood-covered broken glass, etc. to avoid any direct contact. Broken glass will not be picked up by hand.
 Use an absorbent material (paper towel/cloth) as a barrier between you and the blood source.
 Use an EPA registered microbial cleaner/disinfectant on blood or other potentially infectious material.
 Use approved sorb-it chemicals for vomit.
 Readily accessible facilities (running water with soap and single-use towels or hot-air drying machines) are available in all buildings, and shall be immediately utilized upon contact with blood or OPIM.
 Where handwashing facilities are not feasible, we provide either an appropriate antiseptic hand cleanser in conjunction with clean cloth/paper towels or antiseptic towelettes. If an alternative for an acceptable handwashing facility is used, the hands shall still be washed as soon as feasible after use of the antiseptic towel or cleaner.

 Wet hands thoroughly under warm water.
 Use non-abrasive soap on wet hands.
 Vigorously rub hands together for 20 seconds.
 Scrub all surfaces top and bottom.
 Thoroughly rinse hands.
 Dry hands with disposable towel.
 Use towel to turn off water and dispose of towel.

 Don’t require water.
 Alternative to hand washing when facilities are not readily available (ex. coaches, bus drivers, etc.).
 Apply about one-half teaspoon of the product to the palm of your hand.
 Rub hands together covering all surfaces until they’re dry.
 Always wash hands with soap and water when able.

Responding to Medical Emergencies:
 Wear disposable gloves before administering first aid of any kind. Do not reuse disposable gloves and wash your hands with soap and water after removing gloves.
 Wear safety goggles if there is potential for contaminants splashing in the eyes.
 Wear a mask if there is potential for contaminants splashing in the mouth or nose if conducting CPR.
 Always protect yourself first, then help others.
Universal Precautions:
 Treat others as if known to be infected with a harmful virus/disease.
Therefore, protect yourself always when in contact with blood or other body fluids.

HIV
 NO vaccine for HIV.
HBV
 The hepatitis B vaccination is administered in a series of 3 injections:
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1 st shot - Immediate
2 nd shot - One month
3 rd shot - Six months
Vaccine is available through a select number of medical clinics to District employees that have “occupationally exposed” professions. Human Resources offered this to you upon hire. Contact
Human Resources with questions.

Personal Protective Equipment (PPE)
Use appropriate personal protective equipment to ensure minimal exposure to bloodborne pathogens.
Examples of PPE include:
 Disposable Gloves
 Face shields
 Face masks
 Safety glasses/goggles

Biohazard Labels and Color Coding
Sharp containers must be red, rigid, closeable, and marked appropriately with biohazard hazard warning label.
Always dispose of needles or other contaminated sharps in proper containers!

Injured Person First Aid Provider
No Exposure
Responding to medical emergency with gloves.
REPORT THE POTENTIAL EXPOSURE!

 Wash exposed area with soap and water.
 Contact Human Resources or Supervisor to report the injury.
 Human Resources or Supervisor will assist employee with completing appropriate forms, if needed.
 Additional Post-Exposure documents will need to be completed by the Health Services.
 If an incident occurs in the evening and Health Services is not available, drive to River Falls Medical Clinic (if able – or have coworker drive you) and forms can be filled out at a later date.

 Following a report of an exposure incident, the employer shall provide a confidential medical evaluation which will include:
 Documentation of route of exposure
 HIV/HBV status of the source individual
 Serological testing of the blood ASAP
 Post exposure vaccine (HBIG) if indicated

Medical evaluation of a future reported illness
 Counseling of the exposed individual
 Exposure records are kept confidentially by District Human
Resources for duration of employment plus thirty years.

For an accessible copy of the regulatory text of this standard please see OSHA 29 CFR 1910.1030 https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_id=10051&p_table=STANDARDS

Directions if you are not able to sign into RFSD website to ‘sign-off’ on the BBP slides.
Step One

Step Three
Your name and questions will be logged after you hit submit.