Bloodborne Pathogens for Public Entities Introduction Course Instructions This course provides one hour of linear instruction including evaluation and knowledge checks. Please read each page and review the associated materials thoroughly. The course consists of the following components: Course Instructions Course Sections Knowledge-Check Quizzes Course Summary Post-Test/Final Exam Please note that the Knowledge-Check Quizzes which appear after each section will not be graded. The Final Exam section of the course will be graded. If you do not pass the final exam, you are allowed to retake the exam two additional times. Also, keep in mind that your progress through the course is tracked and if you log out, you will be able to log in at a later time and continue the course from where you left off. Once you have started a course, courses in progress are listed in My Dashboard of your account. Welcome Taking the appropriate preventative measures against exposure to infectious diseases can save both lives and money. One out of 24 people has Hepatitis B, Hepatitis C or HIV. In the United States, people with Hepatitis B, Hepatitis C, MRSA, and Human Immunodeficiency Virus (HIV) are estimated to be: Hepatitis B Cases: 1.4 million. Hepatitis C Cases: 3.9 million. MRSA Cases: 1.6 million. HIV Cases: 1.1 million. This one-hour course will discuss what you need to know about bloodborne pathogens in order to keep yourself and those around you safe . Introduction Course Overview This one-hour course will discuss what you need to know about bloodborne pathogens in order to keep yourself and those around you safe. Learning Objectives At the end of training, you will have a better understanding of the following: Bloodborne Pathogens General Guidelines Occupational Exposures to Bloodborne Pathogens Steps to Take if Exposed to Bloodborne Pathogens Reducing the Risk of Exposure to Bloodborne Pathogens Course Content Lesson 1 Overview Bloodborne Pathogens are germs that live and grow best in human material such as blood. They enter your body through a puncture in your skin or through your eyes, nose, or mouth. Many serious diseases are linked to bloodborne pathogens, but few bloodborne pathogens are responsible for infections in the workplace. OSHA defines bloodborne pathogens as: “Pathogenic microorganisms that are present in human blood that can cause disease in humans.” The Big Three Bloodborne Pathogens As part of this training, employees should know certain basic concepts about these diseases so they can discuss them with their supervisor, co-workers, family members, their health care provider, and provide accurate information to the public. The risks and infections of the “Big Three” bloodborne pathogens will be discussed in this training: Hepatitis B Virus (HBV) Hepatitis C Virus (HCV) HIV Disease Transmission Hepatitis B, Hepatitis C, and HIV are transmitted by contact with the blood or other body fluids of someone who has the virus. The three main ways to contract Hepatitis B, C, or HIV are: Having sex without using latex condoms with someone who is infected. Being born to a mother who is infected. Sharing needles and syringes with someone who is infected. We know that these viruses can be carried in infected human bodily fluids such as those defined under “Other Potentially Infectious Materials” (OPIM) in this training. And, if the Potentially Infectious Material contains enough of these pathogens, they can get into your bloodstream and may eventually cause disease. The viruses can enter the bloodstream if the fluids come into contact with an unprotected break in your skin such as an open wound, acne, rash, etc. or if you experience a splash to your eyes, nose, or mouth. Viral Hepatitis Hepatitis means inflammation of the liver. Viral hepatitis is inflammation of the liver caused by a virus. Your liver helps your body digest food, store energy, and get rid of poisons. It acts as a filtration system for your body. As the filter begins to fail, impurities build up in your body and symptoms can occur such as jaundice (yellowing color of the skin and eyes), dark urine, extreme fatigue, anorexia, nausea, abdominal pain, and sometimes joint pain, rash, and fever. Types of Viral Hepatitis There are at least five types of viral hepatitis and each one is caused by a different virus: Hepatitis Hepatitis Hepatitis Hepatitis Hepatitis A B Virus (HBV) C Virus (HCV) D E Hepatitis B is caused by the Hepatitis B virus (HBV), and Hepatitis C is caused by Hepatitis C virus (HCV). In the United States, HBV and HCV are the most common types related to occupational exposure to bloodborne pathogens. Hepatitis B in the U.S. Annually, there are 10,000 new cases of Hepatitis B virus (HBV) reported in the U.S., with an estimated one to two million carriers of HBV. The Hepatitis B virus takes about 2 months to appear in your blood and it may stay in your blood for months or years. Nine out of every 10 adults will get rid of the virus from their bodies after a few months. We say they have acuteHepatitis B. However, 1 out of every 10 adults will never get rid of the virus from their bodies. We say they have chronic Hepatitis B. They are called carriers. Most people with chronic Hepatitis B will remain carriers of the virus if they do not receive treatment. The best precautions that carriers can take is to make sure their babies get all of their hepatitis B shots, make sure they do not spread it to their sexual partners, and get proper medical care. Hepatitis Vaccination A safe and effective vaccine to prevent Hepatitis B has been available since 1982. OSHA requires that vaccinations be made available within 10 working days of your initial assignment. This is a one-time requirement. For health concerns regarding this vaccination you may: Discuss your concerns with your personal health care provider. Review CDC information about the vaccine at http://www.cdc.gov/vaccines/vpdvac/hepb/default.htm . Hepatitis C Virus The Hepatitis C virus is the most frequently occurring bloodborne pathogen infection. At least 85 out of 100 people infected with HCV become chronically infected, and chronic liver disease develops in an average of 67 out of 100 people infected. HCV is most often transmitted by large or repeated percutaneous (i.e., skin puncture) exposures to blood, such as through the transfusion of blood or blood products from infected donors and the sharing of contaminated needles among injection drug users. There is no vaccine to prevent Hepatitis C. HIV As you know, the immune system gives our bodies the ability to fight infections. HIV is different from most other viruses because it attacks the immune system. It is the virus that causes AIDS (acquired immunodeficiency syndrome), the final stage of HIV infection. It can take years for a person infected with HIV, even without treatment, to reach this stage. Having AIDS means that the virus has weakened the immune system to the point at which the body has a difficult time fighting infections. More About HIV HIV is a fragile virus and cannot live for very long outside the body. As a result, the virus is not transmitted through day-to-day activities such as shaking hands, hugging, or a casual kiss. You cannot become infected from a toilet seat, water fountain, doorknob, dishes, drinking glasses, food, or pets. You also cannot get HIV from mosquitoes. HIV can enter the bloodstream similarly to HBV - if potentially infectious materials (e.g., blood) come into contact with an unprotected break in your skin such as an open wound, acne, rash, etc. or if you experience a splash into your eyes and/or nose. HIV Testing The only way to know if you are infected is to be tested for HIV. You cannot rely on symptoms alone because many people who are infected with HIV do not exhibit symptoms for many years. Even if someone looks and feels healthy, they can still be infected. In fact, one quarter of the HIV-infected persons in the United States do not know that they are infected. Once HIV enters the body, the body starts to produce antibodies — substances the immune system creates after infection. Most HIV tests look for these antibodies rather than the virus itself. There are many different kinds of HIV tests, including rapid tests and home test kits. All HIV tests approved by the U.S. government are very effective for identifying HIV. Lesson 1 Summary In this lesson, you learned what bloodborne pathogens are. Next, let’s look at the general guidelines you must follow. Lesson 1 - Knowledge Check Quiz 1. In the OSHA Bloodborne Pathogens Standard, OPIM stands for: One Point Implementation Methodology Other Potentially Infectious Materials Other Pathogens Infecting Material Operations and Information Management 2. Hepatitis A is: Not a true Bloodborne Pathogen Transmitted via the fecal material The same as Hepatitis B and C All answer choices apply 3. HIV can live for a long time outside of the body. True False Lesson 1 - Knowledge Check Answer Key 1. In the OSHA Bloodborne Pathogens Standard, OPIM stands for: One Point Implementation Methodology Other Potentially Infectious Materials Other Pathogens Infecting Material Operations and Information Management 2. Hepatitis A is: Not a true Bloodborne Pathogen Transmitted via the fecal material The same as Hepatitis B and C All answer choices apply 3. HIV can live for a long time outside of the body. True False Course Content Lesson 2 Overview This lesson will discuss the general guidelines required of your organizations to be in compliance with OSHA. Exposure Control Plan Organizations or Supervisors must prove to OSHA that they are following the Bloodborne Pathogens Standard by implementing an Exposure Control Plan. By law, the Exposure Control Plan must detail certain steps that are taken to keep workers safe - that is, the plan to control every worker’s exposure to bloodborne pathogens. This training module reviews the unique plan to control or avoid exposures to bloodborne hazards for all members of your organization. There are many organizations that are expected to have job-related exposures to bloodborne pathogens, so it is best to be educated and prepared in the event an accident occurs. Typically, as a condition of employment, employees must know the location of, and comply with, the contents of the organization’s Exposure Control Plan. Potential Exposure The potential for exposure to bloodborne pathogens may exist when you come into contact with spilled human blood or body fluids, or materials or waste contaminated with human blood or body fluids. The recommendations in this training should serve as an aid to reasonable decision making in those situations where specific guidelines do not exist, particularly where immediate action is required to prevent significant injury or to preserve life. Exposure Determination Every workplace needs to use the Exposure Control Plan every 12 months to document and track the status of occupational exposure determinations to bloodborne pathogens.. This is according to the OSHA Standard (29 CFR 1910.130). For employees, your exposure determination is documented on your organization’s Exposure Control Plan. Each determination must be made without regard to use of personal protective equipment and should be conducted upon orientation and “no later than 10 days after the date of employment” (as required by OSHA). How do I Determine “Occupational Exposure”? The OSHA definition states that you have “Occupational Exposure” if your duties may result in a …reasonably anticipated skin, eye, mucous membrane, or parenteral contact* with human blood or other potentially infectious materials. *Parenteralcontactis: Piercing mucous membranes or skin barrier through such events as needle sticks, human bites, cuts, and abrasions. What are Other Potentially Infectious Materials (OPIM)? Bloodborne pathogens live and grow best in human blood. However, other human body fluids may also carry these germs. When making an Exposure Determination, we must also consider that OPIM are able to provide an environment for bloodborne pathogens to live and grow. Other Potentially Infectious Materials (OPIM) are: Semen. Vaginal secretions. Any fluid surrounding organs in the body. Visible blood in saliva, vomit, or feces. More OPIM The following are also considered Other Potentially Infectious Materials (OPIM): Any body fluid visibly contaminated with blood. All body fluids when it is difficult to differentiate between body fluids. Any unfixed organ or tissue from a human, living or dead (from clinics & morgues). Other experimental human material (from laboratories) whether purposely infected or otherwise. Lesson 2 Summary In this lesson, you learned about some of the general guidelines regarding bloodborne pathogens. Now that we’ve discussed how your exposure determination is made, let’s look at what it means to be exposed in the workplace. Lesson 2 - Knowledge Check Quiz 1. The following are covered under the OSHA BBP Standard as OPIM: Any body fluid visibly contaminated with blood All body fluids when it is difficult to differentiate between body fluids Any unfixed organ or tissue from a human, living or dead (clinics & labs) Other experimental human material (from laboratories) whether purposely infected or otherwise All answer choices apply 2. In the OSHA Bloodborne Pathogens Standard, OPIM stands for: One Point Implementation Methodology Other Potentially Infectious Materials Other Pathogens Infecting Material Operations and Information Management 3. Personal protective equipment is worn when there is a need to provide protection for: Clothing Skin Eyes, nose and mouth All answer choices apply Lesson 2 - Knowledge Check Answer Key 1. The following are covered under the OSHA BBP Standard as OPIM: Any body fluid visibly contaminated with blood All body fluids when it is difficult to differentiate between body fluids Any unfixed organ or tissue from a human, living or dead (clinics & labs) Other experimental human material (from laboratories) whether purposely infected or otherwise All answer choices apply 2. In the OSHA Bloodborne Pathogens Standard, OPIM stands for: One Point Implementation Methodology Other Potentially Infectious Materials Other Pathogens Infecting Material Operations and Information Management 3. Personal protective equipment is worn when there is a need to provide protection for: Clothing Skin Eyes, nose and mouth All answer choices apply Course Content Lesson 3 Overview An important part of this training program is to make sure all employees know: If they have an exposure incident. What to do after they have an exposure incident. Exposure Incident An exposure incident can happen three ways: When human blood or other potentially infectious material (OPIM) comes in contact with an unprotected break in your skin such as an open wound, acne, rash, etc. When blood or OPIM splashes or otherwise gets into your eyes, nose, or mouth. If you are cut or stuck by an object (it must break the skin) that is contaminated with human blood or OPIM. What is BBP Exposure? The OSHA Definition of BBP exposure is “A specific eye, mouth, other mucous membrane, non-intact skin or parenteral contact with blood or OPIM that results from the performance of an employee’s duties.” BBP Exposure can occur through blood or OPIM contact with: Eye Nose Mouth Shaving cut Rash Lesson 3 Summary It is difficult to define exactly what bloodborne pathogens you will be exposed to in your organization. For further information on your exact occupational exposures, please see your training supervisor. Lesson 3 - Knowledge Check Quiz 1. An exposure incident can happen when human blood or other potentially infectious material (OPIM) gets onto an unprotected break in your skin such as acne. True False Lesson 3 - Knowledge Check Answer Key 1. An exposure incident can happen when human blood or other potentially infectious material (OPIM) gets onto an unprotected break in your skin such as acne. True False Course Content Lesson 4 Overview In this lesson, you will learn about the steps to take if you are exposed to bloodborne pathogens. What to do for Sticks, Cuts, Scratches, or Splashes? What do you do for needle sticks cuts from contaminated objects, scratches, or splashes to an unprotected open wound? Remove contaminated gloves and if possible, allow the wound to bleed freely for a minute. Wash the wound with soap and water for 15 minutes and apply sterile gauze or a bandage, if necessary. Decontaminate and remove protective clothing if necessary. Notify your Supervisor and seek medical attention immediately. What to do for Splash to Eyes, Nose, or Mouth? If you experience a splash to your eyes, nose, or mouth, do the following: Rinse the area with continuously running clean water. Irrigate your eyes for at least 15 minutes using an emergency eyewash station if available or use a sink. Decontaminate and remove protective clothing. Notify your Supervisor and seek medical attention immediately. Report Exposures Immediately Immediately report exposures to your supervisor and seek medical attention. After any exposure to human blood or OPIM, employees must be seen immediately at an Occupational Health Clinic or Emergency Room. Supervisors should notify Centers for Disease and Control Prevention (CDC) to help determine if immediate treatment is needed and if necessary, direct the employee to the proper location for appropriate blood tests to be drawn. Post Exposure Evaluation Following the incident, you may be given a post exposure medical evaluation. This evaluation may include: Documenting routes of exposure. Documenting circumstances of the incident. Identifying sources of contamination. Taking blood tests with the employee’s consent. Take post exposure prophylaxis and provide counseling. The supervisor is responsible to follow-up on all injuries with standard reporting procedures. Bloodborne Pathogens Spills Bloodborne pathogens spills may occur during traffic accidents, when an injured person drips blood on a surface, or when specimen containers with human blood or other potentially infectious materials (OPIM) leak. Employees designated to participate in emergency and decontamination procedures are exposed to blood or OPIM. They must be thoroughly familiar with proper cleaning and decontamination procedures so that the contamination is controlled and exposure to other people is minimized. Remember Your Sharps Precautions During a Spill Contaminated broken glassware should be cleaned up by mechanical means (e.g., tongs, forceps, and pieces of cardboard). Bloodborne Pathogens Spill Clean Up Kits Bloodborne Pathogens Spill Clean Up Kits typically include: 1 1 1 1 1 2 2 2 1 1 1 pair disposable latex gloves. disposable face shield. disposable face mask. pair disposable shoe covers. disposable apron, 1 absorbent pack (w/ MSDS). disposable towelettes (w/ MSDS). scoops/scrapers. biohazard bags with ties. disposable towl. instruction sheet. can 12 oz. Disinfectant spray (w/ MSDS). What to do with biohazard waste after spill clean-up? Never throw untreated biohazard waste in the regular trash! The disposal of this waste is subject to federal, state, and local regulations. After spill clean-up is complete, waste must be removed from public access. Lesson 4 Summary In this lesson, you learned general guidelines on what steps to take if you are exposed to bloodborne pathogens. Lesson 4 - Knowledge Check Quiz 1. Always throw untreated biohazard waste in the regular trash. True False 2. The Universal Bio-hazard Symbol: Means that bloodborne pathogens may be present. Means that only workers trained in universal precautions may work here. Means that I can work here only if it is on my Exposure Control Plan. All answer choices apply 3. Sharps containers are appropriate for any contaminated object that can penetrate the skin such as: Razor blades Syringes with/without needles Specimen tubes All answer choices apply Lesson 4 - Knowledge Check Answer Key 1. Always throw untreated biohazard waste in the regular trash. True False 2. The Universal Bio-hazard Symbol: Means that bloodborne pathogens may be present. Means that only workers trained in universal precautions may work here. Means that I can work here only if it is on my Exposure Control Plan. All answer choices apply 3. Sharps containers are appropriate for any contaminated object that can penetrate the skin such as: Razor blades Syringes with/without needles Specimen tubes All answer choices apply Course Content Lesson 5 Overview Let’s now look at how to protect ourselves and others from exposure. In the mid-1980s, health care facilities began adopting “universal precautions” against exposure to body fluids. These precautions were followed in 1992 with the OSHA BBP Standard. These measures were included in annual training requirements which reduced incidents of work-related Hepatitis infections. What are Universal Precautions? “Universal Precautions” is the basis of every Bloodborne Pathogens training program. It is a simple approach to protecting yourself on the job. Because an Exposure Determination has already been made for your position, whenever you suspect the material is contaminated with bloodborne pathogens, you must always respond AS IF bloodborne pathogens are present. Universal Precautions takes the guesswork out of responding to an incident. This means that if you anticipate human blood, body fluids (except sweat), or OPIM, you must always wear appropriate Personal Protective Equipment and follow the specific requirements designated in this training and your Exposure Control Plan. This is also true for anything with a biohazard label. Bio-hazard Symbol Communication of hazards is a key component to any OSHA and other safety program. The Biohazard symbol is used to alert others of the potential presence of biohazardous materials such as human blood, body fluids, and OPIM. This symbol is fluorescent orange or red/orange with contrasting letters and includes the universal biohazard symbol. Biohazard Labels In laboratories, bio-hazard labels are commonly used on: Containers of bio-hazard waste. Refrigerators and freezers used to store human specimens. Containers used to store, transport and ship human specimens. Any equipment that could be potentially contaminated with human blood, OPIM, and other material that could allow bloodborne pathogens to live or to grow. Sharps Precaution Needles and contaminated sharps: Must never be bent, recapped or removed. Must never be sheared or broken. Must always be placed in a plastic sharps container labeled with the biohazard symbol. After use, place disposable blades and other sharp items in punctureresistant containers for disposal. Contaminated disposable needles are to be placed in red plastic sharps containers after use. Sharps Disposal Containers Sharps containers are appropriate for any contaminated object that can penetrate the skin such as: Needles Scalpels Razor blades Syringes with or without needles Specimen tubes Broken glass Overfilling the sharps container can result in contamination exposures when the next person tries to use the container. Dispose of sharps in containers immediately and never allow a container to fill over 2/3 full. Work Practice Controls: General Work Practice Controls specifically reduce the likelihood of exposure by altering the manner in which a task is performed. Hand washing- Hands are to be washed immediately or as soon as feasible after removal of gloves or other personal protective equipment. Use a utility or restroom sink for hand washing, do not use sinks in food preparation areas. If handwashing facilities are not immediately available, use antiseptic hand cleanser and/or disposable wipes. Then, wash your hands as soon as handwashing facilities are available. Prevent Ingestion- Eating, drinking, smoking, and handling contact lenses are prohibited during times where there is reasonable likelihood of exposure to blood or other potentially infectious material. Storage of food and drink – Storing food and drinks is prohibited in refrigerators, freezers, shelves, cabinets, or on countertops or bench tops where blood or other potentially infectious materials are present. More General Work Practice Controls Sharps Precautions - Disposing of sharps in the proper container and disposing of the container when it is 2/3 full helps keep others safe. Remember, any contaminated object that can penetrate the skin, including needles, scalpels, and glass objects requires extra attention. Broken glassware – Brokenglasswarewhich may be contaminated with human blood or OPIM, must not be collected directly with the hands. Wear gloves and use tongs or a brush and dust pan. While small shards of contaminated broken glass can be placed into sharps containers, large contaminated broken glass items must be autoclaved separately in a hard-walled container lined with a biohazard bag. Contaminated needles - Contaminated needles are not to be bent, broken, recapped, or removed from the syringe. If you have no way to know if the needle is contaminated, use Universal Precautions and assume the needle is contaminated. Contaminated needles are to be placed in the plastic sharps containers and autoclaved before disposal. Personal Protective Equipment (PPE) Personal protective equipment (PPE) is specialized clothing or equipment worn by an employee for protection against a hazard. General work clothes (including uniforms) are not PPE. PPE is worn when there is a need to provide protection for your: Clothing Skin Eyes Nose Mouth Know the limitations of your PPE Employees may confront unusual hazards, depending on their job tasks and environment. Protective gloves should be available and worn in these settings. In addition, for very large spills, consideration should be given to wearing other protective clothing, such as overalls, aprons, boots, or protective shoe covers. Gloves should be changed if torn or soiled and always removed prior to leaving the scene. While wearing gloves, avoid handling personal items, such as combs and pens that could become soiled or contaminated. Face masks and eye protection or a face shield are required for situations which could lead to potential exposures to blood by a splash to the face, mouth, nose, or eyes. Gloves Not all types of gloves are suitable for all situations. Vinyl or latex rubber gloves provide little protection against sharp instruments, and they are not puncture-proof. There is a direct trade-off between level of protection and manipulability. In other words, the thicker the gloves, the more protection they provide, but the less effective they are in locating objects. Thus, there is no single type or thickness of glove appropriate for protection in all situations. Employees should select the type and thickness of glove which provides the best balance of protection and efficiency. Removal of Contaminated Gloves All PPE must be removed and disposed of prior to leaving the hazard area. Below is a sample removal technique when gloves are contaminated: Grasp outside of glove with opposite glove hand and peel it off. Hold removed glove in gloved hand. Slide fingers of ungloved hand under remaining glove at wrist. Peel glove off over first glove. Discard glove in waste container. Wash hands immediately. Wash Your Hands Often! Wash your hands with soap and water for 20 seconds. The suds scrub away dirt and germs. Wash your hands front and back and between the fingers. Soap up your wrists. Don't forget your fingernails. And, as we discussed earlier: Hands are to be washed immediately or as soon as feasible after removal of gloves or other personal protective equipment. Use a utility or restroom sink for hand washing, do not use sinks in food preparation areas. If hand washing facilities are not immediately available use antiseptic hand cleanser and/or disposable wipes for the short term. Wash your hands as soon as hand washing facilities are available. Lesson 5 Summary In this lesson, you learned how you can reduce your risk of exposure to bloodborne pathogens. Lesson 5 - Knowledge Check Quiz 1. What does the Universal Biohazard Symbol mean? Bloodborne pathogens may be present. Only workers trained in universal precautions may work here. I can work here only if it is on my Exposure Control Plan. All of the answer choices apply 2. It is only necessary to wash your hands after dealing with hazardous materials. True False 3. Which type of gloves are made for people with latex alergy Vinyl Nitrile Neither Lesson 5 - Knowledge Check Answer Key 1. What does the Universal Biohazard Symbol mean? Bloodborne pathogens may be present. Only workers trained in universal precautions may work here. I can work here only if it is on my Exposure Control Plan. All of the answer choices apply 2. It is only necessary to wash your hands after dealing with hazardous materials. True False 3. Which type of gloves are made for people with latex alergy Vinyl Nitrile Neither Course Content Summary/Wrap Up Many safety scenarios can be anticipated; however, no single course can anticipate every possibility. Therefore, if you have additional questions, we recommend the following: Contact your supervisor or your organization's Safety department for additional information on any topic of concern for which you still have questions. You should now have a better understand of the following: Bloodborne Pathogens General Guidelines Occupational Exposures to Bloodborne Pathogens Steps to Take if Exposed to Bloodborne Pathogens Reducing the Risk of Exposure to Bloodborne Pathogens Summary/ Wrap Up - Final Exam You’ve arrived at the end of the module. Complete the following assessment to receive course completion credit. Bloodborne Pathogens Final Exam Quiz 1. Always throw untreated biohazard waste in the regular trash. True False 2. The following are covered under the OSHA BBP Standard as OPIM: Any body fluid visibly contaminated with blood All body fluids when it is difficult to differentiate between body fluids Any unfixed organ or tissue from a human, living or dead (clinics & labs) Other experimental human material (from laboratories) whether purposely infected or otherwise All answer choices apply 3. In the OSHA Bloodborne Pathogens Standard, OPIM stands for: One Point Implementation Methodology Other Potentially Infectious Materials Other Pathogens Infecting Material Operations and Information Management 4. Sharps containers are appropriate for any contaminated object that can penetrate the skin such as: Needles Razor blades Syringes with/without needles Specimen tubes Broken glass All answer choices apply 5. The potential for exposure to bloodborne pathogens may exist when you encounter spilled human blood or body fluids, or materials or waste contaminated with human blood or body fluids. True False 6. Personal protective equipment is worn when there is a need to provide protection for: Clothing Skin Eyes, nose and mouth All answer choices apply 7. Hepatitis A is: Not a true Bloodborne Pathogen Transmitted via the fecal material The same as Hepatitis B and C All answer choices apply 8. The Universal Bio-hazard Symbol: Means that bloodborne pathogens may be present. Means that only workers trained in universal precautions may work here. Means that I can work here only if it is on my Exposure Control Plan. All answer choices apply 9. How can an exposure incident occur? When human blood or other potentially infectious material (OPIM) gets onto an unprotected break in your skin such as an open wound, acne, rash, etc. When blood or OPIM splashes or otherwise gets into your eyes, nose, or mouth If you are cut or stuck by an object (it must break the skin) that is contaminated with human blood or OPIM All answer choices apply 10. HIV can live for a long time outside of the body. True False Bloodborne Pathogens Final Exam Answer Key 1. Always throw untreated biohazard waste in the regular trash. True False 2. The following are covered under the OSHA BBP Standard as OPIM: Any body fluid visibly contaminated with blood All body fluids when it is difficult to differentiate between body fluids Any unfixed organ or tissue from a human, living or dead (clinics & labs) Other experimental human material (from laboratories) whether purposely infected or otherwise All answer choices apply 3. In the OSHA Bloodborne Pathogens Standard, OPIM stands for: One Point Implementation Methodology Other Potentially Infectious Materials Other Pathogens Infecting Material Operations and Information Management 4. Sharps containers are appropriate for any contaminated object that can penetrate the skin such as: Needles Razor blades Syringes with/without needles Specimen tubes Broken glass All answer choices apply 5. The potential for exposure to bloodborne pathogens may exist when you encounter spilled human blood or body fluids, or materials or waste contaminated with human blood or body fluids. True False 6. Personal protective equipment is worn when there is a need to provide protection for: Clothing Skin Eyes, nose and mouth All answer choices apply 7. Hepatitis A is: Not a true Bloodborne Pathogen Transmitted via the fecal material The same as Hepatitis B and C All answer choices apply 8. The Universal Bio-hazard Symbol: Means that bloodborne pathogens may be present. Means that only workers trained in universal precautions may work here. Means that I can work here only if it is on my Exposure Control Plan. All answer choices apply 9. How can an exposure incident occur? When human blood or other potentially infectious material (OPIM) gets onto an unprotected break in your skin such as an open wound, acne, rash, etc. When blood or OPIM splashes or otherwise gets into your eyes, nose, or mouth If you are cut or stuck by an object (it must break the skin) that is contaminated with human blood or OPIM All answer choices apply 10. HIV can live for a long time outside of the body. True False