Blood Born Pathogens/Universal Precautions

 Definition:
microorganisms present
in human blood and can infect and
cause disease to those exposed to
blood containing the pathogen
 Examples
include HIV, Hepatitis B
&C, and syphilis
 Assume
all body fluids are infectious and all
surfaces are unclean.
 Disease
causing bacteria and viruses can be
carried in someone who shows no symptoms.
 Note
that MRSA can be in sputum, on skin, or
in wound drainage of infected person.
 What’s




considered contaminated body fluids
Semen
Vaginal Secretions
Cerebrospinal fluid
Any body fluid with visible blood
Feces, urine, nasal secretions, sputum, emesis,
 However, even if no visible blood handle as if it may
be infectious.

 Spreads
most easily through contact with
blood, semen, vaginal secretions and other
body fluids and tissue with visible blood.
 Bloodborne viruses are most commonly
transmitted by:



Sharing needles to inject drugs.
Having unprotected sex with an infected person.
Transmitting the virus from mother to unborn
child during pregnancy.
 Blood
borne viruses at
mostly by:

A contaminated item punctures the skin


work are transmitted
Examples: needles
Contaminated blood or body fluid entering your
body through broken skin (i.e. cuts, nicks,
abrasions, dermatitis, and acne) or the mucous
membranes of the eyes, nose, or mouth.
 Indirect
transmission occurs when you touch
a contaminated object or surface and then
transfer the infection to your mouth, eyes,
nose or non-intact skin.
 Contaminated surfaces are a major cause of
the spread of hepatitis. Hepatitis can survive
on environmental surfaces, dried and at
room temperature, for at least one week.
 Assume
hands are
contaminated.
 Wash
before eating, after
eating, and after using
restroom.
 Wash
with soap and water
at least 20 seconds or as
long as it takes to sing the
Happy Birthday.
 Don’t
allow your skin or mucous membranes
to come into contact with blood or body
fluids.
 Cover any open areas of your skin with
bandage or band aids.
 Again, take care of skin and prevent
chapping.
 Remember:
“Breaks in skin allow bugs in.”
 Identify
personnel whose job duties
expose them to blood or body fluids.
 Offer Hepatitis B Vaccine if indicated by
your position.
 If
exposure occurs, wash area thoroughly
with soap and water. Do not use bleach or
other cleansing agents as these may damage
your skin.
 Report exposure to your supervisor or school
nurse.
 Complete
any required documentation.
 If after school hours, report to the building
administrator.
 Effective




housekeeping strategies include:
Clean and decontaminate all material with the
appropriate disinfectant / cleaner.
Use a broom and dust pan to pick up broken glass
instead of your hands.
Dispose of sharp items and other potential
infectious material in appropriately marked
containers.
Handle contaminated laundry as little as
possible.
 Equipment
that protects you from contact
with blood or other potentially infected
material (PIM) include:




Gloves
Gowns, Aprons, Lab Coats
Face Shields, Protective Eye Wear
Masks, Mouthpieces, Resuscitation Bags
 The
PPE must fit properly, especially gloves.
 All PPE must be free of physical flaws that
could compromise safety.
 You must use appropriate PPE each time you
perform a task involving PIMs.
 Additional gloves and other PPE can be
requested from the school nurse.
 Gloves
should be removed when they
become contaminated or damaged or
immediately after finishing the task.
With both hands gloved, peel one glove off
from top to bottom and hold it in the gloved
hand.
 With the exposed hand, peel the second glove
from the inside, tucking the first glove inside
the second.
 Dispose of the entire bundle promptly.
 Never touch the outside of the glove with bare
skin.
 Every time you remove your gloves, wash your
hands with soap and warm running water.

 Use
personal protective equipment
including gloves, goggles, masks,
and/or gown if possible exposure.
 Wear
gloves with any possible
contact of blood or body fluid
 Take
care of your skin. Prevent
chapping or cracking.
 If
your position warrants, get the
Hep. B vaccine.
 Clean
all blood and bodily fluid
spills promptly according to the
Exposure Control Plan in the
school policy manual.
 Keep
work surfaces and
protective coverings clean.
 Trash
may contain contaminated
sharps and shards, so never push
down with your hands and feet.
 Watch
for fluorescent orange-red labels,
red bags, and containers with a biohazard
symbol. This symbol will warn you when
the contents of containers are used for
waste, storage, or shipping contain blood
or other potential infectious material.
 Protecting
yourself from bloodborne diseases
on the job requires knowing the facts and
taking sensible precautions.
 If
you have further questions, contact your
school nurse/clinic aide or contact the
School Health Coordinator, Carol Cash RN,
MSN at 245-5133
 Now that you have successfully completed
the Blood Born Pathengens Module Please go
the following link
 The
information presented in this
presentation was taken from Bloodborne
Pathogens: Handbook and from the video,
Bloodborne Pathogens for School Employees.
Both items are produced by Coastal Video
Communications Corp
 Additional information within this PowerPoint
presentation was used with permission from
Waynesboro Public Schools.
 Once
you have reviewed the information,
please click on the link below to complete
your Bloodborne Pathogens Annual Review.
This step must be completed to fulfill your
annual competency.
 Blood Borne Pathogen Confirmation