Bloodborne Pathogens Refresher Training - University of Michigan Department of Occupational Safety and Environmental Health (OSEH)
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Bloodborne Pathogens Refresher
Training
University of Michigan
Department of Occupational Safety and
Environmental Health (OSEH)
Course Information
This bloodborne pathogens training program is required
annually for UM Housing Security personnel who may
reasonably anticipate contact with blood or other
potentially infectious materials (OPIM).
Those employees who have not received initial training for
Bloodborne Pathogens MUST attend the Comprehensive
Safety Course provided by Housing’s-OSEH Rep.
Visit the OSEH website for additional safety information
Have questions? Click here
Certification To receive credit for your annual BBP refresher training you must: Review the on-line course material Complete exam at end of course Print copy of exam and provide to your Supervisor
Housing Security Specific Training
Requirements
In addition to the course
requirements, employees must also
receive instruction on the site-
specific risks and safety procedures
for their assigned tasks. This
training should be conducted by
someone thoroughly
knowledgeable of all the specific
hazards. Specific training must be
documented in the Housing
Security Exposure Control Plan.
Have questions? Click here
OSEH Housing Contacts
Patrice Berlinski Housing 3-5641
Representative
Danielle Sheen Industrial Hygiene 3-9132
(IH) Manager
Tara Welch IH Secretary 7-1142
www.oseh.umich.edu
Course Topics Bloodborne Pathogens Standard Bloodborne Diseases Exposure Control Plan Methods of Prevention Personal Protective Equipment Hepatitis B Immunization Program Emergency Procedures Spill Response Waste Disposal
Bloodborne Pathogens (BBP)
Standard
This program was designed to meet the requirements
of the Occupational Safety and Health Administration
(OSHA) Occupational Exposure to Bloodborne
Pathogens 29 CFR 1910.1030 and the Michigan
Occupational Safety and Health Administration
(MIOSHA) Bloodborne Infectious Diseases R
325.70001- R 325. 70018. These standards apply to
all workers who are at risk of exposure to pathogenic
microorganisms associated with human blood.
Have questions? Click here
What are Bloodborne Pathogens?
Pathogenic Microorganisms
Bloodborne Pathogens are pathogenic
microorganisms that are present in human blood or
other potentially infectious materials (OPIM) and
can cause disease. Pathogenic microorganisms
include, but are not limited to:
HIV
HBV
HCV
Malaria
Syphilis
Have questions, Click here
Hepatitis B (HBV)
Hepatitis B is an infection of the liver which may
lead to liver disease, liver cancer and possibly
death. It is the leading occupational disease in
the United States.
12,000 cases of HBV were identified annually
(up to the year 1992). Numbers have
decreased to approximately 800 cases annually
since the introduction of the immunization.
HBV is extremely stable. It may survive 10 days
outside of host!
Have questions? Click hereHepatitis B (HBV)
Approximately 10% of infected individuals may become "carriers“. This
means that they may suffer from infection at a later time. They can also be
infectious to others for the rest of their lives while not demonstrating any
symptoms of HBV.
Symptoms may occur 2-6 months after exposure and include:
Fever
Vomiting
Jaundice (yellowing) of the eyes and/or skin
Loss of appetite
Dark-colored urine
Aches in muscles and joints
30% of individuals report no signs or symptoms
Have questions? Click hereHepatitis C (HCV)
Hepatitis C is a viral infection of the liver that can be
transmitted through blood or other potentially infected
materials. Symptoms are similar to those caused by HBV.
Although 80% of individuals may have no symptoms, these
infected individuals may be lifelong carriers. No vaccine is
available.
It is very difficult for the body’s immune
system to recover from an infection with
HCV. 30-60% of infected individuals
develop severe liver damage. 5-20%
may develop cirrhosis. HCV is the
leading indication for liver transplants in
the U. S.
Have questions? Click hereHuman Immunodeficiency Virus
(HIV)
HIV is the virus that causes Acquired
Immunodeficiency Syndrome (AIDS). This virus
may be passed through infected blood or other
potentially infectious materials that come in
contact with broken skin or mucous membranes.
Some infected individuals will develop AIDS as a
result of their HIV infection. As of June 2000 there
have been 132 total occupational cases of HIV
infection reported.
Some individuals develop flu-like symptoms within
7-21 days after exposure. Recent studies suggest
the best independent predictors of primary HIV
infection are rash and fever among individuals
recently exposed to HIV. HIV will not survive long
outside host (~90-99% reduction within several Have
hours). questions?
Click hereRisk from a single needle stick or cut*
HBV HCV HIV
6-30% 2-10% 0.3%
*from a known infected source
Have questions?
Click herePotentially Infectious Materials
Blood products, semen, vaginal secretions
Saliva in dental settings
Any body fluid that is contaminated with blood
Any body fluid of unknown source
Unfixed tissues or organs
Have questions? Click hereHIV is not transmitted by casual
contact
Have questions? Click hereControlling the Risk
The following list includes methods you can
use to reduce the likelihood of your exposure
to blood or other potentially infectious
substances.
Universal Precautions
Exposure Control Plan (ECP)
Safe work practices
Engineering controls
Personal Protective Equipment (PPE)
Hepatitis B vaccination program
Have questions? Click hereUniversal Precautions
Universal Precautions is an infection control
method where ALL human blood and other
potentially infectious materials are treated as
if known to be infectious.
NO GUARANTEES - handle all
human derived products as
infectious. Even dried blood could
potentially transmit infection.
Have questions? Click hereExposure Control Plan (ECP)
The ECP details policies and
procedures to describe how
employees will be protected from
hazards presented by BBP
encountered in the workplace. The
ECP for Housing Security is located
at K:\OSEH\BBP\Security Program.
The ECP must be made available to
all employees who are determined
to be at risk. Employees should be
familiar with the ECP and know Click here to
download ECP
where it is located.Transmission of BBP
Contact with mucous membrane. A mucous
membrane is wet, thin tissue found in certain
openings to the human body. These can include
the mouth, eyes and nose.
Break in skin:
Rashes
Hang nails
Cuts
Punctures
Abrasions
Acne
Bandage affected area and wear double gloves to prevent transmission
through breaks in the skin.
Have questions? Click hereReview Workplace Controls
Wash hands after
contacting body fluids
Keep fingernails short
Scrub nail area
Have questions? Click hereBiohazard Warning Signs and Labels Biohazard Signs are posted when infectious or human source material is present. These signs alert personnel to use caution. The universal biohazard warning labels alert employees that specimen containers, waste containers, storage refrigerators, or secondary containers used to transport specimens may contain infectious materials.
Engineering Controls
Engineering controls are used to isolate or remove the
potential hazard from the workplace. Examples
include:
Sharps Hand Mechanical
disposal washing means to
containers facilities remove broken
sharps itemsSharps Students and employees generating sharps waste are responsible for proper disposal. Sharps containers are puncture resistant plastic containers. Sharps containers are located in each residence hall. Facilities is responsible for disposal and replacement of these sharps containers. The following items are considered sharps: Needles Scalpels Razor blades Lancets Contaminated glass Pasteur pipettes Glass capillary tubes Contaminated broken glass Contaminated microscope slides and coverslips Exposed ends of dental wires
Improper Sharps Containers
Sharps
Sharps containers must be removed
when they are filled to the indicator line
or ¾ full. Call 763-4568 for removal.
Do not overfill sharps container.
Overflowing sharps containers can pose
a risk to students and employees.
Pathological Mercury
Waste Thermometer
Do NOT put items in sharps
containers that are not sharps Intact
Chemical uncontaminated
Waste GlassSharps Do not shear, bend, break, or recap by hand any needle or sharps. When disposing of a needle, drop the needle and syringe assembly into the container Certain procedures may require that a needle be recapped. Needles should only be recapped using a mechanical device or using a one-handed recapping technique. One-handed technique requires the cap to be placed on a solid surface and using only one hand to slip the needle back into the cap.
Hand Washing Facilities
Hands and other skin surfaces must
be washed immediately, and
thoroughly, after handling potentially
infectious materials
Hands must also be washed
immediately after gloves are removed,
prior to leaving the work area.
Use soap and water. Rinse with
warm water and towel dry.
Waterless hand disinfectant can be used
in areas that do not have immediate
access to hand washing facilities. Hand
washing with soap and water is still
necessary as soon as practical.Personal Protective Equipment (PPE)
Eye Protection:
The type of eye protection depends on the
degree and type of anticipated exposure. As
the risk increases, so does the level of
protection.
Must be available when cleaning a spill that
involves large quantities of materials that
could generate a splash.Personal Protective Equipment
Hand Protection:
Ensure equipment is available
Non-latex products must be available for
individuals with latex allergies
Disposable gloves should be replaced if
they are peeling, cracked, discolored, or if
they have punctures, tears, or other
evidence of deterioration
Gloves of appropriate size must be
available
Do not re-use disposable gloves
Remove gloves before leaving the work
area
Always wash hands after removing glovesAdditional Personal Protective
Equipment
Additional PPE may be necessary
depending on the volume and
anticipated cleanup of potentially
infectious materials. PPE may
include:
Fluid proof shoe covers
Fluid resistant gowns, aprons or
coveralls
Face shieldLaundry Home laundering of uniforms or other materials soiled with blood or body fluids is not permitted Potentially contaminated uniforms or protective outer garments are to be handled as little as possible with a minimum of agitation to prevent contamination of the air or of persons handling them. The risk of actual disease transmission from contaminated laundry is low, however care should be taken when handling such clothing. Contact your Supervisor if clothing is contaminated.
Hepatitis B Vaccination
Protect Yourself Get Vaccinated!
Vaccination is free to
employees who have
reasonable anticipated
exposure to blood or other
potentially infectious
materials.
Series of 3 vaccinationsHepatitis B Vaccination Provides protective levels of antibody in 97% of healthy individuals for at least 20 years for those who initiated hepatitis B vaccination >6 months of age. A booster shot is not required.
Hepatitis B Vaccination
The vaccination need not be offered if :
Individuals have previously received the complete series
Antibody testing has revealed the individual is immune
The vaccine is contraindicated for medical reasons
The Vaccination is NOT
mandatory. Although your
employer must offer the vaccine,
you do not have to accept the
vaccination. You may opt to
decline the vaccination series, in
which case you will be asked to
sign a declination form.
Even if you decline the initial offer, you may choose to
receive the series at anytime during your employment.Hepatitis B Vaccination
To receive the Hepatitis B Vaccine contact:
U-M Occupational Health Services
Med Inn Building – 3rd Floor
1500 E. Medical Center Drive
Phone: 764-8021
Fax: 763-7405
Weekdays Evenings-Weekends-Holidays
7:30 AM – 4:30 PM UMHS Emergency Room
Click here for HBV Request FormBBP Exposure Incidents
Eyes: Skin:
Flush with water Wash thoroughly with
for 15 minutes soap and water
Notify Supervisor
Go to U-M OHS for post-exposure follow-up ASAPBBP Exposure Incidents If vaccine is given immediately after an exposure there is 70% protection against contracting the disease.
Documentation of BBP Exposure
Complete Illness or Injury Report Form
Click here for form
Document route of exposure (i.e., splash, needlestick, etc.)
Document circumstances under which incident occurred:
Engineering controls
Work practices followed
PPE (i.e., gloves, lab coat, etc.)
Location
Employee’s training
Correction of hazardsSpills of Blood/Body Fluid All spills must be safely cleaned as soon as possible. Wear gloves and eye protection during clean up. A solution of 1:10 bleach and water or an EPA-approved disinfectant should be used, such as Virex 256 (do not spray). If broken glass is involved, it should be carefully removed using a mechanical device such as tongs or forceps and the broken glass placed in the sharps container. Never pick up broken glass by hand!
BBP Spill Clean-up Procedure
Don personal Cover and saturate
protective with disinfectant.
equipment Let stand 15 - 20
minutes. Clean and
Dispose of Paper
Towel
Remove sharp
objects carefully Re-spray area with
with forceps disinfectant
Re-wipe with paper
Circle spill with towel
disinfectant Use
Place waste in
bleach (1:10
dilution), Lysol, double garbage
Virex, or EPA bag
registered Decontaminate
tuberculocidal materials used to
disinfectant clean spillDisposal Procedures Use 2 bags Place double bagged waste into leak-proof container in the Building Facility Manager’s office Leave a note describing the incident with the waste
Bleach 1:10 dilution of bleach to water used to clean blood or body fluid spill. Keep in mind that bleach contains approximately 5% sodium hypochlorite (the active ingredient). Bleach is caustic and considered a hazardous chemical. 100% bleach can be used for small spills with adequate ventilation. Prepare diluted mixture fresh because it is not very stable and can easily lose it’s effectiveness as a disinfectant.
Instructions for Course Completion
You have now completed the
instructional part of this program.
Please complete the following quiz.
When finished email a screen shot
of your test results to both your
Supervisor and Patrice Berlinski,
Housing’s OSEH Rep., for
documentation of training.
Click Here for quizYou can also read
