Académique Documents
Professionnel Documents
Culture Documents
And Prevention
(Part 1)
Bloodborne Pathogen
Awareness And Prevention
By
The Hazard
A substance that may contain a
bloodborne pathogen
Blood
Semen
Vaginal secretions
Pus
Amniotic fluid
The Mission
The Risk
Tasks and activities that may involve
exposure to potentially infectious
material
Consider ALL body substances as
potentially infectious
Diseased persons may have NO
symptoms
Items To Understand
(Each Discussed Later)
transmission
Epidemiology and symptoms
Exposure control plan
Universal precautions
Engineering controls
Work practices
protection equipment
Selection
Types
Decontamination
Handling
Disposal
Reporting exposures
Chain Of Infection
Infectious agent (virus, bacteria)
Reservoir (infected person)
Means of exit (cut, burn, weeping
rash)
Mode of transmission (cleat, screw
driver, needle)
Means of entry (puncture wound, rash)
Susceptible host (YOU)
Hepatitis B
(The Virus)
45 to 160
days
Fatality rate about 1.4%
Spread mostly via blood, vaginal
fluids, semen, saliva from a bite
Hepatitis B
(The Virus)
Hepatitis B
Diagnosis and Treatment
Diagnosis
Clinical
Disease:
AIDS (Acquired
Immunodeficiency Syndrome)
Incidence: Over 1 million persons
infected in U.S.
Infection rate: increasing (fewer dying)
Spread: mostly via blood, semen, and
vaginal secretions
Human Immunodeficiency
Virus
Acquired Immunodeficiency
Syndrome (AIDS)
AIDS
Signs and Symptoms
AIDS
Diagnosis
Clinical findings
Blood tests
AIDS
Treatment
AIDS
Prevention
Engineering Controls
Work Practices
(sharps)
Do not eat, drink, smoke, apply
cosmetics or lip balm, or handle contact
lenses
Avoid causing splashes or splatters
Properly handle contaminated materials
Gloves
Gowns or laboratory coats
Face shields or masks
Eye protection
Mouthpieces, pocket masks
Resuscitation bags
Other ventilation devices
Housekeeping
Maintain worksite in clean and sanitary
condition
Determine & implement cleaning
schedule
Determine method of decontamination
1:10 dilution household bleach
(sodium hypochlorite)
Housekeeping (Cont.)
Clean all equipment & surfaces after
contamination occurs (deck, cleats,
chafing gear, survival equipment)
Use personal protective equipment
Inspect bins, pails, cans, & similar
receptacles never insert hands
Broken glassware (use mechanical
means)
Laundry
Handle contaminated laundry as little
Laundry (Cont.)
Laundry (per local protocol)
Approved
laundry facility
Use CDCP or manufacturers
recommendations
Detergent
71 degrees Celsius (170 degrees
Fahrenheit) 25 minutes
If Contaminated Or Punctured
Decontaminate
Wash
Document circumstances
Route
of exposure
Source
Intensity
Duration of exposure
If Contaminated Or Punctured
Notify:
Operational commander
Medical personnel immediately
Personal Protection
Equipment - Donning
(See Appendix for technique)
Personal Protection
Equipment - Donning
(See Appendix for technique)
Personal Protection
Equipment
Make Sure Contaminated Apparel
Does Not Come Into Contact With
Clothing or Skin
Personal Protection
Equipment
Personal Protection
Equipment - Removal
Carefully
(See Appendix for technique)
Shoe covers
Gown /gloves
Gloves
Head cover
Mask and eye shield
Able to be closed
Leakproof
Labeled and/or color coded
Do not contaminate outside of bag
Secure opening by knotting
Personal Protection
Equipment - Disposal
State regulations
Civilian emergency medical
responders
Local hospital
Hand Washing
After ANY contact (even if gloves
have been worn)
Lather with soap
Vigorous rubbing of all surfaces
15 seconds minimum
Antiseptic towelette
Wipe all surfaces
Dispose of in trash
Wash when facilities available
Reports
Radio
Written
Medical information
Exposure
Extent
Duration
Breakdown in protection
Care rendered
Post-exposure
Summary
Are you trained?
Are you equipped?
If no
Notify
station
Do not become a victim
Summary (Cont.)
If yes
Respond
Monitor
the situation
Inform station of all activities
Record all that transpires
Activate appropriate resources
Reference
COMDTINST M6220.8
Prevention of Bloodborne
Pathogen transmission
Bloodborne Pathogen
Awareness And Prevention
Proceed to (BBP-Part 2)
Edition: 12 June 2003