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Free Blood Borne Pathogens Training per OSHA Requiremens — Transcript

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  1. 0:00bloodborne pathogens OSHA 29 CFR 1,
  2. 0:061910.1030
  3. 0:08freely available training for your staff
  4. 0:11please share and
  5. 0:14subscribe bloodborn pathogens course
  6. 0:18objective students shall understand and
  7. 0:21be able to describe what is a bloodborne
  8. 0:24pathogen HIV Hepatitis B hepatitis C and
  9. 0:28how they are transmitted
  10. 0:30guidelines for handling bloodborne
  11. 0:32pathogens and other bodily fluids
  12. 0:35Universal precaution personal protective
  13. 0:38equipment PPE what to do if an exposure
  14. 0:42occurs decontamination and sterilization
  15. 0:47procedures introduction OSHA's
  16. 0:50bloodborne pathogen standard prescribes
  17. 0:52safeguards to protect workers against
  18. 0:54the health hazards from exposure to
  19. 0:56blood and other potentially infectious
  20. 0:58materials and to reduce their risk from
  21. 1:01this exposure implementation of this
  22. 1:03standard will not only prevent hepatitis
  23. 1:06B cases but will also significantly
  24. 1:08reduce the risk of workers Contracting
  25. 1:11AIDS hepatitis C or other bloodborne
  26. 1:15diseases bloodborne pathogens as a
  27. 1:19universal precaution treat all human
  28. 1:21blood and certain body fluids as if
  29. 1:24they're
  30. 1:26infectious definitions
  31. 1:30what does bloodborne pathogens mean
  32. 1:33bloodborne pathogens means
  33. 1:35microorganisms that are present in human
  34. 1:37blood or other potentially infectious
  35. 1:39materials that can cause disease in
  36. 1:43humans what types of diseases are there
  37. 1:46bloodborne pathogen diseases include but
  38. 1:49are not limited to Hepatitis B virus
  39. 1:53hbv hepatitis C virus HIV which causes
  40. 1:58AIDS malaria
  41. 2:02definitions occupational exposure means
  42. 2:05reasonably anticipated skin eye mucous
  43. 2:08membrane or potential contact with blood
  44. 2:11that may result from the performance of
  45. 2:13an employees duties reasonably
  46. 2:15anticipated exposure includes the
  47. 2:17potential for exposure as well as actual
  48. 2:20exposure to blood or other potentially
  49. 2:22infectious materials a py it includes
  50. 2:25exposure to blood or a Pim including
  51. 2:27regulated waste as well as incidents of
  52. 2:30needle sticks this definition does not
  53. 2:32cover Good Samaritan acts that is
  54. 2:35voluntarily aiding someone in one's
  55. 2:37place of employment which results in
  56. 2:39exposure to blood or a
  57. 2:41him definitions pyal such as an injury
  58. 2:46with needles and Sharps prenatal virus
  59. 2:49can be transmitted from a mother to her
  60. 2:51infant during pregnancy Pim potentially
  61. 2:55infectious materials PPE personal
  62. 2:59protective equipment
  63. 3:02transmission how do you transfer
  64. 3:06pathogens four ways to spread germs
  65. 3:10transmission of germs one Airborne or
  66. 3:13respiratory route two direct contact
  67. 3:17route three feal oral route four blood
  68. 3:22contact
  69. 3:24route other potentially infectious
  70. 3:27materials a him but fluids including
  71. 3:31semen vaginal secretions synovial fluid
  72. 3:34pericardial fluid amniotic fluid saliva
  73. 3:38and dental procedures and any body fluid
  74. 3:40that is visibly contaminated with blood
  75. 3:43and all body fluids in situations where
  76. 3:45it is difficult or impossible to
  77. 3:47differentiate between bodily fluids are
  78. 3:49to be assumed infectious any unfixed
  79. 3:52tissue or organ from a human being such
  80. 3:54as torn skin HIV containing cell or
  81. 3:58tissue cultures organ cultures an HIV or
  82. 4:01hbv containing culture medium or other
  83. 4:04Solutions and blood organs or other
  84. 4:07tissues from animals infected with HIV
  85. 4:09or
  86. 4:12hbv at risk you are always at risk for
  87. 4:17bbp why should you care approximately
  88. 4:215.6 million workers are at risk of
  89. 4:23exposure to bloodborne pathogens such as
  90. 4:26HIV the Hepatitis B virus and the
  91. 4:29hepatis tius C virus OSHA's bloodborne
  92. 4:32pathogen standard prescribes safeguards
  93. 4:35to protect workers and reduce their risk
  94. 4:37against the hazards from exposure to
  95. 4:39blood and other potentially infections
  96. 4:41materials every organization must have
  97. 4:44by law a specific written safety program
  98. 4:47regarding bloodborne pathogen safety and
  99. 4:51safeguards who is covered by the
  100. 4:53standard all employees who could be
  101. 4:56reasonably anticipated as the result of
  102. 4:58performing their job duties to face
  103. 5:00contact with blood and other potentially
  104. 5:03infectious
  105. 5:05materials some workers are are at risk
  106. 5:09some jobs within the city that are
  107. 5:10covered by the standard wastewater
  108. 5:13treatment workers medical waste
  109. 5:15treatment employees law enforcement
  110. 5:18Personnel Physicians nurses and
  111. 5:21emergency room Personnel orderly
  112. 5:24housekeeping personnel and laundry
  113. 5:26workers dentists and other Dental
  114. 5:29workers
  115. 5:30laboratory and blood bank technologists
  116. 5:32and technicians medical examiners
  117. 5:36morticians firefighters Parks and
  118. 5:39Recreation workers custodial Services
  119. 5:42Workers paramedics and emergency medical
  120. 5:45technicians anyone providing First
  121. 5:48Response medical care home health care
  122. 5:51workers employees assigned to First Aid
  123. 5:53response duties by their employer other
  124. 5:56workers assigned duties putting them at
  125. 5:58risk of occupation
  126. 6:01exposure how does contamination occur
  127. 6:05what risks do you have on your job that
  128. 6:07pose a hazard or expose you to
  129. 6:08bloodborne
  130. 6:11pathogens how does exposure occur cuts
  131. 6:14from contaminated sharp items knives
  132. 6:17broken glass sharp metal sharp wires Etc
  133. 6:22a contaminated sharp item is any
  134. 6:24contaminated object that can penetrate
  135. 6:26the skin contact of mucous membrane eye
  136. 6:30nose mouth or broken cut or scraped skin
  137. 6:34with contaminated blood most common
  138. 6:36exposure is caused by needle sticks
  139. 6:39600,000 to 800,000 needlestick injuries
  140. 6:42occur each year in the United States
  141. 6:45keep in mind that all employees could
  142. 6:47come in contact with one or more of
  143. 6:49these exposure not just medical
  144. 6:53personnel preventative measures how do
  145. 6:56we prevent bbp contamination
  146. 7:00universal precautions a universal
  147. 7:03precaution is the prevention strategy by
  148. 7:06which all blood and potentially
  149. 7:08infectious materials are treated as if
  150. 7:10they were in fact infectious treat all
  151. 7:13human blood and bodily fluids as if
  152. 7:15they're infectious must be observed in
  153. 7:18all situations where there is a
  154. 7:19potential for contact with blood or
  155. 7:21other potentially infectious
  156. 7:25materials engineering % work practice
  157. 7:29control
  158. 7:30these are the primary methods used to
  159. 7:32control the transmission of hbv and HIV
  160. 7:35engineering and work practice control
  161. 7:38should be the first line of defense in
  162. 7:40keeping workers safe when occupational
  163. 7:43exposure remains after engineering and
  164. 7:45work practice controls are put in place
  165. 7:48personal protective equipment PPE must
  166. 7:50be used employers must obtain input from
  167. 7:53non-managerial employees who are
  168. 7:55potentially exposed to injuries from
  169. 7:58contaminated sharps and the
  170. 8:00identification evaluation and selection
  171. 8:02of engineering and work practice
  172. 8:06controls controls these controls reduce
  173. 8:10employee exposure by either removing the
  174. 8:12hazard or isolating the worker controls
  175. 8:15reduce the likelihood of exposure by
  176. 8:17altering how a task is performed all
  177. 8:20procedures involving blood or other
  178. 8:23potentially infectious materials shall
  179. 8:25be performed in such a manner as to
  180. 8:27minimize splashing spraying battering
  181. 8:30and generation of droplets of these
  182. 8:32substances mouthpipe heading SL
  183. 8:35suctioning of blood or other potentially
  184. 8:37infectious materials is
  185. 8:40prohibited preventative measures eating
  186. 8:43drinking smoking applying Cosmetics or
  187. 8:47lip balm and handling contact lenses are
  188. 8:49prohibited in work areas where there is
  189. 8:51a reasonable likelihood of Occupational
  190. 8:53exposure food and drink shall not be
  191. 8:56kept in refrigerators freezers shells
  192. 9:00cabinets or on countertops or bench
  193. 9:02Toops where blood or a pin are
  194. 9:05present preventative measures
  195. 9:08contaminated broken glass wear shall not
  196. 9:11be picked up directly with hands shall
  197. 9:14be cleaned up using mechanical means
  198. 9:16such as a brush and dust pan tongs or
  199. 9:19forceps tools must be decontaminated
  200. 9:22after use shall be placed into a Sharps
  201. 9:25container for proper disposal
  202. 9:27contaminated reusable sharps shall not
  203. 9:29be stored or processed in a manner that
  204. 9:31requires employees to reach by hand into
  205. 9:34the containers where these Sharps have
  206. 9:36been placed for example do not dump
  207. 9:39contaminated reusable sharps in a sink
  208. 9:41of soapy water and then retrieve the
  209. 9:43devices from the sink by hand use a
  210. 9:46strainer basket to hold the immersed
  211. 9:48instruments and forceps for their
  212. 9:50retrieval from the basket do not Bend or
  213. 9:53break sharp
  214. 9:55objects personal protective equipment
  215. 9:58consider
  216. 10:01erations personal protective equipment
  217. 10:04remember engineering and work practice
  218. 10:06control should be the first line of
  219. 10:08defense in keeping workers safe when
  220. 10:11occupational exposure remains after
  221. 10:13engineering and work practice controls
  222. 10:16are put into place personal protective
  223. 10:18equipment PP must be used be sure to go
  224. 10:22over all of the personal protective
  225. 10:23equipment including how to use it when
  226. 10:26to use it and how to access it
  227. 10:30personal protective equipment PPE the
  228. 10:33employer shall ensure that the employee
  229. 10:35uses appropriate personal protective
  230. 10:37equipment all personal protective
  231. 10:39equipment should be removed prior to
  232. 10:41leaving the work area when personal
  233. 10:44protective equipment is removed it shall
  234. 10:46be placed in an appropriately designated
  235. 10:48area or container for storage washing
  236. 10:51decontamination or
  237. 10:54disposal specialized clothing or
  238. 10:57equipment worn by an employee for
  239. 10:59protection against infectious materials
  240. 11:02gloves gs/ safety garments boots face
  241. 11:07Shields eye protection SL Googles
  242. 11:11mouthpieces and resuscitation devices
  243. 11:14mouthpieces and resuscitation devices
  244. 11:16must be supplied where employees are
  245. 11:18expected to perform CPR as an assigned
  246. 11:22Duty gowns aprons ampers and other
  247. 11:26protected body clothing the requirements
  248. 11:28for the use of personal protected body
  249. 11:30clothing and the degree to which it must
  250. 11:32resist penetration are performance-based
  251. 11:35the employer must evaluate the task and
  252. 11:38type of exposure expected and based on
  253. 11:41the determination select the appropriate
  254. 11:43PPE masks and combination with eye
  255. 11:46protection devices such as goggles or
  256. 11:48glasses with solid side shields or chin
  257. 11:51length face Shields shall be worn
  258. 11:53whenever splashes spray spatter or
  259. 11:56droplets of blood or a pin may be
  260. 11:58generated
  261. 12:01personal protective equipment gowns
  262. 12:04aprons ampers and other protective body
  263. 12:07clothing small splashes spatters and
  264. 12:10sprays of blood or a pin will usually be
  265. 12:13stopped by a cotton garment larger
  266. 12:15occurrences creating a potential for
  267. 12:17soak through would require a garment of
  268. 12:19impervious construction the street
  269. 12:22clothes must be protected from
  270. 12:24contamination long sleeve garments shall
  271. 12:27be used for procedures in which blood or
  272. 12:29Pim exposure to the forearms is
  273. 12:31reasonably
  274. 12:33anticipated gloving put glove on clean
  275. 12:37hand remove by grasping outside at wrist
  276. 12:40pull inside out with ungloved hand grasp
  277. 12:43on inside of the wrist and pull inside
  278. 12:45out over hand gloves shall be worn when
  279. 12:48it can be reasonably anticipated that
  280. 12:50the employee may have hand contact with
  281. 12:53blood hand contact with a pin hand
  282. 12:57contact with mucous membranes hand
  283. 13:00contact with non- intact skin perform
  284. 13:02vascular access procedures handle or
  285. 13:05touch contaminated items or
  286. 13:09surfaces PPE maintenance utility gloves
  287. 13:13may be decontaminated for reuse if the
  288. 13:15Integrity of the glove is not
  289. 13:18compromised however they must be
  290. 13:20discarded if they are cracked peeling
  291. 13:22torn punctured or exhibit other signs of
  292. 13:25deterioration or when their ability to
  293. 13:27function as a barrier is
  294. 13:29compromised all personal protective
  295. 13:32equipment must be carefully checked
  296. 13:33before use to ensure that it is in good
  297. 13:36condition PPE may not be used if damaged
  298. 13:39Beyond repair PPE must be properly
  299. 13:42cleaned laundered repaired and disposed
  300. 13:46of at no cost the employee PP must be
  301. 13:49removed when leaving the area or upon
  302. 13:53contamination housekeeping proper
  303. 13:56cleanup is the best way to prevent
  304. 13:58contamination
  305. 14:01housekeeping procedures the employer
  306. 14:04must determine and Implement an
  307. 14:05appropriate written schedule for
  308. 14:07cleaning and method of decontamination
  309. 14:10based upon location within the facility
  310. 14:13type of surface to be cleaned type of
  311. 14:16soil present task or procedure being
  312. 14:19performed the term work site refers not
  313. 14:22only to permanent fixed facilities such
  314. 14:25as hospitals offices Etc but also
  315. 14:28include temporary non-fixed workspaces
  316. 14:30such as mobile offices ambulances
  317. 14:35Etc housekeeping effective use of
  318. 14:38disinfectants is an important factor in
  319. 14:41preventing Health Care Associated
  320. 14:43infections justification for using a
  321. 14:46disinfectant needed for surfaces
  322. 14:48contaminated by blood or a pin
  323. 14:50disinfectants are more effective and
  324. 14:53reducing microbial load detergents
  325. 14:55become contaminated and result in
  326. 14:57seating the patient envir environment
  327. 14:59with bacteria surfaces May contribute to
  328. 15:02transmission of epidemiological microbes
  329. 15:05for example ver MRSA
  330. 15:10cysa housekeeping disinfection
  331. 15:13meticulous disinfection and hand washing
  332. 15:15will prevent transmission work surfaces
  333. 15:18must be decontaminated with an
  334. 15:20appropriate disinfectant after
  335. 15:22completion of a task or procedure when
  336. 15:25surfaces are contaminated at the end of
  337. 15:28the workshift
  338. 15:31who washes hands more after using toilet
  339. 15:35women
  340. 15:3674% men
  341. 15:3861% New York City 60% Chicago
  342. 15:4278% New Orleans dashed
  343. 15:4569% Atlanta Braves game women
  344. 15:4989% men
  345. 15:5346% housekeeping disinfection in the US
  346. 15:57to comply with OSHA's rule on blood
  347. 15:59borin pathogens a blood spill must be
  348. 16:01cleaned using a disinfectant blood
  349. 16:04should be disinfected using an EPA
  350. 16:06register disinfectant a disinfectant
  351. 16:09with a hbv slhv claim or a solution of
  352. 16:12Bleach between 110 and 1 100 with water
  353. 16:16the list of EPA registered products are
  354. 16:19available from the national
  355. 16:20antimicrobial Information
  356. 16:23Network housekeeping protective
  357. 16:26coverings used to cover equipment and
  358. 16:28environmental surfaces shall be removed
  359. 16:30and replaced as soon as feasible when
  360. 16:32they become contaminated or at the end
  361. 16:34of the workshift bends pales cans and
  362. 16:38similar receptacles intended for reuse
  363. 16:41which of a reasonable likelihood for
  364. 16:42becoming contaminated with blood or a
  365. 16:44Pim shall be inspected and
  366. 16:46decontaminated on a regularly scheduled
  367. 16:48basis and as soon as feasible upon
  368. 16:51visible
  369. 16:52contamination standard microbiological
  370. 16:54practices or regulated waste shall
  371. 16:56either be incinerated or decontam
  372. 16:59minated by a method such as autoclaving
  373. 17:01known to effectively destroy bloodborne
  374. 17:05pathogens warning signs and
  375. 17:09labels warnings containers of regulated
  376. 17:12waste refrigerators and freezers
  377. 17:15containing blood or a Pim other
  378. 17:17containers used to store transport or
  379. 17:20ship blood or a Pim contaminated
  380. 17:22equipment prior to shipping these labels
  381. 17:25shall be fluorescent orange or orange
  382. 17:27red or predominant ly so with lettering
  383. 17:30and symbols in a contrasting color red
  384. 17:33bags or containers may be substituted
  385. 17:35for labels labels shall be affixed as
  386. 17:38close as feasible to The Container by
  387. 17:40string wire adhesive or other method
  388. 17:43that prevents their loss or
  389. 17:44unintentional removal the standard
  390. 17:47requires that warning labels be attached
  391. 17:51to signs when other potentially
  392. 17:54infectious materials or infected animals
  393. 17:57are present in the work area a hazard
  394. 17:59warning sign incorporating the universal
  395. 18:01biohazard symbol shall be posted on all
  396. 18:04access doors the employer shall post
  397. 18:07signs at the entrance to work areas
  398. 18:09which shall bear the following Legend
  399. 18:11name of the Infectious agent special
  400. 18:14requirements for entering the area name
  401. 18:17telephone number of the laboratory
  402. 18:19director or other responsible person
  403. 18:22these signs shall be fluorescent orang r
  404. 18:25or predominantly so with lettering and
  405. 18:27symbols in a contrasting
  406. 18:30color laundry procedures when a facility
  407. 18:33uses universal precautions in the
  408. 18:35handling of all soiled laundry
  409. 18:37alternative labeling or color coding is
  410. 18:40sufficient if it permits all employees
  411. 18:42to recognize that the containers require
  412. 18:44handling in compliance with universal
  413. 18:47precautions handle contaminated laundry
  414. 18:50as little as possible and use PPE
  415. 18:53laundry must be bagged or containerized
  416. 18:55at the location where it is used laundry
  417. 18:58must be placed and transported in
  418. 19:00labeled or colorcoded
  419. 19:03containers exposure
  420. 19:06procedure exposure procedure bloodborne
  421. 19:10pathogen exposure control training log
  422. 19:13exposure incident report form post
  423. 19:16exposure evaluation by Health provider
  424. 19:18form post exposure referral to health
  425. 19:21provider form hepatitis B vaccine
  426. 19:24declination mandatory Sharps injury log
  427. 19:30exposure
  428. 19:31procedure at a minimum the log must
  429. 19:34contain for each incident type and brand
  430. 19:37of device involved department or area of
  431. 19:40incident description of incident Sharps
  432. 19:43injury
  433. 19:45log disease
  434. 19:48prevention medical recordkeeping
  435. 19:51requirements employees name and social
  436. 19:54security number employees Hepatitis B
  437. 19:57vaccination status
  438. 19:59results of examinations medical testing
  439. 20:02and post exposure evaluation and
  440. 20:04follow-up procedures Healthcare
  441. 20:07professionals written opinion
  442. 20:09information provided to the healthc care
  443. 20:11professional employee medical records
  444. 20:13must be kept confidential and not
  445. 20:15disclosed or reported without the
  446. 20:17employees written consent unless
  447. 20:19required by law medical records must be
  448. 20:23maintained for duration of employment
  449. 20:25plus 30 years according to OSHA's rule
  450. 20:27governing access to employee exposure
  451. 20:29and medical
  452. 20:32records Hepatitis B vaccination
  453. 20:34requirements the city must make
  454. 20:36available free of charge at a reasonable
  455. 20:39time and place to all employees at risk
  456. 20:42of exposure within 10 working days of
  457. 20:44initial assignment unless employee has
  458. 20:47had a vaccination antibody testing
  459. 20:49reveals immunity the vaccination must be
  460. 20:52performed by a licensed health care
  461. 20:55professional vaccine must be provided
  462. 20:57even if the employee initially declines
  463. 21:00but later decides to accept the
  464. 21:04vaccination Hepatitis B vaccination
  465. 21:06requirements employees who decline the
  466. 21:09vaccination must sign a declination form
  467. 21:12employees are not required to
  468. 21:14participate in an antibody
  469. 21:16PC n g program to receive vaccination
  470. 21:20series vaccination booster doses must be
  471. 21:23provided if recommended by the US public
  472. 21:25health service contact your supervisor
  473. 21:28if you need to schedule the hepatitis B
  474. 21:33vaccine Hepatitis B vaccination the
  475. 21:36Center for Disease Control states that
  476. 21:39employees who have ongoing contact with
  477. 21:41patients blood or other aim and are at
  478. 21:43ongoing risk for injuries taking place
  479. 21:45through the skin via sharp instruments
  480. 21:48i. e do needle sticks be tested for
  481. 21:50antibodies to Hepatitis B surface
  482. 21:53antigens this testing needs to be done
  483. 21:56within 1 to two months after completion
  484. 21:58of the three- dose vaccination series
  485. 22:01employees who do not respond to the
  486. 22:03primary vaccination series must be
  487. 22:05revaccinated with a second three dose
  488. 22:07vaccine series and retested
  489. 22:10nonresponders must be medically
  490. 22:14evaluated Hepatitis B the employer's
  491. 22:17exposure control plan specifically
  492. 22:19addresses the provision of the hepatitis
  493. 22:21B vaccine to all unvaccinated first aid
  494. 22:23providers who assisted in any situation
  495. 22:26involving the presence of blood or a pin
  496. 22:28this provision is regardless of whether
  497. 22:30an actual exposure incident has occurred
  498. 22:33the post exposure evaluation and the
  499. 22:36follow up for those employees who
  500. 22:38experience an exposure incident
  501. 22:42include Hepatitis B A provision for a
  502. 22:45reporting procedure that ensures all
  503. 22:46first aid incidents involving blood or a
  504. 22:49pin are reported to the employer the
  505. 22:52report must include the names of first
  506. 22:54aid providers and a description of the
  507. 22:56incident including time and place
  508. 22:59B provision for the bloodborne pathogens
  509. 23:01training program for designated first
  510. 23:03aid providers to include the specifics
  511. 23:05of the reporting procedure C provision
  512. 23:09for the full Hepatitis B vaccination
  513. 23:11series to be made available as soon as
  514. 23:13possible but in no event later than 24
  515. 23:16hours to all unvaccinated first aid
  516. 23:18providers who have rendered assistance
  517. 23:20in any situation involving blood
  518. 23:24orapin Hepatitis B hbv occurs when the
  519. 23:28the hbv virus enters the body multiplies
  520. 23:31in the blood and infects the liver can
  521. 23:34result in mild illness or permanent
  522. 23:36liver damage most individuals recover
  523. 23:39death does occur in rare cases due to
  524. 23:42liver failure Hepatitis B is the cause
  525. 23:44of up to 80% of liver
  526. 23:48cancer how hepatitis is spread infected
  527. 23:52person to uninfected person through
  528. 23:54sexual intercourse IV drug users that
  529. 23:57share needles tattooing with
  530. 23:59unspecialized equipment hbv hcv infected
  531. 24:04mothers passing virus to their unborn
  532. 24:06child hbv hcv infected mothers passing
  533. 24:10the virus in breast milk blood to blood
  534. 24:13transmission through blood transfusion
  535. 24:16breaks in skin or through mucous
  536. 24:20membranes Hepatitis B can survive on
  537. 24:23surfaces dried in a room temperature for
  538. 24:25at least a week vaccination is available
  539. 24:29symptoms yellow eyes and skin jaundice
  540. 24:32abdominal pain and swelling fever and
  541. 24:35vomiting skin
  542. 24:38rash hepatitis C serious sometimes fatal
  543. 24:42disease that affects the liver not as
  544. 24:44infectious as Hepatitis B but more
  545. 24:47common vaccination is not available
  546. 24:51symptoms yellow eyes and skin jaundice
  547. 24:54sore muscles headache abdominal pain
  548. 24:59nausea dark urine weight loss
  549. 25:04fatigue how HIV infection is spread
  550. 25:08infected person to uninfected person
  551. 25:10during unprotected sexual intercourse
  552. 25:13infected intervenous drug users when
  553. 25:16they share needles and syringes
  554. 25:17contaminated with blood women infected
  555. 25:20with HIV can pass the virus to their
  556. 25:22unborn child as the virus can be
  557. 25:25transmitted through breastfeeding
  558. 25:27breastfeeding is not not recommended to
  559. 25:29infants of infected mothers blood to
  560. 25:32blood transmission when the infected
  561. 25:34blood enters the bloodstream by blood
  562. 25:36transfusion breaks in the skin mucus or
  563. 25:39needle
  564. 25:41sticks AIDS reduces the body's ability
  565. 25:45to fight off normal diseases transmitted
  566. 25:48mainly through sexual contact and
  567. 25:50contaminated needles can be spread by
  568. 25:53contact with infected blood and body
  569. 25:55fluids it cannot be transmitted by touch
  570. 25:58HIV which causes AIDS is very fragile
  571. 26:02and survives only a short time outside
  572. 26:04the human body symptoms include fever
  573. 26:08swollen glands diarrhea abdominal cramps
  574. 26:12Extreme Weight Loss skin rash or
  575. 26:17lesions pose
  576. 26:20exposure what to do if an exposure
  577. 26:22occurs promptly wash or flush the
  578. 26:25affected area dgate eyes with water or
  579. 26:29report the exposure to your supervisor
  580. 26:32get medical attention from a health care
  581. 26:34professional serious exposures will
  582. 26:36require the initiation of drug therapies
  583. 26:39that are believed to be most effective
  584. 26:41when given within a few hours of the
  585. 26:42exposure treatment should begin as soon
  586. 26:45as possible after exposure within 24
  587. 26:48hours the Center for Disease Control
  588. 26:51currently recommends treatment within 2
  589. 26:53hours of exposure I've been
  590. 26:56stuck what did do in case of a spill or
  591. 26:59accident that results in an exposure
  592. 27:02report event immediately to your
  593. 27:04supervisor laboratory director or other
  594. 27:06responsible person all spills shall be
  595. 27:09immediately contained and cleaned up by
  596. 27:11an appropriate professional staff or
  597. 27:13others properly trained and equipped to
  598. 27:15work with potentially infectious
  599. 27:17materials proper PPE must be used
  600. 27:20equipment and tools must be cleaned and
  601. 27:23decontaminated before servicing or being
  602. 27:25put back in use use a solution of 1/4
  603. 27:28cup of bleach per 1 gallon of water
  604. 27:31cover spill with paper towels or Rags
  605. 27:34then gently pour bleach solution over
  606. 27:36towels SL Rags avoid splashing and leave
  607. 27:39for at least 10 minutes wash exposed
  608. 27:42area with EP a proved
  609. 27:46disinfectant post exposure followup
  610. 27:49document roots of exposure and how
  611. 27:51exposure occurred record injuries from
  612. 27:54contaminated sharps and the sharps
  613. 27:56injury log a obtain consent from The
  614. 27:59Source individual and the exposed
  615. 28:01employee and test blood as soon as
  616. 28:03possible after the exposure
  617. 28:06incident post exposure followup provide
  618. 28:10risk counseling and offer post exposure
  619. 28:12protective treatment for disease when
  620. 28:15medically indicated in accordance with
  621. 28:16current US Public Health Service
  622. 28:19guidelines provide written opinion of
  623. 28:21findings to employer and copy to
  624. 28:23employee within 15 days of the
  625. 28:25evaluation
  626. 28:28employer
  627. 28:29responsibilities employees are required
  628. 28:32to do the following under
  629. 28:34oosha employer
  630. 28:37responsibilities each employer shall
  631. 28:39ensure that a copy of the exposure
  632. 28:41control plan is accessible to all
  633. 28:43employees the exposure control plan
  634. 28:46shall be made available to the assistant
  635. 28:48secretary and the director upon request
  636. 28:50for examination and copying a key
  637. 28:53element of the exposure control plan is
  638. 28:55the exposure determination and the
  639. 28:58exposure determination the employer is
  640. 29:00required to identify and document job
  641. 29:03classifications where occupational
  642. 29:05exposure to blood in a pin can occur
  643. 29:07this determination shall be made without
  644. 29:10regard to using personal protective
  645. 29:14equipment employer
  646. 29:16responsibilities include training
  647. 29:19employees initially and through annual
  648. 29:21updates implementing a written plan
  649. 29:24enforcing good work practices following
  650. 29:27un IAL precautions proper disinfecting
  651. 29:31practices and waste disposal controlling
  652. 29:34exposures through the use of needle
  653. 29:36buckets bias safety cabinets needleless
  654. 29:39IV systems and self sheathing needles
  655. 29:42providing personal protective equipment
  656. 29:45PPE identifying hazards by proper
  657. 29:48labeling including incubators freezers
  658. 29:51and
  659. 29:52centrifuges must employ and go over Good
  660. 29:55Housekeeping employers shall provide
  661. 29:57hand and washing facilities which are
  662. 29:59readily accessible to employees
  663. 30:02employers shall ensure that employees
  664. 30:04wash hands and any other skin with soap
  665. 30:06and water or flush mucous membranes with
  666. 30:09water immediately or as soon as feasible
  667. 30:11following contact with blood or other
  668. 30:13potentially infectious
  669. 30:16materials employer
  670. 30:19responsibilities training requirements
  671. 30:22provide at no cost to employees during
  672. 30:24working hours provide the time of
  673. 30:27initial assignment to a job with
  674. 30:28occupational exposure and at least
  675. 30:31annually thereafter annual training for
  676. 30:33all employees shall be provided within
  677. 30:35one year of their previous training
  678. 30:38additional training needed when existing
  679. 30:40tasks are modified or new tasks are
  680. 30:42required which affect the workers's
  681. 30:44occupational exposure maintain training
  682. 30:47records for 3
  683. 30:50years training employers and employees
  684. 30:53have
  685. 30:56responsibilities training
  686. 30:58material appropriate in content and
  687. 31:00vocabulary to educational level literacy
  688. 31:03and language of employees shall be used
  689. 31:06training shall be provided as follows
  690. 31:09the employer shall assure that employees
  691. 31:11demonstrate proficiency and standard
  692. 31:14microbiological practices and techniques
  693. 31:16and in the practices and operations
  694. 31:18specific to the facility before being
  695. 31:20allowed to work with HIV or hbv the
  696. 31:24employer shall assure that employees
  697. 31:26have prior experience in the handling of
  698. 31:28human pathogens or tissue cultures
  699. 31:30before working with HIV or
  700. 31:34hbv training program elements a an
  701. 31:37accessible copy of the standard and
  702. 31:39explanation of its content b a general
  703. 31:43explanation of the epidemiology and
  704. 31:45symptoms of bloodborne diseases C an
  705. 31:48explanation of the modes of transmission
  706. 31:50of bloodborne pathogens D an explanation
  707. 31:54of the employer's written exposure
  708. 31:56control plan and how employees can
  709. 31:58obtain a copy e an explanation of the
  710. 32:02appropriate methods for recognizing
  711. 32:04tasks and other activities that may
  712. 32:06involve exposure to blood or a
  713. 32:09him training program elements F an
  714. 32:12explanation of the use and limitations
  715. 32:14of methods that will prevent or reduce
  716. 32:16exposure including appropriate
  717. 32:18engineering controls work practices and
  718. 32:21PP G information on the types proper use
  719. 32:26location removal handling
  720. 32:29decontamination and disposal of PPE H
  721. 32:32and explanation of the basis for
  722. 32:34selection of PPE I information on the
  723. 32:38hepatitis B vaccine including
  724. 32:40information on its efficiency safety
  725. 32:43methods of administration the benefits
  726. 32:45of being vaccinated and that the vaccine
  727. 32:47and vaccination will be offered free of
  728. 32:51charge training program elements J
  729. 32:55information on the appropriate actions
  730. 32:57to takeen persons to contact in an
  731. 32:59emergency involving blood or a him K an
  732. 33:02explanation of the procedure to follow
  733. 33:04if an exposure incident occurs including
  734. 33:07the method of reporting the incident and
  735. 33:09the medical followup that would be made
  736. 33:11available L information on the post
  737. 33:14exposure evaluation and followup that
  738. 33:17the employer is required to provide for
  739. 33:19the employee experiencing an exposure
  740. 33:21incident M an explanation of the signs
  741. 33:24and labels and R color coding required
  742. 33:27and used in the facility and an
  743. 33:29opportunity for interactive questions
  744. 33:31and answers with the person conducting
  745. 33:33the training
  746. 33:35session training the person conducting
  747. 33:38the training shall be knowledgeable and
  748. 33:40the subject matter covered in the
  749. 33:42training program training solely by
  750. 33:44means of a film or video without the
  751. 33:47opportunity for a discussion period
  752. 33:49would not be acceptable generic films
  753. 33:52videos or computer programs even an
  754. 33:55interactive one is not considered a
  755. 33:57appropriate unless the employer
  756. 33:59supplements such training with the site
  757. 34:01specific information required trainees
  758. 34:04must have direct access to a qualified
  759. 34:06trainer during their
  760. 34:09training employee
  761. 34:11responsibilities you are responsible for
  762. 34:13your training to avoid contaminating
  763. 34:15yourself and
  764. 34:18others employee
  765. 34:20responsibilities attend training comply
  766. 34:23with and enforce the exposure control
  767. 34:25plan be sure to know proper procedures
  768. 34:28and contacts in case of an exposure
  769. 34:31segregate medical waste properly be sure
  770. 34:34to know facilities labeling codes
  771. 34:37properly select wear remove and dispose
  772. 34:40of personal protective equipment
  773. 34:44PP
  774. 34:47summary summary os's bloodborne pathogen
  775. 34:51standard prescribes safeguards to
  776. 34:53protect you against the health hazards
  777. 34:54from exposure to blood and other
  778. 34:56potentially infect ious materials and to
  779. 34:59reduce your risk from this exposure
  780. 35:01implementation of this standard not only
  781. 35:04will prevent hepatitis B cases but also
  782. 35:07will significantly reduce the risk of
  783. 35:09workers Contracting AIDS hepatitis C or
  784. 35:12other bloodborne diseases the best
  785. 35:14precaution against contamination is to
  786. 35:17have Safeguard work practices in place
  787. 35:19to eliminate the exposure to the hazard
  788. 35:22when that is not possible then the use
  789. 35:24of PPE is absolutely necessary
  790. 35:28more information the safety emergency
  791. 35:31management office 623 773
  792. 35:367679 OSHA website at www.osha.gov

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