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Questions and Answers
Explain how the OSHA Bloodborne Pathogens Standard aims to protect employees in the workplace.
Explain how the OSHA Bloodborne Pathogens Standard aims to protect employees in the workplace.
It mandates training, engineering controls, work practice controls, PPE use, and establishes procedures for exposure incidents to minimize risks.
Describe the difference between engineering controls and work practice controls in preventing exposure to bloodborne pathogens, providing specific examples of each.
Describe the difference between engineering controls and work practice controls in preventing exposure to bloodborne pathogens, providing specific examples of each.
Engineering controls are physical items like sharps containers, while work practice controls are safe behaviors, such as proper hand hygiene.
If an employee experiences a needlestick injury, outline the immediate steps they should take and the subsequent actions required by their employer according to OSHA guidelines.
If an employee experiences a needlestick injury, outline the immediate steps they should take and the subsequent actions required by their employer according to OSHA guidelines.
Employee washes the area, seeks medical attention and reports to supervisor. Employer documents the source, offers testing, and arranges medical care.
Differentiate between high-risk and low-risk body fluids in the context of bloodborne pathogen transmission, providing examples of each and explaining why the distinction is important.
Differentiate between high-risk and low-risk body fluids in the context of bloodborne pathogen transmission, providing examples of each and explaining why the distinction is important.
Explain why an individual could still be contagious even if they are not showing symptoms of HIV.
Explain why an individual could still be contagious even if they are not showing symptoms of HIV.
You splashed blood into your eyes and you do not know the bloods origin. What is the immediate action that you should take? What is the next action? Explain.
You splashed blood into your eyes and you do not know the bloods origin. What is the immediate action that you should take? What is the next action? Explain.
Describe the standard precautions that should be observed when handling all blood and body fluids, and explain why these precautions are necessary in healthcare settings.
Describe the standard precautions that should be observed when handling all blood and body fluids, and explain why these precautions are necessary in healthcare settings.
Discuss the significance of annual bloodborne pathogen training for employees, and outline the key topics that should be covered during these training sessions.
Discuss the significance of annual bloodborne pathogen training for employees, and outline the key topics that should be covered during these training sessions.
Explain how a 'titer' is used to determine immunity to Hepatitis B, and then describe the steps someone should take if they are not immune after completing the vaccine series.
Explain how a 'titer' is used to determine immunity to Hepatitis B, and then describe the steps someone should take if they are not immune after completing the vaccine series.
In the context of TB prevention, discuss the role of work practice controls such as using HEPA filters and negative-pressure rooms, and explain how they help to minimize the risk of transmission.
In the context of TB prevention, discuss the role of work practice controls such as using HEPA filters and negative-pressure rooms, and explain how they help to minimize the risk of transmission.
How would you differentiate between HIV and AIDS? Explain the relationship between the two.
How would you differentiate between HIV and AIDS? Explain the relationship between the two.
Describe the purpose of Pre-Exposure Prophylaxis (PrEP), and identify the populations who might benefit from receiving it.
Describe the purpose of Pre-Exposure Prophylaxis (PrEP), and identify the populations who might benefit from receiving it.
Explain why there are requirements for regular TB testing for healthcare workers, even though TB primarily affects the lungs.
Explain why there are requirements for regular TB testing for healthcare workers, even though TB primarily affects the lungs.
Outline the information that an employee must document following an exposure incident to blood or OPIM according to OSHA guidelines.
Outline the information that an employee must document following an exposure incident to blood or OPIM according to OSHA guidelines.
Name some symptoms common among Hepatitis infections and then explain why not all
Name some symptoms common among Hepatitis infections and then explain why not all
Describe the key components that must be included in an Exposure Control Plan to meet the requirements of the OSHA Bloodborne Pathogens Standard.
Describe the key components that must be included in an Exposure Control Plan to meet the requirements of the OSHA Bloodborne Pathogens Standard.
You're creating your company's Exposure Control Plan. What are some key things you should include? How often should it be reviewed?
You're creating your company's Exposure Control Plan. What are some key things you should include? How often should it be reviewed?
Why is it important to know if organisms were present during a blood/OPIM exposure? What other exposure factors are important to consider?
Why is it important to know if organisms were present during a blood/OPIM exposure? What other exposure factors are important to consider?
Explain why HBV has a vaccine, yet HIV does not. What makes it difficult to make a vaccine for HIV?
Explain why HBV has a vaccine, yet HIV does not. What makes it difficult to make a vaccine for HIV?
A patient states they were vaccinated against HBV at birth, and they want to decline further measures. What test can you perform to prove they are immune?
A patient states they were vaccinated against HBV at birth, and they want to decline further measures. What test can you perform to prove they are immune?
If an employee is exposed to a bloodborne pathogen, what are the employer's responsibilities regarding testing and medical care?
If an employee is exposed to a bloodborne pathogen, what are the employer's responsibilities regarding testing and medical care?
Describe the difference between standard precautions and transmission-based precautions in healthcare settings.
Describe the difference between standard precautions and transmission-based precautions in healthcare settings.
Explain why Hepatitis C is more likely to become chronic compared to Hepatitis B and briefly outline a reason why
Explain why Hepatitis C is more likely to become chronic compared to Hepatitis B and briefly outline a reason why
How is Tuberculosis (TB) spread and name one work practice control to decrease the risk of transmission?
How is Tuberculosis (TB) spread and name one work practice control to decrease the risk of transmission?
Can employers charge employees for PPEs needed on the job? Explain.
Can employers charge employees for PPEs needed on the job? Explain.
Flashcards
Bloodborne Pathogens (BBPs)
Bloodborne Pathogens (BBPs)
Infectious microorganisms, such as viruses, bacteria, or parasites, present in blood and high-risk body fluids.
How BBPs are transmitted?
How BBPs are transmitted?
Exposure to infected blood or Other Potentially Infectious Materials (OPIM).
OSHA
OSHA
Occupational Safety and Health Administration.
Who OSHA Protects?
Who OSHA Protects?
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Who needs BBP training?
Who needs BBP training?
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Frequency of BBP training?
Frequency of BBP training?
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3 Common Bloodborne Pathogens
3 Common Bloodborne Pathogens
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OSHA BBP Standard Components
OSHA BBP Standard Components
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Tissues at risk (BBP)
Tissues at risk (BBP)
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OPIM
OPIM
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Examples of OPIM
Examples of OPIM
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Non-intact skin
Non-intact skin
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Exposed mucous membranes
Exposed mucous membranes
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Actions after exposure
Actions after exposure
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Documentation after exposure
Documentation after exposure
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Employer's actions after exposure
Employer's actions after exposure
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Exposure Risk Factors (BBP)
Exposure Risk Factors (BBP)
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Hepatitis
Hepatitis
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HBV Vaccine Cost
HBV Vaccine Cost
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How HCV is transferred vocationally
How HCV is transferred vocationally
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HIV
HIV
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PrEP
PrEP
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Standard Precautions
Standard Precautions
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Engineering Controls
Engineering Controls
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PPE Examples
PPE Examples
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Study Notes
- Infectious microorganisms, like viruses, bacteria, and parasites, in a patient's blood and other high-risk bodily fluids are bloodborne pathogens (BBPs).
Transmission of Bloodborne Pathogens
- Exposure to infected blood and other potentially infectious materials (OPIM) causes transmission.
OSHA
- OSHA stands for Occupational Safety and Health Administration.
- OSHA protects employees.
- All healthcare workers and anyone required to administer first aid as part of their job, or those with potential contact with blood or bodily fluids must complete Bloodborne Pathogens Standard Training.
- Training on bloodborne pathogens must be given to employees every year.
Common Bloodborne Pathogens
- The three most common bloodborne pathogens are:
- HBV (Hepatitis B virus)
- HCV (Hepatitis C virus)
- HIV (human immunodeficiency virus)
OSHA Bloodborne Pathogens Standard Components
- Recognizing bloodborne pathogen infections
- How BBP infections are transmitted
- Prevention of exposures
- Steps to take in case of exposure
Occupational Exposure
- Mucous membranes (MM) and non-intact skin are the two types of tissue at risk when employees come into contact with blood or OPIM.
- OPIM stands for Other Potentially Infectious Material.
Examples of OPIM (High-Risk Body Fluids)
- Amniotic fluid
- Vaginal secretions
- Peritoneal fluid
- Semen
- Pericardial fluid
- Cerebral spinal fluid
- Tissue fluid
- Pleural fluid
- Synovial fluid
- Saliva in dental procedures
- Any fluid visible with blood
- Any fluid where it is impossible to tell if there is blood
Additional Substances Possibly Carrying BBPs (Low-Risk)
- Urine
- Feces
- Nasal secretions
- Sputum
- Vomit
- Breastmilk
- Saliva (other than dental procedures)
Examples of Non-Intact Skin
- Lacerations
- Incisions
- Abrasions
- Rashes
- Burns
- Hangnails
- Punctures
- Cracks in skin
Exposed Mucous Membrane (MM) Facial Areas
- Eyes
- Nose
- Mouth
Actions After Exposure
- Immediately wash the affected area with antimicrobial soap if skin contact occurs.
- Flush eyes, nose, or mouth immediately with lots of water or saline for 15-20 minutes.
- Seek treatment immediately at the Emergency Department or Employee Health Department and inform the supervisor as soon as possible after initial flushing/washing.
Employee Documentation
- Date and time of exposure
- Engineering controls and PPE used
- Job classification
- Procedure being performed
- Work site location
- Training for the activity
- Work practices being followed
Employer Actions Following Exposure
- Identify and document source of exposure.
- Get consent and have source individual tested for HBV, HCV, HIV (if possible).
- Have employee tested for BBPs and arrange medical care (immediate and future).
Exposure Factors Determining Infection Risk
- Presence of any organisms
- Extent of organisms (viral load)
- Type of exposure (needlestick, MM splash)
- Health of employee, including immunity to Hepatitis B
Hepatitis
- Inflammation of the liver from a viral infection.
Common Hepatitis Symptoms
- Abdominal pain
- Fatigue
- Jaundice
- Nausea
- Light colored stools
- Lack of appetite
- Not all infected individuals are symptomatic; symptoms may take 4 weeks - 6 months to appear.
Hepatitis B Vaccination
- Employers must offer the vaccine for free.
- The series contains 3 shots.
- The first vaccine is usually given at birth.
- 98% will become immune after completing the series.
- A "titer" measures blood antibody levels to determine immunity to HepB.
- There is no cure for Hepatitis B, and those infected will continue to be contagious.
Hepatitis C
- Most common type of chronic hepatitis in the U.S.
- 10x less likely to be contracted in the workplace compared to Hep B.
- There is no vaccine for HCV.
- Occupationally transferred through needlesticks and MM exposure.
- 95% of those with chronic Hep C can now be cured with treatment.
- Hepatitis C is more likely to become chronic than Hepatitis B.
HIV
- HIV stands for human immunodeficiency virus, a viral infection that attacks the immune system.
- HIV can lie dormant for 10 years, and individuals remain contagious during this time.
Acute (Early) Symptoms of HIV
- Swollen lymph nodes
- Fatigue
- Nausea/vomiting/diarrhea
- Muscle joint pain
- Sore throat/mouth sores
- Headaches
- Skin rash
- Night sweats
- There is no vaccine or cure for HIV.
- PrEP (pre-exposure prophylaxis) is for high-risk individuals.
- Occupational exposures make up less than 1% of all HIV cases.
- AIDS stands for acquired immunodeficiency syndrome.
- AIDS is diagnosed in HIV+ patients when labs show extremely low CD4+ counts.
Prevention of Occupational Exposure
Standard Precautions
- Infection prevention practices applying to all patients and body fluids, regardless of suspected or confirmed infection status, in any healthcare setting (CDC Terminology).
Standard Precautions are Based on the Principle That
- All blood, body fluids, and secretions MAY contain transmissible infectious agents.
- Includes hand hygiene, use of PPEs, safe injection and resuscitation practices, care of equipment and laundry, and respiratory hygiene.
- Strategies prevent transmission of infectious agents not only to healthcare personnel but also to other patients and hospital visitors.
Engineering Controls
- Manufactured items used to isolate or remove a hazard and reduce risk of exposure (things employer buys or installs).
Examples of Engineering Controls
- Hand/eyewash stations
- Sharps containers
- Biohazard labels
- Safety devices on all needles
PPE
- Stands for personal protective equipment.
Examples of PPE
- Gloves
- Masks
- Face shields
- Eye protection
- Gowns
- Aprons
- Lab coats
- Hair/shoe covers
- Employers cannot charge employees for required PPE.
Work Practice Controls
- Behaviors that reduce the risk of exposure.
Examples of Work Practice Controls
- Handling sharps safely
- Using safety devices on sharps
- Performing proper hand hygiene
- Wearing PPE
- Removing soiled gloves properly
Exposure Control Plan
- A written document prepared by the employer to meet the provisions of the OSHA BBP standard.
Exposure Control Plan Must Include
- Identification of individuals who need BBP training.
- Establishment of engineering controls and work practice controls.
- Mandates the use of standard precautions.
- States PPE provided necessary for specific situations.
- Identifies what to do in the event of an exposure.
- Employers must create the plan for each facility.
- Employers must review the plan once a year.
Airborne Pathogens
- TB stands for tuberculosis.
- TB is a bacterial infection that attacks the lungs and other internal organs.
Symptoms of TB
- Coughing for 3+ weeks
- Coughing up blood
- Chest pain, pain with breathing/coughing
- Fatigue
- Fever
- Night sweats
- Chills
- Unintentional weight loss
- TB is spread through airborne droplets from coughing and sneezing.
Who is Regularly Tested for TB
- Healthcare workers
- Workers in homeless shelters
- Teachers
- Correctional officers
- Workers in rehab programs
Work Practice Controls Decreasing TB Transmission Risk
- Screening
- Using masks
- Using HEPA filters
- Using negative-pressure rooms
- Using respirators
- TB is tested for via PPD skin test or bloodwork.
- TB is treated with antibiotics.
- Treatment is not always effective.
- There is no vaccine for TB.
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