DoD Annual TrainingAnswer Key

Accidental Puncture By A Sharp Object Contaminated With A Pathogen.

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QUESTION 1

How are Bloodborne Pathogens & Infections Spread?

ANSWER

*Adequate # of pathogens, or disease causing organisms *Reservoir or source that allows the pathogen to survive or multiply (e.g., blood) *A mode of transmission from source -> host *An entrance through which the pathogen may enter the host *A susceptible host (i.e. one who is not immune)

QUESTION 2

What is a "Means of Transmission"?

ANSWER

When contaminated blood or body fluids enter the body of another person

QUESTION 3

What are the different means of transmission?

ANSWER

*Accidental puncture by a sharp object contaminated w/pathogen aka"Sharps": -needles -scalpels -broken glass -razor blades *Open cuts or skin abrasions in contact with contaminated blood or body fluids *Sexual contact *Indirect Transmission (person touches dried/caked on blood & then touches the eye, mouth, nose or an open cut)(HBV only)

QUESTION 4

How are Bloodborne Pathogens NOT transmitted?

ANSWER

*touching an infected person *thru coughing or sneezing *using same equipment, materials, toilets, water fountains, showers

QUESTION 5

How Do Pathogens Spread?

ANSWER

DIRECT CONTACT (when mircoorganisms are transferred from one infected person directly to another person) [ex: open cut] INDIRECT CONTACT (transfer of an infectious agent through a contaminated object or person)[ex: not washing hands btwn care] AIRBORNE TRANSMISSION (when droplets or small particles contain infectious agents that remain effective over time & distance in the air) [ex: TB]

QUESTION 6

How Are Bloodborne Pathogens Spread?

ANSWER

*Bodily fluids -Cerebrospinal fluid (Brain) -Synovial fluid (joints) -Pleural fluid (Lungs) -Amniotic fluid (Uterus) -Pericardial fluid (heart) -Peritoneal fluid (Abd) -Semen -Vaginal Secretions -Blood -ANY bodily fluids containing blood -Body fluids that can't be recognized -When a contaminated object touches inflamed skin, acne, or skin abrasion

QUESTION 7

Primary Mode of Transmission for Bloodborne Pathogens

ANSWER

*Sexual contact

QUESTION 8

How are Bloodborne Pathogens NOT spread?

ANSWER

*Normal intact skin *Casual contact (handshakes, hugging, sharing food, doorknobs, sneezing, toilet seats, swimming pools, etc.)

QUESTION 9

HIV

ANSWER

attacks your body's ability to protect itself against disease & it causes AIDS *1.1 M in US live w/HIV/AIDS *50K become infected w/HIV each yr. *14K ppl every yr. in US die from AIDS

QUESTION 10

How is HIV determined?

ANSWER

Blood test will determine the infection

QUESTION 11

How is HIV spread?

ANSWER

Primarily by sexual contact w/an infected person or sharing needles/syringes Babies may become infected before/during birth or thru breastfeeding

QUESTION 12

Hepatitis B

ANSWER

reproduces in the liver causing inflammation & possibly cirrhosis or liver cancer.

QUESTION 13

HBV

ANSWER

affects 1.25M ppl in US 70K ppl/yr become infected 5K die every yr. as a result of liver failure

QUESTION 14

Symptoms of HBV

ANSWER

-yellow skin (jaundice) -yellowing eyes -tiredness -loss of appetite, nausea -dark urine -clay-colored bowel movements -joint pain -abd discomfort *100x easier to catch than HIV *Can live outside of body for at least 7 days or longer

QUESTION 15

How is HBV primarily spread?

ANSWER

sexual contact w/infected person, sharing needles/syringes, infected mother to baby during birth sharps exposures on the job *NOT spread thru casual contact

QUESTION 16

Hepatitis C

ANSWER

reproduces in the liver causing inflammation & possibly cirrhosis or liver cancer.

QUESTION 17

How is HCV spread?

ANSWER

Illegal injection drug use Transfusion or transplant from infected donor Tattoos

QUESTION 18

Bloodborne Pathogens Exposure Control Plan

ANSWER

*various levels of risk of employees that may have occupational exposure *Trng requirements *Work Practice controls *Engineering controls (sharps disposal containers, self-sheathing needles, safer medical devices) *Procedure for an exposure incident

QUESTION 19

Use PPE to reduce your risk - Std. Precautions

ANSWER

*gloves, CPR shields, masks, gowns, eye protection *know where the PPE is at your workplace *Know what PPE is avail & how to use it *Make sure first-aid kits & emergency supplies include disposable gloves & CPR face shields or rescue masks

QUESTION 20

How to reduce your risk?

ANSWER

Do NOT eat, drink, smoke, apply cosmetics or handle contact lenses in areas where there is possibility of exposure to BBP When emptying out trash containers, DO NOT use your hands to compress the trash in bag. Lift and carry AWAY from your body. Follow your facilities procedures for handling laundry: Wear PPE Keep contaminated laundry separate from other laundry Bag potentially contaminated laundry where it is used Use leak-proof bags for wet laundry Transport in properly labeled bags

QUESTION 21

EXPOSURE INCIDENT

ANSWER

a specific mucous membrane, broken skin, or puncture contact w/blood or OPIM that results from the performance of an employee's duties

QUESTION 22

What to do if you think you've been exposed?

ANSWER

1-Decontaminate 2-Report to supervisor 3-Seek medical treatment 4-An immediate confidential medical evaluation & follow-up needs to be conducted by a physician 5-Complete forms ASAP after incident 6-Document what happened 7-Identify & test the source indiv. if feasible 8-test the exposed persons blood if consent is obtained 9-provide counseling 10-evaluate any reported illness

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