Red Cross Bloodborne Pathogens Test
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occupation safety and health administration
what is OSHA
In 1991 they developed the bloodborne pathogen standards. they demonstrate occupational safety with regard to occupation exposure to bloodborne pathogens
why is OSHA important?
any employee who has the opportunity to come in contact with blood or body fluids
who is covered under the standard?
annual classes/training
how often must employees have bloodborne pathogen training?
other potentially infectious material
OPIM
disease causing microorganisms that may be present in human blood. they may be transmitted with any exposure to blood or OPIM
bloodborne pathogens
hepatitis B virus (HBV) and Human immunodeficiency virus (HIV)
two most common and potentially lethal bloodborne pathogens
needle sticks, lacerations, or splash is classified as an injury since it is usually the result of an instantaneous event or exposure
what is an occupational exposure incident?
liver
what does hep b affect?
yes-via immunization
can hep b be prevented?
none or weakness, fatique, anorexia, nausea, abdominal pain, fever, headache, and jaundice
what are the symptoms of hep b?
yes-via blood test
can hep b be detected?
MERCK and Smith-Kline
who makes the hep b vaccine?
no
is the hep b vaccine always 100% effective?
infects the immune system T4 cells (makes them less likely to prevent disease)
Human Immunodeficiency virus (HIV)
AIDS
what does HIV cause?
night sweats, weight loss, fever, fatique, gland pain or swelling and joint pain
symptoms of HIv
within 3 months
when do antibodies become detectable
labeled-to that cross contamination is not possible
all regulated waste should be what?
discard
what do you do with contaminated sharps?
most have done away with these but if you need to reuse place them clearly in a marked bag or container for transport
what do you do with reusable sharps?
closable, puncture resistant, leak-proof, labeled and color coded
what are the 4 criteria a sharps container must meet?
engineering controls, work practice controls, personal protective equipment, universal precautions
what are the four prevention strategies?
structural or mechanical devices that the company provides (handwashing areas, sharps containers, biohazard labels, red bag trash)
what are engineering controls
behaviors used when using the engineering controls (using protective equipment such as sharps containers)
what are work practice controls
equipment provided by the employer at no cost to the employee(gloves, face masks, aprons, gowns, goggles, shields, lead aprons)
what is PPE
a set of precautions designed to prevent transmission of HIV, hep b and other bloodborne pathogens when providing first aid or healthcare. under standard precautions, blood and certain body fluids of all patients are considered potentially infectious for HIV, HBV and other bloodborne pathogens
standard precautions
practice of treating all body fluids as infections (muscus, urine, feces, and tears)(outdated practice)
body substance isolation
work practice controls are behaviors that take advantage of engineering controls
engineering and work practice controls
if blood and/or OPIM come in contact with mucous membranes, non-intact skin or by handling or touching contaminated items or surfaces. they can also be transmitted by skin puncture wounds or cuts from contaminated sharps
how are bloodborne pathogens transmitted?
atleast 1 week
how long can hep b survive in dried blood?
when a pathogen is transmitted directly from an infected individual to you
direct transmission
when an inanimate object serves as a temporary reservoir for the infectious agent
indirect transmission
when you are at work and you come in contact with blood or other OPIM
when do occupation exposure incidents happen?
injury
all needle stick, splashes, or cuts will be called a what under the OSHA guidelines?
STOP 1. clean the wound and seek treatment 2.document where and how the incident occurred 3. obtain testing for HIV and Hepatitis
what do you do if you become exposed?
the employer will have an occupation exposure plan in place for each employee
exposure control plan
no PPE was used
the exposure control plan assumes what?
treat it as it was infectious, and use something disposable like two pieces of cardboard to clean up the glass
upon entering a recently vacated patient room you notice broken glass and water on the floor what do you do?
immediately stop and clean up; must report!
while assisting during a procedure, blood is sprayed and droplets cover your face, you are wearing a gown and gloves what do you do?
bacteria and viruses that are present in blood and body fluids that can cause disease in humans
Bloodborne Pathogens (pg. 133)
a liver infection caused by the hepatitis B virus that can be severe or fatal. Symptoms include flu like symptoms, fatigue, abdominal pains. Treatment is the Hepatitis B Vaccination. Mode of Transmission: Direct and Indirect Contact (blood, semen, vomit, saliva)
Hepatitis B (pg. 133)
a liver disease caused by the hepatitis C virus that is the most common chronic bloodborne infection in the USA and is the leading cause of liver transplant. Symptoms include fatigue, abdominal pain, nausea, and vomiting. No vaccine is available for hepatitis C infections. Mode of Transmission: Direct and Indirect Contact (Blood, Saliva, Vomit, Semen)
Hepatitis C (pg. 133)
is the virus that causes AIDS. HIV weakens the immune system and attacks white blood cells limiting the body's ability to fight infection Mode of Transmission: Direct and Indirect Contact (Blood, Saliva, Vomit, Semen, Vaginal Fluid, Breast Milk)
HIV (pg. 133)
occurs when infected blood or body fluids from one person enters another person's body
Direct Contact Transmission (pg. 134)
occurs when a person touches an object that contains the blood or other body fluids of an infected person
Indirect Contact Transmission (pg. 134)
inhaling infection through persons cough or sneeze (examples can be malaria and West Nile virus)
Droplet and Vector-Borne Transmission (pg. 134)
Body Substance Isolation
BSI (pg. 136)
1. Personal Protective Equipment (PPE) 2. Good Hand Hygiene 3. Engineering Controls 4. Proper Equipment Cleaning 5. Spill Clean Up Procedures
Bloodborne Pathogen Standard Precautions (pg. 137)
1. Avoid contact with blood and other body fluids 2. Use CPR barriers when giving ventilations 3. Wear disposable Gloves
Guidelines for using PPE (pg. 137)
1. Do Not use gloves that are discolored, torn, or punctured 2. Do Not re-use gloves 3. Cover cuts, scrapes, or sores; Remove all jewelry 4. Avoid handling pens, combs, radios 4. Change gloves before providing care to different victims
Guidelines for using Rubber Gloves (pg. 137)
Determine if the scene is safe for you, other lifeguards, EMS personnel, the victim, and any bystanders 1. Check for hazards that could be dangerous to you and/or victim 2. Determine what caused injury or nature of illness 3. Determine the number of injured or ill victims 4. Put on appropriate PPE
Size Up The Scene (pg. 141)
1. Check Victim for responsiveness 2. Check breathing and pulse 3. Scan for severe bleeding
Primary Assessment
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