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BIOHAZARD SAFETY, EXPOSURE CONTROL & BLOODBORNE PATHOGENS

UNIVERSAL PRECAUTIONS
Is an approach to infection control in which all human blood and certain human body fluids are treated as if known to be infectious for HIV, HEPATITIS and other Bloodborne Pathogens

VISITORS/CUSTOMERS
Approved visitors are to avoid the working areas. Protective clothing or equipment may be required, depending on the nature and duration of the visit. Customers are not allowed in work areas Of the Plasma Center unless being processed for Plasmapheresis

SAFETY PRECAUTIONS IN WORK AND PERSONAL AREAS


The greatest risk of exposure to potentially contaminated body fluids exists in the Screening, Phlebotomy and Processing area of the plasma center, and in those areas where Contaminated waste is stored and handled.

WHERE WOULD THE LEAST RISK FOR EXPOSURE OCCUR ? HINT:


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SAFETY PRECAUTIONS IN WORK AND PERSONAL AREAS CONT.

THE FOLLOWING WAYS YOU COULD CARRY INFECTIOUS MATERIALS

1- GARMENTS 2- SKIN 3- UNWASHED HANDS 4- GLOVES(WHEN WORN OUT OF WORK AREAS) Secondary Contamination

CONT.
Washing with Soap and Water is the single most effective method of removing surface contamination from the skin! Hand washing or cleaning hands with a Sanitizing agent should be part of each glove change and should always be done after removing outer protective garments prior to leaving a work area

CONT.
TAKE APPROPRIATE PRECAUTIONS TO PROVIDE BARRIER PROTECTION FOR EMPLOYEES WHO MAY HAVE BROKEN SKIN. WHEN THE HANDS ARE INVOLVED, WEARING A BANDAGE OVER AN AFFECTED AREA, PLUS GLOVING OR DOUBLE GLOVING

PLEASE FOR YOUR PROTECTION


NO EATING,DRINKING,SMOKING, GUM CHEWING OR COSMETICS APPLICATIONS ARE ALLOWED

ALL EXPOSURES OCCURRING ON THE JOB MUST BE HANDLED AND COMPLETELY DOCUMENTED ON 6410-5 BIOHAZARD EXPOSURE

PROTECTIVE CLOTHING
LAB COATS WHEN PERFORMING PLASMA CENTER DUTIES, LAB COATS MUST BE KEPT BUTTONED AND SLEEVES MUST NOT BE ROLLED UP.

BE SURE THAT THE COATS ARE SIZED TO THE INDIVIDUAL PROPERLY

GLOVES

GLOVES ARE THE PRIMARY DEFENSE AGAINST THE EXPOSURE OF THE SKIN OF THE HANDS TO BODY FLUIDS.(NO PROTECTION AGAINST PENETRATING INJURIES) GLOVES ARE CONTAMINATED AS SOON AS THEY ARE WORN, EVEN IF NOT USED IN A PROCEDURE. AS SOON AS THE GLOVES ARE REMOVED, THEY MUST BE PLACED IN A BIOHAZARDOUS WASTE CONTAINER. ( NO REGULAR TRASH CAN)

THE HANDS SHOULD THEN BE WASHED AND DRIED OR CLEANED WITH ALCOHOL GEL OR EQUIVALENT HAND SANITIZER.

FACE & MOUTH PROTECTION

The skin of the face and the mucous membranes of the eyes, nose and mouth have provided portals of entry of bloodborne pathogens to health care workers, resulting in infection.

CONT.

ALL ACRYLIC SHIELDS OR REUSABLE PERSONAL PROTECTIVE EQUIPMENT, e.g., FACE SHIELDS, MUST BE DISINFECTED AT THE END OF EACH DAY, OR WHENEVER VISIBLY CONTAMINATED WITH BIOHAZARDOUS MATERIALS

WEARING LAB COATS IS MANDATORY

CLEAN UP PROCEDURES
Spills of body fluids must be quickly cleaned up and the area of the spill disinfected. Household bleach solution ( 9 parts water to 1 part bleach) prepared daily will rapidly and effectively destroy bacteria and viruses, including HBV, HCV, AND HIV. BLEACH SOLUTION MUST BE CHANGED DAILY AND LABELED WITH BLEACH SOLUTION LABEL 64107 AND ON A SEPARATE STICKER THE DATE AND INITIALS OF PERSON MAKING THE SOLUTION

CLEAN UP PROCEDURE CONT.


ALL VELCRO CUFFS SHOULD BE CLEANED WEEKLY WITH DISINFECTANT. ALL HEMOSTATS WILL BE CLEANED NIGHTLY AND WHEN CONTAMINATED USING DISINFECTANT. CLEAN CUSTOMER BED OR CHAIR AFTER EACH DONATION WITH 9 PARTS WATER TO1 PART BLEACH SOLUTION, PREPARED DAILY

SPILL CLEANUP

ALL BLOOD AND PLASMA SPILLS WILL BE CLEANED UP IN THE FOLLOWING MANNER Wear gloves, lab coat and face shield when dealing with spills Place paper towels over spill Spray paper towels generously with bleach solution Add more paper towels, if required, to contain spill Wait 30 minutes Gather paper towels, being careful not to come in contact with your skin and place in red plastic bag Repeat as necessary until spill is completely removed Notify management of your actions

COMMUNICATION OF HAZARDS
Biohazard labels shall be fluorescent orange or orange-red, or predominantly so, with lettering and symbols in a contrasting color. Biohazard labels shall be affixed to all biohazardous waste containers, refrigerators and freezers containing blood, plasma, or other potentially infectious material.

BIOHAZARD WASTE
Biohazard waste is any form of waste which is capable of causing disease in a susceptible human host
Plasmapheresis biohazard waste material includes 1. All fluid path components which have come in contact with body fluids 2. Body fluids 3. Customer samples and sample containers 4. Disposable gloves

BIOHAZARD ROOM
Will only contain properly identified hazardous biohazard waste containers whether empty or filled Will have only limited access, and remain locked when not in use. All biohazard hazardous material handling supplies that are not contaminated will be stocked in another location prior to use

SHARPS

The most dangerous biohazard exposure of an employee occurs when the skin is penetrated by a needle, broken capillary tubes, or a lancet which has been in contact with a contaminated body fluids

SHARPS CONT.

Disposable syringes with needles, finger lancets and used capillary tubes, needles and contaminated glassware must be placed in a red or biohazard labeled puncture-proof container, which must be sealed prior to transport and disposal. Sharps containers must never be stored above eye level and must never be overfilled

SHARPS CONT.
Instrument used to disconnect needles from harness must be disinfected with a 70% Isopropyl Alcohol solution ( or 9 parts water and one part bleach solution, changed daily or when visibly contaminated). 1- Care should be taken to minimize travel distance to dispose of contaminated needless and other biohazardous material 2- Alcohol will be changed on a weekly basis or if visibly dirty and marked with the date the solution should be changed.

EXPOSURE DETERMINATION AND IMMUNIZATION

ALL PLASMA CENTER EMPLOYEES HAVE BEEN DESIGNATED BIOCATEGORY ONE, WHICH PRESUMES DAILY EXPOSURE TO HUMAN BLOOD OR OTHER POTENTIALLY BIOHAZARD MATERIALS.

ILLNESS AND INJURIES

ALL OCCUPATIONAL EXPOSURES AND SUSPECTED OCCUPATIONAL EXPOSURES MUST BE REPORTED TO THE PLASMA CENTER MANAGER IMMEDIATELY. FIRST AID SHALL BE PROVIDED BY QUALIFIED INDIVIDUALS FOR EMPLOYEES INJURED WHILE AT WORK

99% ALCOHOL CONTAINERS

THE ISOPROPYL ALCOHOL 99% MUST BE USED IN FREEZERS AND SHOULD BE LABELED WITH 6410-9

THANK YOU
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