Standard Precautions and Bloodborne Pathogens

Outline:
I. Introduction and overview II. Occupational Safety and Health Administration (OHSA) a. OHSA standard precautions b. Standard precautions c. How disease is spread d. Risk of exposure e. Checkpoint: Questions (multiple choice) III. Bloodborne pathogens a. Microbes b. Other potentially infections materials (OPIM) c. Exposure i. Type ii. Amount d. Checkpoint: Question (multiple choice) IV. Diseases caused by bloodborne pathogens a. Overview b. Hepatitis B i. What is it? ii. Symptoms and damage to the body iii. Immunization c. Hepatitis C i. What is it? ii. Acute iii. Chronic iv. Treatment and prevention d. Human immunodeficiency virus (HIV) i. What is it? 1. HIV versus AIDS ii. Transmission facts and myths e. Risks of exposure f. OSHA’s bloodborne pathogens standard g. Checkpoint: Questions (multiple choice) V. Standard precautions a. Universal precautions versus standard precautions b. A set of infection-control practices c. Standard precautions i. Body fluids ii. Handwashing iii. Personal protective equipment iv. Exposure d. Handwashing i. Centers for Disease Control and Prevention recommendations ii. Learning Engagement Activity: Video “Fight Germs. Wash Your Hands” (3:00 minutes) e. Alcohol-based hand rubs i. How to use f. Checkpoint: Question (multiple choice) g. Personal protective equipment (PPE) i. What is PPE? 1. Gloves 2. Gowns 3. Masks 4. Protective eyewear ii. Learning Engagement Activity: Video “Personal protective equipment with bloodborne pathogen review” (13:00 minutes) h. Handling textiles and laundry i. Removal of soiled laundry ii. Proper bagging iii. Labeling i. Waste disposal j. Checkpoint: Question (multiple choice) k. Needles and sharps i. Disposal in sharps container ii. Never reuse iii. Greatest risk of exposure iv. Non-medical sharps v. Checkpoint: Question (multiple choice) l. Housekeeping considerations i. Cleaning surfaces ii. Decontaminating bins, pails, wheelchairs, and cans iii. Use of protective barriers iv. Checkpoint: Question (multiple choice) m. Review i. Every person, every situation, every day ii. Never assume iii. Use a barrier iv. Wash all skin surfaces if exposed v. Wash hands vi. Do not touch eyes, nose, or mouth vii. Do not touch material with bare hands viii. Everyone is potentially infectious ix. Checkpoint: Questions (multiple choice) VI. Exposure to bloodborne pathogens a. Exposure incidents b. What if I am exposed? i. Wash area if a needlestick injury ii. Flush splashes to nose, mouth, skin iii. Irrigate eyes iv. Report to supervisor immediately v. Checkpoint: Question (multiple choice) c. Follow-up counseling d. Reporting requirements e. Checkpoint: Questions (multiple choice) VII. Summary and conclusion VIII. Final exam (posttest)

Dr. Crusoe is a Psychiatric/Mental Health and Palliative Care/End of Life nurse consultant. She is also an Assistant Professor of Nursing and Public Health, in both Master's and Doctor of Nursing Practice Programs. Her teaching area of specialty is leadership, focusing on quality sciences, and positive change.  She is a certified Appreciative Inquiry Practitioner, trainer and facilitator as well as a Human Systems Dynamics Professional. She promotes using strength-based approaches to whole system change and transformation and provides both individual and group coaching and mentoring in strength-based methodologies. Disclosure: Kristen Crusoe, EdD, MSN, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.

Cynthia McDaniel MSN RN, is a nurse and administrative consultant in long term care. She is the CEO of ElderWise Inc, a senior living consulting and education group. Cynthia has worked as a nurse consultant for the States of Oregon and Washington,  a geriatric care manager, a regional director of clinical operations for a senior living company, and an assistant professor at Oregon Health & Science University School of Nursing. Her research in assisted living focused on the characteristics of residents in assisted living communities and the role of the nurse in assisted living. Cynthia holds a Master's of Science in Nursing from Gonzaga University in nursing education. She is a Fellow of the Sigma Theta Tau/John A. Hartford Foundation Geriatric Nursing Leadership Academy.  Disclosure: Cynthia McDaniel, MSN, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.