9/5b OSHA/HIPAA Orientation

Question 1

What does OSHA stand for

Answer 1

Occupational Safety and Health Administration - of bloodborne pathogens

Question 2

Resources to learn more about bloodborne/regular pathogen review

Answer 2

OSHA site, CDC site, Infection control professionals, arcadia student health, CIs and Supervisors in clinics

Question 3

What’s the difference in OSHA and CDC

Answer 3

OSHA is strictly covering bloodborne pathogens, while CDC encompasses some BBP and a lot of other info

Question 4

Examples of bloodborne pathogens

Answer 4

HIV
HBV
HCV

Question 5

Breakdown of importance of bloodborne pathogens

Answer 5

Prevalence
Incidence
Symptoms
Risk of contracting

Question 6

HIV Breakdown

Answer 6

Prevalence - over 1 million people in the US have HIV
Incidence - decreasing yearly because of new treatments and precautions
Symptoms - flu like fever, sweats, swollen glands, sore throat, diarrhea, fatigue, may progress to AIDS
Risk - 0.3%

Question 7

HBV Breakdown

Answer 7

P - 1.5 million
I - 2900 new cases in 2012, this amount is increasing too
S - 1/3 none, 1/3 flu like, 1/3 acute hep (jaundince, fatigue, nausea, dark urine, abdominal pain)
R - 6-30%

Question 8

HCV Breakdown

Answer 8

P - MOST common in US 3.2 million
I - not large, but hard to ascertain due to immigrants entering and exiting the country
S - 80% no symptoms, some could be chronic fatigue
R - 1.8%

Question 9

Sources for transmission of BBP

Answer 9

blood and body fluids containing blood

Question 10

How do we treat any patient who has open body fluids

Answer 10

treat like they are infected and take precautions like there is blood in the fluid as well

Question 11

Modes of BBP

Answer 11

• At the workplace (puncture wounds, open wound, broken skin, mucous membranes (EYES, NOSE, MOUTH)
• Outside of Workplace (sexual contact, drug use, blood transfusion)

Question 12

Ways to prevent contracting BBP

Answer 12

• Vaccination*

- PPE (gloves, masks, protective clothing, protective eyewear, face shields)

Question 13

Different kinds of gloves

Answer 13

Sterile - wound care
Exam - most common in clinic
Work/utility - custodians
**Never reuse any of these and always wash hands before and after use

Question 14

CDC Standard precautions

Answer 14

• Not just BBP, all bodily fluids except sweat
• Contact precautions - gown and gloves
• Antibiotic resistant bacteria - MRSA, VRE, C-Diff**
• Airborne precautions - Pulm TB, Chickenpox

Question 15

Is sweat considered a body fluid that carries BBP?

Answer 15

NO

Question 16

Exposure Response Guildelines

Answer 16

• WASH EXPOSED AREA
• Notify supervisor
• File Report
• MD Consult
• Baseline Draw
• Prophylaxis as indicated
• Inform Arcadia

Question 17

Proper clean up guidelines

Answer 17

Gloves, wipe with towel, dispose properly, disinfect per protocol, allow surface to dry

Question 18

what is the most important component of OSHA

Answer 18

HAND HYGIENE

Question 19

HIPAA stands for

Answer 19

Health Insurance Portability and Accountability Act

Question 20

What is the purpose of HIPAA?

Answer 20

Patient rights of privacy and security, the accepted disclosures are:

• Insurance
• Public Interest
• Limited Data Set
• Need to know basis healthcare providers