What mode of transmission most accurately describes a route of spreading hepatitis A?

Bloodborne Pathogens and Needlestick Prevention

Overview

What are bloodborne pathogens?

Bloodborne pathogens are infectious microorganisms in human blood that can cause disease in humans. These pathogens include, but are not limited to, hepatitis B (HBV), hepatitis C (HCV) and human immunodeficiency virus (HIV). Needlesticks and other sharps-related injuries may expose workers to bloodborne pathogens. Workers in many occupations, including first responders, housekeeping personnel in some industries, nurses and other healthcare personnel, all may be at risk for exposure to bloodborne pathogens.

What can be done to control exposure to bloodborne pathogens?

In order to reduce or eliminate the hazards of occupational exposure to bloodborne pathogens, an employer must implement an exposure control plan for the worksite with details on employee protection measures. The plan must also describe how an employer will use engineering and work practice controls, personal protective clothing and equipment, employee training, medical surveillance, hepatitis B vaccinations, and other provisions as required by OSHA's Bloodborne Pathogens Standard (29 CFR 1910.1030). Engineering controls are the primary means of eliminating or minimizing employee exposure and include the use of safer medical devices, such as needleless devices, shielded needle devices, and plastic capillary tubes.

What mode of transmission most accurately describes a route of spreading hepatitis A?

General Guidance

Provides information on the revised standard.

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Enforcement

Highlights directives and letters of interpretation related to bloodborne pathogens and needlestick prevention.

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Hazard Recognition

Provides references that aid in recognizing workplace hazards associated with bloodborne pathogens.

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Evaluating and Controlling Exposure

Provides information for evaluating and controlling bloodborne pathogens and needlestick hazards.

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Standards

Bloodborne pathogens and needlesticks are addressed in specific OSHA standards for general industry.

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Additional Resources

Provides links and references to additional resources related to bloodborne pathogens and needlestick prevention.

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What to do if you are stuck by a needle:

If you are stuck by a needle or other sharp or get blood or other potentially infectious materials in your eyes, nose, mouth, or on broken skin, immediately flood the exposed area with water and clean any wound with soap and water or a skin disinfectant if available. Report this immediately to your employer and seek immediate medical attention.

CDC: Emergency Needlestick Information also provides immediate access to treatment protocols following blood exposures involving HIV, HBV and HCV, including the Clinicians' Post Exposure Prophylaxis Hotline (PEPline) at 1-888-448-4911.


c.Stressd.Eustress37.What are the minimum Standard Precautions an EMT should take when transporting a patientinfected with Middle East Respiratory Syndrome (MERS)?

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38.What mode of transmission most accurately describes the route of spreading hepatitis A?

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39.Which of the following pathogens can live in dried blood for days and should be a major concernfor EMS providers even while cleaning contaminated equipment?

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40.Which of the following statements about HIV/AIDS is true?a.HIV positive needlesticks have a 30 percent infection rateb.The HIV virus lives longer outside the body than Hepatitis Bc.HIV positive needlesticks have less than a 0.05 percent infection rated.Drugs are not available that slow HIV from progressing into AIDS

41.You are called to an assault on a homeless male. Dried blood from the trauma is visible aroundthe patient’s mouth and nose. During the assessment you note the patient has a productivecough. The patient says, “Don’t worry, I’m not contagious. I’ve had this cough for a year.”Describe the best approach regarding respiratory isolation.

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42.Which of the following descriptions BEST defines the term pathogen?

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43.Which of the following is true regarding proper hand cleaning?

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What pathogen is transmitted through contact with open wounds or sores?

You can be infected with HBV, HCV, or HIV if you are stuck with a needle or other sharp object that has touched the blood or bodily fluids of a person who has one of these infections. These infections can also spread if infected blood or bloody bodily fluids touch mucous membranes or an open sore or cut.

Which of the following groups is at greatest risk of contracting and transmitting tuberculosis?

Groups with high rates of TB transmission, such as homeless persons, injection drug users, and persons with HIV infection.

Which of the following pathogens can live in dried blood for weeks and should be a major concern for EMS providers even while cleaning contaminated equipment?

Hepatitis B Virus can survive in dried blood for two weeks or longer. Universal Precautions is an approach to infection control.

Which of the following pathogens can live in dried blood for days and should be a major concern?

The Hepatitis B virus is very durable, and it can survive in dried blood for up to seven days.