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Athletics BioHazard Waste Management ... - St. Mary's University

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					                                St. Mary’s University- Athletic Training
                                Biohazardous Waste Management Program



Purpose:

        Sport competition has an inherent risk of injury. Therefore, the risk of exposure to other
individual’s blood is at a higher level. Like any other healthcare facility, the athletic training room should
also be considered a healthcare facility that will frequently deal with the presence of biohazardous
waste material on a regular basis. In such situations, it is important to take the proper precautions to
decrease the chances of spreading Bloodborne pathogens. This program will set the protocol with the
handling, disposal, and management of biohazardous materials at St. Mary’s University.


Definitions:

        Biohazardous: Biological substances that pose a threat to the health of living organisms,
        primarily that of humans. This can include medical waste or samples of a microorganism, virus,
        or toxin (from a biological source) that can impact human health.

        Biohazardous Waste: Any form of material that is considered to be contaminated with blood,
        including any body fluid (such as vomit, feces, urine, or saliva that contains blood). These
        materials are to be considered biohazardous waste at all times, even if there are no know
        pathogens contained in the blood or body fluid. Waste may include, but is not limited to,
        clothing, sponges/gauze, needles/lances, band aids, etc.

        Bloodborne Pathogens: Are defined as disease-causing microorganisms that can be transmitted
        by contact through blood or other bodily secretions. Bloodborne pathogens of concern include
        Hepatitis B, Hepatitis C, or HIV. Below are some definitions that will assist you in managing
        situations where Bloodborne pathogens may be present.

        Contaminated: Any material that contains the presence of blood or other infectious materials.

        Decontamination: The use of physical or chemical means to remove or destroy Bloodborne
        Pathogens on a surface or item to the point where they are no longer capable of transmitting
        infectious particles. Commercial solutions (i.e. Cavicide or Whizzer) are usually used to
        decontaminate. Use such solutions as directed to ensure proper decontamination is performed.


Biohazardous/Bloodborne Pathogen Training

        Staff members (including but not limited to coaches, assistant coaches, managers, athletic
trainers, and student athletic trainers) all have the possibility to come into contact with biohazardous
waste and Bloodborne Pathogens. Therefore, it is required for all these individuals to have training in
dealing with biohazardous waste. St. Mary’s University will provide Bloodborne Pathogen training for all
members of the athletic department who are associated with this risk. The training will be provided at
the expense of the athletic department and will be instructed by a certified instructor. A photocopy of
the certification of completion of Bloodborne Pathogen Training must be kept on file for every
individual.


Personal Protective Equipment (PPE)

         Personal Protective Equipment (PPEs) refers to protective equipment designed to protect the
wearer's body from transmission of Bloodborne Pathogens. The following are PPEs that are available for
use in the St. Mary’s University Athletic Training Department and should be in close proximity during ALL
sporting events.

        Disposable Gloves: Gloves that are to be disposed of properly after each single use. Regular
        and latex-free Nitrile gloves are available in the Athletic Training Room.

        CPR Face Shield: A plastic sheet used as a shield between the victim and the CPR administrator
        to prevent the swapping of body fluids or vomit to be transmitted from person to person. A
        face shield will be available in biohazard kits at every event as well as in the Athletic Training
        Room.

        CPR Pocket Mask: A plastic masked used in CPR to create a breathing barrier between the
        administrator and the victim to prevent swapping of body fluids or vomit from being
        transmitted from person to person. A pocket mask will be available in the emergency response
        kit and in the Athletic Training Room.

        CPR Bag Valve w/Mask: A breathing apparatus to administer breaths during CPR to reduce the
        chances of transmitting body fluids or vomit between the administrator and the victim. A bag
        valve and mask will be available in the emergency response kit and in the Athletic Training
        Room.

        Hand Sanitizer: Hand sanitizer solutions are a supplement or alternative to hand washing after
        handling hazardous material. It is important to note that this is NOT a substitute for washing
        your hands. It is to be used in cooperation of hand washing. Hand sanitizer will be provided in a
        biohazard kit at all sporting events as well as in the Athletic Training Room.


Universal Precautions

The principles of infection control remain constant. Universal Precautions are standards of practice to
help prevent the spread of Bloodborne Pathogens. Universal Precautions should be followed by every
healthcare provider as well as other members of St. Mary’s University that have the possibility of coming
into contact with blood or other body fluids. The components of Universal Precautions include:

        1. Personal protective equipment, e.g., wearing gloves, gowns, eye protection and other
        protective gear;
        2. Handwashing;
        3. Decontamination, e.g., appropriate cleaning methods to decontaminate surfaces,
        objects, etc.; and
        4. Waste disposal, e.g., liquid or non-liquid form, double bagging and labeling.

 TREAT ALL HUMAN BLOOD AND POTENTIALLY INFECTIOUS BODY FLUIDS AS IF THEY ARE KNOWN TO
                         CONTAIN BLOODBORNE PATHOGENS!

Handling and Disposal of Biohazardous Waste

        Anytime a staff member is to come into contact with body fluids, including blood, they should
practice Universal Precautions.

        Biohazard Kits: Biohazard kits must be available at all competitions to both home and visiting
        teams for practices and games. St. Mary’s University Athletic Training Staff will dispose of any
        and all biohazardous waste during home events. When St. Mary’s University teams travel, the
        home team will dispose of biohazardous waste. St. Mary’s staff should not travel back with
        biohazardous waste, unless the contaminated material is considered contaminated laundry.

        Contaminated Waste Disposal: All contaminated waste should be discarded in a properly
        marked “Biohazard” waste container. The biohazard waste container is a red container with the
        standard biohazard label sign on the lid. Contaminated waste may also be placed in red
        biohazard bags and tied shut first, then placed in the large biohazard container.

        Contaminated Laundry: These may include soiled jerseys, uniforms, other washable
        equipment, and towels. Athletes should not be allowed to continue in competition with
        contaminated clothing. Contaminated jerseys or other player equipment must be removed and
        washed or decontaminated and the player must use a new jersey if the contaminated jersey is
        unable to be decontaminated without washing. Contaminated laundry must be soaked in a
        disinfecting cleaner then washed in hot water and sufficient laundry detergent. If laundry is to
        be washed at a later time, the contaminated laundry must be placed in a biohazard bag and
        tied, separate from any other contaminated waste.

        Contaminated Sharps: Contaminated sharps include needles or scalpels that contain blood or
        other body fluids on them. The athletic training room housed a sharps container, a puncture
        resistant container. Any one time use needles or scalpels should be disposed of in this
        container. Do not place these items in a plastic biohazard bag for transport. If traveling, dispose
        these items in home team’s sharps container.
              NEVER REPLACE THE TOP OF NEEDLES OR SCALPELS BEFORE PLACING IN THE SHARPS
                 CONTAINER! THIS INCREASES THE RISK OF PUNCTURE OR CUTTING YOURSELF.

        Other Contaminated Objects: Often times, athletes will be moving after an injury that involves
        bleeding to their body. This presents the possibility of dripping, spraying, or smearing blood on
       flooring or tables. In such cases, these objects must be decontaminated using proper
       disinfecting agents. They must be used as directed on the product label. In cases when there is
       pools of blood, proper biohazard cleanup using an approved biohazard blood cleaner must be
       used as directed. Allow for the cleaner to properly disinfect the area. If cleaner is not available,
       then use a mixture of water and bleach with a ratio of 10:1 dilution; allow for the mixture to sit
       2-3 minutes.

Biohazardous Exposure

         In the event that a staff member or individual comes into contact with blood or other body
fluids that could contain blood; that staff member must notify the Head Athletic Trainer immediately.
An incident report must be completed as soon as possible in order to recall what occurred during the
exposure. Exposure includes, but is not limited to blood entering cuts or open wounds, the eyes, the
mouth or any other body opening, or through a needle stick or scalpel cut. The incident report must be
completed and the exposure protocol must then be followed.

				
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