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CHAPTER 9
Bloodborne Pathogens, Universal
Precautions, and Wound Care
OVERVIEW
As a health care provider, it is always important to maintain an environment that
is as clean as possible. Health care providers also need to stay knowledgeable
about bloodborne pathogens and how to prevent their transmission.
HBV, HCV, and HIV are bloodborne pathogens to which individuals are at risk of
being exposed. OSHA has set guidelines for exposure, how to reduce the risk of
transmission, and what steps to take if exposed.
LEARNING OBJECTIVES
KEY TERMINOLOGY
Abrasion Skin is scraped against a rough surface, removing the top layer of
skin and exposing numerous blood capillaries
AIDS (acquired immunodeficiency syndrome) - A disease that acts on the
immune system and makes an individual susceptible to the smallest of infections
Avulsion Skin is torn from the body
Bloodborne pathogens - Microorganisms that can cause disease that are present
in blood and other bodily fluids
Disinfectants Cleaning solutions that contain agents which inactivate viruses.
This solution should be used to clean tables, floors, and work areas.
HBV (hepatitis B virus) - A virus that is transmitted through blood and other
bodily fluids that causes inflammation of the liver.
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HCV (hepatitis C virus) A virus that causes acute and chronic liver disease,
which is transmitted by contact with blood of an infected person.
HIV (human immunodeficiency virus) - A virus that is transmitted through blood
and other bodily fluids that leads to acquired immunodeficiency syndrome.
Incision A wound with smooth edges
Laceration A wound with a jagged edge appearance
OSHA (Occupational Safety and Health Administration) - The organization
responsible for health and safety in the workplace
Puncture Wound Direct penetration of the tissues by a pointed object
Retrovirus - A virus that enters a host cell and changes its RNA to a proviral DNA
replica
Sharps A sharp object such as a needle, razor blade, or scalpel
Tetanus A bacterial infection usually related to puncture wounds that cause
fever and convulsions
Virus - A submicroscopic parasitic organism that is dependent on the nutrients
within cells
DISCUSSION QUESTIONS
1.
2.
3.
4.
5.
6.
CLASS ACTIVITIES
1. Have a representative from OSHA come to speak to the class.
2. Have a laboratory technician come in and discuss the various testing procedures
for HIV.
3. Practice initial treatment of skin wounds and application of dressings, along with
proper glove removal.
WORKSHEET ANSWERS
Matching
1.
2.
3.
4.
g
d
h
a
5.
6.
7.
8.
f
c
e
b
Short Answer
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2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any
manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
9. Pain, heat, redness, swelling, fever, pus formation in area and disordered
function
10.Punctures, severe lacerations, avulsions
11.12 hours
12.1 part bleach to 10 parts water
Listing
13.Use of mouthpieces
14.Showering immediately after practice or competition
15.Documentation of the exposure route
16.Identification of the source individual
17.Blood test
18.Counseling
19-21.Refer to Focus Box 9-1, Page 161
Essay
22-26.
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2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any
manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
NAME _________________
SECTION ______________
CHAPTER 9 WORKSHEET
Bloodborne Pathogens, Universal Precautions, and Wound Care
MATCHING: Match each item with the appropriate response.
______
______
______
______
______
______
______
______
1.
2.
3.
4.
5.
6.
7.
8.
HIV
HBV
HCV
Disinfectant
Bloodborne pathogens
OSHA
Tetanus
Sharps
a.
b.
c.
d.
e.
f.
g.
h.
18.
List three ways to reduce the risk of HIV infection.
19.
20.
21.
ESSAY:
22.26.Describe the different types of skin wounds.
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2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any
manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.