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Bloodborne Pathogen Training

It is REQUIRED by OSHA guidelines that all employees in an At Risk position complete this course upon hire and yearly. This course must be completed within ten working days of employment.

After viewing the sessions, you may ask questions and clarify information pertaining to bloodborne pathogens with your site-based trainer.

Each school has an Exposure Control Plan, as defined by OSHA standards, in the school office for employee reference. The plan can also be accessed using the button below. Your school based trainer and school nurse are available for questions.

Exposure Control Manual

For more information related to OSHA or BBP you may visit https://www.osha.gov/

Click the links below to begin the training. These links are repeated at the bottom of each page for easy navigation.

Session 1 - Bloodborne Pathogens

Bloodborne pathogens are pathogenic microorganisms such as viruses or bacteria which are carried in the blood and body fluids and can cause disease in people. There are many different bloodborne pathogens, but the Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and the Human Immunodeficiency Virus (HIV) are the three viruses that pose the greatest concern to people. These diseases are specifically addressed by the OSHA Bloodborne Pathogen standard.


Hepatitis means inflammation of the liver. Hepatitis B is a virus that can infect the liver. This inflammation can lead to more serious conditions such as chronic liver disease, cancer, or death. More than 5,000 people die annually from HBV-related liver disease.

Symptoms may include fatigue, abdominal pain, loss of appetite, nausea and vomiting. Symptoms of jaundice, a distinct yellowing of the skin and eyes, and darkened urine will often occur as the disease progresses. Half of those infected show no symptoms and others may show symptoms as soon as 2 weeks or as long as 6-9 months after infection.

Hepatitis B is the most easily transmitted bloodborne pathogen. The only way to confirm it is by blood test. There is no cure or specific treatment for HBV, but fortunately there is an effective vaccine.


The Hepatitis C Virus (HCV) can also cause a liver infection. It is estimated that 3.5 million Americans are living with an active, chronic Hep C infection. In 2014, there were 19,659 deaths from HCV related infections.

Symptoms are frequently non-specific, but may include jaundice, abdominal pain, fatigue, dark urine, loss of appetite and nausea. Hep C may lead to cirrhosis of the liver and liver cancer.

There is no vaccine for HCV, but there are anti-viral drugs that are used for those who have contracted the disease.


Human Immunodeficiency Virus (HIV) attacks the body’s immune system, weakening it so that it cannot fight other deadly diseases. Approximately 1.2 million people in the United States are HIV positive. 1 in 8 people may not be aware that they are infected.

The HIV virus is very fragile and will not survive very long outside of the human body. It is primarily a concern to employees who provide first aid in situations involving fresh blood. Even though the chance of contracting HIV in the workplace environment is low and the number of new cases is on the decline, because it is such a devastating disease, all precautions against exposure should be taken.

Session 2 - Transmission

Transmission of Bloodborne Pathogens

To be exposed to a bloodborne pathogen such as Hepatitis B, Hepatitis C or HIV, infected blood must get into your bloodstream. Exposures occur primarily through needlesticks, sharps injuries, mucous membrane and non-intact skin.

In the workplace, you can be exposed to Hepatitis B, Hepatitis C and HIV by coming in contact with body fluids contaminated with blood. This can happen when you directly touch contaminated blood while performing first aid or when you touch an object or surface contaminated with blood and then transfer the virus to your mouth, eyes, nose or non-intact skin. Feces, urine, vomit, nasal secretions, sputum, sweat, tears and saliva are not considered infectious unless they contain visible blood. Remember the virus must get into your bloodstream for you to get sick. You cannot become infected with these viruses through casual contact. Employees are urged to take advantage of available personal protective equipment and follow work practice controls to prevent exposure to blood and other body fluids.

Session 3 - Recognition and Prevention of Bloodborne Pathogen Exposures

Recognizing and Preventing Bloodborne Pathogen Exposures

Knowing these steps will help you prevent exposures to body fluids that are potentially infectious:

1. Know the Exposure Control Plan. It is based on the guidelines for workplace safety according to OSHA standards. A copy is located at each RSS site and can be accessed using the button below.


2. Follow universal precautions and always be prepared for an emergency. Have Personal Protective Equipment (PPE) with you at all times. Although you may instinctively want to help a student or co-worker, make sure that you first protect yourself properly.

3. Know how to properly discard bloody materials and disinfect contaminated surfaces. Biohazard labels and bags are available at every RSS site for disposal of items saturated with blood. Contact custodial staff immediately to ensure proper cleaning of contaminated surfaces.

4. Practice good handwashing techniques. This is the most important defense against the spread of disease.

Session 4 - Universal Precautions and Work Practice Controls


An approach to infection control used to protect employees from exposure to all human blood and other potentially infectious materials.

  • treat all human blood and body fluids as if they are infectious
  • observe universal precautions in all situations when there is a potential for contact with blood or other potentially infectious materials
  • use personal protective equipment in all situations involving blood or body fluids


Used to prevent and minimize exposure to bloodborne pathogens.


  • handwashing facilities should be readily accessible
  • antiseptic hand cleanser can be used if handwashing facilities are not accessible - handwashing with soap and water should be done as soon as possible
  • wash hands immediately after removing gloves or other Personal Protective Equipment (PPE)
  • if skin or mucous membranes come into contact with potentially infectious materials, the area should be washed/flushed as soon as possible




3. SCRUB ALL SURFACES OF THE HANDS & WRISTS VIGOROUSLY (Pay special attention to the areas between fingers)



Link to hand washing video


  • needles/sharps should not be bent or recapped; do not break the contaminated needle
  • sharps shall be placed immediately in a puncture resistant, leak-proof, properly labeled container (do not overfill container)
  • the containers will be provided by the school system
  • when container is full and properly sealed, it can be disposed of in regular trash


Use available PPE. Every RSS site has PPE available. Replacements can be obtained through Student Services.

All personal protective equipment should be:

  • removed before leaving the workplace
  • disposed of in an appropriately designated area, after removal
  • removed as soon as possible if your clothing becomes saturated with blood or body fluids
  • wear gloves when it is possible that your hands may come into contact with blood or body fluids or if you have cuts, scratches, or other breaks in the skin
  • the gloves are single use; do not wash or reuse
  • should be removed if they become torn or damaged

Use whenever splashes, sprays, spatters or droplets of blood or other body fluids may contaminate your eyes, nose or mouth.


Gowns and aprons should be worn when splashes, sprays, spatters, or droplets of blood may contaminate your clothing.

Personnel Protective Equipment: Donning Gown and Other Equipment

  • There should be no eating, drinking, applying cosmetics, or handling contact lens in work area
  • Biohazard labels should be applied to all contaminated materials. Custodial staff should be called for assistance with all clean up of contaminated areas.
  • Any ideas for improvements in work practice controls should be directed to the Student Services Director

Session 5 - Housekeeping and Environmental Issues

Housekeeping/Environmental Issues

Housekeeping/custodial responsibilities include the major tasks of cleaning and disposal of potentially infectious materials. To minimize exposures the following housekeeping measures should be implemented:

  • Notify custodial staff to clean any equipment or surfaces contaminated with blood or body fluids.
  • Broken glass should always be treated as contaminated and never be picked up with unprotected hands. Always use mechanical means to pick up glass such as a broom and dustpan. Call your custodial staff for assistance and clear the area of students.
  • Never push or compact trash with your hands. Hold it away from you and shake down.
  • Contaminated laundry should be placed in a leak proof container. Only school personnel shall wash contaminated laundry.
  • Place items, heavily soiled with blood, in a regular trash bag and attach a BIOHAZARD LABEL to the outside of the bag. Immediately notify your custodian when potentially infectious trash needs to be disposed.
  • Regular inspection and disinfection of reusable containers.
  • Only school-approved disinfectants are to be used. DO NOT BRING CLEANERS FROM HOME.

Session 6 - What To Do For An Exposure


Rowan-Salisbury Schools shall make post exposure evaluation and follow-up, including prophylaxis, available to all employees who have an exposure incident.


  • Exposure incident: coming into contact with blood or other potentially infectious materials via the eyes, mouth, mucous membranes, non-intact skin, or parenterally during the performance of an employee’s duties
  • "Non-intact" skin: includes skin with dermatitis, hangnails, cuts, abrasions, chafing, acne, etc..
  • Parenteral : piercing mucous membranes or the skin barrier through events such as needle sticks, human bites, cuts, and abrasions

In the event of an exposure, employees are required to:

  • Wash exposed areas with soap and water. Immediately flush exposed mucous membranes with water.
    • Immediately report the exposure incident to your immediate supervisor and first position secretary.
      • Complete the Exposure Incident Forms and return them to your supervisor and first position secretary immediately. No more than 24 hours after exposure.
      • First Position secretaries will provide appropriate paperwork and instructions for seeking medical attention.
        • Follow procedures for follow-up as outlined in the Exposure Control Plan for the Rowan Salisbury School System. Follow up will be completed by the Risk Management Department.

        Session 7 - Hep B Vaccine

        Hepatitis B Vaccine

        The Hepatitis B vaccination series is available free of charge to all employees who are considered at risk or on a post-exposure basis. RSS employee vaccines will be administered by the Rowan County Health Department. Student Services will assist employees throughout the vaccine series.

        The Hepatitis B vaccine is given in three separate doses as an injection in the muscle of the upper arm, over a period of six months. The Hepatitis B vaccine series is given only once. A vaccine, like any medicine, is capable of causing serious problems, such as an allergic reaction. The risk of Hepatitis B vaccine causing serious harm is extremely small. Most people who receive the Hepatitis B vaccine do not experience adverse reactions. A Vaccine Information Sheet is given to the employee at the time the vaccine is administered.

        At Risk Employees

        At risk employees perform invasive tasks or procedures on a daily basis that could result in an exposure to blood or body fluids through mucous membranes or non-intact skin.

        The following positions are considered At Risk Employees:

        • Athletic Trainers
        • Health Care Professionals (School Nurses)
        • Custodians
        • Teachers/Teacher Assistants who perform invasive procedures on a daily basis
        • Personnel designated to administer first-aid for the entire school on a daily basis

        Every employee in the above classifications should complete BBP training upon hire and yearly. If an employee changes job classifications throughout the school year, they will also have to complete the BBP training. A Hepatitis B Vaccine Acceptance Form or Declination Form should be completed upon hire. This form is to be sent to Student Services immediately after completion. This process must be completed within 10 working days of beginning the work assignment. The Acceptance and Declination forms are available from your site based trainer or the Student Service Department.

        The Hepatitis B vaccination is available to At Risk Employees whom have initially declined the series, but at a later date decide to accept the vaccination.

        Collateral Employees

        Collateral and other employees that experience an exposure will be offered the Hep B vaccine post exposure. Those interested in receiving the vaccine can contact their personal health care provider for recommendations on the vaccine.

        Session 8 - Update

        3/2005- Staphylococcus aureus is a bacteria commonly referred to as staph. It is found on the skin, usually inside the nose and in the armpit, groin, and genital area. There can be a colonization of staph present in a healthy individual and it does not cause an illness. In most cases with colonization, there are no symptoms but if any problems do occur, they are generally minor skin irritations such as pimples or boils. In some instances, staph can create a more serious infection.

        Session 9 - Training Acknowledgement Form

        After viewing the sessions, contact your site based trainer if you have any questions or to clarify information pertaining to bloodborne pathogen procedures.

        If you have no questions, print and complete the Training Acknowledgement Form and return it to the site based trainer.

        BBP Acknowledgement Form


        Horizons Unlimited

        Admission - Black Crew Socks, Travel Size Deodorant, or 7''x10'' puzzle book

        Shine Bright & Show Your Light

        •Gläärt (Glow Art) in the Refinery Makerspace

        •Laser Shows in the Margaret C. Woodson

        •Black Light Selfie Station in the Glow Room

        Featured Learning Exhibit - Operation Gratitude Letter Writing and Collection Station


        Rowan-Salisbury Schools Pilots State Renewal Program

        The State of North Carolina passed HB 986 enabling qualifying school districts to become a renewal district. Currently only Rowan-Salisbury Schools district qualifies. On June 28th the RSS Board of Education elected to participate in this program. Click for details.