Course Outline
1. Guidelines by the Centers for Disease Control
2. Modes and risk of virus transmission in the workplace
3. Transmission of Hepatitis B Virus to workers
- Health-care workers
- Emergency medical and public-safety workers
- Vaccination for Hepatitis B virus
4. Transmission of human immunodeficiency virus to workers
- Health-care workers with AIDS
- Human immunodeficiency virus transmission in the workplace
- Emergency medical service and public-safety workers
5. Principles of infection control and their application to health-care workers
- General infection control
- Universal blood and body fluid precautions to prevent occupational HIV and HBV transmission
6. Employer responsibilities
- General
- Medical
- Hepatitis B vaccination
7. Management of percutaneous exposure to blood and other infectious body fluids
- Hepatitis B virus postexposure management
- Human immunodeficiency virus postexposure management
- Management of human bites
- Documentation of exposure and reporting
- Management of HBV- or HIV-infected workers
8. Disinfection decontamination and disposal
- Needle and sharps disposal
- Hand washing
- Cleaning, disinfecting and sterilizing
- Cleaning and decontaminating spills of blood
- Laundry
- Decontamination and laundering of protective clothing
- Infective Waste
9. Universal precautions
- Body fluids to which universal precautions apply
- Body fluids to which universal precautions do not apply
- Precautions for other body fluids in special settings
- Use of protective barriers
- Gloves use for phlebotomy
- Selection of gloves
Florida Statutes on HIV
10. Intent
11. Requirement for instruction on human immunodeficiency virus and acquired immunodeficiency syndrome
12. Testing for human immunodeficiency virus
- Legislative intent
- Definitions
- Human immunodeficiency virus testing; informed consent; results; counseling; confidentiality
- County health department network of voluntary human immunodeficiency virus testing programs
- Human immunodeficiency virus testing requirements; registration with the department of health; exemptions from registration
- Penalties
- Exemptions
- Model protocol for counseling and testing for human immunodeficiency virus
- Fees
- Rules
- Testing as a condition of treatment or admission
13. Patient care of persons with human immunodeficiency virus infection
Learning Objectives
After completing this course, you’ll be able to:
- Discuss the guidelines issued by the Centers for Disease Control for the modes of transmission, assessment of the risk of transmission, control of the risk and specific risk control recommendations for employers and workers for HIV and HBV.
- Discuss the modes and risk of virus transmission in the workplace.
- Discuss the transmission of HBV among health-care workers and emergency medical and public-safety workers and the requirement and effectiveness of vaccination for HBV.
- Describe the epidemiology of HIV in health-care workers.
- Discuss the principles of infection control and their application to health-care workers.
- Define “universal precautions.”
- Discuss universal blood and body fluid precautions to prevent occupational HIV and HBV transmission.
- Discuss the 5-step recommendations for employer responsibilities in protecting workers against bloodborne diseases.
- Describe various measures that should be taken in the management of percutaneous exposure to blood and other infectious body fluids.
- Describe the procedures for disinfection, decontamination and disposal of needles and sharps to reduce the occupational risks of HIV and HBV infection.
- Reinforce the importance of hand washing; cleaning, disinfecting and sterilizing equipment and surfaces in the pre-hospital setting; cleaning and decontaminating spills of blood; proper handling of laundry; decontamination and laundering of protective clothing; and handling of infective waste.
- List body fluids to which universal precautions apply and body fluids to which they do not apply.
- Describe 3 guidelines in the use of protective barriers to reduce the risk of HIV and HBV transmission.
- Describe 5 guidelines to be used in the selection of gloves.
- Explain the legislative intent behind the requirement of continuing education on HIV/AIDS.
- Amplify the legislative intent behind the testing for HIV.
- Provide definitions for such terms as HIV test, HIV test results, significant exposure and test subject.
- Specify the legal requirement of obtaining informed consent and outline circumstances under which informed consent must be obtained and exceptions thereto.
- Outline the 6-point counseling program after performing an HIV test.
- Discuss the confidentiality of the test results and point out 12 exceptions where the results may be revealed.
- Enumerate 12 instances in which the informed consent of the subject is not required.
- Describe the county health department network of voluntary HIV testing programs.