UPR003526-15 Manual 2942.0 SHSM Vol I DRAFT master

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DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT
Per DoDEA Regulation 4800.05, Bloodborne Pathogen Exposure Control Program,
to control communicable disease transmission pertaining to bloodborne pathogens is
implemented. School staff is educated via annual training about the practice of
Universal Precautions in preventing contact with blood or body fluids of others. School
principals are to appoint a bloodborne pathogen exposure control advisor (ECA); the
appointed person may be the school nurse. See DoDEA Regulation 4800.05 located at:
F-5-2 School Nurse Role
The school nurse must ensure that all school employees understand the
importance of universal precautions and proper hand washing to control the spread of
contagious diseases. Information about Universal Precautions and procedures are
presented in beginning of the school year and discussions on basic first aid. Staff
should be encouraged to allow students to the best of their ability, to manage their own
first aid care. Classroom and playground first aid kits should contain bloodborne
pathogen protection supplies. All staff should be provided with disposable non-latex
gloves and instructed in proper use. Liquid soap dispensers are recommended for
proper hand washing (see for contents of classroom, playground and
study trip first aid kits).
F-5-3 Universal Precaution Procedures
The following universal procedures should be followed by all school staff:
• Students are to be encouraged to take care of their own minor injuries, cuts,
scrapes, and bloody noses whenever possible. The student may need a
reminder to thoroughly wash his or her hands afterward.
• Large blood spills, such as serious nosebleeds or wounds, may require
assistance from school staff. The school employee must wear gloves when
making contact with the wounded person.
• Employees need to wash their hands thoroughly with soap and water if in
contact with body fluids and after removing the gloves.
• Employees must wear disposable gloves for cleanup. They must use a
disinfectant solution for cleaning (a bleach solution of 1.5 cups per gallon of
water). The principal is responsible for the school cleaning contract and to
inform the contractor of OSHA standards.
F-6 Health Screening Procedures
F-6-1 Observation and Referral
Classroom teachers work closely with students each day and play a key role in
observing and detecting possible health problems. Observation, inspection, and
attention to complaints of students are frequently much more important in finding clues