Reviewed May 2003
training program adheres to the practice of “Universal Precautions” as
outlined by O.S.H.A. (Occupational Safety and Health Administration).
This is necessary to ensure that all necessary procedures are taken to
minimize health risks to patients, staff, and visitors (4).
applies to all athletic department members (facility personnel, coaches,
managers, strength and conditioning staff, and the athletic training
staff) who, under normal daily tasks, may anticipate contact with blood
and other potentially infectious material containing organisms such as
HIV, HBV, and HBC (1). Athletic training staff members include the head
athletic trainer, assistant athletic trainers, university assistants,
graduate assistant athletic trainers and athletic trainer students
participating in the pre-clinical and clinical components of the athletic
training education program.
OF RISK TASKS (2):
Management of open
Management of open
fractures and dislocations
Soiled laundry and
in work areas
Disposal of all
Precautions require all staff
members working in the athletic training facility to treat all patient's
blood and other potentially infectious material (OPIM) as though it is
infected with HIV, HBV, HBC or other blood borne pathogens. Universal
precautions and infection control must be practiced at all times to
minimize the chance of exposure to HIV, HBV, and HBC (4).
HIV, HBV, HBC and
other blood borne pathogens can be present in the following:
Body fluids, which
include saliva, vaginal secretions, cerebral spinal fluid, synovial,
pleural, peritoneal, pericardial, and amniotic fluids, and any other
body fluid containing visible blood.
and/or organs, other than skin
Blood, which is the
primary concern with exposure and transmission of HIV, HBV, and HBC in
the occupational setting.
represent the most common form of a protective barrier against
should be worn whenever the possibility of exposure to blood or
other fluids exists.
be used when touching blood, body fluids, mucous membranes, or
non-contact skin of all patients. This also includes handling
items or surfaces soiled with blood or other body fluids.
Gloves MUST be
changed after contact with each procedure and disposed of in the
appropriate Biohazard container. This also applies in the event
of a defective, ripped, or torn glove.
laceration, abrasion, or cracked/damaged skin on the athletic
trainer should be covered with the appropriate bandage prior
to treating patients.
GLOVES ARE NOT A SUBSTITUTE FOR HAND WASHING.
Hands and other
skin surfaces should be washed and decontaminated immediately after
contact with each patient. Hands should be washed in soap and warm
water for a period of 30 seconds (5). Disposable towelettes or instant
hand sanitizing lotions should be used if access to soap and water is
not immediately available (example; while on the athletic fields). Hands
should be washed as soon as access to soap and water is possible (3).
(mouth, nose, etc.) should be rinsed for decontamination immediately
after exposure occurs. The incident should be reported following the
proper procedures outlined later.
Mouth pipetting or
suctioning of blood or other potentially infectious material is
Equipment (gowns, masks, goggles) is appropriate in the anticipation of
splattering or splashing of blood. Although this is not a common
occurrence, these items are located in the drawer labeled biohazard to
the left of the sink in the athletic training facility (4).
training kit shall have a CPR mask with one-way valve, gloves,
disposable towelettes or instant hand sanitizing lotions for
decontamination, goggles, and red bio-hazard waste bag. These items
should be inspected prior to practices or athletic events and
replaced if necessary. Broken/damaged equipment should be reported to
the appropriate supervisor.
(scalpels, needles, etc.) must be handled with extreme caution to
prevent accidental injury or exposure. After use, these items should be
placed in puncture resistant containers for proper disposal. DO
NOT attempt to recap, bend, or break needles or blades (1).
contaminated with blood or other potentially infectious material should
be swept up with a dust pan and broom. Gloves must be worn to minimize
accidental injury; NO ATTEMPT should be made to pick up pieces with
hands for disposal. (1). Broken glass contaminated with blood
should be deposited into in the sharps container.
involving blood or other potentially infectious material must be
performed in such a manner to minimize aerosolization, splashing,
spraying, splattering or generation of droplets (1).
Application of lip
balm, cosmetics, and contact lenses is prohibited in the athletic
training facility to prevent/minimize potential risk (2)
Food or beverage
consumption is prohibited in all areas of the athletic training
facility. Storage of food is not allowed in the ice machines, shelves,
cabinets, or counter tops where other potentially infectious materials
are present (2).
or exposure to blood or other potentially infectious materials should be
reported to the supervising athletic trainer immediately. All
accidents will be reviewed by the infection control committee and are
WASTE AND ENVIRONMENTAL CONTROL
bags and containers that are damaged or full should be removed from the
athletic training facility. All material is stored in the closet #
0090701; bags must be sealed securely. The Head/Assistant Athletic
Trainer will be responsible for annual collection of Bio-hazardous
NOTE: All bio-hazardous waste & sharps containers are marked with
the universal BIOHAZARD symbol for proper identification. These
containers should be evaluated on a monthly basis for cracks, leaks, or
All work surfaces
must be cleaned immediately after treatment is provided to the patient;
this also includes blood spills. An approved biohazard product such as
Cavicide disinfectant is the preferred method at CCSU, although a bleach
and water solution mixed to the ratio of 1:10 is an acceptable method,
as is isopropyl alcohol (1).
materials contaminated with blood or other body fluids should be handled
with gloves and placed in the appropriate container marked BIO-HAZARD
(1). Waste containers and bags must be present at all practices or
events. These items are located in the Blood Borne Pathogen Kits.
Linens and towels
with potentially infected materials must be separated from regular
laundry (2). These items should be placed in a red plastic bag and
marked BIO-HAZARD. The bag is then sealed and taken to the equipment
room for appropriate sanitization.
exposed to blood or other potentially infectious materials, must be
drained and cleaned immediately after use. The interior surface should
be sterilized with the appropriate decontaminate solution and rinsed.
Regular cleaning procedure is then followed.
GLOVES MUST BE WORN.
Floor spills should
be covered with absorbent materials; using gloves, the appropriate
disinfectant is applied. Manufacturers directions should be followed for
proper use. The area should be mopped to remove disinfectant; rinse
the mop with clean water and wash area as necessary (1).
should be cleaned and sterilized if contact with blood or other
potentially infectious material is suspected. Electrode pads, sound
heads, wiring, etc. should be cleaned following manufacturers
instructions to prevent further exposure. Athletic training facility
policy requires the use of an anti-bacterial gauze pads as a protective
barrier for all electrodes.
sharps, tweezers, etc. should be cleaned and scrubbed with warm water
and soap, dried, and re-packed in the sterilization pack after
contamination with blood or other potentially infectious materials.
These items will be sent to Health Service on campus for sterilization.
This is provided on
an annual basis to all athletic training staff members at no charge.
Vaccines are administered in a three dose series for prevention of the
arrangements will be made through the Head Athletic Trainer (3).
to blood or other potentially infectious materials should be reported to
the supervising athletic trainer immediately. Information regarding the
individual and nature of the incident is strictly confidential. This
will be kept in a locked file for a thirty-year period (1).
be made for appropriate testing and treatment through the Head Athletic
HIV, HBV, and HBC
training and education will be provided at the beginning of each
semester; participation is mandatory for all staff members prior
to working in the athletic training facility. Athletic Training
records will include name, date, & social security number. This will be
kept on file for a minimum period of three years( 1).
A waiver form for
those individuals who opt not to be vaccinated will be kept on file.
Safety and Health Administration Policy and Procedures Manual:
Standard of Compliance. 1992.
Webster, D. M.S.,
ATC and Kaiser, D. M.P.E., ATC “ An Infection Control Policy For The
Athletic Training Setting”. Journal Of Athletic Training Spring
1991. Vol. 26, No. 1.
Buxton, B. EdD. ATC
et. al. “Prevention of Hepatitis B Virus in Athletic Training”.
Journal Of Athletic Training. June, 1994. Vol. 29. No. 2.
University of Connecticut Infectious Disease Control Policy and Procedure Manual.
Athletic Trainers Associations Position Statement for Blood Borne
Pathogens Guidelines for Athletic Trainer, May 11, 1995,
The NCAA Sports
Medicine Handbook. NCAA Committee on Competitive Safeguards and Medical
Aspects of Sports, 2002-2003 edition.
Athletic Training Education
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