Nurse's News‎ > ‎

Staff Stuff



Video: Need to relax? Take a break to meditate -


Feeling stressed? Take 5 minutes to experience this guided meditation which simply focuses on your breathing. You'll be amazed at how easy it is to reclaim your inner peace....


Video: Yoga for stress

Yoga offers many potential health and stress-reducing benefits. This video introduces you to five basic yoga poses. It's easy to follow along and try the exercises, or just watch to get a sense of basic yoga.


Tai chi: Stress reduction, balance, agility and more

Tai chi (ti-CHE) is sometimes described as "meditation in motion." Originally developed in China as a form of self-defense, this graceful form of exercise has existed for about 2,000 years. It's becoming increasingly popular around the world, both as a basic exercise program and as a complement to other health care methods. Health benefits include stress reduction, greater balance and increased flexibility - especially for older adults.




Mayo Clinic medical information and tools for healthy living -

Fitness Center -


Free Health and Safety Publications

If the topic you choose from the list doesn't open immediately, right click on it, then choose"open." All others will open with a simple left click after that.



The Goodness of Life


Years ago a professor gave a group of graduate students this assignment: Go to the slums. Take 200 boys, between the ages of 12 and 16, and investigate their background and environment. Then predict their chances for the future.

The students, after consulting social statistics, talking to the boys, and compiling much data, concluded that 90 percent of the boys would spend some time in jail.

Twenty-five years later another group of graduate students was given the job of testing the prediction. They went back to the same area. Some of the boys - by then men - were still there, a few had died, some had moved away, but they got in touch with 180 of the original 200. They found that only four! (4) of the group had ever been sent to jail.

Why was it that these men, who had lived in a breeding place of crime, had such a surprisingly good record? The researchers were continually told: "Well, there was a teacher..."

They pressed further, and found that in 75 percent of the cases it was the same teacher. The researchers went to this teacher, now living in a home for retired teachers. How had she exerted this remarkable influence over that group of children? Could she give them any reason why these boys should have remembered her?

"No," she said, "no I really couldn't." And then, thinking back over the years, she said musingly, more to herself than to her questioners: "Well, I loved those boys...."

                                                     A teacher makes a difference...

National Association for Children of Alcoholics


A Kit for Educators

PBS Teachers'  Resources For The Classroom

Standards-Based Resources




                                            Free Printable Writing Paper

                                Back to School Printable Activities

                            Custom School Themed Writing Paper

                                                        Printable Apple Shaped Writing Paper

                                                                   Poem:  Apple for the Parent

                                                                    Printable Doorknob Hanger

                                                                   Time for School!  Mini Book

                                                                   Wheels on the Bus activities

                                                                   School Writing Paper  

                                       ..........and lots more free printable school stuff   


                                                   B l o o d b o r n e   P a t h o g e n s   T r a i n i n g




Bloodborne Pathogens are microorganisms that are present in human blood that can infect and cause disease in persons who are exposed to blood containing the pathogens.  Bloodborne diseases have always been a serious concern in the United States.  There are many diseases which are spread from blood to blood contact, but the two that are most prevalent and which cause the most problems are Hepatitis B (HBV) and Human Immunodeficiency Virus (HIV).  Most people think of AIDS when they hear the words 'bloodborne pathogens' but actually infection with Hepatitis B is much more common.

In 1991, because of the increasing spread of these diseases, the Occupational Safety and Health Administration (OSHA) passed the Bloodborne Pathogens regulation.  This regulation outlines standards for school systems to follow in order to reduce the risk of contracting bloodborne diseases while on the job.  Each school district must develop their own Exposure Control Plan.  The plan must outline how exposure will be limited by using Standard Precautions, Engineering Controls, Safe Work Practices, Personal Protective Equipment, and Good Housekeeping Practices.  In this Exposure Control Plan they are also required to list the personnel whose job duties expose them to blood and potentially infectious body fluids.  Not every school employee is occupationally exposed to bloodborne pathogens, but every school employee must understand the risks of infection and safe practices to minimize that risk.  The Exposure Control Plan must also cover implementing a Hepatitis B vaccination program, steps to be taken if an employee is exposed, the use of Biohazard Warning Labels and Signs, setting up and conduction Employee Training and Recordkeeping procedures.

MSAD#30 School District Bloodborne Pathogens Plan is available for you to review.  Speak to the maintenance supervisor or the school nurse if you would like to look at it.


Blood in this context refers to human blood, its components, or products made from human blood.

Bloodborne Pathogens refers to microorganisms present in blood which can cause disease.  HBV and HIV can be found in blood, spinal fluid, synovial (joint) fluid, vaginal secretions, semen, pericardial (around the heart) fluid, breast milk, peritoneal(abdominal)fluid, amniotic(around an unborn fetus) fluid, and pleural (lung) fluid.

Hepatitis B Virus, which cause inflammation of the liver, has been around the longest.  It is the most prevalent form of Hepatitis and infects over 300,000 people annually.  One of the reasons it has been a significant threat is that approximately 80% of the people infected are not aware that they carry the infection.  There are over one million 'carriers' in the United States.  The Hepatitis B virus may survive and remain potentially infectious for up to a week or longer on contaminated surfaces.  Some of the symptoms of HBV may be fatigue, weight loss, fever, or diarrhea.  Some victims might not exhibit any symptoms and be unaware that they are carrying the virus.  Only blood tests can positively identify the virus.  Blood, saliva and other body fluids may be infected.  The virus can be spread to family members, unborn infants and sexual partners.  Fortunately, there is a vaccine for HBV.

Human Immunodeficiency Virus is a more recent threat and is spreading rapidly in the United States.  There are an estimated 800,000 to 900,000 people currently living with HIV in the U.S. today with approximately 40,000 new cases reported annually.  HIV attacks the white blood cells that play a key role in the body's immune system.  The HIV infection may develop into AIDS anywhere from 2 to 10 years after exposure.  There is no cure for AIDS.  Symptoms include fever, diarrhea and fatigue, flu-like symptoms that can go unnoticed.  The victim can carry the virus for several years without exhibiting any symptoms.  The most common mode of transmission is through sexual contact, but it can also be spread by contact with blood and body fluids.  It is not spread through casual contact or working around an infected person.  HIV infects people of all age, sex and race.  Currently there is no vaccine for HIV.

Other Potentially Infectious Materials includes human body fluids, contaminated body materials, unfixed human tissue and organs, HBV and HIV cultures, and infected experimental animals.

Personal Protective Equipment (PPE) is specialized clothing or equipment worn by an employee for protection against a hazard.  General work clothes (e.g., uniforms) not intended to function as protection against a hazard are not considered to be PPE.


Hepatitis B vaccination will be made available to all employees who have a reasonable anticipated exposure to BBPs.  This would include school nurses, athletic trainers, custodians, bus drivers, selected special education teachers and staff, child care workers and laundry workers.


Bloodborne pathogens can enter your body through open cuts, abrasions on the skin, dermatitis, acne and the mucous membranes of your mouth, eyes or nose.  You can also become infected by cutting yourself with a contaminated sharp object such as broken glass, sharp metal, needles, knives, and exposed ends of orthodontic wires.


The most important step in preventing exposure to and transmission of infections is to anticipate potential contact with infectious materials in routine and emergency situations.  This means treating all human blood and other body fluids as if they contain Bloodborne Pathogens.

Diligent and proper hand washing is an essential component of infection control.  Hands should be washed:

  • Immediately before and after physical contact with a student (e.g., diaper changes, assistance with toileting, or assistance with feeding);

  • Immediately after contact with blood or body fluids or garments or objects soiled with body fluids or blood;

  • After contact with used equipment (e.g., stethoscope, emesis basin, and gloves); and

  • After removing protective equipment, such as gloves or clothing.

Procedure for Hand Washing: See hand washing video on 'To Your Good Health' page.

  1. Remove jewelry

  2. Wash hands vigorously with soap under a stream of running water for approximately 10 seconds.

  3. Rinse hands well with running water; thoroughly dry with paper towels

  4. If soap and water are unavailable, bacteriostatic/bactericidal wet towelettes, 'handi-wipes', or instant hand cleaner can be used.


When possible, avoid direct skin contact with body fluids.  Disposable, single-use waterproof, latex or vinyl gloves should be available in school clinics.  The use of gloves is intended to reduce the risk of contact with blood and body fluids.  Gloves should be worn when direct care may involve contact with any type of body fluid.  Incidents when gloves should be worn include (but are not limited to): caring for nose bleeds, changing a bandage or sanitary napkin, cleaning up spills or garments soiled with body fluids, disposing of supplies soiled with blood, or any procedure where blood is visible.  Gloves should also be worn when changing a diaper, catheterizing a student or providing mouth, nose or tracheal care.

Gloves are never reused.  After each use, gloves should be removed without touching

the outside of the glove and disposed of in a lined waste container.  After removing the gloves, hands should be washed according to the hand washing procedure.

Disposal of Infectious Waste

All used or contaminated supplies (e.g., gloves and other barriers, sanitary napkins, Band-Aids), except syringes, needles, and other sharp implements, should be placed into a plastic bag and sealed.  This bag can be thrown in the garbage out of the reach of children or animals.

Used Needles, Syringe, and Other Sharp Objects

Arrangements are made to dispose of used needles, syringes, and other sharp objects at a local medical facility or health department or contracted out with a medical disposal company.  Needles, syringes, and other sharp objects should be placed immediately after use in a metal or other puncture-proof container that is leak-proof on the bottom and sides.  To reduce the risk of a cut or accidental puncture by a needle, needles should not be recapped, bent, or removed from the syringe before disposal.  Once the container is full, it should be sealed, bagged, and kept out of reach of children until it can be disposed of properly.  Broken glass should never be picked up by hand and should be disposed of in a metal or other puncture-proof container.

Body Waste

Body waste (e.g., urine, vomitus, and feces) should be disposed of in the toilet.  If such body fluids as urine and vomitus are spilled, the body fluids should be covered with an absorbent sanitary material, gently swept up, and discarded in plastic bags.


Spills of blood and body fluids should be cleaned up immediately with an approved disinfectant cleaner.  A 1:10 solution of household bleach and water is effective against HIV and HBV.  Procedure for clean up:

  1. Wear Gloves

  2. Mop up spill with absorbent material

  3. Wash the area well, using the disinfectant cleaner supplied in the clinic or a 1:10 bleach solution (mix 1 part household bleach in 10 parts of water).  Replace solution daily.

  4. Dispose of gloves, soiled towel, and other waste in sealed plastic bags and place in garbage

  5. Wash hands

Routine Environmental Clean-Up Facilities

Routine environmental clean-up facilities (e.g., clinic and bathrooms) should have a written cleaning schedule and do not require modification unless contaminated with blood or body fluids.

Cleaning Tools

Brooms and dustpans must be rinsed in disinfectant.  Mops must be soaked in disinfectant, washed, and thoroughly rinsed.  The disinfectant solution should be disposed of quickly down the drain.


Soiled student clothing should be rinsed using gloves, placed in a plastic bag, and sent home with appropriate washing instructions for the parents. (Under some circumstances, if time permits, soiled student clothing may be laundered using school's facilities.)


Any container that holds blood or other potentially dangerous infectious materials must be marked with a 'biohazard' label.  Potentially infectious waste is placed in a red bag and disposed of through a biohazard waste management company.


Accidental Exposure

Accidental exposure to blood, body products, or body fluids places the exposed individual at risk of infection.  The risk varies depending on the type of body fluid (e.g., blood vs. respiratory vs. feces), the type of infection, and the integrity of the skin that is contaminated.


  1. Always wash the contaminated area immediately with soap and water

  2. If the mucous membranes (i.e., eye or mouth) are contaminated by a splash of potentially infectious material or contamination of broken skin occurs, irrigate or wash area thoroughly

  3. If a cut or needle injury occurs, wash the skin thoroughly with soap and water

  4. If broken skin or mucous membranes are contaminated or a needle puncture occurs, the caregiver should document the incident and proceed with district exposure control plan.  The student's parent or guardian should be notified.  The person who was exposed to the infectious matter should contact his/her health care provider or the district referral provider for further care.  The district Exposure Incident Form should be completed and sent to the district Risk Manager.  All information from the medical evaluation will remain confidential and on file for at least thirty (30) years.

  5. If you are exposed to blood or other infectious materials as part of your job the school system will make the Hepatitis B vaccine available to you at no cost.

Bloodborne Pathogens are dangerous.  The hazards can be greatly reduced by understanding the risks and becoming familiar with the MSAD#30  Exposure Control Plan.

Every employee must review the above information, our District Exposure Control Plan, and take the following exam
annually, by the end of the 2nd week of school in fall. Please return to the School Nurse, either by email or in
paper form, your exam. You will be notified about results only if a retake is necessary. Documentation of your
participation in this program is required by OSHA and is kept on file in the School Nurse's office at MJJH. 
And Thank You.    


1. The first thing that you must do when you have been exposed to Bloodborne Pathogens is:
    A. call your husband/wife
    B. call your doctor
    C. immediately wash the exposed area with warm soap and water or flush mucous membranes and eyes with large amounts of water
    D. contact your supervisor

2. HCV can be treated in some people with:
    A. Alka Selzer
    B. Mylanta
    C. Antiviral drugs
    D. M&M's

3. All of the following are ways to protect yourself from exposure EXCEPT:
    A. follow the instructions in the Exposure Control Manual
    B. treating evryone as if they are infected
    C. always use a barrier mouthpiece when preforming CPR
    D. never get the Hepatitis vaccine series

4. You can become infected through casual contact such as hugging, kissing on the cheek, sneezing, or drinking from a water fountain
    A. True
    B. False

5. Feces, urine, nasal secretions, sweat, tears, and saliva are only included in the standard if they are visibly contaminated with blood.
    A. True
    B. False

6. OSHA stands for:
    A. Oceanic Storm and Hurricane Act
    B. Ocular Systemic and Helicopter Act
    C. Occupational Safety and Health Act
    D. Obligatory Safety and Health Act

7. HBV abd HCV are both infections of the:
    A. lungs
    B. lymphatic system
    C. intestines
    D. liver

8. You are considered to be exposed to Bloodborne Pathogens if c=blood or other potentially infectious materials cone in contact with:
    A. dresses, scarves, coats, and pants
    B. gloves
    C. mucous membranes of the eyes, nose or mouth or is a contaminated sharp object punctures the skin
    D. bed sheets

9. The risk of exposure to Bloodborne Pathogens in a school division is relatively low
    A. True
    B. False

10. Most people with HIV/AIDS"
    A. have numerous symptoms and die quicky
    B. must be hospitalized
    C. have no sysptoms and feel well
    D. must wear a mask and gown when they are in public

11. How often id OSHA mandated?
    A. monthly
    B. bi-monthly and yearly
    C. upon being hired and annually
    D. weekly and twice a year

12. You can use a plastic grocery bag to create a barrier between your skin and a person's bleeding injury
    A. True
    B. False

13. As an employee of the school system, your chances of contracting HCV are much greater than contacting HBV or HIV
    A. True
    B. False

14.The following are all systoms of HIV/AIDS EXCEPT:
    A. fever
weight loss
    C. night sweats
    D. excessive hair growth in the armpit area