Tonight I will be presenting a refresher course on bloodborne pathogens. We all know and preach BSI, scene safe, universal precautions when we do training or during skills days but do we really practice it out in the streets?

I've been reflecting back over the last couple years and am reluctant to admit that we (myself included) sometimes get lax out on the scene.

It is scary to think about what all you can catch from someone through blood or bodily fluids. We like to think that we are invinsible and that the only think that can hurt us is some big catastrophic event. We don't want to think or admit that a little microbe could take us down.

So as a quick reminder to everyone, make sure you practice (and put in use out in the field) proper Body Substance Isolation. Wear your gloves and safety glasses when administering patient care. If necessary have turnout gear or gowns on. Put waste in proper biohazard containers and bags. Take off and wash any contaminated gear or clothing right away. Remember, dried blood can still carry the pathogens. Handwashing is the best way to help prevent the spread of diseases by bloodborne pathogens.

If you are not worried for yourself, consider your patients and others around you. Your BSI may help prevent YOU from transmitting any bloodborne pathogens. Just remember that transference can be a two way street. Just because we are the rescuers does not mean that we don't have some pathogen that could potentially be passed on to our patient.

Pay attention out on the scene to make sure you and your guys are using the proper BSI equipment. It just takes a second to put on but can mean the difference in the long term to your health and safety.

John