If you are in, or are
contemplating entering, the bio-recovery industry, it’s important to remember
this goal: the complete clean up of blood, tissue and other potentially
infectious materials. Problem is, many people think that’s the only goal, and
so all that is needed is a strong stomach and a mop. In fact, there are
companies out there cleaning up scenes with that approach in mind.
What we as technicians have to
remember, however, is that in order to accomplish our task, there are a number
of concerns we must address in order to do the job safely, effectively, and in
compliance with the law. Ignoring any of these 10 concerns can cause employees
to get sick (potentially with a lifetime of medical bills you will have to
pay); lead to lawsuits from employees as well as customers; result in a bad
reputation for poor performance; raise the ire of law enforcement agencies, and
even lead to government fines.
These harmful bacteria, viruses
and fungi can be present in spilled blood and body fluids as well as in the
air. Splashes of blood or body fluids and inhalation of aerosolized blood or
fungal spores from the gastrointestinal tract can cause illness. Some viruses,
like Hepatitis, can even cause death.
Most people are under the
impression that these pathogens die when blood dries, but this is not the case.
In fact, scientists have found live Hepatitis virus in blood that has been
dried for over a month, and they believe it can actually live substantially
longer. Protection against these invisible germs is paramount, and requires
suits, gloves, face shields and respirators, regardless of how old the blood
is. Not just any glove or suit will do, either. To assure that maximum protection
is attained, seek out PPE that is specifically rated by the manufacturer or a
testing organization like ASTM (American Society for Testing and Materials) for
the job you are performing.
Just because someone has gutted a
deer, worked in a nursing home or cleaned up after a nosebleed doesn’t mean
they are psychologically prepared to clean a trauma scene. These scenes can be
horrific: pieces of scalp hanging from the ceiling fan; brain matter splattered
on the oil painting of the smiling family; bloody handprints sliding down the
wall of a stabbing victim’s apartment; the crying and wailing of the family in
the next room as you wipe away the remnants of their loved-one’s last moments.
Turnover in this business is
usually because of nightmares, inability to sleep, and depression. Staying
mentally healthy is an important part of protecting yourself on the job.
Although there are more than 100
antimicrobial products that claim to kill germs, it is imperative to select the
right one for the target pathogens you may encounter. Among the those rated to
do the job, their true efficacy varies considerably and is subject to surface
conditions, temperature, organic load, and even the material the contaminant is
on. Disinfectant efficacy is also heavily influenced by the presence of
biofilm. Biofilm is produced when bacteria colonize and collectively produce a
coating that envelops the entire colony. This coating provides a protective
layer under which the bacteria can thrive unaffected by many disinfectants.
You just spent 50 hours cleaning
up a bedroom where a father took his own life with a 12-guage shotgun. There
was blood, tissue, brain matter and skull fragments covering nearly every
square foot of the room and its contents. You were extremely cordial and
sympathetic to the family. You used the right equipment and disinfectants. The
room now looks great and the family is pleased.
But if you have overlooked just
one drop of blood, one piece of tissue or small skull fragment (perhaps a tooth
behind the dresser), prepare to get a very angry phone call. You may as well
not have done anything at all because, although you worked until you nearly
dropped, that one overlooked piece of carnage has re-traumatized the family,
and they are thinking of calling a lawyer.
Interaction With the Distressed Family
Like funeral directors, we often
have to interact with the immediate family of the deceased just a few hours
after the event. These husbands, wives, parents and children are grieving and
trying to cope with the emotional upheaval of an unexpected traumatic loss.
Knowing what to say as well as
what not to say is critical in establishing a rapport and conveying your
sympathy, yet still obtaining the information necessary to do your job. Saying
the wrong thing can at the very least get you off on the wrong foot, and
possibly get you kicked off the property. Sensitivity and a caring attitude are
essential in this business.
From time to time, technicians
will discover evidence at a crime scene. Since we spend a great deal of time
scouring the scene from top to bottom, moving furniture, opening drawers and so
on, we come across things that may be important to investigators.
The key is recognizing what might
be related to the case. Obviously, guns, bloody knives and bullets should be
reported, but it is with the more subtle things that you have to ask yourself,
“Could this be important?” A roll of duct tape on the scene of a stabbing may
have no significance, but what if you found one at the scene of an abduction?
Knowing what the crime was can help you “tune-in” on items that may be crucial
to an investigation.
You get a phone call from an
apartment complex manager who wants you to clean up a shooting scene in
apartment 2-C. You rush over and the manager signs your contract. Hours later
you pack up your truck, confident that you have cleaned and disinfected every
square inch of the apartment. The next day you get a call from an irate police
investigator who says the scene had not been released yet, and you have
destroyed his crime scene. He is threatening to charge you with obstruction of
justice! Make absolutely sure that crime scenes have been reported,
investigated and released before doing the job.
As employers, we must adhere to
the many OSHA regulations that apply to our trade. The most obvious is
29CFR1910.1030 the Bloodborne Pathogen Regulation, but there are many, many
more, including the Respiratory Protection Regulations; Lockout-Tagout;
Confined Space; Ladders; General Safety; and Personal Protective Equipment.
These regulations were designed to
protect our employees and violations can result in stiff penalties, lawsuits
and damage to our credibility. In addition,
we must employ contracts that provide protection to the property owner as well
as the company and technicians. We must know who can sign our contracts, and we
must have the appropriate insurance to protect us if anything goes wrong.
Migration of Liquids
Blood travels like water, but many
people, including some technicians, tend to clean up only what they see (“If
the red is gone, I’ve done my job.”). Unfortunately, blood runs under vinyl
tile, under baseboards, down the seams of hardwood flooring, through OSB, and
wicks up into drywall and down into concrete. Wiping blood off a surface is
only the beginning of the remediation process.
Most jobs are more complicated
than they initially seem because most of the contamination is hidden. Just a
few ounces of blood can penetrate a carpet, go through the pad onto the
underlayment, find a seam and seep down the seam into the plywood subfloor.
More than a few ounces can travel from an attic to a basement if the conditions
are right. Knowing what to look for is the key to combating liquid migration.
Decomposition and Odors
Understanding the nature of human
body decomposition and the liquids and odors produced is key to our business.
Putricine and cadaverine are composed of a variety of chemicals, fats, bacteria
and minerals that pose challenges for the bio-recovery technician.
Understanding what chemicals to use, what home contents can be saved, and what
the true hazards of the contamination are goes a long way in restoring the
property quickly and economically.
As with any industry, there are
always critical concerns that must be addressed in order to provide the best
service possible. For the bio-recovery technician, failing to address any of
these concerns can result in a very poor outcome, both for the family and your
business. Proper training is of paramount importance, and certification from a
nationally recognized organization will help assure that every scene is handled