Sample Bloodborne Pathogen Exposure Control Plan For Child Care Facilities Page 8

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Post Exposure Evaluation
Should an exposure incident occur, contact _________________________ (responsible
person at the facility) and a medical evaluation will be provided by
______________________ (list medical provider or clinic). The facility will see that the
following elements are performed:
• Documentation of the route of exposure and how the exposure occurred
• Identification of the Source (person's blood that employee was exposed)
• Obtain consent and test source individual for HIV and/or Hepatitis B antibody ASAP.
• If source does not give consent , document that consent could not be obtained.
Source testing will be done by: _________________________ (list medical provider or clinic
i.e. Source's physician)
The facility will ensure that the medical care provider is given the following information:
• A description of the employee's job duties relevant to the exposure incident.
• Route and circumstances of the exposure.
• If possible, the results of the Source antibody testing.
• Relevant employee medical records, including hepatitis B vaccination status.
• Copy of regulation
The medical provider will be requested to provide the facility with the following:
• If Hepatitis B is indicated and if employee has received vaccine.
• Whether or not the employee has been informed of the results of medical and any
medical condition that may require further evaluation and treatment.
Medical Records
Any employee medical record will be kept at the facility for employment plus 30 years.
Appendices
Appendix A: The OSHA Bloodborne Pathogen Standard
Appendix B: ISDH Communicable Disease Law and Universal Precautions Rule
Appendix C: Attach list of employees listed in the ECP

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