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APPENDIX III BLOOD-BORNE PATHOGEN EXPOSURE EVALUATION FORM Bowling Green State University Employee Information Name (Printed) Department/Area Date of Potential Exposure Incident Physician Evaluation

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What is bloodborne pathogen exposure evaluation?

Bloodborne pathogen exposure evaluation is the process of assessing potential exposure to infectious diseases carried in blood and other body fluids.

Who is required to file bloodborne pathogen exposure evaluation?

Certain occupations, such as healthcare workers, first responders, and laboratory technicians, are required to file bloodborne pathogen exposure evaluation.

How to fill out bloodborne pathogen exposure evaluation?

Bloodborne pathogen exposure evaluation forms typically require individuals to provide information about their job duties, potential exposures, and history of vaccinations.

What is the purpose of bloodborne pathogen exposure evaluation?

The purpose of bloodborne pathogen exposure evaluation is to assess and mitigate the risk of exposure to bloodborne pathogens in the workplace.

What information must be reported on bloodborne pathogen exposure evaluation?

Information such as job duties, potential exposures, vaccination history, and any incidents of exposure must be reported on bloodborne pathogen exposure evaluation.

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