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This document is used by nursing students at Governors State University to report incidents of exposure to bloodborne pathogens, ensuring proper notification, follow-up care, and adherence to OSHA

How to fill out bloodborne pathogens incident report

How to fill out Bloodborne Pathogens Incident Report

1. Start with the date and time of the incident.
2. Enter the location where the incident occurred.
3. Provide a detailed description of the incident, including what happened.
4. List any individuals involved in the incident, including their names and roles.
5. Document the type of exposure (e.g., needlestick, splash, etc.).
6. Indicate the source of exposure, if known (e.g., patient, specimen).
7. Record the actions taken immediately after the incident, such as first aid measures.
8. Include any relevant medical evaluations or treatments provided.
9. Note any witnesses to the incident.
10. Sign and date the report, ensuring all information is accurate.

Who needs Bloodborne Pathogens Incident Report?

1. Healthcare workers who may be exposed to bloodborne pathogens.
2. Supervisors and managers in healthcare facilities.
3. Safety and compliance officers responsible for health and safety protocols.
4. Human resources personnel for documentation and follow-up.
5. Infection control committees for data analysis and prevention strategies.

People Also Ask about

What four things should be included when reporting an exposure?

8. Reporting Exposure Incidents Whether the exposure was from a hollow-bore needle or other sharp instrument. Whether the exposure was to non-intact skin or mucous membranes such as the eyes, nose, or mouth. The amount of blood that was involved. The amount of virus present in the source's blood.

What is the most common mode of bloodborne pathogen exposure?

The most common ways bloodborne pathogens spread are through sexual transmission or IV drug use. However, any contact with infected blood or body fluids carries the risk of potential infection.

What is an example of a bloodborne pathogen exposure incident?

Needlesticks or cuts from used needles or sharps. Contact of your eyes, nose, mouth, or broken skin with blood. Assaults – bites, cuts, or knife wounds. Splashes or punctures – especially when drawing blood.

How do you report bloodborne pathogens exposure?

Report this immediately to your employer and seek immediate medical attention. CDC: Emergency Needlestick Information also provides immediate access to treatment protocols following blood exposures involving HIV, HBV and HCV, including the Clinicians' Post Exposure Prophylaxis Hotline (PEPline) at 1-888-448-4911.

Which is an example of a bloodborne pathogen exposure incident?

Needlesticks or cuts from used needles or sharps. Contact of your eyes, nose, mouth, or broken skin with blood. Assaults – bites, cuts, or knife wounds. Splashes or punctures – especially when drawing blood.

What is an exposure event for bloodborne pathogens?

An exposure incident is any eye, mouth, mucous membrane, non-intact skin, or other parenteral contact with blood or other potentially infectious material (OPIM). (For example, a puncture from a contaminated sharp such as an injection needle or a cut from a scalpel blade or suture needle.)

What are the bloodborne pathogens summary?

Bloodborne pathogens are infectious microorganisms present in blood that can cause disease in humans. These pathogens include, but are not limited to, hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV), the virus that causes AIDS.

What are three examples of bloodborne pathogens?

There are many different bloodborne pathogens, including malaria, syphilis, and brucellosis, and most notably Hepatitis B (HBV), Hepatitis C (HCV) and the Human Immunodeficiency Virus (HIV).

For pdfFiller’s FAQs

What is Bloodborne Pathogens Incident Report?

A Bloodborne Pathogens Incident Report is a formal document used to record incidents involving exposure to blood or other potentially infectious materials, ensuring that exposure incidents are investigated and managed appropriately.

Who is required to file Bloodborne Pathogens Incident Report?

Any employee or worker who has experienced an exposure incident, such as a needlestick injury or contact with blood, is required to file a Bloodborne Pathogens Incident Report.

How to fill out Bloodborne Pathogens Incident Report?

To fill out a Bloodborne Pathogens Incident Report, provide details such as the date and time of the incident, a description of how the exposure occurred, the location of the incident, and any actions taken following the exposure.

What is the purpose of Bloodborne Pathogens Incident Report?

The purpose of a Bloodborne Pathogens Incident Report is to document exposure incidents, facilitate appropriate medical evaluation and treatment, and contribute to workplace safety and training measures.

What information must be reported on Bloodborne Pathogens Incident Report?

The information that must be reported includes the names of the exposed individual and the source individual (if known), the circumstances of the exposure, the type of exposure, and any follow-up actions taken.