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This document is required for UTHSCSA employees to request reimbursement or payment initiation for post-exposure treatment not covered by Workers’ Compensation.
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How to fill out bloodborne pathogen post-exposure treatment

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How to fill out BLOODBORNE PATHOGEN POST-EXPOSURE TREATMENT MEDICAL RECORD RELEASE FOR UTHSCSA EMPLOYEES

01
Obtain the BLOODBORNE PATHOGEN POST-EXPOSURE TREATMENT MEDICAL RECORD RELEASE form from the UTHSCSA website or your supervisor.
02
Fill in your personal information, including full name, employee ID, and contact details.
03
Indicate the date of the exposure incident and the nature of the exposure.
04
Provide details of the treatment received following the exposure, including dates and healthcare providers involved.
05
Sign and date the form to authorize the release of your medical records related to the post-exposure treatment.
06
Submit the completed form to the designated department (e.g., Occupational Health) as specified in your UTHSCSA employee guidelines.

Who needs BLOODBORNE PATHOGEN POST-EXPOSURE TREATMENT MEDICAL RECORD RELEASE FOR UTHSCSA EMPLOYEES?

01
Employees who have experienced an exposure incident to bloodborne pathogens while performing their job duties at UTHSCSA.
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People Also Ask about

Training on OSHA blood-borne pathogens regulations must be provided annually. It is the employee's responsibility to seek appropriate training on blood-borne pathogens.
Employers must ensure that their workers receive regular training that covers all elements of the standard including, but not limited to: information on bloodborne pathogens and dis- eases, methods used to control occupational exposure, hepatitis B vaccine, and medical eval- uation and post-exposure follow-up
Exposure incidents should be reported immedi- ately to the employer since they can lead to infec- tion with hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV), or other bloodborne pathogens.
If the worker is splashed or exposed to blood or potentially infectious material without being cut or scratched, even a splash in the eyes or mucous membranes, then the incident is recorded on the OSHA 300 log only if it results in the diagnosis of a bloodborne illness or a positive blood test, or if it meets one of
How Often Is Bloodborne Pathogens Training Required? Each employee should receive this training upon hire and then every year thereafter (annually), as well as whenever new or updated tasks or procedures might affect their exposure levels.
Employers must ensure that their workers receive regular training that covers all elements of the standard including, but not limited to: information on bloodborne pathogens and dis- eases, methods used to control occupational exposure, hepatitis B vaccine, and medical eval- uation and post-exposure follow-up
If you are stuck by a needle or other sharp or get blood or other potentially infectious materials in your eyes, nose, mouth, or on broken skin, immediately flood the exposed area with water and clean any wound with soap and water or a skin disinfectant if available.

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It is a release form that allows UTHSCSA employees to receive medical treatment and follow-up care after potential exposure to bloodborne pathogens.
Any UTHSCSA employee who has experienced an exposure incident to bloodborne pathogens must file this release form.
The employee should complete the form by providing personal information, details of the exposure incident, and any necessary medical history as prompted on the form.
The purpose is to document the exposure incident and authorize medical treatment, ensuring proper follow-up care and compliance with health regulations.
The form must report the employee's name, date of birth, date of exposure, specifics of the incident, and any medical history relevant to the exposure.
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