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This document outlines procedures for students and instructors regarding accidental exposure to blood or bodily fluids in an educational setting, aiming to decrease the risk of infections such as
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How to fill out Needle Stick/Bodily Fluid Policy and Procedure Agreement Form

01
Begin by downloading the Needle Stick/Bodily Fluid Policy and Procedure Agreement Form from your organization's website or obtain a physical copy from HR.
02
Fill in your full name at the top of the form.
03
Provide your employee ID number or other identification as required.
04
Read the Needle Stick/Bodily Fluid Policy and Procedure carefully to understand the guidelines and protocols.
05
Indicate your understanding of the policy by checking the appropriate box or signing where indicated.
06
Complete any additional sections, such as providing your job title and department.
07
If there are any training sessions or dates required, fill those in as well.
08
Review the entire form for any mistakes or missing information.
09
Sign and date the form at the bottom.
10
Submit the form to the designated department or person as instructed.

Who needs Needle Stick/Bodily Fluid Policy and Procedure Agreement Form?

01
All healthcare employees who may be exposed to needle sticks or bodily fluids.
02
New hires in the healthcare sector.
03
Employees engaging in procedures that involve the potential for exposure to bloodborne pathogens.
04
Volunteers or interns working in medical facilities.
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Under the standard, as revised by the NSPA, employers are required to evaluate, select, and use engineering controls (e.g., sharps with engineered sharps injury protections or needleless systems) to eliminate or minimize exposure to contaminated sharps [29 CFR 1910.1030(d)(2)(i)].
All employers are required under existing health and safety law to ensure that risk of sharps injuries from needles are adequately assessed, and that appropriate preventative and control measures are in place.
All employers are required under existing health and safety law to ensure that risk of sharps injuries from needles are adequately assessed, and that appropriate preventative and control measures are in place.
Basic requirement. You must record all work-related needlestick injuries and cuts from sharp objects that are contaminated with another person's blood or other potentially infectious material (as defined by 29 CFR 1910.1030). You must enter the case on the OSHA 300 Log as an injury.
Once a needlestick injury has occurred, the healthcare worker must seek emergency care. The site of the needlestick must be thoroughly rinsed with saline or water, and the wound must be cleaned. In most cases, there is no need to use antiseptic solutions to wash the area.
Immediate care of the body site: Needlesticks and cuts: decontaminate the exposed or contaminated site immediately by washing with soap and water. Splashes to the nose, mouth, or skin: flush with water. Splashes to the eyes: Irrigate eyes with clean water, saline, or sterile irrigant.
Consult the designated Physician / Personnel immediately as per Institutional guidelines, for management of the Occupational exposure. 1. Immediately wash the wound and surrounding skin with water and soap, and rinse with flowing water or normal saline.
OSHA Needlestick Protocol Guidelines Develop a written exposure control plan. Update the plan yearly. Implement the use of universal precautions. Use engineering controls. Improve work processes. Provide free PPE. Vaccinate workers against hepatitis B.

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The Needle Stick/Bodily Fluid Policy and Procedure Agreement Form is a document that outlines the procedures and responsibilities related to exposure incidents involving needle sticks or bodily fluids in the workplace.
Any employee who experiences a needle stick injury or exposure to bodily fluids while performing their job duties is required to file the Needle Stick/Bodily Fluid Policy and Procedure Agreement Form.
To fill out the Needle Stick/Bodily Fluid Policy and Procedure Agreement Form, the employee needs to provide their personal information, details about the incident, the circumstances surrounding the exposure, and any immediate actions taken following the incident.
The purpose of the Needle Stick/Bodily Fluid Policy and Procedure Agreement Form is to document exposure incidents, ensure proper reporting and follow-up actions, and promote awareness and prevention strategies within the workplace.
The form must report information such as the date and time of the incident, the location, a description of the injury or exposure, the source of the fluid or needle, the circumstances of the incident, and any medical attention sought or provided.
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