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Form 2PORTLAND COMMUNITY COLLEGEBLOODBORNE PATHOGEN INCIDENT REPORT Instructions: This report must be completed by the employees supervisor or manager for any exposure as defined in the Plan. A copy
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How to fill out bloodborne pathogen incident report

01
To fill out a bloodborne pathogen incident report, follow these steps:
02
Provide the date and time of the incident.
03
Identify the location where the incident occurred.
04
Provide the names of all individuals involved, including any witnesses.
05
Describe the nature of the incident and how it happened.
06
Document any injuries or exposure to bloodborne pathogens.
07
Include any actions taken immediately after the incident, such as medical treatment or first aid.
08
Indicate if the incident was reported to a supervisor or higher authority.
09
Attach any supporting documents, such as medical records or incident photos.
10
Sign and date the report to acknowledge its accuracy.
11
Submit the completed report to the appropriate department or authority.

Who needs bloodborne pathogen incident report?

01
Anyone who experiences or witnesses an incident involving potential exposure to bloodborne pathogens needs to fill out a bloodborne pathogen incident report. This includes healthcare workers, laboratory personnel, first responders, and any other individuals who may come into contact with potentially infectious materials.
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The bloodborne pathogen incident report is a document used to record and report any exposure to blood or other potentially infectious materials.
Healthcare workers, laboratory personnel, emergency responders, and other individuals who may be at risk of exposure to bloodborne pathogens are required to file a bloodborne pathogen incident report.
The bloodborne pathogen incident report should include details such as date and time of exposure, location of exposure, individuals involved, and any actions taken following the exposure.
The purpose of the bloodborne pathogen incident report is to document and assess potential exposures to bloodborne pathogens in order to prevent the spread of infections and provide appropriate medical care.
Information such as date, time, location, individuals involved, type of exposure, and any follow-up actions taken must be reported on the bloodborne pathogen incident report.
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