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TOWN OF ROCKY HILL: 2019 Blood-borne Pathogen & Exposure Control PlanBloodborne Pathogen Exposure Control Plan, Town of Rocky Hill (Rev. 7/17/2019)Contents Summary Page ..............................................................................................................................
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To fill out a bloodborne pathogen ampamp exposure form, follow these steps:
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Start by providing your personal information, including your name, contact information, and position at the organization.
03
Specify the date and time of the exposure incident.
04
Describe in detail how the exposure occurred, including the type of exposure (e.g., needle stick, splash, etc.), the source of the exposure, and any other relevant information.
05
Note any immediate actions taken following the exposure, such as cleaning the wound, washing the affected area, etc.
06
If medical evaluation or treatment was sought, provide details about the healthcare provider visited, any tests conducted, and the prescribed treatment.
07
Include information about the source individual, if known, including their name, contact information, and any relevant medical history.
08
Provide details about the circumstances surrounding the incident, such as the location, activities being performed at the time, etc.
09
If there were any witnesses to the exposure, include their names and contact information.
10
Finally, sign and date the form to certify the accuracy of the information provided.

Who needs bloodborne pathogen ampamp exposure?

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Anyone who may come into contact with blood or other potentially infectious materials needs to be aware of bloodborne pathogens and the associated exposure risks. This includes but is not limited to:
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- Healthcare workers (doctors, nurses, lab technicians, paramedics, etc.)
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- Emergency responders
04
- Laboratory personnel
05
- Janitors and custodial staff
06
- Tattoo artists and body piercers
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- Waste disposal workers
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- Funeral home workers
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- Police officers and crime scene investigators
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- Any individuals providing first aid or healthcare services
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- Individuals working in environments where exposure to blood or biohazardous materials is possible.
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Bloodborne pathogen exposure refers to the potential contact with infectious microorganisms through blood or other bodily fluids.
Healthcare workers, first responders, and others who may be at risk of exposure to bloodborne pathogens are required to file bloodborne pathogen exposure reports.
Bloodborne pathogen exposure reports can be filled out by providing information about the incident, the individuals involved, and the steps taken to address the exposure.
The purpose of bloodborne pathogen exposure reporting is to ensure that incidents are properly documented and that individuals exposed receive appropriate medical care.
Information such as the date and time of exposure, the individuals involved, the source of exposure, and any medical treatment received must be reported on bloodborne pathogen exposure reports.
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