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Blood-borne PATHOGENS INJURY REPORT FORM Date: Time: Building: Room: Name of injured: Student/Faculty ID: Email of injured: Phone #: Name of PI/Supervisor: Email: Name of witness: Email: Date of incident:
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01
Put on personal protective equipment, including gloves, goggles, and a gown.
02
Assess the situation and determine the extent and severity of the injury.
03
Clean the wound with soap and water, ensuring thorough cleansing.
04
If there is significant bleeding, apply direct pressure with a sterile cloth or dressing.
05
Apply an antiseptic solution to the wound to prevent infection.
06
Cover the wound with a sterile bandage or dressing.
07
Dispose of all contaminated materials in biohazard bags.
08
Wash your hands thoroughly with soap and water after removing gloves.
09
Report the incident to your supervisor or the appropriate authority.
10
Seek medical attention as necessary.

Who needs blood borne pathogens injury?

01
Individuals who work in healthcare settings, such as doctors, nurses, and other medical personnel.
02
First responders, such as paramedics, firefighters, and police officers.
03
Laboratory workers who handle human blood or other potentially infectious materials.
04
Tattoo artists and body piercers.
05
Funeral home employees.
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Any individual who may come into contact with blood or bodily fluids in their line of work.
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Blood borne pathogens injury refers to harm or illness resulting from exposure to pathogens present in blood, such as HIV, hepatitis B, and hepatitis C.
Employers who have employees exposed to blood or other potentially infectious materials are required to file blood borne pathogens injury reports.
The blood borne pathogens injury report can be filled out by providing details about the incident, the affected individual, the pathogens involved, and any treatment or precautions taken.
The purpose of blood borne pathogens injury reporting is to track and prevent workplace exposures to blood borne pathogens, as well as provide appropriate medical care to affected individuals.
Information such as the date and time of exposure, the type of pathogen involved, the affected individual's details, and any medical treatment provided must be reported on a blood borne pathogens injury report.
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