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CORRECTIONAL DENTAL ASSOCIATES NEEDLE STICK OCCUPATIONAL EXPOSURE DOCUMENTATION REVISED 11/1/2014 CORRECTIONAL DENTAL ASSOCIATES EXPOSURE INCIDENT DOCUMENTATION FORM A 1. Describe route of exposure
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How to fill out needle stick occupational exposure:

01
Contact information: Start by providing your personal information such as your name, contact number, and email address.
02
Date and time of the incident: Specify the exact date and time when the needle stick occupational exposure occurred.
03
Location of the incident: Mention where the incident took place, whether it was at your workplace or elsewhere.
04
Incident details: Provide a detailed description of the circumstances surrounding the needle stick occupational exposure, including the type of needle or sharp object involved, how it happened, and any contributing factors.
05
Immediate actions taken: Describe what immediate actions you took after the exposure, such as washing the affected area, applying first aid measures, or seeking medical attention.
06
Witness information: If there were any witnesses to the incident, provide their names and contact information.
07
Medical evaluation: Document whether you sought medical evaluation and the details of any medical procedures or tests conducted as a result of the needle stick occupational exposure.
08
Follow-up procedures: Describe any follow-up actions recommended or required by your workplace or healthcare provider.
09
Employer's contact details: Include your employer's name, address, and contact information for them to complete the necessary sections of the report.

Who needs needle stick occupational exposure?

01
Healthcare workers: Medical professionals, nurses, doctors, and other healthcare personnel may be at a higher risk of needle stick occupational exposure due to the nature of their work.
02
Laboratory workers: Those working in research laboratories or diagnostic centers where needles and sharp objects are commonly used may also require occupational exposure reporting.
03
First responders: Paramedics, emergency medical technicians (EMTs), and firefighters who administer medical care on-site or handle needles as part of their duties should also report needle stick occupational exposure incidents.
It is important to promptly and accurately fill out the needle stick occupational exposure report to ensure appropriate assessment, follow-up, and prevention of any potential health risks.
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Needle stick occupational exposure is the accidental injury caused by a needle or other sharp object while on the job.
Employers are required to file needle stick occupational exposure incidents.
Needle stick occupational exposure forms can be filled out with details of the incident, including date, time, location, and employee information.
The purpose of reporting needle stick occupational exposure is to track and prevent workplace injuries and illnesses.
Information such as date, time, location, nature of the exposure, and details of the affected employee must be reported on needle stick occupational exposure forms.
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