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FACILITY NAME:___ SITE #___ DATE___ FACILITY ADDRESS:___ CITY___ ZIP ___ TESTING SITE TYPE: ___FLEXIBLE (In Facility) ___FIXED (Regional) ___ BOTH CONTACT PERSON: ___ PHONE #:___ PROGRAM COORDINATOR:___

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How to fill out blood borne pathogen exposure

01

Gather all necessary information about the exposure incident, such as the date and time of exposure, type of contact with the blood or other potentially infectious material, and source individual.

02

Wash the exposed area with soap and water immediately.

03

Report the incident to the designated person in your workplace.

04

Seek medical evaluation and treatment as soon as possible.

05

Fill out the necessary forms and documents provided by your employer regarding the exposure incident.

Who needs blood borne pathogen exposure?

01

Healthcare workers such as doctors, nurses, and laboratory technicians

02

First responders such as paramedics and emergency medical technicians

03

Cleaning and janitorial staff who may come into contact with blood or other infectious materials

04

Correctional officers and law enforcement personnel

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What is blood borne pathogen exposure?

Blood borne pathogen exposure refers to the contact with infectious microorganisms present in blood, leading to potential infection and transmission of diseases.

Who is required to file blood borne pathogen exposure?

Healthcare workers, laboratory personnel, emergency responders, and other individuals at risk of occupational exposure to blood or bodily fluids are required to file blood borne pathogen exposure reports.

How to fill out blood borne pathogen exposure?

To fill out a blood borne pathogen exposure report, individuals need to provide details about the exposure incident, the source of exposure, any symptoms experienced, and follow the proper reporting procedures set by their organization or regulatory agencies.

What is the purpose of blood borne pathogen exposure?

The purpose of reporting blood borne pathogen exposure is to track potential incidents of infection, provide appropriate medical treatment and follow-up care, prevent further transmission, and improve workplace safety.

What information must be reported on blood borne pathogen exposure?

Information to be reported on blood borne pathogen exposure includes details of the exposure incident, the type of pathogen involved, any symptoms experienced, medical interventions received, and follow-up care recommendations.

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