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Form #3090A (01/22) PHOTOCOPY LOCALLY AS NEEDED YORK STATE DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISIONBlood and Body Fluid Spills Decontamination Form Specific Area/Items Decontaminated: ___

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How to fill out blood and body fluid

01

Wear appropriate personal protective equipment, such as gloves and a mask.

02

Identify the appropriate tubes for collection, such as a purple top tube for EDTA blood collection or a red top tube for serum collection.

03

Properly label each tube with the patient's name, date, and time of collection.

04

Clean the venipuncture site with an alcohol swab before collecting the sample.

05

Perform the venipuncture using a sterile needle and syringe or vacutainer system.

06

Collect the correct amount of blood or body fluid into the appropriate tubes.

07

Mix the tubes gently by inverting them several times to prevent clotting or separation of the sample components.

08

Place the tubes in a biohazard bag and transport them to the laboratory for analysis.

Who needs blood and body fluid?

01

Healthcare professionals, such as doctors, nurses, and laboratory technicians, who collect and analyze blood and body fluid samples for diagnostic purposes.

02

Patients who require medical testing, such as blood tests or fluid analysis to monitor their health or diagnose medical conditions.

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What is blood and body fluid?

Blood and body fluid refers to any liquid material that comes from the human body, such as blood, saliva, urine, or pus.

Who is required to file blood and body fluid?

Healthcare professionals and facilities are required to file reports on blood and body fluid exposures.

How to fill out blood and body fluid?

The report on blood and body fluid exposures can be filled out online or submitted in paper form to the appropriate health department.

What is the purpose of blood and body fluid?

The purpose of reporting blood and body fluid exposures is to track and prevent the spread of infectious diseases.

What information must be reported on blood and body fluid?

Information that must be reported includes the date of exposure, type of fluid, source of exposure, and any symptoms experienced.

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