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CHAPTER 3 BLOOD-BORNE PATHOGENS EXPOSURE CONTROL PROGRAM Shasta County IPP Chapter 3 Revised 1226191BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN I.Purpose provide guidelines for a comprehensive exposure
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01
Gather all necessary personal protective equipment (PPE) such as gloves, goggles, and face shields.
02
Ensure that the area where you will be filling out the model bloodborne pathogen exposure form is clean and sterile.
03
Start by providing your personal information including your name, contact information, and job title.
04
Indicate the date and time of the bloodborne pathogen exposure incident.
05
Provide a detailed description of how the exposure occurred, including the specific circumstances and any potential sources of contamination.
06
Document the type of blood or other potentially infectious material (OPIM) that was involved in the exposure.
07
Include information about any immediate actions taken after the exposure, such as rinsing the affected area or seeking medical attention.
08
Describe any symptoms or health effects that you experienced as a result of the exposure.
09
Indicate whether you have sought medical evaluation and treatment for the exposure, and provide details if applicable.
10
Sign and date the form to certify the accuracy of the information provided.

Who needs model bloodborne pathogen exposure?

01
Any individual who has been exposed to blood or other potentially infectious materials in a healthcare setting.
02
Healthcare workers such as doctors, nurses, and lab technicians.
03
First responders and emergency personnel who may come into contact with blood or body fluids.
04
Cleaning and janitorial staff who handle potentially contaminated materials.
05
Employees in industries where there is a risk of exposure to bloodborne pathogens, such as tattoo artists or funeral home workers.
06
Anyone who may have been involved in an accident or incident where there was potential for bloodborne pathogen exposure.
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Model bloodborne pathogen exposure refers to a standardized framework or approach for documenting and reporting incidents where an individual may have been exposed to blood or other potentially infectious materials that could transmit bloodborne pathogens such as HIV or hepatitis.
Employers in healthcare settings and any workplace where exposure to bloodborne pathogens may occur are required to file model bloodborne pathogen exposure reports. This typically includes healthcare professionals, laboratory personnel, and other employee groups at risk of exposure.
To fill out a model bloodborne pathogen exposure report, you should securely document the details of the exposure incident, including the names of those involved, the date and time of the exposure, a description of the circumstances, and any follow-up actions taken, including medical evaluations.
The purpose of model bloodborne pathogen exposure documentation is to ensure that all exposure incidents are properly reported, managed, and investigated, in order to minimize the risk of infection and promote safety in the workplace.
The information that must be reported includes the date and time of the exposure, the type of exposure (e.g., needlestick, splash), the body fluids involved, the names of the individuals involved, any medical treatment received, and the results of any follow-up testing.
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