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SECURIS INSURANCE POOL, INC. REPORT OF SIGNIFICANT WORK EXPOSURE TO BODILY FLUIDS OR OTHER INFECTIOUS MATERIAL (This form is not a claim form, but a report of exposure.)1. Exposed employee 2. AddressLast
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How to fill out bodily fluids work exposure

01
Put on a pair of disposable gloves to protect your hands.
02
Use a scoop or shovel to collect the bodily fluid, if necessary.
03
Place the bodily fluid in a biohazard bag or container.
04
Seal the biohazard bag or container tightly to prevent any leakage.
05
Clean the area where the bodily fluid was present using a disinfectant solution.
06
Dispose of the gloves and any other contaminated materials properly.
07
Wash your hands thoroughly with soap and water.
08
Report the incident and submit a documentation of the exposure to your supervisor or employer.

Who needs bodily fluids work exposure?

01
Individuals who work in healthcare settings, such as doctors, nurses, and laboratory technicians, may need to have exposure to bodily fluids as part of their job.
02
Emergency responders, including paramedics and firefighters, may also encounter bodily fluids during their work.
03
Jail and prison staff, as well as crime scene investigators, may have to handle bodily fluids as well.
04
In general, anyone who may come into contact with bodily fluids, such as in a first aid or caregiving capacity, may need to be aware of the proper procedures for handling and disposing of bodily fluids.
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Bodily fluids work exposure refers to situations in workplaces where employees may come into contact with or be exposed to bodily fluids, such as blood, saliva, or other potentially infectious materials, which can pose health risks.
Employees who have been exposed to bodily fluids in the course of their work, as well as their employers or designated personnel, are typically required to file documentation regarding such exposure.
To fill out a bodily fluids work exposure report, the affected employee should provide details such as the nature of the exposure, the circumstances surrounding the incident, any medical treatment received, and relevant dates. Employers may have specific forms or procedures that need to be followed.
The purpose of documenting bodily fluids work exposure is to ensure that appropriate medical evaluations and treatments are provided, to prevent potential infections, and to comply with workplace safety regulations.
The report should include the date and time of exposure, a description of the exposure incident, involved individuals, the type of bodily fluid, any interventions taken, and any follow-up actions needed.
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