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BLOOD-BORNE EXPOSURE INCIDENT Reportage of report: ___ Date and Time of Exposure Incident:Employee\'s Name:Employee\'s Address:Date of birth: ___ Date of Hire: ___ Male: ___Female: ___ Job Classification/Department
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How to fill out bloodborne pathogen exposure incident

01
Step 1: Notify your supervisor immediately after the incident occurs.
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Step 2: Wash the affected area with soap and water.
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Step 3: Seek medical attention as soon as possible.
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Step 4: Fill out a bloodborne pathogen exposure incident report form with details of the incident.
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Step 5: Submit the completed form to your employer's designated person for review and follow-up.

Who needs bloodborne pathogen exposure incident?

01
Healthcare workers
02
First responders
03
Laboratory technicians
04
Janitorial staff
05
Any individual who may have been exposed to blood or other potentially infectious materials

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A bloodborne pathogen exposure incident refers to any event in which an individual is exposed to potentially infectious materials, including blood, saliva, or other bodily fluids, that can transmit disease-causing pathogens.
Healthcare workers, emergency responders, and any other personnel who may be exposed to bloodborne pathogens in their work environment are required to file a bloodborne pathogen exposure incident.
To fill out a bloodborne pathogen exposure incident report, individuals must provide details of the incident, including date, time, location, nature of the exposure, and any medical treatment received, as well as complete any relevant employer-specific forms.
The purpose of documenting a bloodborne pathogen exposure incident is to ensure proper medical follow-up, protect the health of the exposed individual, provide records for regulatory compliance, and implement measures to prevent future exposures.
The report must include the names of the individuals involved, date and time of the incident, a detailed description of the exposure, the type of fluid involved, and subsequent actions taken, including medical evaluations.
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