Page 62 - Compendium Chapters for Course 1 (IC, DPA, OSHA)

a. Exposure Report Form – name, date, report of actions leading up to and including the exposure incident, what caused the incident to occur, and what action will be taken to ensure the incident does not occur again.
b. Sharps Injury Log – complete log data including name, date and action which led to incident.
c. Permission for Blood Testing – provide signature to accept or decline post- exposure medical care and blood testing for communicable disease testing.
d. Seek medical attention – go to doctor or local medical care facility to receive follow-up care and blood testing; post exposure prophylaxis may be ordered.
Follow-Up Procedures
In the event of an exposure incident, the employer will follow the recommendations of the US Public Health Service and the Centers for Disease Control & Prevention (CDC) recommended protocols for testing, medical examination, prophylaxis, and counseling procedures. These procedures include:
1. Provide immediate care to the wounded employee.
2. Employees who have an exposure are required to report the exposure and must be given instruction in follow-up procedures.
3. Identify the source individual (if possible and if permitted by law) and, with the source individual’s consent, test the source individual for HIV and HBV carrier status. Do not test source of known HBV and HIV status.
4. The employee is informed of the source’s test results.
5. After obtaining employee’s consent, collect the exposed employee’s blood for immediate testing or store the collected blood for 90 days to allow for a delayed decision to test.
6. The exposed employee is advised to report and seek medical evaluation of any disease or illness that occurs within 12 weeks after exposure.
7. The exposed employee may refuse any medical evaluation, test, or follow-up recommendation. This should be documented.
Occupational Risk Classifications
The OSHA BBPS requires employers to document and train each employee based on categories of exposure or potential exposure. Categories of classifications may be 1, 2 and 3 or A, B, and C and are determined by the staff level and tasks performed (see chart below).
Intro Page - 62
Introductory Chapter: Dental Practice Act, Infection Control and Cal-OSHA
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