Hepatitis B Vaccination and Exposure Incident Reporting

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Questions and Answers

What is required to be completed before the first Annual Performance Review?

Workers' Compensation Claim

Hepatitis B series (correct)

Medical evaluation of the exposure

Exposure Incident Report

What should be documented in an Exposure Incident Report?

Engineering controls, work practice controls, personal protective equipment, and policy and control failures (correct)

Only personal protective equipment

Only engineering controls

Only work practice controls

Who should the exposed employee notify immediately?

Only the Medical Director

Only the Workers' Compensation Claims Manager

The immediate supervisor and the ECO (correct)

Only the Department of Detention Services Medical Advisor

What should be done with the original Exposure Incident form?

It should be forwarded to the Department of Operational Support Medical Director, the Workers' Compensation Claims Manager, and the Department of Detention Services Medical Advisor Signup and view all the answers

What is the role of the exposed employee's supervisor?

To ensure the ECO is notified Signup and view all the answers

Where should the exposed employee report immediately after normal business hours?

The nearest authorized occupational health facility or hospital Signup and view all the answers

Why is it beneficial for the employee to be evaluated within two hours?

To ensure timely medical evaluation and treatment Signup and view all the answers

Who can be reached after normal business hours for Exposure Incident reporting?

The on-call representative from the Sheriff's Office Occupational Health and Wellness Center Signup and view all the answers

What should be done immediately after exposure to needle stick, sharps, cuts, or abrasions?

Wash site with soap and water Signup and view all the answers

Who is responsible for notifying the booking nurse of the exposure and the need for source testing?

Exposed employee's supervisor Signup and view all the answers

What happens if the source individual denies consent for testing?

The employee's supervisor seeks a court order Signup and view all the answers

How long should the exposed employee's blood sample be preserved?

90 days Signup and view all the answers

What information should the evaluating physician be provided with?

Route and circumstances of exposure, as well as other information Signup and view all the answers

How long must employee medical records be maintained?

For the duration of employment plus 30 years Signup and view all the answers

When must the PPD skin test be read?

48 - 72 hours after it has been performed Signup and view all the answers

What should be done if the exposure source is being transported to a hospital?

Notify the hospital of the need for source testing Signup and view all the answers

What is done with the exposed employee's blood if they consent to baseline blood testing, but not HIV testing?

Preserve the sample for at least 90 days Signup and view all the answers

What must the evaluating physician's written report contain?

Recommendations regarding the need for or receipt of Hepatitis B vaccine, and a statement the employee has been informed of the results of the evaluation Signup and view all the answers

Study Notes

Hepatitis B Series and Exposure Incidents

Hepatitis B series requires three injections, and the Hepatitis B surface antibody titer must be drawn before the first Annual Performance Review.
Exposure Incidents must be documented, including:
- Engineering controls in place at the time of the incident
- Work practice controls in place at the time of the incident
- Personal protective equipment and clothing used at the time of the incident
- Policy and control failures, if any

Reporting and Medical Evaluation

Employees must notify their immediate supervisor and the ECO (Medical Director of the Sheriff’s Office Occupational Health and Wellness Center) as soon as possible after an Exposure Incident
The exposed employee must complete an Exposure Incident form, which is routed to the Department of Operational Support Medical Director, the Workers’ Compensation Claims Manager, and the Department of Detention Services Medical Advisor
Employees must report to the Sheriff’s Office Occupational Health and Wellness Center or an authorized occupational health facility or hospital for medical evaluation within two hours of the incident

Immediate Treatment After Exposure

Needle stick, sharps, cuts, and abrasions: wash site with soap and water or waterless hand cleaners
Mucous membrane/non-intact skin:
- Eyes: rinse thoroughly with water or saline
- Skin: wash with water and antiseptic soap
- Mouth: rinse with water
Other wound care as dictated by accident or injury

Source Testing

If the exposure source is under arrest, the exposed employee’s supervisor must notify the booking nurse of the exposure and the need for source testing
If the exposure source is being transported to a hospital, the exposed employee’s supervisor must notify the hospital of the need for source testing
If the source individual consents, they will be tested for HIV and Hepatitis
If the source individual denies consent, the employee’s supervisor will notify the on-duty Legal Advisor to seek a court order for testing

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Description

This quiz covers the requirements for Hepatitis B vaccination series and documentation of exposure incidents, including the necessary elements to include in the report.