Podcast
Questions and Answers
What is required to be completed before the first Annual Performance Review?
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?
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?
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?
What should be done with the original Exposure Incident form?
What is the role of the exposed employee's supervisor?
What is the role of the exposed employee's supervisor?
Where should the exposed employee report immediately after normal business hours?
Where should the exposed employee report immediately after normal business hours?
Why is it beneficial for the employee to be evaluated within two hours?
Why is it beneficial for the employee to be evaluated within two hours?
Who can be reached after normal business hours for Exposure Incident reporting?
Who can be reached after normal business hours for Exposure Incident reporting?
What should be done immediately after exposure to needle stick, sharps, cuts, or abrasions?
What should be done immediately after exposure to needle stick, sharps, cuts, or abrasions?
Who is responsible for notifying the booking nurse of the exposure and the need for source testing?
Who is responsible for notifying the booking nurse of the exposure and the need for source testing?
What happens if the source individual denies consent for testing?
What happens if the source individual denies consent for testing?
How long should the exposed employee's blood sample be preserved?
How long should the exposed employee's blood sample be preserved?
What information should the evaluating physician be provided with?
What information should the evaluating physician be provided with?
How long must employee medical records be maintained?
How long must employee medical records be maintained?
When must the PPD skin test be read?
When must the PPD skin test be read?
What should be done if the exposure source is being transported to a hospital?
What should be done if the exposure source is being transported to a hospital?
What is done with the exposed employee's blood if they consent to baseline blood testing, but not HIV testing?
What is done with the exposed employee's blood if they consent to baseline blood testing, but not HIV testing?
What must the evaluating physician's written report contain?
What must the evaluating physician's written report contain?
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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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