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Questions and Answers
What is an Exposure Incident?
What is an Exposure Incident?
- Contact with non-infectious agents through inhalation during the performance of an employee's duties.
- Contact with potentially infectious agents including, but not limited to, body fluids, through inhalation, percutaneous inoculation, parenteral contact, an open wound, non-intact skin, mucous membranes, eyes, or mouth during the performance of an employee's duties. (correct)
- Contact with blood or other bodily fluids during a medical procedure.
- Contact with contaminated surfaces during cleaning duties.
What should be done with blood alcohol kits, rape kits, and all evidence known or suspected to be contaminated with body fluids?
What should be done with blood alcohol kits, rape kits, and all evidence known or suspected to be contaminated with body fluids?
- They should be disposed of immediately.
- They should be stored in the district offices.
- They should be sent to the Sheriff's Office Occupational Health and Wellness Center.
- They should be brought directly to the Evidence Section at the Falkenburg Road complex. (correct)
Who is eligible for the Hepatitis B vaccine?
Who is eligible for the Hepatitis B vaccine?
- Only high-risk employees who have been exposed to occupational hazards.
- All high-risk employees within ten days of their initial assignment to duties involving occupational exposure. (correct)
- All employees regardless of their job duties.
- Only employees who have had a prior Exposure Incident.
Where is the Hepatitis B vaccine offered?
Where is the Hepatitis B vaccine offered?
What is required of employees who decline the Hepatitis B vaccine?
What is required of employees who decline the Hepatitis B vaccine?
What is the cost to employees who receive the Hepatitis B vaccine?
What is the cost to employees who receive the Hepatitis B vaccine?
Can employees who initially decline the Hepatitis B vaccine receive it later?
Can employees who initially decline the Hepatitis B vaccine receive it later?
What is required of employees who begin the Hepatitis B vaccination series?
What is required of employees who begin the Hepatitis B vaccination series?
What is the minimum period of time that a baseline blood sample shall be preserved if an employee consents to baseline blood testing but not HIV testing?
What is the minimum period of time that a baseline blood sample shall be preserved if an employee consents to baseline blood testing but not HIV testing?
What information shall be provided to the evaluating physician?
What information shall be provided to the evaluating physician?
How long after the evaluation must the employee be provided a copy of the evaluating physician's written report?
How long after the evaluation must the employee be provided a copy of the evaluating physician's written report?
What is the purpose of the PPD skin test?
What is the purpose of the PPD skin test?
How long must employee medical records be maintained?
How long must employee medical records be maintained?
When must the results of the PPD skin test be documented on the PPD Skin Testing Form?
When must the results of the PPD skin test be documented on the PPD Skin Testing Form?
What should employees do after completing the Hepatitis B series?
What should employees do after completing the Hepatitis B series?
What should be included in the documentation of an Exposure Incident?
What should be included in the documentation of an Exposure Incident?
Who should an employee notify immediately after an Exposure Incident?
Who should an employee notify immediately after an Exposure Incident?
What should an employee do after an Exposure Incident occurs after normal business hours?
What should an employee do after an Exposure Incident occurs after normal business hours?
What should be done to a needle stick or cut site?
What should be done to a needle stick or cut site?
What should be done if the exposure source is under arrest and being transported to booking?
What should be done if the exposure source is under arrest and being transported to booking?
What should be done if the source individual consents to testing?
What should be done if the source individual consents to testing?
What should happen if the source individual denies consent for testing?
What should happen if the source individual denies consent for testing?
When should the exposed employee's blood be collected and tested for HBV, HCV, and HIV status?
When should the exposed employee's blood be collected and tested for HBV, HCV, and HIV status?
What is the goal of medical evaluation after an Exposure Incident?
What is the goal of medical evaluation after an Exposure Incident?
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Study Notes
Exposure Incident
- An Exposure Incident is contact with potentially infectious agents through inhalation, percutaneous inoculation, parenteral contact, an open wound, non-intact skin, mucous membranes, eyes, or mouth during work duties.
- Exposure incidents include skin exposure to body fluids or other potentially infectious materials, especially when skin is chapped, abraded, afflicted with dermatitis, or when contact is prolonged or involves an extensive area.
Hepatitis B Vaccine
- The Hepatitis B vaccine is available to high-risk employees within 10 days of initial assignment to duties involving occupational exposure.
- Non-high-risk employees who want the vaccine must contact their supervisor.
- The vaccine is offered at the Sheriff's Office Occupational Health and Wellness Center at no charge to the employee.
Exposure Incident Procedure
- After an Exposure Incident, employees must:
- Notify their immediate supervisor and the ECO (Medical Director of the Sheriff's Office Occupational Health and Wellness Center)
- Complete the Exposure Incident Report, which includes:
- 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
- Report to the Sheriff's Office Occupational Health and Wellness Center for medical evaluation
Medical Evaluation and Treatment
- Exposure Incident Report forms are forwarded to the Department of Operational Support Medical Director, Workers' Compensation Claims Manager, and Department of Detention Services Medical Advisor.
- Immediate treatment after exposure includes:
- Washing the affected area with soap and water or using a waterless hand cleaner
- Rinsing mucous membranes with water or saline
- Reporting the exposure to a supervisor
Source Testing
- If the exposure source is under arrest and being transported to booking, 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.
- The source individual(s) may be tested for HIV and Hepatitis if they consent.
Employee Blood Testing
- Collection and testing of an exposed employee's blood for HBV, HCV, and HIV status may be conducted.
- The exposed employee's blood shall be collected and tested as soon as feasible after consent is obtained.
Follow-up and Evaluations
- Follow-up care includes repeat antibody testing, counseling, and post-exposure prophylaxis as medically indicated.
- The evaluating physician is provided with the following information:
- OSHA regulations (29CFR1910.1030)
- Employee duties related to occupational exposure
- Route and circumstances of exposure
- Results of the source individual's blood tests, if available
- Employee's post-exposure treatment record, including vaccination status
Record Keeping
- Employee medical records are maintained for the duration of employment plus 30 years.
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