1. Hepatitis B Vaccination
the HBV vaccination must be offered after the employee has received training and within 10 working days of job assignment
At no cost
Provided by PLHCP
According to US Public Health Service most current recommendations
“Immunization of Health Care Workers: Recommendations of ACIP and HICPAC,” MMWR, Vol. 46, No. RR-18

2. HBV Vaccination
Employees who do not take the shots must sign a declination statement
Highly recommended
Few contraindications
Three-shot series—titer 1-2 months after last shot
No booster currently recommended
Each person must have a health care professional's written opinion
A copy must be provided to the employee within 15 days of completion of the evaluation
An employee can decline now, take the shots later

3. Written Opinion
Each person must have a health care professional's written opinion for hepatitis B vaccination
A copy must be provided to the employee within 15 days of completion of the evaluation

4. Post-Exposure Follow-up
After exposure incident
Stick or cut
Splash
Non-intact skin exposure
At no cost
Begin ASAP after exposure incident
Report exposure incident to your supervisor or designated personnel immediately

5. Post-Exposure Follow-up
Investigation of the incident
ID source individual, obtain consent, and test their blood to determine HBV, HCV, and HIV infectivity ASAP
Results of source individual's test given to exposed person
Obtain and test exposed person's blood for HBV, HCV, and HIV serological status

6. Post-Exposure Follow-up
Post-exposure prophylaxis as indicated by CDC
“Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis” June 29, 2001, Vol 50, No. RR-11
“Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Postexposure Prophylaxis,” September 30, 2005, Vol 54, RR-09
Counseling and Evaluation of reported illnesses

7. Written Opinion
The employee must be provided a copy of the Health Care Professional's Written Opinion for Post-Exposure Follow-up within 15 days of completion of the evaluation

9. Labels
Containers with contaminated items
Can substitute red

10. Training For all employees listed in the Exposure Determination
At no cost to employees
During working hours
At the time of initial assignment
Annually--within 1 year of last training date
Must be opportunity for interactive questions and answers
Train employees on adopted safer needle devices before implementation

11. Training Five Easy Questions What is universal precautions?
What do you do when there is a blood spill?
Personal protection
Clean-up and disposal procedures
Disinfection (hazard communication applies)
What do you do with contaminated sharps and laundry?
Have you been offered the HBV vaccination free of charge?
Where is the Exposure Control Plan?

12. Additional Training
Copy of the BBP standard, 29 CFR , must be accessible to you
Explanation of methods of recognizing tasks that may involve exposure to blood and/or body fluids
Information on types, use, location, removal, handling, decontamination, and disposal of ppe
Basis of selection of ppe
Actions to take and persons to contact in a bloodborne emergency that you do not know how to handle
Procedure to follow if exposure incident occurs
Opportunity for interactive Q & A

13. Records Medical records Name and social security number
HBV vaccination status
Results of exposure incident follow-up
Health care professional's written opinions
Info provided to health care professional
Confidential

14. Records Training Dates Contents Names and qualifications of trainers
Names and titles of persons attending

15. Records Sharps Injury Log
Per the Tennessee Sharps Injury Prevention law
Keep a log of all sharps injuries with
Type and brand of device involved in the incident
Department or work area where the incident occurred
Explanation of how the incident occurred

16. Resources www.osha.gov www.tennessee.gov/labor-wfd/tosha www.cdc.gov
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Chattanooga
Consultative Services