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DocuSign Envelope ID:79C5D167-B6CA-4E59-B4AC-AA38CC1 B20BD <br /> � >�g` Orange County Emergency Services <br /> Exposure Control Policy ` ` <br /> Standard Operating Procedures <br /> EC 8: Compliance and Quality Monitoring / Program Evaluation: <br /> • Compliance and Quality Monitoring: <br /> o All personnel are responsible for following standard operating procedures <br /> while performing job duties. Spot scene monitoring will be conducted. <br /> Supervisors will also conduct, at a minimum, formal workplace tours and <br /> document the results monthly to assure safe work practices such as: <br /> o Hand washing provisions and technique; <br /> o Disposal of contaminated needles and other sharps; <br /> o Availability and use of PPE; <br /> o Housekeeping, including cleaning, handling of contaminated laundry, <br /> decontamination, and labeling and disposing of regulated waste. <br /> o Inspection of personnel and equipment (including vehicles). <br /> • Formal monitoring will be done monthly and no later than the 5t" day of the <br /> following month. A Bloodborne/Airborne Pathogens Surveillance and Monitoring <br /> Manual will be maintained that will contain: <br /> o The monthly Bloodborne/Airborne Pathogens Monitoring Form <br /> o Recommendations for corrective actions; <br /> o Documentation of personnel counseling, retraining, or education; and <br /> o A record of monitoring personnel's work practices and personnel <br /> disciplinary actions related to personal compliance on the <br /> Bloodborne/Airborne Pathogens Monitoring Log. <br /> • Monitoring and its documentation on the Monitoring Log will include all personnel <br /> and procedures observed. Personnel whose practices are satisfactory will be <br /> noted for positive feedback and incorporation with personal job performance <br /> evaluations. When monitoring reveals a personnel's noncompliance with <br /> standard operating procedures, the need for procedural revision or update, or <br /> modification to the work environment or equipment, it will be documented on the <br /> Monitoring Log. Recommendations for corrective action, such as personnel <br /> discipline, retraining, etc. or purchasing new equipment, will be recorded. The <br /> expected outcome of the recommendation and its date of completion will be <br /> noted. <br /> • Corrective action that involves personnel work practice improvement(s) and any <br /> observed work practice improvement will be documented within two weeks. <br /> Continued personnel noncompliance will be documented in permanent personnel <br /> records and disciplinary action instituted according to personnel policies. <br /> • The Exposure Control Officer and the EMS Operations Manager will review each <br /> Bloodborne/Airborne Pathogens Surveillance Monitoring Manual quarterly. <br /> Revised July,2018 <br />