2018-574-E Emergency Svc - South orange Rescue Squad operational agreement

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DocuSign Envelope ID:79C5D167-B6CA-4E59-B4AC-AA38CC1 B20BD Orange County Emergency Services Exposure Control Policy °°` ` EM Standard Operating Procedures EC 11 : Hepatitis B Vaccine and Post-Exposure Evaluation and Follow Up: • General: o Orange County Emergency Services will make available the Hepatitis B vaccine and vaccination series to all employees who have occupational exposure, and post exposure follow-up to employees who have had an exposure incident. o Orange County Emergency Services will ensure that all medical evaluations and procedures, including the Hepatitis B vaccine and vaccination series and post exposure follow-up (including prophylaxis), are: ■ Made available at no cost to employee; ■ Made available to the employee at a reasonable time and place; ■ Performed by or under the supervision of a licensed physician or by or under the supervision of another licensed healthcare professional; and ■ Provided according to the recommendations of the U.S. Public Health Service. o An accredited laboratory at no cost to the employee shall conduct all laboratory tests. • Hepatitis B Vaccination: o The Infection Control Officer is in charge of the Hepatitis B vaccination program. Vaccinations will be administered by the County Health Department or other identified facility. o Hepatitis B vaccination will be made available after the employee has received the training in occupational exposure (see information and training) and within 10 working days of initial assignment to all employees who have occupational exposure unless the employee has previously received the complete Hepatitis B vaccination series, antibody testing has revealed that the employee is immune, or the vaccine is contraindicated for medical reasons. o Participation in a pre-screening program is not a prerequisite for receiving Hepatitis B vaccination. o If the employee initially declines Hepatitis B vaccination but at a later date, while still covered under the standard, decides to accept the vaccination, the vaccination shall then be made available. o Each employee who declines the Hepatitis B vaccination offered shall sign a waiver indicating his or her refusal. Appendix (C) includes the OSHA declination statement to be used for this purpose. o If a routine booster dose of Hepatitis B vaccine is recommended by the U.S. Public Health Service at a future date, such booster doses shall be made available by Orange County Emergency Services at no cost the employee. Revised July,2018