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

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DocuSign Envelope ID:79C5D167-B6CA-4E59-B4AC-AA38CC1B20BD §1910.1030 29 CFR Ch. XVII (7-1-10 Edition) within or as near as possible to the the employee has previously received work area. the complete hepatitis B vaccination (vi) A ducted exhaust-air ventilation series, antibody testing has revealed system shall be provided. This system that the employee is immune, or the shall create directional airflow that vaccine is contraindicated for medical draws air into the work area through reasons. the entry area. The exhaust air shall (ii)The employer shall not make par- not be recirculated to any other area of ticipation in a prescreening program a the building, shall be discharged to the prerequisite for receiving hepatitis B outside, and shall be dispersed away vaccination. from occupied areas and air intakes. (iii)If the employee initially declines The proper direction of the airflow hepatitis B vaccination but at a later shall be verified (i.e., into the work date while still covered under the area). standard decides to accept the vaccina- (5) Training Requirements. Additional tion, the employer shall make avail- training requirements for employees in able hepatitis B vaccination at that HIV and HBV research laboratories and time. HIV and HBV production facilities are (iv) The employer shall assure that specified in paragraph(g)(2)(ix). employees who decline to accept hepa- (f) Hepatitis B vaccination and post-ex- titis B vaccination offered by the em- posure evaluation and follow-up—(1) ployer sign the statement in appendix General. (i) The employer shall make A. available the hepatitis B vaccine and (v) If a routine booster dose(s) of hep- vaccination series to all employees atitis B vaccine is recommended by the who have occupational exposure, and U.S. Public Health Service at a future post-exposure evaluation and follow-up date, such booster dose(s) shall be to all employees who have had an expo- made available in accordance with sec- sure incident. tion(f)(1)(ii). (ii) The employer shall ensure that (3) Post-exposure Evaluation and Fol- all medical evaluations and procedures low-up. Following a report of an expo- including the hepatitis B vaccine and sure incident, the employer shall make vaccination series and post-exposure immediately available to the exposed evaluation and follow-up, including employee a confidential medical eval- prophylaxis, are: uation and follow-up, including at least (A) Made available at no cost to the the following elements: employee; (i) Documentation of the route(s) of (B) Made available to the employee exposure, and the circumstances under at a reasonable time and place; which the exposure incident occurred; (C) Performed by or under the super- (ii) Identification and documentation vision of a licensed physician or by or of the source individual, unless the em- under the supervision of another li- ployer can establish that identification censed healthcare professional; and is infeasible or prohibited by state or (D) Provided according to rec- local law; ommendations of the U.S. Public (A) The source individual's blood Health Service current at the time shall be tested as soon as feasible and these evaluations and procedures take after consent is obtained in order to de- place, except as specified by this para- termine HBV and HIV infectivity. If graph(f). consent is not obtained, the employer (iii) The employer shall ensure that shall establish that legally required all laboratory tests are conducted by consent cannot be obtained. When the an accredited laboratory at no cost to source individual's consent is not re- the employee. quired by law, the source individual's (2) Hepatitis B Vaccination. (i) Hepa- blood, if available, shall be tested and titis B vaccination shall be made avail- the results documented. able after the employee has received (B) When the source individual is al- the training required in paragraph ready known to be infected with HBV (g)(2)(vii)(I)and within 10 working days or HIV, testing for the source individ- of initial assignment to all employees ual's known HBV or HIV status need who have occupational exposure unless not be repeated. 274