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

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DocuSign Envelope ID:79C5D167-B6CA-4E59-B4AC-AA38CC1B20BD Occupational Safety and Health Admin., Labor §1910.1030 (C) Results of the source individual's vaccination is indicated for an em- testing shall be made available to the ployee, and if the employee has re- exposed employee, and the employee ceived such vaccination. shall be informed of applicable laws (ii) The healthcare professional's and regulations concerning disclosure written opinion for post-exposure eval- of the identity and infectious status of uation and follow-up shall be limited to the source individual. the following information: (iii) Collection and testing of blood (A) That the employee has been in- for HBV and HIV serological status; formed of the results of the evaluation; (A) The exposed employee's blood and shall be collected as soon as feasible (B) That the employee has been told and tested after consent is obtained. about any medical conditions resulting (B) If the employee consents to base- from exposure to blood or other poten- line blood collection, but does not give tially infectious materials which re- consent at that time for HIV serologic quire further evaluation or treatment. testing, the sample shall be preserved (iii) All other findings or diagnoses for at least 90 days. If, within 90 days of shall remain confidential and shall not the exposure incident, the employee be included in the written report. elects to have the baseline sample test- (6) Medical recordkeeping. Medical ed, such testing shall be done as soon records required by this standard shall as feasible. be maintained in accordance with para- (iv) Post-exposure prophylaxis, when graph(h)(1) of this section. medically indicated, as recommended (g) Communication of hazards to em- by the U.S. Public Health Service; ployees—(1) Labels and signs—(i) Labels. (v) Counseling; and (A) Warning labels shall be affixed to (vi)Evaluation of reported illnesses. containers of regulated waste, refrig- (4) Information Provided to the erators and freezers containing blood Healthcare Professional. (i) The em- or other potentially infectious mate- ployer shall ensure that the healthcare rial; and other containers used to professional responsible for the em- store, transport or ship blood or other ployee's Hepatitis B vaccination is pro- potentially infectious materials, ex- vided a copy of this regulation. cept as provided in paragraph (ii) The employer shall ensure that (9)(1)(i)(E), (F)and(G). the healthcare professional evaluating (B) Labels required by this section an employee after an exposure incident shall include the following legend: is provided the following information: (A)A copy of this regulation; (B) A description of the exposed em- ployee's duties as they relate to the ex- posure incident; (C) Documentation of the route(s) of 1Z 04 exposure and circumstances under which exposure occurred; �4c, V (D) Results of the source individual's blood testing, if available; and (E) All medical records relevant to the appropriate treatment of the em- ployee including vaccination status which are the employer's responsibility BIOHAZARD to maintain. (5) Healthcare Professional's Written (C) These labels shall be fluorescent Opinion. The employer shall obtain and orange or orange-red or predominantly provide the employee with a copy of so, with lettering and symbols in a con- the evaluating healthcare profes- trasting color. sional's written opinion within 15 days (D) Labels shall be affixed as close as of the completion of the evaluation. feasible to the container by string, (i)The healthcare professional's writ- wire, adhesive, or other method that ten opinion for Hepatitis B vaccination prevents their loss or unintentional re- shall be limited to whether Hepatitis B moval. 275