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 Program x Standard Operating Procedures EC 1 : Health Maintenance: • No new personnel will be assigned to emergency response duties until an entrance physical assessment has been performed and has been certified as fit for duty. • The Exposure Control Officer may initiate work restrictions for reasons of Exposure Control. These may be temporary or permanent. For example, personnel with extensive dermatitis or open skin lesions on exposed areas may be restricted from providing patient care or handling and / or decontamination of patient care equipment. • All personnel will be offered a TB Skin Test, immunization against hepatitis B, and will be required to show proof of immunization against influenza, measles, mumps, rubella, poliomyelitis (polio), tetanus, and diphtheria. The risks and benefits of hepatitis B immunization will be explained to all personnel and informed consent obtained prior to immunization. • Personnel who refuse immunization will be counseled on the occupational risks of communicable disease, and required to sign a refusal of immunization form. Personnel who initially refuse immunization may later receive immunization upon request. • All personnel will be offered initial and yearly screening for tuberculosis exposure. • All personnel will receive annual health evaluations. • Any personnel returning to work following injury, illness or communicable disease, (occupational or not) will be released by the Exposure Control Officer prior to resuming emergency response duties. • All personnel will receive an exit health evaluation upon being reassigned to non- response duties or upon termination of employment of the department. • The Department Exposure Control Officer will maintain records in accordance with OSHA CFR 29, Part 1910.1030. Personnel participation in the Exposure Control Program will be documented, including: o Name and SSN of personnel. o Immunization records. o Annual medical evaluation records as needed. o Infection control / exposure control plan training participation. o PPE training and fitting. o Incidents of potential exposure to communicable diseases and incident investigation results. o Post-exposure medical evaluation, treatment, and follow-up. • Exposure Control records will become a part of the personnel's personal health file and will be maintained for duration of employment plus thirty (30) years. Revised July,2018