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Revised -XO\ <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 5th 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 />Orange County Emergency Services <br />Exposure Control Policy <br />Standard Operating Procedures <br />DocuSign Envelope ID: 79C5D167-B6CA-4E59-B4AC-AA38CC1B20BD