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Revised -XO\ <br />EC 11: Hepatitis B Vaccine and Post-Exposure Evaluation and Follow Up: <br />•General: <br />o Orange County Emergency Services will make available the Hepatitis B <br />vaccine and vaccination series to all employees who have occupational <br />exposure, and post exposure follow-up to employees who have had an <br />exposure incident. <br />o Orange County Emergency Services will ensure that all medical <br />evaluations and procedures, including the Hepatitis B vaccine and <br />vaccination series and post exposure follow-up (including prophylaxis), <br />are: <br />Made available at no cost to employee; <br />Made available to the employee at a reasonable time and place; <br />Performed by or under the supervision of a licensed physician or by <br />or under the supervision of another licensed healthcare <br />professional; and <br />Provided according to the recommendations of the U.S. Public <br />Health Service. <br />o An accredited laboratory at no cost to the employee shall conduct all <br />laboratory tests. <br />•Hepatitis B Vaccination: <br />o The Infection Control Officer is in charge of the Hepatitis B vaccination <br />program. Vaccinations will be administered by the County Health <br />Department or other identified facility. <br />o Hepatitis B vaccination will be made available after the employee has <br />received the training in occupational exposure (see information and <br />training) and within 10 working days of initial assignment to all employees <br />who have occupational exposure unless the employee has previously <br />received the complete Hepatitis B vaccination series, antibody testing has <br />revealed that the employee is immune, or the vaccine is contraindicated <br />for medical reasons. <br />o Participation in a pre-screening program is not a prerequisite for receiving <br />Hepatitis B vaccination. <br />o If the employee initially declines Hepatitis B vaccination but at a later date, <br />while still covered under the standard, decides to accept the vaccination, <br />the vaccination shall then be made available. <br />o Each employee who declines the Hepatitis B vaccination offered shall sign <br />a waiver indicating his or her refusal. Appendix (C) includes the OSHA <br />declination statement to be used for this purpose. <br />o If a routine booster dose of Hepatitis B vaccine is recommended by the <br />U.S. Public Health Service at a future date, such booster doses shall be <br />made available by Orange County Emergency Services at no cost the <br />employee. <br />Orange County Emergency Services <br />Exposure Control Policy <br />Standard Operating Procedures <br />DocuSign Envelope ID: 79C5D167-B6CA-4E59-B4AC-AA38CC1B20BD