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

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275 Occupational Safety and Health Admin., Labor §1910.1030 (C) Results of the source individual’s testing shall be made available to the exposed employee, and the employee shall be informed of applicable laws and regulations concerning disclosure of the identity and infectious status of the source individual. (iii) Collection and testing of blood for HBV and HIV serological status; (A) The exposed employee’s blood shall be collected as soon as feasible and tested after consent is obtained. (B) If the employee consents to base- line blood collection, but does not give consent at that time for HIV serologic testing, the sample shall be preserved for at least 90 days. If, within 90 days of the exposure incident, the employee elects to have the baseline sample test- ed, such testing shall be done as soon as feasible. (iv) Post-exposure prophylaxis, when medically indicated, as recommended by the U.S. Public Health Service; (v) Counseling; and (vi) Evaluation of reported illnesses. (4) Information Provided to the Healthcare Professional. (i) The em- ployer shall ensure that the healthcare professional responsible for the em- ployee’s Hepatitis B vaccination is pro- vided a copy of this regulation. (ii) The employer shall ensure that the healthcare professional evaluating an employee after an exposure incident 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 exposure and circumstances under which exposure occurred; (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 to maintain. (5) Healthcare Professional’s Written Opinion. The employer shall obtain and provide the employee with a copy of the evaluating healthcare profes- sional’s written opinion within 15 days of the completion of the evaluation. (i) The healthcare professional’s writ- ten opinion for Hepatitis B vaccination shall be limited to whether Hepatitis B vaccination is indicated for an em- ployee, and if the employee has re- ceived such vaccination. (ii) The healthcare professional’s written opinion for post-exposure eval- uation and follow-up shall be limited to the following information: (A) That the employee has been in- formed of the results of the evaluation; and (B) That the employee has been told about any medical conditions resulting from exposure to blood or other poten- tially infectious materials which re- quire further evaluation or treatment. (iii) All other findings or diagnoses shall remain confidential and shall not be included in the written report. (6) Medical recordkeeping. Medical records required by this standard shall be maintained in accordance with para- graph (h)(1) of this section. (g) Communication of hazards to em- ployees—(1) Labels and signs—(i) Labels. (A) Warning labels shall be affixed to containers of regulated waste, refrig- erators and freezers containing blood or other potentially infectious mate- rial; and other containers used to store, transport or ship blood or other potentially infectious materials, ex- cept as provided in paragraph (g)(1)(i)(E), (F) and (G). (B) Labels required by this section shall include the following legend: (C) These labels shall be fluorescent orange or orange-red or predominantly so, with lettering and symbols in a con- trasting color. (D) Labels shall be affixed as close as feasible to the container by string, wire, adhesive, or other method that prevents their loss or unintentional re- moval. VerDate Mar<15>2010 09:17 Aug 04, 2010Jkt 220114PO 00000Frm 00285Fmt 8010Sfmt 8010Q:\29\29V6.TXTofr150PsN: PC150 EC 2 8 O C 9 1 . 0 1 8 < / G P H > DocuSign Envelope ID: 79C5D167-B6CA-4E59-B4AC-AA38CC1B20BD