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Revised -XO\ <br />EC 1: Health Maintenance: <br />•No new personnel will be assigned to emergency response duties until an <br />entrance physical assessment has been performed and has been certified as fit <br />for duty. <br />•The Exposure Control Officer may initiate work restrictions for reasons of <br />Exposure Control. These may be temporary or permanent. For example, <br />personnel with extensive dermatitis or open skin lesions on exposed areas may <br />be restricted from providing patient care or handling and / or decontamination of <br />patient care equipment. <br />•All personnel will be offered a TB Skin Test, immunization against hepatitis B, <br />and will be required to show proof of immunization against influenza, measles, <br />mumps, rubella, poliomyelitis (polio), tetanus, and diphtheria. The risks and <br />benefits of hepatitis B immunization will be explained to all personnel and <br />informed consent obtained prior to immunization. <br />•Personnel who refuse immunization will be counseled on the occupational risks <br />of communicable disease, and required to sign a refusal of immunization form. <br />Personnel who initially refuse immunization may later receive immunization upon <br />request. <br />•All personnel will be offered initial and yearly screening for tuberculosis <br />exposure. <br />•All personnel will receive annual health evaluations. <br />•Any personnel returning to work following injury, illness or communicable <br />disease, (occupational or not) will be released by the Exposure Control Officer <br />prior to resuming emergency response duties. <br />•All personnel will receive an exit health evaluation upon being reassigned to non- <br />response duties or upon termination of employment of the department. <br />•The Department Exposure Control Officer will maintain records in accordance <br />with OSHA CFR 29, Part 1910.1030. Personnel participation in the Exposure <br />Control Program will be documented, including: <br />o Name and SSN of personnel. <br />o Immunization records. <br />o Annual medical evaluation records as needed. <br />o Infection control / exposure control plan training participation. <br />o PPE training and fitting. <br />o Incidents of potential exposure to communicable diseases and incident <br />investigation results. <br />o Post-exposure medical evaluation, treatment, and follow-up. <br />•Exposure Control records will become a part of the personnel's personal health <br />file and will be maintained for duration of employment plus thirty (30) years. <br />Orange County Emergency Services <br />Exposure Control Program <br />Standard Operating Procedures <br />DocuSign Envelope ID: 79C5D167-B6CA-4E59-B4AC-AA38CC1B20BD