1. Occupationally
exposed employees must report the exposure immediately to their supervisor or through
the emergency pager system.
2. The
exposed employee will complete an "Occupational Exposure Report" and
will submit this form to Human Resources within 24 hours.
3. The
exposed employee will be given a copy of this policy.
4. Human
Resources will arrange for the exposed employee to receive a confidential
medical evaluation immediately after an occupational exposure, using Community
Care's designated health care provider. The exposed employee will be offered an
HIV/HBV test. With the employee's consent, the healthcare provider will collect
a blood sample and test this blood. If the exposed employee declines to be
tested, the employee will be advised that s/he may elect to have the blood
sample tested at a later date.
5. Human
Resources will forward the Occupational Exposure Report, any possible
appropriate information regarding the source individual, a copy of the employee's
job description, and a copy of the OSHA Regulation for Protection against Blood
borne Pathogens to the designated healthcare provider, who will evaluate the
exposed employee within 48 hours of the exposure.
6. If the
occupational exposure occurs after normal business hours or during the weekend,
the employee may seek treatment and evaluation at any emergency room. This
visit and any results must be reported to Human Resources at the beginning of
the first regular workday.
7. Consistent
with state law, the HIV/HBV testing healthcare provider will provide the
exposed employee personal pretest counseling which will include information
about the following:
8. The
nature and reliability of the tests being proposed
�
The person to whom test results may be disclosed
�
The purpose for which test results may be used
�
Any reasonable foreseeable risks and benefits of being
tested
�
A memorandum summarizing the contents of the counseling
discussion
9. Human
Resources will inform the exposed employee of any laws and regulations
concerning disclosure of the source individual's identity and infection status
and will provide a copy of the applicable statute.
10. The supervisor
of the exposed employee, in conjunction with Human Resources, will seek consent
of the source individual to be tested for HIV/HBV as soon as feasible, unless
the individual is already known to be infected with HIV/HBV. If the source
individual declines consent, Community Care, if acting as the health care
provider, or the exposed employee, may petition the District Court with
jurisdiction over the area where the source individual resides, to require the
individual to submit to an HIV/HBV test.
11. The
exposed employee's supervisor, in conjunction with Human Resources, will
complete a Post Exposure Evaluation and Follow-Up Report. This will be done and
returned to Human Resources within 48 hours of receipt of the confidential
medical evaluation.
12. The
exposed employee will be offered additional HIV/HBV testing at six weeks
post-exposure and again at 12 weeks and six months post-exposure.
13. The
results of the source individual's blood test will be made available to the
exposed employee. Human Resources will advise of and provide a copy of the
applicable laws and regulations concerning the disclosure of the identity and
infection status of the source individual to the exposed employee.
14. Human
Resources will make the exposed employee aware that the law requires the
HIV/HBV testing provider to report positive test results to the State Bureau of
Health.
15. Consistent
with state law, the HIV/HBV testing provider will provide the exposed employee
personal posttest counseling, which will include the following:
�
Test results and the reliability and significance of the
test results
�
Social and emotional consequences of the information
�
Information on good preventative practices and risk
reduction plans
�
Referrals for medical care and other support as needed
�
A memorandum summarizing the contents of the counseling
discussion
16. Community
Care will ensure that the medical evaluation and follow-up testing described
above is accomplished at no cost to the exposed employee.
17. Human
Resources will maintain the exposed employee's medical record, as directed in
OSHA regulation, and will review the applicable OSHA regulation regarding this.
18.
The results of any HIV/HBV testing are confidential and
may not be disclosed without the written permission of the exposed employee or
source individual.