EXPOSURE CONTROL PLAN January 2020

Question 1

OSHA defines an ____ exposure as “a specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee’s duties.” This definition, coupled with blood or body fluid exposure to intact skin for a period longer than ___ , is termed a “Risk” exposure by IDP.

pg 11

Answer 1

infectious disease & 30 minutes

Question 2

A “Non-Risk” bloodborne exposure is defined as blood or body fluid contact with intact skin for less than ___.

pg 11

Answer 2

30 minutes

Question 3

A ___“Risk” exposure is thereby determined to be any unprotected contact with a person known or suspected of having active tuberculosis, meningitis of unknown etiology, varicella zoster (chicken pox), measles, pertussis (whooping cough), or other airborne transmission pathogen.

pg 12

Answer 3

airborne pathogen

Question 4

Employees should don their ____ prior to entering the patient’s home if they suspect a possible airborne pathogen “Risk” exposure.

pg 12

Answer 4

N95 respirators

Question 5

Post-Infectious Disease Exposure Actions

Actions of an Employee Exposed to an Infectious Disease:

pg 12

Answer 5

• Employees shall immediately wash with antiseptic soap and rinse any skin areas affected
• Safely remove station uniforms and place them in the red biohazard bags.
• Notify the on duty SAFO and provide the following details:
  
  • Hospital destination.
  • Source patient name, medical record number, trauma name, and date of birth.
  • Employees shall provide a contact number and must answer any phone calls from SAFO, ICPO, and IDP.
  • Employees must submit the Infectious Disease Exposure Report (FRD-314) to the SAFO.
  • If an infectious disease exposure is due to a needlestick or animal bite, an Injury Packet must be submitted to the SAFO.

Question 6

Infectious Disease Exposure Incident – Source Patient Refusing Transport

pg 13

Answer 6

Inform the source patient an infectious disease exposure has occurred and transport to the hospital.

• Submit an FRD-314 and Consent to Collect and Test Blood (FRD-107) to the ICPO.

If the source patient refuses, the EMS Supervisor may request to draw blood for medical testing.

• FRD can pursue legal authority to obtain blood.
• The source patient can appeal the court order, then treat the exposure as there is no source patient blood available, and advise IDP.

Question 7

What steps to take if the source patient refuses transport:

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Answer 7

• notify the on duty SAFO
• request an EMS Supervisor
• remain with the source patient

Question 8

Infectious Disease Exposure Incidents – Animal Bites

pg 14

Answer 8

• Thoroughly clean the bite area with soap and water and bandage injury site.
• Request an Animal Protection Police Officer.
  
  • If possible, note the type of animal and keep the offending animal contained or within sight until an APPO arrives.
• Transport employee to the hospital.
• Submit an injury packet [e.g., Supervisor’s Report of Work-Related Injury and/or illness (FRD-071), Battalion’s Chief Injury and/or Illness investigation Report (FRD-315A), and Injury and/or Accident Narrative Supplement (FRD-317)].

Question 9

Medical confidentiality applies to infectious disease exposure reporting. The only deviation from this policy is if the exposure to one employee poses a secondary risk to ___.

pg 14

Answer 9

other employees.

Question 10

If an employee believes an off-duty exposure occurred contact the on duty ___. If unavailable, contact the ___.

pg 14

Answer 10

SAFO & Uniformed Fire Officer.

Question 11

Notification and Management of Off-Duty Infectious Disease Exposure, Employees shall provide the following:

pg 14

Answer 11

• Source patient’s name, date of birth, and medical record number
• Destination hospital, ER charge nurse, and contact information.
• Transport service and unit number.
• Transport OIC contact information.
• Submit an FRD-314 to the on duty SAFO or ICPO.

Question 12

Employee work status is determined by ___ or ___ physician.

pg 15

Answer 12

IDP or PSOHC

Question 13

A ____ is given for positive exposures to HIV, Hepatitis B and C, Neisseria meningitidis (meningococcal disease), Bacillus anthracis (anthrax), TB, and rabies.

pg 15

Answer 13

Prophylaxis

Question 14

A ___ can be given based on medical judgment of vaccination record for pertussis (whopping cough), measles, and varicella (chicken pox and shingles) exposures.

pg 15

Answer 14

Prophylaxis

Question 15

Citizen “Good Samaritan” Infectious Disease Exposure Reporting:

pg 15

Answer 15

• This right is guaranteed to the Good Samaritan through the Code of Virginia § 32.1-45.1 – “Deemed Consent.”
• Submit the Good Samaritan Citizen Exposure Information Intake Form (FRD-399-A) to on duty SAFO.
• Citizens should receive a copy of the Good Samaritan Citizen Exposure Brochure (FRD-399-B) with the incident number written inside.

Question 16

Risk exposure for citizens is sent to the ___.

pg 15

Answer 16

Health Department