WAC 296-823-16005
Make a confidential medical evaluation
and follow-up available to employees who experience an
exposure incident.
You must:
• Make immediately available a confidential post-exposure
evaluation and follow-up to all employees with occupational
exposure to blood or OPIM who report an exposure incident.
Definition:
Exposure incident. Means a specific eye, mouth, other
mucous membrane, nonintact skin or parenteral contact with
blood or other potentially infectious materials (OPIM) that
results from the performance of an employee's duties. Examples of nonintact skin include skin with dermatitis,
hangnails, cuts, abrasions, chafing, or acne.
You must:
• Make sure that the post-exposure medical evaluation and
follow-up are all of the following:
– Immediately available following an exposure incident
– Confidential
– At no cost to the employee
– At a reasonable time and place
– Administered by or under the supervision of a licensed
physician or by another licensed healthcare professional
– Provided according to recommendations of the United
States Public Health Service current at the time these
evaluations and procedures take place.
• Make sure that the evaluation and follow-up includes AT
LEAST these elements:
– Documentation of the routes of exposure, and the
circumstances under which the exposure incident happened
– Identification and documentation of the source
individual, unless you can establish that identification is
infeasible or prohibited by state or local law
– Collection and testing of blood to detect the presence
of HBV and HIV
– Post-exposure preventive treatment, when medically
indicated, as recommended by the United States Public Health
Service
– Counseling
– Evaluation of reported illnesses.
• Make sure that all laboratory tests are conducted by a
laboratory licensed by the state or Clinical Laboratory
Improvement Amendments Act (CLIA).
Note:
The employer or a third-party healthcare provider identified by the employer may do the evaluation.