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Environmental Health & Safety

Bloodborne Pathogen Exposure Control Plan —
for Healthcare and Research Workers



ENVIRONMENTAL HEALTH & SAFETY

BLOODBORNE PATHOGEN EXPOSURE CONTROL PLAN
FOR RESEARCH AND HEALTHCARE


J. RECORDKEEPING


A system shall be established whereby medical records shall be prepared and maintained for each employee who may be occupationally exposed to blood or other infectious materials. Employee exposure and medical records will be maintained in accordance with Section G.6 of the SDSU Injury and Illness Prevention Program.

1. Medical Records

Medical records shall remain confidential and will not be disclosed or reported to any person, except as required by regulation. The records shall be maintained for at least thirty (30) years and will include:

  • Employees name and social security number.

  • A copy of the HBV vaccine records.

  • A copy of the results of all medical evaluations and follow-up.

  • The university’s copy of the physicians’ written opinion.

  • Copies of all information initially provided to the physician.

2. Training Records

Training records shall be prepared and maintained by the College of Science and/or EH&S and shall include the following information:

  • Dates of all training sessions

  • Contents, outline or summary of the training

  • Name of trainer

  • Names and job titles of all attendees

3. Sharps Injury Log

The university shall establish and maintain a Sharps Injury Log, which is a record of each exposure incident involving a sharp. The Sharps Injury Log shall be maintained for 5 years from the date the exposure occurred. The information recorded shall include the following:

  • Date and time of the exposure incident

  • Type and brand of sharp involved in the exposure incident

  • Description of the exposure incident including:

a. Job classification of the exposed employee.

b. Work area where exposure occurred.

c. Work procedure at the time of incident.

d. How the incident occurred.

e. Body part involved in the incident.

f. If sharp had engineered sharps injury protection, whether protective mechanism was activated and whether the injury occurred before, during or after the protective mechanism was activated.


Each exposure incident shall be recorded on the Sharps Injury Log within 14 working days of the date the incident is reported. The information in the Sharps Injury Log shall be recorded and maintained to protect the confidentiality of the injured employee.


4. Availability

SDSU shall assure that all records required to be maintained by this Standard are available upon request to the regulatory agencies (Cal/OSHA, Cal/EPA, OSHA), the employee or their designated representative or any other person in accordance with §29 CFR 1910.1030 and §8 CCR 5193.

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This page last updated September 25, 2008
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