7.16

EXPOSURE CONTROL PLAN
HEALTHCARE PROFESSIONAL'S POSTEXPOSURE EVALUATION
The postexposure evaluation of an exposure incident involving an employee includes a written opinion from a healthcare professional. The department head shall obtain and provide the employee with a copy of this opinion within 15 days of the completion of the evaluation.

This opinion shall be limited to the following:

Employee Name ________________________________________

Department ____________________________________________

Statement:

1. The above-named individual has been informed of the results of the postexposure evaluation.

2. The above-named individual has been told about any medical conditions resulting from exposure to blood or other potentially infectious materials that require further evaluation or treatment.

All other findings or diagnoses shall remain confidential.

____________________________________ _______________________
Signature of Healthcare Professional
Date

Date

Date